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Complete the below information if adding, removing or editing a GEMS user(s) <br />GEMS User 1 Add as a media contact? Yes <br />Add/Change © Remove Access ❑ <br />Ruben Castaneda Associate Engineer <br />Name Job Title <br />rcastaneda@santa-ana.org <br />Email address <br />GEMS User 2 <br />Add/Change <br />Azadeh Azad <br />Name <br />aazad@santa-ana.org <br />Email address <br />Remove Access <br />GEMS User 3 <br />Add/Change © Remove Access ❑ <br />Mauricio Castaneda <br />Name <br />mcastaneda@santa-ana.org <br />Finail address <br />GEMS User 4 <br />Add/Change <br />Michelle Micallef <br />Name <br />Remove Access ❑ <br />mmicallef@santa-ana.org <br />Email address <br />GEMS User 5 <br />Add/Change <br />Zdenek Kekula <br />Name <br />Remove Access ❑ <br />zkekula@santa-ana.org <br />Email address <br />Form completed by: <br />7146475621 <br />Phone number <br />Add as a media contact? Yes <br />Assistant Engineer <br />Job Title <br />7146475667 <br />Phone number <br />Add as a media contact? Yes <br />Assistant Engineer <br />Job Title <br />7146475643 <br />Add as a media contact? Yes <br />Community Liaison <br />Job Title <br />7146475091 <br />Phone number <br />Add as a media contact? Yes <br />Principal Civil Engineer <br />Job Title <br />7146475606 <br />Phone number <br />Date: Oct 19, 2022 <br />No0 <br />No ❑ <br />No ❑ <br />NoEl <br />No <br />As a signatory I hereby authorize the listed individual(s) to represent and have GEMS user access. <br />>doho Yo la Zdenek Kekula <br />Name <br />Signature <br />Oct 24, 2022 Grant Director <br />Title <br />Date <br />Page 20 of 20 <br />9/30/2022 4:02:25 PM <br />