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G <br /> i <br /> III Jill <br /> s <br /> Th I ang m <br /> 3 Is I Z I) F <br /> 1, 111111111111tv III 111111 11111111111" IIIIIV JI <br /> The Calif ealth Services (DHS) s dards and ha ' that <br /> nitrate pos a concern at certain levels of in fertili din <br /> sewage and uman and/or farm animals an wa <br /> activities. E of nitrate in drinking wate caused h in <br /> infants under e. In addition, pregn omen may ha ealth c rinking <br /> water containin itrate. The Serio illness in infants is ca ausc tiit rd <br /> erted to <br /> nitrite in the bod with the oxygen carrying capacity of the �s,h a is an acute <br /> disease in that sym idly in infants. In most cases, et -111p period of days. <br /> Symptoms include sh ness of the skin. C1 ice should be <br /> sought immediately if th <br /> As an interim m s secured an <br /> approved source of onsumption. The <br /> nearest location where you can obtain drinking water is: <br /> Owner/Operator <br /> By signing this notice your are declaring: <br /> I (We) declare under penalty of perjury that the <br /> Name statements on this application are correct to my (our) <br /> knowledge and the actions taken to notify the users of <br /> Phone this water system are in compliance with California Code <br /> of Regulations (CCR), for exceeding the MCL for nitrates. <br /> Este informe contiene informaci6n muy importante sobre su agua potable. Traduzcalo o <br /> hable con alguien que to entienda bien. <br /> Return a completed and signed form to EHD. (fax number(209)468-3433) and post copies as directed. <br />