U.,. ~D STATES ENVIRONMENTAL PROTECTION.. _NCY 

REGION 10 

Reply to 

At tn Of : OWW-1 30 

Mr. Rictor Upton 

Westward Seafoods Inc 

2101 4th Avenue, Suite 1700 

Seattle, W A 98121 

1200 Sixth Avenue 

Seattle, WA 98101 

AUG Z 3 Z006 

Re: Renewal of National Pollutant Discharge Elimination System (NPDES) Permit 

Westward Seafoods Inc, NPDES Permit No.: AK0049786 

Dear Mr. Upton: 

The Environmental Protection Agency (EPA) received the above referenced 

NPDES application materials on June 30, 2006. We have determined your application to 

be timely and complete. According to federal regulation 40 CFR 122.6(a), when a timely 

and complete application is received by EPA, and, through no fault of the permittee, EPA 

does not reissue a new permit prior to the expiration date of the existing permit, then the 

permit remains fully effective and enforceable. Accordingly, the NPDES permit for 

Westward Seafoods Inc will be administratively extended if the permit is not re-issued by 

January 2, 2007. 

Please note that EPA may request additional information during the development 

of the draft permit to clarify, modify, or supplement previously submitted material. If 

you have any questions, please contact the NPDES Permits Unit at (206) 553-0523. 

Sincerely, 

d>l~lIyr,-

J1- Michael J. Lidgard, Manager 

NPDES Permits Unit 

AI 

o Prtnftld on R.cyclfKI Papet' 
· In the unshaded areas 

1 &EPA 

U.S. ENVIRONMENTAL PROlECTION AGENCY 

GENERAL INFORMATION 

Consolidated Permits Program 

(Read the "General imlTUCtiom" be/orr slarting.) 

LABEL ITEMS 

EPA to. NUMBER 

III. FACILITY NAME PlEASE PlACE LABEL IN THIS SPACE 

11 a preprinted label has been proVIded. amx It In the 

designated space. RevIeW the Information carerully. If any of It 

19 Ih:;orrect, ClOSS tlUOf.9'IIt and enter the correct data In the 

approprlae fill-in area beloW. Also, II' a"'l of the preprinted data 

Is abserC (/he anta l) tile /err of the label space lists the 

krfonnel'lbn that shoUld appearj. pease prOYlde II: In the propel fJI.fl area(l) below. If the label Is complete and cOfrect, yoo 

need not compete Items I, III, V. and VI (except VI-B which 

must be compI&ted regardless). CompIea al IIBms If 00 label 

has b&en prDYlded. Refer to the instructions for detailed Item 

descriptions and for the legal alAhorlZations uncIer which this 

clata Is collected. 

V. FACILITY MAIUNG 

ADDRESS 

INSTRUCTIONS: Complete A through J to determine whether you need to submit any permit application forms to the EPA. If you answer "yes· to any cpJeStions. you rrust 

submit this form and the supplemental form listed in the parerthesis folbwing the question Mark ·X· in the box in the third column if the suWlemental form is attached. If 

you answer - 00· to each question, you need not stbnit any of these forms, You IT'By arswer -00" If yOl.l" ac1Jvrty IS excll.Ded from permit req.iremerts; see Section C of the 

instructions. See also. Section 0 of the instructions for definitions of bold-faced terms. 

C. Is this a facility which currently results in discharges to 

waters of the U.S. other than those described In A or B X 

above? (FORM 2C) 

E. Does or will this facility treat. slore. or dispose of 

hazardous wastes? (FORM 3) 

Do you or will you inject at this facility any produced water 

or other fluids which are brolJ!11l: to the surface in 

connection with conventional oil or natll'al gas ~oduction, 

inject fluids used for enhanced recovery of oil or natural 

gas, or inject fluids for storage of liqLid hyc:tocarbons? 

