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SAN JOAQUIWOUNTY OFFICE OF EMERGL�i ICY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM RECEIVED <br /> JAN 13 2003 <br /> MOE©FIEWERGEWCY SERVICE <br /> DECLARATION OF COMPLETENESS AND ACCURACY <br /> I certify under penalty of law that I have personally reviewed the Hazardous Materials Management <br /> Plan and Inventory submitted by my business and have ensured, to the best of my knowledge, it <br /> meets the requirements of the California Health and Safety Code, Chapter 6.95, Article 1. 1 <br /> understand that false/inaccurate information may contribute to avoidable complications during a <br /> hazardous materials incident. <br /> Lwoely, (�n% Ni n - \A/A71SCacx_ <br /> Name of Business n <br /> L./nro4/Y C/ rlr-1 S <br /> � «a� c_ 01,5 RIC.T- <br /> Name of Facility Operator/Owner <br /> Ry: OPS , <br /> T'tle of Facility Operator/Owner <br /> Tl c <br /> Signature <br /> 1c) , aon <br /> Date <br />