METRO WASTEWATER RECLAMATION DISTRICT PRETREATMENT/INDUSTRIAL WASTE CONTROL PROGRAM BASELINE MONITORING REPORT (BMR) 1. IDENTIFYING INFORMATION FACILITY NAME_______________________________________________________ MAILING ADDRESS____________________________________________________ Street City State Zip PLANT LOCATION_____________________________________________________ Street City State Zip FACILITY OWNER______________________________________________________ FACILITY OPERATOR___________________________________________________ INDIVIDUAL RESPONSIBLE FOR FACILITY OPERATION: ____________________________ _________________ _______________________ Name Title Phone Number INDIVIDUAL PROVIDING INFORMATION: ____________________________ _________________ _______________________ Name Title Phone Number 2. ENVIRONMENTAL CONTROL PERMITS List any environmental control permits held by or for the facility: PERMIT TYPE EFFECTIVE DATE ________________________________________ ____________________________ ________________________________________ ____________________________ 3. STANDARD INDUSTRIAL CLASSIFICATION SYSTEM Based on previously gathered information, your facility has been classified under the Standard Industrial Classification system as follows (see Attachment 1): INDUSTRY TYPE SIC CODE Electroplating, Plating, Polishing, Anodizing, And Coloring 3471 Metal Finishing 3479 Page 1 4. INDIVIDUAL PROCESS DESCRIPTIONS The following processes have been identified at your facility which discharge or may discharge wastewater to the sanitary sewer system: a. b. c. d. e. f. g. h. i. j. k. l. m. n. o. p. q. r. s. t. u. v. w. x. Funaces and Cooling System Metal Injection Molding Machining (EDM) Machining (CNC, Die Fabrication) Formed Tube and Bands Welding and Brazing Tumbling Band Tumbling Parts Washers Electropolishing [including all cleaning and rinse steps] Electro-Scrib (Etching) [including all cleaning and rinse steps] Chem Lab Scrubber [including all cleaning and rinse steps] Chem Lab Sink [including all cleaning and rinse steps] Chem Lab Tank 1 [including all cleaning and rinse steps] Passivation - Heated Chem Lab Tank 2 [including all cleaning and rinse steps] Cleaning - Chem Lab Heated Tank 3 [including all cleaning and rinse steps] Chemical Brightening - Chem Lab Tank 4 [including all cleaning and rinse steps] Pickling [including all cleaning and rinse steps] Pickling Prior to Heat Treating [including all cleaning and rinse steps] Branson Ultrasonic Cleaning [including all cleaning and rinse steps] Corrosion Testing Clean Up [including all cleaning and rinse steps] Flux [including all cleaning and rinse steps] Sonication [including all cleaning and rinse steps] Any other(s) not listed above Attachment 2 to this BMR must contain a description of the operations carried out at this facility along with a schematic diagram showing the processes and indicating the fate and method of treatment of the wastestreams produced, including the points of discharge of process wastewater to the sanitary sewer system. Page 2 5. WASTEWATER FLOW RATES Provide the following flow measurement information, including a statement of "no discharge," if applicable, for the processes identified in Section 4 above. Indicate how the flow rates were determined. Reasonable and verifiable estimates of process flows are acceptable. Appendix A, which follows the attachments, provides information on flow measurement. Process Average Daily Flow Rate (Gallons per day) Maximum Daily Flow Rate (Gallons per day) Minimum Flow Rate (Gallons per minute) Maximum Flow Rate (Gallons per minute) a. Furnaces & Cooling System b. Metal Injection Molding c. Machining (EDM) d. Machining (CNC, Die Fabrication) e. Formed Tube & Bands f. Welding & Brazing g. Tumbling [including all cleaning & rinse steps h. Band Tumbling i. Party Washers j. Electropolishing [including all cleaning & rinse steps] k. Electro-Scrib (Etching) [including all cleaning & rinse steps] l. Chem Lab Scrubber [including all cleaning & rinse steps] m. Chem Lab Sink [including all cleaning & rinse steps] n. Chem Lab Sink 1 [including all cleaning & rinse steps Page 3 Number of Hours Discharged (per day) Days of Discharge (per week) Batch or Continuous (Indicate one or the other) Estimated or Measured (Indicate one or the other) o. Passivation - Heated Chem Lab Tank 2 [including all cleaning & rinse steps] p. Cleaning – Chem Lab Heated Tank 3 [including all cleaning & rinse steps] q. Chemical Brightening - Chem Lab Tank 4 [including all cleaning & rinse steps] r. Pickling [including all cleaning & rinse steps] s. Pickling Prior to Heat Treating [including all