DEQ-CFW_00076663

Ms. Teresa Rodriguez
NCDENR Division of Water Quality
NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699 - 1617
SUBJECT: NPDES Permit Renewal Application Addendum
Revised Form 2C and Supplemental Information
NPDES Permit No. NC0003573
Dear Ms. Rodriguez:
DuPont Fluoroproducts
22828 NC Highway 87 W
Fayetteville, NC 28306-7332
August 2, 2006
D
AUG 4 2006
DE - WATER QUALITY
POINT SOURCE BRANCH
Enclosed are the revised Form 2C submittals for the subject renewal application. These
forms include the omitted analytical data. Outfall 002 sampling showed unexpected positive
results for cyanide, chloroform, dichlorobromomethane, and bis(2-ethylhexyl)phthalate; none of
which are used or produced at this site.
Also, you will find a revised Supplemental Information document that describes the
proposed changes with the construction of a new manufacturing unit that will produce Polyvinyl
Fluoride (PVF) polymer resins. It has been determined that the preferred means of controling
solids from the PVF unit is a new clarifier which will be dedicated to the PVF wastewater. The
discharge from this clarifier will be to the existing Outfall 001. Therefore, please ignore the
original submittal's description of the PVF treated wastewater being discharged through and
monitored at Outfall 006.
A revised water balance sheet is enclosed which reflects the above treatment change.
Should you have any questions, please feel free to call meat (91 0) 67R-1 155
Michael E. Johnson
Environmental Manager
Enclosures
E.I. du Pont de Nemours and Company
DEQ-CFW 00076663

DuPont Company — Fayetteville Works NPDES Permit No. NC0003573
Supplemental Information (Revised)
Revised Supplemental Information — Permit Renewal Application — August 1, 2006
Proposed Changes in Operations
PVF Manufacturing Facility: The DuPont Company — Fayetteville Works has been selected as
the location for the DuPontTM Polyvinyl Fluoride (PVF) manufacturing process. The
manufacturing facility is in the process of being designed, and will produce PVF polymer resins.
PVF resin to be manufactured at the Fayetteville plant is used in DuPontTM Tedlar®
fluoropolymer film business. Tedlar® film is manufactured at other DuPont site location (not
the Fayetteville plant). Tedlar® is used in the photovoltaic industry in photovoltaic cells and the
aircraft industry for interior cabin surfaces, as well as many other uses. This new facility
construction will be completed in August 2007 and begin start up in October 2007.
The manufacturing facility will be located near the existing Teflon® FEP resin manufacturing
area. This process will produce polyvinyl fluoride (PVF) resin (CAS No. 24981-14-4).
As with most fluorochemical processes, the wastewater from the PVF manufacturing process is
expected to have very little or no biological oxygen demand (BOD5) value. Treatability tests
have been performed on samples from another DuPont site which currently manufactures PVF.
These studies have indicated use of non -biological treatment will meet effluent limitation of
OCPSF NSPS guidelines of Subpart D—Thermoplastic Resins (40 CFR 414.40). DuPont will
control solids in the wastewater from this new facility via a new dedicated clarifier whose
discharge will go directly to Outfall 001.
A suggested change to the language of the current permit's narrative in the "Supplement To
Permit Cover Sheet" that would accommodate the new PVF Manufacturing Facility follows:
1. Continue to operate existing wastewater treatment facilities consisting of:
• equalization; (etc)
2. To operate new wastewater treatment facilities consisting of:
• clarifier for PVF process wastewater;
3. Discharge treated process wastewater from Butacite, Nafion, PVF, and Teflon® PMDF,
process stormwater, sanitary wastewater, and co -neutralized regenerate form said treated
facilities through internal outfall 001;
The process wastewater is expected to contain unreacted vinyl fluoride (CAS No. 00075-02-5).
The anticipated quantity of vinyl fluoride from the PVF Manufacturing Facility is 0.312 pounds
per day. This quantity would equate to approximately 0.04 mg/L vinyl fluoride at Outfall 001
and 0.0035 mg/L vinyl fluoride at Outfall 002.
Finally, non -contact cooling, condensate, and stormwater from the PVF Manufacturing Facility
will be discharged directly to Outfall 002 via the site's Woodlined Ditch.
DEQ-CFW 00076664

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 05/24/06 Page: 1 of 1
PERMIT: NC0003573 FACILITY: E I DuPont de Nemours and Company - Dupont COUNTY: Bladen REGION: Fayetteville
Fayetteville Works
Limit Violation
MONITORING OUTFALL
VIOLATION
UNIT OF
CALCULATED
REPORT / PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
03 - 2005 001 Effluent
BOD, 5-Day (20 Deg. C)
03/30/05
3 X week
Ibs/day
508.2
2,981
Daily Maximum Exceeded
Proceed to NOV
03 - 2005 001 Effluent
BOD, 5-Day (20 Deg. C)
03/31/05
3 X week
Ibs/day
191.3
265.87
Monthly Average Exceeded
Proceed to NOV
08 - 2004 001 Effluent
Solids, Total Suspended
08/16/04
3 X week
Ibs/day
1,030
1,125
Daily Maximum Exceeded
No Action, BPJ
0
M
p
C�
n
I
0
0
0
14
rn
rn
rn

DuPont Company — Fayetteville Works
NPDES Permit No. NC0003573
Supplemental Information (Revised)
Revised Supplemental Information — Permit Renewal Application — August 1, 2006
Proposed Changes in Operations
PVF Manufacturing Facility: The DuPont Company — Fayetteville Works has been selected as
the location for the DuPontTM Polyvinyl Fluoride (PVF) manufacturing process. The
manufacturing facility is in the process of being designed, and will produce PVF polymer resins.
PVF resin to be manufactured at the Fayetteville plant is used in DuPontTM Tedlar®
fluoropolymer film business. Tedlar® film is manufactured at other DuPont site location (not
the Fayetteville plant). Tedlar® is used in the photovoltaic industry in photovoltaic cells and the
aircraft industry for interior cabin surfaces, as well as many other uses. This new facility
construction will be completed in August 2007 and begin start up in October 2007.
The manufacturing facility will be located near the existing Teflon® FEP resin manufacturing
area. This process will produce polyvinyl fluoride (PVF) resin (CAS No. 24981-14-4).
As with most fluorochemical processes, the wastewater from the PVF manufacturing process is
expected to have very little or no biological oxygen demand (BOD5) value. Treatability tests
have been performed on samples from another DuPont site which currently manufactures PVF.
These studies have indicated use of non -biological treatment will meet effluent limitation of
OCPSF NSPS guidelines of Subpart D—Thermoplastic Resins (40 CFR 414.40). DuPont will
control solids in the wastewater from this new facility via a new dedicated clarifier whose
discharge will go directly to Outfall 001.
A suggested change to the language of the current permit's narrative in the "Supplement To
Permit Cover Sheet" that would accommodate the new PVF Manufacturing Facility follows:
1. Continue to operate existing wastewater treatment facilities consisting of:
• equalization; (etc)
2. To operate new wastewater treatment facilities consisting of:
• clarifier for PVF process wastewater;
3. Discharge treated process wastewater from Butacite, Nafion, PVF, and Teflon® PMDF,
process stormwater, sanitary wastewater, and co -neutralized regenerate form said treated
facilities through internal outfall 001;
The process wastewater is expected to contain unreacted vinyl fluoride (CAS No. 00075-02-5).
The anticipated quantity of vinyl fluoride from the PVF Manufacturing Facility is 0.312 pounds
per day. This quantity would equate to approximately 0.04 mg/L vinyl fluoride at Outfall 001
and 0.0035 mg/L vinyl fluoride at Outfall 002.
Finally, non -contact cooling, condensate, and stormwater from the PVF Manufacturing Facility
will be discharged directly to Outfall 002 via the site's Woodlined Ditch.
DEQ-CFW 00076666

JUN -6 07
DEQ-CFW-00076667

Form 2C. Part III B:
WATER BALANCE (Revised 4/15(06)
DuPont - Fayetteville, NC
Flows Unit: GPD
Basis: All Production Manufacturing, using Maximum 30 day average of measured flows
NPDES PERMIT APPLICATION
River
Chlorine NON CONTACT T
COOLING Non -Contact Cooling Water
-----+ 13043755 tofromeach —-------------------------------------------------------------------------------------------►15 unit I
1
R I.4R AY0 I
Filtered Water Supply
DEMINERALIZERS
Neutralized Regenerate
Groundwater Wdb
13C
Chlorine
Potable Water Supply
Plant 8,000 EEvap.
Sanitary BOI
Fadlitles
Stormwstar
c
12,000 8,000 150,000 D
0
Stormwater
from Process
Area Pads
Non -process
Storrnwater
10,000 10t000 45,000
DYMETRO
EPS TAP
RX
L=eMe�L
4WPCH &
CUTTERS &
& WASH
GRUBBERS
"1 1 1
10,000 1 10,000 1 45,000
760
BUTACITE
FLAKE EXTRUSION RECYCLE
0
NAFION
CAUSTIC
ACID
TREATERS & FPX
SCRUBBERS
SCRUBBERS
PROCESS
PROCESS &
SCRUBBERS$
1.180.439
86,000
102,700
Eva BIOfO�s JTo Landfill DI sal
Biological WWTP ............... Dewabr/...................................... .....W
Drying T 10 000 1,00
� BIOSOLIDS SOLID WASTE
001 fi"�c.
0
Phyekal SoaM
Separation
Tnatmnn
Fi
12,286 4
0
c
m
v
177,OC
Product Lw &
Unit
Evaporrtbn
1 67,700 1
aC)p1
DEQ-CFW 00076668

4
Form 2C. Part III B:
WATER BALANCE (Revised 4115106)
DuPont - Fayetteville, NC
Flows Unit: GPD
Basis: All Production Manufacturing, using Maximum 30 day average of measured flows
---C —
NPDES PERMIT APPLICATION
Fear River
Chlorine NON CONTACT 16,478,794
COOLING Non -Contact Cooling Water
---- I. 13043755 to/fromeach - -------------------------------------------------------------------------------------------►15043755---------------------------
unit 1
1
3 3.439 1
2.000.000
2,422,000 Filtered Water
Filtered Water Supply
DEMINERAL¢ERS
Regenerate
Chlorine
Potable Water Supply
Plant
I Stormwater I
Stommater
from Process
Area Pads
Non -process
Stonnwater
kv+C ��2 sit±s:
i
I
Sanitary BOILERS
Facllldas
I
DYMETRO
EPS TAPE
TRX
L QUENCH
QUENCH &
CUTTERS &
& WASH
WASH
SCRUBBERS
1 1 I BUTACITE
FLAKE I EXTRUSION RECYCLE
NAFION
a
CAUSTIC
ACID
TREATERS & FPX
MMF
SCRUBBERS
SCRUBBERS
PROCESS
PROCESS 8
5 g
SCRUBBERS
102,700
Eva
Biological WWTP
Bhuolids
oawmd......................................t......i
1To Landfill DI s oral - *--�—�
10 DDQ 1,000
Drying
1
i BIOSOUDS SOLID WASTE
PVF
Ph" ISoeds
Sapantion
Tnatm at
5
r
QC
Y
g
v
2
a
ro
c
u
Product Loss a
une
E"poraaon
1 67,700 1
DEQ-CFW 00076669

