ML20236V426
| ML20236V426 | |
| Person / Time | |
|---|---|
| Site: | Beaver Valley |
| Issue date: | 06/30/1998 |
| From: | Brandt R, Orndorf D DUQUESNE LIGHT CO. |
| To: | NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM) |
| References | |
| NPD3VPO:0880, NPD3VPO:880, NUDOCS 9808030179 | |
| Download: ML20236V426 (55) | |
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Beav VaHey Power Station Shippingport, PA 15077-0004 3.
RICHARD D. BRANDT (412) 393-7622 Division Vice President Fax (412) 393-4905 Nuclear Operations and Plant Manager Nuclear Power Division July 20,1998 NPD3VPO: 0880 l
Document Control Desk U.S. Nuc! car Regulatory Commission Washington, DC 20555 NPDES Monthly Report EPA Permit No. PA0025615
SUBJECT:
Beaver Valley Power Station, Unit No. I and No. 2 BV-1 Docket No. 50-334, License No. DPR-66 BV 2 Docket No. 50-412, License No. NPF-73
Dear Sir:
i Enclosed is a copy of the NPDES Monthly Report as submitted to the Pennsylvania Department of Environmental Protection.
1 Sincerely, gV
' chard D.
rindt Dis ion Vice President l
l SLV/trs I
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i cc: D. A.Orndorf J. K Cool N
S. K. Hobbs Central File i
DEllVERING j
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1 9808030179 980630 ENERGV l
PDR ADOCK 05000334 R
Duquesne Lidit Company rgg;;r "- ' S'ao" Snippir; cort PA 15077-0004 I
AICHARD D BRANDT
.412,393 7622 Div+sice Vice President Fan:412 333 4905 l
Nsciear Operabons and Plant Manager l
Nsciear Power Dmsson July 20,1998 NPD3VPO: 0882 Attention: "DMR Clerk" Department of Environmental Protection Bureau of Water Quality Management I
400 Waterfront Drive Pittsburgh, PA 15222 NPDES Monthly Report, EPA Permit No. PA0025615 Gentlemen:
NPDES Monthly Report for Duquesne Light Company, Beaver Valley Power Station for June 1998 is submitted for your consideration.'
Sine y,
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Richar
. Brandt isiston Vice President l
SLV/tts I
cc: D. A. Orndorf J. K. Cool S. K. Hobbs l
Central File l
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l DEllVIRING l
QUALITV ENERGV J
Duquesne Lidit Company :gg;,vr"a~'S'ao" Snippingpert PA 15077 0004 AiCHAAD D BRANDT t 4 t 2, 393M622 D4v'sion V,ce President Fax # 412, 3H-4905 Naciear Operations and P(ant Manager P4vciear Power Dwasion July 20,1998 NPD3VPO: 0881 United States Environmental Protection Agency Region !!!, Pennsylvania (3Wh153)
Water Permits Branch Water hianagement Division 1650 Arch Street Philadelphia, PA 19103-2029 NPDES hionthly Report, EPA Permit No. PA0025615 l
l
Dear Sir:
l This letter forwards a copy of our NPDES hionthly Report as submitted to the Pennsylvania Department of Environmental Resources, Bureau of Water Quality hianagement.
Sine.y 9
kV Ric
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i Paperwork Reduction Act Notice Public reporting burden for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per response for some minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per resp (mse for some nujer facilities.
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General Instructions i
(
- 1. If form has been partially completo.1 by preprinting, disregard instructions directed at entry of that information already preprinted.
2.. Enter "Perminee Namedfading Address (and facility name/ location, if different)," Permit Number," and
" Discharge Numbcr" n here indicated. ( A separate form is required for each discharge )
3sEnter dates leginnirig and ending "Atonitoring Period" covered by form where mdicated.
- 4. Enter each " Parameter" as specified in monitonng requirements of permit.
5, EnterfSample 3/eaxurement" data for each parameter under "Quamirf and "guahry" in units specified in permit dverage is connally anthmetic average (geometric aserage for bacterial parameters) of all umpic maurements far each parameter obtained during "Atonnoring Permd"; "ManmW and "Alinimum" are normally esticme high and low measurements obtained during "3/onnormg Period" (Note to tramiapals mth secondary treatment requirement: Enter 30-day average of sample measurements under ".tverage " and enter mnimum 7-day averag'e of sample measurements obtained during monitoring period under *Alaumum ")
- 6. Enter " Permit Requirement" for cach paramuter under
- Quantity" and
- Quality" as specified in permit.
7, Under *L &" enter number of sample measurraents dunng monitoring pcried that enced maximum f and/or mimmum or 7-day average as appropriate) permit reqmrrment for each pammeter If none, enter "0" r
- 8. Enter " Frequency of Analysis" both as ",%vnp/c Aleasurment" (actual ficquency of sarnp ing and anal sis used 3
during monitorin; Priod) and as " Permit Requirement" speciGed in penmt (c g,1:nter
- Cont " for continuous monitoring, "10" for une day per week. "/du" for one day per month, "F90" for one day per quarter, cla) 4
- 9. Enter "Samj'le 7)pe" teth as " Sample Afeasurement" (actual sample type used during monitonug period; and as
. Pernut Requirement " (e g-, Enter " Grab" for indhidual sample. "NDC" for 24-hour compostte, "YA" for
- continuous monitoring, etc.)
10,,Where violanons of permit requirements are reported, attach a brief explanation to describe cause and conective actions taken, and reference cach violation by date.
I1. If"no discharge" occurs dunng monitoring period. cnter "No Ducharge" across fonn in plae of data entn
- 12. Enter *NmereTitle of Principal hecutive OJJicer" with " Signature of Prmural Erecutwe Oficer of Authori:ed Agent," " Telephone Number " and *Date" at bottom of form.
- 13. Mail signed Report to OfGce(s) by date(s) specified in permit. Rctain copy for 30ur records.-
14; More detaiNd instructions for use of this Discharge Monitoring Report (DMR) form may be obtained from OITice(s) specified in permitf Legal Notice m
'nis report is reiuired by law (33 U.S.C 1318; 40 C.F.R.125.27). Failure to report or failure to report tmthfully can l
result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPA Form 3320-1 (Rev. 08-95) a.
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9 Paperwork Reduction Act Notice--. -- -- -
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1 Public reporting burdcn for this coHution of mformanon is estinuted to vary from a range of 10 houn, as an aurage per respense for wme minor facuities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per respon< for some major fa.:ilides, with a weighted averare for may>r and rmnor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per revponse, mcluJing time for rewewing l
inuructmns marching existmp data sourm:, gathermg and mamtaining the data nec&d, anJ templctmg and f
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romu mp the enUxton of mfonnation. Send comments regardmg the burden c>timate or any other acpat of this conmian or infmmaion. inauamp sum on< er reascing this burden, to chici, incorrrson vouzy l
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Bra.rKh, PM-223, U.S. Environmental Protcchon Agency, 401 M Street, SW Wehington, DC 20450, and to the Of 6ce of infiirmation and Ryubtory A!! airs, Olti;c of Maragement and DuJpt. We.hmrton, DC 20503.
l l
General Instructions
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- 1. If form he been partndly completuJ by pwpnntir4 dierptd instruc+iom. Jinx ted at entr, of that infourena already prepnntcd.
- 2. Enwr "ferm!nce Vame Alcn/mg.tds!ren und facihty namc/10catum. if ddftrent)f "fernt YtM er." and o u ara xn, u c acindea1cd (n ep,raicform isreymred forczch u m e ryc,
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- 4. Eh'C f eAh "fars?M!Pr" ' S SP.CdiCd in nW UIMing (Cym ren a u % UfW r lii;l.
- 5. !%:cr hr! A/cacec: red data for czb pomercr und:r "@ :noo" anJ O a " m umn. (pxdied in punet ry 1er h acrn! param icN of au sunp'c m:nnre:ct ts
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- 12. En:ct "% r vTule of Prmn;mi En c utn e Q?icer" u nh "s can re qf Prmapal i:xec urm i %er of. l u:h n:cd Agent * "Telepiwne Numi'cr." and "Darc" at bouom of form
- 13. Mad s;gned Report to OfLecm by date(s) speciGcd m pernat Retam copy for your records
- 14. More detuled instructions for use of this I.beharge T! ann,rmx Rejmrt <DA!R) fonn ocn be obtained from Ofncem speciGed in p;rmit Legal Notice
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This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27) Fadure to report or fadure to report truthfully can result in civd penalties not to exceed $10,000 per day of siolatmn; or in crimmal penallin not to cueed $25,000 pcr day of vichstion, or by imprisonment for not rnove than one year, or by both.
EPA Form 3320-1 (Rev. 08-95)
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}aperwork Reduction Act Notice Public reporting burden for this collection of information is estinuted to vary from a range of to hours as an average per response for wme minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for wme aujor facilities, with a weighted average for major and minor facilities of_18 hours per response, including timq for reWewing instructions, searching existing data wurces, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any 'othat aspect of this colhx. tion.of infonnation, including suggestions for reducing this burden, to Chief, Information Pohey Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 2040; and to the f
Office of Information and Regulatory Affairs, Office of Management and Budget, Wa3hington, DC 20503.
l
______________________-__.__.]
I General Instructions
- 1. If form has been partially completed by preprmting, disregard instructions directed at entry of that infonnation j
already preprinted.
l f
2 Enter " Permittee N<rne Mailing Address (and facility name/ location, if ddferent)," " Permit Number," and
? Discharge Number" where indicated fA separate form is required for each discharge )
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- 3. Enter dates beginning and ending "Momtormg Permd" covered by form w here mdicated f
4, Enter each " Parameter" as specified in monitoring requirements of pctrait.
- 5. Enter "Somf e Aleavurement" data for each parameter under "GuannrP and "pualltr m units spccilled in permit.
J
- ireroge" is normally anthmetic aserage (geometric average for bacterial pararmiers) of all sample measurements for each parameter obtained during "Mm!!urmg Perwrf'; "Afarmnem" and "Almimen" are nonnally extreme lugh and low measurements obtained during "Alonitoring Perimi" (Note to mumcipah with secondan treatment requiremer t-Enter 30-day ascrage of sampic measurements under "Arcrage " and emer maximum 7-day ascrage of sampic measurements obtained during monitonng period under "Afaximum "1 6, Enter " Permit Requirement" for cach parameter under "guannty" and "Qualay" as specified in penuit.
- 7. Undei "No EP enter nun ber of s.miple measurm:nts during monitanng period that exceed maxinnim (and'or minimum or 7-day average as approprnte) permit requirement for each parameter. If none, enter "0".
E. Emer *Freyaency of Analysif both as "Sampic Menmement" (actual ficquency of sampling and an:dpis u.cd during momforing penod) and as " Permit Rerjuirement" specified in perma (e g, Enter M bnt," for continuous monitoring, "l#" for one day per week, */do" far one d:ty per month. "190" for one day per quarter, etc.)
- 9. Enter "Sampic 7)pe" both as " Sample Afraturemem" (actual sampic type used during momtoring penod) and as
- Permit Requirement," (e g, Enter " Grab" for indisidual sample "2.///C" for 24-hour compo2tc, "N;1" for Contin'lous innnitOnng, c!C.)
- 10. Where violatwns of permit requirements are reported, attach a brief explanation to describe causa atid conectise actions taken, and reference cach siolation by date.
- 11. If"no discharge" occurs daring monitoring period, enter "No Discharge" across fann in place of data entry.
12 Enter "Name:7hte of Principal Executne Oficer* unth "Sognature' of Prmcipal Executus Oficer of Authori:cd Agent.* " Telephone Number," and "Date" at bottom of form
- 13. Mail signed Report to Omce(s) by date(s) Epecified in pernut. Rctain copy for 30ur records 14 More detailed instructions for use of this Descharge Afonitoring Report (DAfl0 fonn may be obtained from Omce(s) specified n pernut.
Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can resuk in civil penalties not to cxceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonmes.: for not more than one ycar, or by both.
EPA Form 3320-1 IRey,08-95) f
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Paperwork Reduction Act Notice Public reporting burden for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per response for some minor facihties, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for unne major facilities, with a weighted average for major and minor facdities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per respor.se, including time for remwing instructions, searching existing data sources. gathering and maintaining the d.ita needed, and completing and reviewing the collection of information. Srnd comments regarding the burden estimate or any other atpect of this wilection of infornution, including suggestions for reducing this burden, to Chief, Information Pohey Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the Office of Infonnation and Regulatory Affairs. Office of Management and Budget, Washington, DC 20503.
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General Instructions l
11 If form has been partially completed by preprinting, disregard instructions direxted rit entry of that infonnation
'already preprinted,
- 2. Enter -" Permittee Name Alailmg <f d,lress (and facility namel location, if diiferent)," " Permit Mumber.* and
' Disc /mege Number" where indicated. (A separate form is required fer cach discharge )
- 3. Enter dates beginning and endmg "A/annoring Period"emered by form where indic:ued.
- 4. Enter cich " Parameter" as speufied in monitoring requirements of permit.
l
- 5. Enter "Samp/c Alcamrrment" d.ta fer each parameter under "Guants/f and "puuhn" in units specified ia pernut.
- Awrage" is nonnally aruhmetic average (geometric :aemge for bacterLd paramcrcrs) of all sample tueasurements
- for exh parameter obtained during "3/ommrmg Period"; "A!aruicum" and ".1/imumm" are nonna!!) cereme ti;h 1
i and low measurements obtaind during *Afomtormg Period" (Note to mumcipals with secondary treatment l
requirem:nt: Er.tcr 30-day average of sample rue:nurements under "Arcrage " and enter maximum 7-d n average p
of sample measurements obtained dunn monitanng period ur.Jer "A/urtmmu "j e
f
- 6. Enter "/' rnut Regmrement" for cach parameter under "puantav" and "puahrf as specified m permit.