cleaning & rinse steps] t. Branson Ultrasonic Cleaning [including all cleaning & rinse steps] u. Corrosion Testing Clean Up [including all cleaning & rinse steps] v. Flux [including all cleaning & rinse steps w. Sonicatiion [including all cleaning & rinse steps] x. Page 4 6. PRODUCTION RATE Indicate the average daily rate of production for each of the primary finished product(s) manufactured or processed at this facility, in appropriate units (pieces, gallons, pounds, linear feet, etc.): AVERAGE PRODUCTION RATE __________________________________________ _____________________________________________________________________ 7. MEASUREMENT OF POLLUTANTS Report or attach the results of sampling and analyses, including any historical data available, of the process wastestreams identified in Sections 4 and 5 above for the chemical parameters listed below. Appendix B, which follows the attachments, provides additional information on wastestream sampling and analyses. Each sample must be collected immediately downstream from the discharging process, if no pretreatment exists, or immediately downstream of the pretreatment system. For each sampling event include the sample date, wastestream identifier or process description, sample time, name of the person collecting the sample, sample type (flow composite, time composite, or grab), method of sample preservation and handling, sample location, analytical results and units of measurement, date of analysis, name of the laboratory performing the analysis, and the analytical method or technique used. REQUIRED CHEMICAL ANALYSES Arsenic (total) Cadmium (total) Chromium (total) Copper (total) Cyanide (total) Lead (total) Mercury (total) Molybdenum (total) Nickel (total) Selenium (total) Silver (total) Zinc (total) pH (units) Total Toxic Organics CHEMICAL ABBREVIATION As Cd Cr Cu CNPb Hg Mo Ni Se Ag Zn pH TTO Page 5 8. METHODS OF ANALYSES The industry shall submit a statement from the analytical laboratory specifying that EPA approved methods were used for sample analyses. Appendix C contains a blank certification statement and list of EPA approved sample preservation and analytical methods. This information should be submitted to the analytical laboratory along with the samples to be analyzed. The certification statement must be signed by a laboratory representative and included as Attachment 3 to this report. 9. STATEMENT OF COMPLIANCE/COMPLIANCE SCHEDULE Pretreatment standards for this facility are consistent basis. are not (check one box) being met on a Additional operation and maintenance, including the option of "no discharge," required to ensure consistent compliance will be as follows: Additional pretreatment required to meet standards and ensure consistent compliance will be as follows: If pretreatment standards are not presently being met on a consistent basis, a compliance schedule will need to be completed and submitted. A compliance schedule specifies the additional operation and maintenance (O & M) and/or additional pretreatment needed to meet Pretreatment Standards and Requirements and the shortest schedule by which the industry will provide such additional O & M and/or pretreatment. You will be notified in writing of the requirement to submit a compliance schedule, if necessary. Page 6 NOTE TO SIGNING OFFICIAL: In accordance with Title 40 of the Code of Federal Regulations, Part 403, Section 403.14, effluent data provided in this document shall be available to the public without restriction. Any other information provided may be claimed as confidential by the submitter. Such claim must be asserted at the time of submission by stamping the words “Confidential Business Information” on each page containing confidential data or information, or similarly identifying the information claimed as confidential. Requests for confidential treatment of information shall be governed by procedures specified in 40 CFR Part 2. 10. CERTIFICATION I have personally examined and am familiar with the information submitted in this document and attachments. Based upon my inquiry of those individuals immediately responsible for obtaining the information reported herein, I believe that the information submitted is true, accurate and complete and that sampling and analysis is representative of normal work cycles, production rates and expected pollutant discharges to the sanitary sewer. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. __________________________________________________ Name (please print or type) __________________________________________________ Signature of Authorized Representative _________________ Date __________________________________________________ Name (please print or type) __________________________________________________ Signature of Environmental Professional _________________ Date Qualification as an Environmental Professional:_____________________________________ ___________________________________________________________________________ Page 7 ATTACHMENT 1 STANDARD INDUSTRIAL CLASSIFICATION The following description(s) has been taken from the Standard Industrial Classification Manual published by the U.S. Office of Management and Budget. If this description(s) adequately describes your primary business activity, sign in the space provided below. Group Industry No. No. COATING, ENGRAVING, AND ALLIED SERVICES 347 3471 Electroplating, Plating, Polishing, Anodizing, and Coloring Establishments primarily engaged in all types of electroplating, plating, anodizing, coloring, and finishing of metals and formed products for the trade. Also included in this industry are establishments which perform these types of activities, on their own account, on purchased metals or formed products. Establishments that both manufacture and finish products are classified according to the products. Anodizing of metals and formed products, for the trade Buffing, for the trade Chromium plating of metals and formed products, for the trade Cleaning and descaling metal products, for the trade Coloring and finishing of aluminum and formed products, for the trade Decontaminating and cleaning of missile and satellite parts, for the trade Decorative plating and finishing of formed products, for the trade Depolishing metal, for the trade Electrolizing steel, for the trade Electroplating of metals and formed products, for the trade Finishing metal products and formed products, for the trade Gold plating, for the trade Plating of metals and formed products, for the trade Polishing of metals and formed products, for the trade Rechroming auto bumpers, for the trade Sandblasting of metal parts, for the trade Tumbling (cleaning and polishing) of machine parts, for the trade ________________________________________ Name (type or print) ____________________________ Title ________________________________________ Signature ____________________________ Date Page 8 ATTACHMENT 1 STANDARD INDUSTRIAL CLASSIFICATION The following description(s) has been taken from the Standard Industrial Classification Manual published by the U.S. Office of Management and Budget. If this description(s) adequately describes your primary business activity, sign in the space provided below. Group No. Industry No. COATING, ENGRAVING, AND ALLIED SERVICES 347 3479 Coating, Engraving, and Allied Services, Not Elsewhere Classified Establishments primarily engaged in performing the following types of services on metals, for the trade: (1) enameling, lacquering, and varnishing metal products; (2) hot dip galvanizing of mill sheets, plates and bars, castings, and formed products fabricated of iron and steel; hot dip coating such items with aluminum, lead, or zinc; retinning cans and utensils; (3) engraving, chasing and etching jewelry, silverware, notarial and other seals, and other metal products for purposes other than printing; and (4) other metal services, not elsewhere classified. Also included in this industry are establishments which perform these types of activities on their own account on purchased metals or formed products. Establishments that both manufacture and finish products are classified according to the products. Bonderizing of metal and metal prodcuts, for the trade Chasing on metals for the trade, for purposes other than printing Coating (hot dipping) of metals and formed products, for the trade Coating and wrapping steel pipe Coating of metals with plastics and resins, for the trade Coating of metals with silicon, for the trade Coating, rust preventive Dipping metal in plastics solution as a preservative, for the trade Enameling (including porcelain) of metal products, for the trade Engraving jewelry, silverware, and metal for the trade; except printing Etching on metals for purposes other than printing Etching: photochemical, for the trade Galvanizing of iron and steel and end formed products, for the trade Japanning of metal Jewelry enameling, for the trade Lacquering of metal products, for the trade Name plates: engraved and etched Painting (enameling and varnishing) of metal products, for the trade Pan glazing, for the trade Parkerizing, for the trade Phosphate coating of metal and metal products, for the trade Retinning of cans and utensils, not done in rolling mills Rust proofing (hot dipping) of metals and formed products, for the trade Sherardizing of metals and metal products, for the trade Varnishing of metal products, for the trade Indicate additional SIC Codes, if applicable.