DEQ-CFW_00059985

I 1p
DUPONT *- FAYETTEVILLE WORKS
RENEWAL APPLICATION
FOR
NPDES PERMIT NC0003573
MAY 1, 2006
DEQ-CFW-00059985

FORM
U.S. ENVIRONMENTAL PROTECTION AGENCY
I. EPA I.D. Number
1
GENERAL INFORMATION
s
TIA c
GENERAL
Consolidated Permits Program
F
NC0003573 D
2 13
5
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
828 NC Hwy 87 W Fayetteville,
preprinted data is absent (the area to the left of the label space lists the
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, I, III,
V, and VI (except VI-B which must be completed regardless). Complete all
MOMENE11,
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'X'
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. ?
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?
16
17
18
19
21
FORM 26
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
za
25
26
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
t1)
effluent below the lowermost stratum containing, within one
quarter mile of the well bore, underground sources of drinking
X
2e
29
31
as
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 1
37
39
39
hydrocarbons? FORM 4
1. 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? (FORM 5)
46
41 1
42
43
44
45
attainment area ? FORM 5
III. NAME OF FACILITY
C
SKIP
E.I. du Pont de Nemours & Company
30
CONTACT
IV.
FACILITY
A. NAME & TITLE (Last, first, & Title) B. PHONE (area code & no.)
2 Michael E. Johnson, Environmental Manager [phone]
45 46 - 48 49 - 51 52 - 55
V. FACILITY MAILING ADDRESS
A. STREET OR P.O. BOX
3
22828 NC Hwy 87 W 45
,s
B. CITY OR TOWN
IC.STATE ID.ZIPCODE L- -'
4
Fayetteville
INC 28306-7332
15
t6 40A. FACILITY LOCATION
A. STREET, ROUTE NO. OR OTHER SPECIFIC IDENTIFIER - - - -`--"" -' --
5
22828 NC Hwy 87 W 45
t5
B. COUNTY NAME - -
Blaclen
48 70
C. CITY OR TOWN
D. STATE
E➢P CODE
F.COUNTV CODE
-
L
011
4
Duart Township
NC
28306
52 54
ro_
15
16 40
141 - 42
EPA Form 3510-1 (8-90) *(1) Permitted under Federal and State Laws No Forms 3 or 4 required - see Attachment 1-1
DEQ-CFW 00059986

CONTINUED FROM THE FRONT
VII. SIC CODES (4dlglt In ora.r of prluriry)
A. FIRST B. SECOND
28 39
(specify)
NafionO Solution, Vinyl Ether and HFPO monomers
2821
(specify) Teflon@ FEP resin, Polyvinyl flouride resin
Polyvinyl butyral Resin, Nafion@ Resins
C. THIRD D. FOURTH
7 3081 (speciy) Nafion@ Membrane, 7 (specify)
Butacite®sheeting, SentryGlas Plus "
VIII. OPERATOR INFORMATION
B. Is the name listed in Item VIII-A also the
A. NAME owner?
8
Q Yes ❑ No
5 16
E. I. DuPont de Nemours & Co., Inc. 55
66
C. STATUS OF OPERATOR(enrerrhe- tl-Ordar; spec .) D. PHONE NUMBER area epeea,b.J
F=Federal M=Public(oIherlhan/ederalorslate)
S=slala o=Other (sped)
P= Prrvale
7WIm0ft—b—
(specify) 302
NA q6 46
774
49 51
1000
52 55
E. STREET OR P.O. BOX
1007 Market Street 45
C. STATE
D. ZIP CODE
IX. INDIAN LAND
F. CITY OR TOWN
8
Wilmington DE
19898 sthe facilitLandst?donIndian
15 16
40 41- 42 4] 51
sz O Yes ® No
X. EXISTING
ENVIRONMENTAL PERMIT
A. NPDES (Discharges to Surface Water
- D. P-S8 Air Emissions from Proposed Sources
9
1]
NU::]:::LC0003573
9
Title V - 03735T28 (Major Source)
15
16
15
16
17
30
B. UIC (Underground Injection of Fluids
E. OTHERS (Specify)
(specify)
U9
I
NA
9
NA
15
16
17
15
16
1] 30
C. RCRA Hazardous Wastes
D- OTHERS (Specify) (specify)
9 NA
15 16 17 30
9
NCD 047 368 642 and 90 day storage areas
15
XI.
16
MAP
17
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 and
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 Nafion@ Membrane, Nafion@ Resins, Nafion@ 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 to(
obtaining the information cent
A. NAME & OFFICIAL TITLE (type or print) B. SIGNATURE C. DATE SIGNE
Barr L. Hudson, Plant Mgr �A
COMMENTS FOR OFFICIAL USE ONLY
8
15 16
EPA Form 3510-1 (8-90)
DEQ-CFW 00059987

Form Approved
Please print or type in the unshaded areas
only.
EPA I.D. NUMBER
F NC0003573
OMB No. 2040-0086
Approval expires 8-31-98
FORM
2C
NPIDES
U.S. ENVIRONMENTAL PROTECTION AGENCY
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
EXISTING MANUFACTURING, COMMERCIAL, MINING AND SILVICULTURAL OPERATIONS
Consolidated Permits Program
I- POtF*LL LOCATION
For each outfall, list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water.
NUMBER
(401
B.LATITUDE :C.
LONGITUDE
D. RECEIVING WATER (name)
r.
'LDEG:
2. MIN.
:.3.- SEC.
CIDEG.
2.,MIN.
r 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
Cape Fear River via Outfall 002
11. FLOWS, SOURCES OF POLLUTION AND.TREATMENT TMENT 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
y the wastewater. Continue on additional sheets if necessary.
CONTRIBUTING. .WON
a OrS".rjyk, fl�
d
I.D IPT
b-. bige 66 4 FRONL
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
- WWT Influent 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:
- -Digester Tank
3-E
-Flake
665,760 GPD
-Activated Sludge Tank
3-A
- Extrusion
1,329 GPD
Clarification (2 in -ground in parallel)
1_U
- Recycle
292,350 GPD
SENTRY GLASS AREA
- Quench & Wash
10,000 GPD
TEFLON
AREA
- EPS Tape Quench & Wash
10,000 GPD
- TPX Cutters & Scrubbers
45,000 GPD
Neutralized
Regenerate
50,000 GPD
Sanitary
Sewer
8,000 GPD
Contact
Stormwater
12,000 GPD
ITOTAL
1,180,439 GPD
006 PVF
PROCESS
100,000 GPD Solids
Separation 1_U
TOTAL
100,000 GPD
....... .... .... .. V ...... ..
EPA Form 3510-2C (8-90) PAGE I of 4 CONTINUE ON PAGE 2
DEQ-CFW-00059988

CONTINUED FROM PAGE 1
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) I X 1NO (go to Section Ill)
A. Does an effluent guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility?
I X -- IYES (complete Item 111-8) 1 TO (go to Section IV)
I
B. Are the limitations in the applicable effluent guideline expressed in terms of production (or other measure of operation)?
YES (complete Item 111-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
No production based applicable effluent guidelines
Are you now required by any Federal, State or Local authority to meet any implementation schedule for the construction, upgrading, or operauor
wastewater treatment equipment or practices or any other environmental programs which may effect the discharges described in this
plication? This includes but is not limited to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters,
Dulations. court orders. and grant or loan conditions.
(complete the following Table) l X [NO (go to Section IV-8)
ur 1 IVNAL: You may aitacn aaamonai sneers oescnoing any aaanionai wales POIIUIIUI I GUI mul pl uyldllU tul Um CI 6l Nllulllllell(dl rAujv— WIIIUI
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.
I IMARK "X" IF DESCRIPTION OF ADDITIONAL CONTROL PROGRAMS IS ATTACHED
orm 3510-2C (8-90) PAGE 2 OF 4 CONTINUE ON PAGE 3
DEQ-CFW 00059989

EPA I.D. NUMBER (copy from Item 1 of Form 1)
N C0003573
CONTINIIED FROM PAGE 2
Form Approved.
OMB No. 2040-0086
Approval expires 8-31-98
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 POt:LUTANT ; 2 SOURCE ':
>' t :POLLUTANT Z ;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?
III
X]YES (list all such pollutants below) C�NO (go to Section VI-8)
Applicable guidelines require testing all V-C compounds identifying any potential discharges
EPA Form 3510-2C (8-90) PAGE 3 OF 4 GUN I INUE ON PAGE 4
DEQ-CFW 00059990

1'n K1TIAII IC:n GPrIAA DA(eF q
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)
�1
and pollutants analyzed by, each such laboratory or
firm below)
A NAME
ADDRESS :
D TELEPHONE' jreacode&
D PGIL TANT ANALYZ ED (6s. .
_...
r
-:
Pace Analytical 2225 Riverside Drive, 828.254.7176 Aquatic Toxicity
Services, Inc. Ashville, NC 28804
TBL 2401 W. 5th Street 910.738.6190
Lumberton, NC 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
16AAA, `r,
d
EPA Form 3510-2C (8-9 )
PAGt4UF-4
DEQ-CFW 00059991

DuPont Company — Fayetteville Works
NPDES Permit No. NC0003573
Supplemental Information
Supplemental Information — Permit Renewal Application — May 1, 2006
Current Site Water Management
Process wastewater and stormwater from the various manufacturing areas are collected in the
respective area sumps and ultimately conveyed via a gravity flow underground process sewer
pipe to the site's central wastewater treatment plant (WWTP). Sanitary sewage is conveyed via a
separate underground sewer system to the WWTP. The permitted flowrate of the WWTP is
2.0 MGD, with an actual average flowrate of approximately one MGD.
This process wastewater is commingled in the WWTP Influent Sump where it is pumped to
an 850,000-gallon Equalization Basin. The Equalization Basin is mixed with two floating
submerged mixers. Three floating surface aerators in the basin cool and aerate the incoming
wastewater.
A 175,000-gallon Emergency Retention Tank is available for temporary storage of
wastewater which may need additional treatment or acclimation in the WWTP activated sludge
process at a controlled rate that allows for proper biological treatment.
Wastewater from the Equalization Basin is normally pumped to a 250,000-gallon Predigester
Tank in which initial biological activity with the WWTP activated sludge begins. The
Predigester Tank is aerated. The partially treated wastewater from the Predigester Tank is
pumped to a 1,700,000-gallon Aeration Tank.
The Aeration Tank is the site of the majority of the biological activity. The Aeration Tank is
aerated primarily by a diffused air system located in the bottom of the tank. The tank can have
supplemental aeration via a floating BiomixerO that injects air through submerged rotors.
The biologically treated wastewater is then sent to two in -ground clarifiers (119,000 gallons
and 168,000 gallons respectively) in parallel. The clarified treated effluent is discharged to and
through Outfall 001.
The wasted sludge is sent to a Dissolved Air Floatation (DAF) unit, then to a 47,000 gallon
Sludge Storage Tank, and finally to a Rotary Filter for thickening. The thickened sludge is
dewatered in a Sludge Press, and can be dried in a steam -heated dryer for additional moisture
removal. The dewatered and/or dried sludge is transported off -site to a commercial Subtitle D
landfill.
Non -contact process cooling water and non -process stormwater are conveyed via surface
ditches to the site's Woodlined Ditch. In addition, excess riverwater flow and Outfall 001
effluent are discharged directly to the Woodlined Ditch. The combined, total flow of water from
the site is discharged and monitored at Outfall 002. The Outfall 002 maximum 30-day average
flow was 16.3 MGD during the period from 2005 to 2006. Flow variability at Outfall 002 is
from 3.0 to 18.6 MGD, however, flow can consistently be in the 16.3 MGD range.
DEQ-CFW 00059992

DuPont Company — Fayetteville Works
NPDES Permit No. NC0003573
Supplemental Information
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
proposes to discharge the treated wastewaters from this new facility through a currently
permitted outfall, designated as Outfall 006. The contact process wastewater and stormwater
will be treated with solids separation technology prior to discharging to the outfall.
A suggested change to the language of the current permit's narrative for Outfall 006 that would
accommodate the new PVF Manufacturing Facility follows:
"Beginning on the effective date of this permit and lasting through the expiration date, the
Permittee is authorized to discharge from Outfall 006 (Polyvinyl fluoride Manufacturing
Facility low -biodegradable process wastewaters). Such discharges shall be limited and
monitored by the Permittee as specified below:"
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 0.9 mg/L vinyl fluoride at Outfall 006 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 00059993

