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FOURTH AMENDMENT TO CONSENT ORDERAugust 16, 2017 Florida Department of Environmental Protection Southwest District Office 13051 North Telecom Parkway, Suite 101 Temple Terrace, Florida 33637 -0926 Mr. David W. Porter, P.E., Public Utilities Director City of Clearwater 1650 North Arcturas Avenue, Building C Clearwater, FL 33765 -1945 David.Porter @MyClearwater.com Re: Fourth Amendment to Consent Order OGC File No. 10 -2683 City of Clearwater Marshall Street WRF Facility ID No. FL0021857 Pinellas County Dear Mr. Porter: Rick Scott Governor Carlos Lopez - Cantera Lt. Governor Noah Valenstein Secretary Enclosed is the proposed Fourth Amendment to Consent Order OGC File No. 10 -2683 regarding a timeline extension. The Department has received your request for a timeline extension in accordance with Paragraph 19 of the Original Consent Order (OGC File No. 10 -2863) on July 31, 2017. The current expiration date of the Consent Order is August 31, 2017. Over the past six years, the City has invested more than $10,000,000 on facility improvements and is currently in compliance with the permitted levels for dichlorobromomethane (DCBM) and dibromochloromethane (DBCM). How- ever, historically DBCM and DCBM levels rise in July, August and September due to higher temper- atures and plant flows. Therefore, the City requested a 4 -month extension to allow continued moni- toring of the annual rolling average through the summer months. The timeline extension for Para- graphs 7 and 9 of the Fourth Amended Consent Order are as follows: Paragraph 7 and Paragraph 9 of the Fourth Amended Consent Order required the Respondent to be in compliance with the permit limits by August 2017. Respondent has requested until the end of December 2017 to be in full compliance with the Permit limits. The Department approves and Respondent accepts the new due date of December 31, 2017. If in agreement, please review, have Mayor Cretekos sign and return the Fourth Amendment. Pro- cessing within 10 days is requested. If not in agreement, please contact the Department immedi- ately. Upon return of the signed Fourth Amendment to the Consent Order, I shall execute it and a copy will be sent to you. www.dep.state.fl.us Please address your response or any questions to Ms. Michele Holton of the Southwest District Office at (813) 470 -5900, or via e-mail: michele.holton @dep.state.fl.us. Thank you for your cooperation. Sincerely, Mary E. Yeargan, P.G. Director Southwest District Florida Department of Environmental Protection Enclosure ec: Richard Gardner, P.E., City of Clearwater, Richard .Gardner@myclearwater.com Jacquelyn Champion, FDEP, Jacquelyn .Champion@dep.state.fl.us Michael Lynch, FDEP, Michael.Lynch @dep.state.fl.us Michelle Holton FDEP, michelle.holton @ dep.state.fl.us Steve Thompson FDEP, Steve.thompson @dep.state.fl.us Francine Ffolkes, FDEP -OGC, Francine.Ffolkes , dep.state.fl.us Fawn Brown, FDEP -OGC, Fawn.Brown @dep.state.fl.us SWD clerical@dep.state.fl.us www.dep.state.fl.us BEFORE THE STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION STATE OF FLORIDA DEPARTMENT ) OF ENVIRONMENTAL PROTECTION ) ) vs. ) ) CITY OF CLEARWATER ) ) IN THE OFFICE OF THE SOUTHWEST DISTRICT OGC FILE NO. 10 -2683 FOURTH AMENDMENT TO CONSENT ORDER On January 27, 2011, City of Clearwater ( "Respondent ") entered into a Consent Order, OGC File No. 10 -2683, with the State of Florida Department of Environmental Protection ( "De- partment") ( "Order ") concerning effluent discharges to Stevenson Creek, thence to Clearwater Harbor. The Respondent has completed capital improvement projects and a mixing zone data plan of study to meet the effluent limits for dibromo - chloromethane and dichloro - bromomethane. On July 31, 2017, Respondent submitted a letter to the Department requesting an extension of the compliance date for dibromo - chloromethane, the compliance date for dichloro- bromo- methane, and the final compliance date of the Order. Pursuant to a request by the Respondent to amend the Order, the Department finds that the request is made in good faith and is reasonable. It is hereby agreed between the parties that this Fourth Amendment to Consent Order shall amend the Order only to the extent specifically stated herein, and that all the provisions of the Order not addressed herein shall remain in full force and effect. Therefore, it is ORDERED: 7. By December 31, 2017, and thereafter, Respondent shall operate in compliance with the Permit limit for dibromo - chloromethane, by reducing the sources of dibromo- chloro- methane, by treating to reduce dibromo - chloromethane so that the Facility's effluent complies with the Permit limit for dibromo - chloromethane. Respondent shall take whatever corrective ac- tions are necessary to meet the limit for dibromo - chloromethane in the Facility's effluent. How- ever, if a permit revision or additional Department permit is required for the corrective actions, Respondent must obtain the permit revision or Department permit prior to placing the modifica- tions into operation. Respondent shall submit the appropriate information, applications, pertinent data, and responses to Department requests for additional information and comply with the Per- mit limit for dibromo - chloromethane by December 31, 2017. DEP vs. City of Clearwater Consent Order OGC File No. 10 -2683 Page 2 of 5 8. Beginning the first full month after the effective date of this Consent Order and lasting through December 31, 2017, the interim limit for dibromo - chloromethane for effluent dis- charged to surface waters from the Facility shall be 60.0 µg/L as an annual average. The Interim Discharge Monitoring Report, incorporated herein as Attachment I, shall be used for reporting the interim limit value. This interim limit does not act as a State of Florida Department of Envi- ronmental Protection wastewater permit effluent limitation or modified permit limitation, nor does it authorize or otherwise justify a violation of the Florida Air and Water Pollution Control Act, Part I, Chapter 403, F.S., during the pendency of this Consent Order. In accordance with the Permit, the Interim DMR shall be submitted electronically to the Department of Environmen- tal Protection. The permittee shall use the electronic DMR system approved by the Department (EzDMR) and shall electronically submit the completed DMR forms using the DEP Business Portal at http: / /www.fldepportal.com /go /. Reports shall be submitted to the Department by the twenty- eighth (28th) of the month following the month of operation. Data submitted in electronic format is equivalent to data submitted on signed and certified paper DMR forms. (e.g., the Au- gust report would be due not later than September 28th). 9. By December 31, 2017, and thereafter, Respondent shall operate in compliance with the Permit limit by reducing the sources of dichloro - bromomethane, by treating to reduce dichloro - bromomethane so that the Facility's effluent complies with the Permit limit for di- chloro- bromomethane. Respondent shall take whatever corrective actions are necessary to meet the limit for dichloro - bromomethane in the Facility's effluent. However, if a Permit revision or additional Department permit is required for the corrective actions, Respondent must obtain the Permit revision or Department permit prior to placing the modifications into operation. Re- spondent must govern its actions through submittal of appropriate information, applications, per- tinent data, and responses to Department requests for additional information to comply with the Permit limit for dichloro - bromomethane by December 31, 2017, and thereafter. 10. Upon the first month after the effective date of this Consent Order and lasting through December 31, 2017, the interim limit for dichloro - bromomethane for effluent discharged to surface waters from the Facility shall be 43.0 p.g/L as an annual average. The Interim Dis- charge Monitoring Report, incorporated herein as Attachment I, shall be used for reporting the interim limit value. This interim limit does not act as a State of Florida Department of Environ- mental Protection Wastewater Permit effluent limitation or modified Permit limitation, nor does DEP vs. City of Clearwater Consent Order OGC File No. 10 -2683 Page 3 of 5 it authorize or otherwise justify a violation of the Florida Air and Water Pollution Control Act, Part I, Chapter 403, F.S., during the pendency of this Consent Order. In accordance with the Per- mit, the Interim DMR shall be submitted electronically to the Department of Environmental Pro- tection. The permittee shall use the electronic DMR system approved by the Department (EzDMR) and shall electronically submit the completed DMR forms using the DEP Business Portal at http: / /www.fldepportal.com /go /. Reports shall be submitted to the Department by the twenty- eighth (28th) of the month following the month of operation. Data submitted in electronic format is equivalent to data submitted on signed and certified paper DMR forms. (e.g., the Au- gust report would be due not later than September 28th). 11. On or before June 15 and December 15 of each year during the pendency of this Consent Order and continuing until all corrective actions have been completed, Respondent shall submit to the Department a written report containing information about the status and progress of projects being completed under this Consent Order, information about compliance or noncompli- ance with the applicable requirements of this Consent Order, including construction requirements and effluent limitations, and any reasons for noncompliance. These reports shall also include a projection of the work Respondent will perform pursuant to this Consent Order during the 12- month period which will follow the report. Respondent shall submit the reports to Kelley Boat- wright, Assistant Director, Department of Environmental Protection, Southwest District Office, 13051 North Telecom Parkway, Suite 101, Temple Terrace, Florida 33637 -0926, Kelley.M.Boat- wright@dep.state.fl.us. 12. Notwithstanding the time periods described in the paragraphs above, Respondent shall complete all corrective actions required by paragraphs 7, 9 and 11 by December 31, 2017 and be in full compliance with Chapter 62 -302, F.A.C., regardless of any intervening events or alternative time frames imposed in this Consent Order. Persons who are not parties to this Fourth Amendment to Consent Order, but whose sub- stantial interests are affected by it, have a right to petition for an administrative hearing under Sections 120.569 and 120.57, Florida Statutes. Because the administrative hearing process is designed to formulate final agency action, the fling of a petition concerning this Fourth Amendment to Consent Order means that the Department's final action may be different from the position it has taken in the Fourth Amendment to Consent Order. DEP vs. City of Clearwater Consent Order OGC File No. 10 -2683 Page 4 of 5 The petition for administrative hearing must contain all of the following information: a) The OGC Number assigned to this Fourth Amendment to Consent Order; b) The name, address, and telephone number of each petitioner; the name, address, and telephone number of the petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding; c) An explanation of how the petitioner's substantial interests will be affected by the Fourth Amendment to Consent Order; d) A statement of when and how the petitioner received notice of the Fourth Amendment to Consent Order; e) Either a statement of all material facts disputed by the petitioner or a