RAPPORT MENSUEL SUR LES EAUX USÉES D’UNE RAFFINERIE DE PÉTROLE
Raffinerie de pétrole exploitée par la compagnie ___________________________________________
et située à _______________________________________________________________________
Mois de ____________________________________________________________________20 _____
Capacité de raffinage déclarée: _________________________________________________MB*/jour
Date de déclaration relative à la capacité de raffinage ________________________________20 _____
Quantité de pétrole brut raffiné:
— mois courant: ________________________________________________________________MB*
jour de production: _______________________________________________________________
— mois précédent: ______________________________________________________________MB*
jour de production: _______________________________________________________________
— moyenne des 2 mois: _____________________________________________________MB*/jp**
TABLEAU DES REJETS RÉELS
_________________________________________________________________________________
| | | | | |
| |mesures de débit | | | |
| |(en millions | matières | rejets mesurés (en kg/jour) | |
| | de litres/jour) |en suspension | | |
| |__________________| dans l’eau |_______________________________________| |
|date| | |d’alimentation| | | | | matières | |
| |effluent|eaux | |huiles|phénols|sulfure|NH3-N| en |pH|
| |liquide |pluviales| | | | | |suspension| |
|____|________|_________|______________|______|_______|_______|_____|__________|__|
| | | | | | | | | | |
| 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 | | | | | | | | |
|_____________|_________|______________|______|_______|_______|_____|__________|__|
TABLEAU DES REJETS PERMIS EN VERTU DU PRÉSENT RÈGLEMENT
_________________________________________________________________________________
| | | | | | matières | |
| |huiles|phénols|sulfure|NH3-N| en |pH|
| | | | | |suspension| |
|______________________________________|______|_______|_______|_____|__________|__|
| | | | | | | |
| quantité mensuelle | | | | | | |
|______________________________________|______|_______|_______|_____|__________|__|
| | | | | | | |
| quantité moyenne quotidienne | | | | | | |
|______________________________________|______|_______|_______|_____|__________|__|
| | | | | | | |
| quantité quotidienne maximale | | | | | | |
|______________________________________|______|_______|_______|_____|__________|__|
*MB: mille barils
**jp: jours de production
J’atteste l’exactitude de la présente déclaration
_____________________________________
(nom de la raffinerie)
signature: _______________________________
fonctions: _______________________________