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<br />~ ---- --- Faper~;ro~~`~ ~:~ ~~ction. Act :~iotice - ---- ~ t
<br />'ubIlc reporting burden for this collection of inforrnatioa is estima[ec; :•: vrty from a cage of 10 hour as in
<br />rvercge oe: response for some minor facilities, to 110 hours as ar ~,vernge ;er response for some major facilities,
<br />~.vitl! a weig]'e~ cveiage for najor and minor facilities of 18 hcu~_ per s,:onse, including time for reviewing
<br />instructions, searhing ezist:ng data sources, gatF.ering end maia~aining he dzra needed, artd completing end
<br />~eviewing th, colleclior. of mfnrtna[ix. Send comments rega,-c'ir,g the .•~rden estimate or any other aspect of
<br />phis colle<aic~n cf informati+~a, inclurlirg suggestions For reduc~ng this burden, to Cltief, loforrna[ioo Policy
<br />3ranch, PM-223, U.S. Environmental Protection Hgency, 40! M Street, :iR' Washington, DC 20460; end to the
<br />7ffice of I[nformatio^ and Regulatory Affairs, Office of ivianagemea[ and Budget, Washington, DC 20503.
<br />General Tnstrurt;ia~ls
<br />i~. If form has been partial!/ completed by prepnnting, disrega'd irstn~c'icns directed at entry of that information
<br />ahead}• preprinted.
<br />2. Enter 'Permir!e: ,Varne%Llai(ing Address (and facdity natac/locaticn, if different)," "Pe.mir Number," and
<br />"Dischnrge ;.`~moer" µhere indicated. (A separate form is required for rich discharge.)
<br />3. En[cr daUS beginning and ending ';lfoniroring Period" covcrcci ;;y form where indicated.
<br />4. Enter czc't '.'aremeter" as specified in monitoring requiremen~s of pe, ''?.
<br />S. Enter '.Semple A.'casuremenP' data for etch ~arametcr under "Qrn7ntih~` z~'. 'Quality" in unit specified in pe~n>i!
<br />"A v.%; cge' is norma:!y arthmetic aeerzge (georeL;c average for b~° r. r.i auzme:ers) of all sample muasuremenls
<br />for each ;ara ne!er e!alat.~ed during `,llonilo.-ing Pe rod"; "'.Is-imum" rr~ '^.~I~nL,na,~" are nornsally eaVe as h„
<br />and Ictv meastucmcnts obtained d:ring ",l/nn+roring Per, o+'. (X e'. •::c mcnirp~ts with :ceondary• teen U.~.:rt
<br />require:mraC Er!cr 70-d }~ :: ~erage of sample measuremcrts rder ": ~~ e.~oge," and wtcr maximum 7-day ave~sgc
<br />of sample mussu;n:mcns cS ained during monitoring period order "rL1c.: rrum.
<br />5. Enter ".PU~nir Requirerte,r(' : or ead parameter under "Quanti 1•" and "Qaa9ty' as spr_'i~ed in permit.
<br />7. Under "Pb E:r" ruler rv_rr.; * of srmple mcasurmcerts dr-i=g moail-.'~t;; ; criod that e:.cee1 maximum (andic~r
<br />minimun or 7-day a•;cra;,c rs 2pgropria[c) permit renuireme~l (or eac!~ •a~ Teter. ]C none, enter "f".
<br />3. Ent^_r "F•egv~•ne~~ nj ,^.,:e!.a~s" bath as ".Semple ;l:cavunnenr" (eC:~' 're,~cency o- saTnling and analysis ~ssrd
<br />durng monitoring p_-ic6) erd as "Permit Requirernenl" specified it c-tti[ (e.g., Enter "Coot," for cant~nunus
<br />moniu+ri~~g, ' 1/T' ter one d;y per week, "//30" for one coy per r:onl't, ' : ->70" :'or cue day per quarter, ale.;
<br />9. EaDtr "Snmp'e T?pe" bo''t as "Saatple .Lleasur^menr" (actual semp[c ~::~ used Bt,; ng monitoring period) and 25
<br />"Pe~,nV 4em~iremrer," _ Emer "Grab" for individual iartp!c, '-/CC" for Zw-hour composite, "~~~A` ~c•
<br />continuous rraniloring, ctc.j
<br />r„ Whore violatans of pertu' :eruirerncnts aze re9ortxi, attach z brie` _eplanalion !o describe cause and corte.aive
<br />actions taken, and reference each ~iclation by date.
<br />1. if "no dirhz-ge" occars c u=ng non~toring period, enter "No Discharge' zcross fore in place ofdata entry.
<br />2. Ent^ "A'.me,Tilie ajPri,mipal Erecalive Officer" rich ".Signnm.e aj Princinn/ Executive Officer ojAu[hori?ed
<br />Agenr," "Tel=pho,re:\'um%;e;~," and "Dare" a[ bottom of Cornt.
<br />3. tviaa sigred Feport?o Offic_(s) by date(s) specified in pcrntit. Aelain cagy for your records.
<br />4. 1Jlore detailed. inslructiors or tse of [his Dischnrge.4foniroring Report (D,tIR) form may be obtained from Office(s)
<br />specified in permit.
<br />Legal Notice
<br />Tha report i; required by law (3° U.S.C. ]318; 40 C.F.R. ]25.27;. Fai]ur~ to report or `allure [o report WthftJly can
<br />res~h in c:vi p~nal~ ies not b e;:ceet ; ! O,C00 per day of violation; o' _z crir.' ~_i ae*+zlties not to excxd $25,000 per day
<br />of violation, or by impnsonmen: for Lot more than one year, or by both.
<br />EF'A Forno 332D-1 (Rev. 08-95)
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