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Paperwork Reduction Act Notice Public reporting burden for this collection of information is estimated to vary from a range of 10 hours as an average per response for some minor facilities, to 1 ] 0 hours as an average per response for some major facilities, with a weighted average for major and minor facilities of l8 hoots per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of in Formation, including suggestions for rerluc'mg this burden, to Chief, Information Policy Branch, PM-223, U.S. Environmental Prolectioe Agency, 401 M Street, SW Washington, DC 20460; and to the Office of Informatioo and Regulatory Affairs, Office of Management and Budget, Washingtoo, DC 20503. General Instructions 1. If form has been partially completed by preprinting, disregard instructions directed at entry of that information already preprinted. 2. Enter 'Permittee Name%41ail+ng Address (and facility namellocation, if different)," "Permit Nun+ber," and "Discharge h'umhrr" where indicated. (A sepa.-ate form is required for each discharge.) 3. Enter dates beginning and ending 'Alon+(oring Period" covered by form where indicated. 4. Enter each "Paran+eter" az specified in monitoring requirements of permit. 5. Enter "Sample h/eawremenP' data for each parameter under "Quantity" and "Quality" in units specified in permit. "Average" is nornta!I}' arithmetic avemge (geometric average for bacterial parameters) of all santple measurements for cacti parameter obtained during ".tlonimrirg Period"; ".Alaxiu+un+" and "Alinimum" are normally extreme high and low measurements obtained dunng ".Vo.ritorvng Period " (Note :o municipals with sccendary treatment requirement: Entry 30-dap average of sample measuremenu under "Average," and enter maximum 7~ay average of sample measuremments obtained during monitoring period under "Alaximum. 6. Enter "Permit RequirernenP' far each parartctcr under "Quantity" and "Quality" as specified m permit. 7. Under ",V'u Fx" cater number of sample mta;urnten[s during monitoring period that exceed maximum (rmd/or minimum or 7-day at•crage az appropnate) permit requirement (or each parameter. If none, enter "U". 8. Enter "Frrquencv ojanolysis" both az ",Sample l~lea.rvnnent" (actual frequcnr,} of sampling and analysts used during monitoring period) and az "Pern+i( Requirement" specified in permit. (e.g., Enter "font," for continuous monitoring, "liT' for one day per week, "Ir30" for one day per month, "1 /9ly' For one day per quarter, etc.) 9. Enter "Sample Type" both az ".)amp/e .l/easurru+ent" (actual sample q~pe used during monitoring period) and as "Permit Requirement," (e.g., Enter "Gras" far indi~~dual sample, "2JHC" Cor 24-hour camposilc, "A'/A" Cor continuous monitoring, etc.) 10. Where tdolations of permit requirements are reported, attach a brief explanation to describe cause and correc[.ve actions taken, and rcCerence each violation by dr Ie. 1 I. If "no discharge" o:curs during monitoring period, enter "No Discharge" across form in place of data entry. 12. Enter "Name//'itle ojPrincipal Executive Officer" wt[h "Signature njPrincipa! Executive Officer of Authorized .Agent," "Telephone A'umber," and "Date" at bottom of forth. 13. Mail signed Report to Office(s) by date(s) specified in perntit. Retain copy for your records. 14. More detailed instructions for use of this Discharge A4onitoring Report (DAIR) form may be obtained from Office(s) specified in permit. Legal Notice 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 civil penalties not to exceed SI0,000 per day of violatioo; or in criminal penalties not to exceed 525,000 per day of violation, or by imprisonment for not more than one year, or by both. EPA Form 3320-1 (Rev. 08-95)