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INSTRUCTIONS FOR DISCHARGER CALIFORNIA. STATE WATER RESOURCES CONTROL BOARD 1. Remove COPY 4 (dark yellow)and use for your worksheet 2. Use ballpoint pen ar typewriter for data entry on forms. DISCHARGER SELF MONITORING REPORT F 3. Provide dales for beginning and ending in reporting period blocks. 1� �'s ud SEVEN RE SORTS, INC 4. Provide data as specified under Column headings. CALIFORNIA REGIONAL WATER QUALITY -'(zPARADISE POINT MARINA 5. Enter monthly summary data (MONTHLY AVERAGE, MONTHLY HIGHS ek.). CONTROL BOARO 6. Appropriate signature isrequired rrecort the ottomoftheform. i-i CENTRAL VALLEY REGION 711 We KIMBERLY AVE„ STF 200 7. Remove COPY 3 and retain for your records. ' 8. Send COPY x!tVJW*XIWXi*)FXVoKXrKrXi)tX"XRPAY XcXXXXXXY.J(y 3443 ROUTIER ROAO PLACENTIA *CA SACRAMENTO, CA 95827-309A ao �?570 YOUR REPORTING PERIOD ISI MONTHLY 1AND YOUR REPORTS MUST F` BE SUBMITTED BY DAYS FOLLOWING THIS PERIOD. State NPDESPermit PfTG 2 Year Mo. Day Year Mo. Day Code Number Year Mo. Da Q2 TraCode1ion I FkDity rj j9I04I00 I Yeahisrepohtfor �zpZ dry I Rpeciodg Beginning 92 02 DI Ending r 02 / 96 CA00823 corrttutermi-irnoled 42 01 2B 2 I` 9 {� )r STATION DESCRIPTION rFFLUFNT EFFLJ NT FFFLUTNT EFFLUENT LWFLUFINIT CONSTITUENT NAME FL'-3W PH C ILUR RESOL TOY COL IFOR 4 SET MATTFR UNITS MGO PH UNITS NG/L MRN/100ML HLIL SAMPLE TYPE CONTTNOUS GRAB CRAB Gk'AA GRAB FREQUENCY- GAILY OA.IL.Y OATLY GAILY OAILY MONTH DAY * * * * I * I !( I * �( ( / ---- J i - ----=----- - -- +` NI 00.5a3b -----7�--- -i -----� - i----- - -- ------------- -- ------------- ------ Sy � ------- ------ --- ------------ ---- -----v.-oo��6b -i5 � --- ----- - ---- ------------------------------------------ ------------- i ��-07<T�J4 -i ---- - --- -- -- --------T ------------ -- ------------------------------ -------------- ------ - ------- - ------------- ---- -- ---- ---- b i ,�Too-GZY i9 -j -TW---- 3 ---- --------------- ------------- ------- - ------------- -- ------------------ -------------- 7 - --------------------- ------------------ -- - --- ------ -- ------------- ------------------ --- ------------- �:o d ��a ; -----� ---- , ----- ----- -- ------------- - ----- ----------------------------------------- ------------- -----------———------------------------------ ------------- - ----------------------- -- -- ------------- ----------------------- -- --- -----NP ------------- ------------------------ ------------- ---- `� --- . -'---------- i -----N� - ---- ----- `-- -- -� -----� ------------- ----- ------- ------------- f -----l�l�----- %- -i :� .00�lSgy- -i --------- - - ------ -------------------------------- ------------- -- -- ----- -----7 y---- -' i ------------- fa I ---- <To- -% 7. f ----� --------------------- -------- - -- ------------- --------ry�----------------------------------------------- ---- ii o-oo d si g- ------3---- --------- ---- --- �- ------N1-------- ------------- ----------------------- ------------- --- ---- !K _i O_oo6i�F_ -� r 3---- -T --- $--- - ----------- 1 - - I ---- -- ------------- -- ---- -------- -- - ----------- ----- - -- -.el;; -------- - -----_--- -----:;- - --------------------------------------- -------------- ,?P- ----------- Es --- -- -- -- ---- -------- -- ------------ ---- tD i 0.5eQ5r,7 � -, ------7:U ------ ---- ----- ---- -------� -- ------ - ------------- -- ------------------ -------------- --------------------- ------------ -- ------------- ---- -- -- ----- ------------ -- -- --- -- ----- to ----- - z/ 1 0 OO b.5/� y -i - 0- --- -- ----- -- ------------- ---- Ze 8 --------------- ------------- - ----------- !�i ------------ g ------------- -------------- ------- ------------ ---- -- - ------------ ------------ ----� ----------------- - ----- ------ ----------------- ----------------------- ------------- ---- - -- - ----- --------------------- ----- ----------------- ---- ZS T �:yli 3x16-- -i ------Z 3---------------- -- ------------- -i -- - ----------------------------------------------- ------------- ----------- - ------------- -------------- - ---- ----- - - ------------- -- ------------- -T ----- -----�;,7---- ----77----- i -----Nn---- -- ------------- -- ------------------- -------------- ------ ------------- -- ------------- Y ---- T 0-D6�8e4 -� -----7 -- -� ----�----- ------------------ -i -----N ---- -- ------------ ----------------------- ------------- -- -------- ---- : . 1 5 7 - / 73---- ----- - - ------------- -----y----- - ----- --- ---------- ------------- -- ------------- - ---- -- - ------------- -- ------------- -- ------------- ---- ----------------------- ------- -- ------------ - - -------------------------------- -- ------------- -- ------------- -- ------------- t MONTHLY AVERAGE MONTHLY HIGH .J 5 N t MONTHLY LOW t TOTAL RECORDINGS—/M-0. CV 15 " ,�) REQUIREMENT#1 O. 00 isw,-,y tvltiveell Times Exceeded (y�� G•5 �3 O, 1 REQUIREMENT N2 ^ y Times Exceeded T'h4N 8.J OI DO 00 REQUIREMENT H3 Times Exceeded �C Enter number of samples Typed Nome -t P.mlipal Ex ulr ve Olhcer I cernly u der penolly of law shot I hove personally examined and am IomiLar wnh the inlmmalwn submit- - /I E� team t isdo, and all attachments and chat bused on my inquiry at those individuals edialely GI'A taken during the day. j ti'/G' rasponsible lar obi g Iha informal beLu+e that the inlormabon Is true anwate andcon 1 am n. Mo. Dr aware shot there( ,Tnlhmnt penolnes for subminm,false information, Including the possibipny of line Si naiure a cip Exec t Pone 021 ra last First MI and le onment. I gg rOPY pris Og¢er or Aulhonzed Agent Dole