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APPENDIX D Groundwater Quality Reports and EMWD Waste Discharge Application

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Page 1: APPENDIX D - EMWD

APPENDIX D

Groundwater Quality Reports

and EMWD Waste Discharge

Application

Page 2: APPENDIX D - EMWD

[PAGE LEFT INTENTIONALLY BLANK]

Page 3: APPENDIX D - EMWD

PIEZOMETER LOCATIONS

SKY CANYON SEWER PROJECTMURRIETA, CALIFORNIA

20182608.003A08/2020

RA

The information included on this graphic representation has been compiled from a variety of sources and is subject to change without notice. Kleinfelder makes no representations or warranties, express or implied, as to accuracy, completeness, timeliness, or rights to the use of such information. This document is not intended for use as a land survey product nor is it designed or intended as a construction design document. The use or misuse of the information contained on this graphic representation is at the sole risk of the party using or misusing the information.

PROJECT NO.DRAWN:

FIGURE

DRAWN BY:CHECKED BY:FILE NAME:2280 Market Street, Suite 300

Riverside, CA 92501PH (951) 801-3681 20182608_Fig.mxd

EN

CB

CB

CB

ST79

Tech

nolog

y Dr

Hunter Rd Juru

pa H

ills D

r

Pine

hurs

t Dr Birch Hill Ct

Augusta Dr

Cher

ry H

ill Dr

Rivera Ct

Sky Canyon Dr

Willowick Dr

P-1

P-2

P-3

Service Layer Credits: Source: Esri, DigitalGlobe, GeoEye,Earthstar Geographics, CNES/Airbus DS, USDA, USGS,AeroGRID, IGN, and the GIS User Community

Approximate Ground

Elevation (ft)1323

Date Measured

Groundwater Depth (ft)

Groundwater Elevation (ft)

2/14/2020 25.3 1297.74/2/2020 23.8 1299.25/29/2020 22.6 1300.57/16/2020 22.9 1300.17/29/2020 22.9 1300.1

Piezometer P-1Approximate

Ground Elevation (ft)

1299Date

MeasuredGroundwater

Depth (ft)Groundwater Elevation (ft)

2/14/2020 10.6 1288.44/2/2020 11.5 1287.55/29/2020 8.5 1290.57/16/2020 9.4 1289.67/29/2020 9.5 1289.5

Piezometer P-2

Approximate Ground

Elevation (ft)1322

Date Measured

Groundwater Depth (ft)

Groundwater Elevation (ft)

7/29/2020 44.9 1277.1

Piezometer P-3

LEGENDCB Approximate Piezometer Location

Proposed Sewer AlignmentNOTE: ft - Feet

£

0 100 200 300 400Feet

Page 4: APPENDIX D - EMWD
Page 5: APPENDIX D - EMWD

Client Name:

Report Date:

Eastern Municipal Water Dist.

P.O. Box 8300

Suzanne Watson

Perris, CA 92572-8300

Contact:

Address: Project Number:

Analytical Report: Page 1 of 4

Project Name:

ENG DEPT

EMWD-ENG DEPT

16-Apr-2020 Work Order Number:

5YesReceived on Ice (Y/N): Temp: °C

C0D0286

Attached is the analytical report for the sample(s) received for your project. Below is a list of the individual

sample descriptions with the corresponding laboratory number(s). Also, enclosed is a copy of the Chain of

Custody document (if received with your sample(s)). Please note any unused portion of the sample(s) may be

responsibly discarded after 30 days from the above report date, unless you have requested otherwise.

Thank you for the opportunity to serve your analytical needs. If you have any questions or concerns regarding

this report please contact our client service department.

Lab Sample # Client Sample ID Matrix Date Sampled

Sample Identification

Date SubmittedBy By

C0D0286-01 Water 04/02/20 00:00 04/02/20 15:40Client Susan

Nguyen Sky Canyon PZ 1 Well 299106

C0D0286-02 Water 04/02/20 00:00 04/02/20 15:40Client Susan

Nguyen Sky Canyon PZ 2 Well 299107

CA ELAP No. 2698

EPA No. CA00102

NELAP No. OR4035

LACSD No. 10119

P 951 653 3351

F 951 653 1662

www.babcocklabs.com

location

6100 Quail Valley Court

Riverside, CA 92507-0704

mailing

P.O Box 432

Riverside, CA 92502-0432

Page 6: APPENDIX D - EMWD

Client Name:

Report Date:

Eastern Municipal Water Dist.

