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Categorical SIU Permit Template [remove prior to issuing permit]

PERMIT COVER PAGE [Remove and use District Letterhead]

Permit No. [cite permit number]

INDUSTRIAL USER PERMIT

In accordance with the provisions of the Ventura County Waterworks District 1 Rules and Regulations
(R&R), Part 8 – Rules and Regulations for Sewage Disposal Section B, Rule 8-B-2,

[Industrial user’s name]


[Facility address]
[Mailing address (optional)]

is hereby authorized to discharge industrial wastewater from the above-identified facility and through the
outfalls identified herein into the County of Ventura District I sewer system in accordance with the
conditions set forth in this permit. Compliance with this permit does not relieve the permittee of its
obligation to comply with any or all applicable pretreatment regulations, standards, or requirements under
local, state, and federal laws, including any such regulations, standards, requirements, or laws that might
become effective during the term of this permit. (Note to the permit writer: For this sample permit, the IU
is a Significant Industrial User subject to 40 CFR Part 433.)

Noncompliance with any term or condition of this permit will constitute a violation of the Ventura County
Waterworks District 1 Rules and Regulations (R&R).

(Note to the permit writer: The term of the permit must not exceed more than 5 years. For example, if a
permit becomes effective July 1, 2007, and has a 5-year duration, the permit expires June 30, 2012.)

This permit will become effective [date] and will expire at midnight [date].

If the permittee wishes to continue to discharge after the expiration date of this permit, an application must
be filed for a renewal permit in accordance with the requirements of R&R Part 8 - Section E - Industrial
Discharge Permit System, a minimum of 90 days before the expiration date.

[Official seal of Control Authority]


By: [Signature of Control Authority representative]
[Name and title of Control Authority representative]

Issued this [date] day of [month], 20___


Categorical SIU Permit Template [remove prior to issuing permit]
IWDP No. MRK XXXX

INDUSTRIAL USER
PERMIT REQUIREMENTS AND CONDITIONS

Legal Name: XXXXXX


DBA Name: XXXXXX

INDUSTRIAL WASTEWATER DISCHARGE PERMIT NO.


MRK XXXXXX

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Categorical SIU Permit Template [remove prior to issuing permit]

COUNTY OF VENTURA

VENTURA COUNTY WATER AND SANITATION


WATERWORKS DISTRICT NO. 1 DEPARTMENT
6767 Spring Road
Moorpark, CA 93020
805-378-3011

INDUSTRIAL WASTEWATER DISCHARGE PERMIT

PERMIT NO: MRK XXXX


EFFECTIVE DATE: XX/XX/XXXX
AMENDED DATE: NOT APPLICABLE
EXPIRATION DATE: XX/XX/XXXX

LEGAL BUSINESS NAME: XXXX


DOING BUSINESS AS: XXXX
MAILING ADDRESS: XXXX
FACILITY ADDRESS: XXXX
CATEGORY: XXXX
SUBPART: XXXX
POINT OF DISCHARGE: XXXX

In accordance with the provisions of the Ventura County Waterworks District 1 Rules and Regulations (R&R),
Part 8 – Rules and Regulations for Sewage Disposal Section B, Rule 8-B-2, the above identified industrial
user is hereby authorized to discharge industrial wastewater through the approved point of discharge identified
herein in accordance with the discharge limitations, conditions, and requirements set forth in this permit and
the R&R. Compliance with this permit does not relieve the industrial user of its obligation to comply with all
pretreatment regulations, standards or requirements under local, State and Federal laws, including any such
laws, regulations, standards or requirements that may become effective during the term of this permit.

The industrial user must comply with the provisions of the Wastewater Discharge policy Rule 8-C of the
Ventura County Waterworks District 1 Rules and Regulations and all terms and conditions of this permit.
Noncompliance with the terms and conditions of this permit shall constitute a violation of the Ventura County
Waterworks District 1 Rules and Regulations and may subject the industrial user to administrative actions or
other legal proceedings. This permit becomes void upon any change of ownership or location whatsoever.
Michaela Brown, Director
Ventura County Waterworks District No. 1

By: _______________________________________

[Name], Deputy Director of Operations and Maintenance


Ventura County Waterworks District No. 1

By: _______________________________________

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Categorical SIU Permit Template [remove prior to issuing permit]

PART 1 – EFFLUENT LIMITATIONS

A. During the period of [effective date of permit] to [expiration date of permit], the permittee is
authorized to discharge process, non-process, and sanitary wastewater to the District sewer system
from the outfalls listed below.

Description of outfalls:

Outfall Description

001 (Note to the permit writer: The permit writer must clearly identify the outfalls
using brief, detailed narrative descriptions and diagrams as necessary. For
this sample permit, only categorical process wastewater is discharged through
outfall 001.

Outfall 001 is also considered sampling point 001. Sampling point 001 is at the
Parshall flume after the facility’s wastewater treatment system in the southeast
corner of Building A.

002 (Note to the permit writer: For this sample permit, categorical and
noncategorical process wastewater and sanitary wastewater are discharged
through outfall 002.

Outfall 002 is considered an end-of-pipe sampling location.) Outfall 002 is also


considered sampling point 002. Sampling point 002 is at the manhole in the
southwest parking lot.

B. (Note to the permit writer: The permit writer should provide a description of the categorical
process discharges that are combined at this sampling location.)

During the period of [date] to [date], the discharge from outfall 001 must not exceed the following
effluent limitations. Effluent from this outfall consists of plating rinse waters from the facility’s
gold and silver plating lines. The facility is considered a new source subject to the pretreatment
standards for new sources (PSNS) at Title 40 of the Code of Federal Regulations (CFR) Part 433,
subpart A.

TABLE 1

(This Table only applies when the “end of process” and “end of pipe” are located at the same point).
Pollutants may be added, or optional ones deleted as desired. Appropriate Categorical Standards MUST
remain in Permit

This example of Table 1 has the pharmaceutical categorical limits included AS AN EXAMPLE ONLY.
Permit writer should include the appropriate categorical limits for the industry concerned.

IF THE CATEGORICAL LIMITS ARE EXPRESSED IN PRODUCTION BASED NUMBERS, THE


TITLES OF TABLE 1 COLUMNS 4 AND 5 SHOULD BE ADJUSTED ACCORDINGLY..(eg mg per
1,000kg). ALSO, THE PERMIT LIMIT COLUMN TITLES MUST BE CHANGED ACCORDINGLY.

