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CALIFORNIA REGIONAL WATER QUALITY CONTROL BOARD <br /> MONITORING REPORT COMPLIANCE CHECKLIST <br /> FOR <br /> WASTE DISCHARGE REQUIREMENTS <br /> FOR <br /> DISCHARGES REGULATED BY TITLE 27 AND/OR PART 258 <br /> Order No.: R5-2004-0157 Reporting Frequency: 2004 Annual <br /> Monitoring Period: 3` and 4th Qtr 2004 <br /> Discharger: Kruger Foods/ SMS BRINER Date Due: 31 January 2005 <br /> Facility: SMS BRINER Date Received: 1 February 2005 <br /> RWQCB Reviewer: Howard Hold Date Reviewed: 7 February 2005 <br /> RWQCB <br /> Reference Parameter Yes No N/A Reviewer Comment <br /> Standard 1. Transmittal Letter <br /> Provisions <br /> (1993,1997,2000) a. Is there a transmittal letter signed by X See Comments Below. <br /> an authorized representative? <br /> b. Does it include the required See Standard Provisions for <br /> Certification Statement? X the required Certification <br /> Statement <br /> c. Is there a discussion whether any <br /> violations have occurred since the X <br /> last monitoring report was submitted? <br /> d. If any violations did occur,does it <br /> describe actions taken or planned for X <br /> correcting those violations? <br /> Standard 2. Compliance Evaluation Summary <br /> Provisions <br /> (1993,1997,2000) a. Map/Photo: Is there a map or aerial X <br /> photograph indicating the locations of <br /> all monitoring points? <br /> b. Standard Observations: Is there a <br /> summary and certification of completion X <br /> of all standard observations for the <br /> WMU, and for receiving waters? <br /> Sr.Initials SWIM Entry <br />