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Baseline Community Survey <br /> Gordon Research Company <br /> April,2008 <br /> 8. We sometimes need to talk with community members to learn more. Would you be willing <br /> to talk with us? <br /> ❑ No <br /> ❑ Yes -. How may we contact you? <br /> Name <br /> Address <br /> Telephone number <br /> 9. Do you know of an active community group or individual in your neighborhood that we <br /> should add to our mailing list? If so, please provide us with the following information: <br /> Name <br /> Address <br /> Telephone number <br /> 10. Please feel free to add any other comments you may have about the Site or public <br /> participation. <br /> 11. If you received this survey by hand-delivery or e-mail and would like to receive more <br /> information regarding this site, please complete the information below and we will add you to <br /> the site mailing list. <br /> Name <br /> Address <br /> City, State, Zip Code <br /> 0 By checking this box, you are requesting to be removed from the site specific <br /> mailing list. Please provide your name and address above for removal. <br /> We appreciate the time you have taken to fill out this survey for us. If you have questions or concerns <br /> regarding this site, please contact us. We want to hear from you. <br /> Mr. Nathan Schumacher Mr. Sam Martinez <br /> DTSC Public Participation Specialist DTSC Project Manager <br /> 8800 Cal Center Drive 8800 Cal Center Drive <br /> Sacramento, CA 95826 Sacramento, CA 95826 <br /> (916) 255-3651 or (866) 495-5651 (916) 255-6683 <br /> Fax (916) 255-3654 <br /> NSchumac(a�dtsc.ca.gov SMartin2(a�dtsc.ca.gov <br /> Si desea inforrnacion en Espanol, comuniquese con Jesus Cruz, Especialista en Participacion <br /> Publica al (916) 255-3315 or Gratis 1 (866) 495-5651. <br />