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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, to the best of my knowledge, it meets the <br /> requirements of the California Health and Safety Code, Chapter 6.95, Article 1. I understand that <br /> false/inaccurate information may contribufe to avoidable complications during a hazardous materials <br /> incident. <br /> K_ M � 17� e� <br /> Name of Business <br /> Name of Facility Operator/Owner <br /> C. EE,®f b w <br /> Title of Facility Operator/Owner <br /> Signature(in ink) <br /> a.4-— C)J, <br /> Date <br /> 9 <br /> r <br /> SJC 12/00 <br /> -i <br />