DuPont Company — Fayetteville Works NPDES Permit No. NC0003573
Supplemental Information
Current Operating Conditions
Butacite*) Manufacturing: The DuPont Company — Fayetteville Works' Butacite0
manufacturing area produces two final products. DuPontTM Butacite0 Interlayer plastic sheeting
is the final product used in safety glass such as automobile windshields. Polyvinyl butyral
(PVB) resin is shipped off -site as a transfer to other DuPont locations for final processing.
Wastewater generated from this manufacturing facility is treated in the site's biological
wastewater treatment plant (WWTP).
Nafion0 Manufacturing: The DuPont Company — Fayetteville Works' Nafion0
manufacturing area produces five final products. DuPontTM NafionO Membrane is a plastic film
used in the chloroalkali industry and in electrochemical fuel cells. Nafion(T Resins are
ultimately extruded into a finished film. The FLPR Vinyl Ether and HFPO monomers are
shipped to other DuPont locations to produce various fluorochemical products such as DuPontTM
TeflonO. Wastewater generated from this manufacturing facility is neutralized and discharged to
the WWTP.
Teflon*) Manufacturing: The DuPont Company — Fayetteville Works' PMDF TeflonO
manufacturing area produces DuPontTM TeflonO FEP resin. TeflonO FEP resin is used in the
electronics industry as a coating for wire, as well as many other uses. This facility was
constructed in 1999-2000 and was started up in December 2000. Wastewater generated from
this manufacturing facility is treated in the WWTP.
APFO ManufacturinLY: The DuPont Company — Fayetteville Works' APFO manufacturing
area produces ammonium perfluorooctanoate. The APFO produced in this unit is used to
produce fluoropolymers and fluorinated telomers, but none of the produced APFO is used at the
Fayetteville Works site. This facility was started up in November 2002. All wastewater
generated from this manufacturing facility is collected and shipped off -site for disposal.
No process wastewater from this manufacturing facility is discharged to the site's biological
WWTP or to the Cape Fear River.
SentryGlas*) Plus Manufacturing: The DuPont Company — Fayetteville Works' SentryGlasO
Plus manufacturing area produces DuPontTM SentryGlasO Plus ionoplast interlayer laminate.
SentryGlasO Plus interlayer is used for laminated safety glass in side, rear, and overhead
automobile windows. It is also used in architectural applications desiring safety glass. This
facility was started up in June 2005. There is no contact process wastewater generated from this
manufacturing facility, therefore only sanitary waste from this area is treated in the WWTP.
This manufacturing facility does discharge non -contact cooling water to the woodlined ditch and
ultimately to Outfall 002.
DEQ-CFW 00059994

DuPont Company — Fayetteville Works NPDES Permit No. NC0003573
Supplemental Information
Form 2C Permit Application
Data Unavailable
Priority Pollutants, special conventional and non -conventional analysis required testing results
were not available at the time of Permit Application submittal. This data will be submitted when
lab reports are received and input into the Form 2C as an appendum. These absent analytical
results are indicated with an asterisk (*) on the Form 2C, Pages V-1 through V-9.
Data Abnormalities
When compiling the Outfall analytical database to perform the statistical analysis required in
Form 2C, there were several apparent data abnormalities reported in the DMRs. These
abnormalities, whether analytical or sampling event derived, are worth noting and or correcting
in the Form 2C as they are misleading of representing the discharge from the site.
Data Noted: On 11/08/05 a COD value of 102 mg/L was reported for Outfall 002 at a high now
rate of 13.3 MGD resulting in a calculated mass of 11,292 lb/day. Upon review of Outfall 001
data and site's operating conditions, this value appears in error and the corresponding mass
discharge is believed to be incorrect. As with all analytical results when retains are not available
for retest, one must apply logic based on available information. This value was still reported in
the 2C data, but noted here as to the possible error.
Data Revised: Total Phosphorus is monitored at Outfall 002 once a month. On site there is only
one potential source of phosphorus. The ButaciteO operation uses phosphoric acid in the batch
operation. During the months of December and March 2005, the maximum number of batches in
a given day was twenty (20) batches. The quantity of phosphoric acid "as Phosphorus" in each
batch is 4.7 lb/batch or a maximum of 94.5 lb/day "Total Phosphorus" potentially being
discharged. This value is in line with what is normally reported 15 to 50 lbs per day which will
vary as biological uptake will occur as well as equalization within the biological treatment
system. Any value grossly in excess of 95 lb/day Phosphorus is highly probable in error, either
analytical or sampling, and not representative of operations, therefore misleading. In March
2005, a concentration of 307 ppm was reported and a respective 14,092 lb Total P/day in the
discharge. In December 2005, a concentration of 10.7 ppm was reported and a respective 1,040
lb Total P/day in the discharge. In both cases these values are orders of magnitude greater than
what can physically be used and processed through manufacturing much less through
biotreatment and are evidently grossly in error. The likely scenario is either typographic or
analytical dilution calculation errors, in which both cases would be decimal place transposing
errors. Rather than just not include these two data points, for purposes of the Form 2C reporting
we chose to revise the numbers from 307 ppm to 0.307 ppm and 10.7 ppm to 0.107 ppm and
respective mass discharge of 14.092 and 10.4 lbs P/day. These are in ranges of normal reported
values of the time periods of concern and more in line with likely amounts from the operating
unit.
DEQ-CFW 00059995

r
•
A
o Sd� ,r •
x
} CD
P
a
� 5
��'.l 'h yF. S V :•,14 i� t �7;� 1 Y et•N J' i .ram.. �•'�
r��, �' ,� 1 P,J✓ ,+�;,, r lf� F.x'fi4i+' �. ! g $»i c� �Y d
�£at„ :y,� „y✓ 't�, f rvns'rrf� x.�G x<'°'r,LF`.-��
' +" tia ' °'-y"�hi�` '. :. ,� ,tx+t"' ��,.�b}y.� a -:,iM1. <u. ✓`•a'� � .

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.D. Number (copy from item 1 of Fort 1)
NC0003573
Form Approved
OMB No. 2040 0088
V. INTAKE & EFFLUENT CHARACTERISTICS (Confrnued from page 3 of Form 2-C)
for additional
a
Approval expires "1-98
= -
OUTFALL No,
PART A -You must provide the results of at leastone analysis for every pollutant In this table. Complete one table r each outfall. See instructions
001
2. EFFLUENT
1. POLLUTANT AND CAS
3. UNITS
4. INTAKE (op tlonaQ
NO a, MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE (lf avaUable)
b. LONG TERM AVRG. VALUE (if
avaiable)
d. NO. OF
(specify blank)
a. LONG TERM AVERAGE VALUE
(BavaUab/e) CONCENTRATION t2) MASS (1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES
a CONCENTRATION b. MASS
(1) CONCENTRATION
(2) Mass
b. NO. OF
ANALYSES
a. Biochemical
Oxygen Demand 367.0 2981.2 33.30
265.90
9.70
72.30
169
MG/L PPD
NA
NA
(BOD)
NA
b. Chemical
Oxygen Demand ` NA
(COD)
NA
NA
NA
`
MG/L PPD
NA
NA
NA
c. Total Organic
Carbon (TOG) * * NA •
NA
NA
NA
I
`
MG/L PPD
I
d. Total Suspended
NA
NA
NA.
Solids (TSS) 56.0 349.3 26.70
169.80
.
1890
13320
169
MG/L PPD
NA
NA
NA
e. Ammonia (as N) ` ` NA
NA
NA
NA
MG/L PPD
value
f. Flow 1.30 value
1.0
value
NA
value
NA
NA
g. Temperature value
0.9
395,
MOD
NA
NA
(winter) 23.0 value
18.7
value
17.2
79
°C
value
h. Temperature value value
NA
NA
(summer) 30.0
23.0
value
210
88
°C
value
Minimum Maximum Minimum
Maximum
NA
NA
1. pH 6.9 8.0 NA
NA
A
167
PART B -Mark")(" in column 2a for each pollutant you know or have reason to believe is present Mark "X" )p 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
kAii; 15,51ilagolleffigM
of at least one analysis for that pollutant, For other for
expressly, In an effluent
limitations guideline,
you must
provide the
results
pollutants which you mark column 2a, you must provide quantitative data or an explanation of their presence
in your discharge. Complete one table for each See
outfall. the instructions for additional
details and requirements.
2. MARK -X"
3. EFFLUENT
4. UNITS
5, INTAKE (optional)
b. MAXIMUM 30 DAY VALUE (lfavallable)
1xNmatnd
a 11Aux VALUEb.
c. LONG TERM AVRG. VALUE (rf
b. NO. OF
I. POLLUTANT & CAS NO.
D. NO. OF
a. LONG TERM AVERAGE VALUE
ANALYSES
pfavaltable) a reuEVED t, BELIEVED (1) CONCENTRATION (2) MASS (1) CONCENTRATION
PRESENT ABBE
(2) MASS
(1) CONCENTRATION
'
(2)MASS
ANALYSES
(1)
CONCENTRATION (2) MASS
(1) CONCENTRATION(2)
MASS
a. Bromide
(24959-67-9) X NA
NA
NA
NA
*
+
b. Chlorine
NA
NA
NA
Total Residual X * * NA
NA
NA
NA
+ +
c. Color +
X NA
NA
NA
NA
`
NA
NA
NA
d. Fecal
NA
NA
NA
Coliform X * NA
NA
NA
NA
e. Fluoride
NA
NA
NA
(16984-48-8) X * NA
NA
NA
NA
f. Nitrate—
NA
NA
NA
Nitrite (as N) X * NA
NA
NA
NA
*
+
EPA Form 3510-2C (8-90)
aer.F v_�
NA
NA
NA

ITEM V-B CONTINUED FROM PREVIOUS PAGE
I. POLLUTANT AND CASE NO
(HeV8lWble)
g. Nitrogen, (
Total Organic
anic as N
)
2. MARK "X'
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
a MAXIMUM DAILY VALUE
(1) CONCENTRATION (2) MASS
*
b. MAXIMUM 30 DAY VALUE (d
avauahW
(1) CONCENTRATION (2)MASS
NA NA
c LONG TERM AVRG. VALUE (d
watlabla)
(1) CONCENTRATION 2 MASS
()
NA NA
G. No. OF
ANALYSES
*
a. LONG TERM AVERAGE VALUE
(1) CONCENTRATION (2) MASS
NA NA
D.NO.ALY E
ANALYSES
NA
a BELIEVED
PRESENT
x
69ELO:VED
ABSENT
(1) CONCENTRATION
*
(2) MASS
*
h. Oil and Grease
I. Phosphorus
x
28 223
28 223
NA NA
14
MG/L
PPD
NA NA
NA
(as P) , Total
(7723-14-0)
x
*
NA NA
NA NA
*
NA NA
NA NA
NA
NA
NA NA
NA
1
(1) Alpha, Total
(2) Beta, Total
(3) Radium, total
(4) Radium 226 Total
k. Sulfate (as SO4)
x
x
x
x
*
*
*
*
*
*
*
NA
NA
r
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
NA
*
*
*
*
NA
NA
NA
NA
NA
NA
(14808-79-8) .
x
*
*
NA
NA
NA
NA
*
NA
NA
NA
I. Sulfide (as S)
m. Sulfite (as S03)
x
NA
NA
NA
NA
*
*
*
NA
NA
NA
(1426545-3
n. Surfactants
o. Aluminum, Total
(7429-90-5.)
x
x
x
*
*
*
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
*
*
NA
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
r. Cobalt, Total(7440-48-4)
x*NA
NA
NA
*
*
*'
NA
NA
NA
s. Iron, Total
(7439-89-6)
x*NA
T*NA
NA
NANA
NA
NA
t. Magnesium(7439-95-4)
u. Molybdenum, TotalNA(7439-98-7)
x*
x*NA
NA
NA
NANA
NA
NA
NANA
NA
NA
v. Manganese,(7439-96-5)
x
NA
NA
NA
NA
NA
NA
w. Tin Total
(7440-31-5)
x
*
*
NA
NA
NA
NA
*
NA
NA
NA
x. Titanium,Total
NA
NA
*
NA
NA
NA
(7440-32-6)
x
*
*
NA
NA
EPA Form 3510-2C (8-90)
DAr--c v_�
CONTINUED ON PAGE V-3