FORM
U.S. ENVIRONMENTAL PROTECTION AGENCY
I. EPA I.D. Number
1
GENERAL INFORMATION
6
TIA C
GENERAL
Consolidated Permits Program
F
NC0003573 I D
+
2 13 t, 15
Read the "General Instructions" before starting.)
LABEL ITEMS s
GENERAL INSTRUCTIONS
If a preprinted label has been provided, affix it in the designated space.
F
NC0003573
Review the information carefully; if any of it is incorrect, cross through it and
enter the correct data in the appropriate fill—in area below. Also, if any of the
DuPont Fayetteville Works
y
preprinted data is absent (the area to the left of the label space lists the
828 NC Hwy 87 W Fayetteville,
information that should appear), please provide it in the proper fill—in area(s)
NC 28306-7332
below. If the label is complete and correct, you need not complete Items, 1, III,
V, and A (except VI-B which must be completed regardless). Complete all
22828 NC Hwy 87 W Duart
items if no label has been provided. Refer to the instructions for detailed item
Township, NC 28306
descriptions and for the legal authorizations under which this data is collected.
II. POLLUTANT CHARACTERISTICS
INSTRUCTIONS: Complete A through J to determine whether you need to submit any permit application forms to the EPA. If you answer "yes" to any questions,
you must submit this form and the supplemental form listed in the parenthesis following the questions. Mark "X" in the box in the third column if the supplemental
form is attached. If you answer "no" to each question, you need not submit any of these forms. You may answer "no" if your activity is excluded from permit
requirements; see Section C of the instructions. See also, Section D of the instructions for definitions of bold --faced terms.
MARK'X'
MARK W
SPECIFIC QUESTIONS
YES
NO
FORM
ATTACHED
SPECIFIC QUESTIONS
YES
No
FORM
ATTACHED
A. Is this facility a publicly owned treatment works
B. Does or will this facility (either existing or proposed) include a
which results in a discharge to waters of the U.S. 7
X
concentrated animal feeding operation or aquatic animal pro-
X
(FORM 2A)
duction facility which results in a discharge to waters of the U.S?
I6
17
i6
19
z,
FORM 28
C. Is this a facility which currently results in discharges
X
X
D. Is this a proposed facility (other than those described in A or B
X
to waters of the U.S. other than those described in
above) which will result in a discharge to water of the U.S. ?
22
23
z+
25
25
27
A or B above FORM 2C
FORM 2D
E. Does or will this facility treat, store, or dispose of
F. Do you or will you inject at this facility industrial or municipal
hazardous wastes? (FORM 3)
X
(1)
effluent below the lowermost stratum containing, within one
quarter mile of the well bore, underground sources of drinking
X
28
29
30
31
33
water? FORM 4
G. Do you or will you inject at this facility any produced
H. Do you or will you inject at this facility fluids for special process,
water or other fluids which are brought to the surface
such as mining of minerals, in situ combustion of fossil fuel,
in connection with conventional oil or natural gas pro-
X
or recovery of geothermal energy ?
X
duction, inject fluids used for enhanced recovery of
(FORM 4)
oil or natural gas, or inject fluids for storage of liquid
34
35
36
37
3B
39
hydrocarbons? FORM 4
I. Is this facility a proposed stationary source which is
J. Is this facility a proposed stationary source which is NOT one
one of the 28 industrial categories listed in the in-
X
of the 28 industrial categories listed in the instructions and
X
structions and which will potentially emit 100 tons
and which will potentially emit 250 tons per year of any air
per year of any air pollutant regulated under the
pollutant regulated under the Clean Air Act and may effect
Clean Air Act and may affect or be located in an
or be located in an attachment area's (FORM 5)
attainment area ? FORM 5
+0
{t
+2
143
++
45
III. NAME OF FACILITY
1
SKIP
E.I. du Pont de Nemours & Company
30
CONTACT
IV.
FACILITY
A. NAME & TITLE (Last, first, & Tffle) B. PHONE (area code & no)
2 Michael E. Johnson, Environmental Manager [phone]
16 ,6
45 46 46 1 49 - 51 52 55
V. FACILITY MAILING ADDRESS
A. STREET OR P.O. BOX
3
22828 NC Hwy 87 W +5
15is
B. CITY OR TOWN C. STATE ID.ZIPCODE
4
Fayetteville NC 8306=t382
VI.
FACILITY LOCATION
A. STREET, ROUTE NO. OR OTHER SPECIFIC IDENTIFIER i
5
22828 NC Hwy 87 W +5
15
B. COUNTY NAME
Bladen
48 70
C. CITY OR TOWN
D. STATE
E. ZIP CODE;
F. COUN7V CODE
F41
Duart Township
NC
[:2�
7
011{0
52 5{.
N - {2
EPA Form 3510-1 8-90 '(1) Permitted under Federal and State Laws No Forms 3 or 4 required,- s e-Atl1a6ment 1-1
DEQ-CFW 00076670

CONTINUED FROM THE FRONT
VII. SIC CODES taapx wda...r,.lw+yt
A. FIRST B. SECOND
rill
2869
(specify) 7
NaflonO Solution, Vinyl Ether and HFPO monomers
2821
(specify) Teflon® FEP resin, Polyvinyl flouride resin
Polyvinyl butyral Resin, Naflon® Resins
-
a
C. THIRD D. FOURTH
7
3081
(specify) Naflon® Membrane, (specify)
Butacite® sheeting, SentryGlas Plus '
r
Vlll.
OPERATOR INFORMATION
B. Is the name listed in Item VIII-A also the
A. NAME owner7
8
® Yes ❑ No
75
16 E. I. DuPont de Nemours & Co., Inc. es ea
C. STATUS OF OPERATOR D. PHONE
NUMBER —� A—
s-smr o-oe•tlx,.,,roe..ipx.al
e.s�
P
(specify)
NA ., 302 .,
09 774 e,
1000
E. STREET OR P.O. BOX
1007 Market Street .e
C. STATE D. ZIP CODE
IX. INDIAN LAND
F. CITY OR TOWN
8
Wilmin ton DE 19898 Is the ciitLandsedonIndian
Lands?
15
1e /e 41. 42 tl - 51
sx ❑Yes ® No
X. EXISTING
ENVIRONMENTAL PERMIT
A. NPDES (Discharges to Surface Water
D. RSSO Air Emissions from Proposed Sources
9
1s
NC0003573
9
Title V - 0373ST28 (Major Source
17 ao
B. UIC (Underground Injecdon of Fluids
E. OTHERS S
(specify)
9
NA
9
NA
15
16
17
C. RCRA Hazardous Wastes
D. OTHERS S
(specify)
9
1s
1e
n
NCD 047 368 642 and 90 day storage.
tore a area
9 NA
1s m +� 30
XI.
MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must show the outline of the facility, the location of each of its existing and proposed intake an
discharge structures, each of
XII. NATURE OF BUSINESS (provide a brief description)
> Manufacturing of DuPontTM Teflon® FEP resin.
> Manufacturing of DuPontTM SentryGlas Plus® .
> Manufacture of DuPontTm Naflon® Membrane, Naflon® Resins, Naflon® Solution, FLPR Vinyl Ether and HFPO monomers
> Manufacture of Polyvinyl butyral (PVB) Resin and DuPontTM Butacite® Interlayer plastic sheeting
> Manufacture of Ammonium perfluorooctanoate (APFO)
> Manufacture of Polyvinyl flouride resin (PVF)
XIII. CERTIFICATION (see Instructions)
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all attachments and that, based on my inquiry of those persons immediately responsible fof
obtaining the information cont
A. NAME & OFFICIAL TITLE (type or print) B. SIGNATURE C. DATE SIGNE
Barry L. Hudson, Plant Mgr -�
COMMENTS FOR OFFICIAL USE ONLY
8
18
1s
,EPA Form 3510-1 (8-90)
DEQ-CFW 00076671

Form Approved.
Please print or type in the unshaded areas
only.
EPA I.D. NUMBER
F N C0003573
OMB No. 2040-0086
I Approval expires 8-31-98
FORM
2V
NPDES
U.S. ENVIRONMENTAL PROTECTION AGENCY
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
EXISTING MANUFACTURING, COMMERCIAL, MINING AND SILVICULTURAL OPERATIONS
Consolidated Permits Program
I. OUTFALL LOCATION
each outfall, list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water.
NUMBER
(list)
B. LATITUDE
C. LONGITUDE
D. RECEIVING WATER (name)
1. DEG
2. MIN.
3. SEC.
1.DEG.
1 2. MIN.
3. SEC.
001
34
50
25N
78
50
9W
Cape Fear River via Outfall 002
002
34
50
22N
78
50
9W
Cape Fear River
006
34
50
20N
78
49
55W ICape
Fear River via Outfall 002
II. FLOWS, SOURCES OF POLLUTION, AND TREATMENT TECHNOLOGIES
A. Attach a line drawing showing the water flow through the facility. Indicate sources of intake water, operations contributing wastewater to the
effluent, and treatment units labeled to correspond to the more detailed descriptions in Item B. Construct a water balance on the line drawing by
showing average flows between intakes, operations, treatment units, and outfalls. If a water balance cannot be determined (e.g., for certain mining
activities), provide a pictorial description of the nature and amount of any sources of water and any collection or treatment measures.
B. For each outfall, provide a description of: (1) All operations contributing wastewater to the effluent, including process wastewater, sanitary
wastewater, cooling water, and storm water runoff, (2) The average flow contributed by each operation, and (3) The treatment received
by the wastewater. Continue on additional sheets if necessary.
1.OUTFALL NO
(list)
2. OPERATION (S) CONTRIBUTING FLOW
3. TREATMENT
a. OPERATION (list)
b. AVERAGE FLOW
(include units)
a. DESCRIPTION
b. LIST CODES FROM
TABLE 2C-1
002
Outfall 001
965,039 GPD
Discharge to Surface Water (Cape Fear River)
4-A
Outfall 006
100,000 GPD
Non -contact water
15,220,755 GPD
Boiler B/D, Stormwater
193,000 GPD
TOTAL
16,478,794 GPD
001
NAFION AREA:
Biological Wastewater Treatment Plant:
Neutralization
61,429 GPD
WWTInfluent Sump
1-0
Treaters & FPX Process
12,286 GPD
Equalization (equipped with Mixing & Aeration
1-0; 3-E
MMF Process & Scrubber
12,286 GPD
Emergency Retention Tank
1-0
BUTACITE AREA:
Pre -Digester Tank
3-E
- Flake
665,760 GPD
Activated Sludge Tank
3-A
-Extrusion
1,329 GPD
Clarification 2 in -ground inparallel)
1-U
- Recycle
292,350 GPD
SENTRY GLASS AREA
- Quench & Wash
10,000 GPD
TEFLON AREA
EPS Tape Quench & Wash
10,000 GPD
TRX Cutters & Scrubbers
45,000 GPD
Neutralized Regenerate
50,000 GPD
Sanitary Sewer
8,000 GPD
Contact Stormwater
12,000 GPD
TOTAL
1,180,439 GPD
006
PVF PROCESS 1
100,000 GPD
Solids Separation
1-U
TOTAL 1
100,000 GPD
OFFICIAL USE ONLY (effluent guidelines sub -categories)
r-rH rorm sD Iu-.e , (u-au) PAGE 1 of 4 CONTINUE ON PAGE 2
DEQ-CFW 00076672

CONTINUED FROM PAGE 1
C. Except for storm runoff, leaks or spills, are any of the discharges described in Items II -A or B intermittent or seasonal?
YES (complete the following table) X INO (go to Section 111)
A.OUTFALL
NUMBER (list)
2. OPERATIONS(s)
CONTRIBUTING FLOW (list)
3. Frequency
4. Flow
a. DAYS
PER WEEK
(specifyaverage)
b. MONTHS
PER YEAR
(specifya-rage)
a. FLOW RATE (in
m4 d)
b. TOTAL VOLUME (specify
with units
C. DURATION
(in days)
a. LONG TERM
AVERAGE
2. MAXIMUM
DAILY
1. LONG TERM
AVERAGE
2. MAXIMUM
DAILY
Ill. PRODUCTION
A. Does an effluent guideline limitation promulgated
X
by EPA under Section 304 of the Clean Water Act apply
YES (complete Item III-B)
to your facility?
NO (go to Section IV)
B. Are the limitations in the applicable effluent guideline expressed in terms of production (or other measure of operation)?
YES (complete Item Ill-C) X NO (go to Section IV)
C. If you answered "Yes" to Item III-B, list the quantity which represents an actual measurement of your level of production expressed in the terms
and units used in the applicable effluent guideline, and indicate the affected outfalls. Not applicable
1.AVERAGE DAILY, PRODUCTION
2. AFFECTED OUTFALLS
(list OUti2ll nurnbers)
a. QUANTIT
DAY
b. UNITS OF MEASURE c. OPERATION, PRODUCT, MATERIAL, ETC. (specify)
No production based applicable effluent guidelines
IV. IMPROVEMENTS
A.Are you now required by any Federal, State or Local authority to meet any implementation schedule for the construction, upgrading, or operation
of wastewater treatment equipment or practices or any other environmental programs which may effect the discharges described in this
application? This includes but is not limited to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters,
stipulations, court orders, and grant or loan conditions.
YES (complete the following Table) X NO (go to Section IV-B)
1. IDENTIFICATIONS OF
CONDITION,
AGREEMENT, ETC.
2. AFFECTED OUTFALLS
3. BRIEFDESCRIPTION OF PROJECT
4. FINAL COMPLIANCE DATEa
A No.
'.b. SOURCE DISCHARGEE
a. REQUIRED
B. PROJECTED
OPTIONAL:B. You may attach additional sheets describing any additionahmer pollution control programs or other environmental projects w rc
may affect your discharges) you now have underway or which you plan. Indicate whether each program is now underway or planned and indicate
your actual or planned schedules for construction.
MARK "X" IF DESCRIPTION OF ADDITIONAL CONTROL PROGRAMS IS ATTACHED
EPA Form 3510-2C (8-90)
PAGE 2 OF 4 CONTINUE ON PAGE 3
DEQ-CFW 00076673

