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OCT 27 '96 07:45PM P p. c <br /> RECEIVED <br /> MAR 0 7 2002 <br /> COUNTY OF SAN JOAQUIN SANJOAOOINCOUNTY <br /> 0}1 ICE OF EMERGENCY SERVICES R01"'"408FEMERI ENCYSERVICES <br /> ROOM 610,COURTHOUSb UIRrcntmor <br /> 222 FAST WEBER AVFNUE IM)MGMTUYLaAIWma <br /> S I'OCKTON,CALIFORNIA 95202 <br /> T1sLC?Ii0NIi(:09)466.1962 <br /> IIAZA14S)OUS MATLaIALS 0IV SION 1209)4(,N:ly69 <br /> 2002 HAZARDOUS MATERIALS MANAGEMENT PLANANVENTORY <br /> CERTIFICATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1 , BU 11 I "itV I lit <br /> A. 1 certify that there have been Ills changes to the above listed doeUnIDrILS since <br /> our business's last update or change was Submitted. <br /> 11, Q I certify that there has been a change to one or more of the auove documents <br /> and that either 1) appropriate revised hard copy forms.or 2)a WrlIcte revised <br /> electronic copy of our Business ID Page/HMMF(HM'-P97-FP?File) and, if <br /> appropriate, our Unstaffed Attachments (STAFF97.FF3 tile)nasthuve been <br /> transmitted concurrently with this Certification Statement. <br /> 2. C„)h gmlcal Iny^ ter ( h mi •ad Description Pagel - Check one box anlT <br /> A. I certify that the information contained in the most recently submitted chemical <br /> inventory is complete, accurate,up-to-date, and contains the information <br /> tzquired by Section i 1U22 of Title 42 of the United States Code, I further <br /> certify that there has peen no change in the quantity of any hazardous material <br /> reported and that no hazardous materials are bring handled that are not listed, <br /> B I:3 I certify that there hwiI a changr in our chemical inventory since the last <br /> chemical inventory was submitted and SAJILer 1)completed hardcopies of <br /> Chemical Description Pages with"Add", "Delete", or"Revised" mtuked <br /> appropnarely or 2) a complete revised electronic copy of our Chemical <br /> inventory(CHEM97 File)has been transmitted with this Statement. <br /> 3. E•nvironmcntal CALGQyCl3$QFTCOM.gET <br /> I understand drat t'araennaccurste information may make my company liable in an emergency. 1 <br /> tUrther cerliry that I ha.o reviewed the clove listed dvcumentt and inrnrmatiou contained in the <br /> most recently submitted chemical inventory and have rasured that It mats the requirements of <br /> California Health and Santncny�CToAder, C�h'nppter-6:7 Article 1. <br /> OES Accaunl d 5414 <br /> Business Namn•rrLuCO <br /> 95 90 <br /> Site Address_ 1 Rb78 TI_ 11LfY _ <br /> Faciliry OperatudOwner Title ASST_ )dGR' <br /> ,taut, <br /> signature Date 03/07/02 <br />