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Categorical SIU Permit Template [remove prior to issuing permit]

All possible combinations of categorical and local limits CANNOT be illustrated in a generic Table. Permit
writer MUST USE professional judgment to develop appropriate Table 1 structure in each case. Table must
contain ALL CATEGORICAL STANDARDS AND APPROPRIATE LOCAL LIMITS based on the
permit writers best professional judgment (and analytical data if available).

Where TTO analyses for categorical users in Parts 469, 468, 467 and 465D are concerned, they should be
included in Table 1 and the appropriate section of the generic permit Attachment B should be added to the
permit and the appropriate footnote added (see Note 5 from the Metal Finisher Boilerplate).

Categorical Categorical Daily Monthly


Local Daily Monthly Maximum Average
Limits Maximum Average Permit Permit
Pollutant (mg/L) Limit(1) Limit(1) Limit(2) Limit
1 Arsenic 1.1 0.343 0.809 1.1 -
2 BOD5 700 10,008 10,008 700 -
3 Boron 1.0 NA NA 1.0 -
4 Cadmium 0.15 0.0680 0.162 0.15 -
5 Chloride 150 NA NA 150 -
6 Chromium 1.1 0.104 0.162 1.1 -
7 Copper 4.1 0.595 0.744 4.1 -
8 Cyanide 1.2 0.181 0.404 1.2 -
9 Lead 0.18 0.0838 0.162 0.18 -
10 Mercury 0.01 0.00217 0.00307 0.01 -
11 Nickel 3.8 0.100 0.162 3.8 -
12 Oil and Grease 250 NA NA 250 -
13 Phenolic Compounds 0.05 NA NA 0.05 -
14 Silver 3.2 0.0707 0.162 3.2 -
15 Sulfate 250 NA NA 250 -
16 Sulfide, Dissolved 0.20 NA NA 0.20 -
17 Total Suspended Solids 8131 10,008 10,008 8,13 -
18 Total Dissolved Solids 2,040 NA NA 2,040 -
19 Zinc 6.0 1.62 3.07 6.0 -
20 pH2 (pH Units) 5.5 - 10 5.5 - 10
Flow, Daily Average
21 (gpd) XXX - - XXX
Flow, Daily Maximum
22 (gallons) XXX - - XXX
Flow, Monthly Total
23 (gpd) XXX - - - XXX
24 Acetone - 20.7 8.2 20.7 8.2
25 n-Amyl-acetate - 20.7 8.2 20.7 8.2
26 Ethyl acetate - 20.7 8.2 20.7 8.2
27 Isopropyl acetate - 20.7 8.2 20.7 8.2
28 Methylene chloride - 3.0 0.7 3.0 0.7
1
Total Suspended Solids limit is Pounds per Day

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Categorical SIU Permit Template [remove prior to issuing permit]

Categorical Categorical Daily Monthly


Local Daily Monthly Maximum Average
Limits Maximum Average Permit Permit
Pollutant (mg/L) Limit(1) Limit(1) Limit(2) Limit
2
Instantaneous values
Notes:
(1) The Permittee is required to use an analytical method that has a method
detection limit that allows the Permittee to make a direct determination of
compliance with the effluent limits.
(2) The limit for each pollutant is the most stringent limit of the Categorical Standard and the Local Limit.
(3) The Biodegradable Oil and Grease Limit is a Daily Average Limit.
(4) Any pH discharge less than or equal to 2.0 or greater than or equal to 12.5 is subject
to the hazardous waste reporting criteria required by 40CFR Section 403.12(p) and
Section IX.B. of this permit.

(Note to the permit writer: The permit writer must include the local limits established by the ordinance
even if the IU is not required to monitor for all the pollutants with local limits. Including all the local
limits in the permit, even if the IU is not required to monitor for all of them ensures that the IU is aware
of all the discharge requirements.

C. In addition to the local effluent limits, the permittee is required to implement the following best
management practices (BMPs) to control its discharge of silver into the publicly owned treatment
works (POTW). (Note to the permit writer: The use of BMPs in lieu of local limits or in
conjunction with local limits is allowable only if the POTW’s pretreatment program has
adequate legal authority to implement this option.)

1. The facility has a silver recovery system (two silver recovery canisters). The silver recovery
canisters must be connected in series to optimize silver removal.

2. Maintain the canister system to prevent breakthrough.

3. Document when each canister is serviced or changed.

4. Document the quantity of silver recovered.

5. The permittee is prohibited from discharging any untreated silver waste chemicals to the
POTW.

D. (Note to the permit writer: The following specific discharge prohibitions may appear in the Effluent
Limits section or in the Standard Conditions section of the permit). The permittee must not
discharge wastewater containing any of the following substances from any of the outfalls:

a. Fats, oil, or greases of animal or vegetable origin in concentrations greater than 250 mg/L

b. Petroleum oil, nonbiodegradable cutting oil, or products of mineral oil origin, in amounts that
will cause interference or pass through

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Categorical SIU Permit Template [remove prior to issuing permit]

c. Pollutants that create a fire or explosive hazard in the POTW, including but not limited to
wastestreams with a closed-cup flashpoint of less than 140 degrees Fahrenheit (60 degrees
Centigrade) using the methods specified at 40 CFR 261.21

d. Wastewater that has a temperature greater than 104oF, or will inhibit biological activity in the
treatment plant resulting in interference, but in no case wastewater that causes the temperature
at the introduction into the treatment plant to exceed 104 degrees Fahrenheit (40 degrees
Celsius)

e. Solids or viscous substances in amounts that will cause obstruction of flow in the POTW,
resulting in interference

f. Pollutants, including oxygen-demanding pollutants (e.g., BOD), released in a discharge at a


flow rate and/or concentration that, singly or by interaction with other pollutants, will cause
interference with the POTW. For the purpose of this section, the term interference has the same
definition as that in Section 8-A-1 of the R&R

g. Wastewater having a pH of less than 5.5 or more than 10.5, or otherwise causing corrosive
structural damage to the POTW or equipment

h. Pollutants that result in the presence of toxic gases, vapors, or fumes within the POTW in a
quantity that might cause acute worker health and safety problems.

