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JUN 17 2013 <br /> ENLrttRO MENTAL HEALTH <br /> PERIMI T/S=RVICES <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: 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 X013 <br /> 1 st/2nd/3rd/4th(circle one)Quarterly Monitoring Report for the year of <br /> 1 st/2nd (circle one) Seml-annual Monitoring Report for the year <br /> Annual Monitoring Report for the year _ <br /> Violatioul Notification <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 /> Certification Statement <br /> "I certify under penalty of law that I have personally examined and am familiar with the <br /> information submitted in this document and at/attachments and that, based on my inquiry of <br /> those Individuals immediately responsible for obtaining the information, I 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: / (Jj Phone: '20.443.5525 <br /> Printed Name: C, e`1 (,t GOIP " Date: 12/03 <br />