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164. Permit item 23.5: Following visual monitoring which occurs within 24 hours after a rainfall event, do you conduct the next <br />visual monitoring of your system seven (7) days after that rainfall event? <br />❑ Yes <br />❑ No <br />165. Permit item 23.6: Does your treatmentsystem utilize three(3) benchmark monitoring stations? Table l in Appendil in the <br />permit must be used for the parameters, units of measure, and frequency of measurement for each station. <br />❑ Yes <br />❑ No <br />166 Permititerr23.7: Do you collect grab samples or flowweighted24-hour composite samples at your treatment system? <br />❑ Yes <br />❑ No <br />167. Permit item 23.8: Are your treatment system samples, excluding potenfial of hydrogen(pH) samples, analyzed by <br />la boratory certified by the Minnesota Department of Health and/or the MPCA? <br />❑ Yes <br />❑ No <br />168. Which of the following do your sampletests include? (Check all that apply) <br />168 A. 0 Sample preservation and test procedures for the analysis of pollutants that conform to 40 CFR Part 136 and <br />Minn. R. 7041.3200. <br />168.B. ❑ Detection limits for dissolved phosphorus, dissolved aluminum, and dissolved iron that are a minimum of 6 <br />micrograms per liter (pg/L), 10 pl and 20 pl respectively. <br />168.0 ❑ pH that is measured within 15 minutesofsample collection using calibrated and maintained equipment. <br />169. Permit item 23.9: In the following situation(s) do you perform corrective actions) and immediately notify the Minnesota <br />Department of Public Safety Duty Officer? (Check all that apply) <br />169.A. ❑ The pH of the discharged water is not within the range of 6 0 and 9.0. <br />169.B. ❑ Indications of toxicity or measurements exceeding water quality standards which could endanger human <br />health, public drinking water supplies, or the environment. <br />169.C. ❑ A spill or discharge or alteration resulting in water pollution, as defined in Mina Stat § 115.01, subd. 13, of <br />alum or ferric chloride. <br />170. Permit item 23.13: Do you conduct site -specific jar tesfing using typical and representafive water samples in accordance with <br />the most current approved version of ASTM D2035? (Note: All orsome of this item is a newpermit requirement. <br />Compliance with new requirements is required within 12 months after receiving permit coverage.) <br />❑ Yes <br />❑ No <br />171. Permit item 23.14: Do you have baseline concentrations of the following parameters in the influent and receiving waters at <br />your treatment system location? (Check all that apply) <br />171.A. ❑ Aluminum or iron <br />171.B. ❑ Phosphorus <br />172. Permititerr23.15: Do you have the following system parameters and how each was determined at your treatment system <br />location? (Check all that apply) <br />172.A. ❑ Flocculant settling velocity <br />172.B. ❑ Minimum required retention time <br />172.C. ❑ Rate of diversion of stormwater into the system <br />172.D. ❑ The Flow rate from the discharge ofthe outlet structure <br />172. E. ❑ Range of expected dosing rates <br />173. Permititerr23.16: Have you developed the following site- specific procedures? (Check all that apply) <br />173 A. ❑ Procedures for the installation, operation and maintenance of all pumps, generators, control systems, and <br />other equipment. <br />173.B. ❑ Specific parameters for determining when the solids must be removed from the system and how the solids will <br />be handled and disposed of. <br />173.C. ❑ Procedures for cleaning up and/or containing a spill of each chemical stored on site. <br />Complete last page and submit using Adobe Acrobat Reader. <br />(If you do not have Acrobat Reader, you can download a free version at httos'.//get. adobe.com/reader/.1 <br />https//www.pca.state.mn.us • 651296-6300 • 800,657-3866 • use your preferred relay service • Available in alternative formats <br />wq- trre n • 9123120 Pg°gi1696f 115 <br />