Exhibit 07 - DMR - Tiller.pdf

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Operation and Maintenance of Water and Wastewater Systems Umpqua National Forest (Various Locations)
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AG-04T0-S-17-0017
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Exhibit 07

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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 USFS Tiller Ranger Station mkbernard Typewritten Text 100107 mkbernard Typewritten Text Extended Aeration mkbernard Typewritten Text 854-825-3282 mkbernard Typewritten Text 90944 mkbernard Typewritten Text Douglas mkbernard Typewritten Text

OR002322-1

mkbernard Typewritten Text mkbernard Typewritten Text 7 Day Rolling Average Temp.

mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Rectangle mkbernard Typewritten Text Excess Thermal Loading mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text mkbernard Typewritten Text jcbeagle Text Box M Kcal/Day

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 USFS Tiller Ranger Station mkbernard Typewritten Text 100107 mkbernard Typewritten Text 90944

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