Exhibit 06 - DMR - WCJC.pdf

PDF 272 KB Posted

Attached to
Operation and Maintenance of Water and Wastewater Systems Umpqua National Forest (Various Locations)
Solicitation number
AG-04T0-S-17-0017
Issued by

About this file

Exhibit 06

View the file

Other files

Show all 21

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Discharge Monitoring Report - Oregon Department of Environmental Quality Facility Name Phone Number Month/Year I certify, under penalty of law, that this document and all attachments were prepared under

DEQ Permit No. DEQ File No./Facility ID EPA Reference No. my direction or supervision in accordance with a system designed to assure that qualified

Plant Type County Population Served personnel properly gather and evaluate the information submitted. Based on my inquiry of X the person or persons who manage the system, or those persons directly responsible for Authorized Signature Date

Operator Certification gathering the information, the information submitted is, to the best of my knowledge and belief, Collection Sys. Class Principal Operator Name (print) Certification No. & Grade true, accurate, and complete. I am aware that there are significant penalties for submitting

Treatment Sys. Class Principal Operator Name (print) Certification No. & Grade false information, including the possibility of fines and imprisonment for knowing violations. Name (Print)

INFLUENT EFFLUENT (identify outfall number -- e.g. 001, 002, 003):

•F BOD TSS •F BOD CBOD TSS NUTRIENTS DISINFECTION COLIFORM RECEIVING STREAM

•C Grab Comp. Grab Comp. •C Grab Comp. Grab Comp. Grab Comp. Grab Composite CHLORINE UV MPN MPN MPN •F

MF MF MF •C

S.U. MGD mg/L lbs. mg/L mg/L lbs. S.U. MGD mg/L mg/L % lbs. mg/L % lbs. mg/L % lbs. mg/L lbs. mg/L % N.T.U CFU/100 ml CFS S.U.

1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9

10 10 11 11 12 12 13 13 14 14 15 15 16 16 17 17 18 18 19 19 20 20 21 21 22 22 23 23 24 24 25 25 26 26 27 27 28 28 29 29 30 30 31 31

TOTAL TOTAL

DAILY MINIMUM DAILY MINIMUM

DAILY MAXIMUM DAILY MAXIMUM

WKLY. AVG. MAX. WEEKLY AVERAGE MAX.

MONTHLY AVG. MONTHLY AVERAGE

DAILY LIMITS DAILY LIMITS

WEEKLY LIMITS WEEKLY LIMITS

MONTHLY LIMITS MONTHLY LIMITS

mkbernard Typewritten Text Wolf Creek CCC mkbernard Typewritten Text 100064 mkbernard Typewritten Text Activated Sludge mkbernard Typewritten Text 541-496-3507 x8609 mkbernard Typewritten Text 90964 mkbernard Typewritten Text Douglas mkbernard Typewritten Text

OR-002321-3

mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Text Box Temp Avg Daily Max mkbernard Text Box Excess Therm Loading mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Text Box

X______________________________________________ Authorized Treatment Signature Date Print Name

X______________________________________________ Authorized Collections Signature Date Print Name

Discharge Monitoring Report - Oregon Department of Environmental Quality (Page Two) Facility Name Month/Year Explanation of exceeding permits limits: Description & cause, steps taken or plans to reduce, eliminate, & prevent DEQ Permit No. DEQ File No./Facility ID recurrence of noncompliance (attach additional pages if needed):

MAIL ORIGINAL TO: Notes:

Oregon Department Of Environmental Quality * Indicate test type for TSS, BOD, CBOD, nutrients, & coliform Western Region - Medford Office * If a sewer system overflow occurs at more than one location, attach an additional report 221 Stewart Avenue, Suite 201 * If groundwater monitoring is required, data reporting should be in accordance with permit conditions Medford, OR 97501 * For additional information, refer to the Oregon DEQ guidance document for completing DMRs

AERATION LAGOON OR SOLIDS AEROBIC ANAEROBIC SEWER SYS. SEWER SYS. RECLAIMED

BASIN POLISHING POND DIGESTER DIGESTER OVERFLOWS BYPASS WATER

PRIMARY CELL SECONDARY CELL Outfall ______ Outfall ______

Days S.U. S.U. mg/L Ft. Ft. mg/L S.U. Ft. mg/L S.U. Gal. % lbs./Gal. Gal. % S.U. Ratio S.U. Gal. Hrs. Gal. Hrs. In./acre In. Hrs./day

1 1 During this reporting period did 2 2 all monitoring data & sampling 3 3 frequencies meet permit 4 4 requirements & limits (If “no”, 5 5 explain)? Yes / No 6 6 7 7 During this reporting period were 8 8 there unanticipated bypasses 9 9 or upsets which exceeded any

10 10 effluent limits (if “yes”, explain)? Yes / No 11 11 12 12 During this reporting period was 13 13 there any sewer system 14 14 overflow (if “yes”, explain)? Yes / No 15 15 16 16 17 17 Energy Tracking (optional)

18 18 ENERGY USED COST COMMENTS

19 19 POWER KWH

20 20 FUEL GAS

21 21 OIL

22 22 23 23 24 24

25 25 26 26 27 27 Additional Notes (reference attachments here):

28 28 29 29 30 30 31 31

TOTAL TOTAL

DAILY MINIMUM DAILY MINIMUM

DAILY MAXIMUM DAILY MAXIMUM

WKLY. AVG. MAX. WKLY. AVG. MAX.

MONTHLY AVG. MONTHLY AVG.

DAILY LIMITS DAILY LIMITS

WEEKLY LIMITS WEEKLY LIMITS

MONTHLY LIMITS MONTHLY LIMITS

mkbernard Typewritten Text Wolf Creek CCC mkbernard Typewritten Text 100064 mkbernard Typewritten Text 90964 mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Text Box

OUTFALL #002

mkbernard Text Box

ACT%

mkbernard Text Box

SSV/30

mkbernard Text Box Min Wasted mkbernard Text Box

BOD

mkbernard Text Box

TSS

mkbernard Text Box Flow Drain Field mkbernard Typewritten Text

GPD

mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Text Box

OUTFALL #002

Nutrients mkbernard Text Box

MLSS

mkbernard Text Box GPD Flow to Digester mkbernard Text Box Total Phosphorus mkbernard Text Box

TKN

mkbernard Text Box Ammonia as N mkbernard Text Box Nitrate as N mkbernard Line mkbernard Line mkbernard Line mkbernard Line mkbernard Line mkbernard Line mkbernard Line mkbernard Line mkbernard Line

page1
Page One
medford
Medford, Pg. 2

File details come from the government source that posted it. Updated .