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HomeMy WebLinkAbout11) November r-" ~ JEFFERSONVILLI W ASTEW ATER TREATMENT FACIL Monthly Operations Re November, 2002 Prepared for: Peggy Wilder January 03, 2002 www.geocities.com/emc_j~ ENVIRONMENTAL MANAGEMENT CORPORATION io'i-"" , f \"'0-;""; r' I ~ t.---; January 7, 2002 701 CHAMPION ROAD JEFFERSONVILLE,INDIANA47130 812-285-6451 FAX 812-285-6454 Peggy Wilder CITY OF JEFFERSONVILLE City / County Building Jeffersonville, IN 47130 Dear Ms. Wilder: 1. Enclosed please find Environmental Management Corporation's (EMC) "Operations Report" for the month of November 2002, containing information on the following: 1.0 2.0 3.0 Effluent Quality Design Loading Limits Facility Operations 3.1 Pretreatment Preventive and Unscheduled Maintenance 4.1 Sewer Call Report 4.2 Maintenance & Repair Expenditures 4.3 Repair & Replacement Expenditures 4.4 Table of Repair & Replacement Expenditures 4.5 Electrical Expenditures 4.6 Table of Electrical Expenditures Facility Safety and Training Sewer Collection System 6.1 Monthly Collections Analysis Report 4.0 5.0 6.0 As always, we appreciate the opportunity to be of service to the City of Jeffersonville, and we are available to discuss this report, or any other aspect of our operations, at the convenience of the City. Sincerely, ENVIRONMENTAL MANAGEMENT CORPORATION ~~ Timothy L. Crawford Regional Manager TLC;ks Jeffersonville Wastewater Treatment Facility Monthly Operations Report 1.0 EFFLUENT QUALITY During November, effluent quality was within NPbES permit limits for CBOD, TSS and NH-3. Table 1.1 summarizes the effluent quality data. Attachment A contains Time Series Plots of Carbonaceous Biochemical Oxygen Demand (CBOD) and Total Suspended Solids (TSS) values. Attachment B contains Time Series Plots of Aeration Mixed Liquor Suspended Solids (MLSS) and Sludge Volume Index (SVI). Carbonaceous Biochemical 15 mg/l 4.16 mg/l Oxygen Demand (CBOD) Total Suspended Solids 18 mg/l 6.4 mg/l (TSS) Fecal Coliform MPN 2000 coloniesll OOml 832.6 coloniesll OOml Chlorine Residual 0.01 mg/l 0.01 mg/l Ammonia 1.5 mg/l 0.1642 mg/l Average Dry Weather 5.2 design 3.926 MGD Flow Table 1.2 W et Weather vs. D Average Flow of Wet Days Number of Dry Days Average Flow of Dry Days *Wet Day = Rain (>0.1 in) and three days after 5.667 MGD 11 3.926 MGD 2.0 DESIGN LOADINGS LIMITS The Flows and Loadings report for March 1994 through November 2002 can be found m Attachment C. 10f5 r f t,~ Jeffersonville Wastewater Treatment Facility Monthly Operations Report 3.0 FACILITY OPERATIONS Attachment D contains a list of septic haulers that discharged at the facility during the month of November. During November, the treatment processes performed very well. All parameters were well within limits. Valve repair on #4 clarifier was completed. All four clarifiers are now able to be put on line. 3.1 PRETREATMENT Pretreatment activities for the month included the following: 20f5 r ~ ; r- n 'I' ill rr ! I Jeffersonville Wastewater Treatment Facility Monthly Operations Report 4.2 MAINTENANCE & REPAIR EXPENDITURES Maintenance & Repair expenditures are detailed in Attachment F. 4.3 REP AIR & REPLACEMENT EXPENDITURES There were no Repair & Replacement expenditures in November. $0.00 Year-To-Date $34,217.30 $58,338.00 $24,120.70 4.5 ELECTRICAL EXPENDITURES Table 4.6 represents the facility electrical expenditures for the month as well as providing a year to date total. November $14,868.82 Year-To-Date $107,293.62 $93,520.00 ($13,773.62) 5.0 FACILITY SAFETY & TRAINING A safety inspection was conducted on November 29,2002. The rating was 99.0%. There were no deficiencies reported. Our plant is still in excellent shape. A copy of the Safety Inspection Report is included as Attachment G. 30f5 r { r- t ~ r: ~, i ...-, r- ! I r- t n Ii" , f I; LL Jeffersonville Wastewater Treatment Facility Monthly Operations Report 6.0 SEWER COLLECTION SYSTEM AND PREVENTATIVE MAINTENANCE During the month, there were 18 sewer calls. The calls were related to the following problems. Please see table 4.1, Monthly Sewer Call Report and table 6.1, Monthly Collection Analysis Report, for a more detailed breakdown of monthly sewer maintenance. During November catchbasin cleaning program in the Downtown area has been implemented. Catchbasins have been cleaned on Market, Chestnut, Maple, Court, ih Street, from Graham to Spring Street. Some catchbasins on Michigan and Ohio have also been cleaned. To date, 170 catchbasins have been cleaned and checked for damage. As part of the Preventative Maintenance program, monthly checks are made on lift station wet wells for grease, and seven were pressured washed and vactored out. Hot spots were checked and cleaned as needed. We are currently monitoring flow meters at 10th Street, Spring Street, and Mill Creek. There are still concerns over the accuracy of these meters so pads and circuit boards were replaced. Monitoring of these meters will continue to ensure accurate readings. Feet of Sanitary Sewer 1,765 9,415 Cleaned Feet of Storm Sewer 1,655 3,506 Cleaned Catchbasins Cleaned & 120 64 Vactored Catchbasins Raised 0 0 Feet of Sanitary Sewer 175 4,022 Televised Sewer Tap Inspections 0 0 Dye Tests 0 0 Manhole Castings 0 0 Replaced Air Tests 6 3 Manholes Sealed 0 0 51 2 12 o 40f5 ..