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ARCHIVED REPORTS_2011-2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FRENCH CAMP
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4600 - Public Water System Program
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PR0543206
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ARCHIVED REPORTS_2011-2018
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Last modified
10/14/2022 9:21:36 AM
Creation date
6/13/2022 2:09:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4600 - Public Water System Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2011-2018
RECORD_ID
PR0543206
PE
4630
FACILITY_ID
FA0007111
FACILITY_NAME
FRENCH CAMP GOLF COURSE
STREET_NUMBER
3919
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
20103014
CURRENT_STATUS
01
SITE_LOCATION
3919 E FRENCH CAMP RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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i <br /> .JUL -29 -2014 65 : 09 FRUII : FRR WEST LRBURRTORIE 289-889-2278 70 : 2345864 P . 2/5 <br /> Consumer Confidence Report <br /> Certification Form <br /> (to be submitted with a cagy of the CCA) <br /> Water System Name: F7h D <br /> Water System Number: _J 9 D <br /> 1 031 :7 <br /> The water syslem. named above hereby certifies that its Consumer Confidence Report was distributed on <br /> T <� (date) to customers (and appropriate notices of availability have been given). <br /> Futfher, the system certifies that the information contained in the report is correct and consistcmt with the <br /> compliance monitoring data previously submitted to the California Department of Public kiealfh. <br /> Certified by: Name: C? \ <br /> Signature: <br /> Title: �zNe <br /> Phone Number: �c�1 ) �1 ` z±:f Date: 7 - ;Z `I ` <br /> To summarize report delivery used and good faith efforts taken, please complete the below by checking <br /> all items that apply and ftllwin where appropriate: <br /> CCR was distributed by mail or other direct delivery methods. Specify other ireet delivery <br /> ® A VL <br /> methods used C e iL t A � fj i ki U � <br /> CN � QIZ ip <br /> 1' E ' 1C A4YA� G <br /> ❑ "Good faith" efforts were used to reach non-bill paying consumers. Those efforts included the <br /> following methods: <br /> ❑ Posting the CCR on the Internet at www. <br /> ❑ Mailing the CCR to postal patrons within the service area (attach zip codes used) <br /> ❑ Advertising the availability of the CCR in news media (attach copy of press release) <br /> ❑ Publication of the CCR in a local newspaper of general circulation (attach a copy of the <br /> published notice, including name of newspaper and date published) <br /> ❑ .Posted the CCR. in public places (attach a list of locations) <br /> ❑ Delivery of multiple copies of CCR to s'inglc-bitled addresses serving several persons, such <br /> as apartments, businesses, and schools <br /> Delivery to community organizations (attach a list of organizations) <br /> ❑ Other (attach a list of other methods used) <br /> ❑ For systems serving at least 100, 000 persons: Posted CCR on a publicly.accessible internet site at <br /> the following address: www, <br /> For privately-owned utilities: Delivered the CCR to the California Public Utilities Commission <br /> Thio form u arovlded as a camcnhnce and may be axed to mono the cerf7melm requirement of saalion 544$3(0), Caltfomia Code f <br /> Roguianons. Revised Jan 2013 <br /> 2012 SWS CCR Forms & Instructions page i of I <br /> CCR Certification Form — Attachment 7 <br />
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