P.O. Box 8300

Suzanne Watson

Perris, CA 92572-8300

Contact:

Address: Project Number:

Analytical Report: Page 2 of 4

Project Name:

ENG DEPT

EMWD-ENG DEPT

16-Apr-2020 Work Order Number:

5YesReceived on Ice (Y/N): Temp: °C

C0D0286

Sample Description

04/02/20 00:00

Sampled Date/Time Received Date/Time

C0D0286-01

04/02/20 15:40

Matrix

Water

Laboratory Reference Number

Sky Canyon PZ 1 Well 299106

ResultAnalyte(s) RDL Analysis DateMethod Flag Units AnalystMDL

Anions380Chloride 2.0 mg/L EPA 300.0 04/03/20 20:37 ATR0.61

100Sulfate 0.50 mg/L EPA 300.0 04/03/20 07:01 ATR0.23

5.0Nitrate as N 0.20 mg/L EPA 300.0 04/03/20 07:01 ATR0.16

1.8Nitrite as N 0.10 mg/L EPA 300.0 04/03/20 07:01 ATR0.091 .MCNotify

General InorganicsNDCyanide 100 ug/L SM 4500CN E 04/06/20 12:04 SLL4.3

Nutrients0.19Ammonia-Nitrogen 0.10 mg/L SM4500NH3H

G

04/07/20 10:36 AJH0.044

Metals and MetalloidsNDArsenic 72 ug/L EPA 200.8 04/08/20 17:29 MEL70 .MCOk

440Boron 200 ug/L EPA 200.7 04/07/20 18:44 KRV27

7.5Cadmium 30 ug/L EPA 200.8 04/08/20 17:29 MEL3.7 J, N_RLm

1400Total Chromium 3.0 ug/L EPA 200.8 04/09/20 11:50 MEL2.3

620Copper 600 ug/L EPA 200.8 04/08/20 17:29 MEL55

800000Iron 2400 ug/L EPA 200.7 04/14/20 13:57 KRV75

73Lead 60 ug/L EPA 200.8 04/08/20 17:29 MEL12 .MCOk

47000Manganese 600 ug/L EPA 200.8 04/08/20 17:29 MEL51

NDMercury 30 ug/L EPA 200.8 04/08/20 17:29 MEL5.9

NDMolybdenum 40 ug/L EPA 200.8 04/08/20 17:29 MEL40 NLOhND

130Nickel 120 ug/L EPA 200.8 04/08/20 17:29 MEL47

NDSelenium 150 ug/L EPA 200.8 04/08/20 17:29 MEL74

NDSilver 300 ug/L EPA 200.8 04/08/20 17:29 MEL65

2900Zinc 1500 ug/L EPA 200.8 04/08/20 17:29 MEL220

CA ELAP No. 2698

EPA No. CA00102

NELAP No. OR4035

LACSD No. 10119

P 951 653 3351

F 951 653 1662

www.babcocklabs.com

location

6100 Quail Valley Court

Riverside, CA 92507-0704

mailing

P.O Box 432

Riverside, CA 92502-0432

Page 7: APPENDIX D - EMWD

Client Name:

Report Date:

Eastern Municipal Water Dist.

P.O. Box 8300

Suzanne Watson

Perris, CA 92572-8300

Contact:

Address: Project Number:

Analytical Report: Page 3 of 4

Project Name:

ENG DEPT

EMWD-ENG DEPT

16-Apr-2020 Work Order Number:

5YesReceived on Ice (Y/N): Temp: °C

C0D0286

Sample Description

04/02/20 00:00

Sampled Date/Time Received Date/Time

C0D0286-02

04/02/20 15:40

Matrix

Water

Laboratory Reference Number

Sky Canyon PZ 2 Well 299107

ResultAnalyte(s) RDL Analysis DateMethod Flag Units AnalystMDL

Anions19Chloride 1.0 mg/L EPA 300.0 04/03/20 07:13 ATR0.30

79Sulfate 0.50 mg/L EPA 300.0 04/03/20 07:13 ATR0.23

9.1Nitrate as N 0.20 mg/L EPA 300.0 04/03/20 07:13 ATR0.16

NDNitrite as N 0.10 mg/L EPA 300.0 04/03/20 07:13 ATR0.091

General InorganicsNDCyanide 100 ug/L SM 4500CN E 04/06/20 12:06 SLL4.3

Nutrients0.87Ammonia-Nitrogen 0.10 mg/L SM4500NH3H

G

04/07/20 10:38 AJH0.044

Metals and MetalloidsNDArsenic 36 ug/L EPA 200.8 04/08/20 17:32 MEL35 .MCOk

210Boron 200 ug/L EPA 200.7 04/07/20 18:51 KRV27

4.2Cadmium 15 ug/L EPA 200.8 04/08/20 17:32 MEL1.8 J

200Total Chromium 3.0 ug/L EPA 200.8 04/09/20 11:52 MEL2.3

110Copper 75 ug/L EPA 200.8 04/08/20 17:32 MEL28

110000Iron 240 ug/L EPA 200.7 04/08/20 14:57 KRV7.5

36Lead 30 ug/L EPA 200.8 04/08/20 17:32 MEL6.2 .MCOk

23000Manganese 300 ug/L EPA 200.8 04/08/20 17:32 MEL26

NDMercury 15 ug/L EPA 200.8 04/08/20 17:32 MEL3.0

NDMolybdenum 20 ug/L EPA 200.8 04/08/20 17:32 MEL20 NLOhND

35Nickel 150 ug/L EPA 200.8 04/08/20 17:32 MEL23 J

NDSelenium 75 ug/L EPA 200.8 04/08/20 17:32 MEL37

NDSilver 150 ug/L EPA 200.8 04/08/20 17:32 MEL33

2500Zinc 750 ug/L EPA 200.8 04/08/20 17:32 MEL110

CA ELAP No. 2698

EPA No. CA00102

NELAP No. OR4035

LACSD No. 10119

P 951 653 3351

F 951 653 1662

www.babcocklabs.com

location

6100 Quail Valley Court

Riverside, CA 92507-0704

mailing

P.O Box 432

Riverside, CA 92502-0432

Page 8: APPENDIX D - EMWD

Client Name:

Report Date:

Eastern Municipal Water Dist.

P.O. Box 8300

Suzanne Watson

Perris, CA 92572-8300

Contact:

Address: Project Number:

Analytical Report: Page 4 of 4

Project Name:

ENG DEPT

EMWD-ENG DEPT

16-Apr-2020 Work Order Number:

5YesReceived on Ice (Y/N): Temp: °C

C0D0286

Notes and Definitions

.MCNotify Notified Daisy Wood on 4/08/2020 regarding MCL exceedance

.MCOk MCL notification waived by client. Waiver on file.

J Estimated value

N_RLm Due to sample matrix, the reporting limit has been raised.

NLOhND LCS recovery was above method control limit for this analyte. Analyte not detected, therefore data not

impacted.

NR: Not Reported

ND: Analyte NOT DETECTED at or above the Method Detection Limit (if MDL is reported), otherwise at or

above the Reportable Detection Limit (RDL)

RDL: Reportable Detection Limit

MDL: Method Detection Limit

* / ''' : NELAP does not offer accreditation for this analyte/method/matrix combination

e-Short_No Alias.rpt

This report applies only to the sample(s) analyzed. As a mutual protection to clients, the public, and Babcock Laboratories, Inc., this report is submitted and accepted for the exclusive

use of the Client to whom it is addressed. Interpretation and use of the information contained within this report are the sole responsibility of the Client. Babcock Laboratories, Inc. is not

responsible for any misinformation or consequences that may result from misinterpretation or improper use of this report. This report is not to be modified or abbreviated in any way.

Additionally, this report is not to be used, in whole or in part, in any advertising or publicity matter without written authorization from Babcock Laboratories, Inc. The liability of Babcock

Laboratories, Inc. is limited to the actual cost of the requested analyses, unless otherwise agreed upon in writing. There is no other warranty expressed or implied.

Enclosed are the analytical results for the submitted sample(s). Babcock Laboratories certify the data presented as part of

this report meet the minimum quality standards in the referenced analytical methods. Any exceptions have been noted.

Approval

cc:

Cindy A. Waddell

CA ELAP No. 2698

EPA No. CA00102

NELAP No. OR4035

LACSD No. 10119

P 951 653 3351

F 951 653 1662

www.babcocklabs.com

location

6100 Quail Valley Court

Riverside, CA 92507-0704

mailing

P.O Box 432

Riverside, CA 92502-0432

Page 9: APPENDIX D - EMWD

Client Name:

Report Date:

Eastern Municipal Water Dist.