- \ ! r-"' t r i t ..- . f t ,.- l ! r-"' I f I l n ! J [ Jeffersonville Wastewater.Treatl11ent Facility Monthly Operations Report ATTACHMENTS A. B. C. D. E. F. G. Time Series Plots - CBOD & TSS Time Series Plots - MLSS & SVI Flows & Loadings Report Septic Haulers Report Maintenance & Repair Expenditures Safety Inspection Report DMRJMRO 50f5 r ! ~ r . t r- i , f ~ ~ r L r r f J r t Attachment A r t,,;, t _ Time Series Plots CBOD & TSS r r- I ~ r t i I. n f .-- t j , r I i t r f L -....., ---] ,-~-] --] -,."] r~-""'""'l J effersonville Wastewater Treatment FacilitY . Effluent CBOD / TSS Effluent CBOD - - Effluent TSS 56 49 42 35 28 21 7 /""......... ,/ '----........ "........ -........ 14 " o 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 November 2002 r- t r t .~ , ,...... , ; t " Attachment B n Time Series Plots MLSS & SVI r, . I Fi l i t,; r ! ( 4500 -~l :-l J effersonville Wastewater Treatment Facility Aeration Mixed Liquor Suspended Solids (MLSS) mg/l - - MLSSmg/l Design Limit MLSS "'""," 1 4000 3500 3000 - 2500 2000- 1500 1000 500 .....--..............'\. '~ / .....----, -......." ~ .. ."" ,\. ,,, I / ../ ,,, / , , .. ............. ........, , ."" " .. / \ I .. \ I , I , " I '~ 0- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 November 2002 Operated and Maintained by: Environmental Management Corporation r:::'1 i:IJ C:J L.:I [::1 L~2'] r=l J effersonville Wastewater Treatment Facility Aeration Mixed Liquor Sludge Volume Index (SVI) mVgm - - SVlml/gm Design Limit SVI 160 140 120 100 - ,'\ -. 80 """" """-" / -;" ",/ " ,/ '- - " '- - , " ,....... ../ .....- - ....... - ...... \ I , , ') I , '," '_ I , , 60 40 - 20 - o 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 November 2002 Operated and Maintained by: Environmental Management Corporation Attachment C Flows & Loadings Report May 1994 - November 2002 n '~ ,:-- J ~~J --1 t~~'-'J __r ':J ""'"~"'j -Jeffersonville Wastewater T-Featmeiit Facility May 1994 - November 2002 4.50 5.2 6,042 10,105 3,490 10,581 2.35 3.84 5.2 8,038 10,105 3,843 10,581 3.70 3.68 5.2 8,311 10,105 3,913 10,581 2.25 3.55 5.2 7,668 10,105 3,819 10,581 2.40 3.81 5.2 8,726 10,105 4,798 10,581 3.65 3.71 5.2 8,493 10,105 4,356 10,581 2.20 4.09 5.2 9,483 10,105 4,025 10,581 3.85 4.19 5.2 10,434 10,105 3,886 10,581 4.45 3.81 5.2 9,231 10,105 3,864 10,581 3.75 2.92 5.2 6,393 10,105 2,710 10,581 1.60 2.87 5.2 5,572 10,105 2,480 10,581 2.05 2.63 5.2 4,211 10,105 2,178 10,581 2.80 3.46 5.2 3,593 10,105 1,622 10,581 10.25 2.79 5.2 4,824 10,105 2,683 10,581 3.35 2.31 5.2 4,244 10,105 1,809 10,581 2.50 3.22 5.2 6,338 10,105 3,491 10,581 3.45 2.33 5.2 5,962 10,105 3,022 10,581 1.60 2.87 5.2 6,235 10,105 3,124 10,581 5.25 2.64 5.2 7,449 10,105 2,519 10,581 2.75 3.22 5.2 9,211 10,105 3,620 10,581 5.85 4.29 5.2 8,229 10,105 7,084 10,581 5.00 3.28 5.2 8,480 10,105 6,620 10,581 2.63 5.45 5.2 11,091 10,105 9,045 10,581 5.98 5.85 5.2 12,148 10,105 9,075 10,581 6.50 8.17 5.2 14,513 10,105 10,902 10,581 7.30 5.74 5.2 12,447 10,105 10,149 10,581 3.72 4.36 5.2 11,672 10,105 9,345 10,581 3.40 3.83 5.2 11,148 10,105 10,312 10,581 1.90 4.96 5.2 12,865 10,105 9,928 10,581 9.02 4.25 5.2 11,059 10,105 8,471 10,581 2.60 4.80 5.2 13,771 10,105 11,689 10,581 4.10 5.77 5.2 14,725 10,105 11,020 10,581 4.90 5.59 5.2 19,581 10,105 16,597 10,581 3.85 5.84 5.2 22,892 10,105 15,732 10,581 12.25 10.62 5.2 22,586 10,105 13,197 10,5&1 6.30 1 Operated and Mainted by: Environmental Management Corporation :~~1 -'-l ~-""l ~~""""'l ~] --Jeffersonville Wiisfew-ilter Treatment Facility May 1994 - November 2002 5.63 5.2 17,584 10,105 10,330 10,581 2.31 6.27 5.2 18,145 10,105 9,726 10,581 7.15 7.05 5.2 13,347 10,105 8,937 10,581 5.05 4.32 5.2 13,979 10,105 12,862 10,581 0.55 4.43 5.2 11,925 10,105 11,817 10,581 3.95 3.84 5.2 9,166 10,105 10,160 10,581 1.47 3.60 5.2 12,539 10,105 10,439 10,581 1.47 3.81 5.2 8,516 10,105 10,359 10,581 3.35 4.23 5.2 9,208 10,105 8,290 10,581 4.30 4.71 5.2 10,920 10,105 8,838 10,581 4.15 5.31 5.2 7,661 10,105 8,636 10,581 1.65 4.77 5.2 9,309 10,105 11,656 10,581 