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SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <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 meets <br /> the 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 /> Beacon Station 3492 <br /> Name of Business <br /> Name of Facility Operator/Owner <br /> A Corporation <br /> Title of Facility Operator/Owner <br /> Signature <br /> (Electronic Signature Acceptable if Legible) <br /> 1 )OZ <br /> Date <br />