________________________________________ ________________________________________ Name (type or print) ____________________________ Title ________________________________________ Signature ____________________________ Date Page 9 ATTACHMENT 2 INDUSTRIAL PROCESSES AND SCHEMATIC DIAGRAMS I have reviewed the attached process descriptions and schematic diagrams. These attachments correctly describe the processes used by this facility and the wastestreams generated. ________________________________________ Name (type or print) ________________________ Title ________________________________________ Signature ________________________ Date Page 10 ATTACHMENT 3 LABORATORY CERTIFICATION STATEMENT (Attach the signed Laboratory Certification Statement contained in Appendix C of the Baseline Monitoring Report) Page 11 APPENDIX A FLOW MEASUREMENT Flow measurements (see Section 5) are required for each of your facility's regulated processes and as identified in Section 4 of the BMR. The schematic diagrams in Attachment 2 must indicate where these measurements were made. If you are unsure of exactly where flow monitoring is required, contact the agency listed in the cover letter to this BMR. Wastewater is generally discharged in two ways; via continuous or batch operations. Continuous operations discharge wastewater whenever the manufacturing process is operating. Typically, continuous processes use overflow weirs or a continuous inflow of new water. Because no specific actions are required by the plant operators, continuous wastewater discharge is the most common type of industrial discharge. Batch discharges, on the other hand, occur when a tank containing wastewaters or spent solvents is opened and allowed to drain into the sewer. Thus, batch discharges are released all at one time. Typically, a drain or valve must be opened or a plug removed to start a batch discharge. Many facilities use both continuous and batch discharges. For example, rinse waters are often discharged on a continuous basis, and chemical baths are discharged on a (more infrequent) batch basis. The type of discharge(s) (batch or continuous) used at your facility will determine how flow measurements must be made. The measurements required for each of these types of discharges are discussed below. Batch Discharges Flows for batch discharges are estimated by determining (1) the volume discharged by each batch process, and (2) the frequency of discharge (i.e., once a day, once a week, once a month, etc.). Continuous Discharges Industries discharging wastewater on a continuous basis must report the average daily flow rate and maximum daily flow rate of wastewaters discharged from each regulated process. In instances where no significant water loss or addition takes place during industrial processing, waters entering the process can be metered in lieu of metering process wastewater directly. Metering these incoming waters can be done with a standard water meter. This type of meter is suitable only for waters under pressure. It measures the velocity of the flow and converts it to volume. Metering incoming water is usually less expensive than metering wastewater. However, in many instances, the metering of water entering the process will be inconvenient or unrepresentative of wastewater volume flows. In these instances, direct measurement of the wastewater flow will need to be made. Unlike incoming process waters, which generally come in under pressure, wastewaters originating from most industrial processes flow through a partially filled pipe or channel. To measure these flows, the surface of the flow must be visible and there must be adequate room to install flow measurement devices. The most commonly used device for measuring open channel flow are weirs or flumes. These devices raise the water level to varying heights depending upon the Page 12 amount of flow going past. The water level is measured by a probe or other device and transmitted to a meter which converts height to flow rate and provides a continuous record. There are a number of manufacturers of flow metering equipment who can advise you of the types of metering systems that will work best for your application. When selecting equipment, the following points should be kept in mind: Flow metering equipment usually will have to be used in conjunction with automatic sampling equipment (see Appendix B). Both should be compatible and selected at the same time. Flow metering