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Department of Toxic Substances Centro 6. We sometimes need to talk with community members to learn more. Would you be willing to talk with us? ❑ Yes ❑ No (Use space provided in question#9.) 7. Is there an active community group or individual(s) in your neighborhood that we should add to our mailing list? Please provide us with the following information: Name Address City, State, Zip Code Telephone: Email: 8. Please feel free to add any other comments you may have about the site or regarding public participation. 9. If you would like to receive information regarding this Site,please complete the information below. Select the box below to indicate if you want to be added,removed,or just update your current information. ❑ Add me to Mailing List ❑ U date my information ❑ Remove me for the Mailing List You may also request to receive Site information via email only by checking this box ❑ Email Only Name Address City,State, Zip Code Telephone: EmaiL- Note: W"hik the mailing list is solely for DTSC to keep,yore informed of our activities at this site,the lut is a public record ant4 if requested,may be subject to release. We appreciate the time yolrhave taken to fill out this survey for us. If you have questions or concerns regarding this site,please contact the project team: Tammy Pickens Matthew Mullinax Public Participation Specialist Project Manager 8800 Cal Center Drive 8800 Cal Center Drive Sacramento,California.95826 Sacramento,California 95826 (866)495-5651 and/or(916)255-3594 (916)255-6531 Tammv.Pickens ct,dtsc.ca. ov Matthe`vMu ' ac c,dtsc.ca. ov More Site information and documents can be found on DTSC EnviroStor Database System at: http://w`-v-`venvirostor.dtsc.ca. ov/public/ NOTICE TO NEARING IMPAIRED INDIVIDUALS:TTY users may use the California Relay Service at 1-877-735-2929 or(711).Please see contact name at the end of this report.