DS9 Document EFTA01221078

" EPA ve• United States Environments, Protection Office of EPA Fenn 3510.2C Enforcement Revised August 1990 Washington. DC 20460 Previous edltons are obsolete Parrn its Division Application Form 2C - Wastewater Discharge Information Consolidated Permits Program This form must be completed by all persons applying for an EPA permit to discharge wastewater (existing manufacturing, commercial, mining, and silviculture; operations). Printe000 Flecvdo, Pat., EFTA01221078 Paperwork Reduction Act Notice The public reporting burden for this collection of information is estimated to average 33 hours per response. This estimate includes time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information to the Chief, Information Policy Branch (PM-223), US Environmental Protection Agency, 401 M Street, SW, Washington, DC 20460, and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503, marked Attention: Desk Officer for EPA. Proted on Recycled Paper EFTA01221079 INSTRUCTIONS - FORM 2C Applicant for Permit to Discharge to Wastewater EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTUREAL OPERATIONS This information must be completed by all applicants who check "yes' to Item II-C in Form 1. Public Availability of Submitted Information Your application will not be considered complete unless you answer every question on this form and on Form 1. If an item does not apply to you, enter "NA" (for not applicable) to show that you considered the question. You may not claim as confidential any information required by this form or Form 1, whether the information is reported on the forms or in an attachment. This information will be made available to the public upon request. My information you submit to EPA which goes beyond that required by this form or Form 1 you may claim as confidential, but claims for information which is effluent data will be denied. If you do not assert a claim of confidentiality at the time of submitting the information, EPA may make the information public without further notice to you. Claims of confidentiality will be handled in accordance with EPA's business confidentiality regulations at 40 CFR Part 2. Definitions All significant terms used in these instructions and in the form are defined in the glossary found in the General Instructions which accompany Form 1. EPA ID Number Fill in your EPA Identification Number at the top of each page of Form 2C. You may copy this number directly from Item 1 of Form 1. Item 1 You may use the map you provided for Item XI of Form 1 to determine the latitude and longitude of each of your outfalls and the name of the receiving water. Item II-A The line drawing should show generally the route taken by water in your facility from intake to discharge. Show all operations contributing wastewater, including process and production areas, sanitary flows, cooling water, and stomiwater runoff. You may group similar operations into a single unit, labeled to correspond to the more detailed listing in Item II-B. The water balance should show average flows. Show all significant losses of water to products. atmosphere, and discharge. You should use actual measurements whenever available: otherwise use your best estimate. An example of an acceptable line drawing appears in Figure 2C-1 to these instructions. Item II-B List all sources of wastewater to each outlet!. Operations may be described in general terms (for example. "dye-making reactor" or "distillation tower). You may estimate the flow contributed by each source if no data are available. For stormwater discharges you may estimate the average flow. but you must indicate the rainfall event upon which the estimate is based and the method of estimation. For each treatment unit, indicate its size. flow rate, and retention time, and describe the ultimate disposal of any solid or liquid wastes not discharged. Treatment units should be listed in order and you should select the proper code from Table 2C-1 to fill in column 3-B for each treatment unit. Insert "XX' into column 3-B if no code corresponds to a treatment unit you list. If you are applying for a permit for a privately owned treatment works, you must also identify all of your contributors in an attached listing. Item II-C A discharge is intermittent unless it occurs without interruption during the operating hours of the facility, except for infrequent shutdowns for maintenance, process changes, or other similar activities. A discharge is seasonal if it occurs only during certain parts of the year. Fill in every applicable column in this item for each source of intermittent or seasonal discharges. Base your answers on actual data whenever available: otherwise, provide your best estimate. Report the highest daily value for flow rate and total volume in the "Maximum Daily' columns (columns 4-a-2 and 4-b-2). Report the average of all daily values measured during days when discharge occurred within the last year in the "Long Term Average" columns (columns 4-a-1 and 4-b-1). Item III-A An effluent guidelines promulgated by EPA appear in the Federal Register and are published annually in 40 CFR Subchapter N. A guideline applies to you if you have an operations contributing process wastewater in any subcategory covered by a BPT, BCT, or BAT guideline. If you are unsure whether you are covered by a promulgated effluent guideline, check with your EPA Regional office (Table 1 in the Form 1 instructions). Item III-B An effluent guideline is expressed in terms of production (or other measure of operation) if the limitation is expressed as mass of pollutant per operational parameter. for example, "pounds of BOD per cubic foot of logs from which bark is removed," or "pounds of TSS per megawatt hour of electrical energy consumed by smelting furnace.' An example of a guideline not expressed in terms of a measure of operation is one which limits the concentration of pollutants. Item III-C This item must be completed only if you checked yes" to Item The production information requested here is necessary to apply effluent guidelines to your facility and you cannot claim it as confidential. However. you do not have to indicate how the reported information was calculated. Report quantities in the units of measurement used in the applicable effluent guideline. The production figures provided must be based on actual daily production and not on design capacity or on predictions of future operations. To obtain alternate limits under 40 CFR 122.45(bX2Xii), you must define your maximum production capability and demonstrate to the Director that your actual production is substantially below maximum production capability and that there is a reasonable potential for an increase above actual production during the duration of the permit. Item N-A If you check "yes' to this question, complete all pans of the chart, or attach a copy of any previous submission you have made to EPA containing same information. Item IV-B You are not required to submit a description of future pollution control projects if you do not wish to or if none is planned. Item V-A, B, C, and The items require you to collect and report data on the pollutants discharged for each of your outfalls. Each part of this item addresses a different set of pollutants and must be completed in accordance with the specific instructions for that part. The following general instructions apply to the entire item. General Instructions Part A requires you to report at least one analysis for each pollutant listed. Part B and C require you to report analytical data in two ways. For some pollutants, you may be required to mark "X" in the 'Testing Required' column (column 