|
<br />Public reporting burden for this collection c: ;nforma:ion is es5mated to v ~ry from r range of 10 hoes as an
<br />average per response for some minor facie' es, t~ 110 hours as an average Ee- response c• some mr or 1,
<br />facilities, with a weighted average for major ~ z3 --ino_• facilities of I £; Fors ~e_ res~ onse, iac:; ieig :=:ne ; or'
<br />reviewing instructions, searcuing existing c`~ta saerces, gathering aae *ttaintain,,g the data nc~~cd, aid
<br />completing anc reviewing the collecticn o° ~n°onuation, incluc;ing suggestion ::"or :educing this bu.~en. to
<br />C;~ief, Information ?olicy Branch, PiVi-22~., U.S. E.wironme~tal °, c:ection I_gea'y, 4.01 ~~~; S'seet, S." I.
<br />6Jashington, l;~ 20460; and to the Ot?-eo e" lzfoma:ion 2~d =cegula:or}r t,:`fais, ~ ":gee of I`' 4 ~gemc~t and
<br />Budget, Washington, BC 20503.
<br />
<br />1. If form has been partially completed by prc,,rinting, disregard inssuctioa r~:_cted ~ ` c- ry of the. i:~ crrta_an rlreaC~'
<br />preprinted.
<br />2. enter "Pen, tithe Nacre/%•IailLrg fiddn s (a f:c~lity ;ame/fccation, if d'fFCr.at)," ' P~ .;tit Arui.>.`=.,' rrd ' Dis:.'tosgu
<br />NmnFe" where indicated. (A separate form ', rcgc -u. far cacti discharge.)
<br />3. Enter dates beginning and editing "ivh;;%!c, i...; Perin,:'" coverer by facto wbcre iec:ica mac!.
<br />4. Enter each "Parameter" as specified in r,on ' crL~g -e_~ ~ireme rts of }ermit.
<br />5. 5nter "Samplz i/:aasuremeut" data for c,cb 'r.roa~~ order "~eat~!i:y"and CG,,Airy" .. z?fic~ i. -c-r i. :: va, ge"'s
<br />normally aithmetic 2verage (geometric avc: ' ;c'ar Fac'erial parer eters) o'a! ump c,_ ~ -; s-uremena "~r cacl: pt met~.-
<br />ob[ained during "G:o;rita-ing Pe,iod"; "ivL n..b,i' ?'d Mir:i,;ur+n" rte no.mall~ e~ I;~.r.. high art:. 1:! mezsv::mc s
<br />obtained dari^ ao,-tit~rin Perio:.'. +.ot,: o murre als wish secor ~ tre_tne -[vi 'anent: ~~ :• 30-dr ^c,reo-
<br />of sample measurements under 'Average," • -d cn': naximum 7-day average o: sz nl. measures: ~.r s obtai-.e•! •_urir3
<br />monitoring period under "Maximum.")
<br />6. Enter "PermitRegt+irement"Cot each pc;am.'.-un;.e-"Quantity"anC"2teatity"asspccifi.dinperm~:.
<br />7. Under "No Ez'' enter number of sample mec ~ urcr. i.ct during moni!or;rb petted fiat e.:.r -d maxirrus (a-d/. its imu :~
<br />or 7-day average as appropriate) perma regr ~ anent ~ or each parameter. If none, enter `'G' .
<br />8. Enter "Frequzncy ojAnolysis" bath as "Sa,•?!z ,t~i~zti^~enenr" (actual i;cqucncy o` ~r-sling anc er iysis uses 3ur~il;
<br />monitoring peiod) and as "Permit Require;,.. at" srcci'ed in permit. (e.g. '~ntc- "Ca.t,' i r continue ~~ mcnitcrir,,, "//7"
<br />for one day per week, "//30" For one day pes .ront]_, "1/90" for one day per gaarter, etc.)
<br />9. Enter "Sample Type"both as "Sample I/leosr.~mt~~, ~"(actual sample type uses: during rcnitoring Pa:cd) and as'Per..i!
<br />Requirement," (e.g. Enter "Grab" for ir5.ividue sample, "24i;^" for 2~~how- composite, "iJ/~ " For con::nuous
<br />monitoring, etc.)
<br />10. Where violations of permit requirements azc reported, attac[• a brief exp[anadon to des:~ be cause zed corrective acticns
<br />to be taken, and reference each violation by i ate.
<br />l 1. If "no discharge" occurs during monitoring period, eater'No Discharge" across form is l:~ucc of daa crtry.
<br />12. Ente= "Name/Title of Principal Executivz C~c " with "Signature of Principe! E: ecvtive O~j~er of hvt' oriird
<br />Agent, ""Telephone Number," and "Date" at'uottom of form.
<br />13. Mail signed Report to Office(s) by date{s) srxified in permit. Retain copy for your ncco: ]s.
<br />lg. Mar detailed instructions for use of this Discharge Monitoring Report (Dr9~ form nay be ablated fre-n ~3ice(s)
<br />specified in permit.
<br />~~;~~~ 1°~a~,~~~
<br />This report is required by law (33 U.S.C. 1318; 40 C.F.R 125.27). Failure to rpa't or fri,ure to report trd: rfuily can rtsul[ in
<br />civil penalties not to exceed $10,000 per day of violation; or in criminal penalties not to e:cccd $25,000 F T day of ~~inlatic-,
<br />or by imprisonment for not more than one year, or both.
<br />]E1P.~ &'orm 3320-Il {Esau. 03/94)
<br />
|