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-- ---------- - - ----------------------------------------- ----------------- <br /> 1 <br /> INS, :TIONS FOR DISCHARGER CALIFORNIA STATE WATER RESOURCES CONTROL BOARD <br /> 1. Remove COPY 4 (dark yellow) and use for your worksheet. F <br /> 2. Use ballpoint pen or typewriter for data entry on forms. DISCHARGER SELF MONITORING REPORT F <br /> 3. Provide dates for beginning and ending in reporting period blocks. OQ (1 P VFN RE'.SCiRTSt INC t <br /> 4. Provide data as specified under column headings. CALIFORNIA REGIONAL NATER QUALITY = PARADISE PUTWr MARINA <br />�5. Enter monthly summary data (MONTHLY AVERAGE. MONTHLY HIGH, etc.). o{ <br /> 6. Appropriate signature is required at the bottom of the fern,. cnNrr.JL. BaarrO _ <br /> 7. Remove COPY 3 and retain for your records, CENTRAL VALLEY REGION 711 We KIMBERLY AVE, STE 200 <br /> 8. Send COPY tffftfepiSFS{ ft°RRrF(7E'XrSIA � X1X'9(XK1(X "n 3443 RaUTIER ROAD ZW PL ACE NT IA vCA <br /> SACRAME.NTI). <br /> CA 95827-3098 fa 92570 <br /> YOUR REPORTING PERIOD IS t1UNTNLY AND YOUR REPORTS MUST <br /> BE SUBMITTED BY DAYS FOLLOWING THIS PERIOD. State NPDES Permit PAGE <br /> Year Mo. Day Year Mo. Day Code Number Year Mo. Do <br /> 021 Transaction Facilit Year Month for Re or tin Date form was <br /> Cade I l.D. y "391Q41: (' I This report 3a I Periodg Beginning 9J 4) 01 Ending 93 U3 'tl �6 CA0081.3 computer rinted 92 I2 i4 <br />'STATION DESCRIPTION _ r D_o - 3 R-4 R-I R-2 R- _ f CONSTITUENT NAME i&?'I D.IY TUR IOfIY TURBIDITY rUR35ITY rEMPE'RAT0RE TEMPERATURE TEM ERATURf IFIMP ENATUkf <br /> UNITS n'T I, Ni Tf !JU NTU DEG F(C DEG) DEG F(C DEG) DEG F(C of-0 DFG F(C OF,G) <br /> SAMPLE TYPE r ;I GRAIR GqAB GRAB GRAB GRAB GRAS TI—RA-16— <br /> FREQUENCY <br /> ,ft 'FREQUENCY y CL.<LY WFEKLY PELlLY WFEKLY_ WEEKL WEEKLY <br /> MONTH I DAY -VI !�C AI !L !�CI iL �C <br /> ---- J -; --- --v"------- -� -`-7-7----- -/ ___-2-p-----' - / -----��----- - ----S`5-li--- / ------�-Jro_-- _� ----��e--- - -] ---�sa-'-- <br /> ---- y -- ----- -- ------------- -- ------------- -- ------------- -- -- ------------- <br /> ---- s -- ------------- -- ------------- -- ------------- -- ------------- -- ------------- -- ------------ -- ----------- - <br /> ---- -- ------------- - <br /> ---- -- ----------- - -- ------------ ---- <br /> ---- -- ------------- -- ------------- <br /> -- 9 -- ------------- <br /> ---- -- ------------- -- --------- <br /> ---- �T -- ------------- -- ---------------------------- ------------------------------------------------------------------------------ ------------- <br /> ------------- ----- -- ------------- <br /> -- ------------- -- ------------ <br /> ---- �z ------------------- -- ------------- ------------ <br /> ---- �� -- ----------- -- ------------ <br /> ---- �� -------------- <br /> ------------------- -- <br /> -------------- <br /> ------------------------- <br /> / ------ ---------------------------- <br /> -------------------- — --------- - ------------- <br /> -- -- ------------- -- ------------- <br /> /' <br /> -------------------------------------- ---- ------------- <br /> ---- � ------------------ -- ------------- ----------------------- ------ - -- ------------- -- ------------- ------------- -------- <br /> ---- ZL -- ------------- -- ------------- -- - ------ -- -- ------- - - - -- -------------- -- ------------- -- ------------------ -------------- <br /> ------------------ <br /> ------------ --- ------------- <br /> -- ------------- ------------------------------------------ ------------- -- - -- ------------- - <br /> -------- ------------------ ------------------------------------------ --------------------------------- ----------------------------------------- ------------- <br /> ---- �ti------------------ ----------------- -- ----------------- ---------- -- ----------------- ------------------------------------------ ------------- <br /> ---- <br /> ----------------- -- ------------- -- ------ -- --- - - - -- ------------ -- <br /> ----- -- - -- ------------- -- ------------- -- ------------- -- -------------- -- <br /> ---- - -- ---------- <br /> _____ -_ ______ <br /> ------------- <br /> ---- -------_______ __ <br /> --------------------------------------- <br /> ____ _____________ — ___________Lt <br /> __ ------------------ <br /> ____________ __ _____________ _ ------ -_ ----- <br />+ MONTHLY AVERAGE / / 7 4�i 5 o 'SS <br /> MONTHLY HIGH / / 7 Z / .5 � ,5S tF 5 .3 S <br /> MONTHLY LOW / S 7 ._ O .S S s S <br /> TOTAL RECORDINGS/MO, <br /> 1EQUIREMENT#1 <br /> Times Exceeded - -6' <br /> ZEQUIREMENT #2 <br /> Times Exceeded <br />!EQUIREMENT N3 <br /> Times Exceeded <br /> L, F—I F-- F-4 F--( F— <br /> Enter number of samples TYped Nome al Pr,ncip { ecun.e off... 1 cenilyy u der penalty I low ho,I have per n Ily exon ned aad am lamilmr with the mfor,rim bmm / <br /> r p T p v led in th sndoaume t and all an achmems a.d Ih of bored on my nett Sy of those nd wed uo is ed ole ly '��� 3 `/ rr) EPA <br /> taken during the day. /� f yfV FZ <br /> response blit lar ob b' gthe mlormm an Ibel a+e that the inlmmat on true occurs to and complete lam y. Mo. Da COPY <br /> aware that there a e s gndlcant penolbes for subtaIrng false informal on. including the poss b iy of line Si aoture Prince ec w¢ Y <br /> Form a)A l4 La sl First MI and im risonmenL' gg <br /> p pllic er or zed Ag nt. Dale I <br />