nrc: home page - a tr for monitoring ltse w ofgi · 2017-02-28 · yeor mo. d code nvmbec k9%. dote...

16
a OG) tf4k IQ >TAT QO Ofg XO I O QI gl O43 Ohe OM IN TR TIONS FOR DISCHARGfR l. Remove COPY d (dork yellow) ond vse lor yovr wocksheel. 2. Ltse ballpoint pen or typewriter for doto entry on lorms. 3. Prcwide dates lor beginning ond ending in repo!ting period blocks. ~ . Provide dote os specctied under column headings. S. fnler monthly summory data (MONTHLYAvf RAGf. MONTHLYHIGH. etc.). 6. Appropriate signotvre is rectal!ed al the bonom ol lhe form. y. Remove COPY 3 ond retoin lor your records. B. Send COPY 2 to fPA, Regtong. San francisco and COPY I lol CALIFORNIASTATE TVATER RESOURCES CONTROL BOARD DISCHARGER SELF MONITORING REPORT CALIFORNIA REGIONAL 'kATEIL QUALITY C(FNTI(UL BOARD CENTRAL COAST REGION 1 102A LAL'REL LANC LUIS 081S(sOp CA 93!901 ~ W sr ) <2 PACIFIC GAS AND ELECTR1C; CO O4&L-PLP.+. P 0 BOX 56 VILA 8tACH 93db2/e CALIF B innin Year Mo. Doy fndin Stat ~ NPDTS Permit Yeor Mo. D Code Number 06 Dot ~ lorm was corn uter rinled 0~frW.. D STATION DESCRIPTION * BE SUBMITTED BY M DAYS FOLLOWING THIS PERIOD. Transaction ~ focility Year I Month lor Repocting this re ort Period CONSTITUENT NAME UNITS SAMPLE TYPE FREQUENCY MONTH DAY TER'ERATLILE TEHPERATURE re tvj PH Pfi TURBIDITY TURBIDITY 01). C L'REASE 11 1 az 03 aa Ql. OL Q9. 10 l.l. 12 H. 15. l(L ll, 18 19. Q l 29 Z9 v ww v vin .I wd nf!Lv 55 55 55 55 55 55 55 55 N 55 56 58 58 7 rfh 56 56 50 H 55 55 56 55 55 52 5l 52 53 56 56 56 vc r", d ~ a!s 58 55 56 55 56 56 55 N N 59 53 21 58 52 52 52 55 55 56 62 61 6II 8 63 63 63 63 59 57 63 Y Lv 1.20 l 2II 0 85 0.6l (L63 0.61 9 5J 9 51 9d51 1 38 1 85 1 52 1 29 1 29 ],39 1.38 9 95 Qd52 1 26 1.26 1.22 1.83 1 83 1 63 1.35 1.21 1.83 1 83 1.57 1.54 79 L9 8.2 82 8.2 B.l l 9 8 l 81 8,2 81 8a 8.1 81 „8 2 Gx9 8A1 8,2 8.2 8 2 8d 8 2 Oa- B.l B.l CA9 89 89 80 8a LO LO 8a9 89 8.9 80 8.0 1.5 c3 + MONTHLYAVERAGE MONTHLYHIGH MONTHLYLOW TOTAL RECORDINGS/MO. i REQUIREMENT d1 Times Exceeded REQUIREMENT l/2 Timos Exceedod REQUIREMENT //3 Times Exceeded INTAILE + 2 llX IOO OEG v 0 1.86 0.61 30 NAX 2o67 B 30 )TIN 6oO 0 HAX 9W 0 P(AX e2 IN ' 6% N 5oO D )ULX IOo I hAX 2DeO g Enter numbor ol samples token during the doy. Typed Nocno ol Prvncipol I vrcutlve Ottccec I cwtdy undw pweny ol low Ihor I hove pwsoveNy evnmred ond om lonrtev wrh the mkrmncen crhvmr tcd in trrs document ond ea onechnencs ond ilet tered on my mctvry ol chow mdnrhets wwedernty 0 rrcpnnsklnicrckrommaiheintometen Iteteve thosctemtecnecenist!ce verworn ondccrvetrcr lom .Shiffer. ~. J me.= . itvn ~ I t I ~ rh h I, »4, II $7nnn < ~ cl Pcrrsei I vvvtwn REGIONAL

