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Paperwork Reduction Act Notice
<br />Public reporting burden for this collection of information is estimated to vary from a range of 10 hoots as an I
<br />average per response for some minor facilities, to 110 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 />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. Environmental Protection Agency, 401 M 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 farm has been partially completed by preprinting, disregard instruction directed at entry of that information already
<br />preprinted.
<br />2. Enter "Permittzz Name/Mailing Address (and facility name location, if different),'' " Pzrmit Numbzr," and "Discharge
<br />Numt~r' where indicated. (A separate form is required for each discharge.)
<br />3. Enter dates beginning and editing "Jvlonitorirrb ParicJ"covered by form where indicated.
<br />4. Enter each "Faramar ~r" as specified in monitoring requirements of pct-rnit.
<br />5. Enter "S nnFle hzasurenr ant" dat<~. for each parameter under "~uantilj•" and L.ru/i!)~" as specified in pennii. 'av~ rabz" is
<br />nurntally arithmetic avenge (geometric average for bacterial parnmcters} of all sample mcasurome~tts for each pammeb-r
<br />obtained during "if- nir;rin~ /'ari~,J"; "A41CilA1Un" and ,Llinin¢rnr" are nonnaL'y . aeme high and low measurements
<br />obtaincri during "b4:nit~ri,ta P,:r%o:f". (i:ote to municipals w~'h sccond:.ry t~ca[m~nt rn_ui-emrni: Enter 30-da} average
<br />of samnlc mcasurcmcr'= under '~ivera~e,"and cater maximum 7-day average of s:mh'~ measur.mcnts obtained during
<br />monitoring period under 'SY.arinrrm.")
<br />b. =:rt;r'T~•nrirRt;rc:vrnrs!" orcachparantcteru;tdo "~u~rtih,•"or,d"~nrati:}~"assnccilicdinFci~nit.
<br />7. Undci "It': F. r" enter numb:,r of samnle n,cusuremcrt _trring r orrtorin~ p~;=o? t' a c.:cced maximum (andrer minimum
<br />cr 7 :1;_}• averngc as appropriate) pc..nit requirement for each panmerr. if ntne, enter "0".
<br />". i-:nt'r"Fr:.,n~7.y..ff;rulysiv"brt~trsur~,7,r1,,1f rs;n-.,_•,rt"(actuzlFcGucnc; c'=^mpiJngzndanalyaauseddnriug
<br />n•onitotingpe~od)andas"/';;.ail,2.~:;r•ircnr_~rr"sper.ilicdinf,emti•. ~.g.I:r.ter"i.nr,"forcon'i;uoasmonitorin~,"t/7"
<br />fer one dsy per v: zc.:, "I/j0" for one day per mon!L•, "ti9(I"for one day per quarter, etc.) y
<br />S. ;:n!ar "S~aT!' nil-'"loth ~s ",ra,nj rs wrz~sura,,; ~;;!" (actual samnlc t~pc uud during m: nitoring period) rod as "~", n,rf'
<br />R_7erir.m_rt.' (e.g. F.nlcr "Gra!•" for indi•:idaal sample, "2dH~" fer 24hcu' composite, ",b7A" for continuous
<br />monitoring, etc.)
<br />1 C. ^,^trre violations of permit requiremcnU arc renorted, attach a brief explanation to doscribe c.msc and corcctivc actions
<br />to be taken, and reference each violation by daft.
<br />~'.. if "no discharge" occurs during monitoring per+.od, enter "Vo Discharge" across form in place of data entry.
<br />12. Enter "Nam.:!!'it!s of ~'rina%ral F_r,cu:ii^ L~=•r" wi[h "Siti~tsnrra of Prbui/.' F.xe^eelirs Offi_er of Attrh~.idzzJ
<br />Agzut, "'Tz[aphorrz NumFar,"and "Date" at bottom of form.
<br />13. lviail signed Report to Office(s) by date(s) specified in permit. Retain copy for your records.
<br />14. More detailed instructions for use of this Gis=harga 1N;nir~+ing Rsl~.rr (GNPs) form may be obtained from O`ficz(s)
<br />specified in permit.
<br />Legal Notice
<br />This report is required by law (33 U.S.C. 1318; 40 C.F.R. ] 25.27). Failure to report or failure to repoR truthfully can result 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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