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INSTRUCTIONS FGR HARGER CALIFORNIA STATE WATER RESOURCES CONTROL( ARD <br /> t. Remove COPY 4 (dark yellow) and use f�. yaar r) forms. <br /> DISCHARGER SELF MONITORING kEPORT <br /> 2. Use ball pot , par beginning <br /> an for data entry of loans. 11P SEVEN RESORTS INC. <br /> I ' 9. Provide dates for beginning and ending In reporting period blocks. pQ • <br /> d. Provide data as specified under column headings. IFOANIA REGIONAL "WATFR QUALI )V `ZPARAOISE PUNT MARINA <br /> 5. Enter monthly summary data (MONTHLY AVERAGE, MONTHLY HIGH, etc.). CONTPUL BOARD <br /> 6. Appropriate signature is required at the bottom of the town. CENTRAL VALLEY REGION 711 We KIMBERLY AYE• SIE 200 <br /> t 7. Remove COPY 3 and rejoin for XX�o�,u��r records. <br /> 8. Send COPY XXXOMLllXrX�l6olriXrXJuAyNd)c MIXXXXXX 3443 ROUTIER ROAD �unPLACENTIA ,CA <br /> k SACRAMtNTO* CA 95827-3098 Qo92670 <br /> YOUR REPORTING PERIP D 154 AND YOUR REPORTS MUST Fa <br /> BE SUBMITTED BY DAYS FOLLOWING THIS PERIOD. State NPDES Permit <br /> Year Mo Day Year Mc Day Code Number Year Mo. Day <br /> r, iraCode an I Foc DI,Y 5839104100 YeOhis Meonot htlor rn Reposing V0 04 n ;. 90 04 30 Dale form was <br /> L I P L ! ' Period Beginning Ending �6 0081376 computer rinsed 90 03 23 <br /> STATION DESCRIPTION — R i;— — -3 <br /> CONSTITUENT NAME I 1i I U I I y 4UN31VITY T UR') U F RA ,' - <br /> UNITS NTU NTU '. T11 NIJU DEG FIw GE0 DEC F(C DEG ( UEG VIC JUG) CEG F(C CtG) <br /> SAMPLE TYPE , 'A ;,i'A 15�,Ail GRAB GRAB GRAB GRAB <br /> FREQUENC i4FFKLY WkEKILY !r k . W L- <br /> MONTN I DAV * I 1 * * * I I * <br /> ---- )------- -------------- -- ------------- -- ------------- -- ------ - ------------- -- ------------- --------------------- <br /> ------------ <br /> -- z- -- ------------- ---- ------------------- --------- -- ------ ------------7- -- ------------ ------------------ -- ------------- -- - <br /> ---- 5-I <br /> -- ------------- . -- ------------- -- ------------- --- --------------- --- ------------------------------------ ----------- -- ------------- <br /> ---------- ----- ----- --- ---------- --- --------------- --- ------------------ ------------- -- ------------- -- ----------- -- ------------- <br /> ---- -- --- -- ------------- -- ----------- --- ---- ------------------ --------------- --------------------- ------------- ---- ------------- <br /> K-- - --- -----------------L- ------------- -- ------------------ ------------- -- ------------- -- <br /> -- ------------- ------ ------------ -- ------------- -- ---- -- ------ --- - ---------- -- -- ------------- -- ------------- <br /> - -- ------------- <br /> --- -- --- --------------------------------- -- ------------- <br /> - - ------------ - ------------- -- ---------- ----------------------- <br /> - - -- --- -------------- -- ------------- ------------- <br /> -- - - -- ------------- -- --------- -- --------------------------------------------------- ----------------------- ------------- <br /> --- - -- <br /> - ------ ------------------------------------- <br /> ---- ,.- -- ------------ - -- ------------- <br /> ---- -- -- ----- -- ------ <br /> --------------------- -------- ------------- -- ------------- - <br /> ---- i7 -- ------------- -- ------ <br /> -- --- -------------- ------------------------------------ - ------------------ ---- ------------ ------------------------------------------- -------------- <br /> ---- <br /> -- --------- <br /> - ------------- -- ------------- <br /> ---- <br /> ------------------- --- ------------- - ------------- <br /> -------- -- ------- <br /> ---- V� -- ------------- -- ------------- ------ -- ------------- <br /> ----- ---------------------- <br /> -- ------------- <br /> --- Z3 ------ -- ----------- <br /> --- `- -- ------------ ------------------------------------------ <br /> >u --------------------------------------------------- <br /> __ _____________ ------------------- ----------------------- <br /> __ __ <br /> f - ------------- -- ------------- -- <br /> -- -- ------------- ------------------------------------------ -------------- - <br /> z __ t,----------- <br /> ---- r-' -- ---------- -- -- --- -- --- - -- ------------ - ------------------- ------------- - - - ------------ <br /> Y _ _ __________ __A __ <br /> Q _ ____________-------------------- __ _ _ _ __ <br /> ____ �_, __. ----------------------- -.___________ ------- <br /> + <br /> __ __ __ _ _ _____________ <br /> 1, ---__ <br /> t MONTHLY AVERAGE NMENTAL �A fli <br /> MONTHLY HIGH RERMa,ii!SERN/I ES <br /> MONTHLY LOW <br /> TOTAL RECORDINGS/MO. <br /> REQUIREMENT #1 <br /> Times Exceeded <br /> ' REQUIREMENT N2 <br /> Times Exceeded <br /> REQUIREMENT N3 <br /> Times Exceeded <br /> r <br /> �G Enter number of samples Typed Name of Ptinupol E"ecu twe Olhcer I<enilyy u der penolty l low that ", personally e.ammed and am fmnibor—'h the inlormaeon <br /> ted in th ndocument and II anochments and (hot bas don my inquiry of those nd v duols drotely :/ /r♦ <br /> N token during the day. responsible for obta n ng the nl a r mot an I bele thm the format on s 1,ue occ urn to and romplet am - EPA 1 <br /> owore that there are s qn I com penalties for nubm a ng Intse oformm on t cluding the poss bil ty of Ione 5- at e f ci E"e yr M. <br /> o°Y <br /> 1 form OP v 1a Last Firs, MI and impr sanmenL g COPY <br />( 1 011icar or Aulhonzed A tit Do,e <br />