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Page 1: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

a OG)tf4k

IQ>TAT

QOOfgXOIOQIglO43OheOM

IN TR TIONS FOR DISCHARGfRl. Remove COPY d (dork yellow) ond vse lor yovr wocksheel.2. Ltse ballpoint pen or typewriter for doto entry on lorms.3. Prcwide dates lor beginning ond ending in repo!ting period blocks.~ . Provide dote os specctied under column headings.S. fnler monthly summory data (MONTHLYAvfRAGf. MONTHLYHIGH. etc.).6. Appropriate signotvre is rectal!ed al the bonom ol lhe form.y. Remove COPY 3 ond retoin lor your records.B. Send COPY 2 to fPA, Regtong. San francisco and COPY I lol

CALIFORNIASTATE TVATER RESOURCES CONTROL BOARD

DISCHARGER SELF MONITORING REPORT

CALIFORNIA REGIONAL 'kATEIL QUALITYC(FNTI(UL BOARD

CENTRAL COAST REGION1 102A LAL'REL LANC

LUIS 081S(sOp CA 93!901

~ Wsr )<2 PACIFIC GAS AND ELECTR1C;— CO

O4&L-PLP.+.

P 0 BOX 56VILA 8tACH

93db2/eCALIF

B innin

Year Mo. Doy

fndin

Stat ~ NPDTS PermitYeor Mo. D Code Number

06 Dot~ lorm wascorn uter rinled

0~frW.. D

STATION DESCRIPTION

*BE SUBMITTED BY M DAYS FOLLOWING THIS PERIOD.Transaction ~ focility Year I Month lor Repocting

this re ort Period

CONSTITUENT NAMEUNITS

SAMPLE TYPE

FREQUENCYMONTH DAY

TER'ERATLILE TEHPERATURE

re tvj

PH Pfi TURBIDITY TURBIDITY 01). C L'REASE

11 1az03aa

Ql.OLQ9.

10l.l.12

H.15.l(Lll,1819.

Ql

29

Z9

v

ww

v

vin

.Iwdnf!Lv

5555555555555555N55565858

7rfh

565650H5555565555525l5253565656

vc

r",d ~

a!s

58555655565655NN5953215852525255555662616II863636363595763

Y

Lv

1.20l 2II0 850.6l(L630.619 5J9 519d511 381 851 521 291 29],391.389 95Qd521 261.261.221.831 831 631.351.211.831 831.571.54

79

L9

8.2828.2B.ll 9 8 l818,2818a8.181

„8 2Gx9 8A1

8,28.28 28d8 2Oa-B.lB.lCA98989808aLOLO8a9898.9808.0

1.5 c3

+ MONTHLYAVERAGEMONTHLYHIGHMONTHLYLOWTOTAL RECORDINGS/MO.

i REQUIREMENT d1

Times ExceededREQUIREMENT l/2

Timos ExceedodREQUIREMENT //3

Times Exceeded

INTAILE + 2

llX IOO OEGv 0

1.860.61

30NAX 2o67 B

30)TIN 6oO

0HAX 9W

0P(AX e2 IN '

6% N 5oO

D )ULX IOo

I hAX 2DeO

g Enter numbor ol samplestoken during the doy.

Typed Nocno ol Prvncipol Ivrcutlve Ottccec I cwtdy undw pweny ol low Ihor I hove pwsoveNy evnmred ond om lonrtev wrh the mkrmncen crhvmrtcd in trrs document ond ea onechnencs ond ilet tered on my mctvry ol chow mdnrhets wwedernty0 rrcpnnsklnicrckrommaiheintometen Iteteve thosctemtecnecenist!ce verworn ondccrvetrcr lom.Shiffer. ~. J me.= . itvn ~ I t I ~ rh h I, »4, II $7nnn < ~ cl Pcrrsei I vvvtwn

REGIONAL

Page 2: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

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Page 3: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

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i'ALIFORNIASTATE WATER R fSOURCES CONTROL SOARD

DISCHARGER SELF MONITORING REPORTIN IRUCIIONS FOR DISCHARGER

1. Remove COPY c (dork yellow) ond use loc yovr worksheet.2. Use bollpoint pen or typewriter lor doto entry on lorms.2. Provide dotes lor beginning ond ending in reporting period blocks.d. Provide doto as spocifiod under column heodings,S. fnter monthly svmmory data (MONIHIYAVERAGE, MON'IHIYHIGH, etc.).S. Appropriote signature is required al the bouom ol the lorrn.7. Remove COPY 2 ond retain lor your records.8, Send COPY 2 to EPA, Region 9, Son Francisco ond COPY I tol

PACIFIC GAS AND ELECTRIC P)CALIFORNIA Rial NAL RATER QUALITY

LMTROL 80ARUCENTRAL COAST REGION1102A LAUREL LANE

LUIS 08ISPue CA 93+01

0 BOX 56VILA BEACH

93/e24cs

RooCALIF

Stot ~ NPDES PermitYeor Mo. D Code Nvmbec K9%.