Form Approved.
EPA I.D. NUMBER (copy from Item 1 of Form 1) lApproval
OMB No. 2040-0086
NC0003573 expires 8-31-98
CONTINUED FROM PAGE 2
V. INTAKE AND EFFLUENT CHARACTERISTICS
A, B, & C : See instructions before proceeding - Complete one set of tables for each outfall - Annotate the outfall number in the space provided.
Note: Tables V-A, V-B, and V-C are included on separate sheets numbered V-1 through V-9.
D. Use the space below to list any of the pollutants listed in Table 2c-3 of the instructions, which you know or have reason to believe is
discharged or may be discharged from any outfall. For every pollutant you list, briefly describe the reasons you believe it to be present and
report any analytical data in your possession.
1.POLLUTANT 2.SOURCE
1.POLLUTANT 2.SOURCE
None of the pollutants listed in Table 2C-3 of the
instructions are believed to be present in the discharge.
VI. POTENTIAL DISCHARGES NOT COVERED BY ANALYSIS
Is any pollutant listed in Item V-C a substance or a component of a substance which you currently use or manufacture as an intermediate
or final product or byproduct?
(Y IYES (list all such pollutants below) �NO (go to Section VI-B)
Applicable guidelines require testing all V-C compounds identifying any potential discharges
EPA Form 3510-2C (8-90) PAGE 3 OF 4 CONTINUE ON PAGE 4
DEQ-CFW 00076674

CONTINUED FROM PAGE 3
VII. BIOLOGICAL TOXICITY TESTING DATA
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on any of your discharges
or on a receiving water in relation to your discharge within the last 3 years?
X YES (identify the test(s) and describe their purposes below) �NO (go to Section Vlll)
North Carolina c. dubia Chronic Pass/Fail Reproduction Toxicity Tests performed each quarter in accordance with NPDES
permit conditions. No toxicity effect reported during last 3 years of testing final discharge. NC DENR has copies of test
results submitted with DMRs last 3 years.
VIII. CONTRACT ANALYSIS INFORMATION
Were any of the analyses reported in Item V performed by a contract laboratory or consulting firm?
X YES (list the name, address, and telephone number of, �NO (go to Section IX)
and pollutants analyzed by, each such laboratory or
firm below)
A. NAME
B. ADDRESS
C. TELEPHONE (area code &
D. POLLUTANT ANALYZED (list)
no.
Pace Analytical 2225 Riverside Drive, 828.254.7176 Aquatic Toxicity
Services, Inc. Ashville, NC 28804
TBL 2401 W. 5th Street 910.738.6190
Lumberton, INC BOD5, COD, TSS, Priority
Pollutants, Fluoride, Total
Phosphorous, Total Nitrogen
IX. CERTIFICATION
I certify under penalty of law 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.
A. NAME & OFFICIAL TITLE (type of print)
B. PHONE NO. (area code & no.)
Barry L. Hudson, Plant Mgr
[phone]
C. SIGNATURE
D. DATE SIGNED
6 -K.
k1l (d
EPA Form 3510-2C (8-r'
PAGE 4OF4
DEQ-CFW 00076675

-6 07
DEQ-CFW 00076676

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NORTH CADRAN DEPARTMENT OF NATURAL RESOUR
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Form 2C. Part III B:
NPDES PERMIT APPLICATION
WATER BALANCE (Revised 4115106)
DuPont - Fayetteville, NC
Flows Unit: GPD
Basis: All Production Manufacturing, using Maximum 30 day average of measured flows
Fear River
Outfall 002
Chlorine NON -CONTACT
COOLING Non -Contact Cooling Water
-- - -- 13043755 tolfrom each - - - -------- - - - - --
unit 1----------
I
1.F11. A10 1
Filtered Water Supply
DEMINERALIZERS 1t,vo t,Ers E
Neutralized Regenerate
:Groundwater Wells
Chlorine
Potable Water Supply
Plant
Sanitary
Facilities
Stormwater
Stormwater
from Process
Area Pads
Non -process
Stormwater
BOILERS
DYMETROL
EPS TAPE
TRX
QUENCH &
QUENCH &
CUTTERS &
WASH
WASH
SCRUBBERS
1 1 1
10,000 I 10,000 1 45,0U0
78,6791 45,000 5,000
1151000—I I
1
+ BUTACITE
FLAKE
EXTRUSION
rRECYCLE
NAFION
CAUSTIC
ACID
TREATERS & FPXJ
MMF
SCRUBBERS
JSCRUBBERS
PROCESS
PROCESS &
SCRUBBERS
NEUTRAL- I DMSC
IZATION STILL
r rou Yaaa I oo,uve.. I'
102,700
[B ios . To-----ll --- ----
Landfi
Biological WWiP Mol'i.d'3
..................................10 000 1 000
BIOSOLIDS SOLID WASTE
nz 129,000 -� 65 039 i
------- ----- ----- ---------- --
�� Outfa11001
Product Loss &
Unit
Evaporation
1 67,700 -�
PVF
Phys' solids
m Separation
15 Treatment
0
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Outfall 006
DEQ-CFW 00076678

PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all
of this information on separate sheets (use the same format) instead of completing these pages.
SEE INSTRUCTIONS
E P A. I . Number (copy from Item 1 of Form 1)
NC0003573
Form Approved
OMB No. 2040 0086
An 'm --a_a1 oa
V. INTAKE & EFFLUENT CHARACTERISTICS (Continued from page 3 of Form 2-C) _ OUTFALL NO.
-YouPART A must provide the resultsat o east one analysis or every po u an In Is to e. Complete one table or eac outtall ee Instructions or a I Iona e I s. 001
2. EFFLUENT
3. UNITS
4. INTAKE (optional)
1. POLLUTANT AND CAS
NO
a. MAXIMUM DAILY VALUE
b. MAXIMUM 30 DAY VALUE (ifavailable)
b. LONG TERM AVRG. VALUE (if
available)
d. NO. OF
(Speciy if blank)
a. LONG TERM AVERAGE VALUE
ANALYSES
b NO OF
(ifavailable)
CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
aCONCENTRATION
b. MASS
(T) CONCENTRATION (2)MASS
ANALYSES
a. Biochemical
Oxygen Demand
367.0
2981.2
33.30
265.90
9.70
72.30
169
MG/L
PPD
NA
NA
NA
(BOD)
b. Chemical
Oxygen Demand
NA
NA
NA
NA
MG/L
PPD
NA
NA
NA
(COD)
c. Total Organic
Carbon (TOC)
NA
NA
NA
NA
MG/L
PPD
NA
NA
NA
d. Total Suspended
Solids (TSS)
56.0
349.3
26.70
169.80
18.90
133.20
169
MG/L
PPD
NA
NA
NA
e. Ammonia (as N)
NA
NA
NA
NA
MG/L
PPD
NA
NA
NA
I. Flow
value 1.30
value 1 0
value 0.9
395
MGD
value NA
NA
g. Temperature
value
value
value
value
(winter)
23.0
18.7
17.2
79
°C
NA
NA
h. Temperature
value
value
value
value
(summer)
30.0
23.0
21 0
88
NA
NA
Minimum
Maximum
Minimum
Maximum
i. pH
6.9
8.0
NA
NA
167
STANDARD UNITS
PART B -Mark "X" in column 2a for each pollutant you know or have reason to believe is present. Mark "X" in column 2b for each pollutant you believe to be absent.
If you mark column 2a for any pollutant which is limited either directly, or indirectly but expressly, in an effluent limitations guideline, you must provide the results
of at least one analysis for that pollutant. For other pollutants for which you mark column 2a, you must provide quantitative data or an explanation of their presence
in your discharge. Complete one table for each outfall. See the instructions for additional details and requirements.
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
b. MAXIMUM 30 DAY VALUE (if available)
c. LONG TERM AVRG. VALUE (if
b. NO. OF
a. MMIMUM DAILY VALUE
available)
a. LONG TERM AVERAGE VALUE
ANALYSES
7RES-,,,�T
D. NO. OF
1. POLLUTANT & CAS NO.
(ifavailable)
b BELIEVED
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
ANALYSES
11j
CONCENTRATION
(2)MASS
(1)CONCEN-TION (2)MASS
ABSENT
a. Bromide
X
`
NA
NA
NA
NA
(24959-67-9)
NA
NA
NA
b. Chlorine
X
NA
NA
NA
NA
Total Residual
NA
NA
NA
c. Color
X
NA
NA
NA
NA
NA
NA
NA
d. Fecal
X
NA
NA
NA
NA
Coliform
NA
NA
NA
e. Fluoride
X
NA
NA
NA
NA
( 16984-48-8 )
NA
NA
NA
f. Nitrate—
X
NA
NA
NA
NA
Nitrite (as N)
NA INA
INA
t_PA Form 3510-2c (8-90) PAGE V-1

ITEM V-B CONTINUED FROM PREVIOUS PAGE
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK " X"
b. MAXIMUM 30 DAY VALUE (i1
c. LONG TERM AVRG. VALUE (il
a. MAXIMUM DAILY VALUE
a —fable)
a table)
a. LONG TERM AVERAGE VALUE
(1favailable)
(1) CONCENTRATION (2) MASS
D. NO. OF
ANALYSES
a. BELIEVED
PRESENT
b.BELIEVED
ABSENT
(1) CONCENTRATION
(2) MASS
(i) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
d. NO. OF
ANALYSES
(1) CONCENTRATION
(2) MASS
g. Nitrogen,
Total Organic (as N)
X
NA
NA
NA
NA
NA
NA
NA
h. Oil and Grease
X
28
223
28
223
NA
NA
14
MG1
PPD
NA
NA
NA
i. Phosphorus
NA
NA
NA
(as P) , Total
X
NA
NA
NA
NA
NA
NA
NA
(7723-14-0)
NA
NA
NA
'. Radioactivity
(1) Alpha, Total
x
NA
NA
NA
NA
NA
NA
NA
(2) Beta, Total
X
NA
NA
NA
NA
NA
NA
NA
(3) Radium, total
X
NA
NA
NA
NA
NA
NA
NA
(4) Radium 226 Total
X
*
NA
NA
NA
NA
NA
NA
NA
k. Sulfate (as SO4)
(14808-79-8)
X
*
NA
NA
NA
NA
NA
NA
NA
I. Sulfide (as S)
X
*
NA
NA
NA
NA
*
NA
NA
NA
m. Sulfite (as S03)
(14265-45-3
X
NA
NA
NA
NA
NA
NA
NA
n. Surfactants
X
*
NA
NA
NA
NA
NA
NA
NA
o. Aluminum, Total
(7429-90-5)
X
NA
NA
NA
NA
NA
NA
NA
p. Barium, Total
(7440-39-3)
X
NA
NA
NA
NA
NA
NA
NA
q. Boron, Total
(7440-42-8)
X
NA
NA
NA
NA
NA
NA
NA
r. Cobalt, Total
(7440-48-4 )
X
NA
NA
NA
NA
NA
NA
NA
s. Iron, Total
(7439-89-6)
X
NA
NA
NA
NA
NA
NA
NA
I. Magnesium
(7439-95-4)
X
NA
NA
NA
NA
NA
NA
NA
u. Molybdenum, Total
(7439-98-7)
X
NA
NA
NA
NA
NA
NA
NA
v. Manganese,
(7439-96-5)
X
NA
NA
NA
NA
NA
NA
NA
w. Tin Total
X
NA
NA
NA
NA
NA
NA
NA
(7440-31-5)
x. Titanium,Total
(7440-32-6)
X
NA
NA
NA
NA
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-2 CONTINUED ON PAGE V-3

