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FROM : Allied Machine 8 Welding Inc FAX ND. : 2093346368 Jan. 23 2009 08:2BRM P2 <br /> P.." "' • . •.tie S�Jeequin C 2[)y7=3C 2 <br /> RECEIVED <br /> a COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES JAN 2 3 2009 <br /> 2101 E.EmtnART AVENUE SLTE306 <br /> STOCKTOV,CA 03206 SAN JOAOUIN COUNTY <br /> TFLEM N:E;:09)c53.6,00 OFFICEOF EM <br /> FA%(2[9)9s, 6;6a EMERGENCY SERVICES <br /> 2009 HAZARDOI S MATERIALS MANAGEMENT PLAN AND INVENTORY <br /> CERTIFICATION STATE.MYNT <br /> (See Reverse Side for Instructions) <br /> 1. flu3ineLlden[ificeTion Paee Ha�stdous Matcrals]!falRaoa <br /> meni Pl_ :n�I:t_v <br /> NIPP(s)Certification- hgck one bex_aoly <br /> I cc:tifrthat there have been no charges to the above listed documents <br /> since our business'last update or change.vas submined. <br /> O 1 certify that there his been a change to one or more of the above <br /> documents and :hat appropriatz revised hard copy forms have been <br /> submitted with this Certification Statement. <br /> Certification of Cherrica!Inventory -Check rine box only <br /> I ec"ify that the information contained in the most recently submitted <br /> chemical invemory is complete,accurzte,up-to-date,and conte ns the <br /> inf3rination required by Section 11022 of Tide 42 of the United States <br /> Code. i further certify that there has beet:no change i--I:he qua.•nity of any <br /> hazardous material repotted and that no hazardous u aterials are being <br /> standled in regulated quantities 621 are not listed. <br /> ❑ !certify that there has been a change in my chemical inventory since the <br /> las:submission and completed hard copies of changed Chemicel <br /> (Description Pa-ges wit;t''A.dd","Delete".of"Revised"marked <br /> appropriately Lave iter,submitted with this Certitication Statement, <br /> I understand that false or inaccurate information may make m%,company liable in an <br /> ' <br /> emergency. I further certil that I have reviewed the above listed documents and that <br /> the statements checked above constitute an accurate statement. <br /> Business Narte QtlhfA� (rWy ES Account g EL (� <br /> Site Address -VA E&:k� 1c '�N<A�- GL�_��p",^��_�.�t^�`�ps_ <br /> Operator/Owner 1� ��`may Title n `cc tom•)'�sL JJ-J-e-iId�1.1 O— <br /> Signaruret <br />