Dote form woscorn uter rinted

l

Yeor Mo. Doy

06fndig icmin 8

STATION DESCRIPTION

CONSTITUENT NAMEUNITS

SAMPLE TYPE

T N F RES+' l4 F RES4OIL C GREASE T CHRGHIUN COPPERT CMROHIU)L OPPER'l

A8 'cr.,~ " kFREQUENCY

YOUR REPORTING PERIOD IS NONTHLY AND YOUR REPORTS MUST

BE SUBMITTED BY ~DAYS FOLLOWING THIS PERIOD.

Tronsoction ~ Facility Year / Month for Reporting

I cade ~ i.D. 3 $90200300 Ihis re orl Peciod

0.1

0

MONTH DAY

QlQ2QIQ4asaaQ7.

2l. lQQ <9 Hl Q QQ1

aa.1Q'. o

1Z1I14

u"

i or

Sr'

T,cnl

1Z1611ZQ

ZlZZZaZ4K2(L

ZZ28293Q

sv(

rt pi

<0.001

+ MONTHLYAVERAGEMONTHLYHIGHMONTHLYLOWTOTAL RECORDINGS/MOREQUIREMEN'T RII

Times fxceodadREQUIREMENT iy2

Times fxcaededREQUIREMENT l/3

limes fxceeded

$I'nter nvmber al samplesta'ken during tho Jay.

6W tl «000

D HAX «0080

NAX «02

'lypod Nome ol Principol loocvtiro Otticor I cond y vod«i prnoxy ol tow thor I ho o por roooay o rom«id eod om Iomrrrr with tho intormorrtn svtvmttod in the docvmonr ond otl enochmontr «rd rhoi. Itorrd on my marvy ol thoro mdtrrhtotr vvmodrtroty

Shiffer JEIRIeS 0 rorponreito lor otvemmeitlo incotmorrvr Ihotmvo ihoiiho mtotmorvmn tive. orccvoio. oml complot ~

lorn

opotv thor it» mnrinodillmr p roil' v rro nrrt totir v Icrmormn mrlrtmtt it I poccdvt rr rl tr

6M H «0050

0 NAX «0200

I HAX «05

cmgnvvs nt Ptrv pol I mvrttoo

yi mo nrc

N 02I

0 HAX «E)80

I HAX «20

REGIONALr i ~ r 'rV r

Page 4: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

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Page 5: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

CALIFORNIAST WATER RESOURCES CONTROL 8OARD

DISCHARGER ~ELF MONITORING REPORTINSIRIICTIONS fOR DISCHARGER

1. Remove Y d (dork yellow) ond vse lor your wocksheel.2. Use bailpoint pen or typewriter lor data entry on lorms.3. Provkle dates lor beginning ond ending in repocting period blocks.~ . Provide dato os specified under column headings.S. Enter monthly summory data (MONTHLYAVERAGE, MONTHLYHIGH, elc.).8. Appropciote signature is reqvired at the bottom ol the form.7. Remove COPY 3 ond retoin lor yovr records.8. Send COPY 2 Io EPA. Regksn 9. Son Francisco ond COPY I toi

RjIS

PACIFIC GAS AND ELECTRIC CO

CALIFORNIA REGIONAL )EATER QUALITYCONTROL BOARD

CENTRAL COAST REGION1102A LAUREL LANE

LUIS OBISPOP CA 93/e01

P 0 BOX 56VILA BEACH

93/92dpCALIF

<aR<

State NPDES PermitYear Mo. D Code NumberYcoy Mo. D

Dote form wascorn vier cinted8 innin Endi

YOUR REPORTING PERIOD IS NNTHLY AND YOUR REPORTS MUST

BE SUBMITTED BY @/DAYS FOLLOWING THIS PERIOD.

