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-~`'"~'~~:yrwor~ 1~~~~~a;yon. A,ct Notice
<br />~rtng burden for this collection of information is estimated to vary from a range of 10 hours as an
<br />zfer response for some minor facilities, to 1 ]0 hours as an avcrage per response for some major
<br />;s; with a weighted average for major and minor facilities of 18 hours per response, includi,-tg time for
<br />wing instructions, searching existing data sources, gathering and maintaining the data needed, and
<br />~pleting and reviewing the collection of information, including suggestion for reducing dtis burden, to
<br />aief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, S.W.
<br />Washington, DC 20460; and to the Office of lnfomatioa and Regulatory Affairs, Office of Management and
<br />Budget, Washington, DC 20503.
<br />~ex~eral Instructions
<br />]. If form has been partially completed by preprinting, disregard instruction directed at entry of that information already
<br />preprinted.
<br />2. Ent,r "Fu7nittez N1nlz/lvfliling A~,/ress (and facility nameAocation, if different)," " P2rnrit AtzrmE•er," and "L'isi:harge
<br />Nunr1'ar" where indicated. (A separate form is required for each dischazge.)
<br />3. Lnter dates beginning and editing "hfonitoriu; F~rioy" covered by form where indicated.
<br />4. P.nlur ca;:h "Porim~t~r" as specified in monitoring requirements of permit.
<br />5, T?'~ter "S~~nFlz Iv.",t_~suran: °:rt" d<•t fc- each paromc'cr under "Qv, nti~)~" and Q,l~ltq•"rs ci,eziFcd in pcl'mit. "Ax•;'_ryz"is
<br />c-orally crithrnctic avcrage (geometric a~~cragc`or bacterial paJ-ametcrs) ~f z'! .. ~ipi~ mz..su.ements for each para,acier
<br />ohtarned dlirrn~ °, vfp;f%1Srilr~y~ F'I`,.+"; "tillipi7oii° and ;Yif.lli. iL7Li" a•,G ^e;mai l4' c~i~cinc, nigh and InrV mC~SWC'teni5
<br />c'.;hu r, c du*i~g ';.%„-,i1~,ri,;g P.ri 1". (T~ruit to mm~icipals Y; iOr sccondar,• treamtc+l' '.dui-emert Lnter ?C-day ae~age
<br />o'szr.~p!e n cam: -cr,,en's a":cr "Av_,~;;z,"and ei,!r_r ^zK~r.~um 7-d^y avrra~.. e's rpfa eiess,rcments uh[ained curicg
<br />r^cnitor,ng pcri,rd under ",Yflrifr;zr,.z.")
<br />.. Lr'c';"~>;~.r'; ~_, ,•r„rar;t"fnrecchpazamctcrund.: "y`,:ur%irr",n:l" ''' ~
<br />.a: r,y"as sp:.c; ice i^ hcm;~;.
<br />7. Jnd~~~ "iJ. 'C." c'.L, ^mnb~r Di sample i-~.rurcment c._rinn mo~i;o~;ng ,.. ~..- ::.[ _~:ceud i^~a;.imucn (cad/nr mini~~,uDi
<br />c• 7~sr} avcrz.;a c; e:~ropriatc) }crtnit ra~~.iirument for each pr ~metc. 'f rNr.~, enter "f"
<br />E. '~,;,. "lr ~, .:a' f.4n~lysi~"`Dth as "S.r•:.-'. ~,-r~_s~•,. •.~r'" (^nurt free ;~cocy n`s:m;~lfn~, rod analy,is rscd frrin~
<br />moo: ori~~g pa:odl r:i as "P_a;.:i; ;,_. •ui.~'rm. n," specin_d in ecru. + (e.l;.:: acr " . ,.: r, " fe ennticaens munitcr: ~~. "I/7"
<br />.: o,re day 7 ar ,. -cc!:, "1/3t7" fcr una duy per month, ,': /90" for one day per q~:ar,~ t c ~ )
<br />^. i:n'_~ ",C',;•-r. T,y ~"bc'ii ar "Clzr~r;,: '„e~cc:rrarrd;v/"(ccta2r as~r,f•'c i)~~c u•cd i u~i ;~ n.'-.itG.~n~ p;;;crl) a^d rs ~~ .,-•oi~
<br />!i_~,•rrrr ~;r." (c~ ict,r ":ir•~l " for individual .~ ~; r_ '^•i; "_" ~
<br />fcr 4-'ic ~r c ~~npa;dq "'?'r'n' for conLnucc:
<br />monitoring, etc.}
<br />i ~. ~".i iiL Y7 Dia11G15 vi pcrro!t rCelllrremini.i 3TC rCIC~iC ~, Ltia Sh a ~iCF ~F~]r E.lZi1O1, 1D d.':,;r~bc CflL SC and CDrl email\'L :,Ci-D17S
<br />to ~c taken, r. d reference each violation by date.
<br />i r. rr"no dischupe" occurs during mrnitoring pcnod, cnr°~ 'Tie Disc!n.r~•~" across fonr in p!. c~ ni data entry.
<br />!2. P.nt_r "It'm+t~f/it!~ rf (!%,il;~.+l la^:.'u111'; G~'r_.. " with "S:,~n,rnnv r.~ fri;: ~ic1.' Ir~:utive O~xr tj ~inr;rriz~a
<br />~:f;~•lzt, ""T~IeFL-au ~'v'uulAe;•,"and "t Jt_•" at bottom of form.
<br />13. 'nail signed Report to CTice(s) by dztc(s) specified in permit. Retain cop" for your reGUrd.,.
<br />i4. lioro detailed instructions for use of this CiraJulez ,tionlfa'nrg It_,r,17 (t';~tF) fcrrtt may be obtained fron OfficL(s)
<br />specified in permit.
<br />Legal Notice
<br />Tttis report is required by ]aw (33 U.S.C. 131R; 40 C.P.R. 125.27). Failure to report or failure to report truthfully can result in
<br />civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation,
<br />or by imprisonment for not more than one year, or both.
<br />EPA Form 3320-1 (Rev. 03199)
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