- 7. Under "No l'r" inter number of sampic measurmcatr, during roomforing penod that exceed maximum (and/or
. minimum or 7-day average as appmpriate) pt rmit requnement for each parameter if none. erder "fr f
- 8. Entet Trequemy of Armlysis" tdh as " Sample Alcawrment" (actual frcquency of sampling and analysis used during monitoring period) and as " Permit Re<pitement' specificJ in pennit. (c g, I ster
- Cont,* for continuous mon,itanng, "P7" for one day pec wcck, "ldu" for one day per month, "/W for one day per qu' uter, etc )
L
- 9. Enter "Smiple 7)pe" toth as "Samp/c A/ea3nrement" (actual sample type used during monitoring period) and as I
"Terrmt Rerpurement," (e g, Enter "Groh" for indisidual sample, "2./!/C" for 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> composne, "NM" for L
continuous nmnitoring. etc.)
I 10; Where isolations of permit requirements are reported. attach a brief explanation to describe cause and correcthe actions taken. and reference cach violation by date.
l I1. 'If"no discharge" occurs during monitoring period, enter "No Discharge" across fcrm in place of data entry.
f
- 12. Enter "NameMitte of Principal Erecutive OJJ1cer" with "5gnature of Pwicipal Executive Officer of Authori:ed Agent," " Telephone Number." and *Date" at bottom of form
[.
134 Mail signed Repon to Omce(s) by date(s) specified in permit Retain copy for your records.
14; More detailed instructions for use of this Discharge A/rmnormy Feport fDA/Rj form may be obtained from Omce(s) specified in permit
[
Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure m repon or failure :o report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to excee.d $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPA Form 3320q (Rev. 08-95) 4
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~
o Paperwork Reduction Act Notice P 2blic reportmg burden for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per response for some minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for some major facilitics, f
with a weighted sverage for major and minor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including time for reviewing
{
instructions, searching existing data sources, gathering and' maintaining the data needed, and compkting and t
reviewing the collectmn of informatio.. Snd conunents regarding the burden estimate.or any other aspect of I
this collectiott.of information, includmg suggestions for reducing this burden, to Chief, Information Policy l
Branih, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20460; and to the l
l Offjce of Information and Regulatory Affairs, Oltice of Management and Budget, Washington, DC 20503.
J m _a l
_r General Instructions l
- 1. If form has been partially completal by preprinting, disregard instructions directed at entry of that information
'already preptmeed 2, Ecter "Permutee Name:Afailing Address (and facibty namcIlocation, if different)." "Penmt ' Number
- and
" Discharge Number" where indicated (A ocparate form is required for each discharge.)
- 3. Enter dates beginmng and endmg "h.normg Penod" covered by form w here indicated.
1 4; Enter each " Parameter" as spe'alied in monitoring requacments of permit
- 5. Enter "Nample Meamerment" data for cath p:uameter under "Owntuy" and "(holut" in units specificd iii permit.
"Arerwr" is normally arithmetit. mcrage geometrk merage for bacterial parameiers) of all sarup'c menmemems for cAh parameter obtaincd during "Mmuoring Peno</" "Marimum" and "A/mimmn" are normally cureme high
(
and k:w. measurements obtained dunng "Ennormy ?cnod " tNote to mtmapals with second'u3 trcntment i
requirement Enter Wisy astrage of sample measurements under %uage." and enter maximum 7 day aurage
{
of sample me.asurements obtained during momtoring period under "Maumum ")
- 6. Enter *Pennit Regmrement" for each parameter under *Guantity" and "Qualuy" as specified in permit.
7, Under "No Fx" ewer number of sample measurements dering ruunitering penod that exceed maximum tand/or minimum or 7-day average as appropnate) permit requirement for each parameter If rmne, enter 0".
8, Euter "Frerpeney of Analys# toth as " Sample Meawnnent" (actual frequency of sampling and analysis 'used
/
during monitormg period) and as "Tcnnu Requirement" spccified in permit. (c g, Enter " Cont." for continuous 1
monitoring, "!/7" for one day per weck, "/du" for cae day per month, "/Str for one d.r., y quarter, etc )
- 9. Enter " Sample 7)pe" both as " Sample Measurement" (actual s::mpic 13pc used during monitorim; period) and as "Permu Reiparement " (e g., Enter " Grab" for indmdual sample. "24/IC" for 24-hour composite, "N A" for continuous morutoring. etc) -
- 10. Where violations of permit requirements are reported, attach a brief explanatirm to describe cause and corrective actions taken, and reference cach violation by date.
I1, if "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.
- 12. Enter "NameTitle of Prinnpal Executne 0))icer" uith "Sigrature of Prma;>al Executn e Oficer of Authon:ed Agent," "Telephone Number," and "Date" at bottom of form.
- 13. Mail signed Report to Omec(s) by date(s) specified in permit. Retain copy for y our records.
- 14. More detailed instmetions for use of this Dncharge Mmuormg Report (DUR) form may be obtained from Omce(s) specified in permit.
Legal Notice This report is required by law (33 U.S.C.1318: 40 C.F.R.125.27). Failure to repmt or failure to report truthfully can result in civil pen lties not to exceed $10,000 per day of violation; or in ennunal penalties not to exceed $25,000 per day 4
i of violation, or by imprisonment for not more than one year, or by both.
1 EPA Form 3320d (Rev. 08 95)
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Paperwork Reduction 'Act Notice i
Public reporting burden for this collection of intornunion is e.stimated to vary from n range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an f
average per response for some minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for some nujer facilities.
with a weighted average for major and nunor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including time for reviewing l
indruhtions, searching existing data sources, gathering and maintaining the data needed, and completing apd l
reviewing the collection of information. Send commenp regarding the burden estimate or any bther aspect' of this collection of information, including 3.uggestions for ret!ucing this burden, to Chief, Infiirmation Felicy Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW hhington, DC 2N60; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 2050L i
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General Instructions
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l 1.'If fons has been partially completed by preprinting, disregard instructions directed at entry of that information already preprinted.
- 2. Entir " Permittee Namedfailmg Address (and facility namc/ location. tf different)," "Femut Nuinher," and
" Discharge Number" where indicated. ( A separate form is required for each discharge )
L Enter dates beginning and endmg '%mucemg Period" cm cred by form where indicated
- 4. Enter cach " Parameter" as specified in momtoting requ rements of pennit.
5, Enter "Nampic Alcasurement" data for cach panmeter undct "Quantsy" and "Guahty" ia units speciEcd in permit.
"Aretage" is normally anthmetic average (geometnc aerage for bact:nal panuncters) of all sample measurcruents
.for each parameict obtamed during "A!anitormg Perm;!" "Alatmaan" and "3/munmn" are normally estreme bigh and low measmements obtained donng "Afomtvrmy rcriod" (Note to municipals with seccndary treatmem requirement-Enter 30-day average of s:unple measurements under ".f rerage." and enter maximum 74y average of sampic measurements cotained during monitoring period tmdct "Afarimum. ".i
- 6. Enter *Pcrmit Requnement" for cach parameter under "Guantity" and "Qua!stf as specdied m pennit.
' 7. Under "Nu Ex" enter number of sample rneasurments during monitonog period that enced muimum (and/or minimum or 7-day aT erate as appropnate) permit requirernent for each panmeiet U none, enter "0".
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- 8. Enter " Frequency qf.inalytis" both as " Sam;>ie Afeauerment" (actuct frequency of samphng and analysis used durmg mondonnx period) and as "Pcennt Rectrerementspecified in pumit (e g. Enter 'Tont." for continuous monitonng, "16" for one day per week, "/00" for one day per rnonth. "LC0" far cne day per quaner, etc)
- 9. Enter "Sampic 7)pe" both as " Sam;'le \\femuremen!" (actu:d sampic type used dunng manitoring period) and as
" Permit Requirement " (c g, Enter "Grah" for individual sample, "NI/('" for 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> comimie. "NW for continuous monitoring. etc )
10; Where xiolations of pennit requirements are reported. attach a brief explanation to descnbe cause and cotrcctive actions taken, and reference cac h violation by date
- 11. If"no discharge' occurs ouring momtoring perimi, enter "No Ducha ge" across form in place of data entry.
- 12. Enter "Namc Title af Prmcipal becutive Of]icer" u,th " Signature of Prmcipal Executwe Ollicer af A uthors:ed Agent,* "Trieptrone Number," and Date" at bottom cf fann.
- 13. Mail signed Report to Off ce(s) by date(s) specified in pennit. Retain copy for your records.
14; More detailed instructions for use of this Disc harce A/omformg Report (DAfR) fonn may b obtained from OfTiec(s) y specified in permit.
Legal Notice
'Ris repo-t is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Fmlure to report or tailure to report truthfully can result in civil penalties not to exceed $10 000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not nmie than one year, or by both.
EPA Form 3320-1 (Rey,08-95)
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I Paperwork Reduction Act Notice Public repnting burden for this collection of information is estirruted to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per response for some minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for sinw major facilities, with a weighted average for major and minor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per respon'.e, including tinw for reviewing mstnietions, searching existing data sources, gathering and maintaining the data needed, and completmg and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of infornution, including suggestions for reducing this burden, to Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency,401 M Street, SW hhington, DC 20460; and to the 1
Of fice of Information and Regulatory Af fairs, Of 6ce of Management and s Jget, hhington, DC 20503.
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General Instructions 1, if form has been padudly completed by preprinting, disregard instructions directed at entry of tbr information alre4Jy preprinted.
- 2. Enter
- Permittee Namediati. rg Address (and facihty namelbcation, if ddTerent)" " Permit Number and
- Discharge Number" where ini cMed ( A separate fonn is required for each discharge )
- 3. Enter dates beginning and enc.ng "A/omtem/ Period" cosered by fann where indicated.
- 4. Enter cach "Paramercr" as specified in monitoring requirements of pennit
- 5. Enter " Sample 3/cawrement" data for cach parameter under " Quantity" and "Gualay" in units speciGed in permit.
% rrwe* is normaHy arithmetic averal;c (geranchic merage far bacterial parametern of all samp!c measuremems for cach parameter obtained dunng #3!onnormg Pcral" "Alawnsm" and "!/mimum" are nornully extreme high and 10.. measurements obtamed durmr, *3!omtvemy Perhid? (Note to municinals vmh secondary treatment requireme nt. Enter Wday ascrage of sample measurements under Wrage " md enta mnimum 7 day aserage of umple measurements obtained during momtoring period under "3/aumet ')
- 6. Enter " Permit Reqmrement" for each parameter under "Ouantay" and "(h,alay" as spea6cd in permh
- 7. Under "No Ex" cuter number of sample measunnents during numitoring permd tlut cud maumum (and/or minimum or 7-day arcrape as apprepnate) permit requirement far each parameter. If none, enter "0"
- 8. Enter "Frcquency qf Analym" both as " Nam;>!e 3fe murmcn/" (ntual f:equency of sampling and analpis uv:d dunng monitoring period) and m. "Fermt Requvonent" specificd in ucrmit. (e g, Enter "Gnt." fw continocus -
monitoring. */J" for one day per ueek, "100" for one day per month, W90" for one day per quaner, etc )
- 9. Enter
- Sample 'i)pe" both as " Nam;'!c 3femarcmcm* (actual s:unple type used during monitcring penod) and as
- Permn Reymrement." (e g Enter "Gmb" for indiudual sample. "N//P for 24-hour compoute. "N A* for continuous monitoring. etc )
- 10. Where violations of pennit requirements are reported. attach a bnef explanation to describe ctmse and conechte actions taken and reference cach uolahou by date.
I1. If"no discharge' occurs during monitoring period. cnter "No Dmharge" across form in place of data entry.
- 12. Enter *Name:7itle of Prinapal Executn e Oficer" uith " Signature of Prmci;>a! Ettcu:tve 00:cer of AuthoracJ Agent,* 7elephone Number," and *Date" at bottom of form.
- 13. Mail signed Repan to OfUce(s) by date(s) speciDed m pennit Rctain copy for your records.
- 14. More detailed instructions for use of this Discharge Afomtoring Report (DA/R) form may be obtained Irom Office (s) specified in permit.
Legal Notice This repnt is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or fadure to rennt truthfully can result in civil penalties not to exceed $10,000 per day of s solation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPA Form 3320-1 (Rev. 08-95)
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+ t Papenvork Reduction Act Notice
~
e Public reporting burden for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per response for some minor facilities, to 110 hourias an average per response for some taajor facilities, with a weighted average for major and minor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including time for reviewing l-im.tructions,iscarching existing data r,ources, gathering and maintaining the data rmeded, and ' completing and
~
l reviewing the collection of infornution. Send coinments regarding,the burden estimate or any 'other aspect of j
this kollection; of information, including suggesti;ons for reducing this burden,= to Chie2, Infornution. Policy Brech, PM-223, U.S. Environmental Protection Agency,401 M Street, SW Washington, DC 20460j and to the l'
Office ofInforroation and Regulatory Af fairs, Office of Management and Budget Washington, DC 20503.
_c 3
General Instructions t
s.
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!bif form has been partiallv completed by preprinting, disregard instructions: directed at entry of that infonnation
'aheady preprinte<!;
m-i"Permirtce NameGfailing Address (and facility ' name/ location, if different)," " Perm /t Number," and 2L Enter
- " Discharge Number" where indicated. (A' separate fonn is required for each discharge )
1 3l E'nter dates beginning and ending *Momforing Period" covered by form where indicated.
a 4, Enter each *Paramcrer" as specified in monitoring requirements of perrnit.
~
- 5. Enter
- Sample Measurement" data for cach parameter under "Quannty" and "Guality" in muts specified in pennit.
