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Monthly Report Of Operation Sequencing Batch Reactor Wastewater Treatment Plant 53339 - Indiana

Monthly Report Of Operation Sequencing Batch Reactor Wastewater Treatment Plant Form. This is a Indiana form and can be used in Water Department Of Enviromental Management Statewide .
 Fillable pdf Last Modified 5/28/2009
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Name of Facility Permit Number MONTHLY REPORT OF OPERATION SEQUENCING BATCH REACTOR WASTEWATER TREATMENT PLANT State Form 53339 (R2 / 3-14) Month Year Plant Design Flow Telephone Number mgd 3/1/ E-mail address: Certified Operator: Name Class Certificate Number Expiration Date Man-Hours at Plant (Plants less than 1 MGD only) Bypass At Plant Site ("x" If Occurred) Collection System Overflow ("x" If Occurred) Total= Air Temperature (optional) CHEMICALS USED RAW SEWAGE Lbs or Gal Precipitation - Inches Lbs or Gal Susp. Solids - mg/l Phosphorus - mg/l Influent Flow Rate (if metered) MGD Susp. Solids - lbs 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 Average Maximum Minimum No. of Data Prepared by or under the direction of (Certified Operator): 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 persons who manage Signature of principal executive officer or authorized agent the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and (or attested by NetDMR subscriber agreement) 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. Date (month, day, year) Date (month, day, year) Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Ammonia - mg/l Chlorine - Lbs CBOD5 - mg/l Day Of Month Day of Week CBOD5 - lbs pH Name of Facility State Form 53339 (R2 / 3-14) Avg. Max. Min. Data Day Of Month 1 2 3 4 5 Temperature in Reactors Settleable Solids % in 30 minutes MONTHLY REPORT OF OPERATION SEQUENCING BATCH REACTOR WASTEWATER TREATMENT PLANT 26 27 28 29 30 31 Susp. Solids - mg/l REACTOR # 1 Permit Number 21 22 23 24 25 Sludge Vol. Index - ml/gm 16 17 18 19 20 Dissolved Oxygen mg/l Settleable Solids % in 30 minutes For Month Of: 11 12 13 14 15 Susp. Solids - mg/l Year 6 7 8 9 10 REACTOR # 2 Sludge Vol. Index - ml/gm Dissolved Oxygen mg/l Settleable Solids % in 30 minutes Comments for the Month (major repairs, breakdowns, process upsets and their causes, inplant treatment process bypass, etc.): Page 2 of 4 Susp. Solids - mg/l REACTOR # 3 Sludge Vol. Index - ml/gm Dissolved Oxygen mg/l Residual Chlorine Contact Tank Residual Chlorine Final E. Coli - colony/100 ml pH - daily low (or single sample) pH - daily high (if multiple samples) Dissolved Oxygen mg/l Phosphorus - mg/l FINAL EFFLUENT American LegalNet, Inc. www.FormsWorkFlow.com MONTHLY REPORT OF OPERATION SEQUENCING BATCH REACTOR WASTEWATER TREATMENT PLANT State Form 53339 (R2 / 3-14) Name of Facility Permit Number For Month Of: Year Flow BOD FINAL EFFLUENT Total Suspended Solids Susp. Solids - lbs/day Weekly Average Susp. Solids - mg/l Susp. Solids - mg/l Weekly Average Ammonia Other 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 Avg Max Min Data MONTHLY REMOVAL SUMMARY BOD5 S.S. Ammonia Percent Removal Total Monthly Flow: Phosphorus (million gallons) Percent Capacity (actual flow/design) Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Ammonia - lbs/day Weekly Average Effluent Flow Rate (MGD) Susp. Solids - lbs CBOD5 - lbs/day Weekly Average Effluent Flow Weekly Average CBOD5 - mg/l Weekly Average Ammonia - mg/l Weekly Average Ammonia - mg/l Ammonia - lbs CBOD5 - mg/l Day Of Month Day of Week CBOD5 - lbs MONTHLY REPORT OF OPERATION SEQUENCING BATCH REACTOR WASTEWATER TREATMENT PLANT State Form 53339 (R2 / 3-14) Name of Facility Permit Number For Month Of: Year Waste Act. Sludge Gal. x 1000 Gas Production Cubic Ft. x 1000 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 Avg. Max. Min. Data Send completed forms by the 28th of the month to: Indiana Department of Environmental Management Office of Water Quality, Mail Code 65-42 100 North Senate Avenue Indianapolis, Indiana 46204-2251 Temperature - F Day Of Month pH Page 4 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Digested Sludge Withdrawn hrs. or Gal. x 1000 SLUDGE TO DIGESTER DIGESTER OPERATION Anaerobic Only Total Solids in Incoming Sludge - % Supernatant BOD5 mg/l or NH3-N mg/l Volatile Solids in Incoming Sludge - % Total Solids in Digested Sludge - % Volatile Solids in Digested Sludge - % Supernatant Withdrawn hrs. or Gal. x 1000
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