will be needed not only for the Baseline Monitoring Report, but will most likely be a continuing regulatory obligation. The equipment selected should satisfy your long-term as well as your short-term needs. Flow meters should totalize the flow; that is, the meter should provide a continuous record of the total volume of water that has flowed past the metering point. Flow meters should have sufficient range to handle both peak and minimum flow rates. Certain characteristics of industrial wastewaters, such as high oil and grease, high temperature, corrosiveness, high solids, or surface foaming, may make some types of flow meters unusable. Consider the characteristics of the wastewater when selecting flow measurement instruments. Installation of flow meters should allow for future plant expansions or changes in operation which may affect monitoring points. Flow meters should be installed downstream of any existing pretreatment facilities or downstream from the location of any future pretreatment facilities. RAE/JG/re 07/09/97 M:\PRETREAT\MODELS\97BMR.DOC Page 13 APPENDIX B SAMPLING The following information should be useful in planning your wastewater sampling effort. However, before proceeding, you must determine if your industry uses "batch" or "continuous" wastewater discharges. If you are unsure of what these terms mean please refer to the discussion in Appendix A. Where is sampling required? The points where samples will be collected must be shown on the schematic diagram in Attachment 2 and are also listed in Sections 4 and 5 of the Baseline Monitoring Report form. Samples from batch processes are collected directly from the tank containing the liquid to be discharged. This sample must be representative of the wastewater just before it would be discharged. Wastestreams from continuous processes should be sampled at the point(s) shown in Attachment 2. Sample Collection Types A "grab" sample is defined as an individual sample collected over a period of time not to exceed 15 minutes and collected so as to be representative of the wastewater at the moment of sampling and of the parameter being monitored. A "time composite" sample is defined as a single sample composited from a minimum of four (4) grab samples of equal volume, collected at equally spaced intervals over a 24 hour period of discharge, or a minimum of four successive samples collected over a 24 hour period of discharge by an automatic sampler set in the time-proportioned mode. A "flow composite" sample is defined as a single sample composited from a minimum of four (4) grab samples collected at equally spaced intervals over a 24 hour period of discharge and proportioned according to flow, or a minimum of four successive samples collected over a 24 hour period of discharge by an automatic sampler set in the flowproportioned mode and run in conjunction with a continuously monitoring flow meter. For continuous process discharges only, a "cyanide" sample is defined as a single sample composited from a minimum of four (4) grab samples of equal volume collected at equal intervals over a 24 hour period of discharge. Each grab sample must be preserved according to 40 CFR 136 (see Appendix C). pH samples must be analyzed in the field or by a qualified laboratory within 15 minutes of the time of sample collection. What type and how many samples must be collected? BATCH: The following samples must be collected from each batch process discharge: Page 14 One grab sample for metals analysis. One grab sample for cyanide analysis. One grab sample for pH analysis. One sample for the organic pollutants listed in Appendix D, reasonably expected to be present in the discharge. A list of pollutants “reasonably expected to be present,” and the supporting documentation for the determination (e.g., material inventory, engineering study, process mass balance, etc.) must be submitted to the Metro District for approval. Otherwise, one sample must be collected for all the organic pollutants listed in Appendix D. (Note: If this Baseline Monitoring Report does not contain D, organic sampling and analysis is not applicable to your facility.) CONTINUOUS: discharge: an Appendix The following samples must be collected from each continuous process One flow- or time-proportioned composite sample for metals analysis. One cyanide sample as defined on the previous page of this Appendix B. Four pH grab samples over the period of a single daily discharge. One sample, as defined in Appendix D, for the organic pollutants listed in Appendix D, reasonably expected to be present in the discharge. A list of pollutants “reasonably expected to