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RECEIVE® <br /> Monitoring Report Submitted Transmittal Form <br /> FEB 0 5 2015 <br /> Attn: Brendan Kenny(916) 464-4635 ENVIRONMENTAL HEALTH <br /> Central Valley Regional Water Quality Control Board PERMITISERVICES <br /> 11020 Sun Center Drive#200 <br /> Rancho Cordova, CA 95670-6114 <br /> Discharger: Biggs Property Management, LLC <br /> Name of Facility: Shadow Lake Mobile Home Park <br /> WDRs Order Number: 00-245 <br /> WDID: 513391023001 <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 December 2014 <br /> 15L/2nd/3`d/41h (circle one) Quarterly Monitoring Report for the year of <br /> 15L/2nd (circle one) Semi-annual Monitoring Report for the year <br /> Annual Monitoring Report for the year 2014. <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 of*the those individuals immediately responsible <br /> for obtaining the information, I believe that the information is true, accurate, and complete. 1 am aware that there <br /> are significant penalties for submitting false information, including the possibility of f ne and imprisonment." <br /> Signature: Phone: Zo 5 — 3`-I S Z1( 4 <br /> Printed Name: c �0 ri e.-, Date: ] -30- 6 <br />