2-a, Part C), and test (sample and analyze) and report the levels of the pollutants in your discharge whether or not you expect them to be present in your discharge. For all others, you must mark "X" in either the "Believe Present' column or the 'Believe Absent' column (columns 2-a or 2-b. Part Et and columns 2-b or 2-c. Part C) based on your best estimate, and test for those which you believe to be present. (See specific instructions on the form and below for Parts A through D.) Base your determination that a pollutant is present in or absent from your discharge on your knowledge of your raw materials, maintenance chemicals, intermediate and final products 2C-1 EFTA01221080 FORM 2C - INSTRUCTIONS (continued) Item V - A, B, C, and D (continued) and byproducts, and any previous analyses known to you or your effluent or similar effluent. (For example. if you manufacture pesticides, you should expect those pesticides to be present in contaminated stormwater runoff.) If you would expect a pollutant to be present solely as a result of its presence in your intake water, you must mark 'Believe Present' but you are not required to analyze for that pollutant. Instead, mark an "X" in the Intake" column. A. Reporting. All levels must be reported as concentration and as total mass. You may report some or all of the required data by attaching separate sheets of paper instead of filling out pages V-1 to V-9 if the separate sheets contain all the required information in a format which is consistent with pages V-1 to V-9 in spacing and In identification of pollutants and columns. (For example. the data system used in your GC/MS analysis may be able to print data in the proper format.) Use the following abbreviations in the columns headed "Units" (column 3. Part A, and column 4, Parts B and C). Concentration Mass ppm parts per million lbs pounds mgA milligrams per liter ton ppb parts per billion mg WI micrograms per liter grams g kg kilograms T tonnes (metric tons) tons (English tons) milligrams All reporting values for metals must be in terms of 'total recoverable metal," unless: (1) An applicable, promulgated effluent limitation or standard specifies the limitations for the metal in dissolved. valent, or total form: or (2) All approved analytical methods for the metal inherently measure only its dissolved form (e.g., hexavalent chromium); or (3) The permitting authority has determined that in establishing case- by-case limitations it is necessary to express the limitations on the metal in dissolved. valent, or total form to carry out the provisions of the CWA. If you measure only one daily value, complete only the "maximum Daily Values" columns and insert "1" into the "Number of Analyses' column (columns 2-a and 24, Part A, and columns 3-a, 34, Parts Band C). The permitting authority may require you to conduct additional analyses to further characterize your discharges. For composite samples, the daily value is the total mass or average concentration found in a composite sample taken over the operating hours of the facility during a 24-hour period: for grab samples. the daily value is the arithmetic or flow-weighted total mass or average concentration found in a series of at least four grab samples taken over the operating hours of the facility during a 24-hour period. If you measure more than one daily value for a pollutant and those values are representative of your wastestream, you must report them. You must describe your method of testing and data analysis. You also must determine the average of all values within the last year and report the concentration and mass under the "Long Term Average Values" columns (column 24, Part A, and columns 34, Parts B and C). Also, determine the average of all daily values taken during each calendar month, and report the highest average under the "Maximum 30-day Values" columns (column 2-c. Part A, and column 3-b. Parts B and C). B. Sampling: The collection of the samples for the reported analyses should be supervised by a person experienced in performing sampling of industrial wastewater. You may contact your EAP or State permitting authority for detailed guidance on sampling techniques and for answers to specific questions. Any specific requirements contained in the applicable analytical methods should be followed for sample containers. sample preservation holding times, the collection of duplicate samples, etc. The time when you sample should be representative of your normal operation, to the extent feasible, with all processes which contribute wastewater in normal operation, and with your treatment system operating properly with no system upsets. Samples should be collected from the center of the flow channel, where turbulence is at a maximum. at a site specified in your present permit. or at any site adequate for the collection of a representative sample. For pH, temperature, cyanide, total phenols, residual chlorine, oil and grease, and fecal coliform, grab samples must be used. For all other pollutants 24-hour composite samples must be used. However, a minimum of one grab sample may be taken for effluents from holding ponds or other impoundments with a retention period of greater than 24 hours. For stormwater discharges a minimum of one to four grab samples may be taken, depending on the duration of the discharge. One grab must be taken in the first hour (or less) of discharge. with one additional grab (up to a minimum of four) taken in each succeeding hour of discharge for discharges lasting four or more hours. The Director may waive composite sampling for any outfall for which you demonstrate that use of an automatic sampler is infeasible and that a minimum of four grab samples will be representative eof your discharge. Grab and composite samples are defined as follows: Grab sample: An individual sample of at least 100 milliliters collected at a randomly-selected time over a period not exceeding 15 minutes. Composite sample: A combination of at least 8 sample aliquots of at least 100 milliliters, collected at periodic intervals during the operating hours of a facility over a 24-hour period. The composite must be flow proportional; either the time interval between each aliquot or the volume of each aliquot must be proportional to either the stream flow at the time of sampling or the total stream flow since the collection of the previous aliquot. Aliquots may be collected manually or automatically. For GC/MS Volatile Organic Analysis (VOA), aliquots must be combined in the laboratory immediately before analysis. Four (4) (rather than eight) aliquots or grab samples should be collected for VOA. These four samples should be collected during actual hours of discharge over a 24-hour period and need not be flow proportioned. Only one analysis is required. The Agency is currently reviewing sampling requirements in light of recent research on testing methods. Upon completion of its review, the Agency plans to propose changes to the sampling requirements. Data from samples taken in the past may be used , provided that: All data requirements are met; Sampling was done no more than three years before submission; and All data are representative of the present discharge. Among the factors which would cause the data to be unrepresentative are significant changes in production level, changes in raw materials. processes. or final products. and changes in wastewater treatment. When the Agency promulgates new analytical methods in 40 CFR Part 136, EPA will provide information as to when you should use the new methods to generate data on your discharges. Of course, the Director may request additional information, including current