E. All discharges must comply with all other applicable laws, regulations, standards, and requirements
contained in Section 8-C-2 of the R&R and any applicable state and federal pretreatment laws,
regulations, standards, and requirements, including any such laws, regulations, standards, or
requirements that might become effective during the term of this permit.

PART 2 – MONITORING REQUIREMENTS

A. All samples must be collected, preserved, and analyzed in accordance with the procedures
established in 40 CFR Part 136, and amendments.

B. (Note to the permit writer: The following parameters are an example of what might be included
in this section of the permit. The permit writer must include all parameters identified in Part 1B
unless the Control Authority has granted the user the right to waive monitoring of pollutants not
present or expected to be present.)

From the period beginning on the effective date of the permit until [date], the permittee must
monitor outfalls 001 and 002 for the following parameters, at the indicated frequency:

TABLE 2

This example of Table 2 has the pharmaceutical categorical limits included AS AN EXAMPLE ONLY.
Permit writer should include the appropriate categorical limits for the industry concerned.

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Categorical SIU Permit Template [remove prior to issuing permit]

All possible combinations of categorical and local limits CANNOT be illustrated in a generic Table. Permit
writer MUST USE professional judgment to develop appropriate Table 2 structure in each case. Table must
contain ALL CATEGORICAL STANDARDS AND APPROPRIATE LOCAL LIMITS based on the
permit writers best professional judgment (and analytical data if available)

IF MORE THAN ONE SAMPLE POINT is involved, Table 2 should be copied for EACH SAMPLE
POINT.

Monitoring Annual Monitoring


Pollutant Point Frequency(1) Sample Type(2)
X 1 every X months Composite
1 Arsenic
X 1 every X months Composite
2 BOD5
X 1 every X months Composite
3 Boron
X 1 every X months Composite
4 Cadmium
X 1 every X months Composite
5 Chloride
X 1 every X months Composite
6 Chromium
X 1 every X months Composite
7 Copper
X 1 every X months Composite
8 Cyanide
X 1 every X months Composite
9 Lead
X 1 every X months
10 Mercury Grab
X 1 every X months
11 Nickel Composite
X 1 every X months
12 Oil and Grease Grab
X 1 every X months Composite
13 Phenolic Compounds
X 1 every X months Composite
14 Silver
X 1 every X months Composite
15 Sulfate
X 1 every X months Composite
16 Sulfide, Dissolved
X 1 every X months Composite
17 Total Suspended Solids
X 1 every X months Composite
18 Total Dissolved Solids
X 1 every X months Composite
19 Zinc

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Categorical SIU Permit Template [remove prior to issuing permit]

Monitoring Annual Monitoring


Pollutant Point Frequency(1) Sample Type(2)
X
20 pH2 (pH Units) Daily Continuous
X Daily
21 Flow, Daily Average (gpd) Continuous
Flow, Daily Maximum X Daily
22 (gallons) Continuous
X 1 per month
23 Flow, Monthly Total (gpd) Continuous
X 1 every X months Grab
24 Acetone
X 1 every X months Grab
25 n-Amyl-acetate
X 1 every X months Grab
26 Ethyl acetate
X 1 every X months Grab
27 Isopropyl acetate
X 1 every X months Grab
28 Methylene chloride
Notes:
(1) Monitoring frequency applies to a 12 month yearly period. Successive months count from January as month
number one (1) etc. Thus “1 every 3 months” equals “quarterly” from January onwards and “1 every 6 months”
equals “semiannually” etc.
(2) Types of samples collected by the Permittee, shall be as representative as possible of the volume and nature of
the Permittee's wastewater discharge throughout the daily period of facility operation. All handling and
preservation of collected samples shall be performed in accordance with 40 CFR Part 136 and amendments
thereto.
(3) Aliquots of wastewater shall be taken on a regularly timed basis throughout the daily discharge period of the
Permittee. A minimum of twelve (12) aliquots shall be composited to generate the final sample. If more than
twelve (12) aliquots are collected throughout the daily discharge period of the Permittee, then every sub- sample
collected shall be composited to generate the final sample
OR
(3) Composite samples shall be collected by a flow proportional method throughout the daily discharge of the
Permittee.
(4) EPA Method 1666 may be used to analyze all organic compounds

C. (Note to the permit writer: The permit writer has the option to waive monitoring requirements
for pollutants not expected to be present. Before using this option, the permit writer must ensure
that the pretreatment program has adequate authority to waive monitoring requirements for
pollutant not present or expected to be present and that the program has been modified in
accordance with 40 CFR Part 403.)

During the period of [date] to [date] the District is granting [industry name] a monitoring waiver
for chromium and cyanide. If either chromium or cyanide is found to be present or is expected to
be present because of changes that occur in the permittee’s operations, the permittee must
immediately begin monitoring for the pollutant as outlined below.

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Categorical SIU Permit Template [remove prior to issuing permit]

Sample Measurement
Parameter (units) Location Frequency Sample Type
Chromium (T) 001, 002 1/month 24-hour composite
Cyanide (T) 001a, 002 1/month Grab

Monitoring for cyanide must be conducted after the cyanide treatment unit, before dilution with other
a

wastestreams, and when cyanide is expected to be present at its maximum concentration.

D. (Note to the permit writer: The permit writer has the option to reduce the monitoring and
reporting requirements for a CIU if it complies with the conditions set forth at 40 CFR
403.12(e)(3). Before using this option, the permit writer must ensure that the pretreatment
program has adequate authority to reduce monitoring and reporting requirements and the
program has been modified in accordance with 40 CFR Part 403)

During the period of [date] to [date], [industry name] has a reduced monitoring and reporting
requirement for lead. If the permittee no longer meets the conditions listed at 40 CFR
403.12(e)(3)(i) or (ii), the permittee must immediately begin monitoring for the pollutant as
outlined below. Sample Measurement Parameter (units) Location Frequency Sample Type Lead
(T) 001, 002 1/6 month 24-hour composite

Sample Measurement
Parameter (units) Location Frequency Sample Type
Lead (T) 001, 002 1/6 months 24-hour composite

PART 3 – REPORTING REQUIREMENTS

A. Monitoring Reports

Monitoring results obtained must be summarized and reported on an Industrial User Monitoring Report Form.