P.O. Box 8300

Suzanne Watson

Perris, CA 92572-8300

Contact:

Address: Project Number:

Analytical Report: Page 1 of 2

Project Name:

ENG DEPT

EMWD-ENG DEPT

16-Apr-2020 Work Order Number:

5YesReceived on Ice (Y/N): Temp: °C

C0D0286

CA ELAP No. 2698

EPA No. CA00102

NELAP No. OR4035

LACSD No. 10119

P 951 653 3351

F 951 653 1662

www.babcocklabs.com

location

6100 Quail Valley Court

Riverside, CA 92507-0704

mailing

P.O Box 432

Riverside, CA 92502-0432

Page 10: APPENDIX D - EMWD

Client Name:

Report Date:

Eastern Municipal Water Dist.

P.O. Box 8300

Suzanne Watson

Perris, CA 92572-8300

Contact:

Address: Project Number:

Analytical Report: Page 2 of 2

Project Name:

ENG DEPT

EMWD-ENG DEPT

16-Apr-2020 Work Order Number:

5YesReceived on Ice (Y/N): Temp: °C

C0D0286

CA ELAP No. 2698

EPA No. CA00102

NELAP No. OR4035

LACSD No. 10119

P 951 653 3351

F 951 653 1662

www.babcocklabs.com

location

6100 Quail Valley Court

Riverside, CA 92507-0704

mailing

P.O Box 432

Riverside, CA 92502-0432

Page 11: APPENDIX D - EMWD

Analytical Results

Report

299086

4/2/2020 8:30:00AM

4/2/2020 10:20:58AM Sky Canyon PZ 1 Well

ENG SPECIAL

UNKNOWN

Sample # Sample Type:

Sample Date:

Receive Date:

Sampled By:

Sample Location:

Sample Description:

Collection Type:

ENGINEERING SERVICES

Grab

False

ResultMethod Units MDL RL Analyst Analyzed

CHEMISTRY

Parameter

<12A5210B SN12.0 12.0mg/L 04/03/20BOD

1080A2540C SN40 40mg/L 04/02/20Total Dissolved Solids

5.9CALCNIO AB0.4 0.7mg/L 04/22/20Total Inorganic Nitrogen

25600A2540D SN300 300mg/L 04/02/20Total Suspended Solids

Armando BielmaSenior Scientist

Catherine GradenSenior Scientist

California Environmental Laboratory Accreditation Program Certificate #1379 Reported 6/4/2020Page 1 of 1

Page 12: APPENDIX D - EMWD

Analytical Results

Report

299087

4/2/2020 9:30:00AM

4/2/2020 10:20:55AM Sky Canyon PZ 2 Well

ENG SPECIAL

UNKNOWN

Sample # Sample Type:

Sample Date:

Receive Date:

Sampled By:

Sample Location:

Sample Description:

Collection Type:

ENGINEERING SERVICES

Grab

False

ResultMethod Units MDL RL Analyst Analyzed

CHEMISTRY

Parameter

<12.0A5210B SN12.0 12.0mg/L 04/03/20BOD

472A2540C SN40 40mg/L 04/02/20Total Dissolved Solids

5.9CALCNIO AB0.4 0.7mg/L 04/22/20Total Inorganic Nitrogen

9070A2540D SN300 300mg/L 04/02/20Total Suspended Solids

Armando BielmaSenior Scientist

Catherine GradenSenior Scientist

California Environmental Laboratory Accreditation Program Certificate #1379 Reported 6/4/2020Page 1 of 1

Page 13: APPENDIX D - EMWD

EASTERN MUNICIPAL WATER DISTRICT Site ID #

INDUSTRIAL USER WASTE DISCHARGE APPLICATION

Date Due: Project # Application # SECTION A - GENERAL INFORMATION 1. Facility Name:

Operator Name: Is the operator identified as the owner of the facility? [ ] Yes [ ] No If no, provide the name and address of the operator and submit a copy of the contract and/or other documents indicating the operator’s scope of responsibility for the facility.