quantitative data, if she or he determines it to be necessary to assess your discharges. C. Analysis: You must use test methods promulgated in 40 CFR Part 136: however, if none has promulgated for a particular pollutant, you may use any suitable method for measuring the level of the pollutant in your discharge provided that you submit a description of the method or a reference to a published method. Your description should include the sample holding time, preservation techniques, and the quality control measures which you used. If you have two or more substantially identical outlet's, you may request permission from your permitting authority to sample and analyses only one outfall and submit the results of the analysis 2C-2 EFTA01221081 Item V • A, B. C. and D (continued) For other substantially identical outfalls. If your request is granted by the permitting authority, on a separate sheet attached to the application form, identify which outfall you did test, and describe why the outfalls which you did not test are substantially identical to the outfall which you did test. D. Reporting of Intake Data: You are not required to report data under the "Intake" columns unless you wish to demonstrate your eligibility for a "net' effluent limitation for one or more pollutants, that is, an effluent limitation adjusted by subtracting the average level of the pollutant(s) present in your intake water. NPDES regulations allow net limitations only in certain circumstances. To demonstrate your eligibility, under the "Intake" columns report the average of the results of analyses on your intake water (if your wafer is treated before use, test the water after it is treats), and discuss the requirements for a net limitation with your permitting authority. Part V-A Part V-A must be completed by all applicants for all outfalls. including outfalls containing only noncontact cooling water or storm runoff. However, at your request, the Director may waive the requirement to test for one or more of these pollutants, upon a determination that available information is adequate to support issuance of the permit with less stringent reporting requirements for these pollutants. You also may request a waiver for one or more of these pollutants for your category or subcategory from the Director, Office of Water Enforcement and Permits. See discussion in General Instructions to Item V for definitions of the columns in Pan A. The 'Long Term Average Values' column (column 2-c) and "Maximum 30-Day Values" column (column 2-b) are not compulsory but should be filled out if data are available. Use composite samples for all pollutants in this Part, except use grab samples for pH and temperature. See discussion in General Instructions to Item V for definitions of the columns in Part A. The 'Long Term Average Values" column (column 2-c) and "Maximum 30-Day Values' column (column 2-b) are not compulsory but should be filled out if data are available. Part V-B Part V-B must be completed by all applicants for all outfalls. including outfalls containing only noncontact cooling water or storm runoff. You must report quantitative date if the pollutant(s) in question is limited in an effluent limitations guideline either directly, or indirectly but expressly through limitation on an indicator (e.g., use of TSS as an indicator to control the discharge of iron and aluminum). For other discharged pollutants you must provide quantitative data or explain their presence in your discharge. EPA will consider requests to the Director of the Office of Water Enforcement and Permits to eliminate the requirement to test for pollutants for an industrial category or subcategory. Your request must be supported by data representative of the industrial category or subcategory in question. The data must demonstrate that individual testing for each applicant is unnecessary, because the facilities in the category or subcategory discharge substantially identical levels of the pollutant or discharge the pollutant uniformly at sufficiently low levels. Use composite samples for all pollutants you analyze for in this part, except use grab samples for residual chlorine, oil and grease, and fecal midterm. The 'Long Term Average Values' column (column 2-c) and "Maximum 30-Day Values" column (column 2-b) are not compulsory but should be filled out if data are available. Part V-C Table 2c-2 lists the 34 "primary' industry categories in the left-hand column. For each outfall, if any of your processes which contribute wastewater falls into one of those categories. you must mark 'X' in the 'Testing Required" column (column 2-a) and test for (1) all of the toxic metals. cyanide. and total phenols, and (2) the organic toxic pollutants contained in Table 2c-2 as applicable to your category, unless you qualify as a small business (see below). The organic toxic pollutants are listed by GC/MS fractions on pages V-4 to V-9 FORM 2C - INSTRUCTIONS (continued) in Part V-C. For example, the Organic Chemicals Industry has an asterisk in all four fractions; therefore, applicants in this category must test for all organic toxic pollutants in Part V-C. The inclusion of total phenols in Part V-C is not intended to classify total phenols as a toxic pollutant. If you are applying for a permit for a privately owned treatment works, determine your testing requirements on the basis of the industry categories of your contributors. When you determine which industry category you are in to find your testing requirements, you are not determining your category for any other purpose and you are not giving up your right to challenge your inclusion in that category (for example. for deciding whether an effluent guideline is applicable) before your permit is issued. For all other cases (secondary industries. nonprocess wastewater outfalls and non-required GC/MS fractions), you must mark "X" in either the 'Believed Present column (column 2-b) or the 'Believed Absent' column (column 2-c) for each pollutant. For every pollutant you know or have reason to believe is present in your discharge in concentrations of 10 ppb or greater. you must report quantitative data. For acrolein, acrylonitrile, 2, 4. dinitrophenol, and 2-methyl-4, 6 dinitrophenol, where you expect these four pollutants to be discharged in concentrations of 100 ppb or greater, you must report quantitative data. For every pollutant expected to be discharged in concentrations less than the thresholds specified above. you must either submit quantitative data or briefly describe the reasons the pollutant is expected to be discharged. At your request. the Director of Office of Water Enforcement and Permits may waive the requirement to test for pollutants for an industrial category or subcategory. Your request must be supported by data representatives of the industrial category or subcategory in question. The data must demonstrate that individual testing for each applicant is unnecessary. because the facilities in question discharge substantially identical levels of the pollutant. or discharge the pollutant uniformly at sufficiently low levels. If you qualify as a small business (see below) you are exempt from testing for the organic toxic pollutants, listed on pages V-4 to V-9 in Part C. For pollutants in intake water, see discussion in General Instructions to this item. The "Long Term Average Values" column (column 3-c) and 'Maximum 30-Day Values" column (column 3-b) are not compulsory but should be filled out if data are available. You are required to mark "Testing Required" for dioxin if you use or manufacture one of the following compounds: (a) 2,4,54rtchlorophenoxy acetic add, (2,4,5-1): (b) 2-(2,4,54rtchlorophenoxy) propanoic acid, (Slivex. 