> %erace" is normally anthmetic ascrage f geometric ascrage for bacterial parameters) of all sample measurements -
' for each parameter obtained during "Monitanny Permd"; "Macimum" and "Mmimum" a e normally cereme high
' and low measurements obtained during "Monitonry Period." (Nbte to' mumcipals' with seconda.ry itcatment requirernent Enter 30-day average cf sample measurements under %crage " and enter nmimum 7-da avmge:
- i of sample measurcinents obtained during monitoring period under "Marirnum ")
- 6. Enter "f.'mit Requ!rement" for each paramet'et under " Quantity" and "Guality" as specified in pennit.
7.:Under "No L" enter number of sample measurements during monitoring ' period that exceed muimum (and/or minimum er 7 slay average as appropriate) pennit requirement for each parameter. If none, enter "a".
8 Enter "Frcquency of Analysis" both as "Sampic Mcasurment" (actual frequency of sampling and analysis used -
3 during monitoring period) and as
- Permit Regmrement" specified in permit. (e g, Enter " Cont," for continuous >
monitoring "IT for one day per week, "100" for one day per month, "UWP for one day per quarter, etc )
- 9. EnterjSample ft)pe" both as "Samp!c Meamrement" (acttut sampic type used during monitoring penod) and as
" Permit Requiremem " fe g, Enter "Grah" for individual sampic, "2.f#C" for 24-hour composite, "NM" for
- 1
. continuous monitonng, etc ) -
' ?O; Where violations of permit requirements arc reponed, attach a brief explanation to describe cause and corrective actions taken, and reference each violation by date.
I L If "no discharge" occurs during monitonng period,' enter "No Dacharge" across form in place of data entry.
4 12: Enter "Name? nile of Principal Executive Oj]icer" with
- Signature of Pnncipal Executive Ollicer ofAuthori:cd
' l Agent " " Telephone Number," and "Date" at bottom of form.
13! Mail signed Repon to Office (s) by date(s) specified in permit. Retain copy for your records.
14; More detailed instructions for use of this Discharge Momtoring Report (DMR) form mn be obtained from Office (s) specrfied in permit.
Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125'.27). Failure to report or failure to report truthfully can o :,
result in civil penalties not to exceed $10,000 per day.of violation: or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
S EPA Form 3320-1 (Rey,08-95)
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Paperwork Reduction Act Notice.
J Pbblic reporting burden for this co!!ectiot; of infonnation is c:,timated to vary from a range of 10 hourt, as an
~l ave' rage per response for some minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for some major' facilities, with'a weighted average for major and minor facil.ities of l_8 hours per reqxmse, mcluding time for reviewing iristructions,' searching existing data sources, gathering and maintaining the data neededcand completing' and reviewing the collection of information Send ~ comments regarding tb but len estimate or any other aspect of this, collection of information, including suggestions for reducing this hurden, to Chief. Inforumtion Policy
.' Branch; PM-223, U.S; Environmental Protection Agency,401 M Street, SW Washingmn, DC 24460; and io the Of5ce ofInfortnation and Regulutory Alfairs, Office of Management and Budget, Washington, DC 20503.
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_~._ _ i
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General Instructions
(
f 1, if form has been partially completo.! by preprinting, disregard instructions directed at entry of that infonnation 31 ready preprintedc
- 2, Enter...'rermittee Name/Afailmg Address (and facility name/ location, if ddrerent)," "Pennit Number," and
?pischarge Number" where indicated. (A separate form as required for each discharge.)
]
3, Enter dates beginning and ending "Afomformg Period" covered by form where indicated.
4 Enter each " Parameter" as specified in monitoring requirements of permir.
5; Enter
- Sample Afrosurement" data for cach parameter under " Quant!Iy" and "gually" in units specified in perndt
",lverayr
- is nennally arithmetic average (geometric average for bacterial parameters) of all sample mmtucments e
for dach parametcr obtained during *3/omturing Permd"; "Atanmum" and "Mimmum" are normally extreme high and lom measurements obtained dming "Alaritormy Period" -(Note to municipais with seconday treatment requirement" Enter 30 day average of sample measurements unde " Average " and enter tuasimum 7-day a' erage v
4 of sampic rnea;urements obtained'during monitating period under "Manmum. ")
l
- 6. Enter "Permi! Re<luirement" for each parameter under " Quantity" and "Qua/ny" as s;>ccified in permit.
'/.Under *No D* enter number of sample measurements during monitoring pened that exceed maximum (anwor minhoum or 7-day average as appropriate) permit requirement for each parameter. If none, enter "0".
- 8. Enter " Frequency of Analy3 ' Mth as " Sample Meaturment" (actual frequency of sampling and analysis used f
1 during monitoring period) aM as "Tcrmit Requirement" specified in permit (c g, Enter " Cont " for continuoc monitoring, "l/7" for one day per weck, "l/30" for one day per momh, "1/90" for one day per quarter, etc) 9 Enter " Nam;'le 7)pe" both as " Sample 3/casurement" (actual sample type used during momtoring period) and as s ? Permit Requirement," (e g, Enter "Grah" for individual sample, #N/lC" for 24-hour composite; "N A" for contim ous nionitoring, etc.)
10l.Where violations of permit requirements are reported. attach a bnef explanation to describe cause and corrective actions taken. and reference each violation by date.
I!! If"no discharge" occurs daring monitoring penod, emer "No Discharge" across fonn in place of data entry.
l$ Enter " Nam $ Title.of Princi;ml Secutive UJJicer" with " Signature of Prinapal becutive Oficer of Authorried
~ Agent,* " Telephone Number " and *Date* st bottom of form.
l
- 13. Mail signed "tepan to OfLce(s) by date(s) specified in permit. Retam copy for your records.
'g-
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14, More detziled instructions for use of this Dacharge Monitoring Report (DMR) form may be obtained from O!Iice(s) specified in, permit.
1
' _[.
Legal Notice
~
T1tih report is requiied by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can 3
result in" civil penalties not to exceed $10,000 per' day of violation; or in crirninal penalties not to excwd $25,000 per day of violation, or by impnsonment for not more than one year, or by both.
~ EPA Form 3320-1 (Rev. 08-95) s
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Public reporting burden for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per response for sorne minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per. response for wme major facilities, with a weighted average for major and minor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including tims for reviewing instructions, searching existing data sources, gathering and maintaining'the data needed, and sompleting and reviewmg the collection of information. Send comments regar' ding the burden estimate of any other aspect of this collection of infomation, including suggestions for reducing this burden, to Chief, Information Pohey Branch, PM-223, U.S. Environrnental Protection Agency,401 M Street, SW hhmgton, DC 20160; and to the l
Office of Information and Regulatory Affairs, Offi;e of Manegement and Budget, Washington, DC 20503.
l l_ _ _. _... _..- - - _. _. _ _
_ __ ]
General Instructions
!.-Jf form has been partially completed by preprinting, disregard instructions directed at entry of that information hiready preprinted.
2L Enter " Permittee Named /ading Address (and facility n;unc/ location, if different)," " Permit Number? and "Daharge Xumber" where indicated. ( A separate form is required for each discharge )
- 3. Enter dates beginning and ending 3/onitoring Permd"cosered by form v.here indicated
- 4. Enter exh "Paramcter" as specified in monitoring requnen.cnts of permit.
- 5. Enter " Sample 3/cawrement" data lbr each puameter unda "panntay" and "Gualay" in muts spec!fied m penuit.
"ch ooge" is nonnally anthmetic astrage igeometric aserage for bacteria! parameters) cf ait sample m:asuremend far exh paameter obtained durmg S/omtarmg Penod". "Alarinnau" and "afm+mmn" ac normali) estre nc hi;;h and in measuremcots obtained dming M/om/ ming !vrmd" (NNe lo mimicipals unh secondar) t reatinent reqmrtment: Enter 10-da) average of san.;ic nr:asa cments under ".hrrage." and enter maumum 7-day average of sample tocamrcments obtained durmg monitering pened under "Alawnum D
- 6. linter "Per mt Rajwrcrvnt" for each parameter unJar "Gemity" and "Gi.,a!ny" as specified m penuit.
7 Under "E Ex" enta number of sample meamnnene dunng mnitoring period that acecd maximum (and'or
- minimum or 7-day aserage as appropri:de) permit re<parement for each parameter. If none, enter "0"
- 8. Enter ' Trop.cr cy of Analysn" both as "Namj>!e 3/casu ment" (acutal frequenc) of s:uupiing and analpis used during monitoring period) and as "Pernut /(cquiremem" specified in pennit. (c g, Eter "Contf for contimtaus monitoring. "I 7" for one da3 per webk. "/do" for one da) per month, */30" for one day pc quaner etc )
- 9. Enter ".hp!< 7)pe" toth as " Sample 3/cawrc. ment" f actual sampic ty pe used dunng momtoring period) and as "rrmnt Repdremem," (e g, Enter "Grah" for indisidual s unpte "N1K* for 2Lhour composiic, "NT for continuous raonitoring etc )
- 10. 'Whbre viatations of pennit requirements are repor1cd. attach a brid, y planation to describe cause and corrective actions taken. and reference cach violation b) date.
I1. If"no discharge" occurs during monitoring period, enter "No lhscharge" ao u : form in place of data entry 12, Enter "Name *Dtie of Principal hecutn e Ojjicer" uith "Sgnature of Principa! Em utov ' r ; er qf Authon:ed
' Agent," "Telephare Number.* and "Date" at bottom of form
- 13. Mail signed Repon to Omce(s) by date(s) specified in pennit. Retain copy for your records
- 14. More detailed instructions for use of this Dncharge A/onitoring Report (D3/R) form may be obtained from OM c(s) specified in permit.
Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report trmhfully can result in civil penalties not to exceed $10,000 per day of violatwn; or in enminal penalties not to exceed $25,000 per day of violation, or by imprisonment for r,ot more than one year, or by both.
EPA Form 3320-1 (Rev. 08-95)
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+a Paperwork Reduction Act Notice Public reporting burden for this collation of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per resp >nse for some minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for same nwor fa;dities, l
wah a weighted average for nujor and minor facilibes of 18 Imurs pu response, includmg tima for revtewing l
instructions, searchin;; existing data sources, gathering and maintairdng the data needed, and completing and l
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revising the colhwtmn of information. Send comnents reprding the burdeu estimate or any uher a7xt of l
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l this couxtion of mfornution, meludmg suggeshons for reducing thh burden, to Chief, Inforuntic n P0 hey Dranch, PM 223, U.S. Environmental Protectmn Agency,431 M Stre(t, SW Washmgmn, DC 2040; tmd to the l
l Olike of Information and Regulatory Af tairs, Office of Management and Badget, Wadiington, DC 20503.
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General Instructions
- 1. If form has been pctia!!y completed by preprintmg. disregard iro,trutiens does ted at entry of that info:nution ultrady preprinted l
2, Enter
- Permit:ce Nacne \\f:n!wg IJJren (and faility namc!\\ocatmn. if ddfarent)." " Pew! Nuder." and "Ihkharge Number" w here mdicated ( A separate fotm is required for cach discharge )
- 3. Enter dates begmmnp and endmg 3fonnorm.c l'erm</"tovacd by farm where nuhcded
- 4. Enter,cach "Paramete" as spxifkJ in momterug scrpdrements c>f minut d[ and Ya ?!alf" th Umh 5;Gd}Cd a permit i, Entf f "Samflc 3fci < Lrrmcht" d..!a fGr CLll pdiantt !Of UD.kr "OL r
"Mrge" n norma!!) arn!anchc.nenge 0;eemein merap fu to aerial par:macrsi nf dl sam;A mentacmem
- 1c Nn:dly edt ne hid fa ca h parameter obt:aned dunt:g fommr;q li m:/" " * !m mun" and 9 tr m and low ruc urem.c as obtauwd dunng "AI-mtore:g !WJ " Gote to nmu cipah wi*h recnd u3 tream en' req Mri mCrit. IMCr Mdl) Mf rJ)l, Of ULPfh !bCJ%urt i Onl% Un.lLi ~IirfG.c dnd Crd2T nu dnldm 7+It) M Cr QL of hamp[d thcaxurCrilClits Obitned dMuug mumtunny pcliod tmEr "'[Wmm% O
- e. Ent:r "Peraal Rc:parrmern" hir cash paramir und:r " Genta," anJ "(b 'ay" as treaficd m pena t
- 7. Unir "No /l.x" enLr number of samp!e meamt renn darinr monhonng prad tha caJ mnm um f andfer nunimum or 7-day avery as appropnafe) penmt reqair< ment for erh paramMer if none. enter "0"
- 8. Erter "Ficencv of.;oalp# leth as s,pl, 3/cc armva" (rtual fn:quency of wn:phnr and anMya und donng monnoring period) and a "Pernnt Regwrme <
- speedicd in pernut. (c g, I nter ' "ont " fa comumous manilanng, "/r I' [of One dJ) pCr M et.k, "/ N" [Ur Un0 d i) pu WOhlh, * / ' d ' fDr ont dQ PCr Qh.T f,Cic )
- 9. Enter "M le 7)pe' both as "Ly!c 1/n u.rement" (xtual sampic typc used dunn; monitanng peu+D : nd as
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- Permit Rergnement,"- (e g; Enf er "draP for indn tdu.d < unpic "N//t '" for 24-hour compsti. "N A" for cominuous rnondoring, etc )
- 10. Wherc siolations of peront requhements are repartcJ, atixh a bncf esplananen to d.: cnh cans at.d wrrtetne actions taken, and reference cach sichnion by date
- 11. If *no discharge" occurs dunng monitonng periai, enter "No DMarge" aaou form in pl ec of data entry
- 12. Enter "Name Title of Prma;>al Fucutwe Qfh er" unh "Ngnan,re of Prmc: pal (lxcaam Uj% cr qf Arah m:cJ Agent * "Tclephone Mmber." and *Date" at bouom cf farm
- 13. Mail signed Report to Ollke(O by d;ne(s) specified in penuit Ret:nn ccpy for y our records 14 More detaded instructions for osc of this Dischorpe 3 Amitormg Report (DAIR) form may be obtained from OlTce(s) sp;cified in permit Legal Notice This report is requaed by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or fauure to report truthfully can result in civil penalties not to exceed $10,000 per day of violauan; or in criminal penahies not to enceJ 525,000 per day of violation, or by imprisonment for not muie than one year, or by both.