statement that the petitioner does not dispute any material facts; f) A statement of the specific facts the petitioner contends warrant reversal or modification of the Fourth Amendment to Consent Order; g) A statement of the rules or statutes the petitioner contends require reversal or modification of the Fourth Amendment to Consent Order; and h) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Fourth Amendment to Consent Order. The petition must be filed (received) at the Department's Office of General Counsel, 3900 Commonwealth Boulevard, MS# 35, Tallahassee, Florida 32399 -3000 within 21 days of receipt of this notice. A copy of the petition must also be mailed at the time of filing to the District Of- fice at Southwest District, 13051 North Telecom Parkway, Suite 101, Temple Terrace, Florida, 33637. Failure to file a petition within the 21 -day period constitutes a person's waiver of the right to request an administrative hearing and to participate as a party to this proceeding under Sections 120.569 and 120.57, Florida Statutes. Before the deadline for filing a petition, a person whose substantial interests are affected by this Fourth Amendment to Consent Order may choose to pursue mediation as an alternative remedy under Section 120.573, Florida Statutes. Choosing mediation will not adversely affect such person's right to request an administrative hearing if mediation does not result in a settlement. Additional information about mediation is provided in Section 120.573, Florida Statutes, and Rule 62- 110.106(12), Florida Administrative Code. ____................................. DEP vs. City of Clearwater Consent Order OGC File No. 10-2683 Page 5 of 5 This Fourth Amendment to Consent Order is final agency action of the Department pur- suant to Section 120.69,Florida Statutes, and it is final and effective on the date filed with the Clerk of the Department unless a Petition for Administrative Hearing is filed in accordance with Chapter 120, Florida Statutes. Upon the timely filing of a petition,this Fourth Amendment to Consent Order will not be effective until further order of the Department. FOR THE RESPONDENT: Date George N. Cretekos Mayor City of Clearwater th DONE AND ORDERED this day ofA4LL-,s_1 , 2017, in Hills- borough County, Florida. STATE OF FLORIDA DEPARTMENT ,. ENVIRONMENTAL PROTECTION E. Ye an,PG Director Southwest District FILED, on this date,pursuant to Section 120.52, Florida Statutes,with the designated De- partment Clerk, receipt of which is hereby acknowledged. Wao Clerk Attachment: Interim Discharge Monitoring Report Copy furnished to: Lea Crandall, Agency Clerk VW_C0(REV.061091 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Wastewater Compliance Evaluation Section, MS 3551, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMI I 1 EE NAME: MAILING ADDRESS: FACILITY: LOCATION: COUNTY: OFFICE: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 Clearwater City of Marshall Street WRF 1605 Harbor Dr. Clearwater, FL 33755-1824 Pinellas Southwest District PERMIT NUMBER: LIMIT: CLASS SIZE: MONITORING GROUP NUMBER: MONITORING GROUP DESCRIPTION: RE- SUBMITTED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING PERIOD From: FL0021857- 018 -DW I P/NR Interim MA D -001 with influent D001 To: REPORT FREQUENCY: Monthly PROGRAM: Domestic Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Flow PARM Code 50050 Y Mon. Site No, FLW -02 Sample Measurement Permit Requirement 10.0 (An.Avg.) MGD Continuous Flow Totalizer Flow PARM Code 50050 1 Mon. Site No. FLW -02 Sample Measurement Permit Requirement Report (Mo.Avg.) MGD Continuous Flow Totalizer BOD, Carbonaceous 5 day, 20C PARM Code 80082 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 5.0 (An.Avg.) mg/L Monthly Calculated BOD, Carbonaceous 5 day, 20C PARM Code 80082 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 6.25 (Mo.Avg.) 7.5 (Max.Wk.Avg.) mg/L ' Monthly Calculated BOD, Carbonaceous 5 day, 20C PARM Code 80082 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 10.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Solids, Total Suspended PARM Code 00530 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 5.0 (An.Avg.) mg/L Monthly Calculated certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP D -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 85 7- 0 1 8 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Solids, Total Suspended PARM Code 00530 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 6.25 (Mo.Avg.) 7.5 (Max.Wk.Avg.) mg/L Monthly Calculated Solids, Total Suspended PARM Code 00530 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 10.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Nitrogen, Total PARM Code 00600 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 3.0 (An.Avg.) mg/L Monthly Calculated Nitrogen, Total PARM Code 00600 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 3.75 (Mo.Avg.) 4.5 (Max.Wk.Avg.) me/L Monthly Calculated Nitrogen, Total PARM Code 00600 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 6.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Phosphorus, Total (as P) PARM Code 00665 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 1.0 (An.Avg.) mg/L Monthly Calculated Phosphorus, Total (as P) PARM Code 00665 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 1.25 ( Mo.Avg.) 1.5 ( Max.Wk.Avg.) mg/L Monthly Calculated Phosphorus, Total (as P) PARM Code 00665 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 2.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Solids, Total Suspended PARM Code 00530 B Mon. Site No. EFB -01 Sample Measurement Permit Requirement 5.0 (Max.) mg/L Daily; 24 hours Grab pH PARM Code 00400 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 6.5 (Min.) 8.5 (Max.) s.u. Continuous Meter DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP D -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Coliform, Fecal, % less than detection PARM Code 51005 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 75 (Min.Mo.Total) percent Monthly Calculated Coliform, Fecal PARM Code 74055 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement (Max.) 5 # /100mI Daily; 24 hours Grab Chlorine, Total Residual (For Disinfection) PARM Code 50060 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 1.0 (Min.) mg/L Continuous Meter Chlorine, Total Residual (For Dechlorination) PARM Code 50060 1 Mon. Site No. EFD -01 Sample Measurement Permit Requirement 0.01 (Max.) mg/L Daily; 24 hours Grab Enterococci PARM Code 31639 A Mon. Site No. EFA -01 Sample Measurement Permit Re Requirement q 35 (Mo .Geo.Mn.) # /100mL Monthly Calculated Enterococci PARM Code 31639 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 276 (Max.) # /loOmL 5/Month Grab Dichlorobromomethane PARM Code 32101 1 Mon. Site No. EFD -01 Sample Measurement Permit Requirement Report (Max.) ug/L Monthly Grab Dichlorobromomethane PARM Code 32101 Y Mon. Site No. EFD -01 Sample Measurement Permit Requirement 43.0 (An.Avg„) ug/L Monthly Calculated Dibromochloromethane PARM Code 32105 1 Mon. Site No. EFD -01 Sample Measurement Permit Requirement Report (Max.) ug/L Monthly Grab Dibromochloromethane Sample Measurement PARM Code 32105 Y Mon. Site No. EFD -01 Permit Requirement _ 60.0 (An.Avg.) _ ua/L Monthly Calculated DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP D -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Oxygen, Dissolved (DO) PARM Code 00300 1 Mon. Site No. EFD -01 Sample Measurement Permit Requirement 5.0 (Min.) mg/L Daily; 24 hours Grab 7 -DAY CHRONIC STATRE Ceriodaphnia dubia (Routine) PARM Code TRP3B P Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent Quarterly 24 -hr FPC 7 -DAY CHRONIC STATRE Ceriodaphnia dubia (Additional) PARM Code TRP3B Q Mon. Site No. EFD-01 Sample Measurement Permit Requirement 100 (Min.) percent As needed As required by the permit 7 -DAY CHRONIC STATRE Ceriodaphnia dubia (Additional) PARM Code TRP3B R Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent As needed As required by the permit 7 -DAY CHRONIC STATRE Pimephales promelas (Routine) PARM Code TRP6C P Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent Quarterly 24 -hr FPC 7 -DAY CHRONIC STATRE Pimephales promelas (Additional) PARM Code TRP6C Q Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent As needed As required by the permit 7 -DAY CHRONIC STATRE Pimephales promelas (Additional) PARM Code TRP6C R Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent As needed As required by the permit Nitrogen, Total PARM Code 00600 Q Mon. Site No. EFA -01 Sample Measurement Permit Requirement 16.75 (An.Total) ton/yr Monthly Calculated Nitrogen, Total PARM Code 00600 R Mon. Site No. EFA -01 Sample Measurement Permit Requirement Report (Mo.Total) ton/mn Monthly Calculated BOD, Carbonaceous 5 day, 20C PARM Code 80082 Q Mon. Site No. EFA -01 Sample Measurement Pennit Requirement 76157.0 (An.Avg.) lb /yr Monthly Calculated DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP D -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type BOD, Carbonaceous 5 day, 20C PARM Code 80082 R Mon. Site No. EFA -01 Sample Measurement Permit Requirement Report (Mo.Total) lb /mn Monthly Calculated Flow PARM Code 50050 P Mon. Site No. FLW -01 Sample Measurement Permit Requirement 10 (An.Avg.) MGD Continuous Flow Totalizer Flow PARM Code 50050 Q Mon. Site No. FLW -01 Sample Measurement Permit Requirement Report (Mo.Avg.) MGD Continuous Flow Totalizer Percent Capacity, (TMADF/Permitted Capacity) x 100 PARM Code 00180 1 Mon. Site No. FLW -01 Sample Measurement Permit Requirement Report (Mo.Avg.) percent Monthly Calculated BOD, Carbonaceous 5 day, 20C (Influent) PARM Code 80082 G Mon. Site No. INF -01 Sample Measurement Permit Requirement Report (Mo.Avgj mg/L Weekly 24 -hr FPC Solids, Total Suspended (Influent) PARM Code 00530 G Mon. Site No. INF -01 Sample Measurement Permit Requirement Report (Mo.Avg.) mg/L Weekly 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, .1994 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Wastewater Compliance Evaluation Section, MS 3551, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMI I I LE NAME: MAILING ADDRESS: FACILITY: LOCATION: COUNTY: OFFICE: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 Clearwater City of Marshall Street WRF 1605 Harbor Dr Clearwater, FL 33755 -1824 Pinellas Southwest District PERMIT NUMBER: FL0021857- 018 -DW 1P/NR LIMIT: CLASS SIZE: MONITORING GROUP NUMBER: MONITORING GROUP DESCRIPTION: RE- SUBMITTED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING PERIOD From: Final MA D -001 with influent D -001 To: REPORT FREQUENCY: Monthly PROGRAM: Domestic Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Flow PARM Code 50050 Y Mon. Site No. FLW -02 Sample Measurement Permit Requirement 10.0 (An.Avg.) MGD Continuous Flow Totalizer Flow PARM Code 50050 1 Mon. Site No. FLW -02 Sample Measurement Permit Requirement Report (Mo.Avg.) MGD Continuous Flow Totalizer BOD, Carbonaceous 5 day, 20C PARM Code 80082 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 5.0 ( An.Avg) mg/L Monthly Calculated BOD, Carbonaceous 5 day, 20C PARM Code 80082 A Mon. Site No. EFA-01 Sample Measurement Permit Requirement 6.25 ( Mo.Avg) 7.5 (Max.Wk.Avg) mg/L Monthly Calculated BOD, Carbonaceous 5 day, 20C PARM Code 80082 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 10.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Solids, Total Suspended PARM Code 00530 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 5.0 ( An.Avg) _ mg/L Monthly Calculated certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP D -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8- DW1P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Solids, Total Suspended PARM Code 00530 A Mon. Site No. EFA-01 Sample Measurement Permit Requirement 6.25 (Mo.Avg.) 7.5 (Max.Wk.Avgl mg/L Monthly Calculated Solids, Total Suspended PARM Code 00530 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 10.