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INSTRUCTIONS FOR DISCHARGER CALIFORNIA STATE WATER RESOURCES CONTROL BOARD t. Remove COPY E (dark yellow) and use for yourDISCHARGER SELF MONITORING REPORT w Z. Use ballpoint pen or typewriter for data entry onn forms.forms. FF 3. Provide dates for beginning and ending in reporting period blocks. uQ SEVEN RFSORTS, INC• ❑/ 4. Provide data as specified under column headings, / p CALIFORNIA REGIONAL, MATER QUALITY LLZPARADISE POINT MARINA 5. Enter monthly summary data (MONTHLY AVERAGE, MONTHLY HIGH. etc.). I�'!_'n / CONTROL BOARD ' 6. Appropriate signature is required at the bottom of the form, i Il _ F 7. Remove COPY 3 and retain for your records. t.••\! .I CENTRAL VALLEY REGION 711 We KIMBERLY AVE9 STE 200 s a. Send COPY2� �9, gorAXSpxS1Y9k#XW' fFR91�k)L9(XXkX 3443 ROUTIE.R ROAD �wPLACENTIA LICA SACRAMENTO, CA 95827-3048 3Za92670 YOUR REPORTING PERIOD IS MONTHLY AND YOUR REPORTS MUST BE SUBMITTED BY I � DAYS FOLLOWING THIS PERIOD. State NPDE5 Permit PAGE I Yea, Mo Day Year Mo. Do Code Number Year Mo. Day Transaction Facility Year Month for �/ R:eporlmg r ^ Dale loan was 2 Code I LD. 'i'±3Q10g1 DO I this report �s I Period Beginning �. fl," i� t Ending 'i 02129 O6 CADR i ' 3 coat uter rinsed 92 D1 l+' STATION DESCRIPTION 1 ., "if 1NE tF 4F lr raT I".FLUENT FFFLUFNI EFFLUENT FFFLUFMT FFFLUI- htT CONSTITUENT NAME all `i S!USID !"ATTFR 9010 SUSP M6.TTFP 8OD SUSP ?AATIFK B'10 SUSP FIATTFR UNITS Mr MGIL L R 51^AY L RS/DAY MG/L MG/L Mf s& L�6$11)t4Y MfcE! U dS/p AY SAMPLE TYPE 24 i? NP 74f+R CaF,I IHR C3°!P 74 COMP ;RAO GRAB GRAB GRAB FREQUENCY GAIL+Y 0AI!LY GAILY ORILY MONTH I DAY �C !�C i�C * * * �( / l ---- 7�r. 1--- - -- d, l - -/ / l - --- ---- ---i Q---- 3 ---- - a- _- 3 �•_1 � __ = 3- ---- -�---- -� ----- 7----- _� ----ZUZF3-- -/ ----0 1 86 ---- --- ��--- - ------ - - ---- - ---- - -- --------- J-- -- ---- "7 ----9 --- `� ----- -- -_ x3--- � ----- - --- -� ---� ----- -- 1 7O 3 �' '�--- 3 �/ --- -- --�' ---- -� --- -/�-- - --- -y7 -- -� ---- - ----- -�-- - -- - �' �L---- - ------ - --- --- ��v -- - ------ Y �, </3 --o9.5S r ,6--- , 7------ /,----- .� --- -; - o, l -- - ��--- ---- e_ a 3_ �--- -� - -- 3--- _� __--- / ---_o_o --- -� ---- All 70 ------ ------ - -------- - ---- - --- -- --- - --- - ---- -- - -- ---3 ---- --- ---1 �� - -- ---! o ---- ----�, I -7 ----- ------------------- __- i ----3.4 __ — J ----- O-2 f -----Q, 3 qD---- 07. g�-- --- ---- ---- 7r L__-- -� ---- 7 - ----------- '1-20ZT-- 6 -1 l- 3 ------------------- ----- ------ -- - - ---- -- ---- ----- - --- .�G --- ' ---` '°� --- -----� -- -� - ---- ------- � ----�,d 1---- - ----- -PJ6----- - --- -- / ---- - ---- -i n,3� / 6T-15-3-- ------ ---- . --- !� 9 /off----- ---J,9 ---- ----G-�� - 3 -- ! �--------------------------------- gr ----7 / ----- ------- -� ----�j-oa-- -7 ---- �Y- --- �� ---1_/0 ----- f /gam - - - - ------------- -- --- �( ---- - 3 -------------------------- -- ---- --- - / ----%lb----- 3 - "�-y- --- 7 4 -- -� ------ ------ O. Ll-�-- --- ----- 17. 61 , .3_ - ---------- 0. i 9 -- _ — ---_------ ---- z� ----A ------- g --- /� ----- ----a y -- -3- --- ��- , ----�'�-- -- -_� -----9------- - ----4" �-- -!- ----- -------------------- ---- - - - ----- ----------- ---- -- 0. zz -----1' — - 8 -- - - - ---- -- -- ------ ------ ------------------------------------- -- ------------- -- --- --------- -- ---- ----- - ------------- - ------------- Z _ -- 1 -- - ----- -- -- - -------- - - -- ---- -- ---- J, -- -----6.1925--i- ------------- -- ---- , -- - --- ----�- ----�� ---- --/ 7. 6� J - - -- - ------ ----- B, --_--_------ - - -- - ------- -------------- - -------- -- --- zr 3 ---- ---- - ----1-or------ 3 _G, 3 �.�k-- ----- �---- -----3------ -= --------3�- -- ---- -� -- Y / kC3---- 3 ----�60 ---- -----�'-fid - -- --� _�')- _i ----- _ a---- -----��------ -- ---- - �- ------=-� -- Q - z9 - --� bo----- ---�6 -- - 3 /- --------- ------------ � --- -- -----6 -T-27"- -----"/ 7 6 - - - ----- --- ------- -- -------------- -T -- a3'-- - ------ ------------- -- ------------- -- ---------- - - ----------------- MONTHLY AVERAGE / ) 3 U • 3/ MONTHLY HIGH / / 1 / / &0 MONTHLY LOW c3l7 / I . TOTAL RECORDINGSiMO. ' ,-D 6915 C' .�) ' REQUIREMENT NI MOA/ //)OA 7-114-`( M-r-;) 4- s ory r/1 C y Times Exceeded / Q ( ca REQUIREMENT #2 o'-e1., 6G/ eK4- y ii[tKG y Times Exceeded F d1',} c ,,5' REQUIREMENT #3 �r-) r( -7 prafc H yr y Qq /c.y Times Exceeded 3 i .30 4W �C Enter number of samples typed Name of P,mupal Execun.•e Olhcer cenilyy under penanyy of law shot ha+e personnlly exa ed and am lamdmr weh the Iarmneon submit EPA ted m Ih s document and all anachments .d that bmednon in ingw ry of Ihme indwiduols ..n edmtely G A taken during the day, x_`/a e; i ejC-K responsible for obtolninr inlormolion IbeLe+e that the information is true accurate andcomPPtete lam L aware Ihot Ihare ora sI ant penahres for sulonntmg false InformoGon. „aluding the Poss�biluy of hne sure of Princip xec a Yr Mo. aoy ;Y Fo,m qz9 rx Lost First MI and improonmerl I icer or Authorized Agent. Dote