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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <br /> RECEIVED <br /> NOV 14 2001 <br /> Spgd&MINCOUNTY <br /> OFFMOFE"GENCVSERNCEE <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 /> falselinaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident. <br /> I �J&'P003 IFLI 6-F41 gv GS. ASA-r o cove <br /> Name of Business <br /> M<+ . 2E9--f- 4 VtoT SDC'l-OJ /G�C-Wcoti <br /> C Name of Facility Operator/Owner <br /> f 10.-' 4 grow <br /> Title of Facility Ope ator/Owner <br /> Signature (in ink <br /> Date <br /> SJC 12/00 <br />