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Jan 19 07 09: 40a James Paulk (2091 948-2440 1,0. 11 <br /> SAN JOAQUIN COUN'T'Y OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <br /> RECEIVED <br /> JAH 1 q 2007 <br /> bNN JUALUUIN UUUN I Y <br /> OFFICE OF EMERGENCY SERVICES <br /> DECLARATION OF COMPLETENESS AND ACCURACY <br /> I certify ander penalty of law that I have personally reviewed the Hazardous Materials Management Plan <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 /> falselinaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident_ <br /> ML-5.Pguj-&. A U7-6 4�L�, p �1►rr <br /> Name of Business <br /> Name ofPacility Operator/Owrier <br /> Title of Facility Operator/Owner <br /> SignatiiK(in ink) <br /> 07 <br /> Date ` <br /> SIC 12!03 <br /> r•F <br />