RAPPORT MENSUEL SUR LA CONFORMITÉ DES EFFLUENTS FINALS
NOM DE L’EXPLOITANT: ___________________________________________________________
LOCALISATION DE LA FABRIQUE: __________________________________________________
MOIS: ___________________________________ ANNÉE:___________________________________
NOMBRE D’EFFLUENTS FINALS: __________________________________
____________________________________________________________________________________
| | |
| Limites | Limites quotidiennes | Limites mensuelles
| quotidiennes | lors d’arrêt total |
| (kg) | (kg) | (kg)
_______|____________________|____________________________|__________________________
| | |
DBO5 | | |
_______|____________________|____________________________|__________________________
| | |
| | |
MES | | |
_______|____________________|____________________________|__________________________
| |----------------------------|
COHA | |----------------------------|
_______|____________________|----------------------------|__________________________
____________________________________________________________________________________
| | | | | | |
| | | DBO5 | MES | COHA | Ph (1) | Temp.
| | | | | | | max
| | |_____________|_____________|_____________|_________|________
Jour | P P |D |P | D |P | D |P | D | D d | N
| r r |é |e | é |e | é |e | é | u é | o
| o o |b |r | p |r | p |r | p | r p | r
| d d |i |t | a |t | a |t | a | é a | m
| u u |t |e | s |e | s |e | s | e s | e
| c i | t | t | s | t | s | t | s | s |
| t t |q o |q o | e |q o | e |q o | e | d e |<65°C
| i s |u t |u t | m |u t | m |u t | m | e m |
| o |o a |o a | e |o a | e |o a | e | e | (2)
| n f |t l |t l | n |t l | n |t l | n | n |
| i |i |i e | t |i e | t |i e | t | t |
| q n |d |d | |d | |d | | |
| u i |i |i | |i | |i | | (HH:MM) |
| o s |e |e | |e | |e | | |
| t |n |n | |n | |n | | |
| i | |n | |n | |n | | |
| d | |e | |e | |e | | |
| i | | | | | | | | |
| e | | | | | | | | |
| n | | | | | | | |_________|
| n | | | | | | | | | |
| e | | | | | | | | | |
|(tonnes|(m3/j)|(kg/j)|(kg/j)|(kg/j)|(kg/j)|(kg/j)|(kg/j)|<6,0|>9,5|
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
1 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
2 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
3 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
4 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
5 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
6 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
7 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
8 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
9 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
10 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
11 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
12 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
13 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
14 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
15 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
16 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
17 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
18 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
19 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
20 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
21 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
22 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
23 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
24 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
25 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
26 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
27 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
28 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
29 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
30 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | | | | | | | | |
31 | | | | | | | | | | |
_______|________|______|______|______|______|______|______|______|____|____|________
| | | |------| |------| |------|----|----|--------
Moyenne| | | |------| |------| |------|----|----|--------
_______|________|______|______|------|______|------|______|------|----|----|--------
|--------|------|------| |------| |------| | | |
Nombre |--------|------|------| |------| |------| | | |
de |--------|------|------| |------| |------| | | |
jours |--------|------|------| |------| |------| | | |
de |--------|------|------| |------| |------| | | |
dépas- |--------|------|------| |------| |------| | | |
sement |--------|------|------| |------| |------| | | |
_______|--------|------|------|______|------|______|------|______|____|____|________
____________________________________________________________________________________
| | |
| DBO5 | MES | COHA
______|__________________________|__________________________|________________________
| | | | | |
Mois | Perte | Dépassement | Perte | Dépassement | Perte |Dépassement
| mensuelle | | mensuelle | | mensuelle |
| totale (3) | | totale (3) | | totale (3) |
| (kg) | (kg) | (kg) | (kg) | (kg) | (kg)
______|____________|_____________|____________|_____________|____________|___________
____
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---- Ne rien inscrire dans cette case.
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(1) Le pH de l’effluent final des eaux de refroidissement peut être égal à celui de l’eau d’alimentation.
(2) Indiquer la température maximale les jours non conformes.
(3) La perte mensuelle totale est la somme des pertes mensuelles de chacun des effluents finals.
Motifs de dépassement ou de non-transmission: ___________________________________________
Correctifs réalisés ou envisagés: ________________________________________________________