EPA Form 3320-1 (Rev, t&95)
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with a weighted average for trajor and mmor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including tims for reviewing instructions,p.earching existing data sources, gathering and' maintaining the' data needed, and completing and rev[e, wing the collection of infonnation.. Send conunents regarding the burden ' estimate or any other aspect of this collection of infornution,- including suggestions far reducing this burden, to Chief, Info +mation' Policy l
~
B' ranch, PM 223, U.S. Environm-ntal Protedion Agency,401 M Street, SW Washington, DC 20460; and to the Office ofInformation and Regulatory Affairs, Office of Management and Budget, hhington, DC 20503.'
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General Instructions t
- 1. If form has been partially completed by preprinting, disregard instructions directed at entry of that information (already preprinted.
- 2. Enter " Permittee Namesfalling Address (and facility namcIlocation. if different)." " Permit. Nimber," and
" Discharge Number" where indicated. ( A separate fann ts required for each discharge.)
' 3. Enter dates beginning and endmg *Monito mg Period covered by form where indicated.
s
- 4. ;Einer each " Parameter" as specined in monitoring requirements of permit
- 5. Enter " Sample Afer wrement" data for cach parameter under "Guantity" and "guality" in umtsipeciSed inperndt.
" Average" is normally arithmetic aserage (geometric aserage for bacterial parameters) of all sample measurements for cach parameter obtained during "Monitormg PerioJ" "Marimum" and "Mmimum".are normally otreme high 4
and low measmements obuined.during "Monitorme Period." (Note to municipals with secondary treatrtsent requirement 1 Enter 30-day avera;;c of stopple measurements under " iverage.* and enter maximum bday. average of sample measurements obtained during monitoring period under "Marimum ")
- 6. Enter " Permit Rcymrement" for cach parameter under " Quantity" and "Q2.anty" as specified in permit.
7, Under "No Er" enter number of sample measurements during rnonitoring period that exceed maximum (and'or
' minimum or-741ay average as appropnate) permit requirement for each parameter. If none, enter "0".
- 8. Enter "Fr.>quemy of Analy3rs" both as " Sample Mcawrment" (actu-d frequency of sampling and ana!) sis used during monitoring period) and as " Permit Requirement" specified in permit. (e g. Enter "Crmt
- for continuous
. monitoring "10" for one day per seek. "/SU" for one day per month, "l'90" for one day per quarter, etc )
- 9. Enter " Sample 7)pe" both as
- Sample Memdrement" (aptual sample type used during racc.itoring period) and as
- Permit Reqmrement." (e g.c Enter " Grab" for indisidual sample, "2.fm'" for 244our composite, "N?I" for continuous monitoring, etc.)
-10. -Where Violations of pennit requirements are reported, attach a brief explanation to describe cause and conective actions taken, and reference cach violation by date.
I1, If "no discharge" occurs during monitoring penad cnter "No Ducharge" across form in place of data entry.
12 Esder *Name'Dtle of Principal Execuanc 0]icer* unh " Signature of Principal Erecutive Officer of Authorced Ageni,* 7elephone Number," and "Date" at bottom of form.
~
' 13. Mail signed Report to Office (s) by date(s) specified in permit. Retain copy for your records.
14} More detailed instructions for use of this Discharge Momtoring Report fDMR) fonn may bc obtained from Office (s)
. specified in permit.
~
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[
Legal Notice t
. This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or fadure to report truthfully can
. result in civil penalties not to exceed $10,000 per day of violation; or in' criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.-
{
EPA Form 3320-1 (Rev. 03-95)-
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=a Papenvork Reduction Act Notice Pu$lic reporting burden for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per response for some minor facilities, to 110 bours as an average per response for some major facilities, with a weighted average for major and minor facdities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including tine for retiewing instructions, searching existing data sources, gathering and, maintaining the data needed, and c6mpleting and reviewing the collection of information. Send. comments regarding the burden estinute or any other a.spect of this' rollection of information, inchtding suggestions fbr reducing this burdeni to Chief, Information Policy j
Brant;h, PM 223, U.S. Environmental Protection Agency,401 M Street. SW Washington, DC 2040; am) to the.
Office ofInformation and Regulatory Affairs OfGee of Management and Budget Washington, DC 20503!
.'. _.i _._
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iGeneral Instructions 1, if form has been partially completed by preprinting, disregard instruction duected at entry of that information aircady preprinted.
- l Enter " Permittee Nam #Ala;/ing 'Addrers (and facility namellocatian, if differeno," " Permit Number " and 2
" Discharge Number" where indicated. (A scimrate form is required for cach discharge.)
- 3. Enter dates beginning and ending "Afamtoring Periml" cm cred by form where indicated.
4.' Enter cach "Parumeter" ns specified in momicaing requirements of permit.
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- 5. Enter " Sample A!camrement" data for each parameter under "(fuantity" and "Guahty" in units specilled in permit.
% eraye" is normally arithmetic average (geometric merage for bacterial parameters) of all sample measurements for each parameter obtained during "A/omformy Pcemif'; "Afarimum" and "Ahnimun" are normally estreme high and lam measurements obtained during 'A/omformg Pcrind" (No:e to municipals with secondary tre.atment sequirencn1 Enter 30-day average of cample measurements under "Arerage," an,i enter maximum 7-day average of sample measurements obtained during monitoring priod ur. der "Afarimum ")
- 6. Enter "Permu Requirement" for each parametcr tmder "Quantny" and "Guahn" as specified in pennit.
- 7. Under "No Er" enter number of sample sneasarments during momtoring period that c>.cced maximum (and'or
~
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minimuru or'7-day asernge as appropnate) permit requirement for cach parameter, if none enter "0".
- 3. Enter " Frequency of Analysis" both as "Nample Alcamrment" (actual frequency of sampimg and an:llysis used during monitoring period) and as " Permit Rcquiremen!* specified in pennit, (e g, Enter "C<mt " far continuous monitoring. "/d" for one day per week. "/dO" for one day per month "/W for one day per quarter, etc )
- 9. Enter "Nample 1)pe" both as
- Sample Atenarement" (actunt sample type used during monitoring period) and as
" Permit Requirement " (e g, Enter " Grab" for individual sample. "14HC" for 24-hour composite, "NCt" for continuous monitoring, etc.)
'10. Whert nolations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions tal.ert, and reference cach violation by date.
- 11. If"no discharge" occurs during monitoring penod, enter "No Discharge" across fonn in place of data enny,
- 12. Enter "NameTitle of Prmcipal Executwe OJ)1cer" with
- Signature of Prmc) pal Executive Ojpcer ofAuthori:ed a
Agent " " Telephone Number," and "Date" at bottom of fann.
- 13. Mail signed Report to Office (s) by datets) specified in permit. Retam copy for your records
- 14. More detailed instmetions for use of this Discharge Afonitoring Report (DAIR) form may be obtained from Office (s) specified in pennit.
~
Legal Notice l
This ' eport is. required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to trport truthfully can r
- result in civil penalties not to exceed $10AX)0 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPA Form 3320-1 (Rev. 08-95)
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Papenyork Reduction Act Notice y
Public reporting burden.for this co!!ection of information is estimated to vary from a range of to hours as an average per response for some minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for some inojor facdities, with a weighted aYerage for major and, minor facilities Of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including tims for reVicWing iddrtictions,)searchi5g existing data sources, gathering and maintainin~g' the data needed, and conipleting and reviewing the cdlection of information'. Send comments'regarding the burden ustimate or any other aypect of -
the collection of.information, including suggestions for reducing this burden, to Chief. Information Pelicy
)
~
- Branch, PM-223, U.S. Env'ironmental Protection Agency,401 M Str(et, SW Washington, DC 20460; and t'o the I
OfGce of Information and Regulatory Affairs, Of6ce of Management and Budget, Washington, DC 20503, O
d
<O General Instructions
~
li If form has been partially c6mpleted by 'preprinting, disregard imtructions directed at entry of that information faiready preprinted.
- 2. Enter ("Permittec Name/A/ ailing Addreu (and facility nameAccation, if diffdent)," " Permit Number," and ~
- i "Ditcharge Number" where indicated (A separate form is required for each dncharge.)
3, Enter dates beginning and ending "A/cmitoring Period" covered by fonn where indicated.
4L Enter each "Pmrameter" as specined m monitoring requirements of permit.
l
- 5. Enter " Sample Aleavurement" data for each parameter under "Quantay" and "Gaahry" in units specified in permit.
"Averaxe" is' normal! arithmetic m erage (geometric mtrage for bacterial parameters) of all sample meawrements 3
for exb parameter obtained during "Monirvemg Permd"; "Alanmum" and *A/mmmm" are norma!!y extreme high and. lw measurements obtained during "Afomtoring Period" (Note to numicipah with secondary treatment requirement: Enter 30-day average of sample measurements under " Average." and enter misimum 7-day average a
of sample measurements obtained dating monitoring period under "Afarimum ")
]
- 6. Enter Pfermit Requirement" for each parameter under "Gdantity" and "Quahts" as spec Ded in permit.
- 7. Under *No IY' eraer number of sample measurements during monitoring period that exceed maximum (and/or minimmo or 7-day average as appropnate) permit requirement far each parameter. If none. enter "0"
' 8. Enter'"Freyway of Anal) s/s" both as ".Lm;!< Measurment" (actual frequency of sampling and snalysis~ used during momforing peroJ) and as "Pcrimt Requirement" speciGed in permit. (e g. Enter " Cont," for continuous monitoring. "/n" for one day per weck, "I'30" fo-r one day per month. "140" for one day per quarter; etc )
- 9.' Enter."Samp/c 7)pe" both as %mple Alcasurement" (actual sample type used dtiring monitoring period) and as
- Termit Requirement "- (e gr Enter "Gralf for individual sampic, *24HC" for. 24-hour composite, *N'A* for continuous momtoring, etc.)
10; yhert violations of perrait requirements are reported, attach a brief explanation to describe cause and conective actions taken, and reference each violation by date.
I1. If"no ' ischarge" occurs during monitoring period, enter "No Duchcrge" across form m place of data entry.
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.12, Enter "NameTule of Principal lhecutwe Ojjicer" with " Signature of Prmespal Executwe Oficer of Authon:ed Agent,"
- Telephone Number " and "Date" at bottom of form.
13; Mail signed Report to Ofnce(s) by date(s) speciGed in permit. Retain copy for your records.
14< hiore detsiled instructions for use of this Discharge Afonitoring Report (DMR) form may be obtained from Ofnce(s) specified in ImmitL Legal Notice
'llis report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Fai?ure to report or failure to report truthfully can result m civd penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPI Form 3320-1 (Rev. 0845)
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Paperwork Reduction Act Notice l
Put$lic reporting burAn for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> ax 2n f
average per respon3e for some minor facdities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for some major facihties, with a weighted average for major and rninar f acihties of.18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including tia.:, for reviewing
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instructions searching existing data sources, gathering and maintaining the data needed, and completing and l
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reviewing the collection of information. Send comments regarding the burden esthste or any uher epect of l
this collection of information, incluJing suggestions for reducing this burden, to Chief, Information Policy j
Branch, PM-223. U.S. Environmental Protation Agency,401 M Street, SW Waxhington, DC 20E0; and to the j
OfDee of Information and Regulatory Affairs, Of fice of Mampment anJ Budget, hhington, DC 20503.
1
. _. _... _ _. ~ _.. _..... -
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General Instructions 1, if form has been partially comp!cted by preprinting, disregard instructions directed at entry of that infomution i
already preparded.
- 2. Enter "Pmmtfee Nome A fading,1ddress (and facihty name/hwation, if different)," " Permit Number," and "Dischary Number" where indicated. ( A separate form is required for each dischargel
- 3. Enter dates begirming and endmg Sfomiurmx Permd" cevered by form where mdicated
- 4. Enter cach "l'armurer" as specified in momtoring reqmrements of permit.
S. Entt hple A/eco.rement" data for each parameter unkt "Gua aity" and "guc! ry" in uni!s specified in permit
".lmcgc" is ncimally mithmenc average (geometnc a crge for Nctaial paran e!:rs) of all sample mmuremer for eash paramdcr obtained during "Ahmnanng Pcnod" "3/cuns" and "A f.n.nnun" are narma!!) cweme high and la measuremems cbtained during "t /omtvrke l'ermd " (%te to muniapds with sewnd.u) tredmem Emer Wda, mrage of sxnpic measu'anents undcr ".h era.
- and ener mnimmu 7-da3 aurage r
s eguiremert-of sampic measurements obtained during n.otutaing periad unir "i/anmum "!
h, Enter "Pt'rm!/ Rr'jutr4 /WHI" for CAh p'Hamc!C r UndCr "Gua any " and "(NJ/W ai <pesided in pCDnit
- 7. Und;r "Jo Et" emcr number of suuple measurmcrits during moutoring p:riod that exceed mitunum (and/or mmincam or Lday avenge as ~;Tropnate) pennit regmrement f or each parameter if none, enter 'w".
