|
- - - -',~a•r-.;~c.+~k Reduction Act r~ict~ - - -
<br />1*ub!ic ref,: mL burl,:n (.,. N.•. ,~ .izlnuP of ;nti~nr. :. eswnatzd tc vary from +, range of l0 hpurs as .m
<br />average nzr res;v;nsz htr .' ,,; ,r.....r faarht -., to l lV • cs :m average per :r:.portsz for some major facilities,
<br />with ~ .^e.ghtw ..~,:~~e :, ...~..,_ _._ .,_r:,.r facilit._~ ,1 :b hours pet rtcspor•c, inc',luding time for'reyewing
<br />mstn..ai~~ns, scarchie,~ ca.-re~• ~.~. ..,.-„~, ~;+,,,. ,r,d rtcrirainin~t hz l:~ta needed, and completing ar+d
<br />:z~iewr•~ :he ..otie.:,~.,c ,., ..Sc.......,... :.~nJ conuna,:e regarJmg th. L:adcr. es[irtur[e or any other aspect of
<br />this e~:;ccuon cf uform.,. i:.:at::;te .~~gzstioos lur rrdu.u+g thi, +u:Ja~, [o Chief, Information Policy
<br />Branch, FA1-223. U.S. Enc:ronmzn;al Protzctroo Agency, 401 Pd S[reel, :. W Gshington, DC 2(}460; and to the
<br />Office of Infotmatioa and Fzguiatory Affairs, Office of \1anagement and Eudge[, Washington, DC 20503.
<br />General Instruction.S
<br />1. if form has been partially completed by preprinting, disregard ins[nutions directed a[ entry of that information
<br />already Preprinted.
<br />2. Enter 'Permirtee Nau,e•,1la+ling Address (and facility nsme/loca[ion, if differcnQ," "Permit Number," and
<br />"Discharge A'umber" where indicated. (A separate form is required for each discharge)
<br />3. Enter dates beginning and ending ",1lonuoring Period" covered by form where indicated.
<br />4. Enter each "Pnramcter" s spec:fted m monitoring requirements of permit.
<br />S. Enter ".Samp!e.L'easu,.+, :•nr" a.^ta for each parameter under "Quantity" and "Quality" in units specified in permit.
<br />",?veroge" is nonrtali} ;:nthmetic average (geometric average for bacicnal parameters) o(all sample measurements
<br />for each parwneter obuuaed during "Monirorrng Permd'; "Afaadmum" and 'Alinimum" are normally extreme high
<br />ard low measurements obtained during "tlwurorbrg Period." (Note to municipals wish secondary treatment
<br />rcquirerrcnC Enter 30-inv average of sample mcasuremenls wider ".Iverage," and enter maximum 7~day average
<br />of sample measuremec.ts obtained during monitoring period under "Marrmum.
<br />E. Enter "Permet Reguirem~~nt" far rch parameter under "Quanfiry" and "Quality" as specified in permit.
<br />7. Under ",Vo Er" enter r.~~.nber v1 sample measurpren(s during monitoring period that exceed maximum (and/or
<br />minimum or 7-0ay aver.:g: az appropriate) permit requirement (or each parameter. If none, enter "0"~
<br />S. Enter "Frequercv ,f }+...'yss" both az "Smnple .lfcasurnrenr" (actual frequenry of sampling and analysis used
<br />dwing ,nonitoring pe+inc) and az "Permir Requirement" sprxified in permit. (e.g., Enter "Cons," for continuous
<br />monitoring, "I ~7" fcr or.c ,lay per acek, "1130" for one day per month, "/,:90" for one day per quarter, etc.)
<br />9. Enlcr "Sample Typr" b:,,h az "~mrrp/e .L,+ensuremenr" (actual sample type used during monitoring period) and as
<br />"Pzrrnit Requueruenr," .,e g., Enter "Grab" for individual sample, "ZdH(."' for 24-hour composite, "N/A" for
<br />continuous momtoting, ::c.)
<br />t0. Where v~olaticns of l+er:.lit req„irements are reported, attach a brief explanation to describe cause and corrective
<br />actions taken, and reference each violation by date.
<br />11. If "no discharge" acct rs c using moriWring period, toter "No Discharge" across form in place of data entry.
<br />12. Enter "A'amerfitle of Fr.acipal Frecurive Officer" with "Signature ojPrincipal Eseculive Odcer oJAuthori.^ed
<br />,lgeru," 'Telephone A'wnter," ar+d "Dare" at bottom of form.
<br />13. Tt1ail signed Report le OH'~:e(s) t.y date(s) specified in permit. Retain copy for your ru:ords.
<br />14. A4ore detailed irawu:c,~ fcr use of this Discharge dfomroring Report (D.l~1R) form may be obtained from (]131Ce(s)
<br />specified in permit.
<br />Legal Notice
<br />^.'F.is report is required by L.w (33 U.S.C. 1318; 40 C.F.R. 125.27). Failure to report or failure to report truthfully can
<br />:esu!t io~•: iv:l penaltizs uo[ .;, ex~ced 51J,U00 per Jay of violation; ar in criminal penalties not to exceed $25,000 per day
<br />of cu?lation, or by imprisor•n.c;.l (or not more than one year, or by k~oth.
<br />EPA Farm 3320-1 (Rev. 0'.~ 9',)
<br />
|