Transaction ~ facility Year / Month lor[ Code~ I.D. 3 4020030 thi~ re ort Period

STATION DESCRIPTION

CONSTITUENT NAMEUNITS

SAMPLE TYPE

FREQUENCY

NICKEL

N3NTHLY

1 ~ l I

ZINC ANNONIA {N) All%)NIA IN) . TOX CONC++ ITANBN

MONTH DAY

co M 285'Xn.Jhu taLQ.4 " c0 N9

I

I

I

0

le11.l2U.-

4.

21

222324252627

~ c

~ l

<6.

' J

1 ~

~ ~

+ MONTHLYAVERAGEMONTHLYHIGHMONTHLYLOWI

TOTAL RECORDINGS/MOREQUIREMENT fI

Times Exceeded

REQUIREMENT ff2Times Exceeded

REQUIREMENT ff3Times Exceeded

D IIAX a08

I NIX o2

b-N K''I'

HAX o3

'Mrlt''mT'Ic

Enter nvmboc of samplestoken dvring tho doy,

rwwalr rr

Typed Nerve Ot PIHlripol I ~ Orvrlce Olhcor

Shiffsr JreIosr INII

I coney endor penally ol low thos I hove polsenor rr os IHIw»dond oln lonvtHH with Ihe lntolrnolHsn svhn 'ttod In rtvs doc vw»nr ond oa onodvnonrs ond shot hosed on my lnavlry ot chose indwvtvots Hwvvd»lvtyresponvhto Iolohhnlvna Iho intern»luvl I hvt»vv IT»c the Hstorn»I»n h trvo. occwvor. ond cocvptolo. II»iowole Ihoc It»lo olo s~tuont t»l»v»s toc svtvnul»9 torso sntwtwol»n. Osctvdssa rho pcnsevhly ol hne

let cvld Hllpllsonrv»I,Svylolvlo ol Prvlclpol IsocvIlvo

cyrtuor ol *vlhorard Aevnrvl H», aey

Ooso

REGIONALBOARD COITY

Page 6: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

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Page 7: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

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0

INSTR TIONS fOR DISCHARGERT. Remove COPY d (dork yelfow) ond use for your worksheet.2. Lfse bollpoint pen or typewriter lor data entry on forms.3. Provide dotes tor beg)nning ond endrng in reporting period blocks.

Ptovide doto os spec)f)ed under column headings,S. Enter monthly summory dolo (MONTHLYAVERAGE. MONTHLYHIGH, etc.).8. Appropriate signotvre is required ot the bonom ol the form.7. Remove COPY 3 ond reloin for your records.8. Send COPY 2 to EPA. Region 9. Son Froncisco ond COPY I tol

*BE SUBMITTED BY PB DAYS FOLLOWING THIS PERIOD.Tronsoclion ~ Focifity Yeot/Monthlor

I Code T.D. 3 40200300 this re ort

ww

O<<2

0@I

8

PACIFIC GAS AND ELECTRIC CO

0 BOX 56VILA BCACH3424

CALIF

Repot tingPeriod 8 innin

Year Mo. Doy

Endin

Stol ~ NPDES PermitYear Mo. D Code Number

06 Dot~ form woscorn uter rinted

'MW.. D

CALIFORNIASTATE YYATER RESOURCES CONTROL BOARD

DISCHARGER SELF MONITORING REPORT

CALIFORNIA IIEGIEINAL MATER LIUALITYCLNTRQL EILIARO

CFNTRAL COAST RE(pION1102A LAUREL LAI<E

N I.UIS OE)>SPO 9 CA 93401

STATION DESCRIPTION

CONSTITUENT NAMEUNITS

SAMPLE TYPE

FREQUENCY

MONTH DAY

31. Ql0203040506Ql080910ll1213141616

Dl)S OXYGEN

/

gc v

HYDRAZIt% T CL RES T CL RES T CL RES T CL RES CL RES Cs(LOR INELIS EDJr))Y

19ZQ

ZI

M252622

'H30

+ MONTHLYAVERAGEMONTHLYHIGHMONTHLYLOWTOTAL RECORDINGS/MOREQUIREMENT //I

Times ExceededREQUIREMENT //2

Tfmos ExceededREQUIREMENT IT3

Times Exceeded

Hl N re03

D NAX cel

I NAX e3

IS~ H e03

D NAX el

I HAX e3

D HAX elI HAX e3

D NAX s)l

I HAX e3

&W N e03 Ep+ N re03 WN eP3

D HAX w 1

I HAX. e3

g Enter number ol samplestoken during the day.

