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.. r <br /> EXEMPTION STATEMENT <br /> I understand the requirements of Chapter 6.95, Division 20, Section 25500 et seq. of the <br /> California Health and Safety Code which pertains to emergency planning by businesses using <br /> hazardous materials. My business claims the following exemption(s) from the Hazardous Material <br /> Management Plan requirements: <br /> (X) It does not handle a hazardous material, or a mixture containing a hazardous <br /> material, in quantity equal to or greater than 55 gallons, 500 pounds, or 200 <br /> cubic feet at standard temperature and pressure for compressed gas at any one <br /> time or an acutely hazardous material with the associated threshold planning <br /> quantity; and/or <br /> ( ) The hazardous material handled by this business is contained solely in a <br /> consumer product packaged for direct distribution to, and use by the general <br /> public (i.e. retail); and/or <br /> ( ) This business operates a farm for purposes of cultivating the soil or raising <br /> or harvesting an agricultural or horticultural commodity. (Checking this box <br /> will put your business in the Farm Program). <br /> ( ) This business operates a health care facility (i.e. doctor, dentist, veterinary...) <br /> ( ) Other (Describe in detail for review by administering agency). <br /> Name of Business: GB INDUSTRIAL SPRAY,INC. <br /> Nature of Business: COMPUTER ELECTRONIC METAL FINISHING <br /> Mailing Address: 1140-1 BESSEMER AVE. Phone: (209) 825-7176 <br /> MANTECA CA 95337-6118 Fax: (209) 825-8056 <br /> Facility Address: SAME AS ABOVE <br /> Nearest Intersection: INDUSTRIAL PARK DRIVE Fire District: MANTECA, <br /> LATHROP <br /> Owner/Manager: GARY BEAUCHAMP, PRESIDENT <br /> I swear under penalty of perjury that this Exemption Statement is accurate to the best of <br /> my knowledge. <br /> Signatu e• '� Dated: /l ep q <br /> 9 <br />