2,4.5- TP); (c) 2-(2,4,54richlorophenoxy) ethyl 2,2-dichloropropionate, (Erbon): 0,0-dimethyl 0-(2,4.5-Vichlorophenyl) phosphorothioate, (Rowel); (e) 2,4,5-trichlorophenol. (TCP): (0 Hexachlorophene. (HCP). If you mark "Testing Required" or "Believed Present,' you must perform a screening analysis for dioxins, using gas chromatography with an electron capture detector. A TCDD standard for quanlitation is not required. Describe the results of this analysis in the space provided: for example. 'no measurable baseline deflection at the retention time of TCDD" or "a measurable peak within the tolerances of the retention time of TCDD.' The permitting authority may require you to perform a quantitative analysis if you report a positive result. The Effluent Guidelines Division of EPA has collected and analyzed samples from some plants for the pollutants listed in Part C in the course of its BAT guidelines development program. If your effluents are sampled and analyzed as part of this program in the last three years, you may use these data to answer Part C provided that the permitting authority approves, and provided that no process change or change in raw materials or operating practices has occurred since the samples were taken that would make the analyses unrepresentative of your current discharge. 2C-3 EFTA01221082 FORM 2C - INSTRUCTIONS (continued ITEM V -A, B, C, and D (continued) Small Business Exemption: If you qualify as a "small business, you are exempt from the reporting requirements for the organic toxic pollutants, listed on pages V-4 to V-9 in Pan C. There are two ways in which you can qualify as a "small business.' If your facility is a coal mine. and if you probable total annual production is less than 100,000 tons per year. you may submit past production data or estimated future production (such as a schedule of estimated total production under 30 CFR § 795.14(c)) instead of conducting analyses for the organic toxic pollutants. If your facility is not a coal mine, and if your gross total annual sales for the most recent three years average less than $100,000 per year (In second quarter 1980 dollars), you may submit sales data for those years instead of conducting analyses for the organic toxic pollutants. The production of sales data must be for the facility which is the source of the discharge. The data should not be limited to production or sales for the process or processes which contribute to the discharge. unless those are the only processes at your facility. For sales data in situations involving intracorporate transfer of goods and services. the transfer price per unit should approximate market prices for those goods and services as closely as possible. Sales figures for years after 1980 should be indexed to the second quarter of 1980 by using the gross national product price deflator (second quarter of 1980 = 100). This index is available in National Income and Product Accounts of the United States (Department of Commerce. Bureau of Economic Analysis). Part V-D List any pollutants in Table 2c-3 that you believe to be present and explain wily you believe them to be present. No analysis is required, but if you have analytical data, you must report IL Note: Under CFR 117.12(a)(2), certain discharges of hazardous substances (listed in Table 2c-4 of these instructions) may be exempted from the requirements of Section 311 of CWA, which establishes reporting requirements, civil penalties and liability for cleanup costs for spills of oil and hazardous substances. A discharge of a particular substance may be exempted in the origin, source. and amount of the discharged substances are identified in the NPDES permit application or in the permit if the permit contains a requirement for treatment of the discharge, and if the treatment is in place. To apply for an exclusion of the discharge of any hazardous substance from the requirements of Section 311, attach additional sheets of paper to your form. setting for the following information: 1. The substance and the amount of each substance which may be discharged. 2. The origin and source of the discharge of the substance. 3. The treatment which is to be provided for the discharge by: a. An onsite treatment system separate from any treatment system treating your normal discharge; b. A treatment system designed to treat your normal discharge and which is additionally capable of treating the amount of the substance identified under paragraph 1 above: or c. My combination of the above. See 40 CFR § 117.12(aX2) and (c), published on August 29. 1979. In 44 FR 50766, or contact your Regional Office (Table 1 on Form 1, Instructions), for further information on exclusions from Section 311. Item VI This requirement applies to current use or manufacture of toxic pollutant as an intermediate or final product or byproduct. The Director may waive or modify the requirement if you demonstrate that it would be unduly burdensome to identify each toxic pollutant and the Director has adequate information to issue your permit. You may not claim this information as confidential: however, you do not have to distinguish between use or production of the pollutants or list the amounts. Item VII Self explanatory. The permitting authority may ask you t provide additional details after your application is received. Item IX The Clean Water Act provides for severe penalties for submitting false information on this application form. Section 309(c)(2) of the Clean Water Act provides that 'Any person who knowingly makes any false statement representation, or certification in any application, ...shall upon conviction, be punished by a fine of not more than $10,000 or by imprisonment for not more than six months, or by both." 40 CFR Part 122.22 requires the certification to be signed as follows: (A) For a corporation: by a responsible corporate official. For purposes of this section. a responsible corporate official means (I) a president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy- or decision-making functions for the corporation, or (ii) the manager of one or more manufacturing, production, or operating facilities employing more than 250 persons or having gross annual sales or expenditures exceeding $25.000,000 (in second-quarter 1980 dollars), if authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. Note: EPA does not require specific assignments or delegation of authority to responsible corporate officers identified in §122.22(a)(1)(1). The Agency will presume that these responsible corporate officers have the requisite authority to sign permit applications unless the corporation has notified the director to the contrary. Corporate procedures goveming authority to sign permit applications may provide for assignment or delegation to applicable corporate position under §122.22(a)(1)(ii) rather than to specific individuals. (8) For a partnership or sate proprietorship: by a general partner or the proprietor, respectively; or (C) For a municipality, State. Federal. or other public agency: by either a principal executive officer or ranking elected official. For purposes of this section, a principal executive officer of a Federal Agency includes (i) the chief executive officer of the Agency, or (ii) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the Agency (e.g.. Regional Administrators of EPA). Applications for Group II stormwater dischargers may be signed by a duty authorized representative (as defined in 40 CFR 122.22(b)) of the Individuals identified above. 