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a AWater Boards <br />Department of <br />^� Toxic Substances <br />Control <br />LOCAL AGENCY SELF -CERTIFICATION <br />If you answered "No" on the previous page, please sign the following acknowledgement. <br />I, , acknowledge that my agency will request enforcement <br />assistance from the state if my agency identifies the need to pursue enforcement. <br />Signature of Local Officer <br />Acknowledgement that GeoTracker Records Will Be Current and Complete <br />Jeffrey Wong , acknowledge that all GeoTracker records associated <br />with any remedial action agreement for which my agency has entered into will be kept current and <br />complete. I also acknowledge that I am aware that all records uploaded to GeoTracker are public <br />dom and Will be visible t�ublic. <br />atu f Loc Officer <br />Page 3 of 3 <br />Published December 10, 2021 Updated December 17,2021 <br />