5.85 5.62 5.2 9,187 10,105 8,812 10,581 7.60 5.57 5.2 8,640 10,105 10,917 10,581 4.71 5.83 5.2 10,016 10,105 10,794 10,581 7.46 4.90 5.2 8,418 10,105 6,661 10,581 7.90 5.04 5.2 8,112 10,105 7,356 10,581 4.22 4.03 5.2 8,302 10,105 8,100 10,581 0.05 3.62 5.2 7,216 10,105 6,612 10,581 2.40 4.01 5.2 7,525 10,105 7,659 10,581 2.60 4.67 5.2 10,399 10,105 8,919 10,581 3.35 6.63 5.2 13,381 10,105 10,064 10,581 11.40 5.36 5.2 9,566 10,105 7,868 10,581 2.50 6.00 5.2 9,508 10,105 7,756 10,581 3.40 5.70 5.2 12,360 10,105 10,126 10,581 3.32 5.35 5.2 10,976 10,105 9,281 10,581 2.10 6.45 5.2 11,404 10,105 10,759 10,581 6.30 5.57 5.2 8,362 10,105 9,523 10,581 0.70 5.49 5.2 7,921 10,105 9,569 10,581 0.95 3.96 5.2 5,945 10,105 6,209 10,581 0.70 3.77 5.2 6,949 10,105 7,703 10,581 2.70 3.80 5.2 8,050 10,105 7,796 10,581 2.70 4.49 5.2 9,287 10,105 7,564 10,581 6.17 4.51 5.2 8,839 10,105 6,883 10,581 4.65 7.26 5.2 10,354 10,105 9,324 10,581 6.10 5.45 5.2 8,727 10,105 8,045 10,581 2.75 5.49 5.2 8,608 10,105 6,227 10,581 3.70 2 Operated and Mainted by: Environmental Management Corporation ==J <~-"l """"'~]"'"'"l :'~'1 '-----, -:-J - -~- Jeffersonville Wastewater Treatment Facility May 1994 - November 2002 4.03 5.2 7,932 10,105 7,293 10,581 1.00 4.17 5.2 8,347 10,105 7,512 10,581 4.11 3.67 5.2 8,172 10,105 6,183 10,581 4.11 3.92 5.2 6,800 10,105 6,310 10,581 4.11 4.03 5.2 6,756 10,105 5,478 10,581 4.11 3.85 5.2 7,000 10,105 5,683 10,581 0.40 4.50 5.2 7,769 10,105 7,619 10,581 3.15 4.64 5.2 7,894 10,105 8,320 10,581 3.15 4.64 5.2 7,894 10,105 8,320 10,581 3.15 5.13 5.2 8,001 10,105 7,787 10,581 2.20 4.60 5.2 6,867 10,105 7,711 10,581 2.35 4.22 5.2 7,321 10,105 7,391 10,581 1.65 4.49 5.2 9,362 10,105 8,201 10,581 3.80 4.20 5.2 7,286 10,105 8,056 10,581 4.20 4.36 5.2 8,072 10,105 7,818 10,581 4.50 3.95 5.2 7,379 10,105 7,116 10,581 4.50 4.30 5.2 7,926 10,105 7,674 10,581 3.85 5.52 5.2 9,852 10,105 9,576 10,581 1.60 5.31 5.2 9,477 10,105 8,990 10,581 1.50 6.27 5.2 8,576 10,105 6,955 10,581 4.65 5.48 5.2 8,821 10,105 8,044 10,581 2.25 4.97 5.2 6,922 10,105 5,886 10,581 3.85 6.92 5.2 9,465 10,105 8,541 10,581 2.15 6.88 5.2 9,980 10,105 8,488 10,581 6.05 7.20 5.2 11,109 10,105 9,187 10,581 4.45 6.25 5.2 11,415 10,105 9,435 10,581 6.45 4.60 5.2 7,404 10,105 9,207 10,581 1.05 4.36 5.2 9,491 10,105 6,909 10,581 1.85 4.90 5.2 8,790 10,105 7,563 10,581 9.25 5.12 5.2 9,181 10,105 7,900 10,581 4.25 4.67 5.2 8,374 10,105 7,205 10,581 3.45 3 Operated and Mainted by: Environmental Management Corporation n ~ c (' r-- i t r t ; ~; Attachment D Septic Haulers Report November 2002 ~ o r- a i t r-. ~ ~ ,...... , r , ~ . r i r- I f f r: r ! r ~ L r- ~ ~ r. , ,..... I ~ r' t ! ,..., , t t r, . , , SEPTIC HAULERS REPORT November 2002 Loads Delivered To Treatment Facility Hauler November Hauler Total (YTD) Rumoke of Indiana 9 30 TOTAL 9 30 Gallons Delivered To Treatment Facility Hauler November Hauler Total (YTD) Rumoke of Indiana 9.000 31.500 TOTAL 9,000 31,500 r- b t r- , t ) r t ~ Attachment E r' j t f Maintenance & Repair Expenditures R J, I ',) o o -~ ;'''....'') t"'~) -"""~J ,"".""". ..__... l . G::J Jeffersonville Waste Water Treatment Facility Phase Code 4 4400-4490 Maintenance & Repair Expenditures P.O. Date Phase Code Vendor Description Amount Invoice Date Invoice # 11/8/2002 4442 DEEDS EQUIPMENT VACTOR $423.60 11/8/2002 51534-IN 11/12/2002 4400 HEUSER HARDWARE WEED KILLER $26.24 11/12/2002 551034 11/12/2002 4400 MAGNETEK REPAIR SOFT START ON #3 $883.62 11/1/2002 6250 BLOWER 11/12/2002 4440 EMR LIFT STATION REPAIR - BILLABLE $33.78 11/12/2002 4378 11/12/2002 4440 FALLS CITY ELECTRIC LIFT STA TION REPAIR - BILLABLE $40.38 11/11/2002 760900 11/12/2002 4440 HOME DEPOT POWER CORDS, WEED EATER $153.90 8/20/2002 24-8508-.8820280902 CORD, BRUSH CUTTER 11/12/2002 4441 AJ&E GEORGIA CROSSING INVOICE ($94.81) 9/11/2002 09112002 11/12/2002 4441 FALLS CITY ELECTRIC GOLFVIEW RELA Y $44.78 11/4/2002 759748 11/12/2002 4441 SPENCER MACHINE NEW MIDDLE DOOR REPAIR $339.55 11/11/2002 6073 11/12/2002 4442 HEUSER HARDWARE COPY OF BOOM TRUCK KEYS $3.99 11/8/2002 550565 11/12/2002 4442 RADIOLAND RADIO REPAIR $25.00 11/1/2002 1007124 11/12/2002 4442 RADIOLAND RADIO REPAIR $55.00 11/8/2002 1007231 11/12/2002 4443 COPY COPY CHEROKEE HEIGHTS $4.39 10/31/2002 18640 11/12/2002 4443 HEUSER HARDWARE VACTOR REPAIR $7.28 11/8/2002 550895 11/12/2002 4443 LAURA SCOTT PETTY CASH $18.11 11/14/2002 110402PC 11/25/2002 4400 GENERAL RUBBER GLOVES $90.25 11/18/2002 559786 11/25/2002 4400 HEUSER HARDWARE PRESS ROOM HEA TER $24.54 11/21/2002 551469 :=:J -J Jeffersonville Waste Water Treatment Facility Phase Code 4 4400-4490 Maintenance & Repair Expenditures P.O. Date Phase Code Vendor Description Amount Invoice Date Invoice # 11/25/2002 4402 GENERAL RUBBER BRASS BALL VALVE, $55.18 11/18/2002 559787 POL YPROPYLENE CAM. 11/25/2002 4402 HEUSER HARDWARE TURNBUCKLES FOR CLARIFIER $76.40 11/20/2002 551417 11/25/2002 4402 USA BLUE BOOK RAS STATION $464.12 11/14/2002 609473 11/25/2002 4441 DEL TA ELECTRIC SPRING STREET LIFT STA TION $295.00 11/18/2002 18107 11/25/2002 4441 USA BLUE BOOK 3 PHASE MONITOR $118.07 11/8/2002 607830 11/25/2002 4443 FALLS CITY ELECTRIC WIRE $14.55 11/13/2002 761331 11/25/2002 4443 HOME DEPOT COLLECTION SYSTEM STOCK $41.78 11/20/2002 24-8508-388202-8-1102, 11/25/2002 4443 SOUTHERN TOOL LOCA TE PAINT $131.78 11/19/2002 100717 Total $3~276.48 :",.