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I <br /> INSTRUCTIONS Flt... DISCHARGER CALIFORNIA STATE WATER RESOURCES CONTROL BOARD ) 1. t <br /> I. Remove COPY 4 (dark yellow) and use for your worksheet F <br /> 1 2. Use ballpoml pen or typewriter for data entry on farms. DISCHARGER SELF MONITORING REPORT <br /> 3. Provide dales for beginning and ending 1n reporting period blocks. <z SEVEN RE SORTS INC• <br /> 4. Provide data as specified under column headings. CALIFORNIA ,•'FGIONAL NATER QUALITY LL 1^'1RADISE POINT MARINA <br /> 5. Enter monthly summary data (MONTHLY AVERAGE. MONTHLY HIGH. etc.). CONTROL BOARD <br /> 6. Appropriate signature is required at the bottom of the form. <br /> 7. Remove COPY 3 and retain for your records. CENTRAL VALLEY REGION III N. KIMBERLY AVE♦ STE 200 1 <br /> 8. Send COPY 1X17l()M)(ioAitAs)(9XIPKRr"i)tX)(rW)CgIFYXIX4(XXXX 3443 R'OUTTr'7 ROAO ZWPLACFHTIA .CA <br /> SACRAMFrt? , Ch 95827-3098 Qo92670 <br /> YOUR REPORTING PERIOD ISI MONTHLY 1AND YOUR REPORTS MUST fa <br /> BE SUBMITTED BY LL�l DAYS FOLLOWING THIS PERIOD-. State NPDES Permit PAGE I <br /> Year Mo Day Year Mo. Day Code Number Year Mo. Da <br /> Trans nsactlon Facilil Vea, Month for �s Re Orlin Dale term was <br /> 2 Code I LD. y ' 139I04Inr) I thisreport d3 I Periodg Beginning Ending s' 's 03 f!. O6 CAOQB23 computer rioted 92 OI 3q <br /> STATION DESCRIPTION 14FLANT I i'IF LENT I'JFLUtI';T I L'.;' '' I EFFLUENT FFFLI.IhNT EFFLUFMT FF:LUEINT <br /> CONSTITUENT NAME r in St.I P :`MATTFR Dnp ,,�+� •% r t "irM SUST' '+ATTER HOD SUSP MATTER <br /> UNITS ?IG/L' MG/l LB 1F: <br />