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DEC 09 2005 9:43AM HP LASERJET 3200 <br />12/08/2005 16:21 209 3433 EHD <br />Th <br />ing <br />SA <br />p.2 <br />PAGE 02 <br />IM <br />The Calif ealth Services (DHS) s dards and ha that <br />nitrate pas a concern at certain levels of 3 t r �in fertih d in <br />sewage and urnan and/or farm animals! wa <br />activities, E of nitrate in drinking wat caused in <br />infants under e. In addition, pre omen may ha drinking <br />water- contaijun trate. The seric illness in itdfants is ca vented to <br />nitrate in the bod I with the oxygen carrying capacity of th s an acute <br />disease in that sym �� idly in infants. In .most cases, he a period of days. <br />Symptoms include sh ess of the skin. Cl al ice should be <br />sought immediately if th <br />i 1 <br />i <br />''� s secured an <br />As an interim m f� � ! . �Ei <br />nearest location where you can. obtain drinking water is; <br />Owner/Ooerator <br />13y signing this notice your are declaring; <br />Francis Collier of French Camp RV Park I (We) declare under penalty of perjury that the <br />Name I statements on this application are correct to my (our) <br />482-72fi4 i ,��- fJ(.C� knowledge and the actions taken to notify the users of <br />this water system are in compliance with California Code <br />Phone�-Lw a�'Ac,-Y-L( of Re ulations CCR), for ezceedin the MCL for nitrates, <br />Este informe contiene inform,acion muy <br />liable con alguien que to entionda bien. <br />portante sobre su agua potable. Traduzcalo 0 <br />Return ■ completed and signed form to EHD. (fax number (209) 468-3433) and post copies as directed. <br />