~ Wi fi Attachment F Safety Inspection Report n n :0 n ~J n l. l. EMC Monthly SAFETY INSPECTION CHECKLIST *Mark only if NOT in compliance ADMINISTRATIVE OFFICES -18 Written Site Emergency Plan/training. Updated OSHA 200 log Written Chlorine/Sulfur Dioxide program, copy of actual standard, training Written Fire Extinguisher program, copy of actual standard, training Written Hazardous Communication program, copy of actual standard, training Confined Space program, copy of actual standard, training Written Emergency Action Plan program, copy of actual standard, training Written Lockout/Tag Out program, copy of actual standard, training Blood borne Pathogen program, copy of actual standard, training Personal Protection Equipment program, copy of actual standard, training All employees trained and understand Risk Management Plan Personal Protection Equipment available for visitors Safety Committee with both employee and management participation Written "Right to Know" Program MSDS sheets available to employees Process Safety Management Plan (for plants mandated to have) Housekeeping Hearing disciples - documentation PREMLIMINARY TREATMENT - 4 Wet or oil on floors No or bad ventilation Bar screenings on floor Housekeeping PRIMARY TREATMENT - 1 Housekeeping LABORATORY - 11 Proper chemical storage (containers labeled) Emergency shower and eyewash Inspection of emergency shower and eyewash Acid spill kit r L o n Sample refrigerators marked "Bio Hazard" Signs of food or drink in lab Fume hoods in proper working order or inspected Proper sharpslbroken glass container Personal Protective Equipment available and used Tongs or special gloves for moving hot items available and used Housekeeping BIOLOGICAL TREATMENT - 2 Safeguards in the pure oxygen system Housekeeping ADVANCED TREATMENT-l Housekeeping DISINFECTION - 14 Housekeeping CHLORINE: Working exhaust fans at floor level Leak detection alarm system Ammonia hydroxide available to test for chlorine leaks SCBA/IO minute escape packs are properly inspected and full Proper chlorine wrench readily available Chlorine cylinders properly chained to wall and tons secure New washers readily available Windsock and lor other wind directional apparatus exist Warning signs in place Chlorine stored separately from other chemicals Risk Management Plan UV: N/A N/A Waming signs in place Proper Personal Protective Equipment in place BIO SOLDIS HANDLING - 2 Combustible gas detection system in place and calibrated Housekeeping i fl z i D n [J IT MAINTENANCE/GARAGE - 13 Proper guarding of grinders, etc. Lockout/Tag Out equipment available Vehicle Safety Checklist in place Sharps container for glass, cutting blades, etc. Hand tools in proper working order Eye protection provided for bench, free standing, and hand tools Lighting of work bench adequate Hoist, lift, jack, chains, pulleys available for lifting and moving heavy objects Metal waste can marked for oily and/or paint soaked waste only and lit secured Piping, hoses, etc. Stored properly Heavy duty extension cords used when appropriate Personal Protective Equipment signs posted Housekeeping BUILDINGS AND GROUNDS - 34 N/A Chemical storage tanks are labeled Containers labeled Stairways are unobstructed Area below stairway are unobstructed Work areas are adequately lighted No Trip Hazards visible Exits clearly marked Emergency lighting adequate and functioning Fire extinguishers inspected All electrical wires in proper repair Electrical control boxes are not used for storage above or below, or otherwise blocked Electrical boxes doors secured Lockout/Tag Out in use where needed Outlets not overloaded Extension cords are not passing through openings without proper protection Handrails in good condition Chain guards in place where possible danger exists Guards over drive chains and gears are in proper working order "T" valves in walkways are adequately marked Automatic start signs properly displayed on machinery where needed Piping is color coded (legend available) or marked with content name Potable and non-potable water lines are clearly marked and distinguishable from each other Hatch covers in place Levee around pond or lagoon in good condition Life rings, jackets, hooks, etc. available around open tanks or ponds r t n 1>. ~ ~ r t ! r, f;. ~ f r- J t = r i n i:i LJ n L in tJ n Sampling equipment is sufficient to prevent climbing over handrails or other hazards to get samples Flammables are stored in appropriate cabinets or buildings and marked as such No Smoking signs posted near flammable areas Exit lights are in proper working order Housekeeping MISCELLANEOUS -14 X N/A N/A Man lifts inspected yearly Ladders in proper repair and working condition Personal Protective Equipment is provided First aid kits are available in all work areas and properly stocked Emergency Response Team (in plant or local) is available and aware of emergency plan Overhead crane inspected annually by qualified personnel Weight limits displayed on both sides of overhead crane Forklift operation training is provided Air gap and/or back flow prevention device on water line inspected and recorded annually Heat exchangers and/or boilers inspected annually LockoutlTag Out Program audit documented Lockout/Tag Out training of "affected, authorized and others" conducted OSHA signs posted r f r: f;, 1 l r ~ t r r . f ;- rc II: LL Facility: Jeffersonville Inspector: Joe Hembree Date: 11/29/02 Scoring: If the plant is not in compliance with the item listed put a checkmark on the line next to the item listed. Feel free to write comments next to or near the item. If in compliance, leave blank. If not applicable to the plant (some items may not be), write N/A ("Not Applicable") on the line. Count up the total number of "Not Applicable" items. Subtract the "Not Applicable" from the "Total Possible" points. This will give you the "Adjusted Total". Subtract the number of "Not in Compliance" from the "Adjusted Total". This gives you the total "In Compliance". Divide the number of "In Compliance" by the "Adjusted Total" to give the "Total Percent". Example: Counts: N/ A = 4 Not in Compliance = 3 r ~ r- i ' . ~ . r; . , \ ~ ..- i V ~'>d G ~ r-- I L Attachment G ,.-, , t ' t DMR/MRO November 2002 , n.< tJ n o fT fjj ril' tl , or ~ I! , I, /I .~/ ~ ~A/ / r1 )/: rid 1. Name of Faciity ,I w,^femit Number For MonII1 Of: Year 1""""/ ~. !Jeffersonville Municipal I N0023302 November 2002 (SI~URE OF PRlN;~XECUTlVE OFFICER 6R '(DATE) l.'Page 20f 4 Substitute for state Form 1M29 (RI1-2002) .... AUTHO ED AGENT) PRIMARY AERATION SECONDARY FINAL EFFLUENT t" . EFFLUENT MIXED L1aUOR EFFLUENT , i RETURN SLUDGE . ! 0 E E J ('t) ~ ::::::: .5 ::::::: E I ::::::: ::::::: 0 I 0 I C) ~ C) , c: C) C) <l> <l> 0 c: ::::::: E E <l> E E c: c: ...... <l> C) ; 11l X C) 0 'C 'C >. 0> E , .J::. ::::::: 0 :E I CII >. I ::::::: I .Q~ .Q c: >. I +-' 0> "0 X (9 0> 0 6 I c: rn "0 rn .5 0 rn VI .J::. c: .J::. 'J E :2 :2 ::.'2: :2 E :2 '0 rn 0 en o III 0 :J ::.'2: I '0 CII '0 ~ "0 I '0 , '0 -I- 0 "C .... CII lilt) Cii , Q) 0 - to (f) :Ern U) Q) U) to U) .J::. /' 0 0 CII > E 0 -5 III :J > Q. ci.. III CII ci.. '0 ci.. ci.. "C _ '0 '0 0 j!'5 0) 0 .- +-' VI , >. VI VI "0 .~ 'a, :J rn VI rn c: 'w ~ 0 .~ 'a, 0 , III a:l :J :t::c: :J ;j '0 ;j a:l :J Q) 0 I .J::. CII'- &:u::: . 0 0 (f) enE U) (j; oE > U) 0 U) Q::O u..i 0- o E 0- I 1 230 3280 701.22 1.6 4.392 4920 0.01 7.5 8.4 ~ : 2 240 3360 714.29 2.4 4.157 5640 0.01 7.5 8.5 ...oJ 3 250 3220 776.4 2.2 4.138 5560 0.01 7.6 7.8 I 4 230 3380 680.47 2.9 4.193 5940 0.01 7.5 8 f 5 240 2960 810.81 1.5 5.55 6320 0.01 7.4 8.1 t .\ 6 250 3360 744.05 2.9 4.987 5160 0.01 7.6 8.6 I 7 260 3620 718.23 1.1 4.054 5780 0.01 7.6 8.3 ; 8 230 3700 621.62 1.6 3.938 7820 0.01 7.6 8.3 f , 9 280 3760 744.68 1.5 4.457 5180 0.01 7.7 8 10 220 3460 635.84 2.5 6.232 7080 0.01 7.7 8.1 r 11 230 3580 642.46 2.7 5.119 7080 0.01 7.6 8.9 . , 12 240 3580 670.39 1.4 3.98 6920 0.01 7.6 8.6 , 13 210 3720 564.52 1.7 4.001 7480 0.01 7.7 8.4 , 14 200 3420 584.8 1.6 3.977 7240 0.01 7.9 8.2 , 15 200 3340 598.8 0.4 5.332 8500 0.01 7.6 ~I 8.4 16 250 3220 776.4 2.2 4.659 5940 0.01 7.7 8.4 , 17 210 3160 664.56 2.1 3.807 6020 0.01 7.6 8.3 ! ' 18 190 2860 664.34 2.3 3.687 6480 0.01 7.6 8.3 19 200 2220 900.9 1.2 3.716 6040 0.01 7.7 8.1 20 200 2840 704.23 1.4 3.753 7140 0.01 7.6 8 21 200 3220 6.21.12 0.9 3.873 5320 .. 0.01 7.6 7.8 I 22 210 2920 719.18 1.2 3.838 6940 '. 0.01 7.6 8 r 23 230 3480 660.92 2.4 3.856 3760 0.01 7.6 7.7 f 24 210 3060 686.27 2.2 3.83 4080 0.01 7.5 7.7 i I' 25 230 3400 676.47 2 3.027 7560 0.01 7.6 8 rL. 26 250 3520 710.23 1.2 3.01 7320 0.01 7.5 8.3 ; , 27 230 3220 714.29 1.2 3.035 6860 0.01 7.5 8.2 'f 28 280 3660 765.03 1.4 3.044 6340 0.01 7.6 8.2 ~- 29 220 4060 541.87 2.4 2.899 3600 0.01 7.5 8 b 30 290 3320 873.49 0.3 2.779 6240 0.01 7.7 7.8 t '. f'"lOw!:!. 