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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br />HAZARDOUS MATERIALS PROGRAM <br />U <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 hazardouq materials <br />incident. <br />Forward Landfill Inc. <br />Name of Business <br />La -pence Batch Stefani - I A111ed Waste Ind. <br />Name of Facility. Operator/Owner <br />_Operat:,i onS -' a'nager <br />Title of Facility Operator/Owner <br />0 <br />Sig ature (in ink) <br />12/6/00 <br />E, <br />Date <br />SJC 12/©0 <br />