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; EWA Ili U -1111%V3 Gy 9 3 tJ EN &V tj I IS IRUM 100777� <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 />Name of Business <br />Name of Facility Operator/Owner <br />Title of ~ <br />Facility Operator/Owner <br />6 Ll,- 1,7.g <br />/ Date <br />SJC 12/96 <br />