Reports for parameters with a continuous monitoring frequency must be submitted monthly. The reports are due
within 15 days after the end of each calendar month. The first monthly report is due [date].

Reports for parameters with a 1/6 months monitoring frequency must be submitted within 15 days after each
reporting period. The reporting periods are January–June and July–December. The first 1/6 month report is due
[date].

Reports for parameters with a 1/year monitoring frequency must be submitted within 15 days after each
reporting period. The reporting period is January–December (calendar year). The first 1/year report is due
[date].

All monitoring reports must indicate the nature and concentration of all pollutants in the effluent for which
sampling and analysis were performed during the reporting period preceding the submission of each report,
including measured maximum and average daily flows.

B. Silver BMP Reports

Report once every 6 months (January–June and July–December) the information regarding the frequency of
maintenance (date of each maintenance service) of the silver recovery canisters and the quantity of silver

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Categorical SIU Permit Template [remove prior to issuing permit]

recovered during the previous 6 months. Each report is due within 15 days after the end of the reporting period.
The first silver BMP report is due [date].

Each report required by the BMP must be certified and signed by an appropriate, authorized person.

C. Certification Statements

The permittee is required to sign and submit the following certification statements with each 1/6 months
monitoring report:

(Note to the permit writer: This certification submittal is required only if the permit writer has
granted a monitoring waiver for a pollutant not present or expected to be present.) Based on
my inquiry of the person directly responsible for managing compliance with the pretreatment
standard for 40 CFR Part 433, I certify that, to the best of my knowledge and belief, there has
been no increase in the level of chromium and cyanide in the wastewaters due to the activities
at the facility since filing of the last periodic report under 40 CFR 403.12(e)(1).

(Note to the permit writer: This certification submittal is required only if the permit writer
has granted the use of a TOMP and TTO certification in lieu of monitoring for TTOs.) Based
on my inquiry of the permit or persons directly responsible for managing compliance with the
pretreatment standard for total toxic organics (TTO), I certify that, to the best of my knowledge
and belief, no dumping of concentrated toxic organics into the wastewaters has occurred since
filing of the last discharge monitoring report. I further certify that this facility is implementing
the toxic organic management plan submitted to the District.

The permittee is required to sign and submit the following certification statement with all monitoring reports:

I certify under penalty of law that this document and all attachments were prepared under my direction
or supervision in accordance with a system designed to ensure that qualified personnel properly gather
and evaluate the information submitted. Based on my inquiry of the person or persons who manage the
system, or those persons directly responsible for gathering the information, the information submitted
is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.

D. (Note to the permit writer: This reporting requirement is required only if the permit writer has granted a
monitoring waiver for pollutant not present or expected to be present.)

If either the chromium or cyanide is found to be present or is expected to be present because of changes that
occur in the permittee’s operations, the permittee must immediately notify the District.

E. (Note to the permit writer: This reporting requirement is required only if the permit writer has granted a
reduced monitoring and reporting frequency.)

The permittee is required to notify the District immediately if the permittee’s categorical wastewater flow
exceeds the following conditions:

1. 5,000 gallons per day [0.01 percent of the POTW’s design dry weather flow or 5,000
gallons per day, whichever is smaller] as measured by a continuous effluent flow monitoring
device

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Categorical SIU Permit Template [remove prior to issuing permit]

2. 20.85 pounds per day of biochemical oxygen demand (BOD) or 20.85 pounds per day of
total suspended solids (TSS) [0.01 percent of the design dry weather organic treatment capacity]
of the POTW

3. 0.015 pound per day of lead [0.01 percent of the maximum allowable headworks
loading for any pollutant regulated by the applicable categorical pretreatment standard for
which approved local limits were developed].

F. If the permittee monitors any pollutant more frequently than required by this permit, using test procedures
prescribed in 40 CFR Part 136 or amendments thereto, or otherwise approved by the U.S. Environmental
Protection Agency (EPA) or as specified in this permit, the results of such monitoring must be included in any
calculations of actual daily maximum or monthly average pollutant discharge, and results must be reported in the
monthly report submitted to the District. Such an increased monitoring frequency must also be indicated in the
monthly report. (Note to the permit writer: As an alternative, this requirement may be put in the standard
conditions section.)

G. Automatic Resampling

If the results of the permittee’s wastewater analysis indicate that a violation of this permit has occurred, the
permittee must do the following:

1. Inform the District of the violation within 24 hours, and

2. Repeat the sampling and pollutant analysis and submit, in writing, the results of this second
analysis within 30 days of becoming aware of the first violation.

H. Accidental Discharge Report

1. The permittee must notify the District immediately upon the occurrence of spills, including
accidental discharges, discharges of a nonroutine, episodic nature, a noncustomary batch discharge, slug
loads or slug discharges that might cause potential problems for the POTW or spills that might enter the
public sewer. During normal business hours the District should be notified by telephone at [telephone
number]. At all other times, the District should be notified by telephone at [telephone number] or
[telephone number]. The notification must include location of discharge; date and time of discharge;
type of waste, including concentration and volume; and corrective actions taken. The permittee’s
notification of accidental releases in accordance with this section does not relieve it of other reporting
requirements that arise under local, state, or federal laws.

Within 5 days following an accidental discharge, the permittee shall submit to the District a detailed
written report. The report must specify the following:

a. Description and cause of the upset, slug load, or accidental discharge; the cause thereof;
and the impact on the permittee’s compliance status. The description should also include location
of discharge and type, concentration, and volume of waste.

b. Duration of noncompliance, including exact dates and times of noncompliance and, if the
noncompliance is continuing, the time by which compliance is reasonably expected to occur.

c. All steps taken or to be taken to reduce, eliminate, and/or prevent recurrence of such an
upset, slug load, accidental discharge, or other conditions of noncompliance.

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Categorical SIU Permit Template [remove prior to issuing permit]

(Note to the permit writer: As an alternative, the above requirement may be put in the standard
conditions section.)

