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FNS,!. -TIONS FOR DISCHARGER CALIFORNIA STATE WATER RESOURCES CONTROL BOARD <br /> 1. Remove COPY 4 (dark yellow)and use for your worksheet. DISCHARGER SELF MONITORING REPORT APR N _Ali <br /> 2. Use ballpoint pen or typewriter for data entry on forms- �f Ts`yp` w <br /> 3. Provide dates for beginning and ending In reporting period blocks. Qz SEVtN RE SL•RTS� INC.I NC Mt�r l/"rr- C <br /> 4. Provide data as specified under column headings. i I r. - .1 31NAL l TFR QUALITY PARADISE 15t POI N.T Mkk:� I la � �- <br /> 5. Enter monthly summary data (MONTHLY AVERAGE. MONTHLY HIGH, etc.). CI)NI -,!)ARQ <br /> 6. Appropriate signature is required of the bottom of the form. <br /> 7. Remove COPY 3 and retain for your records CF NT Pill L 11 --Y RFG I LLv 711. We KIMBERLY AVEs S TE 200 <br /> B. 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Yr. Ma Day. W <br /> Po.m 029 ra J Last First MI and lmpnsonment. Ofli<er or Authoraed Ag Data <br />