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Nitrogen, Total PARM Code 00600 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 3.0 (An.Avg.) mg/L Monthly Calculated Nitrogen, Total PARM Code 00600 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 3.75 (Mo.Avg.) 4.5 (Max.Wk.Avg.) me/L Monthly Calculated Nitrogen, Total PARM Code 00600 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 6.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Phosphorus, Total (as P) PARM Code 00665 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 1.0 (An.Avg,) mg/L Monthly Calculated Phosphorus, Total (as P) PARM Code 00665 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 1.25 (Mo.Avg.) 1.5 (Max.Wk.Avg.) mg/L Monthly Calculated Phosphorus, Total (as P) PARM Code 00665 P Mon. Site No. EFA-01 Sample Measurement Permit Requirement 2.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Solids, Total Suspended PARM Code 00530 B Mon. Site No. EFB -01 Sample Measurement Permit Requirement 5.0 (Max.) mg/L Daily; 24 hours Grab pH PARM Code 00400 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 6.5 (Min.) _ 8.5 (Max.) s.u. Continuous Meter DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP D -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Coliform, Fecal, % less than detection PARM Code 51005 A Mon. Site No. EFA -01 Sample Measurement Pennit Requirement 75 (Min.Mo.Total) percent Monthly Calculated Coliform, Fecal PARM Code 74055 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 25 (Max.) # /100mL Daily; 24 hours Grab Chlorine, Total Residual (For Disinfection) PARM Code 50060 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 1.0 (Min.) mg/L Continuous Meter Chlorine, Total Residual (For Dechlorination) PARM Code 50060 1 Mon. Site No. EFD -01 Sample Measurement Permit Requirement 0.01 (Max.) mg/L Daily; 24 hours Grab Enterococci PARM Code 31639 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 35 (Mo.Geo.Mn.) # /100mL Monthly Calculated Enterococci PARM Code 31639 P Mon. Site No. EFA -01 Sample Measurement Permit Requirement 276 (Max.) # /100mL 5/Month Grab Dichlorobromomethane PARM Code 32101 1 Mon. Site No. EFD -01 Sample Measurement Permit Requirement Report (Max.) ug/L Monthly Grab Dichlorobromomethane PARM Code 32101 Y Mon. Site No. EFD -01 Sample Measurement Permit Requirement 43.0 (An.Avg.) ug/L Monthly Calculated Dibromochloromethane PARM Code 32105 1 Mon. Site No. EFD-01 Sample Measurement Permit Requirement Report (Max.) ug/L Monthly Grab Dibromochloromethane PARM Code 32105 Y Mon. Site No. EFD -01 Sample Measurement Permit Requirement 56.0 (An.Avg) ug/L Monthly Calculated DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP D -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Oxygen, dissolved (DO) PARM Code 00300 1 Mon. Site No. EFD-01 Sample Measurement Permit Requirement 5.0 (Min.) mg/L Daily; 24 hours Grab 7 -DAY CHRONIC STATRE Ceriodaphnia dubia (Routine) PARM Code TRP3B P Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent Quarterly 24 -hr FPC 7 -DAY CHRONIC STATRE Ceriodaphnia dubia (Additional) PARM Code TRP3B Q Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent As needed As required by the permit 7 -DAY CHRONIC STATRE Ceriodaphnia dubia (Additional) PARM Code TRP3B R Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent As needed As required by the permit 7 -DAY CHRONIC STATRE Pimephales promelas (Routine) PARM Code TRP6C P Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent Quarterly 24 -hr FPC 7 -DAY CHRONIC STATRE Pimephales promelas (Additional) PARM Code TRP6C Q Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent As needed As required by the permit 7 -DAY CHRONIC STATRE Pimephales promelas (Additional) PARM Code TRP6C R Mon. Site No. EFD -01 Sample Measurement Permit Requirement 100 (Min.) percent As needed As required by the permit Nitrogen, Total PARM Code 00600 Q Mon. Site No. EFA -01 Sample Measurement Permit Requirement 16.75 (An.Total) ton/yr Monthly Calculated Nitrogen, Total PARM Code 00600 R Mon. Site No. EFA -01 Sample Measurement Permit Requirement Report (Mo.Total) ton/mn Monthly Calculated BOD, Carbonaceous 5 day, 20C PARM Code 80082 Q Mon. Site No. EFA -01 Sample Measurement Permit Requirement 76157.0 (An.Avg.) lb /yr Monthly Calculated DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP D -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type BOD, Carbonaceous 5 day, 20C PARM Code 80082 R Mon. Site No. EFA -01 Sample Measurement Permit Requirement Report (Mo.Total) lb /mn _ Monthly Calculated Flow PARM Code 50050 P Mon. Site No. FLW -01 Sample Measurement Permit Requirement 10 (An.Avg.) MGD Continuous Flow Totalizer Flow PARM Code 50050 Q Mon. Site No. FLW -01 Sample Measurement Permit Requirement Report (Mo.Avg.) MGD Continuous Flow Totalizer Percent Capacity, (TMADF/Permitted Capacity) x 100 PARM Code 00180 1 Mon. Site No. FLW -01 Sample Measurement Permit Requirement Report (Mo.Avg.) percent Monthly Calculated BOD, Carbonaceous 5 day, 20C (Influent) PARM Code 80082 G Mon. Site No. INF -01 Sample Measurement Permit Requirement Report (Mo.Avg) mg/L Weekly 24 -hr FPC Solids, Total Suspended (Influent) PARM Code 00530 G Mon. Site No. INF -01 Sample Measurement Permit Requirement Report (Mo.Avg.) mg/L Weekly 24 -hr FPC DEP Fonn 62- 620.910(10), Effective Nov. 29, 1994 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Wastewater Compliance Evaluation Section, MS 3551, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMI1 FEE NAME: MAILING ADDRESS: FACILITY: LOCATION: COUNTY: OFFICE: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 Clearwater City of Marshall Street WRF 1605 Harbor Dr Clearwater, FL 33755 -1824 Pinellas Southwest District PERMIT NUMBER: LIMIT: CLASS SIZE: MONITORING GROUP NUMBER: MONITORING GROUP DESCRIPTION: RE- SUBMII 1ED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING PERIOD From: FL0021857- 018 -DW 1 P/NR Final MA R -001 R001 PUBLIC ACCESS REUSE SYSTEM REPORT FREQUENCY: Monthly PROGRAM: Domestic To: Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Flow PARM Code 50050 Y Mon. Site No. FLW -03 Sample Measurement Permit Requirement 10.0 (An.Avg.) MGD Continuous Flow Totalizer Flow PARM Code 50050 1 Mon. Site No. FLW -03 Sample Measurement Permit Requirement Report (Mo.Avg.) MGD Continuous Flow Totalizer BOD, Carbonaceous 5 day, 20C PARM Code 80082 Y Mon. Site No. EFA -01 Sample Measurement Permit Requirement 20.0 ( An.Avg) mg/L Monthly Calculated BOD, Carbonaceous 5 day, 20C PARM Code 80082 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 30.0 ( Mo.Avg) 45.0 (Max.Wk.Avg) mg/L Monthly Calculated BOD, Carbonaceous 5 day, 20C PARM Code 80082 P Mon. Site No. EFA-01 Sample Measurement Permit Requirement 60.0 (Max.) mg/L 5 Days/Week 24 -hr FPC Solids, Total Suspended PARM Code 00530 B Mon. Site No. EFB -01 Sample Measurement Permit Requirement _ 5.0 (Max.) mg/L 5 Days/Week Grab certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP R -001 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type pH PARM Code 00400 A Mon. Site No. EFA-01 Sample Measurement Permit Requirement 6.0 (Min.) 8.5 (Max.) s.u. Continuous Meter Coliform, Fecal PARM Code 74055 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 25 (Max.) ii/100mL 5 Days/Week Grab Coliform, Fecal, % less than detection PARM Code 51005 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 75 (Min.Mo.Total) percent Monthly Calculated Chlorine, Total Residual (For Disinfection) PARM Code 50060 A Mon. Site No. EFA -01 Sample Measurement Permit Requirement 1.0 (Min.) mg/L Continuous Meter Turbidity PARM Code 00070 B Mon. Site No. EFB -01 Sample Measurement Permit Requirement Report (Max.) NTU Continuous Meter DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Wastewater Compliance Evaluation Section, MS 3551, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMIT I BE NAME: MAILING ADDRESS: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 FACILITY: Clearwater City of Marshall Street WRF LOCATION: 1605 Harbor Dr Clearwater, FL 33755 -1824 COUNTY: OFFICE: Pinellas Southwest District PERMIT NUMBER: LIMIT: FL0021857- 018 -DW I P/NR Final REPORT FREQUENCY: Bi- monthly; every 2 months PROGRAM: Domestic CLASS SIZE: MA MONITORING GROUP NUMBER: RMP -B MONITORING GROUP DESCRIPTION: After treatment, before land application (centrifuge/belt filter press). RE- SUBMITTED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING PERIOD From: To: Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Nitrogen, Sludge, Tot, Dry Wt (as N) PARM Code 78470 + Mon. Site No. RMP -B Sample Measurement Permit Requirement Report (Max.) percent Bi- monthly; every 2 months Composite Phosphorus, Sludge, Tot, Dry Wt (as P) PARM Code 78478 + Mon. Site No. RMP -B Sample Measurement Permit Requirement Report (Max.) percent Bi- monthly; every 2 months Composite Potassium, Sludge, Tot, Dry Wt (as K) PARM Code 78472 + Mon. Site No. RMP -B Sample Measurement Permit Requirement Report (Max.)_ percent Bi- monthly; every 2 months Composite Arsenic Total, Dry Weight, Sludge PARM Code 49565 + Mon. Site No. RMP -B Sample Measurement Permit Requirement 75.0 (Max.)_ mg/kg Bi- monthly; every 2 months Composite Cadmium, Sludge, Tot, Dry Weight (as Cd) PARM Code 78476 + Mon. Site No. RMP -B Sample Measurement Permit Requirement 85.0 (Max.) mg/kg Bi- monthly; every 2 months Composite Copper, Sludge, Tot, Dry Wt. (as Cu) PARM Code 78475 + Mon. Site No. RMP -B Sample Measurement Permit Requirement _ 4300.0 (Max.) mg/kg Bi- monthly; every 2 months Composite I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RMP -B NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 85 7- 0 1 8- DW1P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Lead, Dry Weight, Sludge PARM Code 78468 + Mon. Site No. RMP -B Sample Measurement Permit Requirement 840.0 (Max.) mg/kg Bi- monthly; every 2 months Composite Mercury, Dry Weight, Sludge PARM Code 78471 + Mon. Site No. RMP -B Sample Measurement Permit Requirement 57.0 (Max.) mg/kg Bi- monthly; every 2 months Composite Molybdenum, Dry Weight, Sludge PARM Code 78465 + Mon. Site No. RMP -B Sample Measurement Permit Requirement 75.0 (Max.) mg/kg Bi- monthly; every 2 months Composite Nickel, Dry Weight, Sludge PARM Code 78469 + Mon. Site No. RMP -B Sample Measurement Permit Requirement 420.0 (Max.) mg/kg Bi- monthly; every 2 months Composite Selenium Sludge Solid PARM Code 61518 + Mon. Site No. RMP -B Sample Measurement Permit Requirement 100.0 (Max.) mg/kg Bi- monthly; every 2 months Composite Zinc, Dry Weight, Sludge PARM Code 78467 + Mon. Site No. RMP -B Sample Measurement Permit Requirement 7500.0 (Max.) mg/kg Bi- monthly; every 2 months Composite pH PARM Code 00400 + Mon. Site No. RMP -B Sample Measurement _ Permit Requirement Report (Max.) s.u. Bi- monthly; every 2 months Grab Solids, Total, Sludge, Percent PARM Code 61553 + Mon. Site No. RMP -B Sample Measurement Permit Requirement Report (Max.) percent Bi- monthly; every 2 months Composite Temperature PARM Code : 00011 + Mon. Site No. RMP -A2 Sample Measurement Permit Requirement Report (Min.) degrees F Weekly Meter Time PARM Code : RI8 + Mon. Site No. RMP -A1 Sample Measurement Permit Requirement Report (Min.) days Weekly Calculation DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Wastewater Compliance Evaluation Section, MS 3551, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMIT I EE NAME: MAILING ADDRESS: FACILITY: LOCATION: COUNTY: OFFICE: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 Clearwater City of Marshall Street WRF 1605 Harbor Dr Clearwater, FL 33755 -1824 Pinellas Southwest District PERMIT NUMBER: LIMIT: CLASS SIZE: MONITORING GROUP NUMBER: MONITORING.GROUP DESCRIPTION: RE- SUBMITTED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING PERIOD From: FL0021857- 018 -DW 1 P/NR Final MA RMP -Q Biosolids Quantity To: REPORT FREQUENCY: Monthly PROGRAM: Domestic Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Biosolids Quantity (Transferred) PARM Code B0007 + Mon. Site No. RMP -1 Sample Measurement Permit Requirement Report (Mo.Total) dry tons Monthly Calculated Biosolids Quantity (Landfilled) PARM Code B0008 + Mon. Site No. RMP -2 Sample Measurement Permit Requirement Report (Mo.Total) dry tons Monthly Calculated Biosolids Quantity (Land- Applied) PARM Code B0006 + Mon. Site No. RMP -3 Sample Measurement Permit Requirement Report (Mo.Total) dry tons Monthly Calculated certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Domestic Wastewater Section, MS 3540, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMITTEE NAME: MAILING ADDRESS: FACILITY: LOCATION: COUNTY: OFFICE: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 Clearwater City of Marshall Street WRF 1605 Harbor Dr Clearwater, FL 33755 -1824 Pinellas Southwest District PERMIT NUMBER: LIMIT: CLASS SIZE: MONITORING GROUP NUMBER: MONITORING GROUP DESCRIPTION: RE -SUBMI 11'ED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING PERIOD From: FL0021857- 018 -DW 1 P/NR Final MA PRT -I Influent Pretreatment To: REPORT FREQUENCY: Annually PROGRAM: Domestic Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type pH PARM Code 00400 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (Min.) Report (Max.) s.u. Annually Grab Oil and Grease, hexane extr method PARM Code 00552 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avgj Report (Max.) mg/L Annually Grab Benzene PARM Code 34030 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab Bromoform PARM Code 32104 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab Carbon tetrachloride PARM Code 32102 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab Chlorobenzene PARM Code 34301 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg,) Report (Max.) ug/L Annually Grab *FOR THOSE PARAMETERS THAT ARE SAMPLED ANNUALLY, THE MAXIMUM AND AVERAGE CONCENTRATIONS ARE EQUIVALENT AND SHALL BE REPORTED AS SUCH ON THE DMR. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Chlorodibromomethane PARM Code 34306 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report - (An.Avg.) Report (Max.) ug/L Annually Grab Chloroethane PARM Code 85811 G Mon. Site No. PRT -I Sample Measurement Permit Requirement �1 Report ( An.Avg.) Report (Max.) ug/L Annually Grab 2- chloroethyl vinyl ether (mixed) PARM Code 34576 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab Chloroform PARM Code 32106 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually Grab Dichlorobromomethane PARM Code 32101 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually Grab 1,2- dichlorobenzene PARM Code 34536 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab 1,3- dichlorobenzene PARM Code 34566 G Mon. Site No. PRT -I Sample Measurement Permit Requirement W Report ( An.Avg.) Report (Max.) ug/L Annually Grab 1,4- dichlorobenzene PARM Code 34571 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually Grab 1,1- dichloroethane PARM Code 34496 G Mon. Site No. PRT -I Sample Measurement Permit Requirement e4 Report ( An.Avg.) Report (Max.) ug/L Annually Grab 1,2- dichloroethane PARM Code 32103 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually Grab DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type 1,1- dichloroethylene PARM Code 34501 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually Grab 1,2- dichloropropane PARM Code 34541 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually Grab 1,3- dichloropropene PARM Code 77163 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab Ethylbenzene PARM Code 34371 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually Grab Methyl bromide PARM Code 34413 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab Methyl chloride PARM Code 34418 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab Methylene chloride PARM Code 34423 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab 1,1,2,2 - tetrachloroethane PARM Code 34516 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab Tetrachloroethylene PARM Code 34475 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually Grab Toluene PARM Code 34010 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) _ Report (Max.) ug/L Annually Grab DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018- DW1P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type 1,2- trans - dichloroethylene PARM Code 34546 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab 1,1,1 - trichloroethane PARM Code 34506 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab 1,1,2 - trichloroethane PARM Code 34511 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually Grab Trichloroethylene PARM Code 39180 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab Vinyl chloride PARM Code 39175 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab 2- chlorophenol PARM Code 34586 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 2,4- dichlorophenol PARM Code 34601 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 2,4- dimethylphenol PARM Code 34606 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4,6- dinitro - o-cresol PARM Code 34657 G Mon. Site No. PRT -I Sample Measurement _ Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 2,4- dinitrophenol PARM Code 34616 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -1 NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type 2- nitrophenol PARM Code 34591 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4- nitrophenol PARM Code 34646 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC p- chloro-m- cresol PARM Code 82627 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Pentachlorophenol PARM Code 39032 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Phenol, Single Compound PARM Code 34694 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 2,4,6- trichlorophenol PARM Code 34621 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Acenaphthene PARM Code 34205 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Acenaphthylene PARM Code 34200 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Anthracene PARM Code 34220 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) g) Report (Max.) ug/L Annually 24 -hr FPC Benzidine PARM Code 39120 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Benzo(a)anthracene PARM Code 34526 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Benzo(a)pyrene PARM Code 34247 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Benzo(b)fluoranthene (3,4- benzo) PARM Code 79531 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Benzo(ghi)perylene PARM Code 34521 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Benzo(k)fluoranthene PARM Code 34242 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Bis (2- chloroethoxy) methane PARM Code 34278 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Bis (2- chloroethyl) ether PARM Code 34273 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Bis (2- chloroisopropyl) ether PARM Code 34283 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Bis (2- ethylhexyl) phthalate PARM Code 39100 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4- bromophenyl phenyl ether PARM Code 34636 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Butyl benzyl phthalate PARM Code 34292 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Av . g) Report (Max.) ug/L Annually 24 -hr FPC 2- chloronaphthalene PARM Code 34581 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC 4- chlorophenyl phenyl ether PARM Code 34641 G Mon. Site No. PRT -1 Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Chrysene PARM Code 34320 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Dibenzo (a,h) anthracene PARM Code 34556 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC 3,3'- dichlorobenzidine PARM Code 34631 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg,) Report (Max.) ug/L Annually 24 -hr FPC Diethyl phthalate PARM Code 34336 G Mon. Site No. PRT -I Sample Measurement - Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Dimethyl phthalate PARM Code 34341 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Di -n -butyl phthalate PARM Code 39110 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC 2,4- dinitrotoluene PARM Code 34611 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type 2,6- dinitrotoluene PARM Code 34626 G Mon. Site No, PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report {Max.) ug/L Annually 24 -hr FPC Di -n -octyl phthalate PARM Code 34596 G Mon. Site No. PRT -I Sample Measurement Permit Requirement q Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC 1,2- diphenylhydrazine PARM Code 34346 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Fluoranthene PARM Code 34376 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Fluorene PARM Code 34381 G Mon. Site No. PRT -I Sample Measurement Permit Requirement q Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Hexachlorobenzene PARM Code 39700 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Hexachlorobutadiene PARM Code 39702 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg,) Report (Max.) ug/L Annually 24 -hr FPC Hexachlorocyclopentadiene PARM Code 34386 G Mon. Site No. PRT -I Sample Measurement Permit Requirement q Report { An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Hexachloroethane PARM Code 34396 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg� Report (Max.) ug/L Annually 24 -hr FPC. Indeno (1,2,3 -Cd) pyrene Sample Measurement PARM Code 34403 G Mon. Site No. PRT -I Permit Requirement �1 Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Isophorone PARM Code 34408 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Naphthalene PARM Code 34696 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Nitrobenzene PARM Code 34447 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC N- nitrosodimethylamine PARM Code 34438 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC N- nitrosodi -n- propylamine PARM Code 34428 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avgi Report (Max.) ug/L Annually 24 -hr FPC N- nitrosodiphenylamine PARM Code 34433 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Phenanthrene PARM Code 34461 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Pyrene PARM Code 34469 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 1,2,4 - trichlorobenzene PARM Code 34551 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Aldrin PARM Code 39330 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: ' Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Alpha -bhc PARM Code 39336 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report 1_An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC B -bhc -beta PARM Code 39338 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Gamma BHC (Lindane) PARM Code 39782 G Mon. Site No. PRT -1 Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Delta benzene hexachloride PARM Code 34259 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avgr) Report (Max.) ug/L Annually 24 -hr FPC Chlordane (tech mix. and metabolites) PARM Code 39350 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4,4' -DDT (p,p' -DDT) PARM Code 39300 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4,4' -DDE (p,p' -DDE) PARM Code 39320 G Mon. Site No, PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4,4' -DDD (p,p' -DDD) PARM Code 39310 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Dieldrin PARM Code 39380 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC A- endosulfan -alpha PARM Code 34361 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type B- endosulfan -beta PARM Code 34356 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Endosulfan sulfate PARM Code 34351 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Endrin PARM Code 39390 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Endrin aldehyde PARM Code 34366 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Heptachlor PARM Code 39410 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Heptachlor epoxide PARM Code 39420 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC PCB -1242 PARM Code 39496 G Mon. Site No. PRT -I Sample Measurement Permit Requirement eq Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC PCB -1254 PARM Code 39504 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC PCB -1221 PARM Code 39488 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/I. Annually 24 -hr FPC PCB -1232 PARM Code 39492 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 85 7- 0 1 8 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type PCB -1248 PARM Code 39500 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC PCB -1260 PARM Code 39508 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC PCB -1016 PARM Code 34671 G Mon. Site No. PRT -1 Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Toxaphene PARM Code 39400 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Antimony, Total Recoverable PARM Code 01268 G Mon. Site No. PRT -I Sample Measurement _ Permit Requirement Report (An.Avg) Report (Max.) ug/L _ Annually 24 -hr FPC Arsenic, Total Recoverable PARM Code 00978 G Mon. Site No. PRT -1 Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Beryllium, Total Recoverable PARM Code 00998 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg) Report IMax.) ug/L Annually 24 -hr FPC Cadmium, Total Recoverable PARM Code 01113 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report fAn.Avg) Report (Max.) ug/L Annually 24 -hr FPC Chromium, Total Recoverable PARM Code 01118 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Av . g) Report (Max) ug/L Annually 24 -hr FPC Copper, Total Recoverable PARM Code 01119 G Mon. Site No. PRT -I Sample Measurement Permit Requirement _ Report (An.Avg) Report _ (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -I NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Lead, Total Recoverable PARM Code 01114 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Mercury, Total Recoverable PARM Code 71901 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report 1Max.) ug/L Annually Grab Nickel, Total Recoverable PARM Code 01074 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Selenium, Total Recoverable PARM Code 00981 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Silver, Total Recoverable PARM Code 01079 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Thallium, Total Recoverable PARM Code 00982 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Zinc, Total Recoverable PARM Code 01094 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Cyanide, Total Recoverable PARM Code 78248 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually Grab Phenolic Compounds, Total Recoverable PARM Code 70029 G Mon. Site No. PRT -I Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually Grab DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Domestic Wastewater Section, MS 3540, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMITTEE NAME: MAILING ADDRESS: FACILITY: LOCATION: COUNTY: OFFICE: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 Clearwater City of Marshall Street WRF 1605 Harbor Dr Clearwater, FL 33755 -1824 Pinellas Southwest District PERMIT NUMBER: LIMIT: CLASS SIZE: MONITORING GROUP NUMBER: MONITORING GROUP DESCRIPTION: RE- SUBMITTED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING PERIOD From: FL0021857- 018 -DW 1 P/NR Final MA PRT -E Effluent Pretreatment To: REPORT FREQUENCY: Annually PROGRAM: Domestic Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type pH PARM Code 00400 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (Min.) Report (Max.) s.u. Annually Grab Oil and Grease, hexane extr method PARM Code 00552 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max. mg/L Annually Grab Benzene PARM Code 34030 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab Bromoform PARM Code 32104 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Av_g) Report (Max.) ug/L Annually Grab Carbon tetrachloride PARM Code 32102 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab Chlorobenzene PARM Code 34301 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement _ Report (An.Avg) Report (Max.) ug/L Annually Grab *FOR THOSE PARAMETERS THAT ARE SAMPLED ANNUALLY, THE MAXIMUM AND AVERAGE CONCENTRATIONS ARE EQUIVALENT AND SHALL BE REPORTED AS SUCH ON THE DMR. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -D W 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Chlorodibromomethane PARM Code 34306 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Av . Report (Max.) ug/L Annually Grab Chloroethane PARM Code 85811 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab 2- chloroethyl vinyl ether (mixed) PARM Code 34576 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.AV . g) Report (Max.) ug/L Annually Grab Chloroform PARM Code 32106 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg,) g) Report (Max.) ug/L Annually Grab Dichlorobromomethane PARM Code 32101 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab 1,2- dichlorobenzene PARM Code 34536 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) g) Report (Max.) ug/L Annually Grab 1,3- dichlorobenzene PARM Code 34566 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Maxi ug/L Annually Grab 1,4- dichlorobenzene PARM Code 34571 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab 1,1- dichloroethane PARM Code 34496 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab 1,2- dichloroethane PARM Code 32103 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) g� Report (Max.) ug/L Annually Grab DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -D W I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type 1,1- dichloroethylene PARM Code 34501 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually Grab 1,2- dichloropropane PARM Code 34541 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avgg Report (Max.)_ ug/L Annually Grab 1,3- dichloropropene PARM Code 77163 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report (An.Avg) Report (Max.) ug/L Annually Grab Ethylbenzene PARM Code 34371 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report (An.Avg) Report (Max.) ug/L Annually Grab Methyl bromide PARM Code 34413 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement q Report ( An.Avg.) Report (Max.) ug/L Annually Grab Methyl chloride PARM Code 34418 1 Mon. Site No. PRT -E Sample Measurement - Permit Requirement Report (An.Avg.) Report (Max.) u8/1-, Annually Grab Methylene chloride PARM Code 34423 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement q Report (An.Avg.Z Report (Max.) ug/L Annually Grab 1,1,2,2 - tetrachloroethane PARM Code 34516 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avgj Report (Max.) ug/L Annually Grab Tetrachloroethylene PARM Code 34475 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually Grab Toluene PARM Code 34010 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) g) Report (Max.) ug/L Annually Grab DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type 1,2- trans - dichloroethylene PARM Code 34546 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab 1,1,1 - trichloroethane PARM Code 34506 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab 1,1,2 - trichloroethane PARM Code 34511 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab Trichloroethylene PARM Code 39180 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab Vinyl chloride PARM Code 39175 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab 2- chlorophenol PARM Code 34586 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC 2,4- dichlorophenol PARM Code 34601 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC 2,4- dimethylphenol PARM Code 34606 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report jAn.Avg) Report (Max.) ug/L Annually 24 -hr FPC 4,6- dinitro -o- cresol PARM Code 34657 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC 2,4- dinitrophenol PARM Code 34616 1 Mon. Site No. PRT -E Sample Measurement _ Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type 2- nitrophenol FARM Code 34591 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report {An.AvgZ Report (Max.) ug/L Annually 24 -hr FPC 4- nitrophenol PARM Code 34646 1 Mon. Site No. PRT -E Sample Measurement - Permit Requirement q Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC p- chloro-m- cresol PARM Code 82627 1 Mon. Site No. PRT -E Sample Measurement Permit Requiremenl Report ( An.AV Report ) ug/L Annually 24 -hr FPC Pentachlorophenol PARM Code 39032 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Phenol, Single Compound PARM Code 34694 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC 2,4,6 - trichlorophenol PARM Code 34621 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.)_ ug/L Annually 24 -hr FPC Acenaphthene PARM Code 34205 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement q Report (An. Avg) Report (Max] ug/L Annually 24 -hr FPC Acenaphthylene PARM Code 34200 I Mon. Site No. PRT -E Sample Measurement Permit Requirement q Report (An.Avg.) Report (Max.) ug/L Annually 1 24 -hr FPC Anthracene PARM Code 34220 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement q Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Benzidine Sample Measurement PARM Code 39120 1 Mon. Site No. PRT -E Permit Requirement �1 _ Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Benzo(a)anthracene PARM Code 34526 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Benzo(a)pyrene PARM Code 34247 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Benzo(b)fluoranthene (3,4- benzo) PARM Code 79531 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Benzo(ghi)perylene PARM Code 34521 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Benzo(k)fluoranthene PARM Code 34242 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Bis (2- chloroethoxy) methane PARM Code 34278 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Bis (2- chloroethyl) ether PARM Code 34273 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Bis (2- chloroisopropyl) ether PARM Code 34283 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Bis (2- ethylhexyl) phthalate PARM Code 39100 I Mon. Site No. PRT -E _ Sample Measurement _ Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4- bromophenyl phenyl ether PARM Code 34636 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Butyl benzyl phthalate PARM Code 34292 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 2- chloronaphthalene PARM Code 34581 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4- chlorophenyl phenyl ether PARM Code 34641 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Chrysene PARM Code 34320 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) u8/L Annually 24 -hr FPC Dibenzo (a,h) anthracene PARM Code 34556 1 Mon. Site No. PRT -E Sample Measurement _ Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 3,3'- dichlorobenzidine PARM Code 34631 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Diethyl phthalate PARM Code 34336 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Dimethyl phthalate PARM Code 34341 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Di -n -butyl phthalate PARM Code 39110 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 2,4- dinitrotoluene PARM Code 34611 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/• Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018- DW1P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type 2,6- dinitrotoluene PARM Code 34626 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Di -n -octyl phthalate PARM Code 34596 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 1,2- diphenylhydrazine PARM Code 34346 1 Mon. Site No. PRT -E Sample Measurement _ Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Fluoranthene PARM Code 34376 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Fluorene PARM Code 34381 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Hexachlorobenzene PARM Code 39700 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Hexachlorobutadiene PARM Code 39702 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Hexachlorocyclopentadiene PARM Code 34386 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.)