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+ I0'30Ud -?U101 +* <br /> Dec 17 07 01 :27P Sam .70aqu3n DES 208-460 0273 p. 2 <br /> RECEIVED <br /> _ DEC 18 2007 <br /> COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES0AIN JUAUUM CUUN I Y <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> <I 222 EAST WEBER AVENUE <br /> STOCKTON,CA 93202 <br /> �.•' TELEMONZ009)4610962 <br /> 4'„Q• HAZARDOUS MATERIALS DIVISION(209)43-3969 <br /> 2008 HAZARDOUS MATERIALS MANAGEMENT PLAN AND INVENTORY <br /> CERTTFTCATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1, Business Identification Pane Hazardous Materials Manas!ement Alar Facility <br /> Map(s)Certification-Check oh b a only <br /> I certify that there have been no changes to the above listed documents <br /> since our business' last update or chanpe was submitted. <br /> ❑ 1 certify that there has been a change to one or more of the above <br /> documents and that appropriate tcvisod bard copy forms have been <br /> submitted with this Cerufnuadon Statement. <br /> 2 LCertifrcdtion of Chemical Inventory-Check one box only <br /> 1 certify that the inlnnnation contained in the most recently submitted <br /> )) chemical inventory is complete,accurate,up-to-date,and contains the <br /> information required by Section 11022 of Title 42 of the United States <br /> Code. I further certify that there has been no chwi a in the quantity of arty <br /> hazardous material repotted and that no hazardous materials are beigg <br /> handled in regulated quantities that are not listed. <br /> C 1 certify that there has been a change in my chemical inventory since the <br /> last submission and completed hard eopic3 of changed Chemical <br /> Description Pages with"Add","Delete",or"Revised”marked <br /> appropriately have been submitted with this Certification Statement. <br /> I understand that false or inaccurate information may make my company liable in an <br /> emergency, I further certify that I have reviewed the above listed documents and that <br /> the statements checked above constitute an accurate statement. <br /> I <br /> Business Name Q kf1 15 7 2, U_ C_SnyFfMj OEIS Account li �U/ 3��jj c6 <br /> Sita Address On�-1�t421&, Ili/A �. LAI /?Qo Cl l5DO <br /> Opeta /Owtler l Title <br /> Siymature0 Date 0:) <br /> DEC 17 2007 01:45 209 468 0273 PAGE.02 <br /> T0i TO'd £L2089b60218 01 dd LO:E2 L002 LT 03G <br />