O&M_Appendix_E_Startup_Checklist,_Monitoring_and_Reporting_Forms.pdf

Routine Startup Checklist DuPont Chambers Works FUSRAP

Construction Dewatering Water Treatment System (CDWT)

Please use this as a startup check, and in conjunction with the process and instrument diagram. System Process Flow Diagram, Piping and Instrument Diagrams, Hydraulic Profile, and General Arrangement Drawing are located in Appendix C in Volume II of the Manual.

ROUTINE START-UP

Influent - Chem Shed Area

□ Inspect water storage tanks to determine operating requirements. Record on Operations Checklist.

□ Visually trace influent piping from the storage tank through the influent pump (P-101) to the IRS.

Insure all connections are made and valves configured to produce a raw water “path”.

□ Inspect the chemical feed tubing connections for leaks or problem areas.

□ Verify the IRS emergency block valve FV-201 is open. If shut, inspect the IRS clarifier launder for potential water level. Manual throttled OWS feed is required if water is stored in IRS discharge launder.

□ Place Chem Shed Panel OCS #6 in REMOTE mode.

□ Inspect the Chem Shed for obvious problems,, dry containment area, temperature, inventories

COAG Area

□ Insure the discharge and backwash hoses are connected to the COAG tank.

□ Verify the chemical feed system is connected or isolated if not required.

□ Place the COAG Panel OCS # 5 in REMOTE mode, verify P-302 and loop are in AUTO

□ Verify the bag filter is closed and valves are correctly configured.

Flocc Trailer

□ Walk the Floc Trailer inspection platform to check current water levels and condition of system.

□ Place M-401 Flocculator hand switch in AUTO position

Filter and ProACT Trailer

□ Insure the discharge and backwash hoses are connected to the Filter Trailer.

□ Enter the Main control area of the Filter Trailer to observe for leaks and relative humidity of the enclosed trailer.

□ Insure the discharge and backwash hoses are connected to the ProACT Trailer.

Routine Startup Checklist DuPont Chambers Works FUSRAP

SCADAC Computer

□ Review the SCADAC computer located in the Flocc Trailer control office. See Operations Located in Section 5 for screen descriptions.

a. Verify computer is communicating. If continuing operations and are familiar with settings, proceed directly to (e) Startup.

b. Press the CONFIGURE button on the Main Menu. Sequence through the configuration screens to verify equipment is selected for automatic control. Return to the Main Menu

c. Press FILTERS Verify all filter trailer groups are configured for remote operation. Cycle through all four groups and place all valves in automatic and place all vessels online. Return to Main Menu.

d. Press PROCESS Place all control loops in auto. If unsure of settings, place all speed controllers at 50% until the effect on the process is determined. Return to Main Menu.

e. STARTUP Go to summary page and press start. Observe the sequencing through the cascade steps. Verify Plant is in RUN mode.

□ Verify operations. Use the Operations Checklist:

f. Check the pump and piping to ensure there are no leaks.

g. Check and record the discharge pressure gauge readings for future reference.

h. Check floc formation at the head of the Flocc Tunnel

i. Check effluent pH, clarifier turbidity and effluent turbidity

j. Check sludge depth

k. Check water flow

Daily Operator Log Sheet DuPont Chambers Works FUSRAP

Date: Time(24 hour format):

Record Alarms

Flocc Trailer Treatment System:

CHECK INFLUENT WATER OBSERVED CHARACTERISTICS:

Influlent flow rate GPM

Clear Hazy/Color Turbid Muddy Opaque

Is polymer needed? YES NO

CHEMICAL ADDITION: YES NO

Stroke setting %

Speed setting Strokes/minute

Flocculator Speed %

FLOCC TUNNEL CONDITIONS:

Is there flocc formed? YES NO

Flocc size: SMALL MID LARGE

Is the water clear between the flocc? YES NO

Is the water flowing evenly over the wier? YES NO

CLARIFIER CONDITIONS:

Is the discharge clear? YES NO

Is the water flow distributed even along wier? YES NO

Clearwell Level %

Is Filter Feed Pump in Auto? YES NO

COMMENTS:

Filter Trailer Treatment Units (Pressur Filter, GAC and Ion Exchange):

CHECK UNITS THAT ARE OPERATIONAL:

Filter-Unit 1 Filter-Unit 2 Filter-Unit 3

GAC-Unit 1 GAC-Unit 2 GAC-Unit 3

Ion Ex-Unit 1 Ion Ex-Unit 2 Ion Ex-Unit 3

Ion Ex-Unit 4 Ion Ex-Unit 5 Ion Ex-Unit 6

RECORD OPERATING PRESSURE:

Filter Feed Pressure (P-401): psig [A]

Filter Discharge Press (FCV-300) psig [B]

Pressure Filter Pressure Diff: (A-B): psig *

* INCREASE BACKWASH FREQUENCY IF > 5 psig

Configured Backwash per Day number

Configured Backwash Duration seconds

GAC Inlet Pressure psig [C]

GAC Discharge Pressure psig [D]

GAC Pressure Diff: (C-D): psig **

*BACKWASH IF > 5 psig NOTIFY OPERATION SUPERVISOR

Total Gallons Discharged since last CARBON backwash (Backwash every six months if pressure remains low or if > 750,000 gallons)

Ion Exchange Inlet Pressure psig [E]

Ion Exchange Discharge Pressure psig [F]

Ion Exchange Pressure Diff: (C-D): psig ***

** INVESTIGATE CAUSE IF > 5 psig NOTIFY OPERATION SUPERVISOR

Total Gallons Discharged since last ION EXCHANGE backwash (Backwash every six months if pressure remains low or if > 1,000,000 gallons)

RECORD FLOW TOTALS:

Start of Day Readings End of Day Readings Total Pumped for Day

(End – Start)

FIT-101 gallons FIT-101 gallons FIT-101 gallon

FIQ-601 gallons FIQ-601 gallons FIQ-601 gallon

TOTAL gallon

Previous Total Gallons Treated to Date + Total Pumped for Day = Current Total Gallons Treated gallons (previous) + gallons (Today) = Total gallons

EFFLUENT QLUALITY:

Record Effluent pH s.u.

Turbidity Test Result: NTU

Effluent Quality Description:

(Backwash to be conducted if effluent turbidity exceeds 10 NTU’s or if effluent quality in terms of color or clarity is degraded.)

Other Notes:

Pressure Readings for the Filters and Effluent Turbidity Readings

Date: Shift: Operators:

• Water exiting Pressure Filter System shall be < 5 NTU prior to treatment by the GAC Absorber system.

• Note: Effluent turbidity measured every 2 hours during discharge

• If any Differential Pressure Switch activates, initiate a complete backwash

• If differential pressure (gauge A-gauge B) > 5 psig, then adjust frequency and or duration of automatic Pressure Filter backwash

• If differential pressure (gauge C-gauge D) > 5 psig, then Backwash Carbon Absorber vessels

• If differential pressure (gauge E-gauge F) > 5 psig, then Backwash Ion Exchange vessels

• If effluent clarity in terms of color and clarity is degraded, then manually backwash Pressure Filter Units.

• If effluent turbidity reading is > 50 NTU, shut down water treatment operations, backwash Pressure Filters, GAC and IEX units.

• If any increase in pressure drop is noted over time, begin backwashing GAC and IEX units at least once every month during operation or 250,000 gallons of discharge, whichever occurs first. If no increase is revealed, backwash every six months.

