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RECEIVED <br /> OCT p4 2013 <br /> ENVIRONMENTAL HEALTH <br /> Monitoring Rep&FSk>Iflltg 8mittal Form <br /> Attn: Brendan Kenny(916)464-4635 <br /> Central Valley Regional Water Quality Control Board <br /> 11020 Sun Center Drive#200 <br /> Rancho Cordova, CA 95670-6114 <br /> Discharger: Newport Pacific Capital Co., Inc. <br /> Name of Facility: Arbor Mobile Home Park WTF <br /> WDRs Order Number: 03-099 <br /> WDID: 5B39NC00020 <br /> County: San Joaquin <br /> I am hereby submitting to the Central Valley Water Board the following information: <br /> Check all that apply: <br /> Monthly Monitoring Report for the month of i 0&96< hyoi'� <br /> 1 st/2nd/3rd 14th(circle one)Quarterly Monitoring Report for the year of <br /> 1 st/2nd(circle one) Semi-annual Monitoring Report for the year <br /> Annual Monitoring Report for the year <br /> Violation Notification <br /> During the monitoring period, there were/tn e n (circle one) any violations of the WDRs. <br /> 1. The violations were: U � <br /> 2. Have the violations been corrected? Yes/ No. If no, what will be done to correct the <br /> violations: <br /> Certification Statement <br /> "I certify under penalty of law that 1 have personally examined and am familiar with the <br /> information submitted in this document and all attachments and that, based on my inquiry of <br /> those individuals immediately responsible for obtaining the information, 1 believe that the <br /> information is true, accurate, and complete. I am aware that there are significant penalties for <br /> submitting false information, including the possibility of fine and imprisonment." <br /> Signature: Phone: Zo <br /> Printed Name: Date: 2s 13 <br />