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This document provides forms and instructions for reporting water pollution data and wastewater characteristics from industrial facilities. It includes tables to record the sources of wastewater by type and volume, costs associated with water treatment operations, locations and names of wastewater discharge outlets, and measurements of conventional and other pollutants in effluent water quality samples taken from each outlet over time. Facilities are directed to use additional sheets as needed to fully report their wastewater monitoring data on a monthly basis.
This document provides forms and instructions for reporting water pollution data and wastewater characteristics from industrial facilities. It includes tables to record the sources of wastewater by type and volume, costs associated with water treatment operations, locations and names of wastewater discharge outlets, and measurements of conventional and other pollutants in effluent water quality samples taken from each outlet over time. Facilities are directed to use additional sheets as needed to fully report their wastewater monitoring data on a monthly basis.
This document provides forms and instructions for reporting water pollution data and wastewater characteristics from industrial facilities. It includes tables to record the sources of wastewater by type and volume, costs associated with water treatment operations, locations and names of wastewater discharge outlets, and measurements of conventional and other pollutants in effluent water quality samples taken from each outlet over time. Facilities are directed to use additional sheets as needed to fully report their wastewater monitoring data on a monthly basis.
Record of Cost of Treatment (Separate entries for separate facilities)
Month 1 Month 2 Month 3 Person employed, (# of employees) Person employed, (cost) Cost of Chemicals used by WTP Utility Costs of WTP (electricity & water) Administrative and Overhead Costs Cost of operating in- house laboratory
New/Additional Investments in WTP (Description)
Cost of New/Add Investments
WTP Discharge Location
Outlet Location of the Outlet Name of Receiving Water Body Number 1 2 3 4 5
Preparation and Submission of SMR 1
Procedural and Reference Manual for DAO 2003-27
Detailed Report of Wastewater Characteristics for Conventional Pollutants
Outlet No.
Effluent Oil & ________
BOD TSS Temp rise (name) DATE Flow Rate Color pH Grease (mg/L) (mg/L) (ºC) (m3/day) (mg/L) (unit)
Please fill-up/accomplish separate form/s for other outlet/s.
Detailed Report of Wastewater Characteristics for Other Pollutants