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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.: 5-01-148 Reporting Frequency: Quarterly/Annually <br /> Facility# 5B392011002 Monitoring Period: 2,3,4 Quarter/Annual 2004 <br /> Discharger: Fox River Paper Company Date Due: 30 July, 30 October, 30 January <br /> annually <br /> Facility: Ripon Mill Date Received: 4 Aug. 2004, 1 Nov.2004, 1 <br /> RWQCB Reviewer: Kim A. Schwab, P.G. Feb. 2005 <br /> Date Reviewed: 10 March 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 <br /> an authorized representative? <br /> b. Does it include the required x <br /> Certification Statement? <br /> x Noted impacts from <br /> c. Is there a discussion whether any discharges. In the process of <br /> violations have occurred since the determining background for <br /> last monitoring report was submitted? Water Quality Protection <br /> d. If any violations did occur, does it Standards. <br /> x <br /> describe actions taken or planned for <br /> correcting those violations? <br /> Standard 2. Compliance Evaluation Summary <br /> Provisions x <br /> (1993,1997,2000) a. Map/Photo: Is there a map or aerial <br /> photograph indicating the locations of <br /> all monitoring points? <br /> b. Standard Observations: Is there a x See comment <br /> summary and certification of completion <br /> of all standard observations for the <br /> WMU, and for receiving waters? <br /> Sr. Initials_ SWIM Entry <br />