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ATTACHMENT 7 <br />Consumer Confidence Report <br />Certification Form <br />(to be submitted with a copy of the CCR) <br />Water System Name.: <br />REGEIVEb <br />JUN 1 I 201'r <br />ENVIRONMENTAL. HEALTH <br />PERMTSERVICES <br />CAI)SQ- <br />WaterSystem Number: G X a U 0 J CO h f,e 'fes W, L t✓ -* j <br />The water system named above hereby certifies that its Consumer Confidence Report was distributed on <br />�1 UNe 12-1 2d15 (date) to customers (and appropriate notices of availability have been given). <br />Further, the system certifies that the information contained in the report is correct and consistent with the <br />compliance monitoring data previously submitted to the State Water Resources Control Board, Division <br />of Drinking Water. <br />Certified by: Name: <br />Signature: <br />1P G <br />Title: e R A L /(AA M A 0, -x'- lz 0 <br />Phone Number: (2aq) Sq g •- 24 4 4 Date: 11, N Q l 2 1 2-01.5 <br />To summarize report delivery used and good faith efforts taken, please complete the below by checking <br />all items that apply and fill-in where appropriate: <br />❑ CCR was distributed by mail or other direct delivery methods. Specify other direct delivery <br />methods used: <br />on <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 single -billed 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 />Thaja m is provided as a convenience and maybe used to meet the certificaum requirement of <br />section 64483(c), Cattfomm Code oftteguhwto .. <br />2014 SWS CCR Forms & Instructions Revised Jan 2015 <br />CCR Certifreation Form -Attachment 7 Page I of I <br />