& Erder "Frepcuy qf Ana!pis' both as "Vamf e &!cem.rment" (actual frequency of sampling and analysis used l
during monitanng period) and as "Pcrmit Retju.rement" macified in pennit (e g. Enter Tont
- fer continaous manitoring. * / n" for one da) per week, "!dO" for one da) per monih, "1 W for one day per quarter, et: )
- 9. Enter *Sumple Ope" both as " Sam;'Ic 3/casarement" (a:tual sampic type used during nonitoring peric@ and as
" Perma '/Mporement." (e g.
Emer "Grah" for indnidaal sampie. "N/R' for 24-hour composac, "Nvi" for continuous monitoring, etc )
- 10. Where viobtions of pennit requirements nre reported. attxh a brief exp!stanon to deznbe c.mse and corrective actions taken. and reference cach siolation by date.
I1, if"no discharge" occon during monitonng peri 4 cnter "No Dm harge" across form in phc of data entry
- 12. Enter "Namc 7'ule of Pnncipal Dcc utive 0]Decr* uith " Signature of Prmaral Erecuine Oficcr of AdoracJ Agent,' " Telephone Namber." and "Date" at twttom of form.
- 13. Mail signed Report to Office (O by date(s) specified in pennit. Ret.un copy for 3our records.
- 14. More detaded instnictions for use of this Discharge A!onnormg Report (DA!R) fann may be obtained from Ofike(s) specified in pennit.
Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to rep <nt truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in enminal penalties r.ot to escerd 525,000 per day of violation, or by imprisonment for not more than one year, or by both.
1 EPA Form 3320-1 (Rev. 08-95)
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- a Paperwork Ifeduction Act Notice Public reportirig burden for this collection of information is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an
' average per response for some minor facilities, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for mme major facilities,'
.vith a weighted average for major and minor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including time for rediewing instructions, searching existing data wurces, githering and maintaining the data"needed,: and compkting 'and
~
reviewing the collection of information. Send conunents regarding the burden estimate or any other aspect bf this collection:of information, including suggestion 3 for reducing this burden, to Chief, Information Policy
~ Bninch, PM2223, U.S. Environmental Proection Agency,401 M Street, SW Washington lDC 20460i and fo the
~ !
JOffice of Information and Regulatory Af fairs, Office of Management and Budget. Washington, DC 20503.
_i a.
._.i s-.-
General Instructions o
- 1. If form has been partially completed by preprinting, disregard instructions dimcted at' entry of that information
,already preprinted.
2l Enter""Permitter Name:Afailing Address (and facility namcIlocation, il diffctent)," " Permit Number," and.
- Divharge Number" w here indicated. ( A separate fonn is required for each discharge.)
'3. Enter dates twinning and ending "Alonttwing Period" covered by form w here indicated.
- 4. Enter cach " Parameter" as specified in monitoring requirements c.f germit
~
- 5. ' Enter " Sample Alcaxurement" data for cach parameter under "Guantity" and "Onality" in units'specified in permit.
"Awrage" is nomully arithmcde a:.crage (geometnc average for bacterial parameters) of all sample measurements for cach parameter obtained dur ng "Afomtming Perm '. "Afatimum" and "Afsmmum" are nonnally atteme high i
d
, and low measmements obtained during "Afomformy Pcriod." (Note to municipais with secondary treatment rE uirementa Enter 30-day avcrage of sample measurements under "Awrage," and enter nuximuin 7-de average T
of sample measurements cNamed during monitoring period under "Afarimum ")
- l.
6 Enter " Permit Requirement" for each parameter under "Guanhty" and " Quality" as specified in permit.
.c*-
7.1)nder "No &" cnter number of sampic measurmenM dunng monitoring period that excced maximum (and/or
.m!nimum or 7-day average as appropriate) permit requirement for each parameter. If none. enter "0".
l 8. Enter "l'repency.of Analysis" both as " Sample Alcaaurment" (actual' frequency of sampling.and analysis used during manitoring period) and as 'Ternnt Reptrement" specified in penrot. (c g., Enter " Cont," for contires monitoring. * //7" for one day per weck, "100" for one day per month. "l/90" for one day per quarter, etc.)
m
- 9. Enter " Sample 'lype" both as " Sample Ateasurement" (actual sample type used during monitoring period) and as
- Permit Recjuirement." (c g, Enter " Grab" for indisidual sample. "At/lL' for 24-hour composite,'"N01" for g contmucus momtenng, etc )
10,lWhdre violations of permit requirements are reported. attach a brief explanation to describe cause and corrective
. actions taken, and reference cach violation by date.
I1. If "no discharge" occus during monitoring period. enter "No Discharge" across form in place of data entry.
'12; Enter *Name: Title <f Principal Secutin Of]icer* witlt " Signa:ure of Pnnei;>al becutive 0))icer of Authomed 1 gent,? " Telephone Number.* and "Date* at bottom c((mm.
- 13< Mail signed Report to Oflice(s) by date(r) specified in permit Retain copy for your records:-
I4i More detailed instructions for use of this Discharge Akmitanng Report (DMR) form may be obtained from Office (s) specified in permit.
e Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by leth.
1; EPA Form 3320-l'(Rev 08-95) e!
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I Public repintmg burden for this collection of information is estirnated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per resp >nse for some minor facihtics,
- 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an averap per response for some cujor facdities, f
with a weighted average for major and minor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, meluding time.for revbwmg
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instructions, scarchmg existing data sources, gathering and maintaining the data needed, and completmg and
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i reviewing the collection of infonnation. Scod commenh regarding the burJcn estirrute or any other axpxt of l
l this collection of intornution, including suggestions for reducing this burden, to Chief, Infornution Pohey
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Branch, PM-223. U.S. Environreental Protation Agency, 401 M Street, SW Washington, DC 2NLO; and to the Office ofInfornunon and Regulatory Af fairs, Of fice of Waagement and Budgct, Washington, DC 20503.
l
.m General Instructions
- 1. If form has been partially completed by preprinting, disregard instructions directed at entry of thw inforuution already prepnmed.
- 2. Enter "Permttrec Name Mailmg Addresa (and f acility name' location, if differcat)." " Perma Venhcr," and "Di.wharge Number" where mdicated ( A wparate farm is required for cach discharge )
- 3. Enter dates beginning and coding "Afon:torme Permd" covered by form where mdicated.
- 4. Enh'r each "Pdrutnclet" as SpCCified in WNMOriDg requircm0nts of pcnnit.
5,1.nter "&my le Ucaurement" d aa for exh p.uamact under "Oumuuj
- and "(hahty" in umb speafied in permit W voce" is norma!!y anthmenc as ery; (gcumetric aurge for in.terui pua aru of;di imgle o ememe ne for cath praameicr otnaiud dming "Eniorm : Pcrb!". %mW and "M.mmuo ' w nm ma!!y cereme h7h and km nasortments obain:d daring 1/ mdon. < Pern!" (%e to municip6, u dh econd.ay trca'mca:
ICQtufemerI bn(Cr D-d.O J\\ c) Q cf LUUple IPC.bnico ents Urldei 1lWra S and C!MLT nGNUMum 7-dA UVel3pc of souple mmacments obained danng monimnns pericd under "Encu"
- 6. Enter " Puma IWqwrar:ent" for cach parameter und:s "Quimtuf und "Quald. " <, spealicd m peinut
"/. Under "W Er" enter number of sample uczunnents dunng imm& ring penod th:u execed mninmm (anh minimmu or 7-day average as appropnate) p.rmit rcquucment for erb par, meter. If none. emer "0"
- 8. Emer "Frrpeny of An.!!) m tM h c %j !c %parmeni" (aaua! fregaen:) of s:unphne and anthsa uscd during mamtonng period) and as "Pcrnnt /lrprevnt" speahed m penna. (e g, Enter 'Y ' e *
- far condnuaus monitonna * / 7" for one day p;r wcck "17U' for one day per mordh, */W for en: day per qunct, c:: )
- 9. Enter htple 71/>c" both as *%mple Mc:nurem!" (actual sam;Me type uwd during mmulaiing peri # nnd as "Permn Reguremert" (e g. Enter "Grn6" for indnidual s;nnple, "2-IIA '" for 24-hour compnue. "; # is
. continuous monitoring, etc )
10 Where sicleons of pernni reymrements are reponed, anach a brief caplananon to dcscobe cause and corredive actions taken anJ reference each violation by date.
I1. If"no discharge" occurs during momtocing, pcriod. cmcr "W Duchwge" across funn in p!xe of data enuy
- 12. Enter "Namc 7' ale af Prmcipal Em utn e O hcer" wah "Stenature qf Prmci;wl Ge sin e opdcr of lutkr;;c1 t
Agent,' "Telephnne Number," and "Date" at bottom of fann.
13, Mail signed Report to Omce(s) by date(sl spearied in p:rmit Retam copy for your records 14; More detailed instruchons for use of this Dacharge Enttormy Report (DMIO fann may be obtaned from Office (s) specified in permit.
Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Fadure to report or failure to repni truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exce(d $25,000 per day of violation, or by imprisonment for not more than one year. or by both.
EPA Form 3320-1 (Rev,08-95)
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Public reoning burden for ibi wilu: tion of infonration n e unutoj ta nry imm a range of to hours as an 24 t!8gt pf TehpOnW [Dr Nor00 tilkhOf fittihlitt. to I10 hoais u ati anrge pe r requ>te.e fc>r some ruajor facilitir j
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w instru tions mrding anug daa sources, gehenng anJ nuuntaming the Ats cceded, and wmpichrig and remewing the udlatkn of information. Sct} commcw reprding the burJen estmute or,m3 Ar asp t of this collechon of informat.nn, trnluding appe:.txe im redu.mg thn htaden, to Chef, Infoma m P&y j
Ihamb, PM-22L U.S. Envinmm.ntal Protcdion Agency,401 M Stma SW Wanhmgmn, DC 2030; and to the I
Ot6te of Intermahon and Regtdatory Af f ain, Ofike of Wngement and Budget, We.Lington, DC 20303.
l I
I General Instructions
- 1. If fcnu ha twn partbily tory!ctcJ by prenntmp, dnreprd inermoca-dru tod o entr; et that tatormtian alru.Jy preptmted.
- 2. Enter "I'm>u nc e G mc M n/me jll a und facday nandlexauon. :f difLruit L" "l'e r nu t %Nv" and
- Dnc har;y Am!<r" w hac nahcated ( A separate forrn is reptu! tar exh d.xb up )
- 3. Enter data Iqmung, and endton 91wtany i'om!" covercJ by !vrm w hera mde ned 4 l~nur om.h */bre !cr" a m;ufkd m mnnonrg wqarcna:nts of pernm i Enm 'Nwr/c Umrcm,"I" dm fd cach par:untter un&t W
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" fa one day p r a ct L, "lif fvr one d a p:: twah, "I # far ont da p:.r ganter, et: 1 R Ent:" "Lmj'!r ip
- both as "":.m;le Alm,ur em N" hctu:d unple t> pe u d Onng racmtonnt, perd : :aJ as
"/'rmat Re.juin me"/ " (e g Enter "Grah" !ar mdnidad scorpc "N//C u N-haar compatte, " \\.1" for cenanuous ruannonny, etc )
10, Where violation, of pennit ter;mremen:s are reputed, auxh a Mcf expheuhon to desaibe anse and corncine actions talen, and afercnce cach vichmon b) date
- 11. If"na duwh:nge" occurs dmng momtonag penod cater "ViIwLw' xias fann m place cf data entr>
- 12. Enter "Name 7itle of Prw;ul becawe Ofiar* unh "Sigwnse qt Prwivl Det M:s c Ulla r yf h&m:cd A,e< nt." 7elephone Number." and "Date" at banorn vf forut
- 13. Mad sigmcd Report to Officc(s) by date(s) specified in permit Rnam copy for your records
- 14. More detailed instructions far use o :his n,xchryc h/-me !& port (DM") fonn nuy be stained from OtTicena r
specified in permit.
Legal Notice This report is required by law (33 U.S C 1318; 40 C F.R.125.27). Failure to scrod or fadure to report truthfully can result m civil penalties not to exceed $10,000 per day of violation; or in cruninal penalnes not to twecJ $25,000 per day of violation, or by imprimnment for not more than one yar, or by both.
EPA Form 3320-1 (Rev. 08-95)
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Paperwork Reduction Act Notice
- <.o4 (Pubhc reporimg bunien for this collection of infantwtion is estirnated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an average per response for some minor facihties, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per respmse for some major facilities, l
v.dth a ycighted average for major and minor facilities of. lf( bours per response, including time for reviewing instnetions,j,carchicg esting data sources, gathering and maintaining the data needed, and completing and reviewing the collection of1information.. Send comnwnp regarding the burden estimate or any other aspect of
'tliis udlection of infornution, including suggestions for reducing this burden, to Chief. Infunnation Policy
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Brangh, PM-223, U.S. Environmental Prok~ tion Agency,401 M Street, SW Washington, DC 2M60s and to the Office ofInformation und Regulatory Af t' airs, Of fice of Management and Budget, Washington, DC 20$03.
General Instructions l
1; if forrn has lun partially completed by preprinting, disregard instructions directad at entry of that'informatiem
'already ' preprinted._
I 2, bnter " Permittee ;Namedfading Address (and facihty namc/ location, if' ddferent)," Permit Number " and
" Discharge Number" where indicated. (A separate form u required for each dischargel i Enter dates beginning and ending *Afomtoring Permd"covercJ by form where mdicated.
