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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <br /> RECEIVED <br /> JAN 18 20011 <br /> OFFICE OF EMERGENCY COUNTY <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. <br /> 533° .mr,T TED MACHINE & WELDING <br /> Name of Business <br /> ROBERT CULBERTSON <br /> Name of Facility Operator/Owner <br /> PRESIDENT-OWNER-MANAGER <br /> Title/hof Facilittyy.Operator/Owner <br /> l i Clgt74� <br /> Signature (in ink) <br /> J-- /D- alo <br /> Date <br /> SJC 12/03 <br />