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0 <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <br /> JAN 16 2001 <br /> DECLARATION OF COMPLETENESS AND ACCURACY[ <br /> WS'i_ _. ,onUICES <br /> I certify under 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 /> false/inaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident. <br /> Az cc) <br /> Name of Business <br /> RD fb&W-r AMARA-J-ri5- <br /> Name of Facility Operator/Owner <br /> f,1wNE1e, <br /> Title of Facility Operator/Owner <br /> Signature(in ink) <br /> Date <br /> SIC 12/00 <br />