- 4. Entcr caph "Pacameter" as specified ' n monitoring requirements of permit.
i 5' Enter " Sample Alemt.rement" data for each parameter under "guantity" and "guality" in units specified in p' rndt c
. Werage" is nonnalh arithmetic average (geometric average for bacterial parameters) of all sample measurements
. for each paramcict obtamed dming l"Mmityrmg Period" "Marimum" and "A/ manum" are normally cereme high and low n,casurcments obtained during "Momforing Period? (Note to nnnucipals with secondary treatment i
- requirement
- - En cr 30-day average of sample measurements under Werage," and enter maximum 7-day as crage l
of sample measurements obtained during monitoring Irnod under TAlaumum "i j
M Enter " Permit Requirement" for exh parameter under "Guantsty" and "gualay" as specified in pernut J
7, Under 7No &" ewer number of sample rocasurments during momtoring period that execed madmmu (and/or ruinistnun or 7-day average as appropriate) pennit requin: ment for each parameter if none, enter "0" 8, Enter "Freyucncy of' Analysis" both as %nple Mcamrment" (actual frequeng of sampling and analpis used during momtoring period) and as "Pernit Requirement
- specified in pernat. (e gs Emcr " Cont," for continuous monitoring, "la" for one day per weck, ldo" for one day per month, "190" for one day per quarter; cte )
- 9. Enter *&vnple 7)pe" both as " Sample Meamrcment" (actual sample type used during monitoring period) and as
- Perrmt Beyuirement," (e g., Enter "Grah" for individual sample. *2 Il/c for 24-hour composite, "X:.4" for continuous monitoring, etcl 10l Where violations of pennit requirements are reponed. attach a brief explanation to desenbe cause and corrective actions taken, and refcrence cach violation by date, 11, If "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry.
. l2; Enter *NameTitle of Principal Executive O@cer" with " Signature of Prmcipal Executwe Officer ofAuthortred Agent;" *Telepiwnc Number " and "Date" at bottom of form
- 13. Mail signed Report to OfTice(s) by date(s) specified in permit Retain copy foryour records.
- 14. More detailed instructions for use of this Discharge M,mitormg Report (DMR) fann may be obtained fmm Office (s) specified in pennit.
j Legal Notice
. This' report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report tmthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to euecd $25,000 per day of violation, or by imprisonment for not more than one year, or by both, i
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EPA Form 3320-1 (Rey,08-95)
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- Paperwork Reduction Act Notice Public reporting burden for this collection of information is estimated to ury imm a range of 10 haun as an ascrage per regonse for sone minor facihties, to i10 boun as an average per response for wme major faalitics, i
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l with a weighted average for truyor and rmnor facilities of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, including -time f or reAewing l
instructions, sorthing existing data sourves, pthering and maintaining the dot 4 needed, and completing rad reuewmg the c4 thtson of infornution. Send comments regardmg the burden estimate or any other spect of this collation of information, includmg suggntions for reducing this burden, to Chief, Infomution Polia Bunch PM-223 U.S. Environmental Prowction Agen,y 401 M Street, SW hhington, DC 20460; anJ to the Of the of Information and Regulatniy Affaim, Of fice of Management and Budget, Wehington. DC 20503.
I I
i..-
General Instructions
- 1. If form he been partially compleNd by preprinting, disregard instructions dirnted at entry et that intornation aheady preponted.
2 Enter *Permittec Nmuc Madnw M&lreys (and facihty namellocuon. tf ddlerent)." " Permit Num ber," and
- Dsharge Nianber" whecte mdicmd. ( A separate form it rcquired for each disebarge.)
- 3. Emer dates begmnmg and ending %mtormg Pertm!" cmcred by form where mdtcated
- 4. Enter each "Parum, ter" as speciDed m inomtering ra;uiremenh of pennit.
5 Enter "Nample 3/camerment" data for exh paramcter unir "Ou whty" and "@aldy" m units s;vcified m penuit.
".h craye" is nonnaHy anthmetic mrage (gemadne arc; ec ter lmte al parmtug of an s.tm;de m:nm 'ments f cr ca b pacneter obtamed during "A h'mlormg Pmm!" ".\\ faumn
.m i "3!munum" are curmMy esticac high and la m;a.otemenh obtincd during "Afum wy /venu!" Obtc la nanacipak mth secondxy ac.wrent requin ment' Enter Ed iy m crw of sample memmancnb under ".h erm " and cuer mnimum 7-day average of san pic menerernems obtained during nunatonng proud un&t "Alanmwn ")
- 6. Enter "A rma Req.aremed" for cath partuncter under "Ouur n " mJ "@alay as 9ee.fied m penmt.
- 7. Under TO /U" tiller nitruber of 13mplc incnurtDCMs duf tng rDDhi!Oi!Df PJf Hd (hlt CECCd Whim.dD (33Iof mbannun or Lda) wear ns appmpnate) permit requirement for exh panameter. If none. enter N"
- 8. Enwr "!'regismy if dnalon" bcth as "Nample T!cawmen!" (actual hequena of tanphng and raulpid estd dunng mamlaring period) and a *Panal !4quumcm" specified in parut. (e g. Enter N Mt," for centinuum monactmg. "16 " for on: day per wed. "I W for one day per momh, "I nd" fm one day per quarter. et; )
- 9. Enter "Na"q le ?ltpe" both r "Numple !!cowrement" tactual sample type und during ruandoring puioJ) and as
- Perrmt Requirentent " (c g Enkr " Grab" for indiudual sampic. "N//F for 24-hcur compositc. "X f for continuous morotormg, ete )
10, Whcie siolatmos of penut requirements are reponed. anach a brief explananon to descnbc cause and conectise actions taken. and referen;c cach wolation by date.
I1. If"no discharge" ncents during monitonng penoJ. entcr To Dwhargc" aaoss fann in pla;c of data entry
- 12. Enter "Name Talc of Prinapal her uta e 0]lia r" wnh "Nignan.re of Prmaw.I ihrc unwr officer of. hth.ori:cJ Agerit." " Tele;6ane Number," and "Date" at renom of fonu
- 13. Mail signed Report to OfTice(s) by date(s) specified in permit Retain copy for your records
- 14. More detailed instructions for use of this Dachargc3!anito mg Repr>rt IDAIR) form may be obtained from Ofike(s) speciDed in permit.
Legal Notice This report is required by law (33 U S.C.1318; 40 C.F.R.125.27). Failure to report or failure to reprt trutlifulh casi
(
result in civil penalties not to exceed $10,000 per day of violation; or in cnmiral penahies not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPA Form 3320-1 (Rev. 08-95)
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Paperwork Reduction Act Notice i
Public reporting borden for this colhxtion of infornwion is ntimated to vary from a range of to hours as an I
average per res.ponse for some minor facihties, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an aw:rge per response for some major facilines, j
f wah's weighted average for major and minor facihtin of :8 hours per response, mcludmg tim # for redev.ing
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instructions scarching existing data wurces, pthering and maintaining se dua needed, and cornpleting and reviewing the collection of.information. Send wmments regarding the burden estim;.te or any other a<pect of ths wilectio'n of information, including suggntmm for reJacing this burden, to Chief, Infortrutmn Policy Uranch, PM-223, U.S. Environmental Protectmn Agency,401 M Street, SW Washington, DC 20460; and to the l
Office of Information and Regulatory Af fain., Oitiec of Management and Bedget, Washington, DC 20503.
l I
. [-.
y General Instructions
?
- 1. lf form has been padially completed by prepnnting, disregard mstructions directed at entry of thet information r
already preprinted.
2 Enter ?Pcenuttee :Namdlailmg.1dilecu (and facility name/locaJon, if differenth" "l'ernut Number," and "Dwharge Nwnber" where indicated ( A separate form is required for cach discharge )
- 3. linter dates beginning and ending "Afonitormg PoiodNovered by form where mdicated.
- 4. Enter each " Parameter" as specified in moratonng requirements of penuit.
- 5. Enter " Nam;le A/coxurement" data for cach partuneter nnJer "Gaantur" and "Guahrr" in unin speciGed in permit.
% erope" is normally anthmenc merage 4cametric aserage for baderi<d paramctersj of all samp!c measuremems for cath pammeter obtained dunng "Alonnor,ng Permd" "Afarimmn" and "A!numum" are normally cureme high and km measurements obtamed during "Alonitormg Peria)" (Noi to ruunicipals unh secondary treatment requirement Emer 30-day averare of sample mcmurements under "c!verage? ;md enter mashnum Lday acrage of Mmple rncasurements obtamed during monituting penod under "A/artmwr 1 6, Emer " Permit Reyusrement" for cach parameter under "Guannty" and "@alay" av speciDed in pennit.
- 7. Under "No 6" enkt nun.ber of s:nnple memurments dunng mondoring permd that eneed namnum (and'or minimmu or 7-day averare as apprepnme) pemdt teamrement for cach paramder if rmne. coter "U" F, Enter "Frc,peency of Analn/A" both as Wnp!c A/comnnent" fachul frequcacy of sampling and anal sa used i
during momtoring period) anJ as " Perm.I Rmjumment" speafied m pennit. (e g, Enter " Con!." for cootmucus manitonog. "/7" far one day per occk, "hRl" lot one day per month. "I 90" far one day per quaner, etc )
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- 4. Enter "Samp!c Ape" both as
- Sam;>!c Alcaurt ment" (adual sample 13pe used dwing monaaring periad) and as
" Perma Rrquirementf (e g, Enter "Grah" for mdiudual wunple "N/K'" for 24-hour compmate, "V 4" for i
con inuous mamtonng cre )
- 10. Where siolations of permit reymrements are reported. attach a bricf explanation to desente cause and entrccthe actions taken. and reference cach violation by date
- 81. If"no discharge" occurs during monitoring period enter "No Dacharge" across form in place of data entry
- 12. Enter "Name.7'itle of Prmcipal becutne Officer" unh "Signatwt of Prmci;el &ccunve 0]Ticer of. luth.riccJ itgent," " Telephone Number," and "Date" at botwm of form
- 13. Mail signed Report to Office (s) by date(s) specified :n permit. Retam copy for your records
- 14. More detailed instructions for use of this Discharge Afonnoring Report (DAIR) foim may be obtained fmm Office (s) specified in permit.
Legal Notice This report is required by law (33 U.S C.1318; 40 C.F.R.125.27). Failure to report or failure to report truthfully can result in civil penalties not to excrwl $10,000 per day of violation; or in criminal penalties not to euced $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPA Form 332M (Rev,08 95)
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,..... ewe--.+.--o-Paperwork Reduction Act Notice Public reporting burden for this collection of information n estinuted to vary hom a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as au.
n crage per topoitse for some minor facdsnes, to i10 hours, as an average per respnse for some major facihties, with a weighted average for major and m;nor friUncs of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per response, incluJang time for redewing l
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l indnictions, warching estmg data sources gathuing and rraintioning the 6ta neckd, and completing and j
l reviewmg the colhxtion of info:mation. Send comment 3 reprJmg the burden euunate or any other a.pxt of j
this collo;titm of information, including s.uggestions for reduang this burden, to Chief, Inf armation Policy j
' Branch, PM-223, U S Environmental Proteshen Agency 401 M Street, SW Wa'hington, DC 20460; anJ to the l
OfGee of Information and Regulatory Aff.urs Of hee of Mangenwnt and Budge, Wehington, DC 20503.
t, General fustructions
- 1. If form has been paniaHy completed by pieprmtmg, disreprd in3truumn, diruted at entry of that_ mformation alttady prcprimed.
- 2. Entes
- Po mntee Wmc 3/athng.bl.1 ru (:mJ ficihty nant/locaton, if different)." "l'e rmit Numbcr " and "Dmharn Number" u here indicated ( A teparMe form u requued for exh dmharge.)
- 3. Ema dates beginmng and ending "3/,antorme Permd" covered by form whac indated
- 4. butC[ cach " Pard /Wirr" as qCCifiCd in mOMilOrIDg rCtpMrcmenlS Of pOnnit-5, f.cler % !
wcmon" data for each par;nneter under "@ma0 " imJ "pa! 9" m umts speciGed in permit
". li rra;r"7 c ',dly af t!hnicht Milaf'" f(Wm;MIC M Cr3;!c {0i batteil31 paiamel(IS) Of HM MmdC mCJSinctn br fa cah parameter olomed Junn_. "T!cnamn.e Pomo". M/aumm" awl "Almunua".nc ncnn;dly cwc ne high j
- md b acmucneno ultind durin "3 hmuormg !Wm./ " bote to tuumapan uph s.nmdan treatment I
requirement Fnta Wi n aurap of sangle nc > nucuens uW ~ hcw ",u,d cr.ter ma timum h!ay meray Of Lample th0E JemChb I..hQined diUlug 0:Ciulding pJrhd tuidCf "d/JM 'M ")
(1 Enter ~Permu /k.p;ri went" far exh parameter unJct W.wtay" and "Gual# as.specified m peruut
- 7. Under % /3" entes nue Scr of umple measurmaas during moni:oring paiod tlat exceed mnanum (and/or nunianun or 7-d n avemp as appropnam pamit requitunent for each paramela !f none, cruer "0"
- 8. Enf er "Frcqw my of.inalpa" both a "Xmple 3!n wrment" (aAJ fiequency of sucpling anJ anaipis used durmg moniteurg penod) and a > " Perma Reqwrrment" specified in pernut. (e g, Enter "( 'rmt " for continavus maaitoring. "I 7" fer ene day per wetk. "I Gu" for en da) per momh "lv for cno day per quarter, etc )
9, Enter ".< ample '!)pe" both as "Lmge ',casaremen!" (actual sangt type uscd danng monitoring p; rind) :md as "P( rmd R6fLirCMarl " (C g., Eliter "firah" [Or mdh hhuil Saf Dple, ".M//l" for 24-h0Ur comp 051(c, " b!" f'tr continuous monitating. etc )
- 10. Whcie vialations of pennit requiremems are reponed, anach a bricf opi.mation to dscobe cause ard conectac actions taken. and reference s.ach sialation by date
- 11. If"no discharge" occurs dunn;; monimnng penod, enter % Daciarge" across form m place of data entry
- 12. Enter *NamGule of Prmcipal lhecutn e 0]!ker* with %gnature of Prmct;ml Executn e Opscr of.1uthomed
.lgent," " Tele;> hone Number," and "Date" at bouom of fann 13, Mail signed Report to 00 ice (s) by daic(s) specified in perma. Retain copy for your records
- 14. More detailed instructions for use of this Dmharge Alomtormy Report (D3fR) form nuy be obtained from OfUce(s) specified in penuit Legal ' Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to n port or fadure to report truthfully can result in civil penalties not to exceed $10,000 per day of violatum; or in criminal penalties not to exceed $25,000 per day of violation, or by impnsonment for not more than one year, or by both.