Pressure Filter

GAC

Carbon Absorber

Ion Exchange

Resin

Pressure Filter Influent Turbidity

(NTU)

Pressure Filter Effluent Turbidity (NTU) Comments

Actual Time Of Reading

Target Time Read (every 2 hours) Gauge A – Gauge B Gauge C – Gauge D Gauge E – Gauge F

00:00-02:00

02:00-04:00

04:00-06:00

06:00-08:00

08:00-10:00

10:00-12:00

12:00-14:00

14:00-16:00

16:00-18:00

18:00-20:00

20:00-22:00

22:00-24:00

PERMITTEE NAME/ADDRESS Form Approved

NAME: OMB No. 2040-0004

ADDRESS: DMR MAILING ZIP CODE:

FACILITY:

LOCATION:

YEAR MO DAY YEAR MO DAY

ATTN: FROM TO

VALUE UNITS

SAMPLE

MEASUREMENT GPD 0 Metered

PERMIT

REQUIREMENT

REPORT

01MOAV GPD Metered

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

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MEASUREMENT ***** ***** 0 See Table

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PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 COMPOSTIE

PERMIT

REQUIREMENT ***** ***** COMPOSTIE

AREA

CODE YEAR MO DAY

COMMENTS AND EXPLANATIONS OF ANY VIOLATIONS (Reference all attachments here)

AOC #6 1/60K Batch Frac Tank AOC #1 1/60K Batch Frac Tank AOC #2 Batch Treat / Prove Out Phase 1/100K Batch Frac Tank

AOC #2 Continuous Discharge 1st Week 1/shift Discharge

Pipe AOC #2 Continuous Discharge 2nd week - End 1/week Frac Tank

TYPED OR PRINTED

Signature of Principal Executive Officer or

Authorized Agent NUMBER

EPA Form 3320-1 (Rev. 01/06) Previous editions may be used.

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 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 informatio 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.

TELEPHONE DATE

1 / 12 Months

01RPMIN ***** ***** % EFFL 1 / 12 MONTHS

Whole Effluent Toxcicty ***** ***** ***** % EFFL

See Table

Effluent Gross Value ***** ***** REPORT

01MOAV

01DAMX mg/L

See Table

Total Organic Carbon (TOC) ***** ***** mg/L

See Table 01092 1 Effluent Gross Value ***** ***** REPORT

01MOAV

01DAMX mg/L See Table

TSS ***** ***** mg/L

See Table 00400 1 Effluent Gross Value ***** 6.0

01RPMIN ***** 9.0

01RPMX SU

See Table pH ****** ***** SU

Continous

50050 1 Effluent Gross Value

REPORT

01DAMX ***** ***** ***** ***** Continous

Flow, ***** ***** ***** *****

SAMPLE TYPE

VALUE VALUE VALUE VALUE UNITS

External Outfall

NO DISCHARGE

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION No.

EX

FREQUENCY OF

ANALYSIS

PERMIT NUMBER DISCHARGE NUMBER

Sampling Frequencies

NATIONAL DISCHARGE ELIMINATION SYSTEM (NPDES)

DISCHARGE MONITORING REPORT (DMR)

MONITORING PERIOD

ADDRESS: DMR MAILING ZIP CODE:

FACILITY:

LOCATION:

YEAR MO DAY YEAR MO DAY

ATTN: FROM TO

VALUE UNITS

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

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PERMIT

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SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table ug/L Effluent Gross Value

DISCHARGE NUMBER

ug/L ug/L ug/L ug/L ug/L ug/L

Acrolein

NO DISCHARGE

QUALITY OR CONCENTRATION

MONITORING PERIOD

VALUE VALUE VALUE

ug/L ug/L ug/L

No.

