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Tom Pinkos, Executive Officer <br /> October 21,2004 <br /> Page 3 <br /> SPILL NOTIFICATION REPORT(REVISED <br /> "I certify under penalty of law that this document and all attachments were prepared under my direction or <br /> supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the <br /> information submitted Based on my inquiry of the person or persons who manage the system, or those persons <br /> directly responsible for gathering the information, the information submitted is, to the best of my knowledge and <br /> belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, <br /> including the possibility of fine and imprisonment for knowing violations" <br /> Respectfully submitted, <br /> 4 ,IY"A_--- <br /> Gary S Nuss,P E <br /> General Manager <br /> OMI-Thames Water Stockton, Inc <br /> GSN RKS <br /> Enclosures <br /> cc Bill Marshall, Chief of Storm Water Unit, Central Valley Regional Water Quality Control Board <br /> Ms Janna Herren,Director,California Department of Fish and Game,Region 2,Rancho Cordova <br /> Ms Donna Heran,Director, San Joaquin County Environmental Health Division <br /> Mark Madison,Director of Municipal Utilities Department, City of Stockton <br /> Ava Langston-Kenney,Regulatory Compliance Officer, City of Stockton <br /> • <br />