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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br />HAZARDOUS MATERIALS PROGRAM <br />RECEIVED <br />JAN 16 2001 <br />SAN JOAUUIN IN tY <br />OFFICE OF EMERGENCCOY SERVICES <br />DECLARATION OF COMPLETENESS AND ACCURACY <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 />Mow'\� <br />Name of Business <br />N mdof Faci ity O erator/Owner <br />not q P vl- <br />Title of Facility (Tperator/Owner <br />ea -2 -�� <br />Sign ure (in ink) <br />//S LO I <br />Date <br />SJC 12/00 <br />