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Page 2 of 17 INIPORTAitif'r: LRch nater system must have one and only one Administrntive Contact AND one and only one financial Contact.1he same person may he both the Administrative and Financial Contacts. Plcasc provide an email address for the Administrative Contact as most entail communication, particularly email blasts, from the Division of Drinking Water will he sent to the emaliI address of die Administrative Conlacl. ,lea V', PHO NF. TYPE; Rome --ifyou use your home or pclsonaI phnnc nsin) her as yoar businoss number, use: the HOOF plmne lylx instead and leave the 13USINESS phone type blank. Only the BUSINESS phone type will appear in Drinking Watcr Watch(https:llsd%vis.watcrboards.ca.govIPDWW! , which can be viewed by the public, if the General 0Mcc phnru: mlmher is rx)t provided (sec Water System Inronnation section under the Intra tab). h AN] k:, TITLE' & ADORE, SS 1`1110ME i"f<'PE PITONS \'O. EMAIL CONT'AC'T TZTE (Pickall that apply)) Business ❑** Delete Contact I iome ❑ Administrative ❑ Operator Facsimile ❑Pirtauteiel ❑ Cntcrgency Mobile ❑ Designated ❑ Water Quality Operator In Chnrge Emergeally Downer ❑ Legal ❑I'unding ❑ Contract Operator Business Home Facsimile Mobile Emergency Business Honte Facsimile Mobile Emergency Business Home Facsimile Mobile Emergency L] ** Delete Contact ** ❑ Admin istrathc Financial ❑ I.ksignaled Operator ht Charge ❑ iievncr ❑ Funding ❑ ** Delete Contact *^ ❑ Adlniaistrative ❑ Fin alFclal ❑ Designated Operator In Chargc ❑ Owner L] Funding ❑ ** Delete Contact ** El Administrative ❑ Financial Cl Designated Clpernar In Charge ❑ Own cc ❑ funding ❑ Operator ❑ l:ntergency ❑ Water Quality ❑ Legal L] Contract Operator ❑ Operator ❑ Emergency ❑ Water Quality ❑ Legal 0 Contract Operator © Operator ❑ Emergency ❑ Water Quality ❑ Legal ❑ Contract Operator https:lldriiic.ca.govlearlDEEarReport.aspx?printable=yes&SurvcyID] 16&PwsID=CA3901... 6/5/2016