be present,” and the supporting documentation for the determination (e.g., material inventory, engineering study, process mass balance, etc.) must be submitted to the Metro District for approval. Otherwise, one sample, as defined in Appendix D, must be collected for all the organic pollutants listed in Appendix D. (Note: If this Baseline Monitoring Report does not contain D, organic sampling and analysis is not applicable to your facility.) an Appendix What analyses are needed? The chemical analyses which must be performed on the samples are shown in Section 6 of the BMR form. How will the samples be collected? There are three issues to be considered: (1) Should manual or automated sample collection be used? (2) What type of sampling equipment is needed? (3) How do you sample for total toxic organics (TTOs)? 1) The sewerage agency does not care if you collect the samples manually or use automated sampling equipment. Manual sampling of continuous flows will generally require an individual to spend much of his or her time collecting samples and making flow measurements. Automated sampling requires more money for purchase or rental of the equipment but, once installed, will use less manpower. In making the choice between manual and automated methods, you should be aware that, in the future, your company will probably be issued a wastewater contribution permit which will require you to perform sampling and flow measurement on a regular basis. Thus, over the long-term, automated sampling may be less expensive and less labor-intensive than manual sampling. In addition, many analytical laboratories and consultants also perform automatic sampling as a part of their services. Page 15 2) Grab sampling requires little equipment. Generally a ladle made of stainless steel, "hard" plastic, or glass can be used to collect samples. Automated sampling equipment is sold by a number of local distributors. Keep in mind that automated sampling equipment and automated flow measuring devices must be compatible. 3) The specialized sampling techniques required for total toxic organics (TTOs) are discussed in Appendix D. (Note: If this Baseline Monitoring Appendix D, organic (TTO) sampling to your facility.) RAE/JG/re 09/30/97 M:\PRETREAT\MODELS\97BMR.DOC Page 16 Report does not contain an and analysis is not applicable APPENDIX C LABORATORY CERTIFICATION STATEMENT (To be signed by a representative of the laboratory performing the analyses on samples collected for the Baseline Monitoring Report and submitted as Attachment 3 to the BMR) “I have reviewed the attached lists and tables of EPA approved test procedures. All analyses done by our laboratory for this report were performed in accordance with the techniques prescribed in 40 CFR 136, as amended.” ___________________________________________________________ Name of Analytical Laboratory __________________________________________________ Signature of Laboratory Representative _______________________ Date __________________________________________________ Name (please print or type) _______________________ Title RAE/re 07/09/97 M:\PRETREAT\MODELS\97BMR.DOC Page 17 APPENDIX D SAMPLE COLLECTION PROCEDURES FOR TOTAL TOXIC ORGANICS (TTOs) and LIST OF TTOs Collecting wastewater samples for total toxic organic (TTO) analyses requires the use of sampling techniques different from those normally acceptable for other types of wastewater samples. This is because: TTO analysis is done at much greater sensitivity than most other analyses. When looking for toxic organics, we are looking at concentrations 100 to 1000 times less than most other pollutants. Materials commonly used for sampling and the cleaning of equipment, such as distilled water and cleaning solvents, contain organic materials which can contaminate the sample. Certain toxic organics are extremely volatile and will be lost or inadvertently added if the sample is incorrectly collected or stored. The high cost of analysis makes resampling expensive. Before collecting any samples for TTO analysis, you must first identify a laboratory to do the analyses. Because the laboratory must process the samples immediately, you may have to adjust your sampling schedule to a time suitable to the laboratory. The laboratory which agrees to do your analyses can also supply you with the specially prepared sample bottles needed to collect TTOs. The following points must be kept in mind when collecting samples for TTO analyses: Don’t rinse or open the bottles prior to sample collection. Rinsing them or needlessly exposing them to air may contaminate them. Don’t use plastic or Tygon materials to do your