Fnrm AnnlnV H
EPA I.D. NUMBER (copy from Hem 1 of Form 1) OUTFALL NUMBER OMB No. 2040 0086
CONTINUED FROM PAGE 3 OF FORM 2-C NC0003573 001
Approval expires 8-31-08
PART C - If you are a primary Industry and this outfall contains process wastewater, refer to Table 2e 2 in the instructions to determine which of the GC1MS 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 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 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 analysts
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 acrolaln, acrylonitrUs
2.4 d(nitrophenol, or 2-methyl-4,6 dlottrophenol, 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.
1. POLLUTANT AND CASE NO
2. MARK "X"
3. EFFLUENT
4. UNITS
S. INTAKE (optional)
b. MAXIMUM 30 DAY VALUE (d
a LONG TERM AVRG. VALUE (d
(HavatlableJ
a. TESTING
a. MAXIMUM DAILY VALUE
evaflaWe)
(1)
evadable)
d. NO. OF
a. LONG TERM AVERAGE VALUE
b. BELIEVED
c.BELiEVED
REQUIRED
PRESENT
ABSENT
(1) CONCENTRATION (2) MASS
CONCENTRATION (2) MASS
(1) CONCENTRATION (2) MASS
ANALYSES
(1) TRATION
CONCENNTRATION
(2) MASS
CONCE(1)
(2) MASS
b. NO. OF
ANALYSES
1 M. Antimony'•
NA
NA
NA
NA
Total (7440-36-0)
X
* *
2M. Arsenic, Total
NA
NA
NA
*
NA
NA
NA
(7440-38-2)
3M. Beryllium,
X
*
NA
NA
NA
NA
*
*
Total (7440-41-7)
W.—Cadmium,
X
* *
NA
NA
NA
NA
*
NA
NA
NA
Total (7440-43-9)
X
"
NA
NA
NA
NA
"
Chromium, o
NA
NA
NA
(7440-47-3)
X
NA
NA
NA
NA
"
6M. Copper, Total
NA
NA
NA"
(7440-50-8)
X
7M. Lead, Total
NA
NA
NA
NA
*
NA
NA
NA
(7439-92-1)
X
8M. Mercury, Total
NA
NA
NA
NA
*
NA
NA
NA
(7439-97-6)
X
9M. Nickel, Total
NA
NA
NA
NA
*
NA
NA
NA
(7440-02-0)
X
*
10M. Selenium,
NA
NA
NA
NA
NA
NA
NA
Total (7782-49-2)
X
* *
11 M. Silver Total
NA
NA
NA
NA
NA
NA
NA
(7440-22-4)
X
12M. Thallium
NA
NA
NA
NA
NA
NA
NA
Total (7440-28-0)
X
* *
r
13M. Zinc, Total
NA
NA
NA
NA
NA
NA
NA
(7440-66-6)
X
*
14M. Cyanide, Total
NA
NA
NA
NA
NA
NA
NA
(57-12-5)
X
*
15M. Phenols, Total
X
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
2,3,7,8-Tetrachloridibenzo-P
Dioxin (1764-01-6)
X
NA
NA
NA
NA
EPA Form 3510 2C (8-90)
CONTINUED ON PAGE V-4

ITEM V-B CONTINUED FROM PRFVIni IC Deco
1. POLLUTANT AND CASE NO
(/f eva/lab18J
2. MARK W
R TESTING b. BELIEVED aBELIEVED
REQUIRED PRESENT ABSENT
3.EFFLUENT
4. UNITS
S. INTAKE (optional)
a. MAXIMUM DAILY
VALUE
CONCENTRATION (2) MASS
b. MAXIMUM 30 DAY VALUE QP
avellable)
CONCENTRATION (2) MASS
c LONG TERM AVRd VALUE (i/
-eNable)
(1) CONCENTRATION (2) MASS
d. NO. OF
ANALYSES
a. LONG TERM AVERAGE VALUE
(�)
CONCENTRATION (2) MASS
b. N0. OF
ANALYSES
(1) CONCENTRATIO
(2) MASS
IV. Acrolein
ai
�,, .' .�
NA
NA
(107-02-8)
2V. Acrylonitrile (107-13-1)
3V. Benzene (71-43-2)
4V. Bis (Chloromethyl)
X
X
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Ether (542-88-1)
5V. Bromoform (75-25-2)
6V. Carbon Tetrachloride
X
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
(56-23-5)
7V. Chlorobenzene
X
*
NA
NA
NA
NA
NA
(108-90-7)
8V. Chlorodibromomethane
X
E*
*
NA
NA
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
(124-48-1)
9V- Chloroethane (75-00-3)
1OV. 2 Chlorohylvinyl
X
X
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Ether (110-75-8)
11V. Chloroform (67-66-3)
12V. Dichlorobromomethane
X
X
*
*
*
NA
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
( 75 27-4)
13V. Dichlorodifluoromethane
X
*
NA
NA
NA
NA
NA
NA
NA
NA
(75-71- 8)
14V. 1,1 Dichloroethane
X
NA
NA
NA
NA
NA
*
*
NA
NA
NA
(75-34-3)
15V. 1,2 Dichloroethane
X
*
*
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
(107-06-2)
16V. 1,1 Dichloroethylene
X
NA
(75-35-4)
17V. 1,2 Dichloropropane
X
*
*
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
(78-87-5)
18V. 1,3 Dichloropropylene
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
*I
NA
NA
NA
NA
NA
NA
NA
(542-75-6)
19V. Ethylbenzene(100-41-4)
20V. Methyl Bromide
(74-83-9)
21 V. Methyl Chloride
X
X
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
(74-87-3)
EPA Form 3510-2C 8-90)
X
*
NA
PAGE V.d
CONTINUED ON PAGE V-5

Form Approved
EPA 1.D. NUMBER (copy from Rem 1 of Form 1) OUTFALL NUMBER
OMB No. 2040 0086
CONTINUED FROM PAGE V-4 I nlr_nnnaa7,2
1. POLLUTANT AND CASE NO
(Navallable
mommmmmmmomm
2 MARK "X"
------ -
3. EFFLUENT
Approval expires8-31-98
4. UNITS
5. (optlonal)
a, MAXIMUM DAILY
VALUE
b. MA)OMUM 30 DAY VALUE (d
avanablel
a. LONG TERM AVRG. VALUE Qf
avallable)
d. NO.OF
ANALYSES
a LONGTERM AVERAGE VALUE
b. NO. OF
ANALYSES
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
C.BELIEVED
ABSENT
(1)CONCENTRATION
(2)MASS
(i)
CONCENTRATION
(2)MASS
(1)
CONCENTRATION
(2)MASS
(1)
CONCENTRATION
(2)MASS
(1)
CONCENTRATION
(2)MASS
22V Methylene Chloride
(75-09-2)
23V.1,1,2,2 Tetrachloro-
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
ethane (79-34-5)
24V. Tetrachloroethylene
X
NA
NA
NA
NA
NA
NA
NA
NA
(127-18-4)
25V. Toluene (108-88-3)
26V. 1,2-TransDichloro-
X
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
ethylene (156-60-5)
27V. 1,1,1 Trichloroethane
X
NA
NA
NA
NA
NA
*
*
NA
NA
NA
(71-55-6)
28V. 1,1,2 Trichloroethane
X
*
*
NA
NA
NA
NA
NA
*
NA
NA
NA
(79-00-5)
29V. Trichloroethylene
X
NA
NA
NA
NA
NA
(79-01-6)
30V. Trichlorofluoro-
X
*
NA
NA
NA
NA
NA
*
*
NA
NA
NA
NA
*
*
NA
NA
NA
methane (75-69-4)
31 V. Vinyl Chloride
X
NA
NA
NA
NA
NA
NA
NA
NA
(75-01-4)
X
NA
NA
NA
NA
1A. 2 Chlorophenol
NEW=
NA
NA
NA
NA
NA
NA
(95-57-8)
2A 2,4 Dichlorohenol
X
*
NA
NA
NA
NA
NA
NA
NA
(120-83-2)
3A. 2,4 Dimethylphenol
X
NA
NA
NA
NA
*
NA
NA
NA
67-9)
4A 4,6 Dinitro-O-Cresol
X
*
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
(534-52-1)
5A. 2,4 Dinitrohenol
X
NA
NA
NA
NA
NA
NA
NA
NA
(51-28-5)
X
*
NA
NA
NA
6A.2-Nitrophenol(88-75-5)
X
*
NA
NA
NA
NA
NA
*
NA
NA
NA
7A4-Nitrophenol(100-02-7)
8A. P-Chloro-M-Cresof
59-50-7
9A. Pentachlorophenot
(87-86-5)
110A. Phenol (108-95-2)
11A. 2,4,6 Trichloro-
X
X
X
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
phenol(88-06-2)
EPA Form 3510 ZC (8-90)
X
NA
aeaF V_r
NA
CONTINUED ON PAGE V-6

CONTINUED FROM PAGE V-6
1. POLLUTANT AND CASE NO
2. MARK "X"
3. EFFLUENT
4. UNITS
S. INTAKE (optionaq
a MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (it
c. LONG TERM AVRG. VALUE (H
VALUE
available)
avaHeble)
a LONG TERM AVERAGE VALUE
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
..BELIEVED
ABSENT
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(!f aVaflab/e)
d. NO. OF
ANALYSES
(1) CONCENTRATION (2) MASS
b. NO. OF
ANALYSES
1B. Acenaphthene
(83-32-9)
X
NA
NA
NA
NA
NA
*
NA
NA
NA
2B. Acenaphtyiene
(208-96-8)
X
NA
NA
NA
NA
NA
*
NA
NA
NA
36. Anthracene (120-12-7)
X
*
NA
NA
NA
NA
NA
*
NA
NA
4B. Benzidine (92-87-6)
X
NA
NA
NA
NA
NA
NA
NA
5B. Benzo (a)
Anthracene (56-55-3)
X
*
NA
NA
NA
NA
NA
*
NA
NA
INA
6B. Benzo (a)
Pyrene (50-32-8)
X
*
NA
NA
NA
NA
NA
*
*
NA
NA
7133,4 Benzofluororanthene
(205-99-2)
X
*
NA
NA
NA
NA
NA
*
*
NA
NA
NA
8B. Benzo(ghi)Perylene
NA
NA
(191-24-2)
X
*
NA
NA
NA
NA
NA
*
*
NA
9B. Benxo (k)
Fluoranthene (207-08-9)
X
*
NA
NA
NA
NA
NA
10B. Bis(2-Chloroethoxy)
NA
NA
NA
Methane (111-91-1)
X
*
NA
NA
NA
NA
NA
*
*
11 B. Bis(2-Chloroethyi)
NA
NA
NA
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
*
13B. Bis(2-Elthylhexyl)
NA
NA
NA
Phthalate (117-81-7)
X
*
*
NA
NA
NA
NA
NA
*
*
14B.4BromophenyiPhenyl
NA
NA
NA
Ether (101-55-3)
X
*
NA
NA
NA
NA
NA
*
*
15B. Butyl Benzyl
NA
NA
NA
Phthalate (85-68-7)
X
*
*
NA
NA
NA
NA
NA
16B. 2-Chloronapthalene
NA
NA
NA
(91-58-7)
17B.2-Chlorophenyl Phenyl
X
*
NA
NA
NA
NA
NA
*
*
NA
NA
NA
Ether (7005-72-3)
X
*
18B.Chrysene(218-01-9)
X
*
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
*
*
NA
NA
NA
19B. Dibenzo (a,h)
NA
NA
NA
NA
Anthracene (53-70-3)
X
*
*
20B. 1,2 Dichlorobenzene
NA
NA
NA
NA
NA
NA
NA
NA
(95-50-1)
X
*
21B. 1,3 Dichlorobenzene
NA
NA
NA
NA
NA
*
NA
NA
NA
(541-73-1)
X
*
EPA Form 3510-2C (8-90)
NA
aer--= v-A
NA
NA
NA
NA
*
NA
NA
NA
(TUNTINUED.ON PAGE V-7

