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California Regional Water Quality control Board <br /> y <br /> Central Valley Region <br /> Sacramento Main Office <br /> Internet Address: http://www.swrcb.ca.gov/-rwgcb5 MD <br /> Winston H.Hickox 3443 Routier Road,Suite A,Sacramento,California 95827-3003 <br /> Secretaryfor Phone(916)255-3000-FAX(916)255-3015C,ovveernor <br /> Environmental e� n ry <br /> Protection �E C 0 2 Zt1o[. <br /> ANNUAL REPORT FOR DAIRIES <br /> SUBJECT TO MONITORING AND REPORTING PROGRAM NO.96- ORMEN1 HEALTH <br /> PERMIT;SERVICES <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 /> written report should be mailed to: <br /> Confined Animal Facilities Unit <br /> Central Valley Regional Water Quality Control Board <br /> 3443 Routier Road, Suite A <br /> / Sacramento, CA 95827-3098 <br /> A. Dairy Name: PiA Afy el) Date: 0 Z <br /> B. Dairy Address: le�. ' Z,L <br /> STREET / CITY COUNTY <br /> C. Dairy Operator: /�'J'/�� �a1/�ti 33 y s ya 2 <br /> PHONE <br /> 12Jo v T'� <br /> STREET n CITY ZIPD. Property Owner: /11n,1 )e.A 2l e l'1 <br /> NAMEC�. L�DHONE <br /> ou <br /> STREET (/ ZIP <br /> E. Certification: I,the undersigned, certify that the above named facility ha a Water llution evention <br /> Plan (WPPP) that is current and is being followed. <br /> � rL_ <br /> SIGNATURE <br /> NOTE: If you do not have a currentsN'kTPP, please check the follos ir_g bElex <br /> F. Breed of cow at the dairy: &4L tz z <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 ) C x 1.0 l.35() Multiply the Total AU by <br /> Dry Cows 12 L0 x 0.8 � the following factors to <br /> Bred heifers – x 0.73 07 adjust for breed of cow: <br /> Heifers (1-year to breeding) ( x 0.73 1 / (no adjustment for Jerseys) <br /> Calves (3 months to 1 year) x 0.35 )S 7 for Holsteins x 1.4 <br /> Baby Calves (under 3 months) 7l7 x 0.21 3-5 for Guernseys x 1.2 <br /> TOTAL HEAD– !J Total AU– E-2, 1,56 Adjusted AU– <br />