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r <br /> SAN JOAUIN 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 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 false/inaccurate information may contribute to avoidable <br /> complications during a hazardous materials incident. <br /> ,&'.S G lit/ //V/ AW/— <br /> Name <br /> %Name of Business <br /> Name of Facility Operator <br /> /9 <br /> Title of Facility Operator <br /> Signature (in ink) <br /> ( - <br /> Date <br /> u . N <br /> SJC 12/98 # <br />