I. Notification of the Discharge of Hazardous Waste

(Note to the permit writer: The municipality may choose to prohibit the discharge of hazardous wastes.)

a. Any permittee who begins discharging hazardous waste must notify, in writing, the POTW,
the EPA Regional Waste Management Division Director, and state hazardous waste authorities of
any discharge into the POTW of a substance that, if otherwise disposed of, would be a hazardous
waste under 40 CFR Part 261. Such notification must include the name of the hazardous waste as
set forth in 40 CFR Part 261, the EPA hazardous waste number, and the type of discharge
(continuous, batch, or other). If the permittee discharges more than 100 kilograms of such waste per
calendar month to the POTW, the notification also must contain the following information to the
extent such information is known and readily available to the permittee: an identification of the
hazardous constituents contained in the wastes, an estimation of the mass and concentration of such
constituents in the wastestream discharged during that calendar month, and an estimation of the
mass of constituents in the wastestream expected to be discharged during the following 12 months.
All notifications must take place no later than 180 days after the discharge begins. Any notification
under this paragraph must be submitted only once for each hazardous waste discharged. However,
notifications of changed conditions must be submitted under [cite specific section of ordinance].
The notification requirement in this section does not apply to pollutants already reported by
permittee subject to categorical pretreatment standards.

b. Dischargers are exempt from the requirements of paragraph a above, during a calendar
month in which they discharge no more than 15 kilograms of hazardous wastes, unless the wastes
are acute hazardous wastes as specified in 40 CFR 261.30(d) and 261.33(e). Discharge of more than
15 kilograms of nonacute hazardous wastes in a calendar month, or of any quantity of acute
hazardous wastes as specified in 40 CFR 261.30(d) and 261.33(e), requires a one-time notification.
Subsequent months during which the permittee discharges more than such quantities of any
hazardous waste do not require additional notification.

c. If any new regulations are made under section 3001 of Resource Conservation and
Recovery Act identifying additional characteristics of hazardous waste or listing any additional
substance as a hazardous waste, the permittee must notify the District, the EPA Regional Waste
Management Waste Division Director, and state hazardous waste authorities of the discharge of
such substance within 90 days of the effective date of such regulations.

d. If any notification is made under this section, the permittee must certify that it has a
program in place to reduce the volume and toxicity of hazardous wastes generated to the degree it
has determined to be economically practical.

e. This provision does not create a right to discharge any substance not otherwise permitted
to be discharged by this ordinance, a permit issued under the ordinance, or any applicable federal
or state law.

J. All reports required by this permit must be submitted to the District at the following address:

Ventura County Waterworks District 1


Attention: [Name of Pretreatment Coordinator]
Address: [Address]

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Categorical SIU Permit Template [remove prior to issuing permit]

PART 4 – SLUG DISCHARGE CONTROL REQUIREMENTS

The permittee is required to submit and implement a slug discharge control plan within [time frame established by
the permit writer] days of the effective date of this permit. The slug discharge control plan must include, at a
minimum, the following: (Note to the permit writer: The permit must include requirements to control slug
discharges if the District has determined it to be necessary. If the permittee has already developed and is
implementing a slug discharge control plan before the issuance of this permit, the permit writer should include a
statement indicating that the permittee is required to comply and implement its existing slug discharge control
plan.)

a. Description of discharge practices, including nonroutine batch discharges

b. Description of stored chemicals

c. Procedures for immediately notifying the District of slug discharges, including any discharge that
would violate a prohibition under 40 CFR 403.5(b), with procedures for follow-up, written notification within
5 days

d. Procedures to prevent adverse impact from accidental spills, including inspection and maintenance
of storage areas, handling and transfer of materials, loading and unloading operations, control of plant site
runoff, worker training, building of containment structures or equipment, measures for containing toxic
organic pollutants, and measures and equipment for emergency response.

PART 5 – SPECIAL CONDITIONS

SECTION 1 – ADDITIONAL/SPECIAL MONITORING REQUIREMENTS.

(Note: The permit writer must include any additional or special monitoring requirements that are applicable to
the permittee. Examples are provided below.)

Examples:

A. One-time monitoring for specific pollutants to verify absence (e.g., “The permittee must submit by
[date] sampling data for pentachlorophenol and trichlorophenol”)

B. Biomonitoring or other toxicity to determine the toxicity of the discharge

C. Development of sludge disposal plan

D. Additional monitoring of pollutants that are limited in the permit in response to noncompliance

SECTION 2 - COMPLIANCE SCHEDULE [Example Compliance Schedule]

A. The permittee must accomplish the following tasks in the designated time period:

Event No Later Than

1. Submit new wastewater pretreatment plant design [Date] submission

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2. Order equipment and materials [Date]

3. Develop, and submit a copy to the District, [Date]


a slug discharge control plan to eliminate or minimize the
accidental spill or slug discharge of pollutants into the
sewer system

4. Implement the slug loading control plan [Date]

5. Complete installation of wastewater pretreatment plant [Date]

6. Obtain full pretreatment plant operational status and [Date]


achieve compliance

B. Compliance Schedule Reporting

No later than 14 days following each date in the above schedule, the permittee must submit to the District a
report including, at a minimum, whether it complied with the increment of progress to be met on such date and,
if not, the date on which it expects to comply with the increment of progress, the reasons for delay, and the
steps being taken to return the project to the schedule established.

PART 6 – STANDARD CONDITIONS

A. General and Specific Discharge Prohibitions

The Permittee shall not introduce pollutants into the POTW which may cause Pass Through
or Interference. The general and specific prohibitions are listed in the R&R as follows:

No user shall contribute or cause to be contributed directly, any pollutant, including oxygen
demanding pollutants (BOD), or wastewater which will interfere with the operation or
performance of the POTW, or cause a pass-through at the POTW facility. These general
prohibitions apply to all such users of a POTW, whether or not the user is subject to national
categorical pretreatment standards or any other national, state, or local pretreatment
standards or requirements.