2. Facility Address: (Please include suite or tenant space number in multiple unit

building). Street: Suite: Phone No.: City: State: Zip: Fax No.:

3. Facility Mailing Address:

Street/P.O. Box: Phone No.:

City: State: Zip: Fax No.: 4. Authorized Representative(s):1

Name: Name: Title: Title: Phone No.: Phone No.: Cell No.: Cell No.: Email: Email:

5. Delegated Authorized Representative(s):2 Name: Name:

Title: Title: Phone No.: Phone No.: Cell No.: Cell No.: Email: Email:

1 See signature page for definition 2A letter formally delegating the Authorized Representative is required. See Attachment A for sample

Page 14: APPENDIX D - EMWD

Industrial User Discharge Application Page 2 of 14

11/04/14

wording. 6. Facility Contact(s):

Name: Name: Title: Title: Phone No.: Phone No.: Cell No Cell No.: Email: Email:

7. Indicate the applicable (SIC) (NAICS) number for all processes. (If more than one applies, list in descending order of importance):

a. b. c. d.

SECTION B – MANUFACTURING PROCESSES 1. If your facility employs or will be employing processes in any of the industrial

categories or business activities listed in Attachment “B” (Categorical Facility), (regardless of whether any wastewater, waste sludge, or hazardous wastes is generated), this attachment must be completed and included with this application.

2. List types and amount of raw materials and chemicals used at this facility. Attach list

if necessary. Material Quantity

a.

b.

c.

d.

3. Describe the products manufactured and operations performed at the

facility, including a description of the wastewater which will be discharged to the sewer. (Attach additional sheets if necessary)

Page 15: APPENDIX D - EMWD

Industrial User Discharge Application Page 3 of 14

11/04/14

4. Quantity of Product Manufactured: (please indicate units i.e. gallons, pounds, etc.)

Product Manufactured Previous Year Average Maximum

Current Year Average Maximum

SECTION C - WATER SUPPLY, USE, AND SEWER CONNECTIONS 1. Water Sources: (Check all that apply)

[ ] Private Well

[ ] Municipal Water Utility (Specify City):

[ ] Other (Specify):

2. Name on the Water Bill:

Name:

Street:

City: State: Zip:

3. Water Service Account Number: 4. Indicate average water used and discharged (gpd) for each specific process. (New

facilities may estimate)

Water Used For Quantity Used

Quantity Discharged

Non-contact Cooling Water

Contact Cooling Water

Boiler Feed

Soft Water System

Page 16: APPENDIX D - EMWD

Industrial User Discharge Application Page 4 of 14

11/04/14

Reverse Osmosis System

Water Used For Quantity Used

Quantity Discharged

Contained in Product

Facility Cleanup – Floor Washdown

Air Pollution Control

Sanitary

Irrigation

Process 1:

Process 2:

Total Volume Used and Discharged:

5. List size, descriptive location, and flow of each lateral which connects to the sewer. If

more than two, attach additional information on another sheet. Lateral Size Descriptive location of Discharge Point Avg flow (gpd) a.________ _________________________________ _____________ b.________ _________________________________ _____________ SECTION D - WASTEWATER PROCESSES

1. For Non-Categorical Process Only: List the average wastewater discharge to the sewer, maximum discharge, and type of discharge (batch, continuous, or none), for each process which will be discharged to the sewer. (New facilities may estimate each discharge).

Process Description Average Flow, gpd

Maximum Flow, gpd

Type of Discharge (Continuous, Batch, None)

Categorical Users - Complete Attachment “B” 2. Submit detailed flow diagrams for each activity from the start of the processes to its

completion, in which wastewater is/or will be generated. The diagram must include all flow/water meters, sample locations and locations where the wastewater is stored before being discharged to the sewer.

Page 17: APPENDIX D - EMWD

Industrial User Discharge Application Page 5 of 14

11/04/14

3. Operating Schedule:

Days of Operation Hours of Operation Hours of Discharge [ ] Mon. - Fri.

[ ] Mon. - Sun.

[ ] Sunday

[ ] Monday

[ ] Tuesday

[ ] Wednesday

[ ] Thursday

[ ] Friday

[ ] Saturday 4. Do you have, or plan to have, automatic sampling equipment or continuous wastewater

flow metering equipment at this facility, which will monitor the wastewater that is to be discharged to the Sewer?

