BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

COUNTY OF SAN JOAQUIN RL'OE IED OFFICE OF EMERGENCY SERVICESmEo�on IN ROOM 610,COURTHOUSE 222 EAST WEBER AVENUE il YOPERATIONS STOCKTON,CALIFORNIA 95202 1fFICEOFMERG C0Ui47?VCES TELEPHONE(209)468-3962 HAZARDOUS MATERIALS DIVISION(209)468-3969 2002 HAZARDOUS MATERIALS MANAGEMENT PLANANVENTORY CERTIFICATION STATEMENT (See Reverse Side for Instructions) 1. Business Identification Page HMMP Unstaffed Facility Network Attachment, and Facility Man - Check one box only. A. ❑ I certify that there have been no changes to the above listed documents since our business's last update or change was submitted. B. ❑x I certify that there has been a change to one or more of the above documents and that either 1) appropriate revised hard copy forms, or 2) a complete revised electronic copy of our Business ID Page/HMMP (HMMP97.FP3 File) and, if appropriate, our Unstaffed Attachments (STAFF97.FP3 File) has/have been transmitted concurrently with this Certification Statement. 2. Chemical Inventory(Chemical Description Pagel - Check one box only A. ❑O I certify that the information contained in the most recently submitted chemical inventory is complete, accurate, up to date, and contains the information required by Section 11022 of Title 42 of the United States Code. I further certify that there has been no change in the quantity of hazardous material reported and that no hazardous materials are being handled that are not listed. B. ❑ I certify that there has been a change in our chemical inventory since our last chemical inventory was submitted and either 1) complete hard copies of Chemical Description Pages with"Add", "Delete", or"Revised"marked appropriately, or 2) a complete revised electronic copy of our chemical inventory (CHEM97.FP3 File) has been transmitted concurrently with this Certification Statement. 3. Environmental Contact E-Mail Address (if available): Phyllis.WheelerkVerizon.com I understand that false/inaccurate information may make my company liable in an emergency. I further certify that I have reviewed the above listed documents and information and information contained in the most recently submitted chemical inventory and have ensured that is meets the requirements of California Health and Safety Code,Chapter 6.95,Article 1. Business Name Verizon California. Inc.; Manteca CO OES Account# 8605 Site Address 430 W. Center Street,Manteca CA 95336 Facility Operator/Owner -Pt"AL117 E. 14okQ_e elle- Title �^I ey k-'�JU i/L Signature ' �� L �(/�' Date