EPA I.D. NUMBER (copy f om item 1 of Form 1)
CONTINUED FROM PAGE V-6 OUTFALL NUMBER OMB No. 20400088 -
NC0003573
001 Approval expires 8.31-98
3. EFFLUENT 4. UNITS $. INTAKE (optional)
1. POLLUTANT AND CASE NO 2 MARK "X" a MAXIMUM DAILY b. MAXIMUM 30 DAY VALUE (d a LONG TERM AVRG. VALUE (%
VALUE evadebre) avatlable) a. LONG TERM AVERAGE VALUE
(If aval(able) a TESTING b. aF1iEVED aBELIEVED C. NO. OF
b. NO. OF
REQUIRED PRESENT ABSENT (1) CONCENTRATION (2) MASS (1) CONCENTRATION (2) MASS (1) CONCENTRATION (2) MASS ANALYSES (1) CONCENTRATION (2) MASS (1) CONCENTRATION (2) MASS ANALYSES
22B. 1,4 Dichlorobenzene
(106-46-7)
X
*
23B.3,3' Dichlorobenzidine
NA
NA
NA
NA
NA
NA
NA
NA
(91-941)
X
*
*
24B. Diethyl Phthalate
NA
NA
NA
NA
NA
*
*
NA
NA
NA
(84-66-2)
X
*
*
LNA
25B. Dimethyl Phthalate
NA
NA
NA
NA
NA
NA
NA
(131-11-3)
X
*
*
26B. Di-N-Butyl-
NA
NA
NA
NA
NA
*
*
NA
NA
NA
Phthalate (84-74-2)
X
27B. 2,4 Dinitro
NA
NA
NA
NA
NA
*
NA
NA
NA
toluene (121-14-2)
X
28B. 2,6 Dinitrotoluene
NA
NA
NA
NA
NA
*
*
NA
NA
NA
1606-20-2)
X
*
29B. Di-N-Octyl Phthalate
NA
NA
NA
NA
NA
*
*
NA
NA
NA
:117-84-0)
X
30B. 12 Diphenylhydrazine
NA
NA
NA
NA
*
*
NA
NA
NA
;as Azobenzene) •(122-66-7)
X
31 B. Fluoranthene
NA
NA
NA
NA
NA
*
*
NA
NA
NA
;206-44-0)
X
32B. Fluorene (86-73-7)
X
*
*
NA
NA
NA
NA
NA
*
NA
NA
NA
33B. Hexachlorobenzene
NA
NA
NA
NA
NA
*
NA
NA
NA
118-74-1)
X
346Hexachlorobutadiene
NA
NA
NA
NA
NA.
*
*
NA
NA
NA
87-68-3)
X
*
35B. Hexachlorocycl;
NA
NA
NA
NA
NA
*
*
NA
NA
NA
)entadiene (77-47-4)
X
W. Hexachloroethane
NA
NA
NA
NA
NA
NA
NA
NA
67-72-1)
X
*
17B.lndeno1,2,3 cdPyrene
NA
NA
NA
NA
NA
*
NA
NA
NA
193Isoph
X
*
*
t86.lsophorone
NA
NA
NA
NA
NA
*
*
NA
NA
NA
78-59-1)
X
*
)9B. Naphthalene (91-20-3)
X
*
*
NA
NA
NA
NA
NA
*
NA
NA
NA
OB.Nitrobenzene (98-95-3)
X
NA
NA
NA
NA
NA
*
*
NA
NA
NA
1 B. N-Nitrosodime
NA
NA
NA
NA
NA
*
*
NA
NA
NA
iylamine (62-75-9)
X
*
2B. N-Nitrosodi-N-
NA
NA
NA
NA
NA
*
*
NA
NA
NA
'ropylamine (621-64-7)
X
*
.PA Form 3510-2C (8-90)
NA
NA
NA
NA
NA
*
*
NA
NA
NA
PAGE V-7
CONTINUED ON PAGE V-8

CONTINUED FROM PAGE V-7
1. POLLUTANT AND CASE NO
2 MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE (optionap
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (ff
VALUE
ava ftwe)
a LONGTERM AVRG. VALUE (if avaAable)
a. LONG TERM AVERAGE VALUE
(If ava/labte)
d. NO. OF
ANALYSES
(1) CONCENTRATION (2)MASS
b. N0. OF
ANALYSES
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
aBELIEVED
ASSENT
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION (2)MASS
(1) CONCENTRATION
(2)MASS
43BN-Nitrosodiphenylamine
(86-30-6)
X
*
*
44B. Phenanthrene
NA
NA
NA
NA
NA
*
NA
NA
NA
*
*
NA
NA
NA
(85-01-8)
45B. Pyrene (129-00-0)
X
X
*
*
NA
NA
NA
NA
NA
*
NA
46B.1,2,4Trihiorobenzene
NA
NA
NA
NA
NA
(120-82-1)
X
NA
NA
NA
NA
NA
*
NA
"NANA
1P. Aldrin (309-00-2)
X
*
*
NA
NA
NA
2P. a-BHC (319-84-6)
X
*
NA
NA
NA
NA
*
NA
NA
NA
3P. R-BHC {319-85-7)
X
*
NA
NA
NA
NA
NA
NA
NA
NA
fP. y-BHC (58-89-9)
X
*
NA
NA
NA
NA
NA
*
NA
NA
NA
5P. S-BHC (319-86-8)
X
*
*
NA
NA
NA
NA
iP. Chlordane (57-74-9)
X
*
*
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
*
*
NA
NA
NA
7P. 4,4' DDT (50-29-3)
X
*
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
3P. 4.4' DDE (72-55-9)
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
)P. 4,4' DDD (72-54-8)
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
I OP. Dieddn (60-57-1)
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
I 1 P. a-Endosulfan
NA
NA
NA
115-29-7)
X
*
*
12P. (i-Endosulfan
NA
NA
NA
NA
NA
*
*
NA
NA
NA
115-29-7)
X
*
3P. Endosulfan Sulfate
NA
NA
NA
NA
NA
*
NA
NA
NA
1031-07-8)
X
4P. Endrin (72-20-8)
X
*
NA
NA
NA
NA
NA
*
*
NA
NA
NA
5P. Endrin Aldehyde
NA
NA
NA
NA
NA
NA
NA
NA
7421-93-4)
X
*
*
6P. Heptachlor
NA
NA
NA
NA
NA
*
NA
NA
NA
76-44-8)
X
*
NA
NA
NA
NA
NA
*
*
NA
NA
NA
:PA Form 3510-2C (8-90)
anr:F v-R
CONTINUED ON PAGE V-9

CONTINUED FROM PAGE V-8
1. POLLUTANT AND CASE NO T-2. MARK"X"
(If available)
a. TESTING
b. BELIEVED
¢BELIEVE
REQUIRED
PRESENT
ABSENT
17P. Heptachlor
Epoxide (1024-57-3)
X
18P. PCB-1242
(53469-21-9)
X
19P. PCB-1254
(11097-69-1)
X
20P. PCB-1221
(11104-28-2)
X
21 P. PCB-1232
(1114-16-5)
X
22P. PCB-1248
(12672-29-6)
X
23P. PCB-1260
(11096-82-5)
X
24P. PCB-1016
(12674-11-2)
X
25P.Toxaphene
(8001-35-2)
X
EPA Form 3510 2C (8-90)
0
r'
6
n
I
0
0
0
rn
0
0
0
cn
. NUMBER (copy from kern 1 ofFoml 1)
OUTFACE NUMBER
Form Approved
NC0003573
OMB No. 2040 0086
001
Approval expires 8-31-98
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
b. MAXIMUM 3o DAY
VALUE (d
a LONG TERM AVRG.
VALUE (d
a. MAXIMUM DAILY VALUE
avaffable)
avaflable)
a. LONG TERM AVERAGE VALUE
d. NO. OF
b. N0. OF
ONCENTRATION
(2)MASS
(1) CONCENTRATION
2 MASS
()
(1) CONCENTRATION
(2) MASS
ANALYSES
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
ANALYSE;
(2) MASS
y
MHOW
WEIR
*
*
NA
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
*
*
NA
NA
NA
*
*
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
*
*
NA
NA
NA
*
NA
NA
NA
NA
*
NA
NA
NA
*
*
NA
NA
NA
NA
NA
NA
NA
*
*
NA
NA
NA
NA
*
NA
NA
NA
*
*
NA
NA
NA
NA
*
NA
NA
NA
PAGE V-9

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.D. Number (copy from Item 1 of Form 1)
F_ NC0003573 _L]
Form Approved
OMB No. 2040 0086
V. INTAKE & EFFLUENT CHARACTERISTICS (Continued from page 3 of Form 2-C)
- ou must provide the resu is o at east one ana ysis or every pollutant utant in t is to e. Complete ete one table tor each outfall. See
instructions Tor additional etas s.
Approval expires 8.31-98
OUTFACE NO.
002
2. EFFLUENT
I. POLLUTANT AND CAS
3. UNITS
4. INTAKE (optionalI
NO a. MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE (if available)
b. LONG TERM AVRG. VALUE (if available)
d. NO. OF (Specify If blank)
a. LONG TERM AVERAGE VALUE
(1f avallable) CONCENTRATION (2) M� (1) CONCENTRATION (2) MASS
(1) CONCENTRATION
(2) Mp,�r
ANALYSES a CONCFSITRA71oN b. MASS
(1)
a. Biochemical
CONCENTRATION
(2) MASS
ANALYSES
Oxygen Demand 212.0 9775.7 106.00 4887.90
26.50
1222.00
5 MG/L PPD
(BOD)
NA
NA
NA
b. Chemical
Oxygen Demand 102.0 11291.9 102.0 11291.9
57.8
4853.2
4 MG/L PPD
(COD)
NA
NA
NA
c. Total Organic _
Carbon (TOC) * NA NA
NA
NA
* MG/L PPD
d. Total Suspended
NA
NA
NA
* _
Solids (TSS) NA NA
NA
NA
* MG/L PPD
e. Ammonia (as N) NA
NA
NA
NA
NA
NA
NA
* MG/L PPD
f. Flow value 18.60 value
16.3
value
NA
NA
NA
g. Temperature value
10.6
396 MGD _
value
NA
NA
(winter) 22 0 value 16 7
value
14.9
128
value
e
h. Temperature value value
eC
NA
NA
(summer) 32.2
value
25.8
146
value
Minimum
Minimum Maximum Minimum Maximum
-
�C
�•,,
NA
NA
i. pH 6.2 8.6 NA NA
_
.G
;I
n
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
If you mark column 2a for any pollutant which is limited directly,
274AL
pollutant you believe to be absent h y
,
either 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
in your discharge. Complete one table for each outfall. See the Instructions for addItional details and requirements.
of their presence
2. MARK "X" 3. EFFLUENT
4. UNITS
& INTAKE (optional)
a. MAXIMUM DAILY VALUE b. MAXIMUM 30 DAY VALUE (1f available)
c. LONG TERM AVRG. VALUE (if available)
b. NO. OF
1. POLLUTANT 8 CAS NO.
I
D. NO. OF
a. LONG TERM AVERAGE VALUE
ANALYSES
(lfavailable) a BELIEVED b. BELIEVED (1) CONCENTRATION (2) MASS (1) CONCENTRATION (2) MASS
PRESENT ABSENT
(1) CONCENTRATION
(2i MASS
ANALYSES 0) �) MASS
a. Bromide
CONCENTRATION
CONCENTRATION
(2) MASS
(24959-67-9) X * * NA NA
NA
NA
* _
b. Chlorine
NA
NA
NA
Total Residual X * = NA. NA
NA
Nq
c. Color X * * NA NA
NA
NA
=
NA I
NA
NA
d. Fecal
NA
NA
NA
Coliform X * ` NA NA
NA
NA
e. Fluo�rid�ep
NA
NA
NA
( 16984-48-8) X * * NA NA
NA
NA
=
f. Nitrate—
NA
NA
NA
Nitrite (as N) X = = LNA NA
NA
NA
,
EPA Form 3510-2C (8-90)
NA
NA
NA
PAGE V.1