(FORM"') 

L Is this facility a proposed stationary source which is one 

of the 26 industrial categories listed in the instructions and 

x 

x 

which will potentially emit 100 tons per year of any air X 

poUt.tart regulated IJlder the Clean Air Act and may affect i-c.-t--c;;-t----,;;--i or be located in an attainment area? (FORM 5) 

EPA Form 3510-1 (8-90) 

D. Is this a ~oposed facility (cthBr than those described in A 

or B abcNe) which will result in a discharge 10 waters of 

the U.S.? (FORM 2D) 

will you inject al this facility industrial or effluent bekfN the lowermost strallXJ'l 

witHn one mile of the well bore, 

sources of water? 

H. Do you or will you j~ect at this facility fluids for special 

~ocesses such as mining of slifur by the Frasch process, 

solution mining of minerals, in situ COrrDustion of fossil 

fuel, or recovery of geothermal eneJg,'? (FORM 4) 

J. Is this facility a proposed stationary source which is 

NOT one of the 26 industrial categories listed in the 

x 

x 

x 

instructions and which will potentially emit 250 tons per X 

year of any air poIh,Jart regJated lI'lder the Clean Air Act i-c:;-r.,-i----;.--i 

and affect or be located in an attainment alea? 

I C-LS 

t :",~ 

{, r \ i lrJ 

r. 

AI 
F::: FEDERAL 

S= STATE 

P = PRIVATE 

LIGHT MANUFACTURING 

M ::: PUBLIC (oiMr lhanfeckral Of'stole) P 

o = OTHER (specifY) 

area extending to at least one mJe beyond 

and dscharge stru::tu-es. each of is 

and other sulface water bodies il the map area. See 

Processing of Finfish and Shellfish for seafood. 

Products include firifish.crab. and surimi (Fish protein gel) 

the owner? 

YES 0 NO 

2066825949 

if I 

YES Ii! NO 

must show the ottline of the facitity. the 

disposal facilities. and each well where it 

requirements. 

Processing includes reduction of processing wastes to fishmeal for livestock 

food supplement. 

I certify under penalty d law that I have personally examined aOO am familiar Yt4th 

irKJuiry eX those persons immediately re5(Xlf1Sible for obtaining the information 

am aware that there are significBnt penalties ftJJS8 infotm8Don, 

NAME & OFfiCIAL nTLE (type orprint) 

Rictor w. Upton 

Environmental 
, , r • 

r"" I.D

AK, UU4~ 786,,","item 1 0 ' "orm 1) I Fonn Approved. 

OMB No. 2040-0086. 

Ileal8 Drint or type In the unsheded 8r8as onl ... . Approval expires 8-31.98. 

~&EPA ._. • .... "TAC ':::: 