sampling. Most automatic sampling equipment contain these materials and should not be used. Specially designed automatic sampling equipment constructed with Teflon tubing, glass, and stainless steel parts are available for use in sampling for organics. Manual sampling can be done using glass or stainless steel containers. For continuously discharging processes, a minimum of four grab samples must be collected for each type of organic sample (volatile and non-volatile). These samples shall be collected at equally spaced intervals over the period of discharge. For batch processes or where 24-hour sampling is not feasible, a single grab sample representative of the wastewater just before discharge should be taken. Two types of bottles are required to collect samples for TTO analysis. Manual grab samples to be analyzed for volatile organics (VOA) are generally collected in small vials. These vials have a Page 18 screw cap with an often loose, Teflon liner. These bottles must be filled manually, in a manner that prevents air bubbles from passing through the sample as the bottle is being filled. Once filled and sealed, no air or air bubbles should remain in the bottle. The best way to collect a sample manually, without air bubbles, is to: (1) fill the sample bottle to overflowing by submerging the bottle, (2) slowly raise the bottle straight up so as to retain a dome of liquid (convex meniscus) atop the bottle, and (3) while holding the bottle straight up, slowly screw on the cap with its Teflon liner. Inverting the sealed bottle and tapping its side will indicate if any air bubbles are present. If more than one manual grab is collected, portions of the VOA vials cannot be mixed to do compositing (flow or time). The whole vial of solution must be used. A flow proportioned VOA sample is obtained based on the flow throughout the day. For example, a new vial would be filled every time 500 gallons of process wastewater had discharged to the sanitary sewer. A time proportioned VOA sample is collected at equally spaced intervals over the period of discharge. After proper collection (flow or time proportioned) of the VOA sample, the vials must be taken to a laboratory for compositing the individual samples into a single sample. Do not attempt to composite VOA samples yourself. Alternately, each VOA sample may be analyzed separately and the results reported as an arithmetic mean (i.e., a single value, just as for a composited VOA sample). Non-volatile organics are also collected in specially prepared bottles. However, larger bottles are used (one to two liter capacity), and some head space should be left in the bottle. Samples to be analyzed for non-volatile organics can be collected like any other composite (flow or time) sample, keeping the previously mentioned points for TTO sampling in mind. The samples must be kept cooled to 4°C after sampling using an ice water bath. During storage and shipment, the samples should be maintained at 4°C. The screw caps must be retightened after the samples are chilled to prevent leaking. RAE/re 08/09/00 M:\PRETREAT\MODELS\97BMR.DOC Page 19 APPENDIX D REGULATED TOXIC ORGANICS FOR ELECTROPLATING AND METAL FINISHING INDUSTRIES Acenaphthene Acrolein Acrylonitrile Benzene Benzidine Carbon tetrachloride (tetrachloromethane) Chlorobenzene 1,2,4-Trichlorobenzene Hexachlorobenzene 1,2-Dichloroethane 1,1,1-Trichloroethane Hexachloroethane 1,1-Dichloroethane 1,1,2-Trichloroethane 1,1,2,2-Tetrachloroethane Chloroethane Bis (2-chloroethyl) ether 2-Chloroethyl vinyl ether (mixed) 2-Chloronaphthalene 2,4,6-Trichlorophenol Parachlorometa cresol Chloroform (trichloromethane) 2-Chlorophenol 1,2-Dichlorobenzene 1,3-Dichlorobenzene 1,4-Dichlorobenzene 3,3-Dichlorobenzidine 1,1-Dichloroethylene 1,2-Trans-dichloroethylene 2,4-Dichlorophenol 1,2-Dichloropropane 1,3-Dichloropropylene (1,3dichloropropene) 2,4-Dimethylphenol 2,4-Dinitrotoluene 2,6-Dinitrotoluene 1,2-Diphenylhydrazine Ethylbenzene Fluoranthene 4-Chlorophenyl phenyl ether 4-Bromophenyl phenyl ether Bis (2-chloroisopropyl) ether Bis (2-chloroethoxy) methane Methylene chloride (dichloromethane) Methyl chloride (chloromethane) Methyl bromide (bromomethane) Bromoform (tribromomethane) Dichlorobromomethane Chlorodibromomethane Hexachlorobutadiene Hexachlorocyclopentadiene Isophorone Naphthalene Nitrobenzene 2-Nitrophenol 4-Nitrophenol 2,4-Dinitrophenol 4,6-Dinitro-o-cresol N-nitrosodimethylamine N-nitrosodiphenylamine N-nitrosodi-n-propylamine Pentachlorophenol Phenol Bis (2-ethylhexyl) phthalate Butyl benzyl phthalate Di-n-butyl phthalate Di-n-octyl phthalate Diethyl phthalate Dimethyl phthalate 