230.33 3330 696.26 1.7467 4.044 6208.7 0.01 8.18 I 290 4060 900.9 2.9 6.232 8500 0.01 7.9 8.9 iVlax. 'IMin. 190 2220 541.87 0.3 2.779 3600 0.01 7.4 7.7 ,.ll;)ata 0 0 30 30 30 30 30 30 0 0 0 30 0 30 30 0 , :::omments for the Month (major repairs, breakdowns, process upsets and their causes, inplant treatment process bypass, etc.): f i Jl H I r~ t ! l> I Name of Facility Pennit Number For Mon1h Of: Year ./J ,,~ZhLe /~//J/tJ~ l~ Jeffersonville Mun IN0023302 November 2002 (SIGNATURg,01 PRINCIP~~UTIVE OFFICER OR u., (O}(rE) CJPage 3 of 4 Substitute for Slate Form 10829 (R/1-2002) AUTHORIZE AGENT) FINAL EFFLUENT r Flow BOD Total Suspended Solids Ammonia Other ~ \ >. >. 0 l\1 l\1 Z c:> ::::: ::::: ~ -0 >. >. a. - r ::2 >. >'(1) Cl Cl VI VI (\l l\1 ::2 (I) (I) (\l (tJ Cl E E (I) ::9 ..c "Q) ::::: "- (I) ~ -0(1) . Cl :::::~ ~ Cl - Cl Cl t;,~ VI - Cl E .s:::. ~ ~ ::::: ~ (tJ . . (tJ , I (\l VI (tJ - ~ Cl ClL- VI VI L- VI tA'- VI VI L- E E L- ::9 ..c L- .... c: 0 o (I) E E ~ ::9 ..c (I) 32 -0(1) 32 -0 (I) , (I) -(I) g 0 u:: u::~ -> 'B~ 'B~ . .!!!~ I I > ::2 . .<( . .<( '0 '0 (tJ (tJ .!!! <( '0 - - c~ 10 10>. 10 10>. CI) CI)>. CI) CI)>. '2 5~ '2 c: >. () r 0 c: 0 0- 0 0- .32 .32 0 0 0- (I) (I)..l<: O~ O~ c.. c.. E E~ E E~ a; :J :J (I) 0 0 Q.(I) Q.(I) >. IE - (I) co ~~ co B~ VI VI Q) VI VI (I) E ~~ E ~~ 0 (tJ iD~ :J &5~ :J &5~ (I) 0 w () () CI) CI) <( <( u.. 1 4.083 3 102.22 5 170.36 1.2 40.887 55 f 2 3.729 3 93.356 6 186.71 0.069 2.1472 620 I 3 4.183 3 104.72 5 174.54 0.078 2.7228 388 4 4.087 6 204.64 8 272.85 0.082 2.7967 580 r 5 7.853 3 196.6 4 262.13 0.064 4.1941 1,500 6 5.439 3 136.17 7 317.72 0.41 18.609 850 7 4.289 1 35.792 6 214.75 0.064 2.2907 230 r 8 4.038 3 101.09 4 134.79 0.042 1.4153 550 r' I 9 5.428 5.0453 2 3 90.593 124.23 6 5.7143 271.78 235.51 0.062 0.1146 2.8084 4.9767 1,470 10 10.295 3 257.74 10 859.12 0.069 5.9279 575 ; 11 6.825 15 854.32 10 569.55 0.043 2.449 575 f , 12 4~861 2 81.13 3 121.7 0.053 2.1499 340 I 13 4.61 3 115.41 8 307.76 0.11 4.2317 1,405 r-~ 14 4.412 2 73.636 7 257.73 0.049 1.8041 1,780 I , I 15 4.847 17 687.62 10 404.48 0.083 3.3572 1,900 f ' I 16 4.936 5.8266 4 6.5714 164.76 319.23 4 7.4286 164.76 383.59 0.082 0.0699 3.3777 3.3282 975 17 4.106 4 137.00 6 205.59 0.079 2.7069 135 18 4.189 4 139.83 8 279.66 0.061 2.1324 715 19 4.014 5 167.48 10 334.97 0.061 2.0433 265 20 4.132 4 137.93 8 275.85 0.081 2.793 1,025 , 21 4.557 4 152.11 6 228.17 0.064 2.4338 1,780 22 3.905 4" 130.35 5 162.94 0.24 7.8209 1,550 , 23 3.882 4.1121 3 4 97.186 137.42 5 6.8571 161.98 235.59 0.09 0.0966 2.9156 3.2637 1,515 24 3.879 3 97.111 5 161.85 0.092 2.9781 145 I 25 3.755 3 94.006 5 156.68 0.091 2.8515 245 26 3.922 4 130.92 4 130.92 0.081 2.6511 1,470 j 27 4.11 3 102.89 8 274.38 0.059 2.0236 800 I 28 3.942 4 131.58 7 230.27 0.06 1.9738 175 29 4.043 3 101.22 7 236.17 0.108 3.6438 210 l 1 30 3.926 3.9396 4 3.4286 131.05 112.68 5 5.8571 163.81 193.44 1.2 0.2416 39.315 7.9195 1,155 f I Avg 4.6759 4.1667 168.35 6.4 256.4 7 0.1642 5.9817 832.6 Max 10.295 5.8266 "' 17 6.5714 854.32 319.23 10 7.4286 859.12 383.59 1.2 0.2416 40.887 7.9195 1900 fMin 3.729 3.9396 1 3 35.792 112.68 3 5.7143 121.7 193.44 0.042 0.0699 1.4153 3.2637 55 JData 30 4 30 4 30 4 30 4 30 4 30 4 30 4 30 0 , Total Monthly Flow: (million gallons) 140.28 n ; ! Percent Capacity t. 90% (actual flow/design) Name of FaCllty Permit NlJl1ber For MonIh Of: Year h.Y7~ ~/ /f /' /ol//,'~ /t;~ ,.... i Jeffersonville Munic IN0023302 November 2002 ~SIGNATURE OF PRINCI~~CUTIVE OFFICER OR ' 1 '(Date) ~ Page 4 of 4 Substitute for State Form 10829 (R/1-2002) AUTHORIZ 0 AGENT) SLUDGE TO DIGESTER OPERATION r DIGESTER Anaerobic Only ..... , C. r c Ol Ol "0 Cl "C ~ i ~ E c Ol C Gl e 'E - 'E Uj 0 III I UI -0 ..... LO 0 Ol 0 Gl .r; Q) "0 0::::: 0 Cl 0 Cl ~ r 0 Cl I .r; 0 -= 0 .EO i5 LL ~8 00l Q) "0 C CD E .S .S Gl .r; Cl ::l 0 I .S .S Cl en ..-- - "0 :g Q) -x -z III III -0 C ::l ..... C . C I {j~ {j~ :2 :2 ::l 0 -0 ....0 ::lo ::l Ill- 1llC'> 0* O~ (ij ::2 (/)0 ~8 - _ III -I ._ 0 ._ 0 "00 III 1llC9 '0 I (5 I (/) 0, >'0 eo ... ~z (/), -0 r - .......-- Q) C ... (/) Ol mOl J!!Gl J!!Gl Gl 0 III X Ol"-- 0."-- 0.. Q; 0 ..... _ Cl _ Cl Uj(/) - x Ol ~ C) +:;0) >. E--' UI . UI x E 0.. . 0.. III ,"0 III '0 III '0 1Il"C OlZ III .- III Ill- I Ill~ ::l UI ::l ..... -::l -::l -::l -::l .2>0 Q:C9 $<9 C9iL Q) (/).c 0- 0- 0_ 0_ 0 0. ?- m 0 1-00 1-00 >(/) >(/) 01- 1 0.107 27867 0.62 0.56 26.2 .- t 2 0.132 f 3 0.132 4 0.134 24400 0.63 0.56 52.8 [ 5 0.131 t ! 6 0.126 25366 0.64 0.57 52.5 7 0.14 26.2 ;:0- 8 0.151 27000 0.63 0.56 , r { 9 0.148 10 0.132 ,.