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1 _ <br /> INSTRUCTIONS FORT HARGER CALIFORNIA STATE WATER RESOURCES CONTROU ARD <br /> I. Remove COPY d (dock yellow) and ase for try n forms. <br /> DISCHARGER SELF MONITORING REPORT = <br /> 1. Use ballpoint per or typewriter for data entry on loans. 8i SEVEN RESORTS if INC <br /> ! 3. Providedaleslorbeginning and ending inreporting period blocks, IFORNIA REGIONAL HATER QUALITY <zPARAOISE POINT MARINA <br /> A. Provide dols as specified under column headings. <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. CENTRAL VALLEY REGION 711 We KIMBERLY AVE* SIE 200 <br /> I 7. Remove COeY,, d rd <br /> 8. Send COPY4rb+lel.It�gr rR yX1t`%KAxMvXAll XXXXXI IX 3443 ROUTIER ROAD .PLACENTIA *CA <br /> SACRAMENTO, CA 95827-3098 X092670 <br /> ! YOUR REPORTING PEISD IS�AND YOUR REPORTS MUST PAGE �1 <br /> BE SUBMITTED BY u DAYS FOLLOWING THIS PERIOD. state NPDES Permit <br /> Year Mo. Day Year Mo. Day Code Number Year Mo. Da <br /> �f <br /> Transaction <br /> ion FacDity rj6� I04I00 YeOhis Me no htlor RPeoi odg Beginning 90 04 OI Ending 90 4 0 0OB2376 computer e for mrinted 190/03/23 <br /> L� ❑I <br /> ---I <br /> I p F 9 g g Ob F I P P <br /> STATION DESCRIPTION ^- <br /> CONSTITUENT NAME (,ULAVUXN I t <br /> ! UNITS MPI'41100NL MPN/1000% 14PN/1010NL N!"N/100ML <br /> SAMPLE TYPE tc RA <br /> FREQUENCY ` <br /> MON?HDAY <br /> K N <br /> ---- .................. - -- ------------- -- ------------ -- ------------- - <br /> ! ---- 3 -- ------------- -- ------------- -- ------------- -- ------------- - -- - <br /> ---- -- - - ----------- -- ------------- -- ------------- -- ------------- -- ------------ -- --------------------------------------------------- <br /> ---- y_ -- ------------- -- ------------- -- ------------- -- ------------- ----------------------------- <br /> ---- S----------------------------= -------------------------- -- ----------- ------ - <br /> - ------------- -- -- ------------- -- ------------------ ------------- <br /> ---- y- -- ------------- -- ------------- -- ------------- ---------- <br /> -- ------------- -- ------------- -- ------------- -- ------------- -- --- <br /> ! x- --- -- ------------- <br /> -- -------------- -- -------- <br /> ---- - -- ------------- -- ------------- -- ------------- - ------------ - -- ------------- <br /> ------------ ------------ -------------------------------------- ------------- <br /> 41 -- ------------- -- ------------- -- ------------- - <br /> 4/ - ------------- — ------------- ------------------------------------ -- ------------- <br /> ---- -- -- ------------- -- ------------- -- ------------- -- - _ <br /> ------------- -- ------------- -- ------------ -- ------------- -- ------------- -- - --- _- ------------ - ------------- <br /> ------------------------ %3 — -- ----------- -- ----------- -- -- ----- ---- — <br /> -- ------------- -- ------------- <br /> ----- — ----------- <br /> ! --- �� -- ------------ ------ <br /> ------------------------------------ -- ------------- -- ------------- <br /> ---- 1h-------- 3------ -- ---�y O---------------3 5---- -----�°----- <br /> ------------ <br /> ---- 1Y-------- ------------ -- <br /> - ------------- --- ------------- -- ------------- -- ------------- <br /> ---- -- ------------ -- <br /> ------- ----------------------- <br /> --------- ------------------- -- ------------------ ------------- <br /> ---- --- -- --------- ----- <br /> -- '- ----------------- --- ------------------ ------------- - --------- ----- -- ---- -- <br /> ---- --- ------------- <br /> 1z -- ------------ -- ------------- -- ----------- ------------- - ------------- <br /> - -- --- --------- -- ------------- -- ------------- - <br /> ---- `-3 -- ------------- ------------------------------------------ ----------' <br /> ------------- -- ------------- -- ------------- -- ------------- -- --- <br /> -- ------------- -- --- -- - <br /> ---- t� -- ------------- ------------------------------------ ------ <br /> sim& <br /> I - -- � -- ------------- ------------------------------------------ ------------------------------------------------------49-411- - _--_ - -- - ------------- <br /> :11iff 1. <br /> ------------- ------------------------------------------ ------------- -- ------------- -- ------------- - - <br /> -------------' <br /> n KL. <br /> ---- -- -- ------------- ------------------------------------------ <br /> ------------- -- ------------- -- - <br /> of <br /> ---- -- ------------- -- ------------- -- ------- ---- - -- --MAY-2-1-199( -- -------------' <br /> ------------- <br /> - --------------- <br /> of -- ------------- RF��trt ENTAt-H At Ff----------- <br /> ! t MONTHLY AVERAGE Q 7 <br /> MONTHLY HIGH <br /> MONTHLY LOW <br /> TOTAL RECORDINGS/MO. <br /> !1 REQUIREMENT #1 <br /> 0 Times Exceeded <br /> ! REQUIREMENT X2 <br /> Times Exceeded — <br /> REQUIREMENT N3 <br /> f Times Exceeded <br /> .t, Enter number of samples typed Name of Pr inupal Execunve Officer Ice Mf u der penohY.11.-rhos I have pens mfa,ly ex. bed and om lamd.,.veh he form.hon subme- - , <br /> T p ted m ry sndocumem and all .111. r, od rhot. based on re ingmry of rhme individuals edi.Lely ,,/f .� EPA n <br /> token during the day. responsible for obmmmg rhe mformahon I believe'hat the information is true accurate and�omplure I am y, Me, p L <br /> aware the, (here. a signiLcam pen.hres lar rubnmting false iel.moon. ncludmg the possibd ay of fine Signa true 1 Pr <br /> eculrve ay COPY <br /> ( ! form O7-9 11 Lost First MI and imprisonment Officer o A riz. Agent Dale <br />