1,2-Benzanthracene (benzo(a)anthracene) Benzo(a)pyrene (3,4-benzopyrene) 3,4-Benzofluoranthene (benzo(b)fluoranthene) 11,12-Benzofluoranthene (benzo(k)fluoranthene) Chrysene Acenaphthylene Anthracene 1,12-Benzoperylene (benzo(ghi)perylene) Fluorene Phenanthrene 1,2,5,6-Dibenzanthracene (dibenzo(a,h)anthracene) Indeno(1,2,3-cd) pyrene (2,3-ophenylene pyrene) Pyrene Tetrachloroethylene Toluene Trichloroethylene Vinyl chloride (chloroethylene) Aldrin Dieldrin Page 20 Chlordane (technical mixture and metabolites) 4,4-DDT 4,4-DDE (p,p-DDX) 4,4-DDD (p,p-TDE) Alpha-endosulfan Beta-endosulfan Endosulfan sulfate Endrin Endrin aldehyde Heptachlor Heptachlor epoxide (BHC-hexachlorocyclohexane) Alpha-BHC Beta-BHC Gamma-BHC Delta-BHC (PCB-polychlorinated biphenyls) PCB-1242 (Arochlor 1242) PCB-1254 (Arochlor 1254) PCB-1221 (Arochlor 1221) PCB-1232 (Arochlor 1232) PCB-1248 (Arochlor 1248) PCB-1260 (Arochlor 1260) PCB-1016 (Arochlor 1016) Toxaphene 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) METRO WASTEWATER RECLAMATION DISTRICT Alternatives to Baseline Monitoring Report (BMR) for Categorical Industrial Users The following are required of a Categorical Industrial User (CIU) seeking an alternative to the submittal of a BMR: 1. 2. To cease categorical process(es): a. Eliminate the categorical process(es) being performed on site, or b. Eliminate the use and on-site storage of products that contain ingredients that may plate, etch, coat, anodize or convert a metal surface. To achieve zero discharge of regulated process wastewater(s): a. Cease all discharges from regulated process(es) to the sanitary sewer system. b. Eliminate all potential to accidentally spill or discharge regulated wastewater to the sanitary sewer system. c. Seal, cap securely, or sever from the sanitary sewer system all wastewater connections (i.e., floor drains, sinks, emergency bypass hookups, overflows, or any other open waste or vent lines) in the regulated process areas. d. Certify annually that no discharge of regulated wastewater to the sanitary sewer system has occurred. e. Submit to annual inspection verifying continued zero discharge status. M:\PRETREAT\BMRALTER.doc ZERO DISCHARGE COMPLIANCE REPORT AND CERTIFICATION FOR INDUSTRIES WITH CATEGORICAL PROCESSES (PLEASE COMPLETE ONLY ONE OF THE STATEMENTS BELOW ) 1. I certify under penalty of law that, _______________________________(facility name) located at _____________________________________________ (facility address) has not discharged any regulated process wastewater to the sanitary sewer system, from any category regulated pursuant to Section 307 (b) and (c) of the Clean Water Act since the last certification statement dated _______________________. I understand that discharge of regulated process wastewater to the sanitary sewer system is prohibited without a wastewater permit and that the local sanitation district and the Metro Wastewater Reclamation District, located at 6450 York Street, Denver, Colorado 80229, must be notified in writing, at least 90 days prior to any changes in process operation(s) which would result in a discharge to the sanitary sewer system. I further certify that there are no significant and/or regulated industrial process operations being conducted at this facility which discharge wastewater to the local sanitation district and the Metro District. Based on my inquiry of the person or persons who manage the facility, or those persons directly responsible for gathering the information, the information in this Zero Discharge Compliance Report and Certification 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. _________________________________________ Signature of Authorized Representative ________________________________ Date _________________________________________ Name (please type or print) ________________________________ Position or Title **OR** 2. I certify under penalty of law that, _____________________________________ (facility name) located at__________________________________________________ (facility address) has not consistently complied with the certification statement above. _________________________________________ Signature of Authorized Representative ________________________________ Date _________________________________________ Name (please type or print) ________________________________ Position or Title Attachments included with this BMR: PART 136 GUIDELINES ESTABLISHING TEST PROCEDURES FOR THE ANALYSIS OF POLLUTANTS PART 413-METAL FINISHING POINT SOURCE CATEGORY PART 433-METAL FINISHING POINT SOURCE CATEGORY Metro District's Rules and Regulations (Sections 6.17 [6.13, 6.14] and 6.18)