_ ug/L Annually 24 -hr FPC Hexachloroethane PARM Code 34396 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Indeno (1,2,3 -Cd) pyrene PARM Code 34403 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg,) __ Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Isophorone PARM Code 34408 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Naphthalene PARM Code 34696 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Nitrobenzene PARM Code 34447 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC N- nitrosodimethylamine PARM Code 34438 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC N- nitrosodi -n- propylamine PARM Code 34428 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement q Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC N- nitrosodiphenylamine PARM Code 34433 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement q Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Phenanthrene PARM Code 34461 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Pyrene PARM Code 34469 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eQ Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 1,2,4- trichlorobenzene PARM Code 34551 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Aldrin PARM Code 39330 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018- DW1P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Alpha -bhc PARM Code 39336 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC B -bhc -beta PARM Code 39338 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Gamma BHC (Lindane) PARM Code 39782 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Av g. ) Report (Max.) ug/L Annually 24 -hr FPC Delta benzene hexachloride PARM Code 34259 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Chlordane (tech mix. and metabolites) PARM Code 39350 I Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4,4' -DDT (p,p' -DDT) PARM Code 39300 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4,4' -DDE (p,p' -DDE) PARM Code 39320 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC 4,4' -DDD (p,p' -DDD) PARM Code 39310 1 Mon. Site No, PRT -E Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Dieldrin PARM Code 39380 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC A- endosulfan -alpha PARM Code 34361 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -D W I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type B- endosulfan-beta PARM Code 34356 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) � Report (Max)_ ug/L Annually 24 -hr FPC Endosulfan sulfate PARM Code 34351 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) g) Report (Max.) ug/L Annually 24 -hr FPC Endrin PARM Code 39390 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Endrin aldehyde PARM Code 34366 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Ayg.) Report (Max.) ug/L Annually 24 -hr FPC Heptachlor PARM Code 39410 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Heptachlor epoxide PARM Code 39420 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC PCB -1242 PARM Code 39496 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/1- Annually 24 -hr FPC PCB -1254 PARM Code 39504 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Ayg) Report (Max.) ug/L Annually 24 -hr FPC PCB -1221 PARM Code 39488 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max) ug/L Annually 24 -hr FPC PCB -1232 PARM Code 39492 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/1- Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type PCB -1248 PARM Code 39500 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC PCB -1260 PARM Code 39508 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC PCB -1016 PARM Code 34671 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max. ug/L Annually 24 -hr FPC Toxaphene PARM Code 39400 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Antimony, Total Recoverable PARM Code 01268 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Arsenic, Total Recoverable PARM Code 00978 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report ( An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC • Beryllium, Total Recoverable PARM Code 00998 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Cadmium, Total Recoverable PARM Code 01113 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Chromium, Total Recoverable PARM Code 01118 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) ug/L Annually 24 -hr FPC Copper, Total Recoverable PARM Code 01119 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) Report (Max. ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -E NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Lead, Total Recoverable PARM Code 01114 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Av . g� Report (Max.) ug/L Annually 24 -hr FPC Mercury, Total Recoverable PARM Code 71901 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg.) g) Report Max) ug/L Annually Grab Nickel, Total Recoverable PARM Code 01074 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC . Selenium, Total Recoverable PARM Code 00981 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L . Annually 24 -hr FPC Silver, Total Recoverable PARM Code 01079 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement q Report (An.Avg.1 Report (Max.) ug/L Annually 24 -hr FPC Thallium, Total Recoverable PARM Code 00982 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement eq Report (An.Avg) Report (Max.) ug/L Annually 24 -hr FPC Zinc, Total Recoverable PARM Code 01094 1 Mon. Site No. PRT -E Sample Measurement _ Permit Requirement Report (An.Avg1 Report (Max.) ug/L Annually 24 -hr FPC Cyanide, Total Recoverable PARM Code 78248 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avgg Report (Max.) ug/L Annually Grab Phenolic Compounds, Total Recoverable PARM Code 70029 1 Mon. Site No. PRT -E Sample Measurement Permit Requirement Report (An.Avg) Report (Max.) ug/L Annually Grab DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Domestic Wastewater Section, MS 3540, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMII IEE NAME: MAILING ADDRESS: FACILITY: LOCATION: COUNTY: OFFICE: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 Clearwater City of Marshall Street WRF 1605 Harbor Dr Clearwater, FL 33755 -1824 Pinellas Southwest District PERMIT NUMBER: LIMIT: CLASS SIZE: MONITORING GROUP NUMBER: MONITORING GROUP DESCRIPTION: RE- SUBMITTED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING PERIOD From: FL0021857- 018 -DW 1 P/NR Final MA PRT -R Residuals Pretreatment To: REPORT FREQUENCY: Annually PROGRAM: Domestic Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Arsenic Total, Dry Weight, Sludge PARM Code 49565 + Mon. Site No. PRT -R Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) WAS Annually Composite Cadmium, Sludge, Tot. Dry Wt. (Cd) PARM Code 78476 + Mon. Site No. PRT -R Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) mgAg Annually Composite Copper, Sludge, Tot, Dry Wt. (as Cu) PARM Code 78475 + Mon. Site No. PRT -R Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) mg/kg Annually Composite Lead, Dry Weight PARM Code 78468 + Mon. Site No. PRT -R Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) mg/kg Annually Composite Mercury, Dry Weight PARM Code 78471 + Mon. Site No. PRT -R Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) mg/kg Annually Composite Molybdenum, Dry Weight PARM Code 78465 + Mon. Site No. PRT -R Sample Measurement Permit Requirement Report ( An.Avg) Report (Max.) mg/kg Annually Composite *FOR THOSE PARAMETERS THAT ARE SAMPLED ANNUALLY, THE MAXIMUM AND AVERAGE CONCENTRATIONS ARE EQUIVALENT AND SHALL BE REPORTED AS SUCH ON THE DMR. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): ISSUANCE/REISSUANCE DATE: DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit - Permit expiration DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP PRT -R NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Nickel, Dry Weight PARM Code 78469 + Mon. Site No. PRT -R Sample Measurement Permit Requirement Report (An.Avg.) Report (Max.) mg/kg Annually Composite Selenium Sludge Solid PARM Code 61518 + Mon. Site No. PRT -R Sample Measurement - Permit Requirement e4 Report ( An.Avg.) Report (Max.) mg/kg Annually Composite Zinc, Dry Weight PARM Code 78467 + Mon. Site No. PRT -R Sample Measurement Permit Requirement q Report ( An.Avg.) Report (Max.) mg/kg Annually Composite ISSUANCE/REISSUANCE DATE: DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit - Permit expiration DEP Form 62- 620.910(10), Effective Nov. 29, 1994 DEPARTMENT OF ENVIRONMENTAL PROTECTION DISCHARGE MONITORING REPORT - PART A When Completed mail this report to: Department of Environmental Protection, Wastewater Compliance Evaluation Section, MS 3551, 2600 Blair Stone Road, Tallahassee, FL 32399 -2400 PERMITTEE NAME: MAILING ADDRESS: FACILITY: LOCATION: COUNTY: OFFICE: City of Clearwater Public Utilities Dept. 1650 North Arcturas Ave. Building C Clearwater, Florida 33765 -1945 Clearwater City of Marshall Street WRF 1605 Harbor Dr Clearwater, FL 33755 -1824 Pinellas Southwest District PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR LIMIT: CLASS SIZE: MONITORING GROUP NUMBER: MONITORING GROUP DESCRIPTION: RE- SUBMIT l ED DMR: ❑ NO DISCHARGE FROM SITE: ❑ MONITORING NOT REQUIRED: ❑ MONITORING PERIOD From: Final MA RWS -A Annual Reclaimed Water or Effluent Analysis REPORT FREQUENCY: Annually PROGRAM: Domestic To: Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Antimony, Total Recoverable (GWS = 6)* PARM Code 01268 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Arsenic, Total Recoverable (GWS = 10) PARM Code 00978 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Barium, Total Recoverable (GWS = 2,000) PARM Code 01009 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Beryllium, Total Recoverable (GWS = 4) PARM Code 00998 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Cadmium, Total Recoverable (GWS = 5) PARM Code 01113 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Chromium, Total Recoverable (GWS =100) PARM Code 01118 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC ;EFERENCE AND REVIEW ONLY. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME/TITLE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TELEPHONE NO DATE (mm/dd/yyyy) COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here): DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RWS -A NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Cyanide, Free (amen. to chlorinationXGWS = 200) PARM Code 00722 P Mon. Site No. RWS -A Sample Measurement Pennit Requirement Report (Max.) ug/L Annually Grab Fluoride, Total (as F) (GWS = 4.0/2.0) PARM Code 00951 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC Lead, Total Recoverable (GWS = 15) PARM Code 01114 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Mercury, Total Recoverable (GWS = 2) PARM Code 71901 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Nickel, Total Recoverable (GWS = 100) PARM Code 01074 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Nitrogen, Nitrate, Total (as N) (GWS = 10) PARM Code 00620 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC Nitrogen, Nitrite, Total (as N) (GWS = 1) PARM Code 00615 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC Nitrite plus Nitrate, Total 1 det. (as N)(GWS = 10) PARM Code 00630 P Mon. Site No. RWS -A Sample Measurement Permit Requirement °rt (Max.) a mg/L Annually 24 -hr FPC Selenium, Total Recoverable (GWS =50) PARM Code 00981 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Sodium, Total Recoverable (GWS = 160) PARM Code 00923 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max_) mg/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RWS -A NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Thallium, Total Recoverable (GWS = 2) PARM Code 00982 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC 1,1- dichloroethylene (GWS = 7) PARM Code 34501 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab 1,1,1 - trichloroethane (GWS = 200) PARM Code 34506 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab 1,1,2 - trichloroethane (GWS = 5) PARM Code 34511 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab 1,2- dichloroethane (GWS = 3) PARM Code 32103 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab 1,2- dichloropropane (GWS = 5) PARM Code 34541 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report {Max.) ug/L Annually Grab 1,2,4 - trichlorobenzene (GWS = 70) PARM Code 34551 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Benzene (GWS = 1) PARM Code 34030 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Carbon tetrachloride (GWS = 3) PARM Code 32102 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L. Annually Grab Cis -1,2- dichloroethene (GWS = 70) PARM Code 81686 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RWS -A NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Dichloromethane (methylene chloride)(GWS = 5) PARM Code 03821 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Ethylbenzene (GWS = 700) PARM Code 34371 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Monochlorobenzene (GWS = 100) PARM Code 34031 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab 1,2- dichlorobenzene (GWS = 600) PARM Code 34536 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab 1,4- dichlorobenzene (GWS = 75) PARM Code 34571 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Styrene, Total (GWS = 100) PARM Code 77128 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Tetrachloroethylene (GWS = 3) PARM Code 34475 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Toluene (GWS = 1,000) PARM Code 34010 P Mon. Site No. RWS -A Sample Measurement Permit Requirement (Max.) ) ug/L Annually Grab 1,2- trans - dichloroethylene (GWS = 100) PARM Code 34546 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Trichloroethylene (GWS = 3) PARM Code 39180 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RWS -A NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Vinyl chloride (GWS = 1) PARM Code 39175 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max] ug/L Annually Grab Xylenes (GWS = 10,000) PARM Code 81551 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab 2,3,7,8 - tetrachlorodibenzo-p - dioxin(GWS = 3x10 ^ -5) PARM Code 34675 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC 2,4- dichlorophenoxyacetic acid (GWS = 70) PARM Code 39730 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Silvex (GWS = 50) PARM Code 39760 P Mon. Site No. RWS -A Sample Measurement Permit Requirement _ Report (Max.) ug/L Annually 24 -hr FPC Alachlor (GWS = 2) PARM Code 39161 P Mon. Site No. RWS -A Sample Measurement . Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Atrazine (GWS = 3) PARM Code 39033 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Benzo(a)pyrene (GWS = 0.2) PARM Code 34247 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Carbofuran (GWS = 40) PARM Code 81405 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Chlordane (tech mix. and metabolites)(GWS = 2) PARM Code 39350 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RWS -A NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Dalapon (GWS = 200) PARM Code 38432 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Bis(2- ethylhexyl)adipate (GWS = 400) PARM Code 77903 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Bis (2- ethylhexyl) phthalate (GWS = 6) PARM Code 39100 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Dibromochloropropane (DBCP) (GWS = 0.2) PARM Code 82625 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Dinoseb (GWS = 7) PARM Code 30191 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report °� Annually 24 -hr FPC Diquat (GWS = 20) PARM Code 04443 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Endothall (GWS = 100) PARM Code 38926 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report ug/L Annually 24 -hr FPC Endrin (GWS = 2) PARM Code 39390 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Ethylene dibromide (1,2- dibromoethaneXGWS = 0.02) PARM Code 77651 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually Grab Glyphosate (GWS = 0.7) PARM Code 79743 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RWS -A NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL0021857- 018 -DW 1 P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Heptachlor (GWS = 0.4) PARM Code 39410 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Heptachlor epoxide (GWS = 0.2) PARM Code 39420 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Hexachlorobenzene (GWS = 1) PARM Code 39700 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Hexachlorocyclopentadiene (GWS = 50) PARM Code 34386 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Gamma BHC (Lindane) (GWS = 0.2) PARM Code 39782 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Methoxychlor (GWS = 40) PARM Code 39480 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Oxamyl (vydate) (GWS = 200) PARM Code 38865 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Pentachlorophenol (GWS = 1) PARM Code 39032 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Picloram (GWS = 500) PARM Code 39720 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Polychlorinated Biphenyls (PCBs)(GWS = 0.5) PARM Code 39516 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RWS -A NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -DW I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Simazine (GWS = 4) PARM Code 39055 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Toxaphene (GWS = 3) PARM Code 39400 P Mon, Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Trihalomethane, Total by summation(GWS = 0.080) PARM Code 82080 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually Grab Radium 226 + Radium 228, Total (GWS = 5) PARM Code 11503 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) pCi/L Annually 24 -hr FPC Alpha, Gross Particle Activity (GWS = 15) PARM Code 80045 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) pCi/L Annually 24 -hr FPC Aluminum, Total Recoverable (GWS = 0.2) PARM Code 01104 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC Chloride (as CI) (GWS = 250) PARM Code 00940 P Mon. Site No. RWS -A Sample Measurement. Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC Iron, Total Recoverable (GWS = 0.3) PARM Code 00980 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC Copper, Total Recoverable (GWS = 1,000) PARM Code 01119 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC Manganese, Total Recoverable (GWS = 50) PARM Code 11123 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 FACILITY: Clearwater City of Marshall Street WRF DISCHARGE MONITORING REPORT - PART A (Continued) MONITORING GROUP RWS -A NUMBER: MONITORING PERIOD From: To: PERMIT NUMBER: FL002 1 8 5 7- 0 1 8 -D W I P/NR Parameter Quantity or Loading Units Quality or Concentration Units No. Ex. Frequency of Analysis Sample Type Silver, Total Recoverable (GWS = 100) PARM Code 01079 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max:) ug/L _ Annually 24 -hr FPC Sulfate, Total (GWS = 250) PARM Code 00945 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC Zinc, Total Recoverable (GWS = 5,000) PARM Code 01094 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) ug/L Annually 24 -hr FPC pH (GWS = 6.5 -8.5) PARM Code 00400 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) s.u. Annually Grab Solids, Total Dissolved (TDS) (GWS = 500) PARM Code 70295 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max.) mg/L Annually 24 -hr FPC Foaming Agents (GWS = 0.5) PARM Code 01288 P Mon. Site No. RWS -A Sample Measurement Permit Requirement Report (Max_) mg/L Annually 24 -hr FPC DMR EFFECTIVE DATE: 1st day of the 2nd month following effective date of permit DEP Form 62- 620.910(10), Effective Nov. 29, 1994 DAILY SAMPLE RESULTS - PART B Permit Number: FL0021857- 018 -DW 1P/NR Facility: Clearwater City of Marshall Street WRF Monitoring Period From: To: PLANT STAFFING: Day Shift Operator Class: Evening Shift Operator Class: Night Shift Operator Class: Lead Operator Class: Certificate No: Certificate No: Certificate No: Certificate No: Name: Name: Name: Name: DEP Form 62- 620.910(10), Effective Nov. 29, 1994 BOD, Carbonaceou s 5 day, 20C mg/L Chlorine, Total Residual (For Disinfection) mg/L Coliform, Fecal #/100mL Enterococci #/100mL Nitrogen, Total mg/L Phosphorus, Total (as P) mg/L Solids, Total Suspended mg/L pH s.u. (minimum) pH s.u. (maximu) Solids, Total Suspended mg/L Turbidity NTU Code 80082 EFA -01 50060 EFA -01 74055 EFA -01 00600 EFA -01 00665 EFA -01 00530 EFA -01 00400 EFA -01 00400 EFA -01 00530 EFB -01 00070 EFB -01 Mon. Site '® 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Total Mo. Avg. I PLANT STAFFING: Day Shift Operator Class: Evening Shift Operator Class: Night Shift Operator Class: Lead Operator Class: Certificate No: Certificate No: Certificate No: Certificate No: Name: Name: Name: Name: DEP Form 62- 620.910(10), Effective Nov. 29, 1994 DAILY SAMPLE RESULTS - PART B Permit Number: FL0021857- 018 -DW IP/NR Facility: Clearwater City of Marshall Street WRF Monitoring Period From: To: PLANT STAFFING: Day Shift Operator Class: Evening Shift Operator Class: Night Shift Operator Class: Lead Operator Class: Certificate No: Certificate No: Certificate No: Certificate No: Name: Name: Name: Name: DEP Form 62- 620.910(10), Effective Nov. 29, 1994 Chlorine, Total Residual (For Dechlorinatio n) mg/L Dibromochlo romethane ug/L Dichlorobro momethane ug/L Oxygen, Dissolved (DO) mg/L Flow MGD Flow MGD Flow MGD BOD, Carbonaceou s 5 day, 20C mg/L Solids, Total Suspended mg/L Code 50060 EFD -01 32105 EFD -01 32101 EFD -01 00300 EFD -01 50050 FLW -01 50050 FLW -02 50050 L FLW -03 80082 NF-0 I 00530 INF -01 Mon. Site 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 r Total Mo. Avg. PLANT STAFFING: Day Shift Operator Class: Evening Shift Operator Class: Night Shift Operator Class: Lead