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NC0003573 1 001
Form Approved
OMB No. 2040 0086
Annrn„.I ov — A_'2t_OA
PART C - If you are a primary industry and this outfall contains process wastewater, refer to Table 2c-2 in the instructions to determine which of the GCIMS fractions
you must test for. Mark "X" in column 2 -a for all such GCIMS fractions that apply to your industry and for ALL toxic metals, cyanides, and total phenols. If you
are not required to mark column 2a (secondary industries, nonprocess wastewater outfalls, and nonrequired GCIMS fractions), mark "X" in column 2-b for each pollutant
you know or have reason to believe is present. Mark "X" in column 2-c for each pollutant you believe is absent. If you mark column 2a for any pollutant, you must
provide the results of at least one analysis for that pollutant. If you mark column 2b for any pollutant, you must provide the results of at least one analysis
for that pollutant if you know or have reason to believe it will be discharged in concentrations of 10 ppb or greater. If you mark column 2b for acrolein, acrylonitrile
2,4 dinitrophenol, or 2-methyl-4,6 dinitrophenol, you must provide the results of at least one analysis for each of these pollutants which you know or have reason
that you discharge in concentrations of 100 ppb or greater. Otherwise, for pollutants for which you mark column 2b, you must either submit at least one analysis
or briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part, please review each carefully. Complete one table
(all 7 pages) for each outfall. See instructions for additional details and requirements.
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG. VALUE
a. MAXIMUM DAILY VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
(If dvdildblfJ
(1)
d. NO. OF
(1)
b. NO. OF
a TESTING
I b. BELIEVED
c.BELIEVED
(1)
REQUIRED
PRESENT
ABSENT
(1)CONCENTRATIO (21 MASS
CONCENTRATION 2 MASS
( J
1 CONCENTRATION
( I (2) MASS
ANALYSES
CONCENTRATION
1 (2) MASS
CONCENTRATION 1 (2) MASS
ANALYSES
METALS, CYANIDE, AND TOTAL PHENOLS
1 M. Antimony
Total (7440-36-0)
X
NA
NA
NA
NA
NA
NA
NA
2M. Arsenic, Total
(7440-38-2)
X
NA
NA
NA
NA
NA
NA
NA
3M. Beryllium,
Total (7440-41-7)
X
NA
NA
NA
NA
NA
NA
NA
Cadmium,
Total (7440-43-9)
X
NA
NA
NA
NA
NA
NA
NA
Chromium, I o a
(7440-47-3)
X
NA
NA
NA
NA
NA
NA
NA
6M. Copper, Total
(7440-50-8)
X
NA
NA
NA
NA
NA
NA
NA
7M. Lead, Total
(7439-92-1)
X
NA
NA
NA
NA
NA
NA
NA
8M. Mercury, Total
(7439-97-6)
X
NA
NA
NA
NA
NA
NA
NA
9M. Nickel, Total
(7440-02-0)
X
NA
NA
NA
NA
NA
NA
NA
10M. Selenium,
Total (7782-49-2)
X
NA
NA
NA
NA
NA
NA
NA
11 M. Silver Total
(7440-22-4)
X
NA
NA
NA
NA
NA
NA
NA
12M. Thallium
Total (7440-28-0)
X
NA
NA
NA
NA
NA
NA
NA
13M. Zinc, Total
(7440-66-6)
X
NA
NA I
NA I
NA
NA
NA
NA
14M. Cyanide, Total
(57-12-5)
X
NA
NA
NA
NA
NA
NA
NA
15M. Phenols, Total
X
NA
NA
NA
NA
NA
NA
NA
DIOXIN
2,3,7,8 -TetrachloridIbenzo-P
Dioxin (1764-01-6)
X
NA
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-3 CONTINUED ON PAGE V-4

ITEM V-B CONTINUED FROM PREVIOUS PAGE
3. EFFLUENT
4. UNITS
S. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
a. MAXIMUM DAILY
h. MAXIMUM 30 DAY VALUE !il
c. LONG TERM AVRG. VALUE (J
VALUE
avalablel
avagable)
a. LONG TERM AVERAGE VALUE
(lfavailable)
d. NO OF
(I
b. NO. OF
a. TESTING
b. BELIEVED
c.BELIEVED
(1)
(1)
REQUIRED
PRESENT
ABSENT
CONCENTRATION
(2)MASS
CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
ANALYSES
(1) CONCENTRATION
(2)MASS
CONCENTRATION (21011—
ANALYSES
TILE C
1 V. Acrolein
(107-02-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
2V. Acrylonitrile (107-13-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
3V. Benzene (71-43-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
4V. Bis (Chloromethyl)
Ether (542-88-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
5V. Bromoform ( 75-25-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
6V. Carbon Tetrachloride
(56-23-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
7V. Chlorobenzene
(108-90-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
8V. Chlorodibromomethane
(124-48-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
9V. Chloroethane (75-00-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
1OV. 2 Chlorohylvinyl
Ether (110-75-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
11V. Chloroform (67-66-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
12V. Dichlorobromomethane
(75-27-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
13V. Dichlorodifluoromethane
(75-71- 8)
X
NA
NA
NA
NA
NA
NA
NA
NA
14V. 1,1 Dichloroethane
(75-34-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
15V. 1,2 Dichloroethane
(107-06-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
16V. 1,1 Dichloroethylene
(75-35-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
17V. 1,2 Dichloropropane
(78-87-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
18V. 1,3 Dichloropropylene
(542-75-6)
X
NA
NA
NA
NA
NA
NA
NA
NA
19V. Ethylbenzene(100-41-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
2CV. Methyl Bromide
(74-83-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
21V. Methyl Chloride
(74-87-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
r-rH r-orm so-lu-zu u-gut PAGE V-4 CONTINUED ON PAGE V-5

!1 1 , ,
-�J"i, 5 07
DEQ-CFW-00076683

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V4 I NC0003573 1 001
Form Approved
OMB No. 2040 0086
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
a. MAXIMUM DAILY
b. MAXIMUM SO DAY VALUE (il
c. LONG TERM AVRG. VALUE (,f
VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
c.BELIEVED
ABSENT
(1)CONCENTRATION
(2)MASS
(�)
CONCENTRATION
(2)MASS
(�)
CONCENTRATION
(2)MASS
(�)
CONCENTRATION
(2) MASS
(If avalldble)
tl. NO. OF
ANALYSES
(�)
CONCENTRATION (2) MASS
b. NO. OF
ANALYSES
GC/MS FRACTION —VOLATILE
COMPOUNDS
(continued)
22V Methylene Chloride
(75-09-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
23V.1,1,2,2 Tetrachloro-
ethane (79-34-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
24V. Tetrachloroethylene
(127-18-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
25V. Toluene (108-88-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
26V. 1,2-TransDichloro-
ethylene (156-60-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
27V. 1,1,1 Trichloroethane
(71-55-6)
X
NA
NA
NA
NA
NA
NA
NA
NA
28V. 1,1,2 Trichloroethane
(79-00-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
29V. Trichloroethylene
(79-01-6)
X
NA
NA
NA
NA
NA
NA
NA
NA
30V. Trichlorofluoro-
methane (75-69-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
31 V. Vinyl Chloride
(75-01-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
GC/MS FRACTION —ACID COMPOUNDS
1A. 2 Chlorophenol
(95-57-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
2A 2,4 Dichlorohenol
(120-83-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
3A. 2,4 Dimethylphenol
(105-67-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
4A 4,6 Dinitro-O-Cresol
(534-52-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
5A. 2,4 Dinitrohenol
(51-28-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
6A.2-Nitrophenol(88-75-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
7A4-Nitrophenol(100-02-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
8A. P-Chloro-M-Cresol
59-50-7
X
NA
NA
NA
NA
NA
NA
NA
NA
9A. Pentachlorophenol
(87-86-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
10A. Phenol (108-95-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
11A. 2,4,6 Trichloro-
phenol (88-06-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-5 CONTINUED ON PAGE V-6

CONTINUED FROM PAGE V-6
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (if
c. LONG TERM AVRG. VALUE (if
VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
a TESTING
REQUIRED
b. BELIEVED
PRESENT
c.BELIEVEO
ABSENT
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1)CONCENTRATION
(2)MASS
(/(available)
d_ NO. OF
ANALYSES
1) CONCENTRATION (2)MASS
b NO OF
ANALYSES
BASE/NEUTRAL COMPOUNDS
iB. Acenaphthene
(83-32-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
2B. Acenaphtylene
(208-96-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
313. Anthracene (120-12-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
4B. Benzidine (92-87-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
5B. Benzo (a)
Anthracene (56-55-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
6B. Benzo (a)
Pyrene (50-32-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
763,4 Benzofluororanthene
(205-99-2)
X
NA
NA
NA
NA
NA
NA
NA
NA -
813. Benzo(ghi)Perylene
(191-24-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
9B. Benxo (k)
Fluoranthene (207-08-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
10B. Bis(2-Chloroethoxy)
Methane (111-91-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
11 B. Bis(2-Chloroethyl)
Ether (111-44-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
12B Bis(2Chlorolsopropyl)
Ether (102-60-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
13B. Bis(2-Elthylhexyl)
Phthalate (117-81-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
1413.413romophenyftenyl
Ether (101-55-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
15B. Butyl Benzyl
Phthalate (85-68-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
16B. 2-Chloronapthalene
(91-58-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
17B.2-Chlorophenyl Phenyl
Ether (7005-72-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
18B.Chrysene(218-01-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
19B. Dibenzo (a,h)
Anthracene (53-70-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
20B. 1,2 Dichlorobenzene
(95-50-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
21B. 1,3 Dichlorobenzene
(541-73-1) 1X
INA
NA
NA
NA
NA
NA
NA
NA
tPA Form 3510-2C (8-90) PAGE V-6 CONTINUED ON PAGE V-7

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-6 NC0003573 nn1
Form Approved
OMB No. 2040 0086
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (if
c. LONG TERM AVRG. VALUE (if
VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
BELIEVED
ABSENT
(1) CONCENTRATION
(2)MASS
(1) CONCENTFATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(If available)
tl NO. OF
ANALYSES
(1) CONCENTRATION (2)MASS
U NO OF
ANALYSES
OCIMS FRACTION—B
OMPOUNDS (Continued)
22B. 1,4 Dichlorobenzene
(106-46-7)
X NA NA NA NA NA
NA
NA
NA
23B.3,3' Dichlorobenzidine
(91-94-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
24B. Diethyl Phthalate
(84-66-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
25B. Dimethyl Phthalate
(131-11-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
266. Di-N-Butyl-
Phthalate (84-74-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
27B. 2,4 Dinitro
toluene (121-14-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
28B. 2,6 Dinitrotoluene
(606-20-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
29B. Di-N-Octyl Phthalate
(117-84-0)
X
NA
NA
NA
NA
NA
NA
NA
NA'
30B. 1 2 Diphenylhydrazine
(as Azobenzene) (122-66-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
31 B. Fluoranthene
(206-44-0)
X
NA
NA
NA
NA
NA
NA
NA
NA
32B. Fluorene (86-73-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
33B. Hexachlorobenzene
(118-74-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
3413. Hexachlorobutadiene
(87-68-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
35B. Hexachlorocyclo-
pentadiene (77-47-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
36B. Hexachloroethane
(67-72-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
37B.Indeno1,2,3 cdPyrene
(193-39-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
38B. Isophorone
(78-59-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
39B. Naphthalene (91-20-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
40B.Nitrobenzene (98-95-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
41 B. N-Nitrosodime-
thylamine (62-75-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
42B. N-Nitrosodi-N-
Propylamine (621-64-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
tPA Form 3510-2C (8-90) PAGE V-7 CONTINUED ON PAGE V-8

