Laserfiche WebLink
Qu►,� COUNTY OF SAN JOAQUIN / <br /> off_. .... . c <br /> OFFICE OF EMERGENCY SERVICES Lb E.RAL <br /> y ROOM 610,COURTHOUSE `^� CF�FF OF <br /> 222 EAST WEBER AVENUE E,M �"N li"TiONS <br /> STOCKTON,CALIFORNIA 95202 <br /> �rFda TELEPHONE(209)468-3962 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> 2000 HAZARDOUS MATERIALS MANAGEMENT PLAN/INVENTORY <br /> CERTIFICATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1. Business Identification Page, HMMP, Unstaffed Facility Network Attachment and Facility <br /> Ma - Check one box only. <br /> A. I certify that there have been no changes to the above listed documents since <br /> our business's last update or change was submitted. <br /> B. ❑ I certify that there has been a change to one or more of the above documents <br /> and that either 1) appropriate revised hard copy forms, or 2) a complete revised <br /> electronic copy of our Business ID Page/HMMP(HMMP97.FP3 File) and, if <br /> appropriate, our Unstaffed Attachments (STAFF97.FP3 File) has/have been <br /> transmitted concurrently with this Certification Statement. <br /> 2. Chemical Inv nto Chemical Description Pae - Check one box only <br /> A. I certify that the information contained in the most recently submitted chemical <br /> inventory is complete, accurate,up to date, and contains the information <br /> required by Section 11022 of Title 42 of the United States Code. I further <br /> certify that there has been no change in the quantity of any hazardous material <br /> reported and that no hazardous materials are being handled that are not listed. <br /> B. ❑ I certify that there has been a change in our chemical inventory since the last <br /> chemical inventory was submitted and either 1)completed hard copies of <br /> Chemical Description Pages with"Add", "Delete", or"Revised" marked <br /> appropriately, or 2) a complete revised electronic copy of our chemical <br /> inventory (CHEM97 File) has been transmitted with this Statement.L3DF `� I r � <br /> 3. Environmental Contact E-Mail Address if available): LJ&l I C Cam <br /> r' I <br /> I understand that false/inaccurate information may make my company liable in an emergency. I <br /> further certify that I have reviewed the above listed documents and information contained in the <br /> most recently submitted chemical inventory and have ensured that it meets the requirements of <br /> California tleallt7h and Safety Code, Chapter 6.95, Article 1, <br /> Business Name =2663a` OES Account# 50 7fs- <br /> Site Address-4��2 7 LQ a. kQx• ; ��` �I ca---,_ <br /> Bob DeNinno Environmental Manager f <br /> Facility Operator/ w er Title _ <br /> IPRINTI <br /> Signature Date ��A <br />