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T'~,,~ ~xwr~rk Reds-»':Aoi~ .pct Notice
<br />' Public reporting burden for this collection of information is estimated to vary from a range of 10 hors as art
<br />average per response fcr some minor facilities, to ] 10 hours as an average per response fo_ some major
<br />facilities, with a weighted average for major and minor facilities of 18'iours per response, including time for
<br />reviewing instructions, searching existing data soucces, gathering and maintaining the data needed, and
<br />completing and reviewing the collection of information, including suggestion for reducing this burden, to
<br />Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, S.W.
<br />Washington, DC 20460; and to the Ofl ice of Information and Regulatory Affairs, Office of Management and
<br />Budget, Washington, DC 20503. ~
<br />Geese Aal Instructions
<br />1. If form has been partially completed by preprinting, disregard inswction directed at entry of that information already
<br />preprinted.
<br />2. Enter "Fennin„e Naatz/Mai/ing A/dr2ss (and facility namellocation, if different)," " Pernril Nurnher," and "GiscJzirga
<br />Nirmt~r" a•hcre indicated. (A separate form is required for each discharge.)
<br />3. Winter dates beginning attd editing "Marito;i;tg Pzrir. j" covered by farm where indicated.
<br />4. Enter each "F~rJrn~t r" as specified in monitoring requirements of permit.
<br />5. linter "S ,mJ L riL.~s+u-~,rtrnt"data for each parameter under "~'trl;: rih,,"end rr~Yh~" s spccificd in perrn't. 'Aver ro s" is
<br />narmally anth:netic ava~ge (geometric atrragc for bacterial paranrtcrs) of all :amp!: ;neasu emrnL for cacti paramctrr
<br />obtained r;~mne ".1l~;ri „%,r~ J'sria"; ',;~ •aiu:rnu" ...:d !.6nirrnuu" a-c norn~lly c::;~_rec high enei :ow mcasu erne~ts
<br />ob(ained du ing ",1;.:. ; ,ring Fir%d". (T'ntc tr. r-unio,•als w"'- scccnd~~~ ;rt~~mc ~ -~ uirem.:rf Erter 30t1ry avc age
<br />of san~i•.!c n c .surcn-,.:.'e rrCcr 'Av~ra~t ". -d c,t?e .~.~ •rmoir 7-dcy avuagc o'sr~ n_,'.: mczsurcv;nls oh[ainc~ r'uricg
<br />mcnilarutg period under "ivigximr!rn.")
<br />J. ~ll~:r °i ,"~..'1 !('~n~, 9r12,it°foi each paramcLr un2c: "~,~ , 1!(p .;_j rrr N-tilyrr a55f. CIi1J~' m]7B-(^i~. 1
<br />7. ;;ndcr "n` t:."ciao number ofsa-.~lc ,rrrsuremr' _:~~~„ 'u ',wring n:~bc t ..c.~cd ma; i~~~om (. ndrer mini.-...m
<br />e* 7 ~dr-} n~.erz;;~ t.. r. fpropriate) Hermit tiqu~~c n<'te I,IT csri1,*.r ::n _tc . :f one, CntCl" "%'
<br />3. °nicr "I'r.t; ~,r;~ ,j.i,r~/y:cis" both as "S' -.;r !: ,,.. ~.v . ., .,n" (tcb~l Freyuer.c;, e" seapl~r~ : -d anvlys s u:.cd Cerin;,
<br />mon Eton tg ncr;ud) :nd as "P_,.a%t Ra .+cir,m ~:,'" tipc: ii ~a~ i~~r prnm' (e.F. ?'~;t_- "^-..+r •"u cnn''.wocs n cnitcd:,;,, "U7"
<br />fu one dnv per tcec': "1/317" for one day per month, "J/90" for aa.: dzy; cr uun -c , c;c.;
<br />9. P_nlcr 'LS,mj .'r 7;r ,," Izeth rs "Slru/l.• ;r!~.~:rn r:: -:. " (; clod s:-nylc tYPe ~t~e; cup.;;; ;,•:~~iiinr ns FcinJ) ar,d as "!'e,'r7;~
<br />R•7,tir,ru,r'," (c.g. '~ntc* ":,;-.:J~" for inditid~,La s:•riplr, "1d&;:" fc: Zd-,c..,. cmtp~ri'.c. '•r\'/"' °or cor.Iinuo;L.
<br />monitoring, etc.) ~
<br />10. FJitcrc tin]. bons of ~cr;nit ren~irem,:rt'_; are .^o'c_?, ::'zach t h ~cf e;p'r~atio='n s:;r.:ibc c: use and corraclivc ac?'nns
<br />to ue taker, and reference each violation by date.
<br />t 1. if "no disdta*ge" occttrs durirg monitoring pcrua, eat:r "~Io r?;srhr.r~r" ^arss f•,rrn in n;cc : cfi ~t^ r,r.tr).
<br />1°_. Enter "lt?~mrlTit/z =.f 1'rin_ir~! Fr•ar1i:. /~~~.a•" whit "Sr,;rr~ur,_ of ii~n:i;.,r ,''a•.uliv~ Gl~.~z, rf Fv4'r,~%zzd
<br />/,gent, ""T~Jepb ins ;1'umJ-sr, "rind ' I ~t~ " at bottom of form.
<br />13. iVlail signed Report to Office(s) by date(s) spccificd in permit. Retain copy for yow , ccords.
<br />14. ;vlore detailed instructions for tue of this Gis=ha+gr ,i4~,r;i!crins k_r•.,7 (P.;rr7~ fonit may be obt.~na5 from OfTicc(s)
<br />spccificd in permit.
<br />Legal Notice ~
<br />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 restilt 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. 03/99)
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