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Public rzparting burden (or this c•ullzctmn r: infnrmalion i, zsumatcd to +ar} Iron ,. r,nee ell IC 1. , r, as .~
<br />a+erage pzr responsz (or some minor le[i hcs, to 110 hour. as :+n average per ~c~puase fur •. 'lc nt. ~~ r
<br />iucihties, H~ilh a ueiehtcd ar:rage iur mays and rr.mor laclinta r\f 18 hours per resp~'lu•, indud~n; time I~~r
<br />reviewing instructions. ,zarcning tv ,ring iota ,Dorcas. gathering and maincumr; .ht data n:vr en. .1 ~,I j
<br />~ complzting and recituing the cullec0oi of r ; irmatiol;. Sertd annments regarding the ~.ird, l estimate l i 'm utF:~ ~
<br />i aspect of this cullecUOn rrl' in(ormath,n.. i tc.'udine suggzsilnr, for rzducing Ih~s bu•J;:r., to Chief. '.~arma7r~n
<br />Pr,licy Brunch. P61-?'_i, ~'.S. Environmental Protecunn Agenc}. •01 \1 Strzet. S4e, 1`:asa ~gmn. Q(• " J60: e ld
<br />~ u+ the Ollice of In(urmatinn and Regulaun} ,lftain, Ofllce ul \lanagemznt end Budg_t. +1'ashington. I): .OSC?.
<br />I. If form has been penialh complete) b) veprinUng. disregard in,truct.nns ~vec(td ^: entry of 11 .I ichri°.¢ir~+
<br />already prcpnnted
<br />Enter "Penmtrec• Narnr. llaihnp, .1 JJre,. (end facili[y neme:loc:ulon. it rlrfli•rrnr r,' 'Prrmd 'umber. ~' and
<br />"Discharge Number" vv here utdicated. IA `TTa rata h,rm is rtyumcd fur each dix harge.l
<br />?. Enter dates beginning and anding °dlonin~r~nt Prr%ud' coca red by lorm u~htre indicate J.
<br />4. linter each "Parameter` as specdiad ~n nv ~~rtunng reyuiremanh ni permit.
<br />~. En[er ".S:(mple ,bleasu remenr' daft tin car:' pe r.r Teter unlia "Quunriri " .rod "Qua/~fl " ~n wine ,p:,v~ .d • t r:•m ~.
<br />`At eraer" is normally anlhntehc av eruge trrmul rc average tis heaerie' pa ra m;terse al all s~mt+l: meaeu r: mere,
<br />(nr each paramecer obtained dorms ",11ur~~rurine Prrirrd'~: 'N,nintwn'~ and '.llurnnu•n` ere nunnallt :xt.eir: hi r't
<br />and lua~ meesurtmtnn nhuuned During "llnnirn; ing Prr ud." 1\ote (n municipals cith secoad:~~} trentme~l
<br />nquiremenb Enter 311-dap avarage ul ,a.nple mtu,uremants under ".1ver,r/•t.' and tnl:r masimwn ;-day ;ivera'e
<br />u( sa rnple rneasurentents ohwintd during rr~~nuurinp period under ",Nrrimurn.")
<br />G. Enter "'Permit Rcyuiremenl" for each paran't ter under "'Qu:unit) 'and "Quahl} ` as s;+s rf ;J in peen P..
<br />7. Under `Nn Ea" enter number of aunple mcawitmtnts during moniurn ng p.nnd .ha' exceed m. ,inwm land,rr
<br />minimum or 7-day average .+s appropriate) iarmi[ r_quiremen[ rile each Oaramettr. II nurt, enter "U`.
<br />S. Enter "F7equency of Anal},iti brnh a, ~:Sarnple ~1casurement' (actual freyutnc} ut ,a mpling and nalys, user
<br />during momturing ptnuUl anti as '"Prnua Rutw remtnt` cpecil ieJ in permit. (t.g Later "('ant.' 'i~r cam ~nuo..,
<br />monitoring. '1,~1" fur ane day per v.tek.' I 10" tier one day per month. "/ '90` for u~tc day per yuen:r etc 1
<br />9. Enter '-Sample Typr" both es ':5.unpk 1;,•..surenn•nt` (acl,ral se ntplt type used dwn~~ momtorirg pc -iotU and :,
<br />`Permit Requirement.' le.g_ Fnltr ~Gmb" era indniduel sa mpe. "?JHC"' for _'4-hour cuntposuc. ".Y~A" Inr coc-
<br />tinuous monitorine, etc.t
<br />10. Nhere violotions n( permit rl.'yL:rCmt^15 .I 1'C reported, attach a brie) ev planes ron t~~ d:xnbe cause ^rd c+rrecti,e
<br />actions taken. and relcre ore aach violation 6v d;nc
<br />I I. If "nu Discharge- occurs During innniwrine ,mriod. enter "Ale Discharge' across form n fia.:e of Jala ;n.n.
<br />12. Later "Namr,~Titlr n! Priniip;d t trruli~: UI(irrr" with '.tiienahrrr of Nn ocrpal E •c•r~rtiur O(I is er of Au!l:urirrJ
<br />Agent." `7 elzphunr .\um.her .~' an,l ""Uare` a, bottom nl (ono
<br />I ?. 91ni1 signed Report u. Otficels) h} date(s) psificd m perm [. Retain copy for }our •_cn-ds.
<br />I~. \fure de[aifed instructions for tot of th~• Urscbdrge• ~Iloni[onng Rrpa't tl)AIR1 G~~m may bt uht:.iuf irnx O~-
<br />lire(slspecilitd in perma.
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<br />I ti, report is required by la,+ (13 l: S(' 1?Is 10 CI.R. I?5'~). Failure to «pnn ur u+Lvt to repn•: enable ll} v.in
<br />:wlt in civil pcealtie; nut lu evicetd 5111.00(1 per day ul~ violation: nr :n ti'mi w~ pan: lic•- rot to t,c~ol 53`!'10 yr
<br />r!.:} ul vtolntion. ur by impn,un rem lia not mn^ than me }tar. ,.r by' both.
<br />'A Fonn 3320-I IRcv. 9-FSI
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