r

Irped Nome ol yrceclpel f)ecvtive Othcer I cert Iv under penaltv el lew )her Ihcwe per)cmetrr ~ 'e ed )md em twmte)r w rh the mrwmorvtn uk)mr

5ted Irl rie) decweeer oed oe o))et)vere)) eed )het he)ed oe m1 me)ver et rho)e ced velveh )mmcdepetr

.,James re)pcm)d)te tec ehremme the mterme)me I he) eve)her )"em w 4'e)en l<ve. occwere oed comelere I emh) Ue)=: ~ 9) I r rhcv vo Ivm ) peeetvee Ice )vhevervt ret)e mtwee)ee mchcdme )he pm > Irv et Ir ~ )I Cvyvnw» cl prevvv)l I ere)eveREGIOsliAL

Yr me ner ~

Page 8: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

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Page 9: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

CALIFORNIASTATE WATER RESOURCES CONTROL BOARD

DISCHARGER SELF MONITORING REPORTIN TR 'IIONS FOR DISCHARGER

I. Ranove COPY d Idork yellow) ond vse lor your work>heel,2. Use bailpoinl pen or typewriter for data entry on forms.2. Provide dotes lor beginning ond end«ng in report«ng period blocks.

Provide doto os spec«lied under colvmn heod«ngs.$. Enter monthly svmmory doto (MON'THEY AVERAGE. MONTHLYHIGH. etc.).8. Appropriole signature is required ot the bonom ol lhe form.7. Remove COPY 3 ond retoin lor yovr records.8. Send COPY 2 to EPA. Region 9. San Froncisco ond COPY I tor

CALIFidR>LIIA REGIONAL teATEI'S QUALITYCONTROL IsCARU

CLNTRAL COAST REGION1102A LAUREL LANE

LUIS 081SPV e CA St3401YOUR REPORTING PERIOD IS NONTHLY AND YOUR REPORTS MUST

BE SUBMITTED BY ~~DAYS FOLLOWING THIS PERIOD.Transoction ~ Facility Year /Month for Reporting

I Code~ i.D. 3 40200300 this r ~ orl Period

Yeor Mo. DYeor Mo. Doy

Endin8 innin

STATION DESCRIPTION

CONSTITUENT NAMEUNITS

SAMPLE TYPE

T NF REST NF RES Z NF RES LITHIUN

f>vd» suFREQUENCYMONTH DAYO

«

sOCl

Q3.QfI.

Q5.

QILQff

Q8.

Q9.

LQU.

2345

16

cctt

IC«t l-

O

s-Ct

Cl

O

ICl

O

rrlI C

ns

cct

csI

0.5610.7ClI U.

lL19.20212223

IL7

«

cctI

I «

csC

ac '

rfO 0

«»

rnY «'Y>

P

)AU

+ MONTHLYAVERAGEMONTHLYHIGHMONTHLYLOWTOTAL RECORDINGS/MOREQUIREMENT fyi

Times Exceeded)Q AV6 30 NO AV6 30

0D NAX 100REQUIREMENT'y2

Times ExceededD NAX 100

0REQUIREMENT //3

Times ExceededTyped Home of Prmc«pol Lrrrut«vr C>tl«rer I rerhly voder pe»oily ol k>w thor I hove per >a«oav e «ommrd ond om lorn l«a w «h If» inta»arum >us»ul-

led m «h«> dorvmrnr ond otl onorhmrnt> ond rhef, ho>vd on «ny m«n«ry ol tho«r m«hvrtvoh mvnvdr>rrty~r>ponut«tr lor ot>to»ma thr >»former«on I hvhrvr rl»l If»mfa~«rm h I«w „arwere, ordromotrrr. I omShi ffer. JMeS - . D, tha „ t»»«f

'~

" ~ rt» «drh I I

g Enter number ol samplestaken during tho Jay.

