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Feb 19 08 03t23p San Joaquin CES 209-468 0273 p. 2 <br /> • 0 <br /> COUNTY OF SAN JOAQUIN RECEIVED <br /> a° o OFFICE OF EMERGENCY SERVICES FEB 2 0 2008 <br /> e' ROOM 610,COURTHOUSE <br /> Im + 22212ARTW AIRRAVRNIIR SANJUAUUINCOUNTY <br /> STOCKTON,CA 95202 OFFICE OFENIERGENCYSERWOES <br /> rELEPHONE(209)468-3962 <br /> • �•�1f HAZARDOUS MATERIALS DIVISION(209)468•:1909 <br /> 2008 HAZARDOUS MATERIALS MANAGEMENT PLAN AND INVENTORY <br /> CERTIFICATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> I. Business Identificgtigp Page.Hazardous Materials Management Plan, Facility <br /> Mao(-) Certification -Check one box only <br /> I certify that there have been A2 changes to the above listed documents <br /> since our business' last update or change was submitted. <br /> ❑ 1 certify that there has been a change to one or more of the above <br /> documents and that appropriate revised hard cony forms have been <br /> submitted with this Certification Statement <br /> 2. Certification oY'Chemical Inventory -Check one box only <br /> (K I certify that the information 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 gtwntities that are not listed. <br /> ❑ I certify that there has been a change in my chemical inventory since the <br /> last submission and completed hard copies 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 /> Business Name - aL{� 1 � U ORS Account# .S_3,3 <br /> I i <br /> Site Address i e t E-A.,s-T1 L©6 L, , f- ,S��PP_I - o �r �I�9.���� <br /> j0pomwOwveri, h���C ; �h .rt-�5a Title p re5rde�l � �(�19C�/O�h�° r <br /> Signature "t L( z ,C. A Daze a A <br />