EX SAMPLE TYPE

See Table

FREQUENCY OF

ANALYSIS

External Outfall

See Table

DISCHARGE MONITORING REPORT (DMR)

PARAMETER

NATIONAL DISCHARGE ELIMINATION SYSTEM (NPDES)

QUANTITY OR LOADING

VALUE

PERMIT NUMBER

Effluent Gross Value

Effluent Gross Value

Acroleiniritle

Benzene

Bromoform

Effluent Gross Value

Carbon Tetrachloride

See Table

01DAMX

REPORT

01MOAV

See Table*****

01DAMX

UNITS

REPORT

01MOAV

ug/L

01MOAV

REPORT

01MOAV

01MOAV

***** See Table

01MOAV

01DAMX

***** See Table

See Table

01DAMX

01DAMX*****

Effluent Gross Value

Effluent Gross Value

See Table

See Table

Effluent Gross Value

REPORT

01MOAV

See Table

See Table

See Table

See Table

Chlorodibromomethane

8.8

01DAMX

01DAMX

Chlorobenzene

***** ug/L

See Table ug/L ug/L ug/L

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Chloroethane ug/L See Table

Chloroform ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Dichlorobromomethane

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

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SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table ug/L See Table

1,1 Dichloroethane ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

***** ***** 68 01MOAV

01DAMX ug/L See Table

1,2 Dichloroethane ug/L See Table

1,1 Dicholroethylene (ethene) ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

1,2 Dichloropropane

1,3 Dicholropropylene ug/L See Table ug/L

Effluent Gross Value

Ethylbenzene ***** ***** ug/L ug/L See Table

***** 29 01MOAV

01DAMX See Table

***** ug/L

See Table Effluent Gross Value

***** ***** 32 01MOAV

01DAMX

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Methyl Bromide ug/L See Table

Methyl Chloride ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

***** ***** 40 01MOAV

01DAMX ug/L See Table

Methylene Chloride ug/L See Table

1,1,2,2 Tetrachloroethane ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Tetrachloroethylene (ethene) (PCE) ug/L See Table

Toluene ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

1,2 trans-Dicholroethylene ug/L See Table

1,1,1 Trichloroethane ***** ***** ug/L See Table

Effluent Gross Value

01MOAV

01DAMX

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

AREA

CODE YEAR MO DAY

COMMENTS AND EXPLANATIONS OF ANY VIOLATIONS (Reference all attachments here)

AOC #6 1/60K Batch Frac Tank AOC #1 1/60K Batch Frac Tank

AOC #2

Batch Treat / Prove Out Phase

1/100K Batch Frac Tank

AOC #2

Continuous Discharge 1st Week

1/shift Discharge Pipe

AOC #2

Continuous Discharge 2nd week - End

1/week Frac Tank

TYPED OR PRINTED NUMBER

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER DATE

EPA Form 3320-1 (Rev. 01/06) Previous editions may be used.

TELEPHONE

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.

Signature of Principal Executive Officer or Authorized Agent

***** ug/L See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

1,1,2 Trichloroethane

Trichloroethylene (ethene) (TCE) ***** ***** ug/L

Effluent Gross Value

01MOAV

01DAMX ug/L

***** ***** ug/L

See Table

See Table

Sampling Frequencies

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Vinyl Chloride

ADDRESS: DMR MAILING ZIP CODE:

FACILITY:

LOCATION:

YEAR MO DAY YEAR MO DAY

ATTN: FROM TO

VALUE UNITS

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

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PERMIT

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SAMPLE

MEASUREMENT ***** ***** o See Table

PERMIT

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SAMPLE

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PERMIT

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SAMPLE

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PERMIT

REQUIREMENT ***** ***** See Table

AREA

CODE YEAR MO DAY

COMMENTS AND EXPLANATIONS OF ANY VIOLATIONS (Reference all attachments here)

TYPED OR PRINTED

Signature of Principal Executive Officer or Authorized Agent NUMBER

EPA Form 3320-1 (Rev. 01/06) Previous editions may be used.

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 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.

