Q-2, r. 27 - Regulation respecting pulp and paper mills

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SCHEDULE VI
(ss. 70, 71 and 80)
MONTHLY REPORT ON EFFLUENT CHARACTERISTICS
NAME OF OPERATOR: ______________________________________________________________
LOCATION OF MILL: _______________________________________________________________
IDENTIFICATION OF EFFLUENT: _____________________________________________________
MONTH: __________________________________ YEAR: __________________________________


(A) (B) (C)
____________________________________________________________________________________
| | | |
Parameters | Date of sampling | Treated effluent | Untreated | Final
| or date of flow | | effluent | effluent
| measurement | (2)(4) | (3)(4) | (5)
______________|____________________|___________________|________________|___________
| | | |
Flow (1) | | | |
(m3/j) | | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
______________|____________________|___________________|________________|___________
| |-------------------|----------------|
Chemical | |-------------------|----------------|
oxygen demand | |-------------------|----------------|
(mg/l) | |-------------------|----------------|
______________|____________________|___________________|________________|___________
| |-------------------|----------------|
Aluminium | |-------------------|----------------|
(mg/l) | |-------------------|----------------|
______________|____________________|___________________|________________|___________
| |-------------------|----------------|
Copper (mg/l) | |-------------------|----------------|
______________|____________________|___________________|________________|___________
| |-------------------|----------------|
Nickel (mg/l) | |-------------------|----------------|
______________|____________________|___________________|________________|___________
| |-------------------|----------------|
Lead (mg/l) | |-------------------|----------------|
______________|____________________|___________________|________________|___________
| |-------------------|----------------|
Zinc (mg/l) | |-------------------|----------------|
______________|____________________|___________________|________________|___________
| | | |
Petroleum | | | |
hydrocarbons | | | |
C10-C50 (mg/l)| | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
|____________________|___________________|________________|___________
| | | |
______________|____________________|___________________|________________|___________
| | | |
Toxicity | | | |
(T.U.a) | | | |
(rainbow | | | |
trout) | | | |
______________|____________________|___________________|________________|___________
| | |----------------|
Polychlori- | | |----------------|
nated | | |----------------|
biphenyls | | |----------------|
(µg/l) | | |----------------|
______________|____________________|___________________|________________|___________
| | |----------------|
Chlorinated | | |----------------|
dioxins and | | |----------------|
furans | | |----------------|
(pgeq/s | | |----------------|
______________|____________________|___________________|________________|___________
____
----
---- Do not write in this space.
----
(1) For each day on which an effluent is sampled, there must be a corresponding flow measurement for that effluent on that date.
(2) This may refer to an effluent treated by primary treatment only, by biological treatment or by treatment of another type.
(3) This refers to untreated effluent that is added to treated effluent.
(4) If there is only 1 effluent, the data prescribed for columns A and B must be entered in Column C.
(5) This refers to effluent discharged into the environment, into a storm sewer or into a sewer system.
Reasons for not sending: _______________________________________________________________

O.C. 808-2007, Sch. VI.