FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

I , INSTRUCTIONS FOR -.HARGER I CALIFORNIA STATE WATER RESOURCES CONTROL B' RD I. Remove COPVe(darkyellow)andase yourwforms.ef. DISCHARGER SELF MONITORING F 00RT = 1. Use ballpoint pen or typewriter n for data entry of forms. SEVEN RESURTS9 INC. 4. Provide datesfor sspegiiedundercolu nheadportingperiodblocks. CALIFORNIA REGIONAL NATER QUALITY LLZPARACISE POINT VARIKA d. Provide data as specified under column headings. 5. Enter monthly summary data (MONTHLY AVERAGE, MONTHLY HIGH, etc.). CONTROL BOARD 6. Appropriate signature is required of the bottom of the form. CENTRAL. VALLEY REGION 711 W• K INBLRLY AVEs 5TE 211007. Remove COPY 9 and rejoin for YY��o�,u,, records. S. Send COPY XFXXA41IXeYXXAtl'cX<X.1{sYi1}C'1 KAIXIIII XXXXX X XX 3443 R01i KOAO 'W PLACIENTIA *CA SACRANENTOs CA 95827-3098 Qo92670 YOUR REPORTING PE DID ISAND YOUR REPORTS MUST �` BE SUBMITTED BY F DAYS FOLLOWING THIS PERIOD. State NPDES Permit Year Mo.1. Day Year Mo. Day Code Number Year Mo. Do 2 TraCodeion I facDity 5839104I00 I Year his epohtfor I Rpenoldg Beginning 9fl 04 fl1 Ending 90 04 3fl Q6 U08237b I compaterpr Date form led 90 0372 K STATION DESCRIPTION . L-' + N CONSTITUENT NAME L' M N -.5 r ENIFOqTF—Stf VArTCR UNITS Iifi0 PH UNTTS MG/L MSP•/ ICOHL NL/L SAMPLE TYPE N aN E7+ CRAB GRAB .A FREQUENCY DTM Y DAILY VAILY L", I L YA MONTH DAY AJC I XC I I JIC XC _ _____________ _ _____________ __ _____________ ------------------------------------- z190,969 __ _____________ __ __ ___________ -------------------------- __ _____________ _ _ z !90,96973 ------------- -------------- -- ------------- -- ------------- .j —_ O. pU i1`I 177 —— ------------------------------------------------------------ --- -- ------- ---- -- -- ------------- -- ------------- ------------- ____—_____---------------------------- _____________ b - -- -- ---------------------------------- -I ---- --------------------------------------------------- --- -- --- - -- ----------- - B -- ----8------- ----------------- ------------ -- ------------- -------------------- - ---------- ------------- -- -------------------- ----------- - --- -------------- -- ------------- ----------------------- ------------- q x.006 7y /O ------------------ ------------------ -- ------------- -- ----------- !/ 0 -- -- ------- ----- - ------------ - ------------ -- -———------ -- ------------- -- - ------------ - - ----- -- ------------- -- ------------- ---- -- -- -------5& ---------------------------------------- ------------- -- -- ------ ------------= -- ------------- ------------- -- ------------- -- - ____ __ __ _____________ ______—______ __________ —_ ------------- ---- -- -- ------------- -- ------------- -- ------- ------ -- ----- ------ -- ---------- --- -- ------------- -- ------------- - ------------- --- i8 -- ----�� ---- -- ————---- -- --- -- I ---- -- J,nlf b - -- ------------- - Z7 -- ------------- -- -------------- - - - - -- ------------- -- --------------------- - - ------------- - ------------- - --- -------------- -- ------------- -- ------------- -- ----- z/ /.001::S z v -- --- --- -- ---- L--L 00 c ------------- -- ------------ - ---- ------------------ -------------/bS. - -- Z3 ------------- -- ------------ - - -- ------------- -- - ---------------------------------- -------------- ------ p-0-1136-- ---- ------------------------------------- -- -- ------------- -- ------------ - ---- -- -- ---------- -- ---------- - e ------------- i 6 oo b/7`'-- ------------- - ------------------------------------ ---- 1 �O<�/j Z ------ ---� C - ------ Y -e ____ �_____ _ _________ __ a .oo i ------MAY-21. 990----------- w dry o t7 iZ-3zv -- ----------- -- ------ -- -- -- ------------- - - ------------- -- ------------- -- ------------- — ----------------- -------------------------------- --- i --£fflIROPNdI :HEALTH----- t MONTHLY AVERAGE 011 6A 6 /ri! / MONTHLY HIGH MONTHLY LOW ( TOTAL RECORDINGS,MO. REQUIREMENT Hl Times Exceeded REQUIREMENT N2 Times Exceeded REQUIREMENT //3 Times Exceeded !IC Enter number of samples lY ped Name of P'mclpal Executive Oflicer cendy u.der penoby of low Ihat hove penes ally e.oi sed and am lomilmr wnh the r loan oh on ubmiL y u ted in Ih document and oil anoch men's and Ifun based on my inquiry of 'hose mdwidu ols edmtely _ / ,�./�it// J� J ��j EPA n taken during the day. responsible for obbimng the mformmmn I beL e.e'hot the information is true acrorme and<om p'e'e lam y, Mo 00 aware he, Ihere are significant penolees for ,bri mg false Information including the possibil ily of line Sig owre of ncipal ec C. y COPY I Foun Oi v �+ Las' First MI and impnsonmenl. OIf icer or Awhonxe' Age pato l