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Paperwork Reaiuction Act Notice <br />Public reporting burden for this collection of information is estimated to vary fmm a range of 10 hours 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 18 hours per response, including time for <br />reviewing inshvctions, 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 />Chief, 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. i <br />~~~eral Instructions <br />I. If form has been partially completed by preprinting, disregazd instruction directed at entry of that information akeady <br />preprinted. <br />2. Enter "Permittzz Name/iYtailing Address (and facility name location, if different)," "Permit Nvmber," and "Discharge <br />NumEet•" where indicated. (A separate form is required for each dschage.) <br />3. Enter dates beginning and editing "tYioni[oring Pericd" covered by form where indicated. <br />4. Enter each "Parameter" as specified in monitoring requirements of permit. <br />5. Enter "SamFle iv/azsw~•men!"data for each parameter under "watt:i.ry"and QrrJliq~"as specifieri in per;nit. "Avsra;,~r"is <br />nornafiy arithmetic average (geometric average for blcurisl parameters; of ail sample roeasure-iens for each pzrameter <br />obtained dv ing ";viwtitorinb Pericd'; ';',axi,tr;,;" z.-td fdir-,irmr." are norinal:y eatrcmc high and low measmemu:.s <br />ob4t:ncd during ':rio.tftol'ido Pdrio,t". (Vote io mvnicipafs ~:~illi seconda~y'sce.me~t rc:luimncnt Gnrer 3C-day average <br />of saapfe mcastrcments under "Av_..~dz,"and enter mz.imum 7-dr y average of sample measuremen!s oStatned du itil; <br />monitoring period under "ivlaximum.") <br />b. Lc:cr "P.:n,lii i>2e?7'!.-~;nent"for eae,: Para-n:al;r t'i:~'1' "~7~.~i1!1h," £n'I "~tta!i~~"as S,:eCIfiC~ In p.;-m'.. <br />7. Jndcr "?L GL" c..:.: number oCsampte r ;ti• -:r~r.:n: Ju,ing c~oni!er:.i~ ~eccd Jtct c~ceed rra:cimum (and/or rain~mun <br />or 7-eay ~•~crage as a,,propriatc) pe,7rtit rcquirzr.:.: Cor each parameer. ?f none, enter "0". <br />8. ~c-er "r'ra?c,';r_;~ y`A,ul~sis"both as "S_,.rF r_ .~;_.~,-r~,.7',.[" (actual =squ_cc; o: ezmpling and ena'ysis vscd dv~`ig <br />mcu`to.i~tg p,;rior:) a.td as "Psrai! R_iuirr: ;_e: "spec ,red ill t7:i'[ rli, (L'.o'. _ntL; "L'I:1~," fCr ec inuous r„onitorini;, "t/7" <br />fcr one dry per wee';, "//30" for one day ,rte moa(a, "J/90" fe: ouc day per quarts;, ttc,) <br />S. Fntar "S":7/;k Tj,F~"both as "S_,.;Fhr 6; .~s:•,~,,;:_ .7" (ech~cl eamot~ t;~oe used drr:;,b m~nito=~ng per,oci) and as "Pe.vn;~ <br />k~,/eireutov," (r..g. enter "Graf" fcr individu=l s:u.tple, "Z41iC" for 241tcu: composite, 'Yd/A" Cor eont:nuou; <br />monitoring, etc.) <br />10. P.lrete vioiauons of ,ermi[ rcqu;rcmcnL a.re reported, al :ch is brei e;:planati::n to dcsoihe catse and corrective actions <br />to be taken, and reference each violation by date. <br />11. if "no rlischargc" occurs dying monitoring Pericd, r,..izr "A'o Cischatgc" across tarot in place o'data entry. <br />12. Cntcr "AramelTide of P7 in~ipal ExsLYrtiv~ OJJi~sr" tvillt "Si~nmrre Of PrlliaF'a~ E'Sd(.41t1'q; (7~wr GJ ANtI1Gl'iZeLt <br />Abent. ""TeleF'h one A'umhtr,"and 'Date" at bottom of form. <br />13. A pail signed Repot to Office(s) by date(s) specified in pcrm~t. Retain copy for your records. <br />I~.`'.dore detailed instructions for use of this Uisrhargz tYlmitoring Rpa9 (DhfR) form may be obtained from Office(s) <br />specified in permit. <br />Legal NotIlCe <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 more than one year, or both. <br />~~ <br />EPA Form 3320-1 (Rev. 03/99) <br />