FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

-- INSTRI DNS FOR DISCHARGER i CALIFORNIA STATE WATER RESOURCES CONTROL BOARD I I i. Remove COPY < (dark yellow) and use for your worksheet. DISCHARGER SELF MONITORING REPORT zni 1. Use,bProvide date pen a typewriter for data entry rt forms. -v EVEN Kit SORT Sw INC s 3. Provide dotes for beginning and ending in reporting period blocks. IFORNIA REGIONAL WATER QUALITY LLz ARAU 1St: POINT MARINA 4:� Provide data as specified under column head,ngs. 5, Enter monthly summary data (MONTHLY AVERAGE. MONTHLY HIGH, etc.). CONTRi3L aDARD 6. Appropriate signature is requiredthe bottom of the farm. 7. Remove COPY 3 and retain for yourr records. CENTRAL VALLEY REGION 712 We KIMBERLY AVE* STE 200 i B. Send COP Y,2YoEP,A..Re4f6XXXXn,FYoA46N)1iiK"AK16XXXXA.X,X.X - 3443 ROUTIEk ROAD 0�2 LACENTIA eCA SACkAM1,NTCI. CA 95827-3098 ?a 2670 ,I!,OTHL'Y FQ YOUR REPORTING R��IOp �S�AND YOUR REPORTS MUST BE SUBMITTED By ° DA $'FOLLOWING THIS PERIOD. state NPDES Permit f Year Mo. Day Year Mo Do Code Number Year Mo. Da, Tran sact,on Facility t 1 .r Vear Month for Reporting r 2� 5 X39 1 Q P q 1 )e 2 Qb AOQ&23 P2/,)6/11 Code I -I D. ', 1i• L this report I Period Beginnlny Endin Dop term was 9 computer rioted STATION DESCRIPTION cFa=LUEOff FFF L OF-NT E FF—LU t.-N F '- i sl CONSTITUENT NAME FL17'ri Ito CHLOR kLSUL TJr CGL1ft)7ri SE 01A UNITS ;-.Gu PH fkjTS eG/L iPN/IGQML L/L ISAMPLE TYPE Cr:)i1TII G,' ; 6R.AB GRAB RAd ;Rrl FREQUENCY CAiLY 1)AILY DAILY DAILY 36JLY MONTH I DAY * 1 * * log ---- -----� ---- -� D--------- ------------ -7 ----r J---- -- ----------------- ------------------ -------------- --------- -------------- s, ----- 3---- -� -----�,� -; -- --�r�_--- -- ----------------- ---------------- ------------- ---- -- I' ---- / rs7�� d -� ---- p ---- -T ----- � -- -� - -�---- -r ------ � -- -- ----------------- ----------- -- ------------- -,� -- -- ----------- - - ------ -- ------------- -- ------------------ ------------- -- ----- 1,�7-- - / ------------- -- -----r� r�---- - ------------- l /V --- -- - 1. ---- -- ----------- - -- ------------ -- ------------------ Al -- - ------------- 5,- --- ------------- ------V9- - ------------- -- ------------- -- �' ---- �- � iT_v o_y�� / -----�,3---- T ------n� ---- --------------------� -------gyp---- -- ------------- -- ------------- -- ------------- - _- --- ------- - - ----- - -- - -------- -- ------------- -- ------------ -- ------------- ------- ---------coo 3 d / -----�' IJ---- / l-- 1 '7. N ---- ------------------------------��-- -- ------- ----- ---- - -- ----- -- ----- � --------- 7 --N ------ ----------------------L /t / 17 Uc� iF4 -- -----�- - - -- - ------- - - ------------ -- ------------------ ------------- / /,-3- T--------- -- --_lvf---- --- ----------------------------N�-- ------------------------------------------ m / I U o <75ss9 -/--------7. --- -T - ) - ------------- 44 I !J O v /sky -j -----�. --- ----- if --- --------------------- ------ --- -- ------------- -- ------------------ ------------ -- -------------- 101) J ---- -=Jc� �88 ! -----7 3--- ------ __- l --w✓--- -- ------------ -- ------------------ -------------- -f---- - - - --- ----- -- ---- - c ---------------------------- ------ -- ---------- -- -" -------------- -- ------------- ---- /- ! ,- ,� ;` - -� ------7 - - ---- - --- -----'`��--- ----------------- -- ------------------ -------------- ------------- r) _ / I ter, ---- ! --- 'U-a � - / z _i -�=�r� sxy --7 ------73---- -j ------W0--- i ----30 --- ! -----/V -------------------- ------------- -- ------------------ -------------- ----------- ------------ -- ------------- �/ - - -- �-- -- --- -T ----- -- - ------------------ -------------- -- . -- ---------- ---- ---- / nl17 --� --------------------------- v ---- zv_vv-y-xuy -/ ------r�---- -� ------ %v7 -- ------------- - --- - - ------------ -- ------------- -- ------------- -- -- Y13-3 ---- - --------- - J--- - --- -- ---- OQ 1 vc� , �'_ / --- ----------- �---- / niJ--- - -- 7 ----- --- -- ------------- ---------------------- -------------- Qw I1 Z -- _ ��<T<':SzT -; --- -- ------ -- -- --------- - ----- -- ------------- -- ------------- -- ------------- ---- ------------ -------------- ------------- -27 '� -- N� - ------------- - AITr--- - 1 1 r r o�Wiw--7 / � --------- -- ------------------ ----------------------- ------------- �s- -----�'-� -- -------N� 7 j - -- --- - ---- - -T %��ca Ij 13---- / NJ--- -- ------------- -j -----A/0----------------------- -- ------------- -- ------------- ---- 00 6?- -- -----7, --- ------�7� - ------ - -7 ------a�Jl -- ------------------ -- ----------------- ------------- ---- o z7TSw -i ----- ---- -------Nv-- — ------------- -� -----i1Trf--- -- + MONTHLY AVERAGE 0 0 �/ r 1 I MONTHLY HIGH D. MONTHLY LOW D.oC7 / Ct /V9n/! COTAL RECORDINGS/MO. 1 MQUIREMENT#1 O. 0, 0,'-76 Nov , tZq i v n c Times Exceeded C:••V 6 ' S1 p>,`j 001 -- MQUIREMENT H2 T f�A gtLt/ Times Exceeded 8.50/70. tEQUIREMENT X3 Times Exceeded (< Enter number of samples Ty ed Nome of Principe)Ex cubve Officer cenlly ur der penally of low rhm t hove personally am ed and am lomdmr wah rhe,nlormouon bm,t- ted in Ins documem and all onochmems nd that bated on my ,nqurry of those ed,vlduols ,r red,omly J, taken during the day. �/) / responzlble lar obtaining the or m,nn bele—that rhe,nformotion is true accurate and campplate I om f nA Y I aware that there are s,gnJrtarf penalties for submitting Use information ,ndud,ng he posslbll,ty of bne Signature of Prl a Ew ce. '/' M t aaY ylT roan 02, rd Last First MI and imprisonment.' Olhcer or Authorized Agent pate