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AI '1 NDIX CI ti 1 It IC A 11ON Of COMPI I . LION 01 PUBLIC NOTIFICA noN Compliance Order Number: 01. 09_21(4 .005 Name of Water System: ileskett, Joe Water System System Number: 3901474 Attach a copy of the public notice distributed to tho water system's customers. *VS .s.‘ Arlen oompleted and sent to 1868 E. Hazelton Avenue, Stockton 95205 or fax to (209) 468- $e,yes as t't)iliftcation that public notification to water users was completed as required by Title 22, Cattorma okle of Regulations, Sections 64463-64465. Ribbc nobt)oation for failure to comply with the Nitrate MCL was conducted on hk..Ntincabon was made on March 31st. 2023 For the month, year of April 2023 To summarize report delivery used and good-faith efforts taken, please check all items below that apply and fitI-In where appropriate. Ror Corrm.,:nA and non-transient non-community public water systems The notice was distributed by mail or direct delivery to each customer on: March 31st. 2023. One or more of the following methods were used to reach persons not likely to be reached by a mailing or cirect delivery or persons served by a transient public water system (renters, nursing home patients, prson inmates etc): Posted the notice at the following conspicuous locations served by the water system. (If needed, piease attach a list of locations). 71_ Publication of the notice in a local newspaper or newsletter of general circulation (attach a copy of the published notice, including name of newspaper and date published). Posted the notice on the Internet at www. Other method used to notify customers. I hereby certify that the above information is factual. Cerlitsed Dy Pnnted Name Juan Signature Date 04/19112023 ernandez Title Owner Disclosure: Be advised that the California Health and Safety Code, Sections 116725 and 116730 state that any person who krxiwirigly makes any false statement on any report or document submitted for the purpose of compliance with the Safe Drinking Water Act may be liable for, respectively, a civil penalty not to exceed five thousand dollars ($5,000) for each separate violation or, for continuing violations, for each day that violation c;ontinues. or be punished by a fine of not more than $25,000 for each day of violation, or by imprisonment in the of..Punty jail not to exceed one year, or by both the fine and imprisonment.