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State of California-Health and Human Services Agency N <br /> Department of Public Health <br /> - A - <br /> Y <br /> fel ltOwN� <br /> MARK B HORTON,MD,MSPH <br /> Director ARNOLD SCHWARZENEGGER <br /> Governor <br /> June 22, 2010 <br /> H. Bernard Dietz Grade: D1 <br /> 33233 S. Koster Road Operator#: 16659 <br /> Tracy, CA 95304 -9142 <br /> Subject: Distribution ID <br /> Your certification has been evaluated and approved. Below is your ID card. This is <br /> official notice of your certification. Your next renewal is due June 1, 2013. <br /> If you have any questions regarding your renewal status, you may contact us at the <br /> number below. <br /> Operator Certification Unit <br /> Drinking Water Program, Operator Certification Unit <br /> P. O. Box 997377, MS#7417, Sacramento, CA 95899-7377 <br /> Phone: (916)449-5611 Fax: (916)449-5654 <br /> _ Intemet Address: hfp://www.edph.ca.gov/certlic/occupations/Pages/DWopcert.aspx <br /> Receipt and Pocket ID Card <br /> State of Califomia <br /> Department of Public Health <br /> _ This verifies that the individual named below <br /> has paid the appropriate fee and is a certified <br /> Water Distribution Operator <br /> _ Name: H. Bernard Dietz <br /> Level., Grade D1 Operator#16659 <br /> Expires: 10-1-2013 Fee Paid: $70 <br /> Due: 6-1-2013 <br /> Please sign card. Signature: <br />