IIUrl FOR ".H":'~,TO ..... AI., 

EXlmNO MANUFACTURING, ,P;,;;;;it~. . i AND SllVICUl TURAl OPERATIONS 

Consolidated 

~~~ "0 ~t.;u;; n .. , .. tiS sa,.;;;;;;;;;;;;;; n.';;~ wate' . 

•. ATiT, c . D . RII!:CEIVINCi WATER (Nl,"I!) 

001 53 51 36 166 33 55 CaDtains Bav 

002 53 51 52 166 33 16 Captains Bav 

003 53 58 00 166 32 30 TT_.1 ~. ... Bay (see ~~ . , mao) 

rll. FLOWS, . IOFI .-AND 

A. Au.:h • II~ ough the facility. Indicate SOUfan of intake weter, operation. contributing wertew.ter to the 

and ~= ~~~~ . more deUlled dllCf.'iptlons in Item B. Conrtruct a water balance on the line drawing by Ihowtng awrBgIt 

HOWl . . i ii..-v and outfalls. If • ~~~ balance cannot be determined '''g., for ~n minIng «tJvltJ_J. provide • pictorial .. Mture I . IOUrcet of water .00 collection or trutment rneelUres. 

iii: ~Ii.:=~"':'· ',,\:.:l.! All I rn~; . to tha aHluant, I procea , "~Itory (2' ..... ,.·flow oontributed each openltion; and (3) treatment receiwd by the westewater. 

I -C)~:':, --.:- '"COW .. .ENT 

a;.1r .. '" b. ~r.!i0W • . DE'CR'.T'ON 1'" c'~;'~E~~~ ~~OM 

001 "nlln~J.. 1 .~7 M~ of fish to food 1-T 4-B 

.... _H h ,.~~ n 17 Mml Process of f i sh for food 1 T 4-B 

('Y~h .~- 0.32 HGD of crab for food 4-B 

002 Mp~l ---<-- 0_88 MGD ">,, _H,~ 4-A 

Rlel"~Til" ~< ~ ,;., ",en '~nY ~nnHno 4-A 

,----~<-- 2.81 HGD .nH~~ ~~,.o_ 4 A 

003 "_n~o~~'~_ 0 .18 HGD '''0- from ,sing 

~l .< ~ 0.01i M~ '~PY from .< 

o · 

I 

kt;~ . __ ~O"L' ,ro . , 

EPA Form ....... 1-10 PAG E 1 OF 4 '-'UN I 'NUC ON 

• 
Westward Seafoods 

Average Daily Processing Water - Wastewater Flow Diagram 

NPDES Renewal, permit AK 0049786 

,-------------+----__ Captains Bay -----r-- Municipal Water Supply Discharge (outfall) 003 = 0.24 MGD 

~ t (June through October) 

.--",,0.,,-4 ",M"G",D_~ Fish 

Bins 

Pollock Processing, - - --

_ ~ ___ 0" 1 ~ '!\9_Q __________________________ J __________________ Q9~ _~~~ 

Surimi, Roe, and Fillet Fish 

L ______ -l · ............ .................... Solids ... ) Meal 

, 

, 

, 

, 

, 

I t .. ···· ....................... . Solids ..... ) 

~ 

IScreening 

ITreatment 

l- _Oc~? _~c:>p_ -: 

Cooker 

Meal 

0.10MGD Press - -- -- -- -> 

Presswater 

Decanters 

Centrifuges 

Stickwater 

Tank --, , 

, 

0.5 MGD : L _________________________ ~ 

0.2 MGD , 

r:!~~e_"2l<e!: !oAay_=_ p~ M~I? __ 

Dryer 

_ (Outfall 003 

July - Oclober) 

0.30 MGD C b I ' ra 1 

+-~0:::.0~2:cM~G::::D~__4.leP~ro~c<§e~s2s ___ Oc~2. ~~_l!. _ '1 

Legend: 

Captains Bay Water Supply • ~ 

Municipal Water Supply • ) 

Salt, Fresh, andlor Process water - - - - - - - - - --> 

Screened Solids « 0.5 mm) .................. ) 

Flow Unit = Million Gallons per day (MGD) 

~ 1/2" 

Shell 

~: 

v'-,--__ 

I

screening 

Treatment 

, 

, 

Solid~ , 

I ............... .J 

, , , y ____ ___________ t _______________ )t , 

, 

, 

, 

~ 

Final Effluent - Discharge 001 

Discharge (outfall) 001 = 2.01 MGD 

(Maximum daily = 4.25 MGD possible) 

Vapor 

Scrubber 

Barometric 

Condenser 

- 0.66 MGD 

- 0.22 MGD 

Refrigeration 

Compressors 

Cooling 

Generator, Diesel 

Engine Cooling 

- 2.6 MGD 

- 5.6 MGD 

I 

Non Contact wastewater 

Discharge (outfall) 002 = 9.32 MGD 
I _ OUTFALL 

NUMBER 

(lilt) 

001 

002 

003 

A_Don 

B.Art 

of the dilehervet detcribed in Items II-A or e intermittent or $UJOn.11 

ONO ('0 to s.ctfon III) 

Z.OPERATION(t) MONTHS 

CONTRIBUTING FLOW "ER YEAR 

(III,) (,p.clty 

GUCI'G'C) 

SURIMIjPOLLOCK FILLET 6.32 8 

FINFISH 5.04 12 0.12 0.34 0.12 

CRAB 2.65 6 0.32 1.23 0.32 

Fishmeal Scrubber/Condenser 5.75 11 0.88 1.37 0.88 

Compressor Coo1ing 7 12 ± 2.81 3.68 ±2.81 

Generator Engine Cooling 7 12 ± 5.63 7.37 ±5.63 

9;32 12.42 

Surimi Washwater and 

Fishmeal Stickwater 6.89 4.5 0.25 0·.44 0.25 

p"'mul,~ .. td by EPA under Section 304 of the Clean Water Act apply to 

f&] NO (to to S.ction 

l.nMd in terma or/J" m'IIJIJI'8 of op,,,,tionJ7 

(i}NO (,0 to Seetlo" IV) 

c..DU .... 

ATION 

(I" d4t~.) 

177 

0.34 242 

1.23 61 

1.37 207 

±3.68 365 

±7.37 365 

0.44 131 

C. If you anawered "yes" to Item III-B, list thequantitywntch repr ... ntlan actual measurement of your leval of production. expressed in the terms and units 

UMd In the Ipplic.bla affluent guldelln., end indicate-the Iffected oud.lls. 

c. O ...... T'O"'. ""ODUCT. "'AT.,., .. ", •• Te::. 

(.p.clty) 

Z . A ..... I[CTEC 

OUT .. ALLS 

(It.t outfall numben) 

A. Are you now required by any Feder.', State or -local euthority to meet any implementation schedule for the construction, upgrading or pe~t on of wastewatw treatmlnt equipment or practices or env ottler environment.1 programs which may affect the discharges described in this appliCation? This includM, 

but I. not limited to, permit conditions, adminiatrative or enforcement orders. enforcement compliance schedule letters, stipulations, court orders, and grllnt 

or loen condition.. . the foUowl", lable) ~"O (10 to ltwm tV-B) 

IDENTt P"ICATION 

Aca ...... NT. 

NONE 

s_ .'UCP" DIESCRIII"TION 0"" "ROJECT 

water pollution control programs (or other ~n"ironmllntlll projecn which m.,.. .fflct 

""~'" whether each pr~ram is now underway or planned, and indicate your Dctu.1 or 

ADDITIONAL. CONTROL P"ROORAMS IS ATTACHED 

PAGE Z· OF 4 
" 

