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Monitoring Report Submitted Transmittal Form tC;E' <br /> D <br /> Attn: Brendan Kenny(916)464-4635 OCT 2 6 2015 <br /> Central Valley Regional Water Quality Control Board <br /> 11020 Sun Center Drive#200 ENV/RONMENr, HEALTH <br /> Rancho Cordova,CA 95670-6114 PERMii-jgERVICES <br /> Discharger: Biggs Property Management, LLC <br /> Name of Facility: Shadow Lake Mobile Home Park <br /> WDRs Order Number: 00-245 <br /> WDID: 56391023001 <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 Sep 2015 <br /> V/2nd/3rd/4t6(circle one)Quarterly Monitoring Report for the year of <br /> 1"/21d(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/were not(circle one)any violations of the WDRs. <br /> 1. The violations were: None <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 information submitted in <br /> this document and all attachments and that, based on my inquiry ofthe those individuals immediately responsible <br /> for obtaining the information, I believe that the information is true, accurate, and complete. i am aware that there <br /> are significant penaltiesfor submitting false information, including the possibility offine and imprisonment." <br /> Signature: L f Phone: Oil <br /> Printed Name: i ) ) Date: 0 <br />