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_OFFICE CONSULTATIONS / -) ASSISTANCE 1J2 e i <br /> COUNTY OF SAN JOAQUIN j r OFFICE OF EMERGENCY SERVhCES �6P) <br /> ROOM 610, COURTHOUSE` <br /> 222 EAST WEBER AVEN E <br /> STOCKTON, CALIFORNIA 9 202 <br /> TELEPHONE (209) 468-396 <br /> HAZARDOUS MATERIALS DIVISI <br /> (209) 468-3969 <br /> E-mail: sjcoes e Co_san-joaquin.ca_us <br /> HAZARDOUS MATERIALS MANAGEMENT PLAN/INVENTORY <br /> CERTIFICATION STATEMENT <br /> For <br /> QUICKI-KLEEN CAR WASH <br /> 12/19/2005 <br /> The above named business certifies that the Business Owner/Operator Identification <br /> Page, Hazardous Materials Management Plan, Chemical Description Page(s), and Facility <br /> Map(s) submitted pursuant to Chapter 6.95 of the California Health and Safety Code <br /> are accurate and correct, The above named business further certifies that all hazardous <br /> materials handled In quantities of 55 gallons, 500 pounds, or 200 Cubic feet or greater, <br /> unless otherwise exempted by San Joaquin County, are included in the submitted <br /> inventory. This business acknowledges making this certification by checking the box <br /> below labeled "Annual Certification" and submitting this statement to the Office of <br /> Emergency Services. The owner and operators of this business understand that <br /> failure to have accurate information on file with the Office of Emergency <br /> Services may make my company liable in an emergency. <br /> Your Certification has been recorded. <br /> Please print this page for your records. <br /> Thank you. <br /> NOTE: Be sure that the business e-mail address on file with our office is accurate. <br /> Main Menu Logoff <br /> http://www.sioesdaLa.org/oes cert confirm.lasso 12/19/2005 <br /> STibT'd ££b£89b602:01 ;woad b0:£0 9002-00-1J0 <br />