CONTINUED FROM PAGE V-7
1. POLLUTANT AND CASE NO
(lf available)
2. MARK "X"
3. EFFLUENT
4. UNITS
S. INTAKE (ophbnal)
a. MAXIMUM DAILY
VALUE
b. MAXIMUM 30 DAY VALUE (tl
available)
P. LONG TERM AVRG. VALUE (il available;
4 N
a. LONG TERM AVERAGE VALUE
(1) CONCENTRATION (2)MASS
b. No. OF
ANALYSES
a TESTING I b BELIEVED
REQUIRED PRESENT
[.BELIEVED
ABSENT
(1)CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1)CONCFN I L/TON
(2)HASS
GCfMS FRACTION—B
43BN-NItrosodIphenylamIne
(86-30-6)
RALWMPOUNDIR
X
,
NA
NA
NA
NA Nfr
NA
NA
NA
44B. Phenanthrene
(85-01-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
45B. Pyrene (129-00-0)
X
NA
NA
NA
NA
NA
NA
NA
NA
46B. 1,2,4Trihlorobenzene
(120-82-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
GC/MS FRACTION —PESTICIDES
1P. Aldrin (309-00-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
2P. a-BHC (319-84-6)
X
NA
NA
NA
NA
NA
NA
NA
NA
3P. 3-1311C (319-85-7)
X
NA
NA
NA
NA
NA
NA
NA
NA -
4P. y-BHC (58-89-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
5P. 6-13HC (319-86-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
6P. Chlordane (57-74-9)
X
NA
NA
NA
NA
NA
NA
NA
NA,
7P. 4,4' DDT (50-29-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
8P. 4.4' DDE (72-55-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
9P. 4,4' DDD (72-54-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
10P. Diedrin (60-57-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
11 P. u-Endosulfan
(115-29-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
12P. j3-Endosulfan
(115-29-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
13P. Endosulfan Sulfate
(1031-07-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
14P. Endrin (72-20-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
15P. Endrin Aldehyde
(7421-93-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
16P. Heptachlor
(76-44-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
tNA corm 351U-zc (8-9U) PAGE V-8 CONTINUED ON PAGE V-9

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-8 I NC0003573 1 001
Form Approved
OMB No, 2040 0086
Gnnr—1 c c A_11_OA
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
b. MAXIMUM 30 DAY VALUE (if
c. LONG TERM AVRG. VALUE (if
a. MAXIMUM DAILY VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
(Ifavailable)
(7) CONCENTRATION (2) MASS
b. NO. OF
ANALYSES
EL�
VED
NT
c.BELIEVED
ABSENT
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(t) CONCENTRATIO71111ASS
d. NO OF
ANALYSES
(1) CONCENTRATION
(2) MASS
GC/MS FRACTION -PESTICIDES
(Continued)
17P. Heptachlor
Epoxide (1024-57-3)
X
NA
NA
NA
NA
NA
NA
NA
18P. PCB-1242
(53469-21-9)
X
NA
NA
NA
NA
*
NA
NA
NA
19P. PCB-1254
(11097-69-1)
X
NA
NA
NA
NA
*
NA
NA
NA
20P. PCB-1221
(11104-28-2)
X
NA
NA
NA
NA
NA
NA
NA
21 P. PCB-1232
(1114-16-5)
X
NA
NA
NA
NA
*
*
*
NA
NA
NA
22P. PCB-1248
'
(12672-29-6)
X
NA
NA
NA
NA
*
NA
NA
NA
23P. PCB-1260
(11096-82-5)
X
NA
NA
NA
NA
NA
NA
NA
24P. PCB-1016
(12674-11-2)
X
NA
NA
NA
NA
NA
NA
NA
25P.Toxaphene
(8001-35-2)
X
NA
NA
NA
NA
NA
NA
NA
rrH rorm saiu-zc (ts-au) PAGE V-9

E.P. A. I . Number (copy from Item 1 of Form 1)
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all NC0003573 Form Approved
of this information on separate sheets {use the same format) instead of completing these pages. OMB No, 2040 0086
SEE INSTRUCTIONS
Annrnval arnirnc A-`1-OA
V. INTAKE & EFFLUENT CHARACTERISTICS (Continued from page 3 of Form 2-C) 11 OUTFALL NO.
PART A -You must provide the results of at least one analysis for every pollutant In this table. -Complete one table for each outfall. See Instructions tor additional etas s. 002
2. EFFLUENT
3. UNITS
4. INTAKE (optional)
1. POLLUTANT AND CAS
NO
a. MAXIMUM DAILY VALUE
b. MAXIMUM 30 DAY VALUE (i/available)
b. LONG TERM AVRG. VALUE (ifavailable)
d. NO. OF
(Specify i/blank)
a. LONGTERM AVERAGE VALUE
(1)
ANALYSES
(1)RATION
b. NO OF
(flavailable)
CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
aCONCENTRATION
b. MASS
CONCENT(2)MASS
ANALYSES
a. Biochemical
Oxygen Demand
212.0
9775.7
106.00
4887.90
26.50
1222.00
5
MG/L
PPD
NA
NA
NA
(BOD)
b. Chemical
Oxygen Demand
102.0
11291.9
102.0
11291.9
57.8
4853.2
4
MG/L
PPD
NA
NA
NA
(COD)
c. Total Organic
Carbon (TOC)
NA
NA
NA
NA
MG/L
PPD
NA
NA
NA
d. Total Suspended
Solids (TSS)
NA
NA
NA
NA
MG/L
PPD
NA
NA
NA
e. Ammonia (as N)
'
NA
NA
NA
NA
'
MG/L
PPD
NA
NA
NA
f. Flow
value 18.60
value 16.3
value 10.6
396
MGD
value NA
NA
g. Temperature
value
value
value
value
22.0
16.7
14.9
128
°C
(winter)
NA
NA
h. Temperature
value
value
value
value
surnrner
( )
39.0
32.2
25.8
146
°C
NA
NA
Minimum
Maximum
Minimum
Maximum
i. pH
6.2
8.6
NA
NA
274
STANDARD UNITS
PART B -Mark "X" in column 2a for each pollutant you know or have reason to believe is present. Mark "X" in column 2b for each pollutant you believe to be absent.
If you mark column 2a for any pollutant which is limited either directly, or indirectly but expressly, in an effluent limitations guideline, you must provide the results
of at least one analysis for that pollutant. For other pollutants for which you mark column 2a, you must provide quantitative data or an explanation of their presence
in your discharge. Complete one table for each outfall. See the instructions for additional details and requirements.
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
b. MAXIMUM 30 DAY VALUE (if available)
c. LONG TERM AVRG. VALUE (ifavailable)
b. NO. OF
e. MAXIMUM DAILY VALUE
a. LONG TERM AVERAGE VALUE
ANALYSES
a. BELIEVED
PRESENT
b. BELIEVED
ABSENT
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
D NO. OF
ANALYSES
CONCENTRATION
(2) MASS
1. POLLUTANT & CAS NO.
(ifavailable)
CONCENTRATION (2) MASS
a. Bromide
X
NA
NA
NA
NA
'
(24959-67-9)
NA
NA
NA
b. Chlorine
X
NA
NA
NA
NA
Total Residual
NA
NA
NA
c. Color
X
NA
NA
NA
NA
NA
NA
NA
d. Fecal
X
NA
NA
NA
NA
'
Coliform
NA
NA
NA
e. Fluoride
X
NA
NA
NA
NA
( 16984-48-8)
I I
I
NA I
NA
NA
f. Nitrate—
X
NA
NA
NA
NA
Nitrite (as N)
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-1

ITEM V-B CONTINUED FROM PREVIOUS PAGE
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
b. MAXIMUM 30 DAY VALUE (d
c. LONG TERM AVRG. VALUE (if
a. MAXIMUM DAILY VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
(Ifavailable)
(1) CONCENTRATION (2)MASS
(1 CONCENTRATION (2) MASS
(1) CONCENTRATION (2) MASS
U.NO OF
ANALYSES
(7) CONCENTRATION (2) MASS
b. NO. OF
ANALYSES
a. BELIEVED
PRESENT
b.BELIEVEO
ABSENT
(1) CONCENTRATION
(2) MASS
g. Nitrogen,
X
NA
NA
NA
NA
NA
NA
NA
Total Organic (as N)
h. Oil and Grease
X
NA
NA
NA
NA
NA
NA
NA
i. Phosphorus
NA
NA
NA
(as P) , Total
X
1.3
152.3
1.3
152.3
0.35
36.1
12
MG/i
PPD
NA
NA
NA
(7723-14-0)
NA
NA
NA
J. Radioactivity
(1) Alpha, Total
X
NA
NA
NA
NA
NA
NA
NA
(2) Beta, Total
X
NA
NA
NA
NA
NA
NA
NA
(3) Radium, total
X
NA
NA
NA
NA
*
NA
NA
NA
(4) Radium 226 Total
X
NA
NA
NA
NA
NA
NA
NA
k. Sulfate (as SO4)
(14808-79-8)
X
NA
NA
NA
NA
NA
NA
NA
I. Sulfide (as S)
X
*
NA
NA
NA
NA
NA
NA
NA
m. Sulfite (as S03)
(14265-45-3
X
*
NA
NA
NA
NA
NA
NA
NA
n. Surfactants
X
NA
NA
NA
NA
NA
NA
NA
o. Aluminum, Total
(7429-90-5)
X
NA
NA
NA
NA
NA
NA
NA
p. Barium, Total
(7440-39-3)
X
NA
NA
NA
NA
NA
NA
NA
q. Boron, Total
(7440-42-8)
X
NA
NA
NA
NA
NA
NA
NA
r. Cobalt, Total
(7440-48-4 )
X
NA
NA
NA
NA
NA
NA
NA
s. Iron, Total
(7439-89-6)
X
NA
NA
NA
NA
NA
NA
NA
t. Magnesium
(7439-95-4)
X
NA
NA I
NA
NA
NA
NA
NA
u. Molybdenum, Total
(7439-98-7)
X
NA
NA
NA
NA
NA
NA
NA
v. Manganese,
(7439-96-5)
X
NA
NA
NA
NA
NA
NA
NA
w. Tin Total
X
NA
NA
NA
NA
NA
NA
NA
(7440-31-5)
x. Titanium,Total
(7440-32-6)
X
NA
NA
NA
NA
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-2 CONTINUED ON PAGE V-3

EPA I.D. NUMBER (copy from Hem 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NC0003573 1 002
Form Approved
OMB No. 2040 0086
Annrn„?I n. .'ec 8_11 QA
PART C - If you are a primary industry and this outfall contains process wastewater, refer to Table 2c-2 in the instructions to determine which of the GCIMS fractions
you must test for. Mark "X" in column 2 a for all such GCIMS fractions that apply to your industry and for ALL toxic metals, cyanides, and total phenols. If you
are not required to mark column 2a (secondary industries, nonprocess wastewater outfalls, and nonrequired GCIMS fractions), mark "X" in column 2-b for each pollutant
you know or have reason to believe is present. Mark "X" in column 2-c for each pollutant you believe is absent. If you mark column 2a for any pollutant, you must
provide the results of at least one analysis for that pollutant. If you mark column 2b for any pollutant, you must provide the results of at least one analysis
for that pollutant if you know or have reason to believe it will be discharged in concentrations of 10 ppb or greater. If you mark column 2b for acrolein, acrylonitrile
2,4 dinitrophenol, or 2-methyl-4,6 dinitrophenol, you must provide the results of at least one analysis for each of these pollutants which you know or have reason
that you discharge in concentrations of 100 ppb or greater. Otherwise, for pollutants for which you mark column 2b, you must either submit at least one analysis
or briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part, please review each carefully. Complete one table
(all 7 pages) for each outfall. See instructions for additional details and requirements.
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK' X"
b. MAXIMUM 30 DAY VALUE (J
c. LONG TERM AVRG. VALUE (il
a. MAXIMUM DAILY VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
(lfavailable)
a. TESTING
b. BELIEVED
c.BELIEVED
(�)
b. NO, OF
O
(�)
b. NO, OF
REQUIRED
PRESENT
ABSENT
(1) CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES
CONCENTRATION
(2) MASS
CONCENTRATION (2) MASS
ANALYSES
METALS, CYANIDE, AND TOTAL PHENOLS
1 M. Antimony
Total (7440-36-0)
X
NA
NA
NA
NA
NA
NA
NA
2M. Arsenic, Total
(7440-38-2)
X
NA
NA
NA
NA
NA
NA
NA
3M. Beryllium,
Total (7440-41-7)
X
NA
NA
NA
NA
NA
I NA
NA
a mlum,
total (7440-43-9)
X
NA
NA
NA
NA
NA
NA
NA
Chromium, o a
(7440-47-3)
X
NA
NA
NA
NA
NA
NA
NA
6M. Copper, Total
(7440-50-8)
X
NA
NA
NA
NA
NA
NA
NA
7M. Lead, Total
(7439-92-1)
X
NA
NA
NA
NA
NA
NA
NA
8M. Mercury, Total
(7439-97-6)
X
NA
NA
NA
NA
NA
NA
NA
9M. Nickel, Total
(7440-02-0)
X
NA
NA
NA
NA
NA
NA
NA
10M. Selenium,
Total (7782-49-2)
X
NA
NA
NA
NA
NA
NA
NA
11 M. Silver Total
(7440-22-4)
X
NA
NA
NA
NA
NA
NA
NA
12M. Thallium
Total (7440-28-0)
X
NA
NA
NA
NA
NA
NA
NA
13M. Zinc, Total
(7440-66-6)
X
NA
NA
NA
NA
NA
NA
NA
14M. Cyanide, Total
(57-12-5)
X
NA
NA
NA
NA
NA
NA
NA
15M. Phenols, Total
X
NA
NA
NA
NA
NA
NA
NA It
etrachloridibenzo PNA
t78
64-01-6)
X
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-3 CONTINUED ON PAGE V-4

