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- - ~'~)• i<-werk Reduction Ate!: ?~•tict~ -- - -- 1
<br />I'uf~!ic r: ~~:vtice Fcrd::c t:• :nis ~ ..'!c~L:.a ,~f :nfurnunir+n is estiruated tc vary from n range of 10 hours as tm
<br />~~rrace h~cr rrsx~s:r t .. _. ,., ,rti:;. r.:.:. r, r,~-- to I'C ' ._, s an average F:ex re::poncz for some major facilities,
<br />wish a u•rightrd ac,;:age t~. r aujr.: ,rrrd :._;..:r ..,: '..._ ..1 .P hours per respoa>r, in.;~udmg time for reviewing
<br />:rstrue:..~rs ~,:_,..hrr,~ cx~~:r g :.._ ..~ ,.:... ~,_ ~ anJ rtwir tainin; 'ihe L,:a needed, and completing and
<br />rol~iz~w u.~ the .o,tc.•.rLn .. ::;Gnr.:a;ru;:. . _ ... _~_..,~r.:~;." ,egardrng th~c tn:rdcn es[inwte or any othet aspect of
<br />;his a:hrttion rf :rlorm;t ~~, iroludir.g :uggestiom for reducing this tiurdan, to <rtrief, Information Policy
<br />Brar..h, p\S-.2', :J.S cr:r.•.~murr,:al I'ruicc~aon Agrnc}. 40! M Street, S1Y 4vashinglon, DC 20460; and to the
<br />Office of inforrwiion :utd !:~._w{awry Affairs, Office of Management and Budget, Washington, DC 20503.
<br />General Instructions
<br />1. 1( form has been partially completed by preprinting, disregard instruc[ioos directed at entry of Wa[ information
<br />already preprinted.
<br />2. Enter "Permittee Nanu Aiailing Address (and facility name/loption, if differenQ," "Permit .'Number," and
<br />"Discharge Number" crh;:re indicated. (A separate farm is required far each discharge)
<br />9. Enter dales begiruung ar,d ending ".tloniroring Period" covered by form where indicated.
<br />4. Enter each "Parameter" :s specified in monitoring requirements of perrrut.
<br />5. Enter ".vomple dleasu-c;:.~rt" data for torch parameter under "Quantity" and "Quality" in units specified in permit.
<br />",; vem~e" is normally a:i:.trmeac average (geometric average for bacter;al parameters) of all sample measurements
<br />for each paramc,er ot',:1 gad daring "Monitoring Ptnod"', "Mtiximum" mtd "Alinimrtm" ate normally extreme high
<br />and low mcasuren:er.ts .+irtained during ".lloerroring Perind." (Note to municiF~als with secondary treatment
<br />requirement: Enter 3G-nay at••_r„ge of sample measurements under "Average," and enter maximum 7-0ay average
<br />of sample measurements ebta:u.d during monitoring period under "Max:naum.
<br />6. Enter "Fernarr Reyuircn,enr" for csch parameter under "Quon.rity" and "Quality" as specified in permit.
<br />7. Under ",','o Fx" enter ::.:,giber of sample measurments during monitoring period that exceed maximum (and/or
<br />minimum or 7-day av,~rave s : ppropriate) permit requirement for each ptrameter. ll' none, enter "0".
<br />8. Enter "Frequer.ry e f : L,n;~-sis" loth as "Sanple .tleasurment" (actual :Frequency cf sampling and analysis used
<br />dt:ring monacring pc:io^.) ands ":4•nnir Requirement" specified in permit. (e.g, Enter "Cont," for wntinuous
<br />monitoring, "/ 7" fcr or.e ;ay p~ r •.:eelti "Ii30" for one day per month, "J!90" for one day per quarter,. etc.)
<br />9. Enter ".5'ample Tjpr~" il:~ih as "`'ample ~Lfeasvrement" (actual sample gTte used durng monitoring period) and as
<br />"Frrrr;t RryuJerneer," ,,;:g., Enter "Grab" for individual sample, "14NC" (or 24-hour composite, "N/A" for
<br />conunwus metutorim~, c:c )
<br />!0, lSvi:cre violatiorrs of ;rtrtir requitements are reported, attach a brief a~planalion to describe cause and cortective
<br />actions taken, and reference each violation by date.
<br />11. IF "no discharge" Dears c;rring ruoiutoring period, enter "No .Discharge" across form, in place o(data entry.
<br />1^_. F.n[er "Warne/I'rrle t.~ Pr.rcipa! ,srculive Officer" with "tiignature ojF'rincipal Er•ecutive Officer ojAufhorized
<br />Agent," "Te:epbone A'an,ber," and °Date" al bottom of form.
<br />! 3. Mad signed Report tr Gffece(s) by date(s) specified in permit. Retain copy for your records.
<br />14. R?ore detailed iastrucacu; fcr use of this Discharge,btonitoring Report (P,MRJ form may be obtained from Ogee(s)
<br />specified in permit.
<br />Legal Notice
<br />T!tis report is required by :,~.v t,i3 U.S.C. 1318; 40 C.F.R. 125.27). Failure to report or failure to report truthfully can
<br />result ~n irvil hn:na[Cirs not :.:: r.orxd 5:0,000 per day of violation; or in criminal penalties riot to exceed 525,000 per day
<br />cf violation, or by imfrisor ::~.n~~' for cut more than one year, or by both.
<br />EPA Form 3320.1 (Rev. 0'+-'it)
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