A user may not contribute the following substances to any POTW:

1. Explosives: Any liquids, solids or gases which by reason of their nature or quantity
are, or may be, sufficient either alone or by interaction with other substances to cause
fire or explosion or be injurious in any other way to the POTW or to the operation of
the POTW. At no time shall two (2) successive readings on any explosion hazard
meter, at the point of discharge into the system (or at any point in the system) be more
than five percent (5%), nor any single reading over ten percent (10%) of the lower
explosive limit (LEL) of the meter, or have a closed cup flashpoint of less than one
hundred forty degrees Fahrenheit (140°F) using test methods specified in 40 CFR
261.26 or its successor;

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2. Solids: Solid or viscous substances which may cause obstruction to the flow in a
sewer or other interference with the operation of the wastewater treatment facilities
such as, but not limited to: grease, garbage with particles greater than one-fourth inch
(1/4") in any dimension, animal guts or tissues, paunch manure, bones, hair, hides or
fleshings, entrails, whole blood, feathers, ashes, cinder, sand, spent lime, stone or
marble dust, metal, glass, plastics, gas, tar, asphalt residues, residues from refining or
processing of fuel or lubricating oil, mud or glass grinding or polishing wastes;

3. pH Limits: Any wastewater having a pH of less than 5.5 or greater than 10.5;

4. Toxic Pollutants: Any wastewater containing toxic pollutants that either singly or by
interaction with other pollutants, may injure or interfere with any POTW wastewater
treatment or sludge handling process, constitute a hazard to humans or animals, create
an acute toxic effect in the receiving waters of the POTW, contaminate the sludge of
the POTW systems, or exceed the limitations set forth in a categorical or local
pretreatment standard;

5. Noxious Substances: Any malodorous liquids, gases, or solids which either singly or
by interaction with other wastes are sufficient to create a public nuisance or hazard to
life or are sufficient to prevent entry into the sewers for their maintenance and repair;

6. Untreatable Substances: Any substance which may cause the POTW's effluent or any
other product of the POTW, such as residues, sludges or scums, to be unsuitable for
reclamation and reuse or to interfere with the reclamation process where the POTW
is pursuing a reuse and reclamation program. In no case shall a substance discharged
to the POTW cause the POTW to be in noncompliance with sludge use or disposal
criteria, guidelines or regulations developed under section 405 of the act, or its
successor; any criteria, guidelines or regulations affecting sludge use or disposal
developed pursuant to the solid waste disposal act, the clean air act, the toxic
substances control act, or state criteria applicable to the sludge management method
being used;

7. NPDES Permit Violation: Any substances which will cause the POTW to violate its
NPDES and/or state disposal system permit or the receiving water quality standards;

8. Objectionable Color: Any wastewater with objectionable color not removed in the
POTW treatment process, such as, but not limited to, dye wastes and vegetable
tanning solutions;

9. Temperature: Any wastewater having a temperature which exceeds any of the


following:

a. One hundred twenty degrees Fahrenheit (120°F) at the user's point of discharge;

b. One hundred four degrees Fahrenheit (104°F) at the point of entry to the POTW
treatment plant;

c. A temperature which inhibits biological activity at the POTW treatment plant; or

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d. A temperature which may, immediately or over time, cause damage to the POTW
collection facilities;

10. Radioactive Wastes: Any wastewater containing any radioactive wastes or isotopes
of such half-life or concentration as may exceed limits established by the Director in
compliance with applicable state or federal regulations;

11. Hazards or Nuisances: Any wastewater which causes a hazard to human life or creates
a public nuisance;

12. Oil and Grease: Any wastewater containing petroleum oil, nonbiodegradable cutting
oil, products of mineral oil origin or petroleum-based grease, in excess of one hundred
milligrams per liter (100 mg/l). Biodegradable oil or grease may be permitted to five
hundred milligrams per liter (500 mg/l) on a daily average, but in no case may these
products be allowed in amounts that will cause interference or pass-through.

B. Hazardous Waste Notification – 40 CFR 403.12(p)

1. The Permittee shall notify the POTW, the EPA Regional Waste Management Division
Director, and State hazardous waste authorities, in writing, of any discharge into the
POTW of a substance which, if otherwise disposed of, would be hazardous waste under
40 CFR Part 261. Notification to the State and EPA is the responsibility of the
Permittee and shall be made as required under 40 CFR §403.12(p). The Permittee shall
copy the Director on all notifications made to the State and EPA.

Such notification must include:

a. The name of the hazardous waste as set forth 40 CFR Part 261;
b. The EPA hazardous waste number; and
c. The type of discharge (continuous, batch, or other).
d. An identification of the hazardous constituents contained in the wastes;
e. An estimation of the mass and concentration of such constituents in the
wastestream discharged during that calendar month; and
f. An estimation of the mass of constituents in the wastestream expected to be
discharged during the following twelve (12) months.
g. Certification that the Permittee has a program in place to reduce the volume and
toxicity of hazardous wastes generated to the degree it has determined to be
economically practical.
h. Signatory certification as shown in Section IX. N of this Permit.

2. In the case of any new regulations under Section 3001 of RCRA identifying additional
characteristics of hazardous waste or listing any additional substance as hazardous
waste, the Permittee must notify the Director, the EPA Regional Waste Management
Waste Division Director, and State hazardous waste authorities of the discharge of such
substance within ninety (90) days of the effective date of such regulations.

3. This provision does not create a right to discharge any substance not otherwise
permitted to be discharged by these Regulations, a Permit issued hereunder, or any
applicable federal or State law.

C. Reports of Changed Conditions

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The Permittee shall file a notification to the Deputy Director a minimum of thirty (30) days
prior to any planned significant change in operations or wastewater characteristics. A
significant change shall be a change equal to or greater than twenty percent (20%) in the
mass of a pollutant or volume of flow discharged to the POTW and shall include but is not
limited to the following:

1. Change in number of shifts, and/or hours of operation.

2. Additional processing, manufacturing, production operations or waste


treatment.

3. Any new regulated substances used which may be discharged.

4. Any changes in the listed or characteristic hazardous waste for which the
Permittee has submitted or is required to submit information to the District
under these regulations and 40 CFR Part 403.12 (p) as amended.

D. Accidental Discharge/Slug Discharge Control Plan

1. The Permittee shall provide protection from accidental discharge or slug loads of
pollutants regulated under the R&R. Facilities to prevent accidental discharge or slug
loads of pollutants shall be provided and maintained at the Permittee’s cost and
expense.