ITEM V-13 CONTINUED FROM PREVIOUS PAGE
1. POLLUTANT AND CASE NO
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
a. MAXIMUM DAILY
b. MAXIMUM 10 DAY VALUE (,f
c. LONG TERM AVRG. VALUE (i/
VALUE
available)
a vailablc)
a. LONG TERM AVERAGE VALUE
(/(available)
d. NO OF
ANALYSES
(1)
CONCENTRATION III MA
b NO OF
ANALYSES
a. TESTING
REQUIRED
I b. BELIEVED
PRESENT
c.BELIEVED
ABSENT
(1)
CONCENTRATION
(21 MA-
(1)
CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1)CONCENTRATION
(2)MASS
C/MS FRACTNEEMENEF COMPOUNDS
1 V. Acrolein
(107-02-8) X
NA
NA
NA
NA
NA
NA
NA
NA
2V. Acrylonitrile (107-13-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
3V. Benzene (71-43-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
4V. Bis (Chloromethyl)
Ether (542-88-1)
X
NA
NA
NA
NA
I NA
NA
NA
NA
5V. Bromoform ( 75-25-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
6V. Carbon Tetrachloride
(56-23-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
7V. Chlorobenzene
(108-90-7)
x
NA
NA
NA
NA
NA
NA
NA
NA
8V. Chlorodibromomethane
(124-48-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
9V. Chloroethane (75-00-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
1OV. 2 Chlorohylvinyl
Ether (110-75-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
11V. Chloroform (67-66-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
12V. Dichlorobromomethane
(75-27-4)
X
NA
NA
NA
NA
NA
NA
NA I
NA
13V. Dichlorodifluoromethane
(75-71- 8)
X
NA
NA
NA
NA
NA
NA
NA
NA
14V. 1,1 Dichloroethane
(75-34-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
15V. 1,2 Dichloroethane
(107-06-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
16V. 1,1 Dichloroethylene
(75-35-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
17V.1,2 Dichloropropane
(78-87-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
18V. 1,3 Dichloropropylene
(542-75-6)
X
NA
NA
NA
NA
NA
NA
NA
NA
19V. Ethylbenzene(100-41-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
20V. Methyl Bromide
(74-83-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
21V. Methyl Chloride
(74-87-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
tVA t-orm stiu-zL; is -au) PAGE V4 CONTINUED ON PAGE V-5

—1
EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-4 I NC0003573 1 002
Form Approved
OMB No. 2040 0086
e....—,—
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
a. MAXIMUM DAILY
b. MAXIMUM 70 DAY VALUE
c. LONG TERM AVRG. VALUE (iI
VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
a. TESTING
b. BELIEVED
c.BELIEVED
(1)
(1)TION
11
(/available
( )
I NO OF
ANALYSES
(1)
1 NO. OF
REQUIRED
PRESENT
ABSENT
(1) CONCENTRATION
(2)MASS
CONCENTRATION
(2)MASS
CONCENTRA
(2) MASS
CONCENTRATION
(2) MASS
CONCENTRATION (2J MASS
ANALYSES
GC/MS FRACTION —VOLATILE
COMPOUNDS
(continued)
22V Methylene Chloride
(75-09-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
23V.1,1,2,2 Tetrachloro-
ethane (79-34-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
24V. Tetrachloroethylene
(127-18-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
25V. Toluene (108-88-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
26V. 1,2-Tra nsDichloro-
ethylene (156-60-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
27V. 1,1,1 Trichloroethane
(71-55-6)
X
NA
NA
NA
NA
NA
NA
NA
NA
28V. 1,1,2 Trichloroethane
(79-00-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
29V. Trichloroethylene
(79-01-6)
X
NA
NA
NA
NA
NA
NA
NA
NA
30V. Trichlorofluoro-
methane (75-69-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
31V. Vinyl Chloride
(75-01-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
GC/MS FRACTION —ACID COMPOUNDS
1A. 2 Chlorophenol
(95-57-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
2A 2,4 Dichlorohenol
(120-83-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
3A. 2,4 Dimethylphenol
(105-67-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
4A 4,6 Dinitro-O-Cresol
(534-52-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
5A. 2,4 Dinitrohenol
(51-28-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
6A.2-Nitrophenol(88-75-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
7A4-Nitrophenol(100-02-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
8A. P-Chloro-M-Cresol
59-50-7
X
NA
NA
NA
NA
NA
NA
NA
NA
9A. Pentachlorophenol
(87-86-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
10A. Phenol (108-95-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
11A. 2,4,6 Trichloro-
phenol (88-06-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-5 CONTINUED ON PAGE V-6

CONTINUED FROM PAGE V-6
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (,l
c. LONG TERM AVRG. VALUE (,f
VALUE
available)
available)
a. LONGTERM AVERAGE VALUE
a TESTING
REQUIRED
b BELIEVED
PRESENT
c BELIEVED
ABSENT
(i)CONCENTRATION
12)MAS$
(1)CONCENTRATION
(2)MASS
(1)CONCENTRATKNJ
(2)MASS
(1)CONCENTRATION
(2)MASS
(Ifavailable)
d NO. OF
ANALYSES
(1)CONCENTRATION (2)MASS
b NO OF
aNALYSES
GC/MS FRACTION—BASE/NE
S
1 B Acenaphthene
(83-32-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
2B. Acenaphtylene
(208-96-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
3B. Anthracene (120-12-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
4B. Benzidine (92-87-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
5B. Benzo (a)
Anthracene (56-55-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
6B. Benzo (a)
Pyrene (50-32-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
7B3,4 BenzoFluororanthene
(205-99-2)
X
NA
NA
NA
NA
NA
NA
NA
NA -
8B. Benzo(ghi)Peryiene
(191-24-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
9B. Benxo (k)
Fluoranthene (207-08-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
10B. Bis(2-Chloroethoxy)
Methane (111-91-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
11 B. Bis(2-Chloroethyl)
Ether (111-44-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
12B Bis(2Chlorolsopropyl)
Ether (102-60- 1 )
X
NA
NA
NA
NA
NA
NA
NA
NA
13B. Bis(2-Elthylhexyl)
Phthalate (117-81-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
14BABromophenylPhenyl
Ether (101-55-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
158. Butyl Benzyl
Phthalate (85-68-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
16B. 2-Chloronapthalene
(91-58-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
17B.2-Chlorophenyl Phenyl
Ether (7005-72-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
18B.Chrysene(218-01-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
19B. Dibenzo (a,h)
Anthracene (53-70-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
20B. 1,2 Dichlorobenzene
(95-50-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
21B. 1,3 Dichlorobenzene
(541-73-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
crA Form 35lu-2C (6-au) PAGE V-6 CONTINUED ON PAGE V-7

JUN -6 07
DEQ-CFW-00076695

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-6 NC0003573 nn,
Form Approved
OMB No, 2040 0086
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK -X-
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE
c. LONGTERM AVRG. VALUE (rr
VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
a TESTING
REQUIRED
b. BELIEVED
PRESENT
c BELIE`✓EU
..
(1,CONCENTRATION
ll7t.I4SS
(1)C1jNCEJTR—nN
(2)Mv 6S,
I )CONCENTRATION
(2)MASS
1) CONCE NTRATION
(2)MASS
(Ifavailable)
b NO OF
ANALYSES
(1) CONCENTRATION (2)MASS
b NO OF
ANALYSES
GC/MS FRACTION—BASE/NEUTRAL
POUNDS (Continued) - -
22B. 1 A Dichlorobenzene
(106-46-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
23B.3,3' Dichlorobenzidine
(91-94-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
24B. Diethyl Phthalate
(84-66-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
25B. Dimethyl Phthalate
(131-11-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
26B. Di-N-Butyl-
Phthalate (84-74-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
27B. 2A Dinitro
toluene (121-14-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
28B. 2,6 Dinitrotoluene
(606-20-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
29B. Di-N-Octyl Phthalate
(117-84-0)
X
NA
NA
NA
NA
NA
NA
NA
NA
30B. 1 2 Diphenylhydrazine
(as Azobenzene) (122-66-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
31 B. Fluoranthene
(206-44-0)
X
NA
NA
NA
NA
NA
NA
NA
NA
32B. Fluorene (86-73-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
33B. Hexachlorobenzene
(118-74-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
34B. Hexachlorobutadiene
(87-68-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
35B. Hexachlorocyclo-
pentadiene (77-47-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
36B. Hexachloroethane
(67-72-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
37B.Indeno1,2,3 cdPyrene
(193-39-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
3813. Isophorone
(78-59-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
39B. Naphthalene (91-20-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
40B.Nitrobenzene (98-95-3)
X
NA
NA
NA
NA
NA
NA
NA
NA
41 B. N-Nitrosodime-
thylamine (62-75-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
42B. N-Nitrosodi-N-
Propylamine (621-64-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
t-FAForm3510-ZC (B-90) PAGE V-7 CONTINUED ON PAGE V-8

CONTINUED FROM PAGE V-7
1. POLLUTANT AND CASE NO
(if available)
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (opfonal)
a- MAXIMUM DAILY
VALUE
b. MAXIMUM 30 DAY VALUE (d
avalable)
c. LONG TERM AVRG. VALUE (J—dable)
d, NO. OF
ANALYSE$
a. LONG TERM AVERAGE VALUE
(1)CONCENTRATION (2)MASS
b. NO. OF
ANALYSES
a TESTING
REOUIREO
b. BELIEVED
PRESENT
c BELIEVED
ABSEIJT
.rN,.EI ual ,`
7: 1.1„ti�
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MAS$
(1) CONCENTRATION
(2)MA$S
GC/MS FRACTION—BASE/NEUTRAL COMPOUNDS
43BN-Nitrosodiphenylamine
(86-30-6) X
(Continued)
NA
NA
NA NA
NA
NA
NA
44B. Phenanthrene
(85-01-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
45B. Pyrene (129-00-0)
X
NA
NA
NA
NA
NA
NA
NA
NA
46B. 1,2,4Trihlorobenzene
(120-82-1)
X
NA
I NA
NA
NA
NA
NA
NA
NA
0AS FRACTION —PESTICIDES
1P. Aldrin (309-00-2)
X
NA
NA
NA
NA
NA
NA
NA
NA
2P. u-BHC (319-84-6)
X
NA
NA
NA
NA
NA
NA
NA
NA
3P. (1-BHC (319-85-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
4P. y-BHC (58-89-9)
X
NA
NA
NA
NA
NA
NA
NA
_
NA
5P. 6-13HC (319-86-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
6P. Chlordane (57-74-9)
X
NA
NA
NA
NA
NA
NA
NA
NAB
7P. 4,4' DDT (50-29-3)
X
*
NA
NA
NA
NA
NA
NA
NA
NA
8P. 4.4' DDE (72-55-9)
X
NA
NA
NA
NA
NA
NA
NA
NA
9P. 4,4' DDD (72-54-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
1 OP. Diedrin (60-57-1)
X
NA
NA
NA
NA
NA
NA
NA
NA
11 P. u-Endosulfan
(115-29-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
12P. (3-Endosulfan
(115-29-7)
X
NA
NA
NA
NA
NA
NA
NA
NA
13P. Endosulfan Sulfate
(1031-07-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
14P. Endrin (72-20-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
15P. Endrin Aldehyde
(7421-93-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
16P. Heptachlor
(76-44-8)
X
NA
NA
NA
NA
NA
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-8 CONTINUED ON PAGE V-9

