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l~a~~r€'v~r~ ~.~~':~y^~`~~on Act Notice
<br />Public reporting burden for ibis collection of information is estimated to vary from a range of 10 hours as an
<br />average per response for some minor facilities, to I10 hours as an average per response for some major
<br />facilities, with a weighted average for major and minor facilities of 18 hours per response, including time for
<br />rviewing 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 3ranch, PM-223, U.S. Environmental Protection Agency, 401 M Street, S.W.
<br />Washington, DC 20460; and to the Cffice of Information and Regulatory Affairs, Office of Management and
<br />Eludget, Washington, DC 20503.
<br />general Instructions
<br />I. If form has been partially completed by preprinting, disregard instruction directed at entry of that information already
<br />preprinted.
<br />2. Enter "Petmi((ee Name/A~lailing Address (and facility name/location, if different)," "Permit Number;' and "Discharge
<br />Ntrmt„r" where indicated. (A separate form is required for each discharge.)
<br />3. Winter dates beginning and editing "!/aiitoring Perio.T" covered by form where indicated.
<br />?. Enter each "Parametar" as specified in monitoring requirements of permit.
<br />5. Enter "S~nr/!a N7.~ocvrm~tt("data fo: each paramcsr under "LU_nitin+"and ;-hrali0," as specified in permit. "Avzr.td •"is
<br />nornally ari8~metic zvc~ge (gco*acL ir. ~ecrr:ge for bacterial paraincie~) cf all sample mersurements for each prramn~r
<br />obiainc;i duping "i,:o.r!!ori.+o P.•rioa'; "'/~sirn~uu" and i,ii,unnmr" are nnnnaUy c:~~;;ne high and low mcasu.:mcnts
<br />obtaiucc duiag "i~;•. ,ir,riab F,:;; ;a". (Vote to nunlcipnts ~•r+'t seccndary trca'_ment «qt iremeni: Enter 30-day avsagz
<br />Of c='1j]ld Rl-^5L''~'CTTICni ; L~'( Cr "H v'rJo "aqd Cn.fT ~1 .'.{ail ~,' 7-Gay avc,[~e o~ 5%'T+l1C Gl L'F Sli:'Cm;.n L~ O~tuin2d d~Ll1J;
<br />mc,~iloring period under "i:-iuinvm.")
<br />;. °n':r"P,,,;nt,4s;~~ir~u~t,'I"urezchparrmcterund_•r"':rv,,ih~"are"~'uality"assotci,iex,inpzrmii.
<br />"%!•, F.;' enter r.umbzr o' r° n~ ~ ! si:,d ' ;t c~.u~cd m ;in um ;acd;o min'~um
<br />T. i:~•cc , =a-.-i~c n-.=:~.u ~mc ' G~n,,j; mu , - ~, a r
<br />o' 7d_y ;.~c;t,,e as et, ~re,j~rial_) f-nTil rc~~~~-emcrt ar each par,rmcter,~If none, cote: "C".
<br />i!. ~~iler ";'r_, ~•r_; ',f . ~. ,hrs' hate s "S ; ' • ,...~,c r:,_,,, ul" (actual frcq,vccy ~;~" ~a"n ~Geg and analysis t~scd d~~rinp,
<br />mun~lo,ing pc~;of) r :d rs"f:•,~,,,i, kt;nr~rs„ -,;!"apctiGeci in permit. (::.g. i:~ttcr " a, t." fcr conYau7ls -~onilc,-;~~g, "!/7"
<br />fcr one day per e•er.1=, "1/30" for one day het mo•~tB, ../'90"far a :c clay per grmr,c:, c'c )
<br />,. ~ni,r "S.nu/'~ Tj~ t ',n~'~ rs "S~„~~ ! • : •~r~n~,,._,.."(canal ;.~mf,ic i,pc „ed dui i3 n~nraa;im,; pcriara art cs "F:,~„t%;
<br />hrl+,i,-~,tt.•o(" (a.g. :inter "Ci,vl-" for iadivic;ual ~art.,~_, "~.JII~ n,r 24-i~r, ~~ cumpcs~te, "1'/.." ;ur co~~~4icous
<br />monitoring, etc.)
<br />10. !''Betz v'olat~c _< of p~mit requirentr's ;or reported, nltarh a b,itf e:. ~lsnalion to +Ia+cril:e cause and ec+ ectlve a_'bns
<br />b be tatcen, sod reference each violation by date.
<br />I I, 1f "rc discharge" c::cn s do=rg mcaitor;ng perio,l, en__+ 'T!o D~schar~e" across furor in piaec of data entry.
<br />17. En,cr 'SVlm_/T~it!~ ,/' frin.:iE ~1 F..~:.~tr!i,: :.ij", •~r•. •vith "Srbn~+n•r~ of /'rir,,;if.a F.c~~:.-t!(%v~ O~~~r •.f At!!;r,-r_rl
<br />A~.•n(, ""Tzleph ire NnmE~ ~~, "and "Gs(::" at bottom of form.
<br />13. \hail signed 'rep ;rt to O, i ce(s) by dote(s) specified in pcmnt. Retain copy for your rccerds.
<br />14. Vlore detailed instructions for use of fats /-isthargcr h9•nritnrieg h~P•,rt (DA•IR) form roay be ob;aincd from Offia~(s')
<br />specified in permit.
<br />Legal Notice
<br />'Chis 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 result in
<br />r:ivil 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 yeaz, or both.
<br />EPA Form 3320-1 (Rev. 03/99)
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