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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <br /> N0WRI <br /> JAN 61999 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <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 its completeness and accuracy to the best <br /> of my knowledge. I understand that false/inaccurate information may contribute to avoidable <br /> complications during a hazardous materials incident. <br /> urCn,cl1 Av' ZI-(-k <br /> Name of Business <br /> Name of Facility Operator/Owner <br /> Title of acility rator/Owner <br /> Signature(in ink) <br /> �ELyI ' <br /> Date <br /> SIC 11J96 <br />