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-- -"_•';-;~•ezriC Res'11.1cti~on Ac; l~•tie ~e
<br />fuhUc - , ortir g turcL n 1• r •b 1 .. .... , ~- . is rsti;mted to vrry from .r range of 10 hours az rm
<br />suer •~r nor rre~lxrase Ibr s~ ~iia ~~~r•.,, ~.~c;l.' . , .acs as a¢ average per re~o¢se: for some rrtajot facilities,
<br />' :vrth a ,:ea:rted over ge ., r ,rwju: ~,.::.:_ .-. .__.... ~f IY .hours per ryaponse, includi¢g time forrevjewing
<br />in~trur::: ns. scarchinr ex ,:.,. ..,. _ _ d nraintaming the data deeded, and completing and
<br />review mg the collecaon ,.; intoruWt;ua. Serd w.,.:..~i,s re,gardirig the Lrordea estimtte or any other aspect of
<br />thcs u,Ile:uon of ;nfurmst ..n, ins ludmg ::uggeshons iur reducing IYis horded, to tyltief, Information Policy
<br />Br.u:.h, 1'1t ~2?, L'.S. Ec,..s.m_.:_I Prutactio¢ Age¢cy, 401 M Street SrN \V slri¢gion, DC 20460; end to the
<br />Office r t Infornmtion and ~ r~l:at~ry Affairs, Office of Manage:rrtenl and )Sudgnl, Washi¢gtoo, DC 20503.
<br />I
<br />GeneralInstructior~s
<br />If form haz heed partially comple[rd by preprinting, disreganf i¢s[ru~aioas direclred at entry of tfiat information
<br />already preprinted.
<br />2: Enter "Permitlee A~ame Afoiling Address (and facility name/loption, if di6enenQ," "Perini! Number," and
<br />"Discharge ,'l'umber" where i di~ttcd. (A separate form is regmred for each discharle.)
<br />3. Enter dates beginning urd cn~ing ".iloniloring Period" wvered by form where indiaded.
<br />4. Enter each "Parameter" s specified in monitoring requirements of permit.
<br />5. Enter "Somp!e Afeaswan,enr" data for each parameter under "Quanliry" and "Qualhy'" in units speed in permit.
<br />".tvernge" is normally aahmci;c average (geometric average for bacleri;il parameters) of all sample measurements
<br />far each parameter ob43 ncd during ".Monitoring Perind"; "wfarimum" and "Afinimum" are normally extreme high
<br />and low measurements „btair„•d during ".lfunimrin,¢ Period." (Note [o municipals with secondary Veatntent
<br />requirement: Eider 30~:ay .rvu::ge of sample measurements under "A,~erage," and enter maximum 7-0ay average
<br />of sample measurement, .:Stained during monitoring period under "Maximum.
<br />6. Enter "Perncit Regwrr m::;r'' for each parameter under "Quantity" and "Q.vallty" a5 specified in permit.
<br />7. Under ",b'o Ex" enter amber of sample mcasunncnts daring monitoning period that exceed maximum (and/or
<br />minimum or 7-day avereg_ as app:'opsiate) permit requirement for each rarameter. If none, enter "0".
<br />S. Enter "Frequercv aJA,.~lvsis" unu`t as "Sample Measunnenl" (actua frequenry of sampling anrj analysis used
<br />during ;nnnltering perie.) :.rtd :~~. "Fermi! Requirement" specified in permit. (e.g., Enter "Con(,",for continuous
<br />monitoring, "1'T' for oc:: day per •.vecl:, "1:30" forouc day per month, "!, 90" for one day per quarter, etc.)
<br />9. Enter "Sample Ttre" bc:it as ',Sample AleasuremenP' (actual sample type used during monitoring period) and as
<br />'Tern,it Requiremrr," :.g., Enter "Grab" for individual sample, '34HC" for 24-hour composite, "N/.4" for
<br />continuutLS momtoring, eic.)
<br />[0. Where :iolaticns of ;;er.:ut requirements are reported, attach a brief e~planaGon to describe pose and corrective
<br />actions taken, and rcf:.rc:tix each :iolation by date.
<br />1 I. If "no discharge" oca~rs dunng ,-:~onitoring period, enter "No Discharge" across form in place of data entry.
<br />12. Enter ",fame/Pule o~ Fr:ncipal :XCCUtive Officer" with ".Signnlure nJPrincipal Erecutive Officer oJAufhorized
<br />Agent," "Telephone ,4-un,6r~r," and "Date" al bottom of form.
<br />3. P1ail signed Report tc Ofrce(s) by date(s) specified in permit. Retain rnp;y for your rtxords.
<br />l4. Mare detailed iast,uctic a for use of this Discharge Alnrritoring Report !DMR) form may be obtained from Office(s)
<br />specified in perrut.
<br />Legal Notice
<br />''''tis roput is required by ~,.v c3l U.S.C. 1318; 40 C.F.R. [25.27). Failure to report or Cailure to report truthfully can
<br />result in civil rvnaftias out ~: -~ oxd S IQO00 per day of Yinlation; or in criminal pe¢alties not to exceed 525,0(10 per day
<br />of violation, or by im frisoc na t fur nut more than one year, or by both.
<br />EPA Form 3320-1 (Rev. i[ :-951
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