EPA Form 3320-1 (Rev. OL95)
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Paperwork Reduction Act Notice Public rep >rting burdea for this collestion of information is e>timsed to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> a.s an average per rnsponse for some rninor facilities, to i10 hour 3 as an average per rc>ponse for anru: nujor facilities, j
with a weighted average for nujos and minor f acilitics of 18 houn, per rer.pmse, including titre for re%iewing l
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instrwtions, seanhing existing data sources, gathering and nuintaining the data neo.ted, and comp!chng and l
reviewing the oilkctmn of infonration. Send comments regardmg the burdca estimate or any other wrect of l
this u>llection of in6amation, indudmg suggestions for reducing this burden, to Chief, Infornution Poli.y Brash, PM-223, U S Environmental Protoetion Agency,401 M Street, SW W#shmgton, DC 2(M60l and to the
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Office of loforuution and Regulatory Altairs. Office of Management and Budget, Washington, DC 20503.
.. _. - -. -.._ j General Instructions
- 1. If form has been panially completed by preprinting, dingard instmetions directed at entry of that information alreaJy prernnted.
- 2. Enter "Perminee Wmellen/mg Ad+ css (and facihty namc/locauon. if different)," " Permit u mher." and "Dmcharge Lm!n r" w here indicated ( A separate form u, required fcr cach disciwge.)
- 3. Enter dztc3 leginnmg and ending "Afmritormg l'ermdNos eted by form w hcie mdicated
- 4. Enter each " Parameter" as specilled in momtoring requirements of penmt.
5, Enter %yle Alcawement" data for each parameter under "Guanta" and "pual.n" in emh specified in permit "A6 cra,o " is nornudly arithmetic average (yeomenic :nerae,e for brienal par;una:cis) of:dl sampic mea:nrements for cach par.unetar obiained during "Alonnonng Amur; "Atamma," and "3/emmwn".ae normally extreme high and low mmurem:nts cht:nned during "3fonnonny Perim!" (Noit ta umnicipa!s with secondar) treatment mquirunat. Enter 30-day aser.Te of umple m;asur. ments under "An rag
- and cuer maximum 74y aserage of r,ampic measurements et t.uned dunng monitoring penod tmdtr "A /mimum ">
- 6. Enter " Perm.t Rqtareman" for each parameter under "Ouannty" and "Qu!/4 " as specificd in permit.
- 7. Under "No &" cnter pumhet cf sample measunnents dunny momicrmg perial that excced muinmm (and/e,r mininnun or 7-day ascrape as appropriate) permit requirement for exh parameter if none, enter "r E. Enter "Trcquency of hulpa" both as " lamp!c Alcasarmem" (xtual frequena of sampling and anal,sb used during momtoring period) and as "Arnut Rcquncnent* spectfied in penmt. (et, Enter N bt," fer connnuous 3
monitormg. "/C" for one day per seek, "100" for one day pcr momh. "/ W" for one day per quarter, ete )
9, Ener " Sample 7)pe" both a3 " Sam;>le Alcamrcmcnt" (xtual sron,M. 4pc used during monikumg penad) and as
" Permit Requirement," (e g, Enter "Gro!? for indisidaal sampe "N//U" for 24-hour conq>asce, %1" for continuous inomtonng. etc)
- 10. Where sialations of permit requirements are reponed, attach a bnef explanation to desenbe c:mse and correctise actions taken, and reference cach siolation by date.
- 11. If "no discharge" occurs during momtoring penod. enter "L Ducharge" across fenn in place of data entry
- 12. Enter "Namc Tide o Pnncipal becutn e u!Drer" unh "%gnature nf Prmct;>al Eucurnr Officer ufhthon:ed Agent " " Telephone i umber," and "Date" at bottom of form
- 13. Mail signed Report to Of1 ice (s) by datc(s) specified in pennit. Retain copy for your records.
- 14. More detailed tastructions for use of this Ducharge A/onitormg Report (DAfR) form may be obtained from O!1 ice (s) specified in permit.
Legal Notice "Dris report is requiwd by law (33 U.S.C.131R; 40 C.F.R.125.27). Fadure to report or failure to report truthfully can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penaltics not to exceed $25,000 per day of violation, or by imprisonment for not more t'um one year, or by both.
FPA Form 3320-1 (Rev 08-95)
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I Pubhc reputnig burden for t!m m!!ation of inforrration is estinuteJ'ta vary from a range of 10 houn as an f
au: rage per response for some minor faribtier, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per reponx for smne major facilities, f
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I instructions, searching eiisting data varces, gathmng and maintaining the &ia needd and wn;plermg and l
reviewing the wilecuon of information. Send comnents regarding the bur &n estimate or any othet upat of this colleuion of information, induding ruggatiom for redning this burden, to C hief, information Pohcy i
I Bunih, PM 223, U.S. Endronnenal Pmtation Agency, 401 M Sueer, SW Washingte n. DC 2040; and ta the l
f Umce of informatmn and Regulatory Af f.drs. Ofic of Management and Budget, Washit ytan, DC20503.
J' t
l General Instructions
- 1. !f fonu he kn patti Ily compLted by prepanting, disregard instructions duected at eritry of that information aheady preprmhJ.
- 2. Enter Termittre Name A/qihng Mderu (and facih:y namchcanon, if daflcrent)? " Permit %mberf and
'hcharge LMer" where mdicated. ( A nparate fonn is required for each diacharpe )
- 3. Enter d des begmning and endmg "3/vnaunce Pcemd" covered by fann where indicated.
- 4. Enter each Tarur:c/cr" as sgrified in monironeg,wwircrucnts of pernni 1 [nlCr 3 mlf-ir 3 b m rfemeM/" data [Cr C;h;h paranicter unOr "/ 4c :n/f and "(malitv" in urdin speedied tri turndt.
".hme" is own d!y anthmetic neuge (pometric mcmp. 50: bacreti:d par:nucters) of aH wopie neurements for enh paumeter ob;amed danng "Afomtormy Ib nJ. "A/a t.wn" and 9 /!mmam are nennah, cur::ac b4h m ritm: nts ekuned dunng "A fst-ring Pc+im/."
Wete to mamcipab uith secondary acanncat I
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regmrunent Enur 30-day m.cr ce cf un@c measar: mats unJer "Aw a < " and entu utnimum 7-day acranc l
ef r. ample muurunents bbt;nned dunng merutut um paiud under "A!arimm "s
- 6. Emer Tt raat Repircment" for each para:ndct unir "On wry ".md "(,>ucdaf as spnifad in permit.
- 7..Under '% U ruer nun.tsr of camph m munmems darme monitorind period tlut euced na mnra (and'or mununun u 7av at: rage as appoprut6 penuit reqonement for exb puamcu r If none, emer "0"
- 8. Enter "/9epem qf Ana!y.u" both
"&m;>!c Un wrmert (actual frequency of sampling and ana.ipis tad dming monitoring penad> and as Tercot Re</mment" specified in penmt. te g, Enter " Cont " f or cominoom inouitoring. "l4" fer ene day per v.eck. "!UD" fer one day per momh. "17U" for one day per quarter, etc )
l 4, traer Mample '/)pe" Leth as "nample.\\!camcment" mtual sanT c type mu! dunng momtaring pcriod) and m Tenna Re.purrmod " (e g. Erder "GmP for indisija d wauple '24/A '" for 24-hout composde, "' T fur continuous momtonng, e:e )
- 10. he victatiam cf permit reqsements nre reported, attach a t rief explamn to descobe cause and corrective actions taken, and referenec cach violation by date.
.1 L IT *no =dacharge" occurs during monitoring perid emer "O Disc harge" Peross fonn in p!xe of data entry
- 12. Enter 'NawTitle of Prmapal Erecutiw Officer" wah "Sn: nature of Prmcipa! Erecutwe Ull1ccr of.h:llwrac,1 Agent, 'Teleph we hder," and "Date" at banom of lanu.
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- 13. Mail signed Repert to Offico;s) by date(s) specified in pamit Retam cogry for your records l
- 14. More detailed instructions for use of this Discharge 3/ondorg i& port (D3 /!O form may be obmined from Omce(s) specified in pennit.
I Legal Notice 1
This repm1 is required by law (33 U.S.C.1318; 40 CI.R.125.27). Failure. to report or failure to report tanhfully can resuh in civil penalbes not to exceed $10,000 per day of violation; or in enmirial penalties not to cxceeJ $25,000 per day
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of violation, or Ly imprisonment for not more than one year, or by both.
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~n w-Paperwork Reduction Act Notice Public reimrting borden for this collection of information is estumted to vary from a range r,f 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an uverage pr response for mme minor facdities, la 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as an average per response for wme mdor fpifitws, f
wah a weighted average for major and minor facihtio. of Ik hot.rs per reapm:,e, including in$e for reviewing iristructions, scarching existing data source.,, gathering and nuintaining tne data neeJcd, and completing and aeviewing the sollution of information. Send comments regardmg the bmden extimate or any other aspnt of this collection of infornution, includmg suggestions for reducmg this burden, to Cluef, Information Pohcy l
lirnh, PM-223, U.S. Ernimnmental Protettion Agency,401 M Strcct SW hhmgton, DC N30; and to the Off ce of information and Regulatory Aff airs, Of fice of Management and Budptt, Washington, DC 205(0.
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General instructions 1, If tonu he been partially comphted t y preprinting, disregard mstmetions dirnted at cotty of that inforuution aircaJy preprmted, 2, Enter "Permurce /nene Stal/mg.hl,!rcu (and facihty namc/ location, if duTerent)," "Pernut. W m b er."
and "Ihnharge &m!'er" where indicate 1 ( A.scpar.de form n reqmred fot cach disch: age.)
3 Enter dates begmning and enJing "Smtorme Pcrmd" covered by fana w here indwated
- 4. Enter cach " Parameter" as yr:ciGed in momwring, requirements of p nuit.
- 5. Enter "".vnple Alcunremern" Ma for cxh parameter under "(hea : rut" and "(fualm" m un,ts vecined in pennit
".h err" a normally enthmetic aer reeumerric average tur brtenal pat.a: mru of aH wnNe nNasmements for cach par,uncter obtatned durins "A/omform;' hemp. "Almmen" and "\\!wr:wn" arc hormaH) cxtreme h!gh and low meuremenu obtain::d during " Wor:darmy Pcem!." (Nate to,uumcipats wi:b seccad.uy tresment seg urement' Enter ;0-da) asenne of epk mezur:ments un 'mr ".Acra,,, " ;mJ t mcr masunum 7-da average of !.ampic rocasurements obtained duung :nonitorir g griod ur. Jct ~3/aumran 7 A licter "I'ctmit 1:cpren:enr" foi c:rch p.a anwter unht "(.4antg and "(/wmy" as spx ified m penmt
- 7. Under "L /3" (ntes munber of sanple mcawrne nu dwing menderirg period that eseced manmum an&r minimum or Mv average as appmmiate) permit requirement f ar each parametcr if none. cnter "tr
- 8. Enta "/+cperny of An Im" bath as " " mp!c Akaumner;r" ! acto:d insluency of samphng and runipa uscd dunng monitermg period) and as "Permd Req men =ent" spxiGed in pcmut (c g. Enter Tont," for watioue monitoring, "/7" for one day per neck, "IQr for cae day per mamb, "/ W" f ar one day pu qtartt s. ek)
% Enlcr "Smjile hp, ' tuh as "Samp!c Afeamrenwru" ktual mpic tipc uwd durine manitoring penodi and as f
"Pmmt Requir< menff (e g, Emer "Ur# for individual sample. "N//("' for Rhour compm.ac "Y r for cominuour. manitoring, etc. )
10 Where sichtions of pctmit requircinents are seportei atixh a brief expbnanon to dscribe catise and correctne achons takca mid reference each siohdien by date 11, If"no discharge" occurs during momtoring periad, enter "W Ducharge" across farm in place of data entn.
- 12. Entcr *hme Tale qf Prmcipal laccutwe O!!her" uith " Signature nf Prmapal &cc utwe Uflu er of.tuthorned Agerit.* "Tckphone Mmt.er," and "Ikue" at bottom of fann.
- 13. Mail signed Report to Office (s) by date(s) specincd in permit Retam ecpy for your records
- 14. More detailed instmctions for use of this Dmharge 3 /omtormg Rc;' ort (DAl!U form may be obtamed from Omce(O speciGed in permit.
Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to repon or failure to report truthfuHy can result in civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not ta exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPA Form 3320-1 (Rev. 08-95)
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l Pubuc reportmg burden for this collection of infurnution is estinu:ed to vary hum is range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an l
in erage per rerpons.e for some minor facihtim, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> u rui average per resp < nse for some major foalities, f
with a v.cighted averge for major and ininor feahties of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per responm incluJmg time for rewewmg instnoons, warchmg existing data sources rathering and numtaming the data needed, anJ wmpleting aaJ I
reviewmg the colixtmo of information. Su d comment > rg,ndmg the burden estunate or any other aspa t of th:s cotixtion of mfomution, including suggestions f or redo ing this burden, to Chief, Informahcm Policy i
Brech, PM-223, U.S. Envirant:vnul Proratu.n Agency,401 M Stn et. SW Wa.hmgton, DC 2040; and to the j
Of fice of Information and Regulatory Af fairs, Oflice of Enagement and Budgtt, Washmpt"n. DC 2050 L j
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General Instructions
- 1. If form hu brrn parta!!y coruph.ted by preprinting, dnreg.ad instnuio% dateted at entry of that infornuunn already preprmtu!.
2.1:nter *Permurn-Name Mailmg M!rcu Nmd faaht) tumdlvatwn, if ddrerent) " "Pernut % m!,crf and "Ducharge %mbcr" where mchcated (A separate form a retpned for each ducharge )
L Enter dates lqmning. and tuding S!,,mtm W Peroa/"cmaed by farm w hae mdn;ated
- 4. IlltidT CAh "frumr c/Pr" 3S SpCCifiCd in nK mlunt!g, rCQUUCulClit S O! jkt ulit 5, Eraer 'Wanple A/ccusement" dAa for cac h parameter cnkt "(Juant;n" and T alar" in unas spenficJ in permit "1.0 ve" is norn alh arnhmeti; mt rye 4Macto. a cap; fer twttrM p." 'netMW cf J1 > tmp!e n cr urcrucnts for cah parameter oMained dut uq. "A /, nw-rue:: Perm!" " i f.n ma, an:1 %:a".",u: rurmauy tw ur.t !qh id b 3 iiGWre n u hik (di.iD&.} dHfiGH "![N.!fPr/T
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- 6. Ectc "Fropeeng ef.iqal n" beth c " xyle !!o ams v" (xtual hequ: c) of sampUng and an.dy ds uwd y
dunn:. mo:utonog pu ni) and as "Prm! !R mm wr!' 9:sified m p; m:it te g. Emer N int " tm commuous i
momf ormy "/"" for en: d iy per uei "!
U" ler one dav per inouh. "/ W for one day per r1aart;t, etc )
% finter hp/c Dec" t Mb as hple \\/cawrr; ent" (actual smnple type WJ darmg monitann;; penud). d as "j'crmu Rapuremeraf (e g. Enter '1;raV for mJmdual sainple. 'N/it " im 24-hour corepowe,,.1 " fo r cc niinuous raonitoring. etc )
- 10. Where viciations of permit requiranents :ac teparted, anat b a briCf evphnauoa te danbe cause arJ conective actions taken, and scference each siolation by date.
l'.
If "no dsharg" occurs during moniwang penod ect;r "O Dm /wge" across tonn m pla;c of data entry
- 12. Entes "NanfDile ofI'rmatm! Fxcuan e Qt) ccr" wuh "k: nature of Prmn;>al liccutne Ojhccr af.turbori:cd Agent," " Tele;>hane Nwnber." and "Date" at ban om ci form.
- 13. Mail signed Report to Office (s) by date(s) specified in permit. Retain copy for 3 0ur records 14, More detailed instructions for use of this Ducharge 3/mntormg Rejort fDA/RJ fbrm iny be obtained from OffkcN specified in permit.
Legal Notice i
Thi. report is reqmred by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or fiilure to trport truthfuHy can result in civil penalties not to exceed $10,000 per day of sio!ation; or in cominal penaltic.s not to extced $25,000 per day t
I of violation, or by imprisonment for not more than one year, or by both.
EPA Form 33201 (Rev. 08-95)
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Paperwork Reduction Act Notice i
i i
Pubhc reporting burden for this wikcunn of inforrnation is estimated to vary from a targe of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an i
f aserage pcr responw for mme minor f aciliues, to 110 hours0.00127 days <br />0.0306 hours <br />1.818783e-4 weeks <br />4.1855e-5 months <br /> as r.n nerage per response for some inajor fxditier, j
with a weighted nerage for nujar and minor frihties of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> per reponse, imluding tine for rhewing
}
l iratrut tu.ns, r,earclur,g ru4my data sources, gathering and maintainmg the data nec&d, and comp!cung ud j
s i reviexmy the allc4 ton of infornution. Send commer,ts regarding the burden exhnute or any other aspett of l
this mumtiort of infornution, including sugestions for redcing this burden, to Chief, Infoniution Pebey i
Ikam b, PM-223, U.S. Envimamental Pr*ctmn Agency,401 M Street, SW Washington, DC 2040; and to the j
i Of 6ce of Information and Reguhttory Affairs. Of 6ce of Marugement anJ Budget, Wathington, DC 20503.
l I
i I
.__..J General Instructions
- 1. If form has been putially ( orupleted by preprinting, disregud instru,.tions directed at entry of that informatwn aheady preptmted.
- 2. linter "Permuire Wmc 3/az/mg A:Liren (and facihty n:Jue/lacanaa. if ddlereia)," "Perimt Wmb er," anJ
'Ducharge hmber* where indical;;d ( A separate form n icquired for cah da;.%rge.)
- 3. Enter dates beginning and ending "hntmag Perm /~ covered t3 thrm w here mJicated
- 4. Emu exh *Paramcrcr" as specibcd m nnuutonng requirement of yrnut.
- 5. Exer
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( A te 10 annupA unh wcondan tremment recpuruncar Futer N day acrm ; of s impic nm r, an und;r % cr;gcl ami emer maimum 7-d::3 n ual.c
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6, Enta " Perm!!!ap.~me rn" fca cach p.uan.;ter under "@anm," anJ "(W!af as spcufkJ m permit
- 7. Under "W / c' cu r umkr cf wmple measur, ems darna rna monog peru >J that exceed mnun.ac umd'or inIDiutam m Eday aVC::tfc as appf 0priitd lNrod! rCQuiremetit ler Cach paranWICr If none, Unter "O" 8 Entbr "Fregre.s y of Jnalyn" both as "L :n /e \\ /cauerm..t" w tu d h cquen,y of +ampling and anai> Ns used dunng monihMmg perid) and as "Pctvut /0 t bottom of form
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13, Mail signed Report to Office (s) by date(s) specined in permit Retam ec.py for your records
- 14. More detailed instructions for use of this Din Aarge Afonnormg Refort fDAf/O fenu may be obtained from Of5:ets) speciDed in permih Legal Notice This report is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Fadure to report or failure to report truthfully can result in ciul penalties not to exceed $10,0lX) per day of violation; or m cnnunal penahics not to exceed $25,000 per day of violation, or by imprisonment for not more than one year, or by both.
EPA Form 3320-1 (Rev. 08-95)
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, _ - -... _... Paperwork Reduction Act Notice j
i Public reporting burden for this colixtion of infonration is estimated to vary from a range of 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> as an l
aveiage per resp <,nse for vame minor f acditics, to 110 haun as an average per re3ponw for some major facilities, j
wah'a weghted average for major and minor o.;ihties of 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> pcr responx, indudmg time for rcGewmg j
j instructions, searching emting data sourm, gathering and rmontaining the data needed, and comph-tmg and rewewing the w!!e(tion of mformat:on. Send wmnwras regardmg the burden estmute or any other aspect of this collation of mfornution, iraladmg surycstions for reda;mg thn burden, to Chief, Intornuhon Poh;y t
l Branch, PM-223, U.S. Envimnment:d Protation Agency, 401 M Strect, SW Washington, DC 20160; suld to the l
Ofhee of Information and Regulatory Affairs Of fice of Management and Badget Wa.shington. DC 20503.
l
-. +
..,J General Instructions
- 1. If fonn hn hxn partially completed by preprmtmp, daregard in structions daccted at en:ry of that intornation already preprinted.
- 2. Enter - "Perrwtree Name Ma Lng.idleu (and facdity name/hation, if ddErent h" "Pcremt Nrm e er," and
" Discharge Number" where indsated. (A wparate fann ts requircd for each diuharge )
3, Enter dates beginning and coding "Momrorm lcnof emcred ty form w here mdicated
- 4. Enter ca.h "Purameter" as speofi:d in monitanng requirements of pernut.
- 5. En:ct " Sample Meamremcm
- data fc r ca b parmne:er unJer "Guarna" and "puel.ty" ui umts specified m p nnit.
"Ai ernte" a normally arithmen.nciage ygcnetnc :ncr tge ha bautenal pauu.;ters) of au sxapk naasuremen?
La cach paranP:ter obt;uned diaing "Monumotr P.no !" "!!amm.m" ed "Mn e are rvrmaily extreme hb;h noJ 104 naasurements cbLdned dunng "Mmuorm Pceml" @re o naam m,'
wuh s:wadu) nemusem rCQldretHCUt EDltr 3n-dJ) nVCrup Q[ WO:p}; ncd ;urJ%4lS undif "_ l'.rt'o;., " JLj UNJf nuilmWM 7dfy ab er3pC of wuple me.eurements obtuned dunag nmmaring pened und:r " Mamma 6, Enter "A rinu imremera" kr cach pat ensu under "Omtny" anJ "N!ny" as specified m pennit
- 7. UnJer "No 1 r" enu number of 3.naple m ', ;meno dunnl. n. mtoring penod ib excec1 m tu mun f ande nunknam or Aday average as appreprwe) penuit regmrrmera for erb par:nw if none. emer "d" 1
taaual fnzjzec) of sug!ing and an.d) As used 8, Enk: "Frnpuray qf Analun" bMh as uji !!r, una "
during tuanilonng penvJ) ad as *PerCt R spacmem" spmfied la p;nuit. k g. Et Ar "( bat " Dr wotinom '
maailcnag, "/ " for enc day pcr week "/ W Dr one day pa momh. "I W for en: de per quarter. er )
9 E UICr "Sa m p!r ly p!" bGb ;b "8dmp[e MedErCMrld" 61.t03! haihplc type uscd duf mf mmh lonng perWd) Imd U "A rnut Reqwement? te g. Erder %nh* for mdiudu.d sample Wili " for 24-bour comjwde. "N A" fo:
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- 11. If"no disd rge" occurs durmg moauunng perud, enter "No Dmhame" acmss form m pla;e of data enin 1
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- 13. Mail signed Report to Omce(s) by dene(s) speafied in permu Retam copy for 3 0ur records l
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- 14. Mme detailed instructions for use of this Diuharge Emmrmg Report (DDR) fonn may be obtained.from OfLce(s) specified in pennit Legal Notice This report is nxjuired by law (33 U.S.C.1318; 40 C F.R.125.27). Failure to report or failure to report truthf ully can result in civil penalties not to exceed $10,000 per day of nolation; or in criminal penalties not to exceed $25,000 per day of vi^t on, or by impnsonment for not more than one year, or by both.
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mstructions, wrching nistmg data sources, pthaing and maintaimng 6e data needeJ, and cornpicong and
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reviewmg the collection of mformalion. Send commets regardmg the burden estinte or any other a'pec t ol
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Olhu of Information and Regulatory Aff airs, Of hce of Management.md Budget, Wa'hington, DC 20503.
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General Instructions
- 1. If form bu been panially complehJ by preprinting, disregud instructions directed at en:ry of that infoorunon aircady preptmtesi.
- 2. Enter "Permulee Name d /mbng.hideen (and faaht) mune/l u non, if ddicra,0," "!'ernut W m b er,"
and "Dm harge Numbre" where mdicatcd. ( A sepante form ts requred for exh dnchargel 3.1.nter d.ncs k gmning and enJuy. "\\ /<mner om Pcem I" un cred by rena w here mdn ated 4, Entcr each "Poramercr" as s;:euned m monitonng requoemems of pernut
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- 10. Whae violations of pennit requucment tre acponed, anach a brief es;31:uutun to dmnbe eme, and conettne actions uken. and scference cach uo! anon b, d.nc.
- 11. If "no d&harge" wcms during memuoring penod. en!ci "No Dnciurce" aaoas tonn m place of da:a entry
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,l.nyra,* " Tele; hone Number," and "Dare" at bottom of form
- 13. Mail dgncd Repmt to Office (s) by date(s) specified in permit Retam copy for your records
- 14. More detailed instrueimns for use of this Dncharxe A!.muormg Rc;icrt (D3/!O form may bc (>bt:aned from OfDcc(s) specified in pennit.
Legal Notice
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This repon is required by law (33 U.S.C.1318; 40 C.F.R.125.27). Failure to report or failure to report tnnhfully ce result in civil penalties not to exceed $10,000 per day of vmiation; or in cnminal penalues not to ex ceed $25.000 per day i
1 of violation, or by imprisonment for not more than one year, or by both-EPA Form 3320-1 (Reg. 08-95)
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- 11. If "no d&har gc" mu. 2nne rm noonng pctnj ona N /w!urt a ims fcnn in pia..c of dw c:ary.
12, Unter "Naw Tnlc of /*rm;u! l&!nr QlL cr" u nh %m ur ofl'r.rT;;wl lh wne C % er / < i a :: J
.1 gent," " Tele;>hanc %n! cr," and "inte utbonom uffunn
- 13. M;al ugned Repcrt to Oqice(s) by d.ac(s) srecif~ted m pernut Retar copy for your iccord(
I4. More detried inMructions for w,e of this lh ! ame './on: seme in;mr! (IM/!D funn may be chaincJ frma Uflicea) specificJ m pernut Legal Notice This reput is requard by law D3 U S C.131S: 40 C.F.R.125 27). huh:re ta n port or fai!ure to report tnahfuHy un result in civil penalties not to meed $10,000 per day of violahoa; or in cnminal penalun not to cuerd $25,000 per day of siolation, or by imprisonment for not more than one y car, or by both.
EPA Form 3320-1 (Rn. 0L95) o
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