2C-4 EFTA01221083 CODES FOR TREATMENT UNITS PHYSICAL TREATMENT PROCESSES 1-A Ammonia Stripping 1-M Grit Removal 1-B Dialysis 1-N Microstraining 1-C Diatomaceous Earth Filtration 1-0 Mixing 1-D Distillation 1-P Moving Bed Fitters 1-E Electrodialysis 1.O Multimedia Filtration 1-F Evaporation 1-R Rapid Sand Filtration 1-G Flocculation 1-S Reverse Osmosis (Hyperfiltration) 1-H Flotation 1-T Screening 1-I Foam Fractionation 1-U Sedimentation (Settling) 1-J Freezing 1-V Slow Sand Filtration 1-K Gas-Phase Separation 1-W Solvent Extraction It Grinding (Comminutors 1-X Sorption CHEMICAL TREATMENT PROCESSES 2-A Carbon Adsorption 2-G Disinfection (Ozone) 2-B Chemical Oxidation 2-H Disinfection (Other) 2-C Chemical Precipitation 2-I Electrochemical Treatment 2-D Coagulation 2-J Ion Exchange 2-E Dechlorination 2-K Neutralization 2-F Disinfection (Chlorine) 2-L Reduction BIOLOGICAL TREATMENT PROCESSES 3-A Activated Sludge 3-E Pre-Aeration 3-B Aerated Lagoons 3-F Spray Irrigation/Land Application 3-C Anaerobic Treatment 3-G Stabilization Ponds 3-D Nitrification-Denitrification 3-H Trickling Filtration OTHER PROCESSES 4-A Discharge to Surface Water 4-C Reuse/Recycle of Treated Effluent 4-B Ocean Discharge Through Outfall 4-D Underground Injection SLUDGE TREATMENT AND DISPOSAL PROCESSES 5-A Aerobic Digestion 5-M Heat Drying 5-B Anaerobic Digestion 5-N Heat Treatment 5-C Belt Filtration 5-0 Incineration 5-D Centrifugation 5-P Land Application 5-E Chemical Conditioning 5-0 Landfill 5-F Chlorine Treatment 5-R Pressure Filtration 5-G Composting 5-S Pyrolysis 5-H Drying Beds 5-T Sludge Lagoons 5-I Elutriation 5-U Vacuum Filtration 5-J Flotation Thickening 5-V Vibration 5-K Freezing 5-W Wet Oxidation 5-L Gravity Thickening TABLE 2C-1 EFTA01221084 TESTING REQUIRMENTS FOR ORGANIC TOXIC POLLUTANTS INDUSTRY CATEGORY* i INDUSTRY CATEGORY GC/MS FRACTION' Volatile Acid Base/Neutral Pesticide Adhesives and sealants X X X - Aluminum Forming X X X - Auto and other laundries X X X X Battery manufacturing X - X - Coal mining X X X X Coil coating X X X Copper forming X X X - Electric and electronic compounds X X X X Electroplating X X X Explosives manufacturing X X - Foundries X X X - Gum and wood chemicals X X X X Inorganic chemicals manufacturing X X X - Iron and steel manufacturing X X X - Leather tanning and finishing X X X X Mechanical products manufacturing X X X Nonferrous metals manufacturing X X X X Ore mining X X X X Organic chemicals manufacturing X X X X Pain and ink formulation X X X X Pesticides X X X X Petroleum refining X X X X Pharmaceutical preparations X X X Photographic equipment and supplies X X X X Plastic and synthetic materials manufacturing X X X X Plastic processing X - - - Porcelain enameling X - X X Printing and publishing X X X X Pulp and paperboard mills X X X X Rubber processing X X X - Soap and detergent manufacturing X X X - Steam electric power plants X X X - Textile mills X X X X Timber products processing X X X X *See note at conclusion of 40 CFR Part 122, Appendix D (1983) for explanation of effect of suspensions on testing requirements for primary industry categories. 'The pollutants in each fraction are listed in Item V-C. X = Testing required. - = Testing not required. TABLE 2C-2 EFTA01221085 TOXIC POLLUTANTS AND HAZARDOUS SUBSTANCES REQUIRED TO BE IDENTIFIED BY APPLICANTS IF EXPECTED TO BE PRESENT TOXIC POLLUTANT Asbestos HAZARDOUS SUBSTANCES Acetaldehyde Allyl alcohol Allyl chloride Amyl acetate Aniline Benzonitrile Benzyl chloride Butyl acetate Butylamine Captan Carbaryl Carbofuran Carbon disulfide Chlorpyrifos Coumpahos Cresol Crotonaldehyde Cyclohexane 2,4-D (2,4-Dichlorophinoxyacetic acid) Diazinon Dicamba Dichlobenil Dichlone 2,2 Dichloropropionic acid Dichlorvos Diethyl amine Dimethyl amine Dintrobenzene Diquat Disulfoton Diuron Epichlorohydrin Ethion Ethylene diamine Formaldehyde Furfural Guthion Isoprene Isopropanolamine Kelthane Kepone Malathion Mercaptodimethur Methoxychlor HAZARDOUS SUBSTANCES Methyl mercaptan Methyl methacrylate Methyl parathion Mevinphos Mexacarbate Monoethyl amine Monomethyl amine Naled Naphthenic acid Nitrotoluene Parathion Phenolsufonate Phosgene Propargite Propylene oxide Pyrethrins Quinoline Resorcinol Strontium Strychnine 2,4,5-T (2,4,5-Trichlorophenoxyacetic acid) TOE (Tetrochlorodiphenyl ethane 2,4,5-TP [2-(2,4,5-Trichlorophenoxy) propanic acid) Trichlorofon Triethanolamine dodecylbenzenesulfonate Triethylamine Uranium Vanadium Vinyl acetate Xylene Xylenol Zirconium TABLE 2C-3 EFTA01221086 HAZARDOUS SUBSTANCES Acetaldehyde Acetic acid Acetic anhydride Acetone cyanohydrin Acetyl bromide Acetyl chloride Acrolein Acrylonitrile Adipic acid Aldrin AIlyl alcohol Alyll chloride Aluminum sulfate Ammonia Ammonium acetate Ammonium benzoate Ammonium bicarbonate Ammonium bichromate Ammonium bifluoride Ammonium bisulfate Ammonium carbamte Ammonium carbonate Ammonium chloride Ammonium chromate Ammonium citrate Ammonium flouroborate Ammonium fluoride Ammonium hydroxide Ammonium oxalate Ammonium silicofluoride Ammonium sulfamate Ammonium sulfide Ammonium silfite Ammonium tartrate Ammonium thiocyanate Ammonium thisulfate Amyl acetate Aniline Antimony pentachloride Antimony potassium tartrate Antimony tribromide Antimony trichloride Antimony trifluoride Antimony trioxide Arsenic disulfide Barium cyanide Benzene Benzoic acid Benzonitrite Benzoyl chloride Benzyl chloride Beryllium chloride Beryllium fluoride Beryllium nitrate Butylacetate n-Butylphthalate Butylamine Butyric acid Cadmium acetate Cadmium bromide Cadmium chloride Calcium arsenate Calcium arsenite Calcium carbide Calcium chromate Calcium cyanide Calcium dodecylbenzenesulfonate Calcium hypochlorite Captan Carbaryl Carbofuran Carbon disulfide Carbon tetrachloride Chlordane Chlorine Chlorobenzene Chloroform Chloropyrifos Chlorosulfonic acid Chromic acetate Chromic acid Chromic sulfate Chromous chloride Cobaltous bromide Cobaltous formate Cobaltous sulfamate Coumaphos Cresol Crotonaldehyde Cupric acetate Cupric acetoarsenite Cupric chloride Cupric nitrate Cupric oxalate Cupric sulfate Cupric sulfate ammoniated Cupric tartrate Cyanogen chloride Cyclohexane 2,4-D acid (2,4-Dichlorophenoxyacetic acid esters) DDT Diazinon Dicamba Dichlobenil Dichlone Dichlorobenzene Dichloropropane Dichloropropene Dichloropropene-Dichloropropane mix 2.2-Dichloropropionic acid Dichlorvos Dieldrin Diethylamine Dimethylamine Dinitrobenzene Dinirophenol Dinitrotoluene Diquat Disulfoton Diuron Dodecylbenzesulfonic acid Endosulfan Endrin Epichlorohydrin Ethion Ethylbenzene Ethylenediamine Ethylene dibromide Ethylene dichloride Ethylene diaminetetracetic acid (EDTA) Ferric ammonium citrate Ferric ammonium exalate Ferric chloride Ferric fluoride Ferric nitrate Ferric sulfate Ferrous chloride Ferrous sulfate Formaldehyde Formic acid Fumaric acid Furfural Guthion Heptachlor Hexachlorocyclopentadiene Hydrochloric acid Hydrofluoric acid Hydrogen cyanide Hydrogen sulfide Isoprene Isopropanolamine dodecylbenzenesulfonate Kelthane Kepone Lead acetate Lead arsenate Lead chloride Lead fluoborate Lead fluorite Lead iodide Lead nitrate Lead stearate Lead sulfate Lead sulfide Lead thiocyanate Lindane Lithium chromate Malathion TABLE 2C-4 EFTA01221087 HAZARDOUS STUBSTANCES (Continued) Maleic acid Maleic anhydride Mercaptodimethur Mercuric cyanide Mercuric nitrate Mercuric sulfate Mercuric thiocyanate Mercurous nitrate Methoxychlor Methyl methacrylate Methyl parathion Mevinphos Mexacarbate Monethylamine Monomethylamine Naled Naphthalene Naphthenic acid Nickel ammonium sulfate Nickel chloride Nickel hydroxide Nickel nitrate Nickel sulfate Nitric acid Nitrobenezene Nitrogen dioxide Nitrophenil Nitrotoluene Paraformaldehyde Parathion Pentachlorophenol Phenol Phosoene Phosphoric acid Phosphorus Phosphorus oxychloride