Operator Class: Certificate No: Certificate No: Certificate No: Certificate No: Name: Name: Name: Name: DEP Form 62- 620.910(10), Effective Nov. 29, 1994 INSTRUCTIONS FOR COMPLETING THE WASTEWATER DISCHARGE MONITORING REPORT Read these instructions before completing the DMR. Hard copies and/or electronic copies of the required parts of the DMR were provided with the permit. All required information shall be completed in full and typed or printed in ink. A signed, original DMR shall be mailed to the address printed on the DMR by the 28`" of the month following the monitoring period. Facilities who submit their DMR(s) electronically through eDMR do not need to submit a hardcopy DMR. The DMR shall not be submitted before the end of the monitoring period. The DMR consists of three parts - -A, B, and D- -all of which may or may not be applicable to every facility. Facilities may have one or more Part As for reporting effluent or reclaimed water data. All domestic wastewater facilities will have a Part B for reporting daily sample results. Part D is used for reporting ground water monitoring well data. When results are not available, the following codes should be used on parts A and D of the DMR and an explanation provided where appropriate. Note: Codes used on Part 13 for raw data are different. CODE DESCRIPTION /INSTRUCTIONS ANC DRY FLD IFS LS MNR Analysis not conducted. Dry Well Flood disaster. Insufficient flow for sampling. Lost sample. Monitoring not required this period. CODE DESCRIPTION /INSTRUCTIONS NOD OPS OTH SEF No discharge from /to site. Operations were shutdown so no sample could be taken. Other. Please enter an explanation of why monitoring data were not available. Sampling equipment failure. When reporting analytical results that fall below a laboratory's reported method detection limits or practical quantification limits, the following instructions should be used, unless indicated otherwise in the permit or on the DMR: 1. Results greater than or equal to the PQL shall be reported as the measured quantity. 2. Results less than the PQL and greater than or equal to the MDL shall be reported as the laboratory's MDL value. These values shall be deemed equal to the MDL when necessary to calculate an average for that parameter and when determining compliance with permit limits. 3. Results less than the MDL shall be reported by entering a less than sign ( "< ") followed by the laboratory's MDL value, e.g. < 0.001. A value of one -half the MDL or one -half the effluent limit, whichever is lower, shall be used for that sample when necessary to calculate an average for that parameter. Values less than the MDL are considered to demonstrate compliance with an effluent limitation. PART A - DISCHARGE MONITORING REPORT (DMR) Part A of the DMR is comprised of one or more sections, each having its own header information. Facility information is preprinted in the header as well as the monitoring group number, whether the limits and monitoring requirements are interim or final, and the required submittal frequency (e.g. monthly, annually, quarterly, etc.). Submit Part A based on the required reporting frequency in the header and the instructions shown in the permit. The following should be completed by the permittee or authorized representative: Resubmitted DMR: Check this box if this DMR is being re- submitted because there was information missing from or information that needed correction on a previously submitted DMR. The information that is being revised should be clearly noted on the re- submitted DMR (e.g. highlight, circle, etc.) No Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data or codes to be entered for all of the parameters on the DMR for the entire monitoring group number; however, if the monitoring group includes other monitoring locations (e.g., influent sampling), the "NOD" code should be used to individually denote those parameters for which there was no discharge. Monitoring Period: Enter the month, day, and year for the first and last day of the monitoring period (i.e. the month, the quarter, the year, etc.) during which the data on this report were collected and analyzed. Sample Measurement: Before filling in sample measurements in the table, check to see that the data collected correspond to the limit indicated on the DMR (i.e. interim or final) and that the data correspond to the monitoring group number in the header. Enter the data or calculated results for each parameter on this row in the non - shaded area above the limit. Be sure the result being entered corresponds to the appropriate statistical base code (e.g. annual average, monthly average, single sample maximum, etc.) and units. Data qualifier codes are not to be reported on Part A. No. Ex.: Enter the number of sample measurements during the monitoring period that exceeded the permit limit for each parameter in the non - shaded area. If none, enter zero. Frequency of Analysis: The shaded areas in this column contain the minimum number of times the measurement is required to be made according to the permit. Enter the actual number of times the measurement was made in the space above the shaded area. Sample Type: The shaded areas in this column contain the type of sample (e.g. grab, composite, continuous) required by the permit. Enter the actual sample type that was taken in the space above the shaded area. Signature: This report must be signed in accordance with Rule 62- 620.305, F.A.C. Type or print the name and title of the signing official. Include the telephone number where the official may be reached in the event there are questions concerning this report. Enter the date when the report is signed. Comment and Explanation of Any Violations: Use this area to explain any exceedances, any upset or by -pass events, or other items which require explanation. If more space is needed, reference all attachments in this area. DEP Form 62- 620.910(10), Effective Nov. 29, 1994 PART B - DAILY SAMPLE RESULTS Monitoring Period: Enter the month, day, and year for the first and last day of the monitoring period (i.e. the month, the quarter, the year, etc.) during which the data on this report were collected and analyzed. Daily Monitoring Results: Transfer all analytical data from your facility's laboratory or a contract laboratory's data sheets for all day(s) that samples were collected. Record the data in the units indicated. Table 1 in Chapter 62 -160, F.A.C., contains a complete list of all the data qualifier codes that your laboratory may use when reporting analytical results. However, when transferring numerical results onto Part B of the DMR, only the following data qualifier codes should be used and an explanation provided where appropriate. CODE DESCRIPTION /INSTRUCTIONS < The compound was analyzed for but not detected. A Value reported is the mean (average) of two or more determinations. J Estimated value, value not accurate. Q Sample held beyond the actual holding time. Y Laboratory analysis was from an unpreserved or improperly preserved sample. To calculate he monthly average, add each reported value to get a total. For flow, divide this total by he number of days in the month. For all other parameters, divide the total by the number of observations. Plant Staffing: List the name, certificate number, and class of all state certified operators operating the facility during the monitoring period. Use additional sheets as necessary. PART D - GROUND WATER MONITORING REPORT Monitoring Period: Enter the month, day, and year for the first and last day of the monitoring period (i.e. the month, the quarter, the year, etc.) during which the data on this report were collected and analyzed. Date Sample Obtained: Enter the date the sample was taken. Also, check whether or not the well was purged before sampling. Time Sample Obtained: Enter the time the sample was taken. Sample Measurement: Record the results of the analysis. If the result was below the minimum detection limit, indicate that. Data qualifier codes are not to be reported on Part D. Detection Limits: Record the detection limits of the analytical methods used. Analysis Method: Indicate the analytical method used. Record the method number from Chapter 62 -160 or Chapter 62 -601, F.A.C., or from other sources. Sampling Equipment Used: Indicate the procedure used to collect the sample (e.g. airlift, bucket/bailer, centrifugal pump, etc.) Samples Filtered: Indicate whether the sample obtained was filtered by laboratory (L), filtered in field (F), or unfiltered (N). Signature: This report must be signed in accordance with Rule 62- 620.305, F.A.C. Type or print the name and title of the signing official. Include the telephone number where the official may be reached in the event there are questions concerning this report. Enter the date when the report is signed. Comments and Explanation: Use this space to make any comments on or explanations of results that are unexpected. If more space is needed, reference all attachments in this area. SPECIAL INSTRUCTIONS FOR LIMITED WET WEATHER DISCHARGES Flow (Limited Wet Weather Discharge): Enter the measured average flow rate during the period of discharge or divide gallons discharged by duration of discharge (converted into days). Record in million gallons per day (MGD). Flow (Upstream): Enter the average flow rate in the receiving stream upstream from the point of discharge for the period of discharge. The average flow rate can be calculated based on two measurements; one made at the start and one made at the end of the discharge period. Measurements are to be made at the upstream gauging station described in the permit. Actual Stream Dilution Ratio: To calculate the Actual Stream Dilution Ratio, divide the average upstream flow rate by the average discharge flow rate. Enter the Actual Stream Dilution Ratio accurate to the nearest 0.1. No. of Days the SDF > Stream Dilution Ratio: For each day of discharge, compare the minimum Stream Dilution Factor (SDF) from the permit to the calculated Stream Dilution Ratio. On Part B of the DMR, enter an asterisk ( *) if the SDF is greater than the Stream Dilution Ratio on any day of discharge. On Part A of the DMR, add up the days with an " *" and record the total number of days the Stream Dilution Factor was greater than the Stream Dilution Ratio. CBODs: Enter the average CBODS of the reclaimed water discharged during the period shown in duration of discharge. TKN: Enter the average TKN of the reclaimed water discharged during the period shown in duration of discharge. Actual Rainfall: Enter the actual rainfall for each day on Part B. Enter the actual cumulative rainfall to date for this calendar year and the actual total monthly rainfall on Part A. The cumulative rainfall to date for this calendar year is the total amount of rain, in inches, that has been recorded since January 1 of the current year through the month for which this DMR contains data. Rainfall During Average Rainfall Year: On Part A, enter the total monthly rainfall during the average rainfall year and the cumulative rainfall for the average rainfall year. The cumulative rainfall for the average rainfall year is the amount of rain, in inches, which fell during the average rainfall year from January through the month for which this DMR contains data. No. of Days LWWD Activated During Calendar Year: Enter the cumulative number of days that the limited wet weather discharge was activated since January 1 of the current year. Reason for Discharge: Attach to the DMR a brief explanation of the factors contributing to the need to activate the limited wet weather discharge. DEP Form 62- 620.910(10), Effective Nov. 29, 1994