ITEM V-8 CONTINUED FROM PREVIOUS PAGE
I. POLLUTANT AND CASE NO
2. MARK
"XI
3. EFFLUENT
4. UNITS
5. INTAKE
(optional)
a. MAXIMUM DA0.Y
VALUE
b. MAXIMUM 90 DAY
evellable)
VALUE (if
a LONG TERM AVRG.
avaAeble)
VALUE ff
a. LONG TERM AVERAGE
VALUE
BELIEVED
ffavallable
d. NO. OF
ANALYSES
a.
PRESENT
b.E
ABS
ABSENNTT
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
g. Nitrogen,
(2) MASS
ANALYSES
Total Organic (as /V)
X
NA
NA
NA
NA
*
*
NA
NA
NA
h. Oil and Grease
X
*
*'
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/L
PPD
NA
NA
NA
NA
NA
NA
i(77723-{114�-0) Cyp
)�4�r, )�.�. ��x}.F:H.EM ��Rm�Fj
,z!n �✓
.�.. y
.P .� a.
':
...
r
a
NA
NA
B k'
,n NA
X
*
*
NA
(1) Alpha, Total
NA
NA
NANA
NA
NA
(2) Beta, Total
X
*
(3) Radium, total
X
*
NA
NA
NA
NA
*
*
*
NA
NA
NA
(4) Radium 226 Total
X
*
*
NA
NA
NA
NA
*
*
*
NA
NA
NANA
k. Sulfate (as SO4)
NA
NA
NA
NA
*
*
NA
NA
(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)
*
NA
NA
NA
(14265-45-3
X
*
*
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
x
*
NA
NA
NA
q. Boron, Total
*
NA
NA
NA
(7440-42-8)
X
*
*
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
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
(7440-31-5)
X
*
NA
NA
NA
NA
*
NA
NA
NA
x. Titanium,Total
NA
*
(7440-32-6)
X
*
NA
NA
NA
NA
NA
NA
EPA Form 3510-2C (8-90)
oA„� 1, ,,
CONTINUED ON PAGE V-3

Form Approved
EPA I.D. NUMBER (copy from Item 1 of Form 1) OUTFALL NUMBER OMB No. 2040 0086
CONTINUED FROM PAGE 3 OF FORM 2-C I NC0003573 I nn9
I�F,III V Vtll tl.�N" VJ O-J �-i!O
PART C - If you are a primary Industry and this outfati contains process wastewater, refer to Table 2c--2 In the instructions to determine which of the GCIMS fractions
you must lest 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 2-a (secondary Industries, nonprocess wastewater outial(s, 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 acroiain, acrylonitrile
2,4 dinhrophanol, or 2-methyl4,6 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 detal s and requirements.
1. POLLUTANT AND CASE NO
2. MARK `X"
3. EFFLUENT 4. UNITS
b. MAXNUM 30 DAY VALUE Of a LONG TERM AVRG. VALUE (if
S. INTAKE (optional)
a. MAXIMUM DAILY VALUE avaftawe) evallabb)
(1) d. NO. OF
a. LONG TERM AVERAGE VALUE
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
aBELEVED
ABSENT
(1)
CONCENTRATION (2) MASS
(Ifavallable)
(�)
(1) CONCENTRATION (2) MASS CONCENTRATION (2) MASS (1) CONCENTRATIO (2) MASS ANALYSES CONCENTRATION (2) MASS
b. NO. OF
ANALYSES
*
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
W. a mium,
Total (7440-43-9)
X
NA
NA
NA
NA
*
NA
NA
romium, otal
NA
(7440-47-3)
6M. Copper, Total
X
*
NA
NA
NA
NA
NA
NA
NA
(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
NA
NA
(7439-97-6)
X
*
NA
NA
NA
NA
*
NA
9M. Nickel, Total
NA
NA
NA
(7440-02-0)
10M. Selenium,
X
*
NA
NA
NA
NA
*
NA
NA
Total (7782-49-2)
X
NA
NA
NA
NA
NA
11 M. Silver Total
(7440-22-4)
12M. Thallium
X
*
*
NA
NA
NA
NA
*
NA
NA
NA
Total (7440-28-0)
X
*
NA
NA
NA
NA
13M. Zinc, Total
NA
NA
NA
(7440-66-6)
14M. Cyanide, Total
X
NA
NA
NA
NA
*
NA
NA
NA
(57-12-5)
15M. Phenols, Total
X
X
*
NA
NA
NA
NA
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2,3,7,8 -Tetrachloridibenzo-P
Dioxin (1764-01-6)
X
NA
NA
NA
NA
EPA Form 3510-2C (8-901
s...� ..
CONTINUED ON PAGE V-4

REM V-B CONTINUED FROM PREVIOUS PAGE
I. POLLUTANT AND CASE NO
2. MARK "X-
3. EFFLUENT
4. UNITS 5. INTAKE (optional)
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (if
t LONG TERM AVRG. VALUE. Of
(/favallable)
VALUE
availawa)
avoswe)
d. NO. OF
a. LONG TERM AVERAGE VALUE
a. TESTING
b. BELIEVED
C.BELIEVED
(1)
(1)
REQUIRED
PRESENT
ABSENT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES
(1) CONCENTRATION (1) b. NO. OF
(2) MASS CONCENTRATION (2) MASS ANALYSES
1 V. Acrotein
1.
h'
*
NA
NA
NA
NA
*
*
NA
NA
NA
(107-02-8)
2V. Acrylonitrile (107-13-1)
X
X
*
NA
NA
NA
NA
3V. Benzene (71-43-2)
X
*
NA
NA
NA
NA
NA
W. Bis (Chloromethyl)
NA
NA
NA
NA
NA
NA
NA
NA
NA
Ether (542-88-1)
X
*
NA
NA
NA
NA
NA
*
*
NA
NA
5V. Bromoform (75-25-2)
X
*
NA
NA
NA
NA
NA
*
NA
NA
NA
6V. Carbon Tetrachloride
*
NA
NA
NA
(56-23-5)
7V. Chiorobenzene
X
*
NA
NA
NA
NA
NA
NA
(108-90-7)
8V. Chlorodibromomethane
X
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
(124-48-1)
9V. Chloroethane (75-00-3)
X
X
*
*
NA
NA
NA
NA
NA
1CIV. 2 Chlorohylvinyi
NA
NA
NA
NA
NA
*
NA
NA
NA
Ether (110-75-8)
11V. Chloroform (67-66-3)
X
X
*
NA
NA
NA
NA
NA
*
NA
NA
NA
12V. Dichiorobromomethane
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
(75-27-4)
13V. Dichlorodifluoromethane
X
*
*
NA
NA
NA
NA
(75-71- 8)
14V. 1,1 Dichloroethane
X
*
*
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
*
NA
NA
NA
(75-34-3)
15V. 1,2 Dichloroethane
X
*
NA
NA
NA
NA
NA
*
NA
NA
NA
(107-06-2)
16V. 1,1 Dichloroethylene
X
NA
NA
NA
NA
(75-35-4)
X
*
17V. 1,2 Dichloropropane(78-87-5)
NA
NA
NA
NA
NA
*
NA
NA
NA
NANA
*18V.
NA
NA
NA
1,3 Dichloropropylene
X
F
NA
NA
NA
(542-75-6)
X
19V. Ethylbenzene(100-41-4)
X
NA
NA
NA
NA
NA
NA
NA
NA
20V. Methyl Bromide
NA
NA
NA
NA
NA
*
NA
NA
NA
(74-83-9)
X
21 V. Methyl Chloride
NA
NA
NA
NA
NA
NA
NA
NA
(74-87-3)
X
*
EPA Form 3510-2C 8-90)
NA
DAr_e v_ A
NA
NA
NA
NA
NA
NA
NA
CONTINUED ON PAGE V-5

e
EPA LID. NUMBER (copy from item 1 of Form 1) OUTFALL NUMBER d
OMB No. Form Approova 0086
CONTINUED FROM PAGE V-4 I NCnnn3573 I nno
3. EFFLUENT
—
—
Approval expires
8-31-98
1. POLLUTANT AND CASE NO
2. MARK "X"
4. UNITS
5: INTAKE
(opGorran
a. MAXIMUM DAILY
VALUE
b. MAXIMUM 30
DAY VALUE (d
a LONG TERM AVRG.
VALUE (1r
/fava()a6)e
( i
av&abfe)
avawable)
d. NO. OF
a. LONG TERM AVERAGE
VALUE
b. NO. OF
a TESTING
b. BELIEVED
c.BELIEVED
(1)
(1)
REQUIRED
PRESENT
ABSENT
(1)CONCENTRATION
(2)MASS
CONCENTRATION
r�) MASS
CONCENTRATION
(21 MASS
ANALYSES
()
CONCENTRATION (2) MASS
(1)
CONCENTRATION
(2) MASS
ANALYSES
lene Chloride
-r .
NA
NA
723V.1,1
X
*
NA
NA
NA
NA
NANA
2 Tetrachloro-
NA
NA
-34-5)
X
*
NA
NA
NA
NA
NA
NA
24V. Tetrachloroethylene
NA
NA
NA
(127-18-4)
X
*
NA
NA
NA
NA
NA
25V. Toluene (108-88-3)
X
26V. 1,2-TransDichloro-
NA
NA
NA
NA
NA
NA
NA
NA
ethylene (156-60-5)
X
*
27V. 1,1,1 Trichloroethane
NA
NA
NA
NA
NA
*
NA
NA
NA
(71-55-6)
28V. 1,1,2 Trichloroethane
X
NA
NA
NA
NA
NA
* *
NA
NA
NA
(79-00-5)
29V. Tdchloroethylene
X
*
NA
NA
NA
NA
NA
* *
NA
NA
NA
(79-01-6)
30V. Trichlorofluoro-
X
*
*
NA
NA
NA
NA
NA
*
*
NA
NA
NA
methane (75-69-4)
X
*
NA
NA
NA
NA
NA
31 V. Vinyl Chloride
NA
NA
NA
(75-01-4)
X
*
NA
NA
NA
NA
NA
*
NA
NA
NA
1A. 2 Chlorophenol
`"
' v
MOM
(95-57-8)
X
2A 2,4 Dichlorohenol
NA
NA
NA
NA
NA
*
*
NA
NA
NA
(120-83-2)
X
3A. 2,4 Dimethylphenol
NA
NA
NA
NA
NA
*
NA
NA
NA
(105-67-9)
X
*
*
4A 4,6 Dinitro-O-Cresol
NA
NA
NA
NA
NA
NA
NA
NA
(534-52-1)
X
*
*
5A. 2,4 Dinitrohenol
NA
NA
NA
NA
NA
*
NA
NA
NA
(51-28-5)
X
NA
NA
NA
NA
NA
NA
NA
NA
6A.2-Nitrophenol(88-75-5)
7A4-Nitrophenol(100-02-7)
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
8A. P-Chloro-M-Cresol
X
*
*
NA
NA
NAFNA
NA
*
*
NA
NA
NA
59-50-7
X
*
PentachlorophenolNA
NA
NA
NA
NA9A.
NA
NA
(87-86-5)
X
*
*
10A. Phenol (108-95-2)
X
*
NA
NA
NA
NA
NA
NA
NA
NANA
11A. 2,4,6 Trichloro-
NA
NA
NA
NA
*
*
NA
NA
NA
phenol (88-06-2)
X
*
*
EPA Form 3510-2C (8-90)
NA
oer-c u_a
NA
NA
NA
NA
NA
NA
CONTINUED ON PAGE V-6