Phosphorus pentasulfide Phosphorus trichloride Polychlorinated biphenyls (PCB) Potassium arsenate Potassium arsenite Potassium bichromate Potassium cyanide Potassium hydroxide Potassium permanganate Propargite Propionic acid Propionic anhydride Propylene oxide Pyrethrins Quinoline Resorcinol Selenium oxide Silver nitrate Sodium Sodium arsenate Sodium arsenite Sodium bichromate Sodium bifluoride Sodium bisulfite Sodium chromate Sodium cyanide Sodium dodecylbenzenesulfonate Sodium fluoride Sodium hydrosulfide Sodium hydroxide Sodium hypochlorite Sodium methylate Sodium nitrate Sodium phospate (dibasic) Sodium phosphate (tribasic) Sodium selenite Strontium chromate Strychnine Styrene Sulfuric acid Sulfur monochloride 2,4,5-T acid (2,4,5-Trichlorophenoxy acetic acid) 2,4,5-Tamines (2,4,5-Trichlorophenoxy acetic acid amines) 2,4,5-T esters (2,4,5-Trichlorophenoxy propanoic acid) 2,4,5-TP acid esters (2,4,5- Trichlorophenoxy propanoic acid esters) TDE (Tetrachlorodiphenyl ethane) Tetraethyl lead Tetraethyl pyrophosphate Thallium sulfate Toluene Toxaphene Trichlorofon Trichloroethylene Trichlorophenol Triethanolamine dodecylbenzenesulfonate Triethylamine Trimethylamine Uranyl acetate Uranyl nitrate Vanadium pentoxide Vanadyl sulfate Vinyl acetate Vinylidene chloride Xylene Xylenol Zinc acetate Zinc ammonium chloride Zinc borate Zinc bromide Zinc carbonate Zinc chloride Zinc cyanide Zinc fluoride Zinc formate Zinc hydrosulfite Zinc nitrate Zinc phenolsulfonate Zinc phosphide Zinch silicofluoride Zinc sulfate Zirconium nitrate Zirconium potassium fluoride Zirconium sulfate Zirconium tetrahloride TABLE 2C-4 (continued) EFTA01221088 LINE DRAWING RAW MATERIALS 10.000 GPD SOLID WASTE 4.000 GPD FIBER PREPARATION BLUE RIVER 90.000 GPO 45.000 GPD 15,000 GPO DYEING MUNICIPAL WATER SUPPLY 45.000 GPO 30.000 GPO 20.000 10.000 GP() WASHING GPO 40.000 GPO 40.000 GPO GRIT SEPARATOR STORMWATER MAX 20.000 GPD NEUTRAL- QATION TANK WASTE TREATMENT PLANT a 1 LOSS 6.000 GPD 40.000 GPO 36.000 GPO 34.000 GPO OUTFALL 002 50.000 GPO BLUE RIVER 10,000 GPD COOLING WATER DRYING 10.000 GPD _at WASTE TREATMENT PLANT -2 70 000 GPD • STORMWATER OUTFALL 001 SCRSIAATIC OF WATER FLOW BROWN AWL LS, INC CITY COUNT' STATE TO ATMOSPHERE 5,000 GPO TO PRODUCT 5.000 GPD FIGURE 2C-1 EFTA01221089 Please type or pent in the unshaded areas only EPA ID Number (Copy from Item 1 of Form 1) Form Approved OMB 2040-0086 Approval expires 8-31-98 Form 2C NPDES a la EPA U.S. ENVIRONMENTAL PROTECTION AGENCY APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER EXISTING MANUFACTURING, COMMERCIAL, MINING AND SILVICULTURAL OPERATIONS Consolidated Permits Program I Outfall Location For this outfall, list the latitude and longitude. (degrees, min.xxxx) and name of the receiving water(s) Outfall Number (list) Latitude Longitude Receiving Water (name) Min 1,. SLi Cr S_ II. Flows, Sources of Pollution, and Treatment A. Attach a line drawing showing the water flow the effluent. and treatment units labeled to drawing by showing average flows between (e.g.. for certain mining activities), provide treatment measures. Technologies through the facility. Indicate sources correspond to the more detailed intakes, operations. treatment a pictoral description of the nature of intake water, operations contributing wastewater to description In Item B. Construct a water balance on the line units. and outfalls. If a water balance cannot be determined and amount of any sources of water and any collection or B. For each outfall, provide a description of (1) All operations contributing wastewater to the effluent. including process wastewater. sanitary wastewater, cooling water, and storm water runoff: (2) The average flow contributed by each operation: and (3) The treatment received by the wastewater. Continue on additional sheets if necessary. 1. Ouffall No. 2. Operations Contributing Flow 3. Treatment (list) a. OPERATION (list) b. AVERAGE FLOW (include units) a. DESCRIPTION b. LIST CODES FROM TABLE 2C-1 EPA Form 3510-2C (8-90) Page 1 of 4 CONTINUE ON REVERSE EFTA01221090 CONTINUED FROM THE FRONT C. Except fors am runoff, leaks, or spills, are any of the discharges described in Items II-A or B intermittent or seasonal? K YES (complete the following table) 0 NO to Section III) 3. FREQUENCY 4. FLOW 1. OUTFALL NUMBER 2. OPERATION(s) CONTRIBUTING FLOW a. DAYS PER WEEK b. MONTHS PER YEAR a. FLOW RATE (in mgd) b. TOTAL VOLUME (specify with units C. DUR- (list) (list) (specify (specify 1. LONG TERM 2. MAXIMUM 1. LONG TERM 2. MAMMUM AILY ATION On days) III. PRODUCTION A. Does an effluent guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility? IN YES (complete Item 111-8) 0 NO (go to Section IV) B. Are the limitations in the applicable effluent guideline expressed in terms of production (or other measure of operation)? K YES (complete Item Ill-C) 0 NO (qo to Section IV) C. If you answered 'yes' to Item Ill-B, list the quantity which represents an actual measurement of your level of production, expressed in the terms and units used In the applicable effluent guideline, and indicate the affected outfalls. 1. AVERAGE DAILY PRODUCTION 2. AFFECTED a. OUANTITY PER DAY b. UNITS OF MEASURE c. OPERATION. PRODUCT. MATERIAL. ETC. (specify) OUTFALLS (list outfall numbers) IV. IMPROVEMENTS A. Are you now required operation of wastewater this application? schedule kitten, by any Federal. treatment equipment This includes, but is stipulations, court orders, 0 YES State. or local authority to meet any implementation schedule for the construction, or practices or any other environmental programs which may affect the discharges not limited to. permit conditions, administrative or enforcement orders, enforcement and grant or loan conditions (complete the following table) K NO (go to Item IV-8) upgrading, or described in compliance 1. IDENTIFICATION OF CONDITION, AGREEMENT, ETC. 2. AFFECTED OUTFALLS 3. BRIEF DESCRIPTION OF PROJECT 4. FINAL COMPLIANCE DATE a. No b. SOURCE OF DISCHARGE a. REO- UIRED b. PRO- JECTED B. OPTIONAL: You may attach additional sheets describing any additional water pollution control programs (or other environmental projects which may affect your discharges) you now have underway or which you plan. Indicate whether each program is now underway or planned. and indicate your actual or planned schedules for construction. 0 MARK "X- IF DESCRIPTION OF ADDITIONAL CONTROL PROGRAM IS ATTACHED EPA FORM 3510-2C (Rev. 2-85) Page 2 of 4 CONTINUED ON PAGE 3 EFTA01221091 EPA ID Number (Copy from Item I of F0(111 1) CONTINUED FROM PAGE 2 V. INTAKE AND EFFLUENT A, B. & C: See instructions before NOTE: Tables V-A. CHARACTERISTICS proceeding - Complete one set of tables or each outfall - Annotate the outfall number in the space provided. V-B. and V-C are included on separate sheets number V-1 through V-9. D: Use the space below t list any may be discharged from any data in your possession. of the pollutants listed in Tables 2c-3 of the instructions, which you know or have reason to believe is discharged or outfall. For every pollutant you list. briefly describe the reasons you believe it to be present and report any analytical 1. POLLUTANT 2. SOURCE 1. POLLUTANT 2. SOURCE VI. POTENTIAL DISCHARGES NOT COVERED BY ANALYSIS lance which you currently use or manufacture as an intermediate or final ■ NO (go to Item VI-B) Is any pollutant listed in Item product or byproduct? V-C a substance or a component of a sub K YES (list all such pollutants below) EPA FORM 3510-2C (Rev. 8-90) Page 3 of 4 CONTINUED ON REVERSE EFTA01221092 CONTINUED FROM THE FRONT VII. BIOLOGICAL TOXICITY Do you have any knowledge receiving water in relation to or your MI TESTING DATA reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges or on a discharge within the last 3 years? YES (identify the test(s) and describe their purpose below) • NO (go to Section VIII) VIII. CONTRACT ANALYSIS INFORMATION Were any of the analyses reported in Item V performed by a contract laboratory or consulting firm? K YES (list the name, address, and telephone number of. and pollutants anal zed b each such laborer° or firm below IMI NO (go to Section IX) C. TELEPHONE area code & no.) D. POLLUTANTS ANALYZED (list) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) IX. CERTIFICATION I certify under penalty of law that designed to assure that qualified who manage the system or those knowledge and belief. true, accurate, possibility of fine and imprisonment this document and all attachments were prepared personnel properly gather and evaluate the information persons directly responsible for gathering the and complete. I am aware that there are significant for knowing violations. under my direction or supervision submitted. Based on my inquiry information, the information submitted penalties for submitting false in accordance with a system of the person or persons is, to the best of my information, including the A. NAME & OFFICIAL TITLE (type or print) B. PHONE NO. (area code & no.) ( ) C. SIGNATURE D. DATE SIGNED EPA FORM 3510-2C (Rev. 8-90) Page 4 of 4 EFTA01221093 PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all of this information on separate sheets (use the same format) instead of completing these Daces. SEE INSTRUCTIONS. EPA In NUMBER (copy from item 1 of Form 1) V. INTAKE AND EFFLUENT CHARACTERISTICS (continued from page 3 of Form 2-C) PART A - You must provide the results of at least one analysis for every po lutant in this table. Complete one table for each outfall. See instructions for additional details. 1. POLLUTANT 2. EFFLUENT 3. UNITS (specify if blank) 4. INTAKE (optional) a. MAXIMUM DAILY VALUE b. MAXIMUM 0 DAY VALUE Of ereatiat?e) c. LONG TERM AVRG. VALUE (if av liable) d. NO. OF a. LONG TERM AVERAGE VALUE b. NO. OF a. CONGER. TRATION b MASS II) CONCENTRAT ON In SASS ANALYSES (I) mammal ON ($) $$$$$ Cl) CONCENTRATI ON I "ASS 0) CONCENTRATI ON 0) MASS ANALYSIS a. Biochemical Oxygen Demand (BOD) b. Chemical Oxygen Demand (COD) c. Total Organic Carbon (TOC) d. Total Suspended Solids (TSS) e. Ammonia (as N) f. Flow Value Value Value Value g. Temperature (winter) Value Value Value °C Value h. Temperature (summer) Value Value Value °C Value I. pH Minimum Maximum Minimum Maximum STANDARD UNITS PART B - Mark 'X" in column 2-a fo each pollutant you know or have reason to believe is present. Mark 'X" in mark column 2a for any pollutant which is limited either directly, or indirectly but expressly in an effluent one analysis for that pollutant. For other pollutants for which you mark column 2a, you must provide discharge Complete one table for each outfall. See the instructions for additional details and requirements. column 2-b for each pollutant you believe to be absent. If you limitation guideline, you must provide the results of at least quantitative data or an explanation of their presence in your 1. POLLUT- 2. MARK 'X' 3. EFFLUENT 4. UNITS 5. INTAKE (opt/one° ANT AND CAS NO. (If available) a ". Met pftils ea nii. of Butt a. MAXIMUM DAILY VALUE b. MAXIMUM 0 DAY VALUE 0 f magage) c. LONG TERM AVRG. VALUE (ffavalkible) d. NO. OF (Specify if blank) a. LONG AVERAGE TERM VALUE b. NO. OF (I) coNcegRA TIM Wan (II coticimpAno N MIALSS 0) coNc ENTRADO N (21 MASS ANALYSIS a. CONCEN. TRATION b. MASS in concifionno. MUM ANALYSES a. Bromide (24959-67-9) O O O Ctionne. Total Roadie/ C. Color 0 0 d. Fecal Colifomi e. Fluoride (16984-48-8) O O f. Nitrate- Nitrite (as N) EPA FORM 3510-2C (Rev. 8-90) Page V-1 CONTINUE ON REVERSE EFTA01221094 ITEM V-8 CONTINUED FROM FRONT 1. POLLUT- ANT AND CAS NO. (if available) 2. MARK X 3. EFFLUENT 4. UNITS (specify if blank) 5. INTAKE (optional) •• BS Lave 066 ENT a BE- Lave °e µ ar a. MAXIMUM DAILY VALUE b. maximum 0 DAY VALUE A r reatiabee) c. LONG TERM AVRG. VALUE (if available) d. NO. OF ANALYSIS a. LONG TERM AVERAGE VALUE b. NO. OF ANALYSES (n CONCENTRA NON al Ian cn CONCBRRAll ON te MASS u) CONCENTRATI on MIMES a. coNcEN. TRATION b. MASS (I) CONCENTRATI ON IN MASS g. Nitrogen. Total Organic (es N) 0 h. Oil and Grease El K i. Phosphorus Os P), Total (7723-14-0) O O J. Radioactivity Of Naha. Total 0 0 (2) Bets, Total II 0 (3) Radium. Total O K (4) Radium 226. Total • O k. SO..) Sulfate (as O K (14808-79-8) I. Sulfide (as S) m. Sulfite (es SC1/41( 14265-45-3) n. Surfactants o. Aluminum. Total (7429-90-5) O MI p. Barium. Total (7040-39-3) q. Boron. Total (7440-42-8) 0 K r. Cobalt. Total (7440-48-4) s. Iron. Total (7439-89-4) L Magnesium, Total (7439-95-4) u. Mciybdenum. Total (7439.96.7) v. Manganese. Total (749.964) w. Tin. Total (7440-31-5) O ii x. Titanium. Total (7440-32-6) 0 0 EPA FORM 3510-2C (Rev. 8-90) Page V-2 CONTINUE ON PAGE V-3 EFTA01221095 EPA NUMBER (copy from Item 1 of Form 1) I OUTFALL NUMBER CONTINUED FROM PAGE 3 OF FORM 2-C PART C - If you are a primary industry and this outsell contains process wastewater. refer to Table 2c-2 in the instrucbons to determine which of the GC/MS fractions you must test for. Mark "r in column 2-a for all such GUMS fractions that apply to your industry and for ALL toxic metals. cyanides. and total phenols. If you are not required to mark column 2-a (secondary industnes. nonprocess wastewater °Walls and non-required GC AS fractions). mark 'X" in column 2-b for each pollutant you know or have reason to believe is present. Mark "r NI column 2-c for each pollutant you believe is absent If you mark column 2a for any pollutant. you must provide the results ct at least one analysts for that pollutant. If you mark column 2b for any pollutant. you must provide the results of at least one analysis for that pollutant. If you know or have reason to bekeve it will be discharged in concentrations of 10 ppb or greater. If you mark column 2b for acrolein. acrybnitrile. 2.4 dinitrophenol. or 2-methyl-4. 6 dinitrophenol, you must provide the results of at least one analysis fa each of these pollutants which you know or have reason to believe that you discharge in concentrations of 100 ppb or greater. Otherwise. for polutants for which you mark column 2b. you must ether submit at least one analysis or briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part: please review each carefuly. Complete one table (all 7 pages) for each caudal. See instructions for additional details and requirements. 