- 11 0.147 27200 0.6 0.56 , t 12 0.144 44.1 13 0.143 28600 0.6 0.56 r 14 0.143 50.1 ~ 15 0.172 27700 0.61 0.56 25.1 16 0.093 r 17 0.12 f 18 0.138 28067 0.62 0.57 t 19 0.128 r 20 0.135 27667 0.63 0.57 l 21 0.114 f 22 0.124 47.1 r 23 0.091 r 24 0.091 25 0.131 30200 0.65 0.57 23.2 r 26 0.13 24.9 f ; 27 0.131 28867 25.1 i 28 0.072 25.1 29 0.151 27000 0.62 0.57 I 30 0.153 r4AvQ. 0.1295 27495 0.6227 0.5645 35.2 . 'Max. 0.172 30200 0.65 0.57 52.8 I I 24400 0.6 0.56 23.2 Min. 0.072 Data 0 30 0 0 0 0 0 0 12 11 11 12 Send completed forms by the 28th of the month to: INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT fIl",. I' OFFICE OF WATER QUALITY, DATA MANAGEMENT SECTION " P.O. BOX 6015 INDIANAPOLIS, INDIANA 46206-6015 r-, f Indiana Department of Environmental Management Land Use Section - OSHWM Land Application Monthly Report - Biosolids and Industrial Waste Products >>Comp1eteand submit this form to IDEM each report month<< r- t ( ~ Methods of Disposal Utilized: 1 dicate by an "X" which disposal methods were utilized this month and provide volumes for each method. NOTE: Only include amounts for those materials which you are PERMITTED to land apply. ",.",,,,~ ..)<:'~,~~" ,...,...:,1, ri.: >0<- Year: L.A. Permit No. IN LA: ""~'n' total volume listed above, what volume was transported out of Indiana? ,'. BIOSOLIDS: o biosolids were disposed, by land application or other methods,this month Biosolids were land applied this month Dewatered biosolids were used at the treatment works grounds this month Biosolids were landfilled this month Biosolids were disposed by the method listed below this month Of the total volume listed above, what volume was transported out of Indiana? NDUSTRIAL WASTE PRODUCTS: o industrial waste products were disposed, by land application or other methods, this month dustrial waste products were land applied this month dustrial waste products were landfilled this month 'Industrial waste products were disposed by the method listed below this month ~ hereby certify that to the best of my knowledge and understanding this report is complete and accurate. ~..~ ~ 7-<- ~ 19nature . i 1 I Printed Name Date PERMITTEE NAME/ADDRESS: NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) .~~I!l_~~_~_~ft~~9_'!Yl!I~J~!l;!~191p_~!~II?___. DISCHARGE MONITORING REPORT (DMR) Address: 701 Champion Road . IN0023302 001A "Je'ffersonvllie--inCi"fa-na-47"f3Cf-m-------. PERMIT NUMBER DISCHARGE NUMBER 1 1....1.1111 ADI n.II.11 1111 1111 IIAII.II 1111 UII1 1'111 111111111 11111 Uill.1 101 , * I N 002 3 3 0 2 0 0 1 All 02* ~--------------------------------------------_. .~_~~i~!Y~_~~!!~!!lE.~'y'i!!~_M~_'lL~i.e~L~.IP.._. .~E.g!l!i9!!~_~~ft~~9_'lY!~~.J-1~~i!~!l_~?!~Q .~t.!!'_:__Tl!l)E.~~Y_~_~r~Y!!9!~Lf~_'!!fi~~_Qp'erator PARAMETER (32-37) OXYGEN, DISSOLVED (DO) 00300 1 1 0 EFFLUENT GROSS VALUE pH 00400 1 0 0 EFFLUENT GROSS VALUE SOLIDS, TOTAL SUSPENDED 00530 1 1 0 EFFLUENT GROSS VALUE (ASN) 00610 1 1 0 EFFLUENT GROSS VALUE CYANIDE, TOTAL (AS CN) 00720 GOO RAW SEWAGE/lNFLUENT CYANIDE, TOTAL (AS CN) 00720 1 0 0 EFFLUENT GROSS VALUE . '-'T "'} 1 ",",P] ,-'--~ 1 FORM APPROVED OMB No.2040-0004 ... NO DISCHARGE I_I *** NOTE: Read instructions before completing this form. Quantity or Loading (4 Card Only) Concentration (54-61) (38-45) (54-61) Maximum Unit Minimum Maximum NO. EX Unit 1(62-6 Sample Type (69-70) Frequency of analvsis (64-68) ; ;'''''::::'::::'':'':-;;~.::.::;;':':;.:'';::;:':'';",:::.-,:,:,:;':.::,":;:,.::,'i";';_:':.;:",;i:,,:.:;:..;I...;..._._m_~..;'...__ I ICERTlFYUNDERPENALTYOFLAWTILUIHAVEPERS, AND AM F AMIUAR wmITIIE INFORMATION SUIlMITTED HEREIN AND BASED NAMEITITLE PRINCIPAL EXECUTIVE OFFICE ON MY INQUIRY OF TIlOSBlNDlVIDUALS IMMIIDIATIlLY RESPONSIBLll FOR OBTAINING TIlE INFORMATION. I BELIIlVIl TIlE SUBMlITED INFORMATION IS Timothy L. Crawford '!RUB, ACCURATE AND COMPlF.I1!. IAMAWARB TIlATTIlERI!ARB SIGNIFICANT PENALTIES FOR SUBMlTl1NO FALSE INFORMATION INCLUDINO i TIlE POSSIBILlTY OF FlNB AND IMPRlSONMENTSEB I8USC ,1001 AND 33 us F ACILITI ES MANAGER I ,1319. (pENALTIES UNDER TIlESB STATU11!S MAYINCLUDB FINES UP TO I .._SlO.OOO_ANflOR-MAXIMlJMIMPRISONMRNT..OP RR1'Y.r:F.RN.6.MON11L'L\Nn.1. DATE 02/11/12 TYPED OR PRINTED COMMENT AND EXPLANATION OF ANY VIOLATIONS DISCHARGE IS TO CANE RUN. (Reference all a,ttachments here) .Reference attached letter AREA CODE NUMBEI YEAR MO DAY Clark County EPA FORM 3320-1 (REV. 08-96) Previous editions may be used. (REPLACES EPA FORM T -40 WHICH MAY NOT BE USED.) PAGE 1 OF 3 ~~1>' "')"Y""...l""'~]~l -, '~1 T~pJ~'''"~l''''''l'"'>~Yl "l'"""7"J PERMITTEE NAME/ADDRESS: NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FORM APPROVED _~~!!l_~~_~~fJ~~<!!!.