Laserfiche WebLink
hE 0 A E_'i V E D <br /> JUN 17 2013 <br /> ENV i�y�;",'til€�Il�.h�;�LpI���"Ll K, <br /> Monitoring Report Submittal Transmittal 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: SB39NC00020 <br /> County: San Joaquin <br /> I am hereby submitting to the Central Valley Water Board the following information: <br /> Check all that anniv: <br /> Monthly Monitoring Report for the month of � - <br /> 1 st/2nd/3rd/4th (circle one) Quarterly Monitoring Report for the year of <br /> 1st/2nd (circle one) Semi-annual Monitoring Report for the year <br /> Annual Monitoring Report for the year <br /> Vlolatlon Notification <br /> During the monitoring period, there were/were not(circle one) any violations of the WDRs. <br /> 1. The violations were: qo"4- <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 J 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, /believe that the <br /> information, is true, accurate, and complete. t am aware that there are significant penalties for <br /> submitting false information, including the possibility of fine and imprisonment." <br /> Signature: ,, ' l�/� Phone: 3'�"i.4 b 3.5 S 2 S' <br /> Printed Name: _g-je4-~ Date: <br />