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2900 - Site Mitigation Program
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PR0516611
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Last modified
1/15/2020 4:30:17 PM
Creation date
1/15/2020 4:09:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0516611
PE
2965
FACILITY_ID
FA0012706
FACILITY_NAME
BEAR CREEK WINERY
STREET_NUMBER
11900
Direction
N
STREET_NAME
FURRY
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06116026
CURRENT_STATUS
01
SITE_LOCATION
11900 N FURRY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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RECEIVED <br /> JUN 3 2013 <br /> Monitoring Report Submittal Transmittal Fori�ot4MENTALHEALTH <br /> PERNIfi ISEAVICES <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: Goldstone Land Co. <br /> Name of Facility: Bear Creek Winery <br /> WDRs Order Number: 71-037 <br /> WDID, 58392004003 <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 <br /> list 5 <br /> 3rd/4th(circle one) Quarterly Monitoring Report for the year of 20 3 <br /> 1st/2nd(circle one) Semi-annual Monitoring Report for the year <br /> Annual Monitoring Report for the year <br /> Violation Notification <br /> During the monitoring period, that were/were not(circle one)any violations of the WDRs. <br /> 1. The violations were: <br /> cffy - <br /> 2. Have the violations been corrected? Yes/No. If no,what will be done to correct the <br /> violations: <br /> 4 Wsrk <br /> Certification Statement V <br /> °l certify under penalty of law that I 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 significant penalties for <br /> submitting false information, including the possibility of fine and imprisonment." <br /> Signature:! Phone: K 31 - y <br /> Printed Name: Rrc ugnp /�2hcrra �;N Date: -2—o ,3 <br /> i <br /> I <br />
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