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Recevsj)DEC <br /> 312013 <br /> ENV1Ft0NM <br /> Monitoring Report Submittal Transmittal Form "ERM1T SERVIC A rp, <br /> es <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 /> W DI D: 5B39NC00020 <br /> County: San Joaquin <br /> I am hereby submitting to the Central Valley Water Board the following information: <br /> Check all t a I <br /> Monthly Monitoring Report for the month of c <br /> 1 at/2nd/3rd/4th(circle one)Quarterly Monitoring Report for the year of <br /> 1st/2nd(circle one) Seml-annual Monitoring Report for the year <br /> Annual Monitoring Report for the year <br /> Violation Notlfication <br /> During the monitoring period,there were/were not(circle one)any violations of the WDRs. <br /> 1. The violations were: <br /> 2. Have the violations been corrected? Yes/ No. If no, what will be done to correct the <br /> violations: <br /> CQrtification Statement, <br /> '7 certify under penalty of law that/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, l am aware that there are significant penalties for <br /> submitting false information, including the possibility of fine and imprisonment." <br /> Signature: r{, 6t,€ - <br /> Phone: <br /> Printed Name: Date: <br /> .wwi' . <br />