Flow Metering [ ] Yes [ ] No [ ] N/A

Sampling Equipment [ ] Yes [ ] No [ ] N/A If yes, please indicate the present or future location of this equipment on the sewer schematic and describe the equipment below.:

Page 18: APPENDIX D - EMWD

Industrial User Discharge Application Page 6 of 14

11/04/14

SECTION E – WASTEWATER CHARACTERISTICS 1. All industrial users are required to submit monitoring data for the wastewater which will be discharged

to the Sewer. Use the table provided to report the analytical results. All monitoring must be completed by a certified laboratory using EPA approved methods. Indicate the reported pollutant characteristics on the table provided in this section, please attach any lab reports supporting this data. For renewals, provide information if changes in process are being asked to be permitted.

Pollutant

Existing Dischargers New Dischargers

Local Limit Maximum

Concentration mg/l

Maximum Daily Value

Average of Analyses

Pollutants in Wastestream

Conc. mg/L

Mass lbs.

Conc. mg/L

Mass lbs.

P = Present S = Suspected

NP= Not Present Arsenic (As) 0.38 Biochemical Oxygen Demand (BOD)

250 lbs/day or 250 mg/l

Boron (B) 5.8 Cadmium (Cd) 0.32

Chloride (Cl) 700 mg/l for less than 275 lbs/day

or 250 mg/l

Chromium (Total) (Cr) 5.0 Copper (Cu) 5.1 Cyanide (Total) (CN) 0.54 Iron (Fe) 125 Lead (Pb) 1.7 Manganese (Mn) 2.3 Mercury (Hg) 0.2 Molybdenum (MO) 1.47 Nickel (Ni) 4.2 Selenium (Se) 0.37 Silver (Se) 4.2

Sulfate (SO4) 450 mg/l for less than 275 lbs/day or 250 mg/l over

source water

Total Dissolved Solids (TDS)

2200 mg/l for less than 250 lbs/day or 250

mg/l over source water

Total inorganic Nitrogen (TIN)

30 lbs/day or 60 mg/l

Total Suspended Solids (TSS)

Narrative3

Zinc 4.23 1 Not applicable to Permitted Liquid Waste Haulers 2 Only applies to the Temecula Valley Regional Water Reclamation Facility 3 Wastewater containing TSS in such quantities to cause or contribute significantly to (1) disruptions of treatment plant operations; or (2) exceedances of discharge limitations for TSS is prohibited. Significant dischargers as identified by EMWD, of TSS must implement best practicable technologies for reducing the TSS content of their discharges.

Page 19: APPENDIX D - EMWD

Industrial User Discharge Application Page 7 of 14

11/04/14

2. Storm water Discharges - Storm Water discharges are not allowed to the EMWD sewer from Industrial dischargers unless specifically authorized by the General Manager. Describe where/how any storm water would be discharged from this facility. ___________________________________________________________________ ___________________________________________________________________

SECTION F – WASTEWATER PRETREATMENT 1. Indicate which treatment devices or processes are in use for treating

wastewater which is to be discharged to the sewer. (Check all that apply)

[ ] Air flotation [ ] Centrifuge [ ] Chemical precipitation [ ] Chlorination [ ] Cyclone [ ] Filtration [ ] Flow equalization [ ] Grease or oil interceptor, size: [ ] Grit removal [ ] Ion exchange [ ] Neutralization, pH correction [ ] Ozonation [ ] Reverse osmosis [ ] Screen or Shaker Unit [ ] Biological treatment, type [ ] Chemical treatment, type [ ] Physical treatment, type [ ] Other type [ ] No Pretreatment

2. As applicable, describe the pollutant loadings, flow rates, design capacity, physical size, and operating procedures of each treatment facility checked above. Attachments are encouraged.

3. Do you have an operator for the listed treatment system?

[ ] Yes [ ] No

If Yes, please indicate:

Name: Title:

Page 20: APPENDIX D - EMWD

Industrial User Discharge Application Page 8 of 14

11/04/14

4. Attach a process flow diagram for each existing treatment system. Include process

equipment, by-products, by-product disposal method, waste and by-product volumes, and design and operating conditions. Electronic submittals of process flow diagrams are acceptable.

Permit Renewals – Please check one of the boxes below: [ ] No changes have been made to the treatment system [ ] Changes have been made to the treatment system. Updated flow diagrams are included

with the submittal. (Electronic submittals of process flow diagrams are acceptable).

Page 21: APPENDIX D - EMWD

Industrial User Discharge Application Page 9 of 14

11/04/14

SECTION H - AUTHORIZED SIGNATURES This section must be signed by one of the Authorized Representatives listed on page 1 of the permit application.

