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California '_2gional Water Qualit3,,Zontrol Board <br /> Central Valley Region o <br /> Robert Schneider,Chair <br /> Terry Tamminen 11020 Sun Center Drive#200 Rancho Cordova,CA 95670-6114(916)464-3291 Arnold <br /> Secretary for http://www.swrcb.ca.gov/rwgcb5 NOV 3 U 200 <br /> Environmental <br /> chwarzenegger <br /> Protection E NVIR 0 i`, <br /> c �ANNUAL REPORT FOR DAIRIES PERM; <br /> SUBJECT TO MONITORING AND REPORTING PROGRAM NO. 96-270-01 <br /> This reporting form is provided for your use in preparing the annual report required by Waste Discharge <br /> Requirements Order No. 96-270 and Monitoring and Reporting Program No. 96-270-01. Your annual report is <br /> due 30 November each year for the 12-month period ending 31 October of that year. A copy of the annual <br /> w7itten report should be mailed to: <br /> Confined Animal Facilities Unit <br /> Central Valley Regional Water Quality Control Board <br /> 11020 Sun Center Drive, Suite 200 <br /> Rancho Cordova, CA 95670 <br /> LA. Dairy Name: _T// f9 �..4/��C�-� Date: <br /> B. Dairy Address: 3 �Y� /" /!Cir i/U/L?h�7 L, �i�1 5'(4' Teoae-44j'k, <br /> STREET/ CAY COUNTY <br /> C. Dairy Operator: c�Cxo <br /> NAME <br /> t�_ L/-2 <br /> STREET / CITY ZIP <br /> D. Property Owner: /C 117�1.� h/'"/CA <br /> NAME PHONE <br /> / J L/✓(C�� �/�L�,���"y/L�/L1 /'-� � Fled ! d, / ✓.7` / <br /> STREET --� CITY ZIP <br /> E. Certification: I, the undersigned, certify that the above named facili as a Water Poll tion Prevention <br /> Plan (WPPP) that is current and is being followed. <br /> SIGNATURE <br /> NOTE: If you do not have a current WPPP,please check the fo/ owing box El <br /> F. Breed of cow at the dairy: <br /> G. Maximum number of Adjusted Animal Units (1,000 pound animal units) at the dairy during the year: <br /> Type of Animal Maximum Head Factor Animal Units AU Adjustment <br /> Milk cows ) 3so_ x 1.0 _ Multiply the Total AU by <br /> Dry Cows x 0.8 the following factors to <br /> Bred heifers -3�2`7s x 0.73 .2L- _ adjust for breed of cow: <br /> Heifers (1-year to breeding) �/ x 0.73 (no adjustment for Jerseys) <br /> Calves (3 months to 1 year) `�� x 0.35 `{ for Holsteins x 1.4 <br /> Baby Calves (under 3 months) x 0.21 for Guernseys x 1.2 <br /> TOTAL HEAD= y, , Total AU= �, Adjusted AU= v <br />