~~~~~~~~~~~E~~p~r~oceedg~;n~g~-~c~omplete one set of tablel for each outfall - Annotate the outfall number in the spICa provided. V-S, and V-C are included on separate sheets numbered V-l through V-g. 

D. U .. the spK8 below to list any of the pollutants listed in Table 2c-3 of the instructions, which you know or have reason to believe I. discharged or may be 

discharged from any outfall. For avery pollutant you 'ist, briefly describe the reasons you believe it to be present and report any analytical data in your 

possession. 

NONE 

NONE 

NONE 

byprodU011 

EPA Form 3510-2C (8-90) 

001 

002 

003 

or. 

o YES (lift atl illc h pol/utrmt. belo w ) [XI NO (60 to lIf!m VJ-B) 

PA G E J QF4 CONTINUE ON REVERSI 
.. ' 

DYES (Identify the te.t(.) and de.crilH thdr purpo,u below) 

Were any of the analyses reported in !tem V performed by 8 contract laboratory or consulting firm? 

~ YES (nil the nome, oddre .. , and telephone number or.) and poilu ten t. analyzed by. each ,uch lobarator)! 0" firm below 

SGS Environmental Services 

Analytica International. 

e 

200 W. Potter Dr. 

Anchorage. AK 99518 

5761 Silverado Way 

Anchorage. AK 99518 

~NO ('0 to Bactlon VIII) 

D NO ('0 to Section IX) 

(907) BOD. TSS 

(907) BOD 

I ctJrtify under penahy of law thst this docUmenllmd all attachments w.,e prtlp.r~ under my direction or supervision in accordance with a system designed to assure rhllt qualified pefsonntJI proPflrly gather Bnd lJve/uatll the information submm"d. Basad on my inquiry oltha person or persons who fflsnage the system or 

thou persons dirltCt/y responsible forgathering the informlttion. the information lubmitt..t is. to the bttst of my know/tldge lind belief. true. IIccurllte, lind complete. 

