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Califo­is Environmental Protection Age--.y <br /> Gustomer Service Survey <br /> One of Cal/EPA's objectives is to provide superior levels of customer service. Your feedback telling us what is going well <br /> and what needs improvement is essential to our success in our efforts to better serve you. Please take a moment to <br /> complete this survey. Thank you for your feedback. —Agency Secretary <br /> Circle the service provider: <br /> Office of the Secretary Department of Pesticide Regulation Integrated Waste Management Board <br /> Air Resources Board Department of Toxic Substances Control Environmental Health Hazard Assessment <br /> Regional Water Quality Control Boards: R1 R2 R3 R4 R5 R6 R7 R8 R9 State Water Resources Control Board <br /> Subunit (Optional): Date Submitted: <br /> What was the nature of your contact with us? (Please check only one box) <br /> ❑ General Information ❑ Problem Resolution ❑ Technical Assistance <br /> ❑ Permitting/Licensing Assistance ❑ Other: <br /> Check (✓) As Appropriate <br /> Statements Strongly Agree Disagree Strongly No <br /> Agree Disagree Comment <br /> Staff was courteous and helpful. <br /> Staff provided complete, accurate information to you. <br /> A timely response was provided. <br /> My overall experience was positive. <br /> Please complete the section below if your contact with us involved permitting/licensing/registration assistance. <br /> The regulations were understandable. <br /> The application instructions were understandable. <br /> The permit/license/registration terms and conditions were <br /> understandable. <br /> Please indicate the name(s) of any staff person you would like to commend: <br /> Comments: <br /> If you feel we fell short in meeting your service expectations, please describe the situation, including name of the <br /> staff person involved and the date the incident occurred: <br /> As a result of your experience with us, what service-related improvements can you recommend? <br /> Contact Information (Optional): <br /> Your Name: <br /> Email: <br /> Daytime Phone: <br /> Street: <br /> City: <br /> State: Lip: <br />