Laserfiche WebLink
INSTR a 4S FOR DISCHARGER CALIFORNIA STATE WATER RESOURCES CONTROL BOARD I <br /> 1, Remove COPY 4 (dark yellow)and use for your worksher <br /> et,2. Use ballpoint pen or typewriter for data entry on forms. DISCHARGER SELF MONITORING REPORT SEVEN RESORTS. INC. ❑, <br /> 3. Provide dates for beginning and ending in reporting period blocks. <br /> 4. Provide data as specified under colutnnheadings. CALIFORNIA kEGIONAL WATER QUALITY <zPARADISE POINT MARINA <br /> 5. Enter n+onthly summary data (MONTHLY AVERAGE. MONTHLY HIGH. etc.). CCiNTROL BOARD <br /> 6. Appropriate signature is required of the bottom of the form. <br /> 7. Remove COPY 3 and retain for your records. CENTRAL VALLEY REGION 711 We KIMBERLY AVE* STT-: 200 <br /> &. Send COPY�t� I& efiiA9tgRAaAX7eyltch)exjACk(xYxtxlIXXXX 3443 ROUTIFR ROAD iwPLACENTIA ii <br /> 5ACRAMEtJTO• CA 951327-3096 3. ''2670 <br /> YOUR REPORTING PERIOD IS MUNTHLY AND YOUR REPORTS MUST sQ <br /> BE SUBMITTED BY O DAYS FOLLOWING THIS PERIOD, state NPDES Permit <br /> r yr <br /> Year Mo. Day Year Mo. Day Code Number Year Mo. Do <br /> 2 TroCod etion I Flcpily j�In41D0 I Yea his epo hlfor '/ J, ) L RPe�iodg Beginning 1921121 ;1]rEnding 9z I2 L 06 CACDIIZ3 omtuter mr rated v2 V6 I1 <br /> STATION DESCRIPTION J J-3 R-4 t<-i A-2 n <br /> CONSTITUENT NAME ti DO f)O 0173 Pril PH PH <br /> UNITS ;4iMG/LMG/L <br /> SAMPLE TYPE ,..,, , GRAB GRAS GRAS GR A. <br /> FREQUENCY 2!L KI V V RE Y _ WEEKLY WEEKLY wEE E L-KLT WIit.t <br /> MONTH DAY *T 7 >[C <br /> ---- <br /> ---- <br /> - -- ------------- -- -- ------ ------------------------------- ---------- -- -- <br /> ----------- ------------------ <br /> -5---1 <br /> ---=1-y------ — ------- -- --------� --------- ----7L— --- --------- _�---- _---- Z-1--Z-7-----V ------------- -- ------------- -- ------------- --- ------------- -- -------------- -- ------------- -- ------------------------------ <br /> -------------------- <br /> --------------------------- -- ------------- -- ------------------------------ <br /> ----------------------- <br /> ------------ -- ------------ -- ------------- -- ------------- -- ------------- <br /> ---- -- ------------- - ------------ -- ----------- -- ------------- ------------------------------------ ------------------------ ------------- <br /> X' <br /> - ? -- ------------- --- ------------------ ------------- -- ------------- -- ------------- -- ------------- ----------------------- ------------- <br /> ---- <br /> ---- LTJ ------------------ --------------------------------------- <br /> ------—-------- - ------------- ------———------ ----------------------- ------------- <br /> -- ------------- -- ------------- -- ------------- -- ------------- <br /> ---- ---------------------------------------------------------- -------------------------------------------------------- <br /> ------------- <br /> ---------------------------------------- -- ------------- -- ------------- - ------------- -- --------- - <br /> ---- - <br /> -- ----------- - -- ------------- -- ------------- ------------------ ------------------------------------ -- ------------- -- -------------- <br /> --- --- ---------- <br /> -- ---------------------------------------------------- <br /> - -- ------------- <br /> -- -- -------------- -- ------------- <br /> ---- - ------------------ -------------------------------------- --- --------------------------------------------------- -- - - - - <br /> ---- - -- ------------- --- ------------- <br /> -- ------------- -- ------------- <br /> ____ 1 __ _____________ <br /> ____ -------------------- <br /> __ _____________ ------------------------------------- __ _____________ __ _____________ __ _____________ ----------------------- _____________ <br /> __ _____________ <br /> ------------------------------------ <br /> _ _____________ __ _____________ __ _____________ <br /> __ ------------- __ _____________ __ _____________ __ <br /> _____________ __ _ <br /> _ ____________- ----------------------------------------- <br /> __ _______.__—_—_ _----------__ <br /> __ _____________ __ _ _____—__--_—_ -- _---_—____--- <br /> _____________ __ _______ — -- —________---- <br /> _____________ __ ____________ ___ —_ ---- <br /> ___—_____ -- -------__—__— <br /> — ---------------------------------------------------- <br /> MONTHLY AVERAGE In '/ 0 7, Y 7r <br /> . 7 <br /> MONTHLY HIGH7 /L'7 e <br /> MONTHLY LOW <br /> TOTAL RECORDINGS,MO. <br /> REQUIREMENT#1 <br /> Times Exceeded <br /> REQUIREMENT #2 <br /> Times Exceeded <br /> REQUIREMENT #3 <br /> Times Exceeded <br /> rt. Enter number of samples Typed Name of PtmGpal cu live Olh cer I ce rt Jy u der penahy of low Thai I have personally examined and mm lam Imr with the r bm-mrcm ubnm- l `' t - f EPA <br /> ted n t sndecument and all attachments and that based on my nqu v of those rad v duals n edea to ly / <br /> taken during the day. / r"- )/' r j 2K respons ble for obta-n ng the nfmmot on I bel e.e that the lormat on b true accurate andm plete I am ' <br /> aware thvt there o e agnJ tont penoh es lar subn,n ng lake nlorm of on bd udng the pass-b ley of Ilne Siggnatu le of G c al Ex cu1're yr. Mo. Oay COPY <br /> Eorro OZe ra Lav First NII and'mpr sonmenLr 011icar utho aed t. pots <br />