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-8 I NC0003573 1 002
Form Approved
OMB No. 2040 0086
Ate.,... l o A_11 oa
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
b. MAXIMUM 30 DAY VALUE (if
c. LONG TERM AVRG. VALUE (if
a. MAXIMUM DAILY VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
(Ifavailable)
(1) CONCENTRATION (2) MASS
(1) CONCENTRATION (2) MASS
(1) CONCENTRATION (2) MASS
d NO. OF
ANALYSES
(1) CONCENTRATION (2) MASS
b NO OF
ANALYSES
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
c.BEUE1E1
ABSENT
(1) CONCENTRATION
12) MASS
GC/MS FRACTION —PESTICIDES (Continued)
17P. Heptachlor
Epoxide (1024-57-3)
X
NA
NA
NA
NA
NA
NA
NA
18P. PCB-1242
(53469-21-9)
X
NA
NA
NA
NA
NA
NA
NA
19P. PCB-1254
(11097-69-1)
X
NA
NA
NA
NA
NA
NA
NA
20P. PCB-1221
(11104-28-2)
X
NA
NA
NA
NA
*
NA
NA
NA -
21 P. PCB-1232
(1114-16-5)
X
NA
NA
NA
NA
*
NA
NA
NA
22P. PCB-1248
(12672-29-6)
X
NA
NA
NA
NA
NA
NA
NA
23P. PCB-1260
(11096-82-5)
X
NA
NA
NA
NA
NA
NA
NA
24P. PCB-1016
(12674-11-2)
X
NA
NA
NA
NA
*
NA
NA
NA
25P.Toxaphene
(8001-35-2)
X
NA
NA
NA
NA
NA
FNAT
A
rrN rorm 3D IU-ZL, to-uu) PAGE V-9

E P. A I . Number (copy from Item 1 of Form 1)
PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all NC0003573 Form Approved
of this information on separate sheets fuse the same format) instead of completing these pages. OMB No. 2040 0086
SEE INSTRUCTIONS
Annmval e><nirec A-31-PA
V. INTAKE & EFFLUENT CHARACTERISTICS (Continued from page 3 of Form 2-C) OUTFALL NO.
PART A -You must provide the results of at least one analysis for every pollutant in—t-F—istable. Complete one table for each o—uTall. See Instructions foradditional details. 006
2. EFFLUENT
3. UNITS
4. INTAKE (oplional)
1. POLLUTANT AND CAS
NO
a. MAXIMUM DAILY VALUE
b. MAXIMUM 30 DAY VALUE (if available)
b. LONG TERM AVRG. VALUE (i/ available)
d. NO. OF
(Specify it blank)
a. LONGTERM AVERAGE VALUE
ANALYSES
b.NO.OF
(if available)
CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
a CONCENTRATION
b. MASS
CONCENTRATION (2)MASS
ANALYSES
a. Biochemical
Oxygen Demand
N/A
N/A
NA
NA
NA
NA
N!A
MG/L
PPD
NA
NA
NA
(BOD)
b. Chemical
Oxygen Demand
N/A
N/A
NA
NA
NA
NA
N/A
MG/L
PPD
NA
NA
NA
(COD)
c. Total Organic
Carbon (TOC)
N/A
N/A
NA
NA
NA
NA
N/A
MG/L
PPD
NA
NA
NA
d. Total Suspended
Solids (TSS)
NA
NA
NA
NA
N/A
MG/L
PPD
NA
NA
NA
e. Ammonia (as N)
N/A
N/A
NA
NA
NA
NA
N/A
MG/L
PPD
NA
NA
NA
f. Flow
value N/A
value NA NA
value NA
N/A
MGD
value NA
NA
g. Temperature
value N/A
value NA NA
value NA
N/A
value
winter
oC
NA
NA
h. Temperature
value
value
value
value
(summer)
N/A
NA NA
NA
N/A
°C
NA
NA
Minimum
Maximum
Minimum
Maximum
i
i. pH
N/A
N/A
NA
NA
N/A
STANDARD UNITS
PART B -Mark "X" in column 2a for each pollutant you know or have reason to believe is present. Mark "X" in column 2b for each pollutant you believe to be absent.
If you mark column 2a for any pollutant which is limited either directly, or indirectly but expressly, in an effluent limitations guideline, you must provide the results
of at least one analysis for that pollutant. For other pollutants for which you mark column 2a, you must provide quantitative data or an explanation of their presence
in your discharge. Complete one table for each outfall. See the instructions for additional details and requirements.
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
b. MAXIMUM 30 DAY VALUE (if available)
c. LONG TERM AVRG. VALUE (if available)
b. NO. OF
a. MAXIMUM DAILY VALUE
a. LONG TERM AVERAGE VALUE
ANALYSES
a BELIEVED
b. BELIEVED
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
D. NO. OF
ANALYSES
(1)
CONCENTRATION
(2)MASS
1. POLLUTANT & CAS NO.
(ifavailable)
t1) (2)MASS
PRESENT
ABSENT
CONCENTRATION
a. Bromide
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
(24959-67-9)
NA
NA
NA
b. Chlorine
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
Total Residual
INA
NA
NA
C. Color
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
d. Fecal
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
Coliform
NA
NA
NA
e. Fluoride
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
( 16984-48-8 )
NA
NA
NA
f. Nitrate—
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
Nitrite (as N)
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-1

ITEM V-B CONTINUED FROM PREVIOUS PAGE
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK 'W'
b. MAXIMUM 30 DAY VALUE ff
c. LONG TERM AVRG. VALUE (if
a. MAXIMUM DAILY VALUE
available)
avaJablci
a. LONG TERM AVERAGE VALUE
(1(available)
(1)CONCENTRATION (2)MASS
b. NO OF
ANALYSES
a. BELIEVED
PRESENT
b.BELIEVED
ABSENT
(1) CONCENTRATION
(2)MASS
(I I CONCENTRATION
(2)MASS
(i) CONCENTRATION
(2)MASS
b NO. OF
ANALYSES
(1)CONCENTRATION
(2)MASS
g. Nitrogen,
Total Organic (as N)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
h. Oil and Grease
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
i. Phosphorus
NA
NA
NA
(as P), Total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(7723-14-0)
NA
NA
NA
J. Radioactivity
(1) Alpha, Total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(2) Beta, Total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(3) Radium, total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(4) Radium 226 Total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
k. Sulfate (as SO4)
(14808-79-8)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
I. Sulfide (as S)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
m. Sulfite (as S03)
(14265-45-3
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
n. Surfactants
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
o. Aluminum, Total
(7429-90-5)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
p. Barium, Total
(7440-39-3)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
q. Boron, Total
(7440-42-8)
X
N/A
N/A
NA
NA
NA
NA
N/A
NA
NA
NA
N/A
N/A
r. Cobalt, Total
Cobalt,
(7440-
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
s. Iron, Total
(7439-89-6)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
It. Magnesium
(7439-95-4)
X
N/A
N/A
NA
NA
NA
NA
NIA
N/A
N/A
NA
NA
NA
u. Molybdenum, Total
(7439-98-7)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
v. Manganese,
(7439-96-5)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
w. Tin Total
X
N/A
N/A
NA
NA
NA
NA
N/A
NA
NA
NA
(7440-31-5)
N/A
N/A
x. Titanium,Total
(7440-32-6)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
ANA
EPA Form 3510-2C (8-90) PAGE V-2 CONTINUED ON PAGE V-3

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE 3 OF FORM 2-C NC0003573 1 006
Form Approved
OMB No. 2040 0086
Annrn—I .-- A_11 OA
PART C - If you are a primary industry and this outfall contains process wastewater, refer to Table 2c-2 in the instructions to determine which of the GC/MS fractions
you must test for. Mark "X" in column 2 a for all such GC/MS fractions that apply to your industry and for ALL toxic metals, cyanides, and total phenols. If you
are not required to mark column 2a (secondary industries, nonprocess wastewater outfalls, and nonrequired GC/MS fractions), mark "X" in column 2-b for each pollutant
you know or have reason to believe is present. Mark "X" in column 2c for each pollutant you believe is absent. if you mark column 2a for any pollutant, you must
provide the results of at least one analysis for that pollutant. If you mark column 2b for any pollutant, you must provide the results of at least one analysis
for that pollutant if you know or have reason to believe it will be discharged in concentrations of 10 ppb or greater. If you mark column 2b for acroiein, acrylonitrile
2,4 dinitrophenol, or 2-methyl-4,6 dinitrophenol, you must provide the results of at least one analysis for each of these pollutants which you know or have reason
that you discharge in concentrations of 100 ppb or greater. Otherwise, for pollutants for which you mark column 2b, you must either submit at least one analysis
or briefly describe the reasons the pollutant is expected to be discharged. Note that there are 7 pages to this part, please review each carefully. Complete one table
(all 7 pages) for each outfall. See instructions for additional details and requirements.
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
b. MAXIMUM 30 DAY VALUE
c. LONG TERM AVRG. VALUE `
a. MAXIMUM DAILY VALUE
available)
availab;c'�
a. LONG TERM AVERAGE VALUE
a. TESTING
b BELIEVED
c. BELIEVED
(11
(Ifavailable)
IT)
d NO. OF
(1)
b NO. OF
REQUIRED
PRESENT
ABSENT
(1) CONCENTRATION (2)MASS
CONCENTRATION (21 MASS
111 CONCENTRATIO (2) MASS
ANALYSES
CONCENTRATION
(2) MASS
CONCENTRATION (2) MASS
ANALYSES
METALS, CYANIDE, AND TOTAL PHENOLS
1 M. Antimony
Total (7440-36-0)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
2M. Arsenic, Total
(7440-38-2)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
3M. Beryllium,
Total (7440-41-7)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
a mium,
1 otal (7440-43-9)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
Chromium, Total
(7440-47-3)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
6M. Copper, Total
(7440-50-8)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
7M. Lead, Total
(7439-92-1)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
8M. Mercury, Total
(7439-97-6)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
9M. Nickel, Total
(7440-02-0)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
10M. Selenium,
Total (7782-49-2)
X
N/A
N/A
NA
NA I
NA
NA
N/A
N/A
N/A
NA
NA
NA
11 M. Silver Total
(7440-22-4)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
12M. Thallium
Total (7440-28-0)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A IN/A
NA
NA
NA
13M. Zinc, Total
(7440-66-6)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
14M. Cyanide, Total
(57-12-5)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
15M. Phenols, Total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
DIOXIN
2,3,7,8-Tetrachloridibenzo-P
Dioxin (1764-01-6)
X
N/A
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-3 CONTINUED ON PAGE V4

