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tv� RECEIVED <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICFAJG 2 9 2W2 <br /> HAZARDOUS MATERIALS PROGRAM <br /> SAN JOAWN COUNTY <br /> EMERGENCY SERVICES <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. 1 understand that <br /> false/inaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident. <br /> Name of Business <br /> Name of Facility Operator/Owner <br /> MaId- <br /> Title of Facility Operator/Owner <br /> Signature in ink) <br /> - � 3 - 92 <br /> Date <br /> SJC 12/01 <br />