111m IIWllre thllt fhere IJre significllnt ptmalties for submitting filise informetion. including the possibility of fine lind imprisonment lor knowing violBtions. 

.. 

Rictor W. Upton. Environmental Compliance Manager 

c. 

EPA Form 3510-2C (a-SO) PAGE 4 OF 4 

B . PHONE 

(907) 

cell: (907) 

ext. 2202 

359-4840 
'" 

<: '" 

, 

'< 

"-

Westward Seafoods, Inc. 

NPDES Renewal Application 

June 29, 2006 

JIT 

",. 

South ~ 

Amaknak Rocks .~ 

Cho""el 

;9hi .. '------=--t----:-::----='~8·;!·y--tt~~~~WI~~~~~~~i]~~~) 

SCALE 1 :25000 

~iP'-=-='·i.-=-=- ~-==~I~~~~~!,~S1::=="Joo:.-----------f. 2:" 

~~==~~==~.d.==~--===~~M~Il 'S~--------------------------" 

~~::: -"=-&i '- ..,.=-1~ -=- ~-_JO~ 1El -~ =-:~~= 10p0 _~ 8~_,,=,..::= _l!.ooo 

CONTOUR INTERVAL 40 FEET 

THIS MAP CO~1PUES WITH NATIONAL MAP ACCU~CY STANDARDS 

PRODUCED BY THE UNITED STATES GEOLOGICAL SURVEY 

COMPlI.£I) FROM AERIAl PtiOTOGftAPllS TAKEN ..... ,............. . .. 1983 

MAP NOT AElD CHECKED ...................... MAP rom:o . . ..... 1990 

To place on the predicted North American Datum of 1983, 

mO\le the projection lines as shown by dashed corner licks 

(104 meters north and 133 meters east) 

~ 

" " z 

DUTCH HARBOR, ALASKA 

PROVISIONAL EDITION 1990 
·0 

~ Westward Se-~,ods. Inc. Princess Head 

NPDES rene~ application \ 

2C Outfall 003 location 

Lat. 53° 

Point 

J 

Blufl2 
.rA •• g. NUM .. ft "0P> ,rom .. om. a, ,arm" 

~~~ OR TYPE IN THE UNSHAOEO AREAS ONLY. Vou may report 10m. 0' ,II of 

H' . .M ~~---.-.,.'--_ 'FAce NO . 

V. INTAKE AND EFFLUENT CHARACTERISTICS (Conti.UN from p.,. 3 of Form 001 

PART A· You must p,ovide the results ofat lelst one do, every . , one . ~Io, .. cho'utlili. See ,:10'. ~ 

~ ~VA'-U' 

~ I.I'O&.LUTANT .. 'DAILY VALUE a. 

d. NO , 0" 

~ ';:-':n., ~ 

11' .. 't't I!,.NO. OF 

'" (., ..... (., ..... ANALVSt;,.s b. MASS 

l-'! • (" . .., !AN"eV'" 

~~~nD.m.nd 4790 127.436 4063 109.370 1896 36.770 . 60 mg/l ~ 

I rc"Jm' Oamand 8403 1234.771 7199 177 .668 3826 . 71.330 62 lIuo;/1 Ibs 

I ~,:~:.,'~' r'~.(fc)'C Not: bv n<> hnit' 

I:"~::;i •• ) 2'l00 67.'l61 17~1 47.747 12112 ' 74.~11 ..!U m2/1 Ibs 

1_. Ammonl. ( .. HI 

Not: ron Idro.J by ,~ no .;~ 

I', FlOw 

I VALuE VALUE I VAeu • 

3.89 2.62 1.41 27'l MGD 

If"'fII''') I VALuE IVALUE ·C 1"·--' 

'l.'l 9 .13 'l .l.1. ..lL 

h. TWI'Iper.tur. IVALU. IVA'-u. 

·c IVA'-U. 

