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INSI. 'TIONS FOR DISCHARGER CALIFORNIA STATE WATER RESOURCES CONTROL BOARD <br /> I. Remove COPY 4 (dark yellow) and use for your worksheet. =w <br /> 2. Use bollpoint pen or typewriter for data entry on forms.. DISCHARGER SELF MONITORING REPORT <br /> 9. Provide dales for beginning and ending in reporting period blocks. SEVEN RESORTS• INC. ❑� <br /> 4. Provide data as specified under column headings. CALIFORNIA REGIONAL WATER. QUALITY LLz PARADISE POINT MARINA <br /> 5. Enter monthly summary data (MONTHLY AVERAGE, MONTHLY HIGH, etc-.). CONTROL BOARD <br /> 6. Appropriate signature is required the bottom of the form. <br /> 7, Remove COPY 9 and retain for your <br /> records. CE14TRAL VALLEY REGION 71.1 We KIMBERLY AVE@ STE �I)r, <br /> 7. <br /> s. send COPY t XR i KSR%�CX'RXRK'1�ffR'iXXXX 3443 ROUTIER ROAD zw PLACENTIA nCA <br /> CRAMENTU, CA 95827-3098 -an 92670 <br /> fa <br /> YOUR REPORTING PERIOD ISNOAND YOUR REPORTS MUST PA <br /> GE 3 <br /> BE SUBMITTED BY 1 `� DAYS FOLLOWING THIS PERIOD. Year Mo. Day Year Mo. Day code NuD bePerm it Year Mo. <br /> Q2] TraCodelon I FacDily 5B3'11(1410U I Yeahis repd„tfor /� Uy I Reporting iod _Bey inning r/ D. D1 Ending �t j (1"1 31 Ob CA00823 Dale term was 92 121124 <br /> _computer noted <br /> STATION DESCRIPTION R- It-1 R-2 to-.3 R-4, <br /> CONSTITUENT NAME 01 0 DO PH Pt! PH 1 <br /> UNITS OE I- ,, <br /> SAMPLE TYPE r:+ • yCRAB CRAR GRAB GRAB GS!AR GH-AO t+I�fF1lT <br /> FREQUENCY - V EKLY WE WEEKLY wt.tKLY <br /> MONTH DAY *- * * --- AJCI <br /> 0� y <br /> -------------------------- -------------------------------- - __ _____________ __ _____________ __ _____________ __ _____________ __ _____________ <br /> ---- - -- ------------- -- _-. -----_------_ ------------------ __ ------------------ _-__ _ ____ <br /> < <br /> - -- 1- ---- =-3----- -----'__'----- -! -----'-r- o ---- b-. ----7, 6 --- -/ -----7. 5---- -- -----7•-3--- � ---7, y---- <br /> ---- s= -- ------------- -- ---------- -- - ----------- -- ------------- <br /> ---- -- ------------- -- ------------- -- ------------ -- ------------------ ------------- <br /> 7 ---- ------------- }- ------------- <br /> -- ------------- -- ------------- ------------- <br /> ----------------- ------------------------------------ -------- - ------------- -- ------------- -- ------------- <br /> ---- 9--- -- --------------------------------- ------ ----- ---- -- ------------- -- --- <br /> --------- ------------ <br /> 10 <br /> ---- -- -- ------------- -- ----------------------------------- --- - ---—------ ----------------------- ------------- <br /> — - ------------- - <br /> ---- <br /> It -- ------------- -- ------------- <br /> -- -------------- -- ------------- -- ------------- -- ------------- -- ------------- -- ------------- <br /> ---- iz -- ------------- -- ------------- <br /> ---- i 3 ------------------ -- - ----------- <br /> ---- /,I -- ------------- -- ------------- -- <br /> ------------------------------------ -- <br /> -- -------- - -- - - -- - - <br /> ---- �� -- ------------- -- ------------- -- <br /> ------------- -- ------------- -- ------------- ----------------------- ------------- <br /> ------------- -- <br /> 17 <br /> --- --------- -- ------- <br /> fir <br /> ---- 2 -- ------------- -- ------------- - <br /> ---- -- ------------ --- -------------- <br /> ---- z D -- — ------------ <br /> --------------------------------------------------- -- <br /> ---- -- ------------- ------------------------------------------ ------------- <br /> -- ------------ <br /> ---- L --- -------------------------------- -- -- -- -- -- - ---------------------- -------------- <br /> ------------------ ----------- -------------- <br /> ------ <br /> ----------- <br /> -- ------------ - -- ------------- — -------------- - <br /> -- ------------- -- - - -- - <br /> ---- z3 -- ------------- -- ------------- -- <br /> ------------- ----------------------------------------- <br /> --- e ------------------ -- ------------- -- <br /> ------------- -- ------------- -- ------------ -- ------------- <br /> ------------- -- ------------- -- - <br /> ---- <br /> K:5 -- -------------- -- ------------- -` ----------- <br /> -------------- -- ------ ------- -- ------------- --- ------------- -- ------------- -- - - <br /> ----- ��' — ------------- ----------------- <br /> ---- -- ------------- ---------------------- <br /> -1L <br /> -- ------------- -- ------------- ----------------- -- ------------- -- ------------- -- ------------------ -------------- <br /> ------------------- <br /> ------- -- ------------- <br /> Y __ _____________ __ _____________ -__ ------------- __ _____--_____-_ __ ______-______ ____________- _ _-______-____ ____-________ <br /> z y _ _ __ <br /> _____________ __ ----------------- <br />+ MONTHLY AVERAGE k r D �s tJ 7. 7, <br /> 7.=/ <br /> MONTHLY HIGH a•Com? 7 .16 7, ' 7 3 7. 11 <br /> MONTHLY LOW 3 Fs• 0 b o 7. `6 7. 'S 7. 3 7 <br /> TOTAL RECORDINGS/MO. <br /> REQUIREMENT N1 <br /> Times Exceeded t=} H• { A- F <br /> REQUIREMENT N4 <br /> Times Exceeded <br /> REQUIREMENT k3 <br /> Times Exceeded <br /> Enter number O( samples Typed Name of Pr Incipol Ex <a nve Ofhcer cern ly u der penalty of law that I hove persenully examined and am familiar wdh the mform orlon submit / <br /> p ted in t ndocument and 11 anachmenls nd Thar based on my inquiry of those individuals yin mediately / ♦� r!� copy <br /> taken during the day. l /' h)�,L T resPon ibleforchainingrhemformolion Ibebevelhaltheinlormalionislrue accurate andcompfere lam Yr. Mo. oo EPA <br /> aware that there ore signdrtanl penalties for sub nn ling false information. indudmg the possib.l ey of hoe SIg otu re of Pr ci e<ul' e y <br /> Foram 02 a Ir last First MI and imprisonment" Slbcer or Authorized Age Dore <br />