Laserfiche WebLink
t�/� .� <br /> YfE%F 1V`® <br /> ,,. <br /> COUNTY OF SAN JOAQUIN FEB 15 2002 <br /> OFFICE OF EMERGENCY SERVICES RONALD d0AUU1NC0UV7Y <br /> s ROOM 610,COURTHOUSE nmEr r EMERGENCYSERWES <br /> 222 EAST WEBER AVENUE EMERGENCY OPERATIONS <br /> �'• STOCKTON.CALIFORNIA 95202 <br /> tri Mr, TELEPHONE 1209)468.7967 <br /> HAZARDOUS MATERIALS DIVISION(269)40-3969 <br /> 2002 HAZARDOUS MATERIALS MANAGEMENT PLAN/INVENTORY <br /> CERTIFICATION STATEMENT <br /> (See Faverse Sloe for Instructions) <br /> 13114 ld 'r' n HWI! r I taffed Facility Network Attachment and Facility <br /> luau - heck one box ON <br /> A, I certify that there have been pg changes to the above listed documents since <br /> our business's last update or change was submitted. <br /> B. O I certify that there has peen a change to one or more of the above documents <br /> and that either 1)appropriate revised hard copy forms,or 2)a complete revised <br /> electronic copy of out Business ID Page/HMMP(FAAMP97.FP3 File)and,if <br /> appropriate,our Unstaffed Attachments(STAFF97.FP3 File)hasthave been <br /> transmitted concurrently with this Certification Statement. <br /> 2. Chemical Invents (Chemical Description page) Check one hex only <br /> A. _ C,� I certify that the information contained in the most recently submitted chemical <br /> T inventory is complete,accurate,up-to-date,and contains the information <br /> required by Section 11022 of Title 42 of the United States Code. I further <br /> certify that there has been no change in the quantity of any hazardous material <br /> reported and that no hazardous materials are being handled that are not listed. <br /> B, p I certify that there h1tlbeen a change in our chemical inventory since the last <br /> chemical inventory was submitted and jig= 1)completed hard copies of <br /> Chemical Description Pages with"Add","Delete",or"Revised"marked <br /> appropriately,or 2)a complete revised electronic copy of our chemical <br /> inventory(CFIEM97 File)has been transmitted with this Statement. <br /> 3. Environmental Contact F-Mail Address(if available) <br /> I understand that false/inaccurate information may make my company liable in an emergency. i <br /> further certify that I have reviewed the above listed documents and information contained In the <br /> most recently submitted chemical inventory and have ensured that it meets the requirements of <br /> California Health <br /> / <br /> and Safety Code, Chapter 6.95, Article 1. <br /> Ausincss Namc�(/\e- l Sfe--- 3,91 OES Accomt N_ /�fG/ <br /> Site Addross X LID ),2-2/ /- �N� <br /> Facility Operator/Owner TO�f � / /1/ Z/ /Y �i' Title — <br /> Signature Dare <br /> , •d dObrzi 20 SI qaj <br />