2. If the District requires a slug control plan to be developed and submitted for approval,
the Permittee shall prepare an accidental discharge/slug discharge control plan that
includes the following, at a minimum:

a. Detailed plans (schematics) showing facility layout and plumbing


representative of operating procedures;
b. Description of contents and volumes of any process tanks;
c. Description of discharge practices, including non-routine batch
discharges;
d. Listing of stored chemicals, including location and volumes;
e. Procedures for immediately notifying the Deputy Director of any
accidental or Slug Discharge. In the case of an accidental or Slug
Discharge, it is the responsibility of the Permittee to comply with Section
VIII C of this Permit.
f. The posting of a notice to employees as detailed in Section VIII.C.3
above.
g. Procedures to prevent adverse impact from any accidental or Slug
Discharge. Such procedures include, but are not limited to, inspection and
maintenance of storage areas, handling and transfer of materials, loading
and unloading operations, control of plant site runoff, worker training,
building of containment structures or equipment, measures for containing
toxic organic pollutants, including solvents, and/or measures and
equipment for emergency response.

E. Pretreatment Facilities Requirement

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1. Pretreatment Facilities

The Permittee shall provide wastewater treatment as necessary to comply with this
Permit and the R&R and shall achieve compliance with all Pretreatment Standards
and Requirements. Any pretreatment facilities determined by the Director to be
necessary for compliance or monitoring shall be provided, operated, and maintained
at the Permittee’s expense. All treatment facilities shall be properly operated and
maintained. Detailed plans describing such facilities and operating procedures shall
be submitted to the Director for review, and shall be approved before such facilities
are constructed. The review of such plans and operating procedures shall in no way
relieve the Permittee from the responsibility of modifying such facilities as necessary
to produce a discharge acceptable to the District under the provisions of this Permit.
Any subsequent alterations or additions to such pretreatment or flow-control facilities
shall not be made without due notice to and prior approval of the Director.

2. Additional Pretreatment Measures

a. Whenever deemed necessary, the Director may require the Permittee to restrict
their discharge during peak flow periods, designate that certain wastewater be
discharged only into specified sewers, relocate and/or consolidate points of
discharge, separate sewage wastestreams from industrial wastestreams, and such
other conditions as may be necessary to protect the POTW and demonstrate the
Permittee’s compliance with the requirements of this Permit.

b. The Director may require the Permittee to install and maintain, on their property
and at their expense, a suitable storage and flow-control facility to ensure
equalization of flow. An individual wastewater discharge Permit may be issued
solely for flow equalization.

c. If the Permittee has the potential to discharge flammable substances, the


Permittee may be required to install and maintain an approved combustible gas
detection meter.

d. Should the Director deem it necessary to fulfill the purposes of this Permit and the
R&R, the Permittee shall install at his own expense suitable monitoring facilities or
equipment which isolates appropriate wastewater discharges into the wastewater
system and facilitates accurate observation, sampling and measurement of
appropriate discharges. Such equipment shall be maintained in proper working
order and kept safe and accessible at all times.

e. Where practical, the monitoring equipment shall be located and maintained on the
Permittee’s premises outside of the building. When such a location would be
impractical or cause undue hardship to the Permittee, the Director may allow such
facility to be constructed in the public street or easement area, with the approval of
the agency having jurisdiction over such street or easement, and located so that it
will not be obstructed by public utilities, landscaping or parked vehicles.

f. Whether constructed on public or private property, the monitoring facilities shall be


constructed in accordance with the Director's requirements and all applicable
construction standards and specifications.

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F. Permit Noncompliance

The Permittee must comply with all conditions of this Permit. Any Permit
noncompliance constitutes a violation of the R&R. Such a violation may result in the
immediate suspension and/or revocation of this Permit, plus the immediate shutoff or
severance of its sewer connection and the imposition of civil penalties as provided for
in the R&R. The Permittee is hereby placed on notice that the District will review
this Permit periodically and may initiate enforcement action for any violation of the
"Permit conditions" by the Permittee, its agents, employees, servants or
representatives.

G. Publication of Permittee in Significant Noncompliance

If the Permittee is deemed to be in Significant Noncompliance (SNC) with applicable


Pretreatment Standards and Requirements pursuant to the R&R, the Director shall publish
the Permittee and facts surrounding the SNC in the local newspaper.

H. Enforcement Actions

Noncompliance with any term or condition of this Permit shall constitute a violation of the
R&R and shall be handled as outlined in the District's Enforcement Response Plan or as
otherwise determined to be appropriate. The District may take any or all of the enforcement
actions for violations or other actions as specified in the R&R:

I. Federal and/or State Laws

Nothing in this Permit shall be construed so to preclude the institution of any legal action
or relieve the Permittee from any responsibilities, liabilities, or penalties established
pursuant to any applicable federal and/or state law or regulations.

J. Removed Substances

Solids, sludge, filter backwash, or other pollutants removed in the course of treatment or
control of wastewater shall be disposed of in a manner that prevents such materials from
entering the sanitary sewer system. The Permittee is responsible to assure its compliance
with the "California Hazardous Waste Management” in the California Health and Safety
Code.

K. Records Management

The Permittee shall retain, and make available for inspection and copying, all records of
information obtained pursuant to any monitoring activities required by this Permit and any
additional records of information obtained pursuant to monitoring activities undertaken by
the Permittee independent of such requirements. Records shall include the date, exact
place, method, and time of sampling, and the name of the person(s) taking the sample; the
dates analyses were performed; who performed the analyses; and analytical techniques or
methods used; and the results of such analyses.

These records shall remain available for a period of three (3) years. This period shall be
automatically extended for the duration of any litigation concerning the Permittee or the

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District, or where the Permittee has been specifically notified of a longer retention period
by the Director.

L. Duty to Provide Information

The Permittee shall furnish to the Director or his duly authorized representative, within a
reasonable time, any information which the Director or his duly authorized representative
may request, to determine whether cause exists for modifying, revoking and reissuing,
terminating this Permit or to determine compliance with the Permit. The Permittee shall
also furnish, upon request, copies of records required to be kept by this Permit.

M. Availability of Reports

Except for data determined to be confidential, all reports prepared in accordance with terms
of this Permit shall be available for public inspection at the District’s wastewater treatment
facility. As required by federal regulations, effluent data shall not be considered
confidential.

N. Signatory Requirements

The following certification statement is required to be signed by an authorized


representative of the Permittee and submitted with each periodic compliance report
required by section VIII A above.

“I certify under penalty of law that this document and all attachments were prepared under
my direction or supervision in accordance with a system designed to assure that qualified
personnel properly gather and evaluate the information submitted. Based on my inquiry of
the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fine and imprisonment for
knowing violations.”