CONTINUED FROM PAGE V-6
1- POLLUTANT AND CASE NO
2 MARK "X"
3.EFFLUENT
a MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (if
VALUE
-auabla)
a TESTING
REQUIRED
b. BELIEVED
PRESENT
O.BELIEVED
ABSENT
(1) CONCENTRATION (2)MASS
(1) CONCENTRATION
(2)MASS
(IfaVallaWe)
1B. Acenaphthene
(83-32-9) X
*
NA
NA
2B. Acenaphtylene
(208-96-8)
X
NA
NA
3B. Anthracene (120-12-7)
X
NA
NA
4B. Benzidine (92-87-5)
X
NA
NA
5B. Benzo (a)
Anthracene (56-55-3)
X
NA
NA
6B. Benzo (a)
Pyrene (50-32-8)
X.
NA
NA
7B3,4 Benzofluororanthene
(205-99-2)
X
*
NA
NA
8B. Benzo(ghi)Perylene
(191-24-2)
X
*
NA
NA
9B. Benxo (k)
Fiuoranthene (207-08-9)
X
`
10B. Bis(2-Chloroethoxy)
NA
NA
Methane (111-91-1)
X
`
11 B. Bis(2-Chloroethyl)
NA
NA
Ether (111-44-4)
X
NA
NA
12B Bis{2Chlorolsopropyl)
Ether (102-60-1)
X
13B. Bis(2-Elthylhexyl)
NA
NA
Phthalate (117-81-7)
X
`
14B.4BromophenylPhenyl
NA
NA
Ether (101-55-3)
X
*
15B. Butyl Benzyl
NA
NA
Phthalate (85-68-7)
X
*
16B. 2-Chloronapthalene
NA
NA
(91-58-7)
X
`
17B.2-Chlorophenyl Phenyl
NA
NA
Ether (7005-72-3)
X
`
`
18B.Chrysene(218-01-9)
X
`
NA
NA
p 19B. Dibenzo (a,h)
NA
NA
p Anthracene (53-70-3)
X
`
20B. 1,2 Dichlorobenzene
NA
NA
(95-50-1)
X
`
*
I�7l
21B. 1,3 Dichlorobenzene
NA
NA
o (541-73-1)
X
`
`
NA
NA
EPA Form 3510-2C (8-90)
0 PAGE V-6
0
a. LONG TERM AVRG. VALUE (lf
eve1186fe)
d. NO. OF
ANALYSES
4. UNITS S. INTAKE (OptlOnag
a. LONG TERM AVERAGE VALUE
b. NO. OF
(1) CONCENTRATION (2) MASS (1) CONCENTRATION (2) MASS ANALYSES
(1) CONCENTRATION
(2) MASS
*
"
*
*
*
*
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
"
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
*
*I
NA
NA
NA
NA
NA
NA
wN I INutu UN PAGE V-7

CONTINUED FROM PAGE V-6
EPA I.D. NUMBER (copy from Hem 1 o/Form 1)
NC0003573
OUTFALL NUMBER
OMB No. 2040 0086
002
Approval expires8-31-98
1. POLLUTANT AND CASE NO
2. MARK ")r
3. EFFLUENT
4. UNITS
5. INTAKE (OpUanap
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (/r
c. LONG TERM AVRG. VALUE (!r
(ffaVa!lablB)
VALUE
evadable)
--#awe)
d. NO. OF
a. LONG TERM AVERAGE VALUE
a TESTING
b. BELIEVED
cBEIJEVED
REQUIRED
PRESENT
ABSENT
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
ANALYSES
(1) CONCENTRATION
(2)MASS
(1) CONCENTRATION (2)MASS
b. NO. OF
ANALYSES
226. 1,4 Dichloroberuene
(106-46-7)
23BAX Dichlorobenzidine
X
*
NA
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
(91-94-1)
X
NA
NA
NA
NA
NA
24B. Diethyl Phthalate
(84-66-2)
25B. Dimethyl Phthalate
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
(131-11-3)
26B. Di-N-Butyl-
X
*
NA
NA
:::NA
NA
NA
NA
NA
NA
:Ihthalate (84-74-2)
X
*
*
NA
NA
NA
NA
NA
*
27B. 2,4 Dinitro
NA
NA
NA
*
toluene (121-14-2)
X
NA
NA
NA
NA
NA
Z8B. 2,6 Dinitrotoluene
NA
NA
NA
:606-20-2)
X
*
*
M. Di-N-Octyl Phthalate
NA
NA
NA
NA
NA
NA
NA
NA
:117-84-0)
X
308. 12 Diphenylhydrazine
NA
NA
NA
NA
NA
NA
NA
NA
as Azobenzene) (122-66-7)
X
*
31 B. Fluoranthene
NA
NA
NA
NA
NA
NA
NA
NA
206-44-0)
X
*
32B. Fluorene (86-73-7)
X
*
*
NA
NA
NA
NA
NA
NA
NA
NA
NA
*
NA
NA
NA
336. Hexachlorobenzene
NA
NA
NA
NA
118-74-1)
X
*
3413. Hexachlorobutadiene
NA
NA
I NA
NA
NA
*
NA
NA
NA
87-68-3)
X
*
*
35B. Hexachlorocyclo-
NA
NA
NA
NA
NA
*
NA
NA
NA
Ientadiene (77-47-4)
X
*
366. Hexachloroethane
NA
NA
NA
NA
NA
*
NA
NA
NA
67-72-1)
X
17B.Indeno1,2,3 CdPyrene
NA
NA
NA
NA
NA
*
NA
NA
NA
193-39-5)
X
18B.ISophorone
NA
NA
NA
NA
NA
*
NA
NA
NA
78-59-1)
X
*
*
i9B. Naphthalene (91-20-3)
X
*
*
NA
NA
NA
NA
NA
*
NA
NA
NA
•OB.Nitrobenzene (98-95-3)
X
*
NA
NA
NA
NA
NA
*
NA
NA
NA
•1B. N-Nitrosodime-
NA
NA
NA
NA
*
NA
NA
NA
•lylamine (62-75-9)
X
2B. N-Nitrosodi-N-
NA
NA
NA
NA
NA
NA
NA
NA
'ropylamine (621-64-7)
X
.PA Form 3510-2C (8-90)
NA
NA
NA
NA
NA
*
NA
NA
NA
CONTINUED ON PAGE V-8

CONTINUED FROM PAGE V-7
1. POLLUTANT AND CASE NO
(ff available)
43BN-Nitrosodiphenylamine
(86-30-6)
44B. Phenanthrene
(85-01-8)
45B. Pyrene (129-00-0)
46B. 1,2,4Trihlorobenzene
(120-82-1)
IBM
1P. Alddn (309-00-2)
2P. a-BHC (319-84-6)
313. P-BHC (319-85-7)
4P. y-BHC (58-89-9)
5P. 8-BHC (319-86-8)
3P. Chlordane (57-74-9)
7P. 4,4' DDT (50-29-3)
3P. 4.4' DDE (72-55-9)
3P. 4,4' DDD (72-54-8)
10P. Diedrin (60-5,
11 P. a-Endosulfan
115-29-7)
12P. (3-Endosulfan
'115-29-7)
13P. Endosulfan Sulfate
1031-07-8)
14P. Endrin (72-20-8)
15P. Endrin Aldehyde
7421-93-4)
16P. Heptachlor
76-44-8)
0
IT!
p
C�
n
I
0
0
0
rn
0
0
I
�
�
�".iSa�
©=
#�„b,
svut
�;'��SS�b
�14d
•;�:"�`l�'��s'. 1�3''F. ,�y7p�'.�t
tea,©F ,,�
y. ,..
��F,'�S+W,.,r"".r
�,4`...v3e��.'�?#§%�'L$"..e��..'—•�
�G�pF•� 3 t a.'
'�v. \ �3�Yz' `^ .:M`>�
.,•>,., ,eaN'-i "`�,y.
a 3,,{� 4
S. � �; ^�:-
'�� � .t
'�(
b4..
w�.
�,�. ^ �+u � �A
©'��
7
_
i
PAGE V-8
CONTINUED •
w

CONTINUED FROM PAGE V-8
EPA I.D. NUMBER (copy from Hem 1 ofFbrm 1)
NC0003573
OUTFACE NUMBER
002
Form Approved
OMB No. 2040 0086
Approval expires 8-31-98
1. POLLUTANT AND CASE NO
2. MARK")("
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
a. MAXIMUM DAILY VALUE
b. MAXIMUM 3o DAY VALUE (B'
available)
e. LONG TERM AVRG. VALUE (f
avallabfe)
a. LONG TERM AVERAGE VALUE
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
aBEUEVED
ASSENT
(1)CONCENTRATION
2 MASS
()
(lf available)
(1) CONCENTRATION (2) MASS
(1) CONCENTRATION (2) MASS
(1) CONCENTRATION (2) MASS
d. NO. OF
ANALYSES
(1) CONCENTRATION (2) MASS
b. NO. OF
ANALYSES
17P. Heptachlor'
.l�k:`
1"` `tie..
NA
NA
NA
Epoxide (1024-57-3)
X
NA
NA
NA
NA
*
18P. PCB-1242
NA
NA
NA
(53469-21-9)
X
NA
NA
NA
NA
19P. PCB-1254
*
NA
NA
NA
(11097-69-1)
20P. PCB-1221
X
NA
NA
NA
NA
*
NA
NA
NA
(11104-28-2)
21 P. PCB-1232
X
*
*
NA
NA
NA
NA
*
*
NA
NA
NA
(1114-16-5)
22P. PCB-1248
X
*
NA
NA
NA
NA
NA
NA
NA
(12672-29-6)
23P. PCB-1260
X
NA
NA
NA
NA
*
NA
NA
NA
(11096 82-5)
24P. PCB-1016
X
*
*
NA
NA
NA
NA
NA
NA
NA
(1267411-2)
25P.Toxaphene
X
NA
NA
NA
NA
NA
*
*
NA
NA
NA
(8001-35-2)
X
*
NA
NA
NA
EPA Form 3510-2C (8-90)
PAGE V-9
10,
6
n
I
0
0
0
rn
0
0

PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all E.P. A. I.D. Number (copy from Item 1 of Form 1)NC0003573 Form Approved
of this Information on separate sheets (use the same format) Instead of completing these pages. OMB No. 0088
SEE INSTRUCTIONS
Approval expires t1.31-ua
V. INTAKE & EFFLUENT CHARACTERISTICS (Continued from page 3 of Form 2-C) O ITFALL NO.
PART A - ou must prove e t e results or at least one analysis for every pollutantin-this table. Complete one table for eaEFF&u Hall. see Instructions tor additional etas s.
006
2. EFFLUENT
I. POLLUTANT AND CAS
3. UNITS
4. INTAKE (optionaiI
NO
a MAXIMUM DAILY VALUE
b. MAXIMUM 30 DAY VALUE (if available)
b. LONG TERM AVRG. VALUE (if available)
d. NO. OF
(Specify If blank)
a. LONG TERM AVERAGE VALUE
CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2)MASS
(1)CONCENTRATION
(2) MASS
a CONCENTRATION
b. MASS
(Ifavailable)
ANALYSES
(1)
(2) MASS
b.NLYSE
ANALYSES
CONCENTRATION
a. Biochemical
Oxygen Demand
WA
WA
NA
NA
NA
NA
WA
MG/L
PPD
NA
NA
NA
(BOD)
b. Chemical
Oxygen Demand
WA
WA
NA
NA
NA
NA
WA
MG/L
PPD
NA
NA
NA
(COD)
c. Total Organic
Carbon (TOC)
WA
WA
NA
NA
NA
NA
WA
MG/L
PPD
d. Total Suspended
NA
NA
NA
Solids (TSS)
NA
NA
NA
NA
WA
MG/L
PPD
NA
NA
NA
e. Ammonia (as N) WA WA NA NA NA NA WA MG/L PPD
f. Flow value WNA NA NA
A value NA NA value NA value
WA MGD
g. Temperature value value — NA NA
value
(winter) WA NA NA NA WA value
h. Temperature value value value cC NA NA
(summer) NA NA NA WA oC value
NA NA
Minimum Maximum Minimum Maximum
i.pH WA WA NA NA M- WA M I M-W
,
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 ekher directly, or indirectly but expressly, in an effluent limitations guideline, you must provide the results
of at least one analysts for that pollutant. For other pollutants for which you mark column 2a, you must provide quantitative data or an explanation of their
in
presence
your discharge. Complete one table for each outfall. See the instructions for additional details and requirements.
2. MARK "X"
3. EFFLUENT
4. UNITS
S. INTAKE (opflonal)
a MAXIMUM ONLY VALUE
b. MAXIMUM 30 DAY VALUE (If available)
c. LONGTERM AVRG. VALUE (ff available)
b. NO. OF
I. POLLUTANT (i CAS N0.
D. NO. OF
a. LONG TERM AVERAGE VALUE
ANALYSES
(1)
(2) MASS
(1)
(lfavauafue)
aBEUEVED
PRESENT
b. BELIEVED
ABSENT
(1)CONCENTRATION
(2)MASS
(1)CONCENTRATION
(2)MASS
(1)CONCENTRATION
(2MASS
ANALYSES
CONCENTRATION
CONCENTRATION)
(2) MASS
a. Bromide
(24959-67-9)
X
WA
WA
NA
NA
NA
NA
WA
WA
WA
NA
NA
NA
b. Chlorine
Total Residual
X
WA
WA
NA
NA
NA
NA
N/A
N/A
WA
NA
NA
NA
c. Color
X
WA
WA
NA
NA
NA
WA
WA
NA
NA
NA
d. Fecal
NA
WA
Coliform
X
WA
WA
NA
NA
NA
NA
WA
WA
WA
NA
NA
NA
e. Fluoride
( 16984-48-8)
X
WA WA
NA
NA
NA
NA
WA
WA
WA
f. Nitrate—
NA
NA
NA
Nitrite (as N)
X
WA WA
NA
NA
NA
NA
WA
WA
WA
EPA Form 3510-2C (8-90)
aerc v_4
NA
NA
NA

