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- ----------------------------------------------------------------------- <br /> INSTRUCTIONS FOR DISE AR ( .IFORNIA STATE WATER RESOURCES CONTROL BOJ. I <br /> t. Remove COPY 4{dartypewriter for data entry on forms'. C <br /> k yellow, and use for yaaT worksheet. DISCHARGER SELF MONITORING REPORT @ <br /> 2. Use ballpoint pen or _ <br /> 3. Provide doles for beginning and ending in reporting period blacks. uQ SEVEN RL.SuR r S. INC <br /> 4. Provide data as specified under column headings. CALIFORNIA REGIONAL WATFR QUALITY `= PARADISE POINT MARINA <br /> 5. Enter monthly summary.data (MONTHLY AVERAGE. MONTHLY HIGH. etc.). CONTROL BOAR <br /> 6. Appropriate signature is required of the botlorn of the form. <br /> 7. Remove COPY 3 and retain for your records. CENTRAL VALLEY REGION 711 N• KIMBERLY AVE• STE. 200 <br /> 8. Send COPY tp%P�gXRCe?tiK'%9�(X°X&9I9E'.�rRJlrJp1ER'R�i(7CIEXX%% 3443 ROUTIFR ROAD ZwPLACENTIA sCA <br /> SACPAMENTOs CA 95827-3098 Q92670 <br /> YOUR REPORTING PERIOD IS IMUhSTHLY JAND YOUR REPORTS MUST <br /> BE SUBMITTED BY 1`' DAYS FOLLOWING THIS PERIOD. Stale NPDES Permit <br /> Vear Mo. Day Year Mo Day Code Number Year Mo. Da <br /> Tra nsoclion Facility Yeor Month for Re o rtin <br /> 2 Code I LD. }:Srll (?r:10D L his 4o <br /> I Periodg Beginning 93 0I .)1 Ending !ll i3 O6 Cd00£i23 computer mnn�ed 192/1 2 14 <br /> STATION DESCRIPTION p_ _•> R-r R- it-2 P-3 -4 <br /> CONSTITUENT NAME <br /> UNITS TURBIDITY TURBIDITY IFUR111OfTV TUKHIDITY TEMPERATURE TFHPFRATURE TFMPERATURE T'MPERA'. RE <br /> U <br /> SAMPLE TYPE TGDEC) UFG DEG) DEG F(C DEG) DEG F(C DEC) <br /> GRAB GRAB GRAB CRAB QkA8 <br /> FREQUENCY cE ( _ WEEKLY ErK Y W(-CK,LY HEFKLY ItIELKLY <br /> MONTH DAY <br /> ! y <br /> __ -____________ __ __-__ _ __ _____________ __ __ __ __ _____________ <br /> _ _____________ __ ____ _-. _- __ _____-_______ __ __ --_ __ -_________-__ __ ____ __ ___________ <br /> - -- -- ------------- -- ------------- -- - -- ------------- -- ------------- -- ------------- -- ------------- -- ------------- <br /> ---- -- ------------- -- ------------- -- ------------- -- ------------- -- ------------- -- ----------- -- ----------- -- ------------- <br /> ---- -- ------------- -- ------------ -- ------------- -- ----------- -- ------------ -- ------------- -- ----------- -- ------------- <br /> - ------------- ---------------------- ------------- <br /> -- ------------- -- ----- <br /> --- zfi -- ----------- -- - <br /> - -- ------------- -- ---------- <br /> __ _____________ __ <br /> _ _____________ __ _____________ <br /> __ _____________ __ _____ _____________ <br /> __ _____________ <br /> __ ____ _ __ <br /> -------------------------------------- =I ___4------------------ -------------- <br /> / f __ __ <br /> _ _____________ <br /> __ _____ __ _____________ _ <br /> -.-_ -- ______________- __ - _- <br /> ______________ __ _____________ <br /> /_ __ _____________ __ _____________ <br /> _ -- <br /> __ ___ ________._-___ _____________ _ _____________ <br /> __ -_-_ __ __ _____________ <br /> __ -___.___----__ __ <br /> __ _____________ <br /> -___ __ _____________ __ _____________ <br /> Z __ _____________ __ __________--_ __________ <br /> 2s __ ______-______ __ _____________ <br /> -- __ ______ -- --_ _ <br /> _ -- _____________ <br /> Z 6 - --------------------------------------------------- <br /> ------------ -- ------------- -- ------------- -- ------------- -- ------------- <br /> e ---- - ------------- - -- ------ -- --------------------------------------------------- -- -------- - <br /> t ---- - - ------------- <br /> ------------- <br /> u ---- �/-------------------- <br /> -- ------------- -- ------------- ------------- <br />+ MONTHLY AVERAGE <br /> MONTHLY HIGH /5 /S / / k <br /> ly <br /> MONTHLY LOW / _1 <br />'OTAL RECORDINGS/MO. <br /> tEQUIREMENT Nl <br /> Times Exceeded FZ90 — <br />!EQUIREMENT k2 <br /> Times Exceeded <br />;EQUIREMENT N3 <br /> Times Exceeded <br /> CEnter number of samples Typed Name al P,mUpal Ex cunve OlLcer I cerlily ur der peno lly of law Thar I have personally exam nod and om la mibor with the formulion uL-,11' `/�f ;•T„ /�EPA <br /> ^ /� ted .n r s doc urnem and all anoch mems and chat bm ad on re in quay of those indrviduols edre �� <br /> taken during the day. _ T'� IC r responsible far obtaining the mlarmmen I bebeve hot the information is true accurate and mmPlmo I am COPY ow that that there are slgnd car, renames for submmmg false information. mduding the posy In try of line Signoture r Exe< 1' Y,. Mo. Duy `r <br /> Fa.m oa�v >a last First MI and imprisonment Ofbcer or ulha rixed Ag nl. Dale <br />