~il~~_MI;!!'19jp!!L~Tf____ DISCHARGE MONITORING REPORT (DMR) OMB No.204Q.0OO4 Address: 701 Cham.eion RoadlN0023302 I 001A I ~~~f!~i~~~~i!~~~!~~~~~~?~~~~~~~~~~~~~~~~ P R IT N MB R DISCHARGE NUMBER "~III~IDI~.I~.II~.II~n~..~..I~.II~.I~.II~.IIIIHI~nlrnIII.I~.II~'I~II _~_<!~!I~:__~~_f!~_'!~!.l~!I~_~~!.ll~!I!~!L~T?-___ _~E.~~!!<!!,_:__~~!!~!~_q~y'!~I~,_!I]~J~_~~_~~~~~Q_ _~t!!).:_I~l!l<!!~Y..h~~~~~<!!~-,_~~!!iA~~.Qp"erator SAMPLE MEASUREMEN . 'p'e'R M.... .IT..... "-'--,' ,.' "-" "---'" . '. ,....-. "i~~aUi~g~g~' SAMPLE MEASUREMEN ,';',eg~rv1IJ:';: ;~~qlJIRl:M~N SAMPLE MEASUREMEN ""~5~M' REqUIRIS~ SAMPLE MEASUREMEN 01092 G 0 0'::,;',ft5~MF RAW SEWAGEIINFLUENT:~EqlJJRSJ ZINC, TOTAL RECOVERABLE SAMPLE MEASUREMEN 01094 1 0 o::,,,,;P.J:.~M.JJ EFFLUENT GROSS V ALuE'R'edUi . COPPER, TOTAL SAMPLE RECOVERABLE MEASUREMEN 01119 1 0 o:',:~!;ft~It:" EFFLUENT GROSS VALUERISOq'Rt;M,EN' FLOW, WASTEWATER BY. SAMPLE PASSING TREATMENT MEASUREMEN 50049 1 0 0;:,::;:~~~Mrr;i';:;";9~T'()Ni EFFLUENT GROSS VALUE,f:{$qpIR;Mt;N ';,~M~:;;T~r~1,j',:;:;)8WTI,u;,'m':II>1G~L1t11(): , I CERTIFY UNDER PENALlY OF LAW mAT I HAVE PERlI NAMEITITLE PRINCIPAL EXECUTIVE OFFICE~ AND AM FAMILIAR wrrnnIE INFORMATION SUBMITfEI)IIEREIN AND BASED j T" h L' C 'wf d . 'ONMYINQUlRYOFnlOSEINDIVIDUALSIMMEDIA1tlLYRESPONSmLllFOR I lmot y . ra or I08TAlNINOnIEINFORMATION.18ELIEVEnIESUBMITfEI)INFORMATIONIS I TRUE, ACCURATE AND COMPLEl'E.I AM AWARE mAT1lIERE ARE SIONIFlCANT PENALTIES FOR SU8M1lT1NO FALSE INFORMATION INCLUDIN' nIEPOSSI8ILlTYOFFINEANDIMPRlSONMENTSEE 18USC ,1001 AND 33 use .1319. (pENALTIES UNDER. TIIESE STATUTES MAY INCLUDE FINES UP TO FACILITIES MANAGER TYPED OR PRINTED COMMENT AND EXPLANATION OF ANY VIOLATIONS DISCHARGE IS TO CANE RUN. PARAMETER (32-37) CHROMIUM, TOTAL (AS Cr) 01034 GOO RAW SEWAGEIINFLUENT CHROMIUM, TOTAL RECOVERABLE 01118 1 0 0 EFFLUENT GROSS VALUE COPPER, TOTAL (AS Cu) 01042 GOO RAW SEWAGEIINFLUENT ZINC, TOTAL (AS Zn) ".NO DISCHARGE I_I... NOTE: Read instructions before completing this form. Quantity or Loading (4 Card Only) Concentration (54-61) (38-45) (54-61) Maximum Unit Minimum Maximum Frequency of analvsis (64-68) Sample Type (69-70) NO. EX Unit 1(6206, 02/11/12 YEAR MO DAY (Reference all attachments here) (REPLACES EPA FORM T -40 WHICH MAY NOT BE USED.) PAGE 2 OF 3 EPA FORM 3320-1 (REV.08-95) Previous editions may be used. ~-''''r''''l _-==:J PERMITTEE NAME/ADDRESS: "~~!!l_~~_~_~ft~~~9_~Yl~I~_~_l.!!,j9lp_~~~I.~___. ~~9!~~~.:__~9L~h~_'!1..e!~!l..~P-~~t~--------. Jeffersonville, Indiana 47130 . "F-aClnty:--jeffersonviiie-Murifcfpai-SfP-' ----------------------------------------------. .~2..C?~~!g!l~_~~ff.!~E~9_~Y!~~.1_!~~!~~_~?!~9. "~t.!!'_:__Tl!!l2..~~y_~_2~~~9!~,_2!t~!fi~~_Qp.erator SAMPLE MEASUREMEN :,:':rPERM~ R:~Q0jR$M~ . ". ,.,' . SAMPLE MEASUREMEN ,'~;~~O~'~~;~; :l:~8[f~j.~t; SAMPLE MEASUREMEN' ******* ~~~U~N~ GOROSS VALUE r:~'~~Wr:~~~:" SAMPLE MEASUREMEN ,!!:,;,~:~8MI1D'::;l:: 'R'$<:i'lJIRi$MI;'N': :. [CF.Rm' UNDER PENAJ:TYoF'tAWtiiATliiAwPERS NAMEfTlTLE PRINCIPAL EXECUTIVE OFFICE" ANDAMFAMILlARWITHnmINFORMATIO~SUBWITEDHERElNANDBASED . O~ MY INQUIRY OF mOSE INOIVIDUALS IMMEDIATBL YRESP~SIBLI! FOR Timothy L. Crawford OBTAJNJNOTIlEINFORMATIO~.IBiluEvETImSUBMlTIEDINFORMATIO~1S TRUE. ACCURATB ANDCOMPLETB.I AM AWARE TllATTIIERE ARE I SIONJFICANT PENALTIES FOR SUBMlITJNO FALSE INFORMATIO~ INCLUDING TIm POSSIDILITY OF FINE AND IMPRlSONMBNT SF.E 18 USC .1001 AND 33 USC .1319. (pENALTIES UMlER mESE STA1UI'ES MAY INCLUDE FJNES UP TO FACILITIES MANAGER TYPED OR PRINTED COMMENT AND EXPLANATION OF ANY VIOLATIONS DISCHARGE IS TO CANE RUN. PARAMETER (32-37) FLOW, IN CONDUIT OR THRU TREATMENT PLANT 60060 1 0 0 EFFLUENT GROSS VALUE CHLORINE, TOTAL RESIDUAL 50060 1 1 0 EFFLUENT GROSS VALUE COLIFORM, FECAL GENERAL 74055 1 2 0 EFFLUENT GROSS VALUE BOD, CARBONACEOUS 5- DAY, 20 C. 80082 1 2 0 EFFLUENT GROSS VALUE BYPASS OF TREATMENT 80998 1 0 0 EFFLUENT GROSS VALUE FLOW, TOTAL --) ~-~J ~~~I ~T""1 FORM APPROVED NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR hN0023302 I 001A PERMIT NUMBER DISCHARGE NUMBER lI~alll.I.~III~al~.I~.I~..~HII~IHI~.II~.I~WIIIIII~.III.III.1I~n1~.II~1 OMS No.2040-0004 *** NO DISCHARGE LI *** NOTE: Read instructions before completing this form. Quantity or ~ Loading (4 Card Only) Concentration (54-61) (38-45) (54-61) Maximum Unit Minimum Maximum NO. EX Unit 1(62-6 Frequency of analvsis (64-68) Sample Type (69-70) (Reference all attachments here) SIGNATURE OF PRINaIfl"AL EXECUTIVE (tll:l) :ltl:>-04:>J 02/11/12 OFFICER OR AUTHORIZED AGENT AREA CODE NUMSE YEAR MO DAY Clark County (REPLACES EPA FORM T -40 WHICH MAY NOT BE USED.) PAGE30F3 EPA FORM 3320-1 (REV.08-95) Previous editions may be used.