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INSTRUCTIONS FOR DISCI ;ER AFORNIA STATE WATER RESOURCES CONTROL BO/ <br /> 1. Remove COPY 4 (dark yellow) and use for your worksheet, r I <br /> 2. Use ballpoint pen or typewriter for data entry on farm=. DISCHARGER SELF MONITORING REPORT 2vrv�N , ESDRTs. INC. <br /> 4. Provide dela ass specified under column headings <br /> 3. Provide dates beginning and ending reporting period blocks. L O L I FORNI A REGIONAL WATER GUAL I TY P)PARAO fSE POINT MARINA <br /> sh . <br /> S. Enter monthly summary data (MONTHLY AVERAGE, MONTHLY HIGH, etc.). CONI ROU BOARD <br /> 6. Appropriate signature is required at the bottom of the form. CENTRAL VALLEY REGION II N}� KIMBERLY AVF� STE 2U0 <br /> 7. Remove COPY 3 and retain for your records. LACE$TI A RCA <br /> 9. Send COPY XryX%X1kAiXrX9A' Kb}LXrj(,XikXKdIX9QFANKX0,'XXXXXXX 3443 RDUTIER ROAD Zw <br /> WCRAMENT09 CA 95627-3098 Qo9?670' <br /> YOUR REPORTING PERIOD IS MONTHLY AND YOUR REPORTS MUST ` <br /> BE SUBMITTED BY L DAYS FOLLOWING THIS PERIOD. State NPDES Permit PAUL z <br /> Year Mo. Day Year Mo. Day Code Number Year Mo. Da <br /> 2 TrbCodeion I Fo<Dlily 5839104100 I Yeah isrepohtlor 30/ I RPenodg Beginning 44 OL DI Ending . 1 DI 3i �6 CA00Od3 comtutermrnled 92 12 14 <br /> STATION DESCRIPTION Nr LEFLIF41 6-FI 111 EFFLOGME EFFL!)ENT <br /> CONSTITUENT NAME FL04 PH ChiLOR RESOL TOT COLIrOW', SET MATTER' <br /> UNITS , C jj 14H "INITIN 4P,41100111- ML/L <br /> SAMPLE TYPE rphr 1 14rVIS G RA L1 GRAB GKA8 GRAB <br /> FREQUENCY DAILY OA :LY 1341L Y DAILY DAILY _ <br /> MONTH DAY <br /> 007 l I / <br /> --_- -� ,- 3�Sb- -/ -----2=- ---- 1 ---- Wj- - - --- --------- -/ -----077 ---- -- ----- ------ -- ------------- -- ------------- <br /> - - 3 -% 0--oa j d �-- -� -----7. 3---- -� -----0%�---- - -----�L----_- - <br /> - ------------- - <br /> ---- -yJ - ----- ------------- <br /> - ------------- -- ------------- -- ------------- <br /> -- - - ----- -- <br /> -- - G _[ r5_oo�s� - -� 74t! <br /> - -- ----- ------ <br /> ---------- / ----- --- -- ----------- - -- ------------ -- ------------- <br /> ---- r13�1-b- - -7 ------ --- -/ - ---- - - --- ----------- <br /> -----7 � --- - ----- /3----- �- --- - <br /> K -� o..00�74r5 -- -/ 7Z ---- - -------------------------------------------- - - -- - ------ <br /> _1 o.00aSC� / 7 7---- J - ---�� ---- - / MJ------------------------ - -- ------------- -- ------------- <br /> ---- /D _/ O.Onci756 _/ _____7� ---- - ----- ----- - ------------- -� ----- J7---- -- ---------- - <br /> ---- %/ % c--aq --sd J ------�' -- _ ----��----- -- ------------ -/ ----- � ---------- -- ------------- -- ------------ <br /> A I •� <�O i?dT�G-- -/ --- -------i - n/J ------------- -/ --- W--------------------------------- -- ------------- -- ------------- <br /> 7� - -� -- ---- 1 -- --e1 -- -- ----------------------------- ---- -- -------------- <br /> ---------- <br /> ----- --- --------- -- ------------- ------ .00 td 7 -----�, --- -� ------��------------------------ -/ ---- --- -- ------------- -- ------------- - -------------- <br /> -------------/ - 7 7 3 _ / --- -- -� - - <br /> ------------ ----------------------- -------------- <br /> ------ _ 1- --- - - -- -- -----'n / ---- -- ----------- - <br /> - ---- --------------------- <br /> Zr <br /> - <br /> ------------- <br /> --- /} / ,9.00.4-56 / 7115 ------------ �v--------------------------- -- / - ------------- ----------------------- -------------- <br /> 0,- 60�asb- -J ------- -- �J --- / -- ----- -- - - ----------------------- ----------------------- -------------- <br /> 7,----- J-- / -- -- �- - ----' -_- / ----�yrr---- -- <br /> 05 <br /> ------------- <br /> ---- - ------------- -- ------------- -- ------------- <br /> rt j ,�-0oi6ax -� -----7, 7 ------ -- - -- ------------- -----��---- - <br /> ---- -- -- ------------- -- -----7, ------------------------------------------ ------------- <br /> ---- oo3as�- -� - ---7�ir--- -� ---- �y--- ------------ -1 -----�lGl---- ------------- - ------------- <br /> �i. Oo o - <br /> ----- ------------ -- ------------- -- -------------- <br /> -0 0A fid- / 7r5 / <br /> ---- , ---------- - -- ------------- - ------^ ----- --- ----------------------------------------------- -------------- <br /> -Y 7 c7- oodsL' G---- 7 -% ---- -� _-_- A�17 --- - -- <br /> ---- - -- -----T- - ----- ---- - ------------- - -- - ------------- -- ------------- -- ----------- <br /> a1 / D .00 �,s,; - -/ - ---7i57---- -� -----/� -- - ----------- -- ,101 - ------------------------------------- -------------- <br /> 7,---- -/' -_ooss6- / 3---- �Y✓ -- — ------------ <br /> lel <br /> - - -- -� -----'�`�---- -- ------------- <br /> ---- �/ -7 0.oo3�gro.- -/--------- 3 1J ------nJ� --- ---- -- --- ------------- -- ------------- <br /> t MONTHLY AVERAGE 0 41VII <br /> 't <br /> MONTHLY HIGH O . 0 /11 3 <br /> MONTHLY LOW 0 .00 6- <br /> TOTAL RECORDINGS/MO. j! ,3! <br /> REQUIREMENT #1 4."zy� -r r) M O Tp <br /> Times Exceededh.d 011Fe� <br /> NO o73 O.! <br /> REQUIREMENT N2 nAn/n'L 4: f T $s <br /> Times Exceeded J`r�a 0. ;2 <br /> REQUIREMENT N3 <br /> Times Exceeded / <br /> Enter number of samples fYPed Name of Pnn<ipo E.ecuhve Olhwr I Ce "I <br /> a der penally 1 low ho ha.e personally e.o ed and om lom,hor wnh the mlormonon bm,t El <br /> _ led int a documr I a d oil al to<h rents and Ih I b smdnon in 'nqu ry of those nd v duols n ed orely G A <br /> taken during the day. _ �P'/' I /�/ ��/L respons hle lorobt g the�nlorrna on I bel e e hot the inlormal on s true accurate and combtete am COPY <br /> a are Thal (here are s gnlbmet penoll e.for wb l....g false-nlormot on ncludmg the poss b'I ly of 1'ne Sig lure of a E>'ecu' a Yr Ma Day <br /> term 01-9 ,a Last Fu,l MI and-mp"'cu ment Rlf2er or Aul art¢' A9 Date <br />