O. Right of Entry

1. The Permittee shall allow the District or its representatives ready access at all
reasonable times to all parts of the premises for the purpose of inspection, sampling,
records examination, or in the performance of any of its duties.

2. The District or other authorized regulatory agencies shall have the right to set upon
the Permittee's property or any other representative location such devices as are
deemed necessary to conduct sampling inspection, compliance monitoring and/or
metering operations.

3. Where a Permittee has security measures in force prior arrangements will be made with
their security guards so that upon presentation of suitable identification, personnel
from the District, State and EPA will be permitted to enter, without unreasonable
delay, for the purposes of performing their responsibilities.

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P. Permit Modification and Revocation

1. Permit Modification

The Director may modify this Permit for good cause, including, but not limited to,
the following reasons:

a. To incorporate any new or revised Federal, State, or local Pretreatment Standards


or Requirements;
b. To address significant alterations or additions to the Permittee’s operation,
processes, or wastewater volume or character since the time of the individual
wastewater discharge Permit issuance;
c. A change in the POTW that requires either a temporary or permanent reduction
or elimination of the authorized discharge;
d. Information indicating that the permitted discharge poses a threat to the POTW,
District personnel, or the receiving waters;
e. Violation of any terms or conditions of the individual wastewater discharge
permit;
f. Misrepresentations or failure to fully disclose all relevant facts in the wastewater
discharge permit application or in any required reporting; or
g. To correct typographical or other errors in the individual wastewater discharge
permit.

2. Permit Revocation

The Director may revoke a permit for good cause at any time. Upon revocation of this
Permit, any wastewater discharge from the Permittee shall be considered prohibited and
illegal. Grounds for revocation of this Permit include, but are not limited to, the following:

a. Failure of a Permittee to accurately disclose wastewater constituents and


characteristics of their discharge;
b. Failure of the Permittee to report significant changes in operations or wastewater
constituents and characteristics;
c. Refusal of timely access to the Permittee's premises for the purpose of inspection or
monitoring;
d. Falsification of records, reports or monitoring results relating to chemical materials;
e. Tampering with monitoring equipment;
f. Violation of limits, requirements or conditions of the Permit;
g. Misrepresentation or failure to fully disclose all relevant facts in the wastewater
discharge permit application;
h. Failure to pay fines;
i. Failure to pay sewer charges;
j. Failure to submit required reports;
k. Failure to meet compliance schedules or
l. Violation of any Pretreatment Standard or Requirement, or any terms of this
Permit.

Q. Permit Transfer Prohibited

A wastewater discharge permit shall not be sold, traded, assigned, transferred or sublet.

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R. Demand Monitoring Costs

Reserved

S. Property Rights

The issuance of this Permit does not convey any property rights in either real or personal
property, or any exclusive privileges, nor does it authorize any injury to private property
or any invasion of personal rights, nor any infringement of federal, state or municipal laws
and regulations.

T. Severability

The provisions of this Permit are severable, and if any provision of this Permit, or the
application of any provision of this Permit to any circumstances, is held invalid, the
application of such provisions to other circumstances and the remainder of the Permit shall
not be affected thereby.

U. Confidentiality

Information and data obtained from Permittee reports, questionnaires, permit applications,
Permits and monitoring programs and from inspections or other sources shall be subject to
the provisions of the California Public Records Act.

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VENTURA COUNTY PRETREATMENT PROGRAM

INDUSTRIAL USER PERIODIC COMPLIANCE REPORT

DATE
COMPANY NAME
DIVISION NAME
ADDRESS
COMPANY CONTACT
TELEPHONE

SAMPLING INFORMATION:

SAMPLE POINT
COLLECTION DATE/TIME
SAMPLE(S) COLLECTED
BY
SAMPLE TYPE GRAB
TIME COMPOSITE (HOURS)
FLOW PROPORTIONAL (HOURS)
COMPOSITE

RESULTS

[Permit writer to ensure that this table is similar to the Table 1 that is developed in the Permit.]

Daily Monthly
Maximum Average Compliance(1)
Permit Permit
Pollutant Unit Results Limit(2) Limit
Yes No
1 Arsenic mg/L 1.1 -
mg/L Yes No
2 BOD5 700
mg/L Yes No
3 Boron 1.0 -
mg/L Yes No
4 Cadmium 0.15 -
mg/L Yes No
5 Chloride 150 -
mg/L Yes No
6 Chromium 1.1 -
mg/L Yes No
7 Copper 4.1 -
mg/L Yes No
8 Cyanide 1.2 -
mg/L Yes No
9 Lead 0.18 -

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Daily Monthly
Maximum Average Compliance(1)
Permit Permit
Pollutant Unit Results Limit(2) Limit
mg/L Yes No
10 Mercury 0.01 -
mg/L Yes No
11 Nickel 3.8 -
mg/L Yes No
12 Oil and Grease 250(2) -
mg/L Yes No
13 Phenolic Compounds 0.05 -
mg/L Yes No
14 Silver 3.2 -
mg/L Yes No
15 Sulfate 250 -
mg/L Yes No
16 Sulfide, Dissolved 0.20 -
mg/L Yes No
17 Total Suspended Solids 8,13 -
mg/L Yes No
18 Total Dissolved Solids 2,040 -
mg/L Yes No
19 Zinc 6.0 -
Yes No
20 pH2 (pH Units) S.U. 5.5 - 10
Flow, Daily Average Gallons Yes No
21 (gpd) per day XXX
Flow, Daily Maximum Gallons Yes No
22 (gallons) per day XXX
Flow, Monthly Total Yes No
23 (gpd) Gallons - XXX
mg/L 20.7 8.2 Yes No
24 Acetone
mg/L 20.7 8.2 Yes No
25 n-Amyl-acetate
mg/L 20.7 8.2 Yes No
26 Ethyl acetate
mg/L 20.7 8.2 Yes No
27 Isopropyl acetate
mg/L 3.0 7.0 Yes No
28 Methylene chloride

Note:
(1) Circle the appropriate word
2) The Oil and Grease Limit is a Daily Average Limit

Note: Attach applicable Laboratory Reports and other required documentation. A of this Permit. A
report shall be considered incomplete and in violation of reporting requirements if it does not

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contain completed copies of all of the required information. Incomplete reports will be
returned to sender.

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