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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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RIO BLANCO
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8095
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2900 - Site Mitigation Program
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PR0540459
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Last modified
4/9/2020 3:14:18 PM
Creation date
4/9/2020 2:33:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0540459
PE
2960
FACILITY_ID
FA0023127
FACILITY_NAME
PARADISE POINT MARINA
STREET_NUMBER
8095
STREET_NAME
RIO BLANCO
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
06605052
CURRENT_STATUS
01
SITE_LOCATION
8095 RIO BLANCO RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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INSTRUU JS FOR DISCHARGER I CALIFORNIA STATE WATER RESOURCES CONTROL BOARD <br /> 1. Remove COPY 4 (dark yellow/and use for your worksheet. <br /> Usebollpointpenortypewriterlordatoenlryonforms. DISCHARGER SELF MONITORING REPORT <br /> F <br /> 2. SEVEN REsoRrs. (NC. <br /> 3. Provide doles for beginning and ending in reporting period blocks. LLz <br /> 4. Provide data as specified under column headings. CALIFORNIA REGIUNAL NATER L+UALITY PARADISE POINT MARINA <br /> 5. Enter monthly summary data (MONTHLY AVERAGE, MONTHLY HIGH, etc.). CONTROL BOARD <br /> b. Appropriate signature is infor <br /> the bottom of the form. CENTRAL VALLEY REGION 711 We KIMBERLY AVEs STE 200 <br /> 7. Remove COPY 3 and retain br your records. <br /> 8. Send COPY 21pKPk�LRegiRnl9AXoXF,K%X cXXrffRAYXiXXXXXX 3443 ROUTIER ROAD ZW .PLACENTIA SCA <br /> SACRAMFNTO9 CA 95827-3098 ao91670 <br /> YOUR REPORTING PERIOD IS M11 T i 1AND YOUR REPORTS MUST F` <br /> BE SUBMITTED BY FM DAYS FOLLOWING THIS PERIOD. State NPDES Permit <br /> Year Mo. Day Year Mo. Day Code Number Year Mo. Do <br /> Transaction Facility Year Month for (� Reporting c Date loan was c y <br /> 2 Code 1 1.D. '•`s39I04T00 L Ihisreporl yo I Period Beginning 93 0. tYI Ending 93 05 3I (]b CAOOH23 cam user rioted <br /> STATION DESCRIPTION ;_ ,1 P R-4 R—I R-Z R (- <br /> iCONSTITUENT NAME TU310 ITY TUP81G1 TY I"URBIf)ITY TURBIDITY TEMPERATURE TEMPERATURE TEMPERATURE TEMPERATURE <br /> UNITS , TU DEG F C CEO DEG F(C DEC) DEG F(C DEG) OEG F(C OEGI <br /> SAMPLE TYPE z CRAB GRAB GRAB GRAB - <br /> SAMPLE <br /> FREQUENCY k' r:YY 'A FR 4 FE WEEKLY WEEKLY WEEKLY WEEKLY PEEKLY _ <br /> MONTH I DAY <br /> O S r <br /> __ _____________ __ _____________ __ _____________ __ ____-________ __ __----__---__ __ _____________ -_ ________---__. __ _____----____ <br /> ____ _� __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ <br /> _f __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ __ _ __ _____________ __ __-__________ <br /> ____ S __ _____________ __ _____________ __ _____________ -- _______-_____ __ _-___________ __ -__-__-______ __ _--_-__--__ __ -____________ <br /> __ _____________ _ ----------- ------------- <br /> I <br /> __ _________-___ <br /> __—_t_______ __ _____________ __ _�_________ <br /> _____--•-_ __ ___-_ -._O-------------- yi___ _ __ _-- --------- <br /> ------------------ <br /> _ _____ <br /> / a ---- / �<� may --� a If t�- <br /> ---- -- ------------- -- ------------- -- ------------ -- ------------- -- ---- ------ ------------- ------------ <br /> - zj -- ------------- -- ------------- - ------------- -- ------------- -- -------------- -- ------------- -- <br /> ---- 70-------------- ---- ----------- -- ------------- -- ------------- -- ------------- -- ------------- ----------------------- ------------- <br /> ------------------- -- ------------- ------------------------- - ------------ -- ---------- -- ------------- -- ------------- <br /> -- ------------- -- ------------- <br /> ---- - -- ------------- -- <br /> ------------- ------------------ ------------------------------------ -- ------------- -- ------------- <br /> � <br /> ---- �� -- ------ <br /> - -------------- <br /> ------------------------- ----------------------- --------------------------------------------------------- ------------- ----------------------- -------------- <br /> 15 <br /> -- - ------------- -- ------------- -- ------------ -- ------------------------------------ ------ <br /> / 7 <br /> -- -- ------------- -- -------------- -- -- ------------------------------ ------------------ ------------------------- -------------- <br /> ------------------- -- ------------- -- ------------- --- -------------- -- <br /> ---- Z- -- ------------- --- ------------- -- ------------- -- ------------- -- -------------- <br /> ---- -- <br /> Z/ l --- ----- ------------------------------. � r--- -- ------/ 5--- -� -- tin - -� -- -� Jn--- -------�v-- -s-- <br /> -- -- ------------- ------------- -- <br /> -- ---- ------ -- ----------- -- ------------- --- ------4'---- <br /> ---- 23 -- ------------- <br /> ---- ry -- ------------- <br /> -- -- ------------- -- ------------- -- -- ------------- -- ------------- <br /> -- ------------- -- ------------- -- ------------- <br /> --- -- ------------- -- ------------- -- -- ------------ <br /> -- -- -- -- -------------- <br /> -- ------------- -- ------------- <br /> Y --_- . _ --�Q_____ -L ____-_-_____ _- -___ 1 b- <br /> _- - <br /> - <br /> _1 _____��z___ / ____�� n=-- ----� -�--- <br /> QZr - -- --- ------------- <br />< ---- Iy ------------ <br /> ---- ----------------- <br /> + MONTHLY AVERAGE / / c 7 / / ° 7 <br /> MONTHLY HIGH "Z-D 7 <br /> MONTHLY LOW <br /> TOTAL RECORDINGSrMO. <br /> REQUIREMENT#1 <br /> Times Exceeded ._3" <br /> REQUIREMENT#2 <br /> Times Exceeded <br /> REQUIREMENT H3 <br /> Times Exceeded <br /> Enter number of sam les Typed Nome of Prmupol E ecuI 011icer cen IyY u der penoay of low that I have personally a+am mind and am lam 1 ar w Ih the- lormot on subm r <br /> P v ted n ih mdocument and oil attachments and that, based on my inq✓ry of those individuals r ed ate ly �� �� ` �" y_/r/,moi j� Q,/jrl / EPA <br /> taken during the day. ,1 t" I/ 1/C w,-I� 1 responsible for obtaining the information I bel eve that the inlormal on is true accurate and con ele om COPY <br /> aware that there ore srg.Y hoard penult e,for submitting false information including the poss b qty of Ilene Sigg lure of r Ex e<u1i a Yr. Mo. Doy <br /> Farm a]"4 ra Last / first MI and im pr sonmant. OII<er or Aur ri . Ager Dole <br />
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