1

PACIFIC GAS AND ELECTRIC,COLE~Or> TA-4'<

<2«

P 0BOX'VILA BiACH

34240rro

CALIF

State NPDES PermitCode Number

06 QQM<.. D.

Dot~ lorm wascorn uter rinted

UlL 6 GREASEYORAXIQE

499

J? 9

13.5

0.08

1SY.B

1

25.46

3.803.403.212.700.60

3

22Q

65'345

HO AVG'5

D HAX 20

REGIONALy«mr rwr r r ~Crumr«rr rl P«rr Yr>t t «vu««vv

Page 10: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

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Page 11: NRC: Home Page - a TR FOR MONITORING Ltse W OfgI · 2017-02-28 · Yeor Mo. D Code Nvmbec K9%. Dote form wos corn uter rinted l Yeor Mo. Doy g icmin 8 fndi 06 STATION DESCRIPTION

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CAI.IFORNIASTATE WATER RESOURCES CONTROL 8OARDIN TR TIONS FOR DISCHARGERl. Remove COPY d (dork yeffow) ond use fot yovr woiksheel.2. Tfse boifpo«t pen or typewriter Tor dote entry on forms.

Prov'ido dotes Tor beg«ning ond ending in reporting petiod blocks.Provide doto os specified under column heodings.

$ . Enter monihfy svmmory doto (MONTHEYAVERAGE, MONTHlYHIGH. Ofc.I,tt. Approprmte signator ~ is required ot the bonom of the form.7. Remove COPY 2 ond retoin lor yovr records.8. Send COPY 2 to EPA. Region g, San Francisco ond COPY T to:

DISCHARGER SELF MONITORING REPORT

CALIFHCNIA RLGIONAL HATER QUALITYCONTROL BOARD

CENTRAL CGAST REGION11(T2A LAUREL LANL

LULi UBIS POP CA 93/a01

Year Mo. DYoor Mo. Doy

Endinft inni

YOUR REPORTING PERIOD IS HONTHLY AND YOUR REPORTS MUSTBE SUBMITTED BY ~DAYS FOLLOWING THIS PERIOD.Tronsoction Focllity Year /Month tor Reportfng

~Code i.D. 3 dt0200300 Ihis r ~ ort Period

e w

0 BOX 5bVILA BEACH

93/P2/e

Stat ~ NPDES PermitCode Nuinber

06 Dot~ form woscorn uter rinled

CALIF

%Gm.

PACIFIC GAS AND ELECTRIC, CO~LT,

STATION DESCRIPTION

CONSTITUENT NAME 0II. C ExREASE T NF RESUNITS

T NF RES T FTF RES T PIF RES T IIIF RES NF RES T NF RES

SAMPLE TYPE

FREQUENCY

MONTH DAY

3J Ql.QZ

n v

Q5.

Q(L

QZQQ

Q9.

i.Ql.i.12Q.U.U.KlL

<0.2

e

1 <l

1 M31 3IL,3

el 1

e"..

e,

1 s.iles

+ MONTHI.YAVERAGEMONTHLYHIGHMONTHLYLOWTOTAI. RECORDINGS/MOREQUIREMENT tyi

Times ExcoededREQUiREMENT IFZ

Times ExcoededREQUIREMENT dr3

Times Excoacfod

y'O

AVG 30

0 RETAX LOO ~

HO AVG 30

0 HAX 100

NO AVG 30

0 TTAX 100

HO AVG 30

0 HAX 100

g Enter number o( samplesloken during the Jay,

typed NoNe ol peiorepol leocvliro ctffecof I ron ty vndre penally ol low thol I hoer preeoeeotty o om«ed ond em Ioeertee e lh the «loemoeeon submit.lod vi lien doceeeeernr ond oa onoehnernlo ood neve, hoed on my «erry ot cheer veeheeegvols ertHeedeeoty

Shiffer JR fffeS 0 ereponvbtr toe obeo««a tte «toe«ver« I bet» o irene ue trtoeoeer«n elec, oerwoev omt coerptreo tomoweve'el«le-e err vyrlroill «sore l eon I sole«o 'r«wtrtert I lmaereer el lw erpeewr eet pewueeet Iereveiro

ee rREGIOiIAI

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INSTR TIONS FOR DISCHARGER

I. Remove COPY d (dork yellow) ond vse lor yovr worksheel.2. Use ballpoint pen or typew<iter lor doto entry on torms.

provide dates tor beginning ond ending in repo<rng period blocks,~ . Provide data os spec<fied under column headings.S. Enter monthly summory data (MONlHLYAVERAGE. MONTHLYHIGH. etc.).d. Appropriat ~ signature is rectal<ed at the bottom ot the lorm.7. Remove COPY 2 ond retain lor yovr records.8. Send COPY 2 to EPA, Region 9. San Froncisco ond COPY I lo:

