COUNTY OF SAN LUIS OBISPO

Department of Agriculture/Measurement Standards

2156 SIERRA WAY - SUITE A ● SAN LUIS OBISPO, CA 93401-4556

ROBERT F. LILLEY

PHONE (805) 781-5910      FAX: (805) 781-1035

AgCommSLO@co.slo.ca.us

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Date Your Information Name Address City Zip Code Phone  Enter a valid phone number. Example: 123-456-7890 Cell  Enter a valid phone number. Example: 123-456-7890 Email  Enter a valid email address. Example: name@company.com Best time to contact you Source of Problem: Please provide as much information as you know about the location of the problem Owner Name Name of Farm/Ranch Name of Farm operator (if different from owner) Address City Zip Code Phone  Enter a valid phone number. Example: 123-456-7890 Cell Email  Enter a valid email address. Example: name@company.com Describe in detail your complaint or the problem(s) you are experiencing. Include the times and dates the problem(s) have happened, how long the activity causing the problem has been occurring, what you have done to resolve the problem(s), and what you would like done to resolve the problem(s).

The name or names of complaining parties are required to be publicly identified. Addresses and phone numbers will not be disclosed unless prior approval is granted.