Pretreatment Annual Report Template For Publicly Owned Treatment Works Page 2

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III. PRETREATMENT PERFORMANCE SUMMARY
A. Significant Industrial User Compliance
Categorical
Noncategorical
1. Total Number of SIUs Permitted
2. No. of SIUs Required to Submit Monitoring Reports
3. No. of SIUs in SNC with Reporting
4. No. of SIUs in SNC with Pretreatment Standards
5. No. of SIUs in SNC with Reporting but not Sampled or Inspected
6. No. of SIUs in SNC with Compliance Schedule
B. Compliance Monitoring Program
Categorical
Noncategorical
1. No. of SIUs with Current Permits
1
2. No. of Inspections Conducted During Report Period
3. No. of Facilities Inspected During Report Period
2
4. No. of Sampling Events Conducted During Report Period
5. No. of Facilities Sampled During Report Period
6. No. of SIUs not Sampled or Inspected During Report Period
C. Enforcement Actions
Categorical
Noncategorical
1. Total No. of SIUs Issued Any Enforcement Actions
2. Notices of Violation Issued to SIUs
3. No. of SIUs From Which Fines Have Been Collected
3
4. Amount of Fines Collected (Total Dollars)
$
$
5. Administrative Orders Issued to SIUs
6. No. of SIUs on Compliance Schedules
7. Civil Suits Filed
8. Criminal Suits Filed
9. No. of SIUs Published in Newspaper
Notes:
Comments:
1. Number of documented inspections.
2. Number of independent sampling events for
permitted parameters.
3. Do not include surcharges in this amount.
DEP / DOW
Revised October 2014
2

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