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ARCHIVED REPORTS_MNTLY MONIT RPTS - 2012
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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19690
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4200 – Liquid Waste Program
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PR0420602
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ARCHIVED REPORTS_MNTLY MONIT RPTS - 2012
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Last modified
11/19/2024 1:50:26 PM
Creation date
8/5/2020 10:05:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
MNTLY MONIT RPTS - 2012
RECORD_ID
PR0420602
PE
4242
FACILITY_ID
FA0018660
FACILITY_NAME
ARBOR MOBILE HOME PARK
STREET_NUMBER
19690
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
01733007
CURRENT_STATUS
02
SITE_LOCATION
19690 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\N\HWY 99\19690\PR0420602\MNTLY MONIT RPTS - 2012.PDF
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EHD - Public
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Fa d :-.. <br /> At- <br /> .JUN 17 2013 <br /> Monitoring Report Submittal Transmittal Form ENr'ff7'31,NjVjF'TALI-EALFH <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 'G �^ M- rrjoa2-_ <br /> 1 st/2nd/3rd/4th (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 I — <br /> Vipiation Notification <br /> During the monitoring period, there were/were not(circle one) any violations of the WDRs. <br /> 1. The violations were: �irl.0 aS� 5E1� �A��f tW 0j <br /> 2. Have the violations been corrected? Yes,/ No. If no, what will be done to correct the <br /> violations: <br /> Certification Slatornent <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 signit7cant penalties for <br /> submitting false infonnation, including the possibility of fine and imprisonment," <br /> Signature: � Phone: 7126_4_J8- 7!Z!5- <br /> Printed <br /> ZsPrinted Name: CAc (_.l�►G( ' Date: t -- <br />
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