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SAN JOAQUIN, .OUNTY OFFICE OF EMERG. 4CY SERVICES <br />HAZARDOUS MATERIALS PROGRAM <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 />Name of Business <br />Name of Facility Operator/Owner <br />17, <br />Title of Facility <br />1�- <br />Signature <br />(Electronic Signature Acceptable if Legible) <br />Date <br />