W912DR18R0055_-_Attachment_BH_-VAG830484_Discharge_Monitoring_Report_(DMR).pdf
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- W912DR-18-S-0009
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Attachment BH - Discharge Monitoring Report
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BYPASSES
AND
OVERFLOWS
TOTAL FLOW(M.G.) TOTAL BOD5(K.G.)
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.
OPERATOR IN RESPONSIBLE CHARGE
TYPED OR PRINTED NAME SIGNATURE CERTIFICATE NO.
TELEPHONEPRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT
YEAR
YEAR
MO.
MO.
DAY
DAYTYPED OR PRINTED NAME SIGNATURE
DATETOTAL
OCCURRENCES
FACILITY
LOCATION
NAME
ADDRESS Piedmont Regional Office
4949-A Cox Road
Glen Allen VA 23060
NOTE: READ PERMIT AND GENERAL INSTRUCTIONS
BEFORE COMPLETING THIS FORM
QUANTITY OR LOADING QUALITY OR CONCENTRATION
MINIMUM
SAMPLE
TYPE
AVERAGE MAXIMUM UNITS AVERAGE MAXIMUM UNITS
FREQUENCY
OF
ANALYSIS
NO.
EX.
PARAMETER
GPD*********
NL
9.0
5.0
2.0
5.0
54.0
5.0
80.0
6.0
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
SU
UG/L
UG/L
UG/L
UG/L
UG/L
UG/L
001 FLOW
002 pH
TRICHLOROETHYLENE (T
173 VINYL CHLORIDE
205 METHYLENE
CHLORIDE
218 1,1,1-
TRICHLOROETHANE
TETRACHLOROETHYLENE
223 CHLOROFORM (AS
CHCL3)
1/M
1/M
1/M
1/M
1/M
1/M
1/M
1/M
EST
GRAB
GRAB
GRAB
GRAB
GRAB
GRAB
GRAB
Additional DMR Comments:
DISCHARGE NUMBER
VAG830484
PERMIT NUMBER
YEAR MO DAY YEAR MO DAY
FROM TO
09/08/2015COMMONWEALTH OF VIRGINIA
DEPARTMENT OF ENVIRONMENTAL QUALITY
PETROLEUM DISCHARGE PERMIT
DISCHARGE MONITORING REPORT(DMR)
PERMITTEE NAME/ADDRESS(INCLUDE
FACILITY NAME/LOCATION IF DIFFERENT) DEPT. OF ENVIRONMENTAL QUALITY
(REGIONAL OFFICE)
MONITORING PERIOD
Defense Supply Center Richmond
8000 Jefferson Davis Hwy Richmond VA 23297
8000 Jefferson Davis Hwy
OVERFLOWS
TOTAL FLOW(M.G.) TOTAL BOD5(K.G.)
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.
OPERATOR IN RESPONSIBLE CHARGE
TYPED OR PRINTED NAME SIGNATURE CERTIFICATE NO.
TELEPHONEPRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT
YEAR
YEAR
MO.
MO.
DAY
DAYTYPED OR PRINTED NAME SIGNATURE
DATETOTAL
OCCURRENCES
FACILITY
LOCATION
NAME
ADDRESS Piedmont Regional Office
4949-A Cox Road
Glen Allen VA 23060
NOTE: READ PERMIT AND GENERAL INSTRUCTIONS
BEFORE COMPLETING THIS FORM
QUANTITY OR LOADING QUALITY OR CONCENTRATION
MINIMUM
SAMPLE
TYPE
AVERAGE MAXIMUM UNITS AVERAGE MAXIMUM UNITS
FREQUENCY
OF
ANALYSIS
NO.
EX.
PARAMETER
2.3
7.0
15.8
3.8
100.00
3.4
3.6
5.0
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
UG/L
UG/L
UG/L
UG/L
UG/L
UG/L
UG/L
UG/L
236 CARBON
TETRACHLORIDE
258 1,1-
DICHLOROETHYLENE
259 1,2-
DICHLOROBENZENE
260 1,2-
DICHLOROETHANE
262 TRANS-1,2-
DICHLOROETHYLENE
280 CHLOROBENZENE,
TOTAL (AS C6H5CL)
281 CHLOROETHANE
TRICHLOROFLUOROMETHA
1/M
1/M
1/M
1/M
1/M
1/M
1/M
1/M
GRAB
GRAB
GRAB
GRAB
GRAB
GRAB
GRAB
GRAB
Additional DMR Comments:
DISCHARGE NUMBER
VAG830484
PERMIT NUMBER
YEAR MO DAY YEAR MO DAY
FROM TO
09/08/2015COMMONWEALTH OF VIRGINIA
DEPARTMENT OF ENVIRONMENTAL QUALITY
PETROLEUM DISCHARGE PERMIT
DISCHARGE MONITORING REPORT(DMR)
PERMITTEE NAME/ADDRESS(INCLUDE
FACILITY NAME/LOCATION IF DIFFERENT) DEPT. OF ENVIRONMENTAL QUALITY
(REGIONAL OFFICE)
MONITORING PERIOD
Defense Supply Center Richmond
8000 Jefferson Davis Hwy
OVERFLOWS
TOTAL FLOW(M.G.) TOTAL BOD5(K.G.)
