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INSTRUCTIONS FOR DISCn AR IFORNIA STATE WATER RESOURCES CONTROL BO/ <br /> I. Remove COPY 4 (dark yellow) and use for your worksheet. F <br /> 2. Use bollpoint pen or typewriter for data entry on forms.. DISCHARGER SELF MONITORING REPORT <br /> 3. Provide dales for beginning and ending in reporting period blocks. u¢ SL YEN RE SORTS INC• <br /> 4. Provide data as specified under column headings. CALIFORNIA RFGIONAL WATER QUALITY <z PARADISE POINT MARINA <br /> 5. Enter monthly summary data (MONTHLY AVERAGE. MONTHLY HIGH. etc.). CONTROL' BOARD <br /> 6. Appropriate signature is requiredyour <br /> the bottom of the form. CENTRAL VALLEY REGION 71I W• KIMBERLY AYES STE 200 <br /> i 7. Remove COPY 3 and retaininfor yourr records. ' <br /> e. Send COPY tK RXpxt%'k'+xwrw9NrR"3EK9C'r gkPAYXXXxxRI( 3443 ROUTIER ROAD PLACENTIA *CA <br /> CRAMFNTO# CA 45827-3098 FQ 92670 <br /> YOUR REPORTING PERIOD ISAND YOUR REPORTS MUST <br /> BE SUBMITTED BY Fi5 DAYS FOLLOWING THIS PERIOD, state NPDES Permit A <br /> GE 3 <br /> Year Mo. Day Year Mo. Da Code Number Year Mo. Do <br /> 2 TraCodelon I FacDily 5P�9LO4 rya Year his Meono htlor Repor ling ❑ <br /> � � L p �/ Period Beginning 9• ) DI Ending 93 01 3I O6 CA00R2a cam o error rated 91 IZ I4 <br /> STATION DESCRIPTIONy R- 4-.2 R-3 R-4 <br /> CONSTITUENT NAME OPo I}O 1311 PH PH PH Psi <br /> UNITSt, <br /> Art , y. : <br /> SAMPLE TYPE CRAB GRAB GRAD <br /> FREQUENCY .MP E-tf I X U P-1.WI V wr-rlf� V WFFKIY "E Y 4;l-.EKY WEEKLY MEEKLY <br /> MONTH DAY * I I * --- �C1 A I >IC <br /> /_ __ _____________ _ <br /> __ _____________ __ _____________ __ __ -- __ <br /> ---- - -- ------------- -- ------------- <br /> ---- -- -- ------------- -- ------------- — <br /> ---- - ------------ -- ---- -- ---------- -- ----------—- -- ------------- -- ----------- -- --- ----- <br /> -- - -------- -- ------------- -- ----------- - -- ------------- — -------- -- ------------- -- -------------- -- ------- --- <br /> --- -/ - -��------- �� ---JQ --------/ -----/' .-/--- -� ----- ��---- -� -----��5�---- -1 -----`1, --- -� -----�i�--- -L --- lc ---- <br /> ---- -- ------------ -- ------------- -- ------------- -- ------------- -- ------------- -- ------------- -- ------------- <br /> g- ------------- -- ------------- -- ------------- -- ------------- -- ------------- -- ------------ ------------- <br /> ------ -- ------------- -- - --- ------------- - ------------ - ------------- -- ---------------------------------- --- <br /> - -- ------------ - ------------- -- ------------- ------------------------------------------ ------------- <br /> -- ------------- -- ------------- -- <br /> ---- /L -- ------------- -- - <br /> ---- - -- ---- -- ------------ -- ------------ — ------------- -- ----------- - <br /> - ------------- -- ------------- -- ------------- <br /> ---- �y -- ------------- -- ------------- <br /> ---- -' -- ------------- <br /> --------------------------------- <br /> -- ------------- -- ------------- <br /> ---- -- <br /> - - -- ------------- -- ------------ ---------- -- ------------- <br /> — ------------- ------------- - - - -- <br /> ---- / -- ------------- <br /> ---- /> -- ------------- --- ------------- <br /> -- -------------- -- ------------- -- ------------- <br /> -- ------------- <br /> -- ------------- <br /> -- ------------- <br /> ---- 0 -- ------------ ------------- <br /> -- -- ------------ -- ------------- -- ------------- -- ------------- -- ------------ -- ------------- <br /> ---- &L -- ------------- -- <br /> ------------- -- ------------- <br /> -- ------------- - ---- ---------- - ------ <br /> ---- z - - ------- <br /> ---- -- ------------- -- ------------- <br /> --- - -- ------------- -- ------------- <br /> -- -------------- -- ------------- -- -------- <br /> -- ------------- -- ------------- -- <br /> ---- C- -- ------------- -- -- -- <br /> ------------- -- <br /> - - -- ------------- -- ------------- -- ------------ -- ------------- -- ------------- -- ------------- -- ------------- -- ------------- <br /> ---- e1 -- --- -- ------------- <br /> -- ------------- -- ------------- <br /> -- ------------- -- - ------------- <br /> vo <br /> Y ____ 2 __ _____________ __ _____________ <br /> Q ------ Z-i <br /> __ -----------------------------------------------------. ------------ <br />+ MONTHLY AVERAGE O / / y <br /> MONTHLY HIGH D J 1 t/ <br /> MONTHLY LOW /� / / �/ ±5- <br /> TOTAL RECORDINGS/MO. / <br /> REQUIREMENT#1 <br /> Times Exceeded <br /> REQUIREMENT #2 - <br /> Times Exceeded <br /> REQUIREMENT #3 <br /> Times Exceeded <br />�C Enter number of samples typed Nome of Pr inupvl E eculrve Olhcer cerlJy ur der penalty of law that ho:e personally examined and am familiar with the inlormaeon ubmn- — _ <br /> led n , s data men, and II onochmen,z rd that based o my 'inquiry of those nd duals . edia tely - .j EPA A <br /> taken Burin the da s � "_ re,ponsble for obtaining nlorri Ibele,e,ha„he informations hue accurate and com le,e lam r , L <br /> s y• ". 7 Lp Y, Ma. COPY <br /> aware I,n ,here o significant pa noh es lar wbm n r g lolse information nclud ng,he pons 6ilrly of line S'g o,ure of rims Ai eirdv Y <br /> Fe.n+03o to <br /> Lost First MI orad-mpr son men,.rSllicer or A axed Agent pots t i <br />