ITEM V-S CONTINUED FROM PREVIOUS PAGE:
1. POLLUTANT AND CASE NO
2. MARK -X-
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
a MAXIMUM DAILY VALUE
b. MAXIMUM W DAY VALUE (if
avat7able)
a LONG TERM AVRG. VALUE (H
ava8abte)
a BELIEVED
(Havalla6/e)
(1) CONCENTRATION (2) MASS
(1) CONCENTRATION (2) MASS
(1) CONCENTRATION (2) MASS
ANALYSES
a. LONG TERM AVERAGE VALUE
(1) CONCENTRATION (2) MASS
ANALYSES
PRESENT
b.BELIEVEO
ABSENT
(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
I. Phosphorus
NA
NA
NA
NA
NA
NA
(as P) , Total
X
N/A N/A
NA NA
NA NA
N/A
N/A
N/A
(7723-14-0)
NA
NA
NA
NA
(1) Alpha, Total
X
N/A
NA
NA
'
. „zz.=•T:.
N/A
NA
NA
N/A
N/A
N/A .
NA
�
(2) Beta, Total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NA
NA
N/A
NA
NA
NA
(3) Radium, total
(4) Radium 226 Total
X
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NIA
NA
NA
NA
k. Sulfate (as SO4)
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
N/A
NA
NA
NA
(14808-79-8)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
I. Sulfide (as S)
M. Sulfite S03)
X
NIA
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(14265-45-3
-3
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
n. Surfactants
o. Aluminum, Total
X
N/A
N/A
NA
I NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(7429-90-5)
X
N/A
N/A
NA
NA
NA
NA
N/A
NIA
N/A
NA
NA
NA
p. Barium, Total
NIA
NIA
NA
NA
NA
(7440-39-3)
X
NIA
N/A
NA
NA
NA
NA
NIA
q. Boron, Total
(7440-42-8)
X
N/A
N/A
NA
NA
NA
NA
N/A
NA
NA
NA
r. Cobalt, Total
NIA
N/A
(7440-48-4)
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
NIA
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
t. Magnesium
(7439-95-4)
X
N/A
N/A
NA
NA
NA
NA
N/A
NA
NA
NA
u. Molybdenum, Total
N/A
N/A
(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
NIA
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
w. Tin Total
(7440-31-5)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
x. Titanium,Total
NA
NIA
N/A
N/A
NA
(7440-32-6)
X
N/A
N/A
NA
NA
NA
NA
NA
EPA Form 3510-2C (8-90)
DAr_r If n
CONTINUED ON PAGE V-3

roan Approved
FEPA LD. NUMBER (copy from Hem 1 Of Form
NUMBER OMB No. 2040 0086
=OUTFALL
CONTINUED FROM PAGE 3 OF FORM 2-C NC0003573 006
Approval expires "1-98
PART C - If yols—area primary Industry and this Quire contains process wastewater, refer to Table 2c 21n 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 2-a (secondary industries, nonprocess wastewater outfalls, and nonroquired 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 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 dkttrophenol, or 2-methyl4,6 dinitrophenol, you must the
provide 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 for
pollutants 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 outiall. See Instructions for additional details and requirements.
1. POLLUTANT AND CASE NO
2 MARKX'
'
3. EFFLUENT
4. UNITS
6. INTAKE (option!)
b. MAXaAUM 30 DAY VALUE at
a LONG TERM AVRG. VALUE Of
(HavaHable)
a MAXIMUM DAILY VALUE
avaflaMe)
(�)
avellaMe)
d. N0.
a. LONG TERM AVERAGE VALUE
a TESTWG
b. BEL@VED
aBEL�VED
(�)
CONCENTRATION
(2) MASS
REQUIRED
PRESENT
ABSENT
(1)CONCENTRATIO (2)MASS
CONCENTRATION (2)MASS
(1) CONCENTRATIO (2) MASS
OF
ANALYSES
(1j
CONCENTRATION (2) MASS
b. NO. OF
ANALYSES
1 M. Antimony
NA
NA
NA
N/A
Total (7440-36-0)
X
N/A
N/A
NA
2M. Arsenic, Total
N/A
N/A
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(7440-38-2)
3M. Beryllium,
X
•
N/A
N/A
NA
NA
NA
NA
Total (7440-41-7)
a mium,
X
N/A
N/A
NA
NA
NA
NA
N/A
NIA
N/A
NA
NA
NA
Total (7440-43-9)
romlum, TO
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(7440-47-3)
6M. Copper, Total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NIA
NA
NA
NA
(7440-50-8)
7M. Lead, Total
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
N/A
N/A
NA
NA
NA
(7439-92-1)
8M. Mercury, Total
X
N/A
N/A
NA
NA
NA
NA
N/A
NA
N/A
N/A
N/A
NA
NA
NA
(7439-97-6)
9M. Nickel, Total
X
NIA
NIA
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(7440-02-0)
10M. Selenium,
X
N/A
NIA
NA
NA
I NA
NA
N/A
N/A
N/A
NA
NA
NA
Total (7782-49-2)
11 M. Silver Total
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
I N/A
NA
NA
NA
(7440-22-4)
12M. Thallium
X
N/A
N/A
NA
NA
NA
NA
N/A
N!A
N/A
NA
NA
NA
Total (7440-28-0)
13M. Zinc, Total
X
N/A
N/A
NA
NA
NA
NA I
N/A
N/A
N/A
NA
NA
NA
(7440-66-6)
14M. Cyanide, Total
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A N/A
NA
NA
NA
(57-12-5)
15M. Phenols, Total
X
X
N/A
N/A
NA
N/A
N/A
NA
NA
NA
NA
N/A
N/A N/A
NA
NA
NA
2,3,7,8-Tetrachloddibenzo-P
mmum
;.
Dioxin (1764-01-6)
N/A
X
NA
NA
EPA Form 3510-2C (8-90)
PAGE V-3
CONTINUED
ON PAGE
V-4

ITEM V-8 CONTINUED FROM PREVIOUS PAGE
I. POLLUTANT AND CASE NO
2. MARK "X"
3. EFFLUENT
4. UNITS
5. INTAKE
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE Cifa.
LONG TERM AVRG. VALUE at(OPtl01)aQ
(1fa-flable)
VALUE
avaffable)
—7awe)
d.NO. OF
a. LONG TERM AVERAGE VALUE
aTESTpJG
b BELIEVED
cBELFEVED
(1)
(1)
REQUIRED
PRESENT
ABSENT
CONCENTRATION
(2) MASS
CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES
(1) CONCENTRATION
(2) MASS
(1)
CONCENTRATION (2) MASS
b.NO. OF
ANALYSES
1V. Acrolein
N/A
NA
NA
NA
NA
NA
(107-02-8)
2V. Acrylonitrile (107-13-1)
X
X
N/A
I NA
N/A
N/A
NA
NA
3V. Benzene (71-43-2)
X
N/A
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
N/A
NA
NA
NA
4V. Bis (Chloromethyl)
N/A
NA
NA
NA
NA
NA
N/A
Ether (542-88-1)
X
N/A
N/A
NA
NA
NA
NA
NA
NIA
N/A
NA
NA
NA
5V. Bromoform ( 75-25-2)
X
N/N
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
6V. Carbon Tetrachloride
N/A
NA
NA
NA
(56-23-5)
7V. Chlorobenzene
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
(108-90-7)
8V. Chlorodibromomethane
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
N/A
NIA
NA
NA
NA
(124-48-1)
9V. Chloroethane (75-00-3)
X
X
N/A
N/A
NA
NA
NA
NA
NA
1 OV. 2 Chlorohylvinyl
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
'NA
NA
NA
NA
NA
Ether (110-75-8)
11 V. Chloroform (67-66-3)
X
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
12V. Dichlorobromomethane
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(75-27-4)
13V. Dichlorodifluoromethane
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(75-71- 8)
14V. 1,1 Dichloroethane
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(75-34-3)
15V. 1,2 Dichloroethane
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(107-06-2)
16V. 1,1 Dichloroethylene
X
N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(75-35-4)
17V. 1,2 Dichloropropane
X
N/A
N/A
NA
NA
NA
(78-87-5)
18V. 1,3 Dichloropropylene
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(542-75-6)
19V. Ethylbenzene(100-41-4)
X
X
N/A
N/A
NA
NA
NA
20V. Methyl Bromide
NIA
N/A
NA
NA
NA
NA
N A
N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(74-83-9)
21 V. Methyl Chloride
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA7FNA
NA
(74-87-3)
EPA Form 3510-2C 8-90)
X
N/A
NIA
NA
ner_c v_e
NA
CONTINUED ON PAGE V-5

Form Approved
EPA I.D. NUMBER (copy from ftam 1 of Form 1) OUTFALL NUMBER
OMB No. 2040 0086
CONTINUED FROM PAGE V-4 I NCOOnZa74
1. POLLUTANT AND CASE NO
(ffavaffa4/a)
2. MARK "X"
--- -
3. EFFLUENT
Approval expires8-31-98
4. UNITS
S. INTAKE (optional)
a. MAXIMUM DAILY
VALUE
b. MAXIMUM 30 DAY VALUE of
avaUabte)
a LONG TERM AVRG. VALUE (1f
evallable)
tl.
A
ANALYSES
a. LONG TERM AVERAGE VALUE
b. N0. OF
ANALYSES
a. TESTING
REQUIRED
b. BELIEVED
PRESENT
aBEUEVED
ASSENT
(1)CONCENTRATION
(2)MASS
(�)
CONCENTRATION
(2)MASS
(1J
CONCENTRATION
(2) MASS
(1)
CONCENTRATION
{2) MASS
(')
CONCENTRATION
(2) MASS
22V Methylene Chloride
i
(75-09-2)
23V.1,1,2,2 Tetrachloro-
X
N/A
N/A
I NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
ethane (79-34-5)
24V. Tetrachloroethylene
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
N/A
N/A
NA
NA
NA
(127-18-4)
25V. Toluene (108-88-3)
26V. 1,2-TransDichloro-
X
X
N/A
N/A
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
ethylene (156-60-5)
27V. 1,1,1 Tdchloroethane
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(71-55-6)
28V. 1,1,2 Tdchloroethane
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(79-00-5)
29V. Trichioroethylene
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(79-01-6)
30V. Tdchlorofluoro-
X
N/A
N/A
NA
NA
NA
NA
methane (75-69-4)
31 V. Vinyl Chloride
X
N/A
NIA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(75-01-4)
X
N/A
N/A
NA
NA
NA
NA
1A. 2 Chlorophenol
NA
NA
N/A
NA
NA
NA
(95-57-8)
2A 2,4 Dichlorohenol
X
N/A
N/A
NA
NA
NA
N/A
NA
NA
N/A
N/A
NA
NA
NA
(120-83-2)
3A. 2,4 Dimethylphenol
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(105-67-9)
4A 4,6 Dinitro-Q-Cresol
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(534-52-1)
5A. 2,4 Dinitrohenol
X
N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(51-28-5)
X
N/A
N/A
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-Nitro0—r67M Cresol2-7)
8A. P-Chloro-M-Cresol
Pent
9A. A. PeMachlorophenol
(87-86-5)
10A. Phenol
X
X
X
X
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
ichlor -
11A. 2,4,6 Trichloro-
NA
NA
NA
NIA
N/A
NA
NA
NA
phenol (88-06-2)
EPA Form 3510-2C (8-90)
X
N/A
N/A
NA
aor•.I` V-4
NA
CONTINUED ON PAGE V-6