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.
OPERATOR IN RESPONSIBLE CHARGE
TYPED OR PRINTED NAME SIGNATURE CERTIFICATE NO.
TELEPHONEPRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT
YEAR
YEAR
MO.
MO.
DAY
DAYTYPED OR PRINTED NAME SIGNATURE
DATETOTAL
OCCURRENCES
FACILITY
LOCATION
NAME
ADDRESS Piedmont Regional Office
4949-A Cox Road
Glen Allen VA 23060
NOTE: READ PERMIT AND GENERAL INSTRUCTIONS
BEFORE COMPLETING THIS FORM
QUANTITY OR LOADING QUALITY OR CONCENTRATION
MINIMUM
SAMPLE
TYPE
AVERAGE MAXIMUM UNITS AVERAGE MAXIMUM UNITS
FREQUENCY
OF
ANALYSIS
NO.
EX.
PARAMETER
5.0
2.4
70.0
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REPORTED
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
REQUIREMENT
UG/L
UG/L
UG/L
373 1,1,2-
TRICHLOROETHANE
378 1,1-
DICHLOROETHANE
626 CIS-1,2-
DICHLOROETHYLENE
1/M
1/M
1/M
GRAB
GRAB
GRAB
Additional DMR Comments:
DISCHARGE NUMBER
VAG830484
PERMIT NUMBER
YEAR MO DAY YEAR MO DAY
FROM TO
09/08/2015COMMONWEALTH OF VIRGINIA
DEPARTMENT OF ENVIRONMENTAL QUALITY
PETROLEUM DISCHARGE PERMIT
DISCHARGE MONITORING REPORT(DMR)
PERMITTEE NAME/ADDRESS(INCLUDE
FACILITY NAME/LOCATION IF DIFFERENT) DEPT. OF ENVIRONMENTAL QUALITY
(REGIONAL OFFICE)
MONITORING PERIOD
Defense Supply Center Richmond
8000 Jefferson Davis Hwy
This report is required by your VPDES permit and by law. (See, e.g., the Code of Virginia of 1950 §62.1-44.5 and 9 VAC 25-31-50.) Failure to report or failure to report truthfully can result in civil penalties of $32,500 per violation, per day and felony prosecutions which can carry a 15 year term.
DISCHARGE MONITORING REPORT (DMR) - GENERAL INSTRUCTIONS
Complete this form in permanent ink or indelible pencil. The use of 'correction fluid/tape' is not allowed.
Be sure to enter the dates for the first and last day of the period covered by the report on the form in the space marked "Monitoring Period".
For those parameters where the "permit requirement" spaces have a requirement or limitation, provide data in the "reported" spaces in accordance with your permit.
Enter the average and maximum quantities and units in the "reported" spaces in the columns marked "Quantity or Loading".
KG/DAY = Concentration (mg/L) x Flow (MGD) x 3.785 G/D (Grams/Day) = Concentration (mg/L) x Flow (MGD) x 3785
2.
3.
4.
5. Enter maximum, minimum, and/or average concentrations and units in the "reported" spaces in the columns marked "Quality or Concentration".
6. For all parameters enter the number of samples which do not comply with the maximum and/or minimum permit requirements in the "reported" space in the column marked "No. Ex." (Number of Exceedances). If none, enter "0". Do NOT include monthly average violations in this field.
Include any Maximum 7-Day Average and Maximum Weekly Average violations in this field. Permittees with continuous pH, or temperature monitoring requirements should consult the permit for what constitutes an exceedance and report accordingly.
7.
Enter the actual frequency of analysis for each parameter (number of times per day, week, month, etc.) in the "reported" space in the column marked "Frequency of Analysis".
You are required to sample (at a minimum) according to the Sample Frequencies and Sample Types specified in your permit.
8.
9. Enter the actual type of sample (Grab, 8HC, 24HC, etc) collected for each parameter in the "reported" space in the column marked "Sample Type".
10. Enter additional required data or comments in the space marked "additional permit requirements or comments". If additional required data or comments are appended to the DMR, reference appended correspondence in this field.
11. Record the number of bypasses during the month, the total flow in million gallons (MG) and BOD5 in kilograms (KG) in the proper columns in the section marked "Bypasses and Overflows".
12. The operator in responsible charge of the facility should review the form and sign in the space provided. If the plant is required to have a licensed operator or if the operator in responsible charge of the facility is a licensed operator, the operator's signature and certificate number must be reported in the spaces provided.
13. The principal executive officer then reviews the form and must sign in the space provided and provide a telephone number where he/she can be reached. Every page of the DMR must have an original signature.
14. Send the completed form(s) with original signatures to your Department of Environmental Quality Regional Office by the 10th of each month unless otherwise specified in the permit.
15. You are required to retain a copy of the report for your records.
16. Where violations of permit requirements are reported, attach a brief explanation in accordance with the permit requirements describing causes and corrective actions taken. Reference each separate violation by date.
17. If you have any questions, contact the Department of Environmental Quality Regional Office listed on the DMR.
1.
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