( .. u" .... r) 13.4 10.93 10.33 32 

I. pH I · 6.62 

--- -- - 7.22 6.71 6.96 --- -

STANDARD UNITS 

I PARTI· M<orlt ")("In column 2-. for _ poIlutent you know or..... 'bel _ ~rIt''X'' i whlchlallm_elt,,",dl~.orl_lybut __ Iy,ln.nolll,*" :~~~. :~ 

column 28. you muat provide q,Ullntbtift .. or an . , . .. ~ .... oneUibleforHchoutfan. SH the , 

I. I'OLLUT .... M. OK'x 

ANT AND rt:~~ .. I DAILY VALUE I·' ~1I.YCl 

....!:. 

VALU·lc ,-gN~j . . VA'-U' ~ ~ 

I"..:-r~~' 1"-0. 

CASNO. ... ) I .~o,;, I., ..... la., CONC.N· tt. M.SS ,,';:.lli L \'~".:y~ ~~~~ . h' ..... .."ON I.'·· .. .. _'.~ .... 'v • 

.. lromide 

(2_ • ...,· .. X 

1~ .. i'R"I."" X 

Co ColOr 

X 

I!-~~I 

X 

.. '~orkM . (l1II!_'" X 

II, . 

.n I N_-iiia N) X Not: ." by ... i~ 

EPA "- H1o-2C (1-110) PAGE V·, CONTINUE ON 

/-
EPA '.0. NUMBER "opy ,rom Hem I 0' >o"n I, 

PLEASE PRINT OR TYPE IN THE UNSHADEO AREAS ONLY. You may report some or all of 

~~~ i~~~;~~ion on separate sheets (use the sam~ format) instead of completing these pages.. AK. 0049786 

V. INTAKE AND EFFLUENT CHARACTERIST'CS (,onr;nued 'rom page 3 of Form 2'ci . NO . 

002 

PART A· You must provide the resullS of at least one . 'for every : in .'this table. r , one '. for each outfall. ~ idet.iiS: 

z. (.p:~j:; 7,' :'~n.' 4 . 'NTAKE 

• POLLUTANT a. MAX,MUM PA'"Y VA"UE D. MAX' VA"UE V,,"J...U~ ~ d. NO. OF" .ON· ~ l,E~':'" I ~;::'~y~~S .1'1. '" .... '01 ,., .... . !.'L h' .... ANALVSES a.COHeEN- b . MASS , ,., .... . TRATION 

.. ' , fsxJ.f,jn Oemand Not: r .. , ';r .. " bv ,t- nf> nnH' b. Demand 

(COD) Not: rpn ';r .. " bv ,r .. ~ .. n" "tc. Totel Organic Carbon (TOe) Not: r .. ,; . ... by 0 .. ' m,;t 

~;;,~::~,~ SUlpendod 

Not r .. , ,;r .... by np' nnit 

e. Amm~nla (as N} 

Not rpn ';r .. " by ,; 

VALUE V ALUE VALUE VA"UE 

T. Flow 

12.42 11.40 .9.32 75 MGD 

g. VHUE VA"UE IVA"UE 

°C VA"UE 

12.8 11.9 10 .3 14 

. VHUE 'A"UE IVA"UE 

°C .VALU. 

17 .2 16.1 14.1 61 

pH 

MINIMUM M'"'MUM 1M • 

. . Not ,; ... by , .. i" --- --- -- -- STANOARD UNITS 

PARTS Mark' tOO in column 2-e for 8ach pollutant you know or have reuon to beli8Ve is present. Mark "X" in column '.bfor each pollutant you beli8Veto be absent. If you mark column 2a for any pollutant 

which i"imited either directly, or indirectly but expr .... ly, in an .tfluent limit.tions guideline, you must provkSe the results of.t leest one an. lysis for that pollutant. For other pollutants for which you mark 

column 2a. you must provide quentitativedetaor an expllnation of their presence in yourdi$Charge. Complete one table for each outfall. Seethe instructions for additional details and requirem9nts. 

1. POLLUT· 2, MARK ' X ~ 4 . UN'TS 5. 'NTAKE 

ANT AND .. ,•. M"XIMUM P"'"Y V""UE 10, M , ;; ~Wt.t VA~U. .~V"~ 

~:N~r A' . \,E"RL~E ~NO.C CAS NO. . • a. CONCEN· b . M",SS ANAL 

(If • .,callable) ;;:; :.·;T '" .... • -,., .... " '" .... TRATION I co.CO h' .... VSES 

~~. X 

~o';.~'R~;';;u.' X 

e. Color X 

~. ~!"., 

X 

~~. X -

I~"'''' (oa H) X 

EPA Form 3510-2C (8-00) PAGE V-' CONTINUED N REVERSE 3-
EPA •• 0. • "opy ,'om mm 1 0' ro,," 1 

PLEASE PRINT OR TYPE IN THE UNSHADED AREAS ONLY. You may report some or all of . 

