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?~~.~erwork Re~~~A: ~70~ Act Notice
<br />Public reporting burden for this collection of information is estimated to vary from a range of 10 boos as an
<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 1811ours per response, including time for
<br />re•/iewing instructions, seazching 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 />Cbief, 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 />Ger~~~°al Instructions
<br />1. If form has been partially completed by preprinting, disregazd instruction directed at entry of that information already
<br />preprinted.
<br />2. Enter "Permittee Name/Moiling Rddress (and facility name/Iccation, if different)," " Fermit Num!'er," and "Cis,;har~d
<br />NumCzr" where indicated. (A separate farm is required for each dischazge.)
<br />3. Enter dates beginning and editing "Monitoritre Peri ,,i" covered by form where indicated.
<br />4. P.nter each "Param~t °r" as specified in monitoring requirements of permit.
<br />5. Enter "S1:nTl ~ bt7astn~znt~nt" dzta for each parameter under "~u~ruity'' and Diu slit; "as ~pcci~ied in permit. "Arrrag:" is
<br />normally arthmetic a~ cragc (geomeGic avcrge for bacterial parameters) of a!I sa;rplc measurcmcn's for cacti paramct~r
<br />obtained during "bl.nir,rLr~ F2ii-,d'; ".'vsximu;n" and ivlinir•~xr,r" arc nornrally c..t-~me 1tiLh and lo•,v mcasu-emenL•
<br />Obtained dw-ing "ir'i',lii r'. ~'%172' f'TI ;.~". (1~OtC t0 mlln :Clpals \C;th SeCnrd.^' trcatmfill r~r'L'liem CP. is ~~'.nler 30-day SV~~Lf~'C
<br />of srnp'c rrczsurcmc:,!: r~r~r A•'~r1a~,"ard cn:er ^~oxir,ur.- 7-drry avc age of srm; L ctcs;_rcmcns obtained curcg
<br />monitoring period under '7LLsrimurt.")
<br />fi. ..°.nt'r ';^.-,~t,iit R •.nr.',•e+e~;tt".'or each parameter undo- "L ~~~nrit,~" a~: ~ ",r_.,tr~liry" as s~uiGed i~ permii.
<br />"'. Und~_r "AC; ,~c" en's numb of sample me4screm~_rt '.rr,ng r-o-i.~--ieq i;_:i:>` t~: _' :c_ed aa>-~rnur„ (;,,itL'o; min°~r~rn
<br />c' i -ilcy avcr~,:, c.; . pptr,'~riatc) ~crmi[ rqu~'~cmc-.t for each p~r~m_f.cr. ifnana, cote: "0"
<br />8. .n.^- "Fr;r•_m -j.'rul}'sir" both as "S~,n,•!: 1.Cv~:•; :,,~,•r!" (acturl frcy~c:cy r aa~p'irg and ar:d;eis cscd du-iu;;
<br />--tonia;tin0 fcrad) and as "P, ,-:air Re:/rA ~,r. rt",;~.eciGcd in nc r~~i'. (c.h. =n!cr " ,,,ir,"inr cunCnaa.ts monitnrin~, "//7"
<br />fc: o:rc day per r; ze!:, "//30"for one day per monilr, "1'90" fo- u.re day per cua~:e r, ctc.j
<br />4. .„~. '(S„rT+. T}j ."bot;r zx 'S.empL; 1~'e/svr~r,ra ~" (sctcal sarnplc iy; c ut~d du.ir~ mnn bring peried) and as'T~'r;rri!
<br />R_anir~,v~; a." (~:.g. ' ntcr ",rvh" for individual sample, "~4i/~" fcr 24-hogs ccmpasitc, ".\'//" for con ~ncovs
<br />monitoring, etc.)
<br />10. `;`hcrz ~~olations of permit requirements arc ~eportc?, attach a brief ex;;lana+ion to dscrib~ cause and corre_tive acY:nns
<br />to he taken, 4nd reference each violation 6y date.
<br />". I. "too discharge" occurs during monitoring, period- enter "No Discharge" across form in plat:. ofdata en'ry.
<br />12. En~cr "P.'amz/Tide %f !'rt.tc;rJ! Ez; .vrir•a GfJ?:rr' with "Si,SUVV,~~ of !'r%n,i/ ~! F.x:: utiv_ ~~~e,~ of Aur;r,; %z.J
<br />nb_nt, ""Talapfion_ Numhu~,"and "Ga.'r" at bottom of form.
<br />13. }fail signed Report to O1Tice(s) by date(s) specified in pcimit. Retain copy for your records.
<br />14. More detailed instructions for use of this Gi.r,:/targ,~ bfonitorirr6 Red orT (C;v1R) form may he obtained from C ~cc(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 mote than one yeaz, or both.
<br />EPA Form 3320.1 (Rev. 03/99)
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