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Department of Toxic Substances Control November 2015 <br /> comrTlunIty survc;y <br /> The mission of DTSC is to protect California's people and environment from harmful effects of toxic substances through <br /> the restoration of contaminated resources,enforcement regulation and pollution prevention. <br /> FORWARD LANDFILL <br /> SI USTED TIENE CUALQUIER PREGUN'TA, O DESEA HABLAR SOME ESTE AVISO EN ESPA&oL, FAVOR <br /> DE LLAMAR A VERONICA LOPEZ-VILLASE&OR AL (916) 255-3651 o 1(866) 495-5651 <br /> Please complete and return this Community Survey for Forward Landfill to: Tammy Pickens,Public <br /> Participation Specialist at 8800 Cal Center Drive, Sacramento, California 95826 by December 18,2015. <br /> Enclosed is a self-addressed envelope. <br /> 1. Please check the box,which decribes your current knowledge about this site. <br /> ❑ I do not know anything about this site. <br /> ❑ I have heard about this site but have little or no information on them. <br /> ❑ I know a lot about this site. <br /> 2. Select your interest level regarding this site and receiving information about this site. <br /> ❑ Unsure if I am interested or not. <br /> ❑ No interest. Do not want information about this site. <br /> ❑ Some interest. Interested in hearing or reading more about this site. <br /> ❑ I am very interested. I would read information mailed to me and talk to people about this site. <br /> 3. Select your willingness to attend a meeting regarding this site. <br /> O I would attend a meeting. <br /> O I might attend a meeting if it was convenient for me. <br /> ❑ I would not attend a meeting. <br /> 4. What is your language need for receiving information about this site? <br /> O English O Spanish O Other <br /> 5. We want to tell you more about this site. What is the best way for you to receive information? <br /> ❑ US Postal Service — Printed material and/or letters. <br /> ❑ Electronic Version — Read via Email or Website <br /> ❑ Newspaper. — What newspaper do you read? <br /> ❑ Radio. — What radio station do you listen to? <br /> ❑ Community meetings. — When is the best time for you to attend? <br /> O Weekday O Weeknights ❑ Weekends <br /> CaVEPA DTX State of California <br />