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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 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 />�o►nnu cr;-dICc_k^7 <br />Name of Business r <br />s RhCa n <br />Name of Facility Operator/Owner <br />Title of Facility Operator/9ftmer <br />Signature (in ink) <br />Date <br />r� <br />