Laserfiche WebLink
SAN JOAQUIX COUNTY OFFICE OF EMERIPENCY SERVICES <br />HAZARDOUS MATERIALS PROGRAM RECEIVED <br />DEC 18 z000 <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 <br />Plan and Inventory submitted by my business and have ensured, to the best of my knowledge, it <br />meets the requirements of the California Health and Safety Code, Chapter 6.95, Article 1. 1 <br />understand that false/inaccurate information may contribute to avoidable complications during a <br />hazardous materials incident. <br />'qq 11 <br />-f�r w, J e r W 'Ce <br />Name of Business <br />RL,eI .Uep, VLAd/lev, <br />Name of Facility Operator/Owner <br />Title of Facility <br />Signature <br />92ks, <br />Date <br />