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n <br />JAN <br />HazardousENVIRONMENTAL HEALTH <br />PERMITISERVICES <br />1 <br />Pacific Bell UndergroundStorage Tank(s) <br />Pacific Bell - TRACCA12 <br />(Facility Name and ID) <br />10 East 12th Street <br />(Facility Address) <br />Tracy, CA. <br />(Facility City) <br />Certification <br />Authorized - Print <br />Si natureV,6 Name Brent Kerlin <br />Date Title Facility Engineer <br />I hereby certify that to the best of my knowledge under penalty of perjury that the <br />information contained in this Hazardous Materials Management Plan is true and correct. <br />I understand that I may be required to show proof of compliance during any facility <br />inspection conducted by local, county, state of federal authorities. <br />