Papc~e•~~~ork l[Ieduction .Act r~otice- - - _ _ _
<br />},.:~:.. ,-~,,,,r,;.~ I•un .;: I ~ ~ :n ~~Y rntS+ruuuun s rat:m:ari ~ ,_ (naa a range of 10 hours a~ an
<br />,o: .: :cc i ~-r :~..pr:n~:r ,ur ~ :,r : .~. ~. to I10 huurs as ort nv,a,;~.:.~:~: :p; u:e for some major (acliti ~.,
<br />..uh ~ v.ugh+ed a.ra.:~e s, ,,. ~.. ~ , i._dums of i13 ho.r~ p, ~ , _, , :r.clu9mg line for reviewing
<br />~' :.~.tru.ti~.:r;s. ,.ar.t;~n: ... ,•iat' ., .,,.... 5_'h :gig nor nuirtnini.ig Im J~u.r meerled, a»d completing and
<br />n~ic.~ir~~. tltr :G!:~a :n:n ua.,.:.. ...~,a. .....:,! ~,,,.-~:,tnu ,cgardiog the h,.rJr •~ -; i..tate or any other aspect of
<br />this colle~tiun of inf.+rnu lov, ~m i~.i~.`~a, >:p•~e:aions for reducing this 1~;:~„'cn, lu Chief, loformation Policy
<br />F3rartLh, F'iv1-223, L' S. Gtr t~.liiui , I ot.:~ ., n Agency, 4Ul M 3treat, S' 1' 1v .ivnngton, DC 20460; and to the
<br />G1fice of Information u:i a~guL:~ '•'.~~irs, Office of Management an~l bulg~nl, 1Vashing[on, DC 20503.
<br />:
<br />General Instruction..
<br />1. If form has been partially ax:y,.-~_J by preprinting, disregard instruct;onr. directed at entry of that information
<br />already preprinted.
<br />2. Enter 'Permirlee Vo,nr,:lfu;+r~,R ,Idrfress (and facility nameflocation, if different)," ".permit Number," and
<br />"Discharge Number" t~l ire ind~c tled. (A szpazate Corn is required Cor each discharge.)
<br />3. Enter dates begimti^g .~: d erdiug "hlnnrronng Periud" covered by form where indicated.
<br />4. Enter each "Farm+:cre;-' t s :yc~, fir d in monitoring requirements of pernut
<br />5. Enter ".Sample tf. o ,r ~::r' : fw each parameter under "Qunnrirv"and "t7r olrty" in units specified in permit.
<br /> ".'reruge" is nom ;.'~!~ .. ..:*:.gc (geun~mtnc :,~erage for bancna~ pann~eters) of all sample measurements
<br /> for each par:,muc ,l ;. f, "' !~,rururin,Z !'rnurP'. ",t'uriurum" .end ".Vu,iruun!" are normally extreme: high
<br /> and Ieu• nt~;,;wc.ucr -: u~.uing "aurrrnrv„ J'r•~ruJ." (Nr~le. '.n n.unicipals w7th secondary treatment
<br /> re (r.4cmem Enter 3 ~ .... ~ u: s auple nv acc:ueuts wider ": t . er ~Xe," zmd enter mtucimtun 7-day average
<br /> n(;aatple !neasurcnrc:as -m!:,~::~.. ,! ,lunrg monitcring period wrdcr "A /nrunum ')
<br />F. Euttr "1'erurrr n, :;uin ^~ .. .. ~: i p:+ramc~cr r.:~er "Quanoty" a»d '~~'u,Jirv" as specified ut permit.
<br />7, flnd.r "~'n r~i" cnh:r .,: .-~.; ~amplc ~,„u~:r.~mnts during monitoring IK~riod that exceed maximum (and/or
<br /> mu!iu!um nr 7-d.n~:,r - ., •~s ~~! , ~~~prirtej p::nn I requirement for each pwamcler. If none, enter "0".
<br />~. [: n'<! ''r~re ~ucr: cv ,rJ.1~: ::: .. ..n .,~ .:Rn;,:p+e .1l,nsurmen!" lac, mil fr_quuuy of sampling and analysis trsed
<br /> :iunn_r, monlturng pi";.. ... , °rt roue Rcgr,veunwr" spccificd in Ixrr,iut (e..g, Enter "Coot," for continuous
<br /> mo;.;lormg, "I 7" Ix r•t - ,:.h, "! ~ 4" G.r one day per mantb~, "; 9J" fcr one day per yuartcr, etc.)
<br />~. r`.nu:r ".~'unrple Tt;:~" ~ :' ~s ' +7 d.• Uda.ure~:Went" (actual sample n rx us_d during monitoring period) and as
<br /> "P~rnur 2cquirerran; " ::-.r "r;rvb" for individual sample, ":d,71"' far 24-hole composite, "A%A" for
<br /> con±inuous morritonn~, ~.~t•'.)
<br />h"1. '.Yt!cre ~ioialions of ,ti:-: ~ rc -; ~ . ~i~:• ;arc reponed, attach a hrief c>.pLma!ion m describe catrse and corrective
<br /> ntUOns token, and rcRr~n-~ c,^.~.:: ; , ut-!uon h}' data.
<br />11. if "nu discharge" arms d :: nag • .. !coring Ixriod, enter "R'o Discharge" cross form in place of data entry.
<br />IL Enter ".\'mne•: Trt/e ;r","; r, c`t+a% ~rr•uli ce r:J~ce r" tech "Signature of Pr, nc)p,al F..reculive Ulcer ojAulhorized
<br /> :Ige~nr," "Telephone ,1~w+:G: r,^ ,u „1 ",lore" at bottom of form.
<br />73. h1:rl signed Report ,r. G'L~ e(s) L , 1t1e(s) speciLri in perntit. Retain copv fur your records.
<br />1 ~. D.ierc •!cLrilad instruciruns ~~nr :c:.il '.a Di.crirarge.tlonrruring Report (LS1:rRj form may be obtained from Office(s)
<br />spccificd in permit.
<br />Legal Notice
<br />"tiffs rprnt ~s regair.:J by ; ~.v (3 t ! ~.~:.:'. i it R; 40 C.F.R. 125.27). Failure .n n~pon ur failure to report truthfully can
<br />..:•u!t n :..:! pena~t;~; n~~t ~,..- ....; °~ , •'"I ~~:r Jay of siu!~tion; :~r in cri mrral proahirs not to exceed X25,000 per day
<br />;•~ violation, •N by imprsur•:•~,~; `~r .:. .. e thn;t one }ear, or by both.
<br />f.PA Form 3320-1 (Rev. ~" :- r )
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