NAME OF OPERATOR: ___________________________________________________________________
LOCATION OF MILL: ______________________________________________________________________
IDENTIFICATION OF EFFLUENT: ___________________________________________________________
MONTH: ________________ YEAR: ________________
Parameters | Effluent treated biologically | Untreated effluent | Final effluent | Effluent treated other than biologically | Standards |
Toxicity (rainbow trout) | | | | | <= 1 T.U.a or < 3 T.U.a |
| | | | <= 1 T.U.a |
Chlorinated dioxins and furans | | | | | 15 pg/l eq |
| Do not write in this space. |
Reasons for excess or for not sending: ______________________________________________
______________________________________________________________________________
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Remedial measures implemented or planned: _________________________________________
______________________________________________________________________________
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