Laserfiche WebLink
JUL-29-2014 09:09 FROM: FAR WEST LABDRATDRIP 209-869-227 9 TO: 23.15864 P.2f5 <br />A�ffACIH NT 7 <br />Consumer Confidence Report <br />Certification Form <br />(to be submitted with a copy of the CCR) <br />Water Systom blame: <br />Water System Number: -3 9 <br />The water sy em named above hcrrby certifies that its Consumer Confidence Report was distributed on <br />-7 1 r (date) to custOmers (sand appropriate notices of availability have boon given)• <br />l er, the system certifies tluat the infonnation contained in the report is correct and conaistonf with the <br />compliance monitoring data previously submitted to the California Department of Public, Health. <br />Certified by; Name: <br />Signatm' <br />Title: <br />Phone Numbar' �Z. r _ y c late: , I - .�41 `t -9. <br />To summarize report delivery 7csed and good -faith efforts traken, please cornplere tjre below by checking <br />all Items that appy and fill-in where appra}ariate' <br />CCR was distributed b mail or other d' e t delivery methods. Spcoify other tree( delivery <br />Amethods used: <br />C C. sA. <br />ori <br />[] "Goad faith" efforts were used to reach non -bill paying consumers. Those efforts included the <br />following methods: <br />El -Posting the CCR au the l.nternet at www. <br />[1 Mailing ihe CCR to }aostsal patrons within the service area (attach zip codes used) <br />[] Advertising the availAility of tltc CCR. in news media (attach copy of press release) <br />Publication of the CCR in a local newspaper of general Circulation (attach a copy of the <br />publighed notice, including name of newspaper and dsatc published) <br />Posted the CCR in public places (attach a list Of locations) <br />Delivety of multiple cog+es of CCI;; to single -billed uddresses serving several persons, such <br />as sapamnentsr businesses, suad schools <br />0 Delivery to community organ izztions (attach a list of orgnaaizaatioris) <br />other (attach a list of other methods sascd) <br />n For systems serving at least 1(o 000 persons: Pasted CCR on a publicly -accessible internet 5ite at <br />the following address: vvww.____� <br />13 For l: �rtuately-owned willUeN'. Dalivea ed the C:CR to the California Public Utilities Commission <br />77a, farm if provided m rx corwenlenrx aml my hd used to rnanr rhu vitnificaffon requlmiftnf of aarrron 64483(e)- Callromta Cada of <br />Reguldnom Reviser Jan 2013 <br />2012 SWS CC, R FbFms & lnstruedOnv page 1 of I <br />CCR Cerl&ation For►n - Anachm eni 7 <br />