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r:� ry <br /> %&-, 9 -"I <br /> JUN 17 2013 <br /> CNV"!` ].,N^Hdr1'dT^r-L i'ir'r-il..l j-j <br /> Monitoring Report Submittal Transmittal Form p�;; i � P;,•1� <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: Newport Pacific Capital Co., Inc. <br /> Name of Facility: Arbor Mobile Home Park WTF <br /> WDRs Order Number: 03-099 <br /> WDID: 51339NC00020 <br /> County: San Joaquin <br /> 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. 0L-tT0BM I ?.JV-Z' <br /> 1 st/2nd/3rd i 4th (circle one) Quarterly Monitoring Report for the year of <br /> 1 st/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, ther were/were not(circle one) any violations of the WDRs. <br /> 1. The violations were: SDS w�, 4 1,0SIL lac tW, �i�, l �k "o 4co <br /> V <br /> 2. Have the violations been corrected? Yes It no, what will be done to correct the <br /> violations: 6n <br /> TSS <br /> Certlfication-Statement <br /> "I certify under penalty of law that l 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: } LAJl Phone: <br /> Printed Name: IC-1-e Date:_.fl, d/►Z___ . <br />