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u ./ <br /> SAN .JOAQUEN COUNTY OFFICE OF UMERGENCY SERVICES <br /> HAZARDOL S NUTERIALS PROGRAM <br /> DECLARATION OF COMPLETENESS AND ACCURACY <br /> I certify under penalty of law that I have personally reviewed the Hazardous Materials tilanagement Plan <br /> and Inventory submitted by my business and have ensured its completeness and accuracy to the best <br /> of my knowledge. I understand that falser inaccurate information may contribute to avoidable <br /> complications during a hazardous materials incident. <br /> iN�i3� Vii�EY�2� <br /> Name of Business <br /> Name of Facility Operator,Owner <br /> ©�o�(,t s Mit,vR6�Z <br /> Title of Facility Operator!Owner <br /> A"/ JJ' <br /> Signatu (in ink) <br /> JAAJ 20 , 2"-o <br /> Date <br />