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^� Department of <br /> ^N� Toxic Substances <br /> Water Boards + :� Control <br /> .................... r <br /> REMEDIAL ACTION AGREEMENT NOTIFICATION FORM <br /> ❑Soil Gas <br /> ❑Other <br /> SECTION VI: LOCAL OFFICER ACKNOWLEDGEMENT <br /> Acknowledgement that the Notification is Accurate and Complete <br /> Jeffrey Wong , acknowledge that all of the information provided <br /> within t notif a ion are accurat and complete to the best of my knowledge. <br /> Sig e o I er <br /> Page 4 of 4 <br /> Published December 10, 2021 Updated December 17, 2021 <br />