1. POLLUT- ANT AND CAS NO. (If available) 2. MARK 'Xi 3. EFFLUENT 4. UNITS (specify if blank) VALUE d. NO. OF AVERAGE VALUE b. NO. OF 5. INTAKE (optional) a. TEST- NG RE- *WIRED 0. BE. UEVED PRE-SENT c. BE- LIEVED ABSENT a. MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE Of avabfe) e. LONG TERM AVRG. (II waitabk) ANALYSI a. LONG TERM ANALYSE NI CONCERT. RATION II2) MSS lo CONCERT. RADON IOMASS NI CONCENT. RATION ii2) MSS S a. CONCEN- TRATION b. MASS (I) comammA TON I2AVLSS S METALS, CYANIDE, AND TOTAL PHENOLS 1m. Anbmony. Taal (7440-36-0) 0 0 0 2M. Arsenic. Taal (7440-38.2) 0 0 0 3M. Beryllium, Total (7440-41-71__ 0 4M. Caciaium. Taal (7440-43.9) El E U 5M alChromium. Tot (7440-47.3) 0 0 0 6M Copper. Taal (744050.8) 0 0 K 7M leacl. TOW (7439-92-1) 0 0 0 8M Mercury. Trial 7439-97-6 0 0 0 9M Nickel. Taal (7440-02.0) 0 0 10M Selenium. Taal (7782-49.2) 0 11M Slyer. Taal (7440-22-4) 0 0 K 1214 Thalkon. Total (7440-28-0) El E U 13M Zinc. Taal (7440-6643) 0 0 14M Cyanide, Taal (57-12-51 0 0 K 15M Phenols, Taal 0 U U DIOXIN 2.3.2.8-iebb- CIONOINDEN120- O P-CtOnn (1 764-01-6) DESCRIBE RESULTS EPA FORM 3510-2C (Rev. 8-90) Page V-3 CONTINUE ON REVERSE EFTA01221096 CONTINUED FROM THE FRONT 1. POLLUT- ANT AND CAS NO. (If available) 2. MARK 'X' 3. EFFLUENT 4. UNITS (specify if blank) 5. INTAKE (optional) IL TEST ING RE- OLNRED 0. BE. UEVED PRESENT C. BE. LIEVED ABSENT a. MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE Of ava.0.0.0.) C. LONG TERM AVRG. VALUE ("available) d. NO. Of ANALYSI $ a. LONG TERM AVERAGE VALUE b. NO. OF ANALYSE S iii CONCERT. RATION PAW% III CONCERT. RATION PANS, ill 0014CFNT. RATION )211A4.54 a. GOWEN. TRATION b. MASS (I) CONCENTRA non R6 GC/MS - VOLATILE COMPOUNDS W. ANON'. (10 02.01 O 0 0 2V. Atryloriid* (10743-11 0 W. Swam* (71-13.2i 0 0 K 4V Eitt(CI4vo. melvM Elun ISO- 88.11 0 W. Betarokrat (75.25.2I 0 0VCato, ToIrochiode• (562941 0 0 MI W. Chbrobouom (108.93.7i AV Clibm0- Iminnotanc. (124-49-ii 0 0 0 W Chlvefane ((750031 0 10V. 20loo. 00.1Nr9110Nt (110.754) 1W. Ctiatecari 0574431 CI 0 0 12V. Dittlao. biornooffuria (75-274) 1W, Mauro. orloaranthere (7S71-91 0 0 0 14V 1.1CICION0- 0th (7547.31 0 • El I5V. 12.0Ichbio- &An 00700.21 ICV.1.1.01chnio- e (7535-4) 0 0 0 in, I.2000:40- 04094,14 (70874i K O 0 in 18V. 1.3.01chnio- WOW* 042.7,41 19V 4I.4) 000.4I-4) 0 0 El 20V 1401101 13,94e464 (74434) 2W. kInlIbl Chloncb (f4.131 EPA FORM 3510-2C (Rev. 8-90) Page V-4 CONTINUE ON PAGE V-5 EFTA01221097 CONTINUED FROM PAGE V-4 EPA NUMBER (copy from Item 1 of POMP 1) OUTFALL NUMBER 1. POLLUT- ANT AND CAS NO. (If available) 2. MARK 'X' 3. EFFLUENT 4. UNITS 5. INTAKE (optional) a. TEST- IND RE- QUIRED b. BE- LIEVED PRE- SENT c. BE- UEVED ABSENT a. MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE (Wavagabb) c. LONG TERM AVRG. VALUE vig (Na able) a.NO. OF ANALYSI (specify if blank) a. LONG TERM AVERAGE VALUE b. NO. OF ANALYSE III concar. NATION °ANTS I1I OONCENT RATION . I2) MSS ill CONOENT. RATION ITIIAASS 5 a. CONCEN- TRATION b. MASS (I) E CONCNTRAm ON I2) /AATS S GC/MS - VOLATILE COMPOUNDS (continued) 22 V. IhItheale ChM& SO9x1 0 0 • TN I.I.22-1.76- ChlorcenAT OW 344 0 K 0 24V. Tankrioro. 40011.0( 127.18-4) K 0 K 2511 Tals* 006-61-31 0 0 0 MC I.2-kine ITIGIVOITIIIIINIe K (I60-004) 0 K 001070100.1. 6165-61 OS (7.00-5I 0 0 0 Niv Imam- 0 (1901-01 I:l El K 30V. Manua. .140(00Chat* (7S-69-4I 3Ile vireo Cando (M.w.al El El El GCIMS FRACTION -ACID COMPOUNDS IA 2. CAIC400.4001 (9E-SUri 0 0 0 TA 2.3.1230113.0. yard 020-0.2i El 3/4 2A-DIMOVell. 1101001 (10647.91 4A 44-0140-0. wed (53 4.52.11 0 0 K SA 2.4- D rdro- Owed ($1.26-5I 0 0 GA 244110.61.plel (M7541 IA .63(26036631 ocaozn O O • SA P.Cilina- COTICI (9)40.7I 0 0 96, .." orforactiocol 67435 0 0 • 061 PlIenN 00496.2I 0 Mk 2A6.T.I. orforactiocol (63-06.21 0 0 K EPA FORM 3510-2C (Rev. 8 - 90) Page V-5 CONTINUE ON REVERSE EFTA01221098 CONTINUED FROM THE FRONT 1. POLLUT- ANT AND CAS NO. (if available) 2. MARK 'X' 3. EFFLUENT 4. UNITS (specify If blank) 5. INTAKE (optional) a. TEST. IN RE. CURED b BE. UEVED PRESENT C. BE. LIEVED ABSENT a. MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE Of avatbble) c. LONG TERM AVRG. VALUE (N available) d. NO. OF ANALYSI S a. LONG TERM AVERAGE VALUE b. NO. OF ANALYSE S 01 OONCENT. RADON 12) kw 111 00110012. RATION 12)14489 ill CONCENT. RATION 12)MASS I a. CONCEIT. TRATION AMASS (a CONCENTRAll ON 12)159 GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS 1 Acephrome 023.3491 0 0 0 28 Acoropre9ta (2004541 no 0 38 AftlirablA0 (men 0 El K 48 NOILI000 024741 0 $B Elor99219) AISMOC410 5045.3 El 0 In 0I3 Sterol.) P0994(504241 0 0 • >8 3.44•920. (Onaffirene +8 0 53C <9 :;:>i 1 9 (41 Per(fene (191.2441 0 0 0 98 bercolkl FluoriniMne (2024841 0 K El loft Eli (4 Chlacerayl 111.1,999 011.9141 ill E 0944C109ro- WO lls (111-M-41 0 1212B11(2. Chlorom02(99(11 Erwr((10040-1 K 0 K 131 bota.Eress h.q.) alts* (117414, 0 0 • ia e 4-ecomo- fACO0 FIVINI 9.0( 00126-31 15B840 Elanzil Ontielale (11 5 0 0 K Mice Se 014041 0 0 0 lit •Ctiato- Phinyl Phatryi 91er(?005424) 0 let Cliwomo (210-0191 let 00(9929(4.1(1 AnT999(no 634041 0 0 0 208 124nbro- 19.929/41 (994411 2112 I.I.Diebbrck Comm (511.7111 K 0 EPA FORM 3510-2C (Rev. 8-90) Page V-6 CONTINUE ON PAGE V-7 EFTA01221099 EPA NUMBER (copy from Item 1 of Form 1) CONTINUED FROM PAGE V-6 OUTFALL NUMBER 1. POLLUT- AND CAS NO. (II available) 2. MARK IX' 3. EFFLUENT 4 (fblank) 5. INTAKE (optional) a. TEST. ING RE. (ERRED b. BE. IJEVED PRESENT e. RE LEWD ABSENT a. MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE (wavewabos C. LONG TERM AVRG. VALUE g I available) A. NO. OF ANALYSI 5 a. LONG TERM AVERAGE VALUE A. NO. OF ANALYSE $ III CONCENt. RATION I21IMS3 III CONCENT. RATION I2AVISS III WHOOP. RATION l2) MSS a. CONCEN. TRATION b. MASS (I) CC44CENTSUIll ON l2)PASS I GC/MS - BASE/NEUTRAL COMPOUNDS (continued) 221 Wawa 004146.71 231 3.3‘Otitto. beware (9144.11 0 0 El 241 Cootril Rapala (84411.2I IM 0 0 251 Man,. Prawn).* 031.11-31 261 IN/443AI Ontalsie (61.74.2] 0 0 0 Mk 2.44>Niro. Wax* (12144.21 0 0 0 281 2.60ININ. mbar* (1191 E4)20.21 2 DiN.OctO PISMO. 0174)1-0) 0 0 El NM I.00ptemil• IVP)IPII.Os Pao Watt.) I22-504 0 K 0 318. Fborantone (200-MOI 0 0 0 328 Monne OE-737i K 0 K 338 Hon. Olootarimp 118.74.11 K IM 0 341 Hoop elop.tutoSala (87438.3I 0 0 0 368 Hmtaatoo. Otlopomadaaa Or/47m 368 Hon. oinion (67.72.II IM M 0 3T1 lobo, 0.2.3. . OR RIPIA1 (1934X5 0 0 388 luorteetS (784941 301 Ntanalene (91.20Ol 0 0 K 4CO. Intobionao (98-95.3I K 0 K 418. Winn) solvoilrrylonne (62.75.9I 0 0 0 42P ItHeroolIP. Prooilimpo (621.04.7) 0 0 IM EPA FORM 3510-2C (Rev. 8-90) Page V-7 CONTINUE ON REVERSE EFTA01221100 CONTINUED FROM THE FRONT 1. POLLUT- AND CAS NO. (If available) 2. MARK X 2. EFFLUENT 3. UNITS (specify it blank) 4. INTAKE (optional) . TEST. ING RE. OUIRED 0. BE. LIEVED PRESENT C. BE. LIEVED ABSENT a. MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE Of mai able) e. LONG TERM AVRG. VALUE (if available) d. NO. OF ANALYSIS a. LONG TERM AVERAGE VALUE b. NO. OF ANALYSES III 00NCENT. PA110f1 12/MSS III COWEN-T. Rana' IZIMSS III CONCENT. aanon 12) 1MSS a. CONCEN. TRAllON b. MASS (I) 0:44C1N1RA TOM 12/MASS GC/MS FRACTION - BASE/NEUTRAL COMPOUNDS (continued) 431 H.1100- 60c1800.0.011414 (60-304I • 441. 0S-014 F11411111Ittele CI CI CI 451 Pm.* (1294341 CI CI K 461 I.Z44.1. cfrioneanwe 0 2042.1I El El El GC/MS FRACTION - PESTICIDES IP. AM (33.03.21 CI 2P 9404 2 , 44E El El CI 3P Ile% (31943.71 4P. Taft (56494) El 0 K SP. 84114 (3194641 6P Carlin (97449) 0 CI • OP. 4.4'.DOT (641431 K El K 8P. 4.C.DDE masa) CI CI CI BP 4.4, 1)01) (72-5441I CI 0 K 10P. Di611416 (60417.1I CI CI • 11P. an354011 (116.2949 CI 0 K 12P PInt*L0/10, (118287 13P. Endow'', Sul= (1031.074) CI CI • 140 EMM (72.286I 130 Ent141 41,191,0e (7421404) 0 CI K 10P Iltqa .hbe (76-4141I K CI EPA FORM 3510-2C (Rev. 8-90) Page V-13 CONTINUE ON PAGE V-9 EFTA01221101 EPA NUMBER (copy from Item 1 of Form 1) CONTINUED FROM PAGE V-6 OUTFALL NUMBER 1. POLLUT- ANT AND CAS NO. (If available) 2. MARK 'X' 3. EFFLUENT 4. UNITS (specify if blank) S. INTAKE (optionaa a. TEST- ING RE- (MIRED b. BE- LIEVED PRE- SENT C. BE- U EVED ABSENT a. MAXIMUM DAILY VALUE b. MAXIMUM VALUE Ilf aval 30 DAY able) C. LONG TERM AVRG. VALUE Of available) 0. NO. OF ANALYST S a. LONG TERM AVERAGE VALUE b. NO. OF ANALYSES III CONCERT. RATON ii2)INLES III CONCERT. RATON 0) MSS III CONCERT. PATON 0) MSS a. CONCEN) TRARON b. MASS 0) CONCENTRA nom 11) MASS GCIMS - PESTICIDES (continued) "P. NRARAIEE &Enda 0024474) 0 0 0 1SP. PCS-I242 0.14(0.21.0) CI K CI ISP. POIAINA 01092401 I El 20P. PC8.1221 01101.2fAN CI CI CI SIP. PCIA)212 (11)410041 El 22P PC8024$ 02072.2fAN CI CI CI 23P. PCIA)260 010904241 El 24P PCSIOIS 02074.0.2i 0 CI CI 2SP. Taa.prano 0001.3S-2) EPA FORM 3510-2C (Rev. 8-90) Page V-9 EFTA01221102