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INSTRUCTIONS FC DISCHARGER CALIFORNIA STATE WATER RESOURCES CONTROL BOARD <br /> 1. RemoveCOPY 4 (darkyellow) and use for <br /> try worksheet. DISCHARGER SELF MONITORING REPORT r, <br /> 2. Use bolide dote pen or typewriter for data n repot forms. u� <br /> 3. Provide dales for beginning and ending in reporting period blocks. u� SEVEN RESORTS* INC u <br /> 4. Provide data asspecified under column headings, CALIFORNIA REGIONAL WATER QUALITY LLZPARADISE POINT MARINA <br /> 5. Enter manlhly 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 you,records. CENTRAL VALLEY REGION 711 We KTMBFRLY AYE, STF 200 <br /> Fl. Send COPY 2yttsAwRXRX �'.tPX�PRRr%%iK%9VA9"A" X)t"AXXXX 3443 ROUTIFR ROAD zwPLACFNTIA .CA <br /> SACRAMENTnt CA 95627-3098 Qo92670 . <br /> YOUR REPORTING PERIOD IS MONTHt- Y AND YOUR REPORTS MUST sa <br /> BE SUBMITTED BY fy DAYS FOLLOWING THIS PERIOD. State NPDESPermit <br /> Year Mo. Day Year Mo. Day Code Number Year Mo. Da <br /> Transaction Facilily Year Month for Reporting Date form was <br /> 2 Code I l.D. '•34T041�D I this report -/� �.� I Period - Beginning 9 0_{ 0t. Ending 47 rsS ?�, �6 CA00923 cam uter rinsed 11,+ <br /> STATION DESCRIPTION rFFj qlFrJ EFFIL IENTEFFLUENT FFF IUFNT FFFLL?F VII <br /> CONSTITUENT NAME FL.n�I Pfd C4L.7R RFSDL TILT- C01 TFOP4 SFT HATTr',' <br /> UNITS s, ,n " r N TS NGIL Mfil1`•A1.00.4L t+,L/L <br /> SAMPLE TYPE ?T I%n U 152A 13 G, ' GRAB GRAB <br /> FREQUENCY 04% 1LY— Dili DAILY nATLY DAILY <br /> MONTH DAY , <br /> 0_003d54- <br /> / <br /> / --- --- <br /> --- -- -- ------------- ------ <br /> 3 / 3 d6 -; ------ ! ---- -- - - - - ---- -- - ------------ -- -- ------------- ------------------ <br /> 040-- - --------- -- ------ - <br /> - ------------- -- - <br /> ---- s n 00 _- -------------- <br /> --- -� -----� - ---- f ----- ----- -- ----- - -� -----N ---- -- ------------- -- ------------------------------- <br /> ------------------ y - 7 '7 --- ---- -- <br /> ---- - -- -! -------- - -- - - - <br /> -- -- -- ---- <br /> -- -- -- --- - ---- - ---------------------------------------------- ------------- <br /> - ----- -- - ---- - <br /> -- ------------- - <br /> -- ------�'---- -- ------ - -�----------------------------------------------- <br /> - / ------------- -----�c --- ------- -- ---- - ------------- <br /> ---------------111) 00 j <br /> i - >os� -- ----- =3---- ---- -- - -- ------ - --- ---- ----------------- ------------------ -- ------------- <br /> IND <br /> ____ �_ o no��Jt''__ / ul_ _ _—___�_ --__ /yV� —__ _ <br /> __ —_ _____ _ ___ — <br /> iz ; -- -----� I i , ---- _- --- ----- - ---- -- ------------- -- ------------- --- <br /> ----- - ----- -- --- - -- ---- -------- <br /> key - 3---- / 49" - - -- --------------------------------------------- ------------- <br /> ---- -- - --- ------------------ <br /> 7iYt'R< -- - -- -- a I -- ------------ -- ------------- -- ------------- <br /> -- ---------- -- -� ----- -------------------------- -/- ------�-- - <br /> ------- �-r- -- ,�on d- ----- ------------- ---------- - N-�-- --- ----------------- <br /> ----------------------- ------------- <br /> ---- ---------- <br /> ----- <br /> --- i_ " 0' __ C ---- "- - -- -- ----- � ------------- ----------------------- -------------- <br /> 0 <br /> 0- 156- ----- ---------------� -- --- ----------------------- <br /> -- - - <br /> -- o r --------- -- ------------- <br /> -----7------ -- ----- - ------------------------ <br /> - 111) <br /> Zz / 0 0 / C � ; �, 5/ <br /> ---- - - ------------- -- ------ ----- 1 -- -- --------------------------- ----- <br /> - ------------- -- -- - <br /> ------------ - --- <br /> ---- 7 y--- / ----- --- -----------------------/ --- ---------------- <br /> ell -------- -- ------------- -- -------------- <br /> ----------Z s x.0,7 %�5E -/ ------� 1 ---- _ , - - --- ------------------------------------------ <br /> -- ------------- -- ------------- -- ------------- <br /> zro ------------- ------------------------- ----- <br /> ---- -- -- --=---------- <br /> ---- Z--7 -/- o--o--a---1-�-_6--- ----- - ----------- <br /> 3 -- -------�-- --- - ----- -/- <br /> ----- <br /> /- -----. INy <br /> -------------------------------------- <br /> ------------- -- ------------- -- ------------- <br /> 7- ---- ----- <br /> -------------------------- <br /> Z./ / ---- - ----- - ------------- -- ------------- -- ------------- <br /> a o 00 /�, / 7-3---- / 8 --- -- ------------- 1_ -N _-- - <br /> 3� / V5.- <br /> vo �7a / -- - ----- ------------ -- ------------- -- ------------- <br /> ---- -- - - n5 zi -- -- <br /> w -- -------'3--- ------------- — ------------- ! NI <br />-F MONTHLY AVERAGE - O t / <br /> MONTHLY HIGH 71 '/ I <br /> MONTHLY LOW <br /> TOTAL RECORDINGS MO. <br /> REQUIREMENT#1 �.Q r't V t t7T 425-`� T t.Ah/ ,3D ilPr r McNtnv.Y _. <br /> Times Exceeded ,�i:�3 0 1 <br /> REQUIREMENT #2 y7F)ra.Y rrfrar< AILY M a <br /> Times Exceeded : 11. <br /> REQUIREMENT #3 <br /> Times Exceeded <br /> JC Enter number of samples Typed Nome of Pr mupol Evecuhve Olhcer I cef,Iy v:der penohy of Imv rhor I ha+e persoeolly o ed and om lam:bar wnh the:nlormonoe subm:l <br /> ted n th s document and II mmch nems rd rhos. bas don my nqu ry of (hose and✓dual edmlely �� ✓ �� .//61 EPA <br /> taken during the day. r)e ct-,/4 7-()6 respons ble for obis n ng the nlormal oe bel e.e that the nlormar on's true.amore sed run ppsere am COPY <br /> ..are Ihol Ihere ore z gn f mnr penob e.for wbm n ng lake nlormol on ndudng the po bl:ly of line Signature of Princ Ee cutive Yr Mo Day <br /> cerin az9 7a Lost first MI and imprisonment. pllicer or Avtho sed Agent. I Dale <br />