ITEM V-B CONTINUED FROM PREVIOUS PAGE
3. EFFLUENT
4. UNITS
S. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK „ '
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE pf
c. LONG TERM AVRG. VALUE pf
VALUE
available)
available)
LONG TERM AVERAGE VALUE
r
(Ifavailable)
d. NO. OF
ANALYSES
(1)
(2)MASS
b NO OF
ANALYSES
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
C.BELIEVED
ABSENT
(1)
CONCENTRATION
(2)MASS
(1)
CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1)CONCENTRATION
(2)MASSNCENTRATION
GICIMS FRACTION —VOLATILE COMPOUNDS
1V. Acrolein
(107-02-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
2V. Acrylonitrile (107-13-1)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
3V. Benzene (71-43-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
4V. Bis (Chloromethyl)
Ether (542-88-1)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
5V. Bromoform ( 75-25-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
6V. Carbon Tetrachloride
(56-23-5)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
7V. Chlorobenzene
(108-90-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
8V. Chlorodibromomethane
(124-48-1)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
9V. Chloroethane (75-00-3)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
1OV. 2 Chlorohylvinyl
INA
Ether (110-75-8)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
11V. Chloroform (67-66-3)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
12V. Dichlorobromomethane
(75-27-4)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
13V. Dichlorodifluoromethane
(75-71- 8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
14V. 1,1 Dichloroethane
(75-34-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
15V. 1,2 Dichloroethane
(107-06-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
16V. 1,1 Dichloroethylene
(75-35-4)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
17V. 1,2 Dichloropropane
(78-87-5)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
18V. 1,3 Dichloropropylene
(542-75-6)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
19V. Ethylbenzene(100-41-4)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
20V. Methyl Bromide
(74-83-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
21V. Methyl Chloride
(74-87-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
NIA
NA
NA
NA
LPA Form 3510-2C 8-90) PAGE V-4 CONTINUED ON PAGE V-5

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-4 I NC0003573 1 006
Form Approved
OMB No. 2040 0086
Annrn—.-- R_i1 .R
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE ff
LONG TERM AVRG. VALUE (,f
VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
a. TESTING
b. BELIEVED
C BELIEVED
(�)
(1)
(I/d✓d%Idble)
d. NO. OF
ANALYSES
(�)
b. NO. OF
ANALYSES
REQUIRED
PRESENT
ABSENT
17)CONCENTRATION
(2)MASS
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
CONCENTRATION
12) MASS
CONCENTRATION (2) MASS
GC/MS FRACTION —VOLATILE
COMPOUNDS
(continued)
22V Methylene Chloride
(75-09-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
NIA
NA
NA
NA
23V.1,1,2,2 Tetrachloro-
ethane (79-34-5)
X
N/A
NIA
NA
NA
NA
NA
NA
N/A
NA
NA
NA
NA
24V. Tetra chloroethylene
(127-18-4)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
25V. Toluene (108-88-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
26V. 1,2-TransDichloro-
ethylene (156-60-5)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
27V. 1,1,1 Trichloroethane
(71-55-6)
X
N/A
N/A
NA
NA
NA
NA
NA
N A
N/A
NA
NA
NA
28V. 1,1,2 Trichloroethane
(79-00-5)
X
N/A
N/A
NA
NA
NA
NA
NA
NIA
N/A
NA
NA
NA
29V. Trichloroethylene
(79-01-6)
X
N/A
N/A
NA
NA
NA
NA
NA
NIA
N/A
NA
NA
NA
30V. TrichloroFluoro-
methane (75-69-4)
X
NIA
N/A
NA
NA
NA
NA
NA
NIA
NIA
NA
NA
NA
31V. Vinyl Chloride
(75-01-4)
X
NIA
NIA
NA
NA
NA
NA
NA
N'A
N/A
NA
NA
NA
GC/MS FRACTION —ACID COMPOUNDS
1A, 2 Chlorophenol
(95-57-8)
X
N/A
N/A
NA
NA
NA
NA
NA
NIA
I �/A
NA
NA
NA
2A 2,4 Dichlorohenol
(120-83-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
3A. 2,4 Dimethylphenol
(105-67-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
4A 4,6 Dinitro-O-Cresol
(534-52-1)
X
N/A
NIA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
5A. 2,4 Dinitrohenol
(51-28-5)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
6A.2-Nitrophenol(88-75-5)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
7A4-Nitrophenol(100-02-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
8A. P-Chloro-M-Cresol
59-50-7
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
9A. Pentachlorophenol
(87-86-5)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
10A. Phenol (108-95-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
11A. 2,4,6 Trichloro-
—j
phenol (88-06-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
EPA Form 3510-2C (8-90) PAGE V-5 CONTINUED ON PAGE V-6

CONTINUED FROM PAGE V-6
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK „X„
a. MAXIMUM DAILY
VALUE
b. MAXIMUM 30 DAY VALUE ff
vailable)
t. LONG TERM AVRG. VALUE (d
vailable)
a. LONG TERM AVERAGE VALUE
a. TESTING
RECAJIRED
b. BELIEVED
PRESENT
cBELIEVED
ABSENT
(1) CONCENTRATION
(2)MASS
(i) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1iCONCEf\TRATION
(2)MASS
(Ifavailable)
d NO OF
ANALYSES
(1)CONCENTRATIOi�I ,"'1f.1AS5
b. NO. OF
ANALYSES
MPOUNDS
18. Acenaphthene
(83-32-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
2B. Acenaphtylene
(208-96-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
38. Anthracene (120-12-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
4B. Benzidine (92-87-5)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
5B. Benzo (a)
Anthracene (56-55-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
6B. Benzo (a)
Pyrene (50-32-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
7B3,4 Benzofluororanthene
(205-99-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA -
8B. Benzo(ghi)Perylene
(191-24-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
9B. Benxo (k)
_
Fluoranthene (207-08-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
10B. Bis(2-Chloroethoxy)
Methane (111-91-1)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
11 B. Bis(2-Chloroethyl)
Ether (111-44-4)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
12B Bisf2Chlorolsopropyl)
Ether(102-60-1)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
13B. Bis(2-Elthylhexyl)
Phthalate (117-81-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
14B.413romophenylPhenyl
Ether (101-55-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
15B. Butyl Benzyl
Phthalate (85-68-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
166. 2-Chloronapthalene
(91-58-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
17B.2-Chlorophenyl Phenyl
Ether (7005-72-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
18B.Chrysene(218-01-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A I
NA
NA
NA
19B. Dibenzo (a,h)
Anthracene (53-70-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
208. 1,2 Dichlorobenzene
(95-50-1)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
21B. 1,3 Dichlorobenzene
(541-73-1)
X I
N/A I
N/A
NA
NA
NA
NA
NA
N/A
N/A I
NA
NA
NA
EvA Form saiu-« (o-au) PAGE V-6 CONTINUED ON PAGE V-7

EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-6 I NC0003573 I nna
Form Approved
OMB No. 2040 0086
1. POLLUTANT AND CASE NO
2. MARK "X"
3. EFFLUENT
4. UNITS
S. INTAKE (optional)
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (i/
c. LONG TERM AVRG. VALUE IJ
VALUE
evadable)
a
'vadaDlej
e. LONG TERM AVERAGE VALUE
a. TESTING
REQUIRED
b BELIEVED
PRESENT
c BELIEVED
I ABSENT
(1) CONCENTRATION
(2)MASS
(1)CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1)CONCENTRA PION
(2)MASS
(lfavailable)
a N'.r
(1)GONGFNTRAI ION (2)MASS
b NO OF
ANA!. USES
GC/MS FRACTION—BASE/NEUTRAL
COMPOUNDS
(Continued)
22B. 1,4 Dichlorobenzene
(106-46-7)
X
N/A
N,A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
23B.3,3' Dichlorobenzidine
(91-94-1)
X
N/A
WA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
24B. Diethyl Phthalate
(84-66-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
25B. Dimethyl Phthalate
(131-11-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
26B. Di-N-Butyl-
Phthalate (84-74-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
27B. 2,4 Dinitro
toluene (121-14-2)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
28B. 2,6 Dinitrotoluene
(606-20-2)
X
N/A
N A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
29B. Di-N-Octyl Phthalate
(117-84-0)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
30B. 1 2 Diphenylhydrazine
(as Azobenzene) (122-66-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
31B. Fluoranthene
(206-44-0)
X
N/A
N/A
NA
NA
NA
NA
NA
NIA
NIA
NA
NA
NA
32B. Fluorene (86-73-7)
X
N/A
N/A
NA
NA
NA
NA
NA
NIA
NIA
NA
NA
NA
33B. Hexachlorobenzene
(118-74-1)
X
N/A
N'A
NA
NA
NA
NA
NA
N/A
NIA
NA
NA
NA
34B. Hexachlorobutadiene
(87-68-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
NA
NA
NA
NA
35B. Hexachlorocyclo-
pentadiene (77-47-4)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
NIA
NA
NA
NA
36B. Hexachloroethane
(67-72-1)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
37B.Indeno1,2,3 cdPyrene
(193-39-5)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
38B. Isophorone
(78-59-1)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
39B. Naphthalene (91-20-3)
X
N/A
N/A
NA
NA I
NA
NA
NA
N/A
N/A
NA
NA
NA
40B.Nitrobenzene (98-95-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
41B. N-Nitrosodime-
thylamine (62-75-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
42B. N-Nitrosodi-N-
Propylamine (621-64-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
trA rorm saTu-zt, to-uut PAGE V-7 CONTINUED ON PAGE V-8

CONTINUED FROM PAGE V-7
1. POLLUTANT AND CASE NO
'Ifavailable)
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
a. MAXIMUM DAILY
VALUE
b. MAXIMUM 30 DAY VALUE (if
available)
c. LONG TERM AVRG. VALUE rl—,)l ble)
OF
Av SES
a. LONG TERM AVERAGE VALUE
..;! NTR/.TION (2)P1 --
"S
a TESTING
REQUIRED
b. BELIEVED
PRESENT
c BELIEVED
ABSENT
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2) MASS
C�,J�E^.ITR-T ,
INN
_ ,,,
GCIMS FRACTION—BAS
43BN-Nitrosodiphenylamine
(86-30-6)
X
N/A N/A
NA
NA
NA
NA
NA
N/A N/A
NA
NA
NA
44B. Phenanthrene
(85-01-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
45B. Pyrene (129-00-0)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
46B. 1,2,4Trihlorobenzene
(120-82-1)
X
N/A
�r/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
GC/MS FRACTION —PESTICIDES
1 P. Aldrin (309-00-2)
X
N/A
N,A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
2P. a-BHC (319-84-6)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
3P. (1-BHC (319-85-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
4P. y-BHC (58-89-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
5P. 6-BHC (319-86-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
6P. Chlordane (57-74-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA_
7P. 4,4' DDT (50-29-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
8P. 4.4' DDE (72-55-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
9P. 4,4' DDD (72-54-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
10P. Diedrin (60-57-1)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
11 P. a-Endosulfan
(115-29-7)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
12P. (3-Endosulfan
(115-29-7)
X
N/A
NiA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
13P. Endosulfan Sulfate
(1031-07-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
14P. Endrin (72-20-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
15P. Endrin Aldehyde
(7421-93-4)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
16P. Heptachlor
(76-44-8)
X
WA
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
LFA corm 3biu-eL; (u-9U) PAGE V-8 CONTINUED ON PAGE V-9

w
EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER
CONTINUED FROM PAGE V-8 NC0003573 1 006
Form Approved
OMB No. 2040 0086
A c c 8_31 OC
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
1. POLLUTANT AND CASE NO
2. MARK "X"
b. MAXIMUM 30 DAY VALUE (if
c. LONG TERM AVRG. VALUE (if
a. MAXIMUM DAILY VALUE
available)
available)
a. LONG TERM AVERAGE VALUE
(If available)
(1) CONCENTRATION (2) MASS
(1) CONCENTRA T ION (2) MASS
(1) CONCENTRATION (2) MASS
d NO OF
ANALYSES
11) CONCENTRATION (2) MASS
b NO OF
ANALYSES
1EE
EVED
ENT
c. BELIEVED
ABSENT
(1) CONCENTRATION
(2) MASS
GC/MS FRACTION —PESTICIDES
(Continued)
17P. Heptachlor
Epoxide (1024-57-3)
X
N/A
N/A
NA
NA
NA
NA
I N/A
N/A
N/A
NA
NA
NA
18P. PCB-1242
(53469-21-9)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
19P. PCB-1254
(11097-69-1)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
20P. PCB-1221
(11104-28-2)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA .
21 P. PCB-1232
(1114-16-5)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
22P. PCB-1248
(12672-29-6)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
23P. PCB-1260
(11096-82-5)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
24P. PCB-1016
(12674-11-2)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
25P.Toxaphene
(8001-35-2)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
r-f-A rurrn as ru-zu to-uu) PAGE V-9

JUN - 6 07
♦ s a` a
DEQ-CFW 00076708