CALIFORNIASTATE WATER RESOURCES CONTROL BOARD

DISCHARGER SELF MONITORING REPORT

CALIFORNIA REGIL)NAL )EATER LIUALITYCONTROL BOARD

CENTRAL COAST REGIONllORA LAL)ITAL LAI4E

LUIS OISISPu9 CA 93401

ts

P 0 BOX56<I- AVILA BEACH4 9am@A

CALIF

~ w

v<z PACIFIC TpAS AND LLLCTRIC<CU~LAC

s I fRepocling

Period

YOUR REPORTING PERIOD IS HONTHLY AND YOUR REPORTS MUST

BE SUBMITTED BY '~ DAYS FOLLOWING THIS PERIOD.'transaction ~ Facility Year / Month lor~code~ I.D. 3 dsOZ0030 this re ort 8 innin

Year Mo. Day

Endin

Stot ~ NPDES PermrtYeor Mo. D Code Number

06 Dol~ torm wascorn uter rinted

STATION DESCRIPTION

CONSTITUENT NAMEUNITS

SAMPLE TYPE

FREQUENCYMONTH DAY

T NF RES T NF RES T NF RES T NF RES T NF RES T NF RE)

<0.3

c'sss

Sar .'

e r ~

0

I ~

l ~ + MONTHLYAVERAGE

MONTHLYHIGHMONTHLYI.OW

»»,

y»<

t»sp

»<S'j,.s~ TOTAL RECORDINGS/MO

REQUIREMENT R<l

Times ExceededREQUIREMENT /t2

Timos ExceedodREQUIREMENT 8<3

Times Exceeded

ILG AV6.30

D tlAX 100

)LO AVG 30

D HAX 100

HD AVG 30

0 HAX 100

g Enter nvmber at samplesto'ken during lhe day.

lyptd Home ol print<pal Tvecutive Ollrce< I re<try under ptnot<y ol hw that I hate Iv«so<ratty »lorn»rd cmd om terr»I»yr w lh the inlorme<»sn sckryvt.l»d in sh» docum»n< ond oa onodvne»ls ond shoi, bostd e» my vsctvvy ot <hose uvtwttvoh immtd»s<ety

.Shiffer JBITIBS 0 <tspcm'er» t«oh<~ <<»mt«me<»vs. I~ve ihat v»ps<i<»me<»n» <rcm «cwo», <md<empt»<» I emnmv<. tn! n ~ mc s vvttr»<rvrtv< h» d ~ lt.l»w's»t '»vttt <v»s4 <.y <el Cgvs<»a st P<»vv»l I mv<rve sr uv aty

REGIONAL1'tvf < " lr

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>EN'ACIFICGAS 8 ELECTRIC COMPANY

DEPARTMENT OF ENGINEERING RESEARCH

DIABLO CANYON BIOLOGICAL LABORATORY

STATIC BIOASSAY REPORT SHEET ASSAY NO. i2+-'0

TEST ORGANISM DATA

TEST SPECIES c be/OA

SOURCE MV 9 ELV U RU VQ

ACCLIMATIONTIIIE ~M'A1S. TEMPER AT ORE IbTIblPTAR,

WATER SOURCE n~

T T UTI N

SOURCE OF TEST SOLUTION

DATE/ TIME SAMPLED

Acv o'30D

DATE STARTED M 8VOLUME/DEPTH OF TEST SOLUTION

TYPE OF AERATIOH

TIME STARTED HRS,

RENEWAL OF TEST SOLUTIOH AT HR. INTERVALS

HUMSER OF ORGANISMS PER CONCEHTRATIOH

DILUTIOH WATEII SOUIICE

TEST CONCENTRATIONS

0 HOURS

TEMP.

0.O.

pH

SALINITY/HARDNESS

24 HOURS

ORGANISMS SURVIVING

SURVIVL

TEMP.

0.0.

pH

48 HOURS

ORGANISMS SURVIVING

4/e SURVIVAL

TEMP.

0.0.pH

72 HOURS

ORGANISMS SURVIVIHG

SURVIVAL.

TEMP.

0.0.pH

96 HOURS

ORGANISMS SURVIVING

SURVIVAL

TEMP.

D. O.

pHSALINITY/HARDNESS

15 C

3 GCPc

CONTROL

ZO~XOQ'o

MO'TBO

TU:

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