TELEPHONE DATE

See Table Effluent Gross Value

01MOAV

01DAMX

ug/L

See Table

4-Nitrophenol ***** ***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

ug/L

See Table

2-Nitrophenol ***** ***** ug/L

See Table 34010 Effluent Gross Value ***** *****

01MOAV

01DAMX

ug/L See Table

2,4 Dinitrophenol ***** ***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

ug/L

See Table

4,6 Dinitro-O-Cresol ***** ***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

ug/L

See Table

2,4 Dimethyphenol ***** ***** ug/L

See Table 34030 Effluent Gross Value ***** *****

01MOAV

01DAMX

ug/L See Table

2,4 Dicholrophenol ***** ***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

ug/L

See Table

2-Chlrophenol ***** ***** ug/L

SAMPLE TYPEVALUE VALUE VALUE VALUE UNITS

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION No.

EX

FREQUENCY OF

ANALYSIS

MONITORING PERIOD External Outfall

NO DISCHARGE

PERMIT NUMBER DISCHARGE NUMBER

***** ug/L

NATIONAL DISCHARGE ELIMINATION SYSTEM (NPDES)

DISCHARGE MONITORING REPORT (DMR)

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX

ug/L See Table

Pentachlorophenol

Phenol ***** ***** ug/L

Effluent Gross Value

01MOAV

01DAMX

ug/L

***** ***** ug/L

See Table

See Table

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX

ug/L See Table

2,4,6 Trichlorophenol

ADDRESS: DMR MAILING ZIP CODE:

FACILITY:

LOCATION:

YEAR MO DAY YEAR MO DAY

ATTN: FROM TO

VALUE UNITS

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

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MEASUREMENT ***** ***** 0 See Table

PERMIT

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MEASUREMENT ***** ***** 0 See Table

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MEASUREMENT ***** ***** 0 See Table

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NATIONAL DISCHARGE ELIMINATION SYSTEM (NPDES)

DISCHARGE MONITORING REPORT (DMR)

PERMIT NUMBER DISCHARGE NUMBER

MONITORING PERIOD External Outfall

NO DISCHARGE

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION No.

EX

FREQUENCY OF

ANALYSIS

***** ug/L

SAMPLE TYPEVALUE VALUE VALUE VALUE UNITS

See Table

Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Anthracene ug/L See Table

Benzidine ****** ***** ug/L

***** ug/L

See Table

Effluent Gross Value

REPORT

01MOAV

01DAMX

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Benzo (a) Anthracene ug/L See Table

Benzo (a) pyrene ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Benzo (b) fluroanthene ug/L See Table

Benzo (k )fluroanthene ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Bis (2-Chloroethyl) Ether ug/L See Table

Bis(2-ethylhexyl)phthalate ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Butyl Benzyl Phalate ug/L See Table

Chrysene ***** ***** ug/L See Table

Effluent Gross Value

REPORT

01MOAV

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

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MEASUREMENT ***** ***** 0 See Table

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MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

***** ug/L See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Dibenzo(a,h)anthracene ug/L See Table

1,2 Dichlorobenzene ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

***** ***** 77 01MOAV

01DAMX

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

1,3 Dichlorobenzene ug/L See Table

1,4 Dichlorobenzene ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

3,3 Dichlorobenzidine ug/L See Table

Diethyl Phalate ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

***** ***** 81 01MOAV

01DAMX

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Dimethyl Phalate ug/L See Table

Di-N-Butyl Phalate ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

REPORT

01MOAV

18.2 01DAMX ug/L See Table

2,4 Dinitrotoluene ug/L See Table

2,6 Dinitrotoluene ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Fluroanthene ug/L See Table

Fluorene ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Hexachlorobenzene ug/L See Table

Hexachlorobutadiene ***** ***** ug/L See Table

Effluent Gross Value

01MOAV

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

AREA

CODE YEAR MO DAY

COMMENTS AND EXPLANATIONS OF ANY VIOLATIONS (Reference all attachments here)

AOC #6 1/60K Batch Frac Tank AOC #1 1/60K Batch Frac Tank

AOC #2

Batch Treat / Prove Out Phase

1/100K Batch Frac Tank

AOC #2

Continuous Discharge 1st Week

1/shift Discharge Pipe

AOC #2

Continuous Discharge 2nd week - End

1/week Frac Tank

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Phenanthrene ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