CONTINUED FROM PAGE V-6
1. POLLUTANT AND CASE NO
2. MARK `)r
3. EFFLUENT
4. UNITS
5. INTAKE (optional)
a. MAXIMUM DAILY
b. MAXIMUM 30 DAY VALUE (if
a LONG TERM AVRG. VALUE (if
(If avatlab)e)
VALUE
—7abla)
available)
d. NO. OF
a LONG TERM AVERAGE VALUE
b. NO. OF
TESTING
b. BELIEVED
o.BEUEVED
R
REQUIRED
PRESENT
ABSENT
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION (2) MASS
ANALYSES
1 B. Acenaphthene
(83-32-9)
2B. Acenaphtylene
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(208-96-8)
3B. Anthracene (120-12-7)
X
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
48. BenAdine (92-87-5)
X
NIA
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
5B. Benzo (a)
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
Anthracene (56-55-3)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
6B. Benzo (a)
I N/A
NA
NA
NA
Pyrene (50-32-8)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
763,4 Benzofluororanthene
(205-99-2)
8B. Benzo(ghi)Perylene
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
(191-24-2)
9B. Benxo (k)
X
I N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
N/A
NA
NA
NA
Fluoranthene (207-08-9)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
10B. Bis(2-Chloroethoxy)
N/A
N/A
NA
NA
NA
Methane (111-91-1)
11 B. Bis(2-Chioroethyl)
X
N/A
N/A
NA
NA
NA
NA
NA
Ether (111-44-4)
12B Bis{2Chlorolsopropylj
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
N/A
N/A
NA
NA
NA
Ether (102-60-1)
13B. Bis(2-Elthylhexyl)
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
Phthalate (117-81-7)
14B.4BromophenylPhenyl
X
I N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
Ether (101-55-3)
15B. Butyl Benzyl
X
N/A
N/A
NA
NA
NA
NA
Phthalate (85-68-7)
16B. 2-Chloronapthalene
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(91-58-7)
17B.2-Chlorophenyl Phenyl
X
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
Ether (7005-72-3)
18B.Chrysene(218-01-9)
X
X
N/A
N/A
NA
NA
NA
19B. Dibenzo (a,h)
N/A
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
Anthracene (53-70-3)
X
N/A
N/A
NA
NA
NA
NA
20B. 1,2 Dichlorobenzene
N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(95-50-1)
2113. 1,3 Dichlorobenzene
X
N/A
N/A
NA
I NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(541-73-1)
EPA For 3510-2C (8-90)
[- X
N/A
N/A
NA
NA
PAr.F V.R
CONTINUED ON PAGE V-7

Ivum25LK (copy►rom item 1 or Form 1) -- -
CONTINUED FROM PAGE V-6 NC0003573
OUTFACE NUMBER
OMB No.2o4o Does
008
Approval expires 8-31-98
I. POLLUTANT AND CASE NO
2. MARK "X"
3. EFFLUENT
MAXIMUM
4. UNITS
5.
INTAKE (optional)
a ONLY
b. MAXIMUM 30 DAY VALUE (r
a LONG TERM AVRO. VALUE (y
(UeYallable)
a TESTING b. BELIEVED
VALUE
eva% le)
)
tl. NO.
a LONG TERM AVERAGE VALUE
a BELIEVED
REQUIRED
PRESENT
ABSENT
(1)CONCENTRP.TION
(2)MASS
(1)CONCENTRATION (2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES (1) CONCENTRATION (2) MASS
(1) CONCENTRATION
(2) MASS
b. NO. OF
ANALYSES
sum22B.
1A Dichlorobenzene
k,
WEr
NA
NA
NA
N/A
NA
NA
NA
(106-46-7)
23BAT Dichlorobenzidine
X
WA
WA
NA
NA
WA
NA
N/A
WA
NA
NA
NA
(91-94-1)
24B. Diethyl Phthalate
X
WA
WA
NA
NA
NA
NA
I NA
N/A
WA
NA
NA
NA
(84-66-2)
25B. Dimethyl Phthalate
X
WA
WA
NA
NA
NA
NA
NA
N/A
WA
NA
NA
NA
(131-11-3)
26B. Di-N-Butyl-
X
WA
N/A
NA
NA
NA
NA
NA
N/A
Phthalate (84-74-2)
X
N/A
N/A
NA
NA
NA
�`
27B. 2,4 Dinitro
WA
NA
NA
NA
toluene (121-14-2)
28B. 2,6 Dinitrotoluene
X
WA
WA
NA
NA
NA
NA
NA
WA
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(606-20-2)
29B. Di-N-Octyl Phthalate
X
WA
N/A
NA
NA
I NA
WA
N/A
NA
NA
NA
(117-84-0)
30B. 12 Diphenylhydrazine
X
WA
WA
NA
NA
NA
NA
NA
(as Azobenzene) (122-66-7)
X
WA
N/A
NA
NA
31B. Fluoranthene
NA
NA
NA
N/A
WA
NA
NA
NA
NA
NA
WA
WA
NA
NA
NA
(206-44-0)
32B. Fluorene (86-73-7)
X
x
N/A
N/A
NA
NA
NA
33B. Hexachlorobenzene
WA
N/A
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NIA
N/A
NA
NA
NA
(118-74-1)
34B. Hexachlorobutadiene
X
WA
WA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
(87-68-3)
35B. Hexachlorocyclo-
X
WA
N/A
NA
NA
NA
NA
pentadiene (77-47-4)
X
WA
N/A
NA
NA
36B. Hexachloroethane
NA
WA
N/A
NA
NA
NA
NA
NA
NA
WA
N/A
NA
NA
NA
(67-72-1)
37B.Indenol,2,3 cdPyrene
X
WA
WA
NA
NA
NA
NA
NA
N/A
N/A
(193-39-5)
38B.Isophorone
X
WA
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
WA
NA
NA
NA
(78-59-1)
39B. Naphthalene (91-20-3)
X
X
N/A
NIA
NA
40B.Nitrobenzene (98 95 3)
X
WA
WA
NA
NA
NA
NA
NA
N/A
WA
NA
NA
NA
41 B. N-Nitrosodime-
WA
WA
NA
NA
NA
NA
NA
N/A .
WA
NA
NA
NA
thylamine (62-75-9)
42B. N-Nitrosodi-N-
X
WA
WA
NA
NA
NA
NA
NA
WA
N/A
NA
NA
NA
Propylamine (621-64-7)
X
EPA Form 3510-2C (8-90)
WA
WA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
PAGE V.7
CONTINUED ON PAGE V-8

CONTINUED FROM PAGE V-7
1. POLLUTANT AND CASE NO
(Navallable)
44B. Phenanthrene
(85-01-8)
45B. Pyrene (129-00-0)
46 B. 1,2,4Trihlorobenzene
(120-82-1)
1 P. Aldrin (309-00-2)
2P. a-BHC (319-84-6)
3P. R-BHC (319-85-7)
4P. y-BHC (58-89-9)
5P. S-BHC (319-86-8)
6P. Chlordane (57-74-9)
7P. 4,4' DDT (50-29-3)
8P. 4.4' DDE (72-55-9)
9P. 4,4' DDD (72-54-8)
10P. Diedrin (60-57-1)
11 P. a-Endosulfan
(115-29-7)
12P. (3-Endosulfan
(115-29-7)
13P. Endosulfan Sulfate
(1031-07-8)
14P. Endrin (72-20-8)
15P. Endrin Aldehyde
(7421-93-4)
16P. Heptachlor
,76-44-8)
EPA Form 3510-2C (8-9o)
0
m
p
C�
m
I
0
0
0
rn
0
0
N
N
3.EFFLUENT
2. MARK "X" a MAXIMUM DAILY
VALUE
a. TESTING b. BELIEVED c.E;UIEVED
REQUIRED PRESENT I mseff I (I) CONCENTRATION
N/A I NIA
X N/A N/A
X N/A I N/A
b. MAXIMUM 30 DAY
avaiTeble)
VALUE (Tf
e. LONG TERM AVRG.
VALUE (ttav llable)
d. NO. OF
ANALYSES
NA
4. UNITS
S. INTAKE (optional)
a LONG TERM AVERAGE VALUE
(1) CONCENTRATION (2)MASS
P
b. NO. OF
ANALYSES
R-ln7.. -.
(1) CONCENTRATION
ffmgmmm:M:.
NA
(2) MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION (2)MASS
NA
NA
NA
NIA
N/A
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NIA
N/A
NIA
NIA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
!NA
NA
NA
NA
N/A
N/A
N/A
N/A
NA
MEWL0
NA NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NIA
N/A
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NIA
NIA
NA
NA
NA
NA
NA
NIA
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
NIA
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
NA
NA
NA
NA
NA
NIA
N/A
NA
NA
NA
NA
NA
NA
NA
NA
N/A
N/A
NA
NA
NA
PAGE V-8
CONTINUED ON
PAGE V-9

EPA I.D. NUMBER (copy from Item 1 ofForm 1)
OUTFACE NUMBER
Form Approved
CONTINUED FROM PAGE V-8
NC0003573
OMB No.2040 0086
006
Approval expires 8-31-98
1. POLLUTANT AND CASE NO
2. MARK")("
3. EFFLUENT
4. UNITS
S. INTAKE (optional)
b. MAXIMUM 30 DAY VALUE (U
LONG
a MAXIMUM DAILY VALUE
ava➢abfe)
a TERM AVRG.
a-bble)
VALUE (!f
a. LONG TERM AVERAGE VALUE
(lfaVaflablB)
A. TESTING
b. BELIEVED
¢.BELIEVED
d. NO. OF
b. NO. OF
REQUIRED
PRESENT
ABSENT
(1)CONCENTRATION
(2)MASS
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES
(1) CONCENTRATION
(2) MASS
(1) CONCENTRATION
(2) MASS
ANALYSES
17P. Heptachlor
-:_
^?;
Epoxide (1024-57-3)
X
N/A
N/A
NA
NA
NA
NA
18P. PCB-1242
N/A
N/A
N/A
NA
NA
NA
(53469-21-9)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
19P. PCB-1254
NA
NA
(11097-69-1)
X
N/A
N/A
NA
NA
NA
NA
N/A
20P. PCB-1221
N/A
N/A
NA
NA
NA
(11104-28-2)
21 P. PCB-1232
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(1114-16-5)
22P. PCB-1248
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(12672-29-6)
X
N/A
N/A
NA
NA
NA
NA
N/A
23P. PCB-1260
N/A
N/A
NA
NA
NA
(11096-82-5)
24P. PCB-1016
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(12674-11-2)
X
25P.Toxaphene
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
(8001-35-2)
X
N/A
N/A
NA
NA
NA
NA
N/A
N/A
N/A
NA
NA
NA
EPA Form 3510-2C (8-90)
PAGE V-9
10,
6
n
I
0
0
0
rn
0
0
N
W