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G�\v <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <br /> RECEIVED <br /> JAN 11 2001 <br /> SAN JOAWIN CouNry <br /> oFFICEOF EMERGENCY SERVICES <br /> DECLARATION OF COMPLETENESS AND ACCURACY RECEIVED <br /> FEb u rj ku01 <br /> Mf OFJOAUUIN 000NJY <br /> I certify under penalty of law that I have personally reviewed the Hazardous Materials Manage AwlqpVIC s <br /> and Inventory submitted by my business and have ensured, to the best of my knowledge, it meets the <br /> requirements of the California Health and Safety Code, Chapter 6.95,Article 1. I understand that <br /> false/inaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident. <br /> o l► s Gfi,l/ 4 � <br /> Name of Business <br /> ker- <br /> Name of Facility Operator/Owner <br /> mG a la Qrfne/ <br /> Title o acility Operator/Owner <br /> Si n c) <br /> A /0 <br /> Date <br /> SJC 12/00 <br />