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• <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICF.tCE�jj <br /> HAZARDOUS MATERIALS PROGRAM <br /> DEC 14 2005 <br /> OFFICE OF 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. I understand that <br /> false/inaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident. <br /> J(�ttAoT (=ooD rt f'-LAt.7c5 by / ,(6 <br /> Name of Business <br /> E�ACVk'T ra CL 4.SUI./a"FRal &%,jCr% <br /> Name of Facility Operator/Owner <br /> Title of Facility Operator/Owner <br /> Signature (in ink) <br /> Date <br /> SJC 12/03 <br />