N-Nitrosodiphenylamine ***** ***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Naphthalene ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Isophorone ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

N-Nitrosodimethylamine ***** ***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Nitrobenzene ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

1,2,4 Trichlorobenzene ***** ***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Pyrene ***** ***** ug/L

***** ug/L See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Hexachlorocyclopentadiene ug/L See Table

Hexachloroethane ***** ***** ug/L

***** ug/L

See Table Effluent Gross Value

01MOAV

01DAMX

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Indeno(1,2,3-cd)-pyrene

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 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 personn 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.

TELEPHONE DATE

Sampling Frequencies

TYPED OR PRINTED

Signature of Principal Executive Officer or Authorized Agent NUMBER

EPA Form 3320-1 (Rev. 01/06) Previous editions may be used.

ADDRESS: DMR MAILING ZIP CODE:

FACILITY:

LOCATION:

YEAR MO DAY YEAR MO DAY

ATTN: FROM TO

VALUE UNITS

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

See Table Effluent Gross Value

REPORT

01MOAV

0.04 01DAMX ug/L See Table

4,4 DDE

***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.06 01DAMX ug/L See Table

4,4 DDT

***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.2 01DAMX ug/L See Table

Chlordane ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.03 01DAMX ug/L See Table

Gamma - BHC (Lindane) ***** ***** ug/L

See Table Effluent Gross Value

0.46

01MOAV

0.92

01DAMX ug/L See Table

Beta - BHC ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.02 01DAMX ug/L See Table

Alpha Endosulfan ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.03 01DAMX ug/L See Table

Dieldrin ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.04 01DAMX ug/L See Table

4,4 DDD

***** ***** ug/L

PERMIT NUMBER DISCHARGE NUMBER

MONITORING PERIOD External Outfall

See Table Effluent Gross Value

REPORT

01MOAV

0.02 01DAMX ug/L See Table

Alpha - BHC ***** ***** ug/L

See Table 01067 Effluent Gross Value

REPORT

01MOAV

0.04 01DAMX ug/L See Table

Aldrin ***** ***** ug/L

SAMPLE TYPEVALUE VALUE VALUE VALUE UNITS

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION No.

EX

FREQUENCY OF

ANALYSIS

NATIONAL DISCHARGE ELIMINATION SYSTEM (NPDES)

NO DISCHARGE

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

AREA

CODE YEAR MO DAY

COMMENTS AND EXPLANATIONS OF ANY VIOLATIONS (Reference all attachments here)

See Table Effluent Gross Value

01MOAV

01DAMX ug/L See Table

Endosulfan Sulfate ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.04 01DAMX ug/L See Table

Beta Endosulphan ***** ***** ug/L

TYPED OR PRINTED

Signature of Principal Executive Officer or Authorized Agent NUMBER

EPA Form 3320-1 (Rev. 01/06) Previous editions may be used. PAGE 5 OF 5

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER

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.

TELEPHONE DATE

See Table Effluent Gross Value

REPORT

01MOAV

01DAMX ug/L See Table

Toxaphene ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.4 01DAMX ug/L See Table

Heptachlor Epoxide ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.02 01DAMX ug/L See Table

Heptachlor ***** ***** ug/L

See Table Effluent Gross Value

0.81

01MOAV

1.62

01DAMX ug/L See Table

Endrin Aldehyde ***** ***** ug/L

See Table Effluent Gross Value

REPORT

01MOAV

0.04 01DAMX ug/L See Table

Endrin ***** ***** ug/L

ADDRESS: DMR MAILING ZIP CODE:

FACILITY:

LOCATION:

YEAR MO DAY YEAR MO DAY

ATTN: FROM TO

VALUE UNITS

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

AREA

CODE YEAR MO DAY

COMMENTS AND EXPLANATIONS OF ANY VIOLATIONS (Reference all attachments here)

