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\.- HAZARDOUS MATERIALS MANAGEMENT PLAN AND INVENTORY CERTIFICATION STATEMENT 2003 Instruction Sheet Use this form to meet certification requirements if you are not using the HMMP Compliance Web Site to submit your certification. Please review your HMMP and inventory and follow these instructions. 1. If there are no changes to the Business Identification Page, Hazardous Materials Management Plan (HMMP), Unstaffed Facility Network Attachment(s) (if applicable), and Facility Map(s) that you last submitted to the Office of Emergency Services, then place a check in the first box under Statement #1. If there have been my changes to one of the documents listed in #1 above, then submit a hard copy of the revised document(s) completed in its entirety with the corrected information along with the signed and dated Certification Statement. Blank forms are available at the San Joaquin County Office of Emergency Services, 222 E. Weber Avenue, Room 610, Stockton. Place a check in the second box under Statement #1 prior to signing the form. If there are I14 changes to the chemical inventory, including no change in quantities previously reported, then place a check mark in the first box under Statement #2. 4. If there has been a change to the chemical inventory reported for one or more chemicals, please make updates as follows. Submit a completed hard copy of changed or new Chemical Description Page(s) marked "Add" or "Revised." If you have deleted a chemical from your inventory, send a copy of the last chemical description page submitted marked "delete" at the top. Submit these updated documents together with the Certification Statement. 5. Make sure there is a check mark in one of the boxes under both Statement #1 and Statement #2, then sign and date the Certification Statement and submit to our office with the appropriate updated forms by the deadline of January 16, 2003. NOTE: State law requires that you report a 100% change in the quantity of a previously reported material. Be sure to update the copy of your HMMP and inventory used by your employees with the same changes. If you need assistance, please call our office at (209) 468 3969.