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Paperwork Reduction Art Notice Public reporting burden for this collection of information is estimated to vary from a range of 10 hours as an average per response for some minor facilities, To 110 hours as an average per respense for some major facilities, vrith a weighted average for major and minor facilities of 18 hours per response, including time for reviewing instructions, seazching existing data sources, gathering and maintaining the data needed, and completing and revicvrng the collection of information. Send comments regarding the burden estimate or any other aspect of this coL'ection of information, including suggestions for reducing this border., -o Chief, Information Policy Branch, PM-223, U.S. Environmental Protection Agency, 401 M Street, S4?t, lNashingron, DC 204tS0; and to the Office of Information a;rd Regulatory APFairs, Office of Management and 3:~dget, x`tashinoton, llC 20503. General Instructions 1. Tf form has been partially completed by preprinting, disregard instructions diracted at entry of that information already preprinted. 2. Enter "Permittee Name/Mailing Address (and facility name/iocation, if different)," "Pem:it ,Number," and "Discharge Number' where indicated. (A separate form is required for each discharge.) 3. Enter dates beginning and ending "Aonitoring Period' covered by form where indicated. 4. Enter each "Parameter' as specified in monitoring requirements of permit. 5. Enter "Sample ,bfeasuremenr"data far each parameter under "Quantity" and "Qualit}%' in units specified in permit. "Average" is rormally arithmetic average (geometric average for bacterial parameters) of a0 sample measure- ments for each parameter obtained during "Monitoring Period"; "hlasimum" and "Minimum" aze normally ex- treme high and low measurements obtained during "~'donitoring Per.'od." {tote to municipals With secrndary treatment requirement: Enter 30-day average of sample measurements under "Average;' and enter maximum 7-day average of sample measurements obtained during monitoring period under ",btaxinutm:') 6. Enter "Pem, it Requirement" for each parameter under "Quantity" and "Quality/' as specified in permit. 7. Under ".'Vo Ex" enter number of sample measurements during monitoring period that exceed maximum (and/or minimum o[ 7-day average as appropriate) permit requirement foe each parameter. Tf none, enter "0." 8. Enter "Frequency of Analysis" bath as "Sample Measurement" (actual frequency of sampling and analysis used during monitoring period) and as "Permit Requirement" specified in permit. (e.g., Enter "Conn," for continuous monitoring, "1/T' for one day per week, "1/30" for one day per month, "1/97" for one day per quarter, etc.) 9. Enter "Sample Type" both as "Sample Measurement" (actual sample type used during monitoring period) and as "Permit Requirement;' (e.g., Enter "Grab" for individual sample, " 24NC" for 23-hour composite, "N/A" for con- tinuousmonitoring, etc.) Z0. Where violations of permit requirements are reported, attach a brief explanation to describe cause and corrective actions Laken, and reference each violation by date. 11. Tf "no discharge" occurs during monitoring period, enter "No Discharge" across form in place of data entry. 12. Enter "h'nme/Title of Principal Executive Officer" with "Signature of Principal Executive Officer of Authorced Agent," "Telephone Nwnber," and "Date" a[ bottom of form. 13. Mail signed Report to Office(s) by date(s) specified in permit. Retaitt copy for your records. 14. More detailed instructions fat use of this Discharge eLlonitoring Report (DRIB) form may 6e obtained from Of- fice(s) specified in permtt. Legal Notice This report is required by law (33 C.S.C. 1318; ~0 C.F.A. 125.27). Farlure to ~~~port or failure to repott truthPal(y can result in ci~tii penalties oar to exc'.ed 510,000 per day of violation; or in cri~rrnaf penalties not to e;:ceed x25,000 per day of violation, ar by imprisanmcr.t far not mare than one year, ar by both.