See Table

Effluent Gross Value ***** ***** 25

01MOAV

01DAMX ug/L See Table

Silver ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 100

01MOAV

01DAMX ug/L See Table

Zinc ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 50

01MOAV

01DAMX ug/L See Table

Nickel ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 50

01MOAV

01DAMX ug/L See Table

Selenium ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 100

01MOAV

01DAMX ug/L See Table

Cyanide ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 50

01MOAV

01DAMX ug/L See Table

Copper ***** ***** ug/L

TYPED OR PRINTED

Signature of Principal Executive Officer or Authorized Agent NUMBER

EPA Form 3320-1 (Rev. 01/06) Previous editions may be used. PAGE 4 OF 5

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 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.

TELEPHONE DATE

See Table

Effluent Gross Value

***** ***** REPORT

01MOAV

01DAMX ug/L See Table

Mercury ***** ***** ug/L

See Table

Effluent Gross Value

***** ***** REPORT

01MOAV

REPORT

01DAMX ug/L See Table

Lead ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 50

01MOAV

01DAMX ug/L See Table

Iron ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 50

01MOAV

01DAMX ug/L See Table

Chromium ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 50

01MOAV

01DAMX ug/L See Table

Cadmium ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** 50

01MOAV

01DAMX ug/L See Table

Arsenic ***** ***** ug/L

SAMPLE

TYPEVALUE VALUE VALUE VALUE UNITS

NO DISCHARGE

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION No.

EX

FREQUENCY OF

ANALYSIS

DISCHARGE NUMBER

MONITORING PERIOD External Outfall

NATIONAL DISCHARGE ELIMINATION SYSTEM (NPDES)

PERMIT NUMBER

ADDRESS: DMR MAILING ZIP CODE:

FACILITY:

LOCATION:

YEAR MO DAY YEAR MO DAY

ATTN: FROM TO

VALUE UNITS

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

SAMPLE

MEASUREMENT ***** ***** 0 See Table

PERMIT

REQUIREMENT ***** ***** See Table

AREA

CODE YEAR MO DAY

COMMENTS AND EXPLANATIONS OF ANY VIOLATIONS (Reference all attachments here)

TYPED OR PRINTED

Signature of Principal Executive Officer or Authorized Agent NUMBER

EPA Form 3320-1 (Rev. 01/06) Previous editions may be used. PAGE 5 OF 5

DATE

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 submitte 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.

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE

See Table

Effluent Gross Value ***** ***** ***** 30 01DAMX ug/L See Table

Uranium, Total (ug/L) ***** ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** ***** 5 01DAMX pCi/L See Table

Radium 226 + Radium 228, Total (pCi/L) ***** ***** ***** pCi/L

See Table

Effluent Gross Value ***** ***** ***** 50 01DAMX pCi/L See Table

Gross Beta Radiation (pCi/L) (minus K- 40 contribution) ***** ***** ***** pCi/L

See Table

Effluent Gross Value ***** ***** ***** 15 01DAMX pCi/L See Table

Gross Alpha Radiation ***** ***** ***** pCi/L

See Table

Effluent Gross Value ***** ***** REPORT

01MOAV

0.5 01DAMX ug/L See Table

PCB's 1242, 1254, 1221, 1232, 1248, 1260, 1016 ***** ***** ug/L

See Table

Effluent Gross Value ***** ***** REPORT

01MOAV

0.01 01DAMX ug/L See Table

2,3,7,8-Tetrachlorodibenzo-p-Dioxin ***** ***** ug/L

SAMPLE

TYPEVALUE VALUE VALUE VALUE UNITS

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION No.

EX

FREQUENCY OF

ANALYSIS

MONITORING PERIOD External Outfall

NO DISCHARGE

PERMIT NUMBER DISCHARGE NUMBER

NATIONAL DISCHARGE ELIMINATION SYSTEM (NPDES)

Daily Operations rev 1