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Dec 20 06 04138p San Joaquin utb auv <br /> RECEIVED <br /> JAN - Ll) 2007 <br /> C011NTV OF SAN JOAQUIN <br /> r OHN JUHUUIN UUUNIY <br /> OFTTCE OF EMERGENCY SER\ ICES OFFICE OF EMERGENCY SERVICES <br /> ROOM 610,COURTHOUSE <br /> 222 EAST WF,BER AVENUL-.�;, ,-. STOCKTON,CA 95202 <br /> TLt32MHONE(209)4683962 <br /> IIAZARDOUS MATERIALS DIVISION(209)469-3969 <br /> i <br /> 2007 HAZARDOUS MATERIALS MANAGEMENT PLAN AND INVENTORY <br /> CERTE ICATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1. Busings Identification Pace Hazardous Materials Management Plan Facility <br /> Maps s) Certilica`iop-Check one box only <br /> 19 1 certifir that there have been gp,changes to the above listed documents <br /> since our business's last update or change was submitted. <br /> ❑ I certify that there has becu a change to one or more of the above <br /> documents and that appropriate revised hard copy forms have been <br /> submitted with this Certification Statement. <br /> 2. Certification of Chemical Inventory - Check one box only <br /> I� I certify that the infonnation 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 change in the quantity of any <br /> hazardous material reported and that no hazardous materials are being <br /> handled in regulated quantities that are not listed. <br /> C] I certify that there has beets a change in my chemical inventory since the <br /> last submission and completed hall copies of i1aiaScd Chemical <br /> Description Pages with"Add", "Delete", or"Revised"marked <br /> appropriately have been submitted with this Certification Statement. <br /> 1 understand that false or inaccurate information may make my company liable in an <br /> emergency. I further certify that 1 have reviewed the above listed documents and that <br /> the statements checked above constitute An accurate statement. <br /> Business Name AL LIED ('',ACH111E E LD &C, OES Account# .5.330 <br /> Site Address 1QL. AST LoCu i ` TAFFY L obl c A 4240 <br /> Operator%Owncr—&L, -f t Ih�soh Title o u.)n ,' ° r <br /> Signature Date �� o L <br />