|
'-~~wrwork Redu~i~ion Act Notice
<br />Public reporting burden for this collection of information is estimated to vary from a range of 10 hours as an
<br />average per response for some minor facilities, to 110 hours as an average per response for some major
<br />facilities, wide a weighted average for major and minor facilities of 18 hours per response, including lime for
<br />reviewing instructions, searching existing data sources, 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. Envitronmental Protection Agency, 401 N. Street, S.W.
<br />Washington, DC 20460; and to the Office of Information and Regulatory Affairs, Office of Management and'
<br />Budget, Washington, DC 20503.
<br />General Instructions
<br />1. If form has been partially completed by preprinting, disregard instruction directed at entry of that information already
<br />preprinted.
<br />2. Enter "Permittee Name/irlailing Address (and facility namc/loca[ion, if different)," " Fermi[ Number;' and "Discharge
<br />N:rn, her" where indicated. (A separate forvt is required for each discharge.)
<br />3. Enter dates beginning and editing "Maritorirrg Period" covered by form where indicated.
<br />4. Enter each "Pararrratar" as specified in monitoring requirements of permit.
<br />5. Enter "S ~ti1PL iYisaflO'elilint" dote for cacti pa~amc!er under "Qirsntir)~"and Ciu1G;~" as specified in pern-it. 'Av,:r~tia" is
<br />ro; ~alfy ar.lhmetic svcragc (geometric average fret bacterial p~ramctcrs) of all sample rrc~suremcn[s for ezch partmc:er
<br />obtained durng ':ii•,.?i1'.r[Itg P~r"G.l'; 'tlll'ibltrrrz" gnd idi:r%nnm?° aro normrlly c:;trmc 1;:~~ and low mcaswe:rfn's
<br />obtair^d during "i~; ,;l'!., iob FerioJ". (~oLe to manic pays r; i;h secondary treatment rc luiremcn': Enter 30-day ~ve:aoe
<br />of sam a!e mersu~'enerls u-!Cer "Avlr_6 ~,"and enter maximatn 7-d.~}' overage of sam,-•Ic mcasur:ntui.~ ooir:intd dcrirrg
<br />monitoring period under ':vFirirun,r.")
<br />6. ::nlrr "FrnairR.;qui: _•r;+.,rt" rot each parameter undf- "LU,,r:!iif"ao' "~u~iity"ac .peci icd in perm; .
<br />7. L'~ .. "%/~. Rr" enter numbc; of namr'le m~a:u-emc~~+ wring no~iP;r~~ig ;knot [',~! e~uad ma•~:nurr (s.a:/or mini rum
<br />o %-day averc;,t s ~ptrcopriato) m_nrit r .l~dri mrnt rcr each parameter. If none, emits ".1".
<br />t;. _ ._ 'rt, -,1.;• '~'.i,. ~I}:e;: ' boti~ cs "5_ , ~ L '.; us;~, ~•.:r_r+'" acto~t fr. Drr c ~ i r .
<br />( c, of trop;in;; ~nI n ells. rsed denng
<br />,vuni'wri~g ncr~ud) t red as "F,:,-„r!t r4__/vi;~.r,~ .r,l„sp~ciGed in pr.~ ~n~!. (c.g. i'n:er ".i.nt. ° for con.il~uos m.anilur:r~, "I /7"
<br />fe.- ^nc c4 ty ptr we.:':, "//30" for ; n^_ day per mon!h, "1/90" for ono dsy per c;ua tier, etc.)
<br />,. dnt_ r "S.r,:r,!, T,~r_ ' 1701'1 cs ';~ :,;r !,: . ,.. u~n.: rr.;.!" (t cruet ~nmp0. ly; c nerd dVrn~ monilor~ng -~r,=~cd) and as "~_:v:r.'t
<br />k ;urirrat~„r," (e.g. ~nL:: "CrUi " for indi~ idual .,. nplc, "~~// ~" fer 7.t-~-0;, cr,•nnositc, "io7i" rut con'.mueue.
<br />monitoring, etc.)
<br />1C. C"•.u viol tines of, omit rcquircmcnG arc rcpoYC" attach a i~ricf c.v~tznmiun M dactibc cau3s and ccrrecCv~ actions
<br />to be taken, and reverence each violation by date.
<br />l r. ""no disch~gr." occw s dvr'ng monitoring periori enlcr'To Diacltarge" across form in plecc of ~sta entry.
<br />I-L. En.cr ",V v~rr/Tid~ '~' I ri,ripa! Era.:ulia: O~ ~, ' +.vilh "Sim nattn-z of r, irv-i, 1+ F..t_',:~tiv_ '.~~~,- cj Atrli;~.ri-c,f
<br />AKent, ""Trizph,rr_ .Vum1': r,"arc "D;ltd"at bottom of form.
<br />13. ?[fail signed Report to Oritx(s) by date(s) specified iv permit. Retain copy for yourreccrds.
<br />14. More detailed instructions for use of itus Gis_harge :''/,w,ita~ing ReFn! (D.'~4I~ form may l;c obtained ;tom CTcu(s)
<br />specified in permit.
<br />Legal Notice
<br />This report is required by law (33 U.S.C. 1318; 40 C.F.R. 125.27). Failure [o report or failure to report truthfully can result in
<br />civil penalties no[ to exceed $10,000 per day of violation; or in criminal penalties not to exceed $25,000 per day of violation,
<br />or by imprisomnent for not more than one yeaz, or both.
<br />
<br />EPA Form 3320-1 (Rev. 03/99)
<br />
|