Authorized Representative Statement I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

Name Title

Signature Date 1As per Ordinance 59, Authorized Representative shall mean:

a. Responsible officer, if the User is a corporation or limited liability company, where that officer is the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to make management decisions which govern the operation of the regulated facility including have the explicit or implicit duty of making major capital investment recommendations, and initiate and direct other comprehensive measures to assure long-term environmental compliance with environmental laws and regulations; can ensure that the necessary systems are established or actions taken to gather complete and accurate information for Control Mechanism requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.

b. By a general partner or proprietor if the User is a partnership or sole proprietorship

respectively.

c. If the User is a Federal, State, or local governmental entity or their agents, the principal executive officer or director having responsibility for the overall operation of the discharging facility.

d. By a duly authorized representative of the individual designated in paragraph (a), (b), or (c)

of this definition if:

1.) The authorization is made in writing by the individual described in paragraph (a), (b), or (c);

E. The authorization specifies either an individual or a position having responsibility for the

overall operation of the facility from which the discharge originates, such as the position of plant manager, operator of a well, or well field superintendent, or a position of equivalent responsibility or having overall responsibility for environmental matters for the company.

Page 22: APPENDIX D - EMWD

Industrial User Discharge Application Page 10 of 14

11/04/14

Only applicable attachments must be submitted with application

Attachment "A" DELEGATION OF SIGNATORY AUTHORITY

I, _________________________________, ___________________________________ of Authorized Representative Title _______________________________ duly authorize ______________________________, Industry Name Designated Individual ___________________________, to sign all reports submitted to the Permitted Agency for Title the purposes of maintaining compliance with Federal and local Pretreatment requirements. In the event that the name of the aforementioned designated individual changes, a new statement shall be submitted to _____________________, in writing, thus granting authorization to the Permitting Agency new individual. ____________________________/_________ ____________________________/_________ Signature of Designated Individual Date Signature of Authorized Representative Date ___________________________________ ___________________________________ Title Title

AUTHORIZED REPRESENTATIVE

1As per Ordinance 59, Authorized Representative shall mean:

e. Responsible officer, if the User is a corporation or limited liability company, where that officer is the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to make management decisions which govern the operation of the regulated facility including have the explicit or implicit duty of making major capital investment recommendations, and initiate and direct other comprehensive measures to assure long-term environmental compliance with environmental laws and regulations; can ensure that the necessary systems are established or actions taken to gather complete and accurate information for Control Mechanism requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.

f. By a general partner or proprietor if the User is a partnership or sole proprietorship respectively.

g. If the User is a Federal, State, or local governmental entity or their agents, the principal executive officer

or director having responsibility for the overall operation of the discharging facility.

h. By a duly authorized representative of the individual designated in paragraph (a), (b), or (c) of this definition if:

2.) The authorization is made in writing by the individual described in paragraph (a), (b), or

(c);

F. The authorization specifies either an individual or a position having responsibility for the overall operation of the facility from which the discharge originates, such as the position of plant manager, operator of a well, or well field superintendent, or a position of equivalent responsibility or having overall responsibility for environmental matters for the company.

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a. If authorization in paragraph a. - d. above is no longer accurate because a different individual or position has responsibility, a new written authorization must be submitted to the Permitting Agency, prior to or together with any reports to be signed.

Attachment “B” Categorical Dischargers must Complete & Submit

1. If your facility employs or will be employing processes in any of the industrial categories or business activities listed below, (regardless of whether any wastewater, waste sludge, or hazardous wastes is generated) place a check besides the category of business activity. (Check all that apply)