~~~i~~~~~~~~~~~~rate sheets (use the sam~ format) instead of completing these pages" AK 0049786 

OUTFALL NO , 

V. INTAKE AND EFFLUENT CHARACTERISTICS (continued from page 3 of Form 2-C) 003 

PART A - You must provide the re;ults of at least one ' ,for every : in .thi~~IJI"'- C """'- ~ i details. 

2 (.p:~,}; 7,' ;;~".) 4. I. rAKE 

I. P'OLLUT ANT .. DA'~Y VALUE 10. MAA, ,r VA~UE • yft ... u~, d. NO. OF' A ~E."L':'. 

1<1 ,,, MA" ,<I !'~'!""y~~S I" MA .. ~ 0.' MAU ANALVSES .,CONeEN- b. MASS ~'J. 1, 1 M." . TRATION 

I!: I !~XJi~~ Oem.nd ,,~ .. .< ,il hv . .. . 

~jJ~~n Oem.nd Not T. dTOil bv .~ -{t 

I~.;~~~I ('?'J~7" Not T. m';Toil by nTo"on~ ,~ 

I~~~~:" I . (TSsj Not r< aui ... •il by Inr"""nt- 't-

! •. Amm~)nl .. (eu N} Not T. dToil by " F'~~ 

I VALUE VALUE VALUE VALUE 

If. Flow Not TomdToil _ by InTo"on~ permit 

I ~;.,T:t';'~· I VA~UE IVALUE IVALUE 

°C I VALu • 

Not reauired by Inr"""nt- n"rmi t-

.~. IVALuN - d b ot reqUl.re y 

I VALUE 

• ~ permi t IVALUE 

°C 

I VA • v • 

I', pH _.r,~:~:VM IM.N.MVM ,L 

Not T. dToil by present n.>rmi ~ 

-- ---

--- -- STANDARD UNITS 

PARTS - marl!; A in column 2-8 for each pollutant you know or have , •• son to beli~8 !s present. Mark "X" in column 2-bfor each pollutant you believe to be absent. If you mark column 2a for any pollutant 

wh~h i.limited .ither directly. Of indirect~ but .lq)r .... ~. in an effluent limitations guideline. you must provide the r.sutt. of at lea.t one analysis fMthat pollutant. For other pollutants for which you mark 

column2a. you must provide quantitative data or an explanation of their presence in your di,charge. Complete one table for each outfall. See the instructions for additional details and requir.mltnts. 

1. POLLUTANT AND 

I" 

. 

MARK 

"', I b . 

.,.

" • 

. 

.. I DAICY VACUE lb. 3. EFFlUENT 

• VA~U. ~'t. 

4~ ~ 

CAS NO. 

~ a. CONCEN· b. M-.SS j"~.!- ~:~;.~: (If attolloble) I:::; .":.";T 101 0., .... "L 0., •••• 

== ..':'. M ••• TRATION 100NO h'M ... YSES • 

I·· '-, X 

• ~~'i~i'R'~;';du,' X 

c. Color 

X 

! d. ~"'" X 

I ~:F lua"d. - X 

I" .N) X 

EPA Form 3510-2C (a·gO) "'''\j~ V-I co NTINUE ON REVERSE 6-