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SAN JOAQLYN COUNTY OFFICE OF EMERGOeY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM RECEIVED <br /> APR 1 > 2007 <br /> OFFICE OFJEVaK Cy N WM <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 /> false/inaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident. �A <br /> Name off usiness <br /> ame of Facility Operator/Owner <br /> l'itle of Facility Operator/Owner <br /> Signature4A ink <br /> Date <br /> SJC 12/03 <br />