Industrial Categories Regulated by Categorical Standards, 40 CFR-

[ ] Aluminum Forming- 467 [ ] Metal Finishing- 433 [ ] Asbestos Manufacturing- 427 [ ] Nonferrous Metals Forming- 471 [ ] Battery Manufacturing- 461 [ ] Nonferrous Metals Manufacturing- 421 [ ] Can Making- 407 or 408 [ ] Paint and Ink Formulating- 446 or 447 [ ] Carbon Black- 458 [ ] Paving and Roofing Manufacturing- 443 [ ] Centralized Waste Treatment- 437 [ ] Pesticides Manufacturing- 455 [ ] Coal Mining- 434 [ ] Petroleum Refining- 419 [ ] Coil Coating- 465 [ ] Pharmaceutical- 439 [ ] Copper Forming- 468 [ ] Plastic and Synthetic Materials Manufacturing- 414 [ ] Electric and Electronic Components Manufacturing- 469 [ ] Electroplating- 413 [ ] Plastics Processing Manufacturing- 463 [ ] Feedlots- 412 [ ] Porcelain Enamel- 466 [ ] Fertilizer Manufacturing- 418 [ ] Pulp, Paper, and Fiberboard Manufacturing- 430 [ ] Foundries (Metal Molding and Casting)- 464 [ ] Glass Manufacturing- 426 [ ] Rubber Manufacturing- 428 [ ] Grain Mills- 406 [ ] Soap and Detergent Manufacturing- 417 [ ] Inorganic Chemicals- 415 [ ] Steam Electric- 423 [ ] Iron and Steel- 420 [ ] Sugar Processing- 409 [ ] Leather Tanning and Finishing- 425 [ ] Textile Mills- 410 [ ] Timber Products- 429 All categorical industrial users, required by the specific 40 CFR regulations, are required to monitor for Total Toxic Organics unless one of the following alternatives is applicable to the category. 1. As an alternative to TTO monitoring, regulated Industrial Users (IUs) may elect to monitor for and comply with the O&G standards listed in the facility's Category. 2. An IU may prepare a toxic organic management plan (TOMP) this option is available to regulated industrial users in the Electroplating, Metal Finishing and Electrical and Electronic Components (both Phase I and Phase II) Categories. New categorical industrial users may be required to analyze for all Total Toxic Organics (TTO) prior to submitting the required TOMP.

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Attachment “B” (continued) 2. For Categorical Process: List the average wastewater discharge, maximum discharge, and

type of discharge (batch, continuous, or none), for each process which will be discharged to the sewer. (New facilities may estimate each discharge, attach additional documents if necessary)

Process Description

Type of Process

(Regulated, Unregulated,

Dilute)

Average Flow, gpd

Maximum Flow, gpd

Type of Discharge

(Continuous, Batch, None)

3. Submit detailed flow diagrams for each activity from the start of the processes to its completion, in which wastewater is/or will be generated. The diagram must include all flow/water meters, sample locations, and locations where the wastewater is stored before being discharged to the sewer.

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Attachment “C” Resolution 3003.3

Eastern Municipal Water District Local Limits Applicable to Permitted Users1

Constituent Concentration

(mg/L) Condition

Arsenic (As) 0.38 Biochemical Oxygen Demand (BOD)

250 lbs/day or 300 mg/l

If discharge meets domestic waste quality at 300 mg/L then no flow restriction.

Boron (B)2 5.8 Cadmium (Cd) 0.32 Chloride (Cl)2 700 mg/L for

less than 275 lbs/day or 250 mg/l

If discharge meets domestic waste quality at 250 mg/L then no flow restriction.

Chromium Total (Cr)

5.0

Copper (Cu) 5.1 Cyanide, Total (CN)

0.54

Iron (Fe)2 125 Lead (Pb) 1.7 Manganese (Mn)2 2.3 Mercury (Hg) 0.2 Molybdenum (Mo) 1.47 Nickel (Ni) 4.2 Selenium (Se) 0.37 Silver (Ag) 4.2 Sulfate (SO4)2 450 mg/L for

less than 275 lbs/day or 250 mg/l

If discharge meets domestic waste quality at 250 mg/L then no flow restriction.

Total Dissolved Solids (TDS)

2200 mg/L for less than 250 lbs/day or 250mg/l over source water

If discharge meets domestic waste quality at 250 mg/L plus source water quality then no flow restriction.

Total Inorganic Nitrogen (TIN)

30 lbs/day or 60 mg/l

If discharge meets domestic waste quality at 60 mg/L then no flow restriction.

Total Suspended Solids (TSS)

Narrative3

Zinc (Zn) 4.23

1 Not applicable to permitted Liquid Waste Haulers 2Only Applies to the Temecula Valley RWRF 3Wastewater containing TSS in such quantities to cause or to contribute significantly to (1) disruptions of treatment plant operations; or (2) exceedances of discharge limitations for TSS is prohibited. Significant dischargers, as identified by EMWD, of TSS must implement best practicable technologies for reducing the TSS content of their discharges.

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