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a <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.: R5-2003-0049 <br />Discharger: Forward Inc. <br />Facility: Forward Landfill <br />RWQCB Reviewer: Ross Atkinson <br />Reference Parameter <br />Standard 1. Transmittal Letter <br />Provisions <br />(1993,1997,2000) a. Is there a transmittal letter signed by <br />an authorized representative? <br />Standard <br />Provisions <br />(1993,1997,2000) <br />b. Does it include the required <br />Certification Statement? <br />c. Is there a discussion whether any <br />violations have occurred since the <br />last monitoring report was submitted? <br />d. If any violations did occur, does it <br />describe actions taken or planned for <br />correcting those violations? <br />2. Compliance Evaluation Summary <br />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 <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 />Reporting Frequency: Quarterly <br />Monitoring Period: 1St Quarter 2004 <br />Date Due: 30 April 2004 <br />Date Received: 30 April 2004 <br />Date Reviewed: 5 May 2004 <br />RWQCB <br />Yes No N/A Reviewer Comment <br />0 <br />W <br />0 <br />In <br />0 <br />W <br />