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~~~~ erwork Red~z~'.~yon Act Notic€;
<br />Public reporting burden for this collection of information is estimated to vary from a range of ] 0 hours as an
<br />average per response for some nilnor facilities, to 1 ] 0 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, inclucing ti!-ne for
<br />reviewing ins'~ritctions, searching existing data sources, gathering and maintaining the data Zecded, 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 form has been partially completed by preprinting, disregazd instruction directed a[ entry of that information aUeady
<br />preprinted
<br />2. Enter "Permittee NamelMai!ing Address (and facility name/;ocation, if different);' " Pennif ArtrmLer," and "Gischorga
<br />Numl•e.~" where indicated. (A sepazate form is required for each discbazge.)
<br />3. Enter dates beginning and editing "i/•onitoring P~ricl"covered by form where indicated.
<br />4. Enter each °Par01n2tdr" as specified in monitoring rquvements of permit.
<br />5. Enter "SemFh ha:%survmou" data for etch parameter under "~ulntity"and ~irrslin,~" as specified in pent it "Av~~rzge" is
<br />^ormal'y arithmetic average (gcur.:et*ic avcrcge for baclcrial parameters) of all sunplc mea:.~ronrnts for each pazzmcier
<br />ebu:incd dwir,g ';:A.r»!•,rin~ F~ri~/'; "1~;LCi+.u~rn" and iviini.;rtnn" are acrmslly extreme high znd lots m~asurumcnu
<br />obtaine] oaring ".'•i"~,ril~,;-%+tg Ptri ;:!". (T~n~c to munic:~als with srcundary trcatm.rr rec;uinmerl: r~', r 3C-c72y avc:~ge
<br />of sample measurements uncle. "Avar~g~,"and enter maximum 7-day average of sample measurements obtained doing
<br />monitoring period under "Muirrurn.")
<br />6. En;.: "r'zTri' Rr;:~irovaar" rot erc:i paruncu;r und~s "[ir•.~r,+il,-" aid "Qvvliry" as specified in p.nn`..
<br />7. Under ' itro ia" ecler number of sample maasur ter.^.r. Juriag rr,on~u+rnig ;.cried A.^:.,cced ~~na:.i~.uv,, (:: d%c,r min'•aum
<br />or i-day aver age as a*,;orop.iale) permit rcquiren~cnt for each paramc:cr. if Wont, uacr "0".
<br />8. u.'.. ",=irge.u_~~ •j.:nlltisis" both s "S;nr; la ,'.:_ ~rr.,-.:rn_,r+" (cctua: freoue~cy orsamp: nd an: acnl~rsis ascd c urn;;
<br />monitoring period)~nd as "F_nrri: R•;rirs~r~rn!" sneciied in pv~mil. (eg. i?ntcr "~~.nr,"fur cant~ituo~L. monitoir,o, "1 /7"
<br />Cnr :nc day pc ~ v: eric, "1 /30"far one day per month, "(r90" far one day per quart_~r, etc.)
<br />~. L-n~,.r "5s~..t ! ° TyFr" bosh as "S~, ;FL ~:.~.~.+ r,~ansr~!" (aclucl sample q~pe rued during :nonitur:ng re-iod; any as "F_rr.;i!
<br />fZ~u;ra, ;n." (e.g ]'nu:r "G.~,~t" for ~ndieid~lal sample, "1v!/~" icr 24-boor coa-pcsite, '~,:'i~"' for couiinuous
<br />monitoring, etc.)
<br />l0. C~lterr. ••ioh.tions of rctmti[ re ;uircments aro reported, attach z briaf c;:plaaation io describe cause a,td cnrrx:ive actions
<br />to be taken, and reference cacti violation by dare.
<br />11. [f "no discharge" eccu*s dnrng monitoring period, eater "ido l;isehargd' across form in place of data entry.
<br />12. £n~e- 'YJarn,:/TitL ,J Friucixal Exp. urrv~ G~_•~+ " with "Si~vtxlrr_ of Frirr ~i!•11 F_:, scrire O~xr of ~!ut;r„iz.:J
<br />Abort, ""TakF;r;n~ iJunrha•,"and "Gary" at bottom of form.
<br />13. 1'ia it signed Report to Office(s) by date(s) specified in permit. Retain copy for your records.
<br />~~;. i~~ore detailed instructions for use of this Gis~/ergs Af~nitoring RaFor1 (D,V,TcJ form may be obtained from Office(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 to report or failure to report 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 titan one year, or both.
<br />EPA Form 3320-1 (Rev. 03/99)
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