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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <br /> F �. <br /> � I9 <br /> 97 <br /> ICE Of EM RuENCY SCRIgCr. <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 /> Name of Business <br /> Name of Facility Operator/Owner <br /> Title of Facility Operator/Owner <br /> ��2rloc��_,/-><✓�:�.�,c,., � /fes" .. �^� lam' <br /> Signature (in ink) <br /> b <br /> Date <br /> SJC 17J96 <br />