INSTRUCTIONS
              For Completion of
    REPORT ON OPERATION AND
   MAINTENANCE OF WASTEWATER
         TREATMENT PLANTS
       U.S. ENVIRONMENTAL PROTECTION AGENCY
           Office of Water Program Operations
              Washington, D.C. 2O46O
                                  MARCH 1974
EPA Form 7500-5A (3-74)

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                                   INSTRUCTIONS

                                For Completion of

                       REPORT ON OPERATION AND MAINTENANCE
                          OF WASTEWATER TREATMENT  PLANT

                                 (EPA Form 7500-5)
                       U.S. ENVIRONMENTAL PROTECTION AGENCY
                        OFFICE OF WATER PROGRAM OPERATIONS
                              WASHINGTON, D.C. 2M6Q
                                                                   MARCH 1974
EPA Form 7SOO-5A (3-74)

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                          INTRODUCTION
    The instructions in this booklet  are  presented to  assist  in
the  completion  of  EPA  Form  7500-5,   "Report on Operation and
Maintenance of Wastewater Treatment Plant."  They  reflect  recent
revisions  to   the  form  that  have been  made to allow for the
inclusion of design and NPDES permit   data   and  to  improve  the
useability of information on plant operations  and deficiencies.

    It  should  be  recognized  that   no  one form can satisfy the
requirements for all inspection needs.    Form  7500-5  should  be
viewed  as  a basic form covering most of the essentials required
in any inspection and  it should be supplemented, as necessary, by
written reports to reflect the particular  circumstances  of  any
given  inspection.   The  form can serve  as  a procedural guide so
that a plant inspector can document his  inspection  of  a  plant,
covering all sections  in a logical sequence.

    It is essential that the collection  of plant operational data
and  information on operating deficiencies be improved to provide
a sound planning   basis  for  future   operation  and  maintenance
programs and activities.  Therefore,  inspectors are urged to make
every  effort to respond accurately to all  questions on the form,
utilizing all available sources  of information.

    Any  comments  or  questions   regarding  the  form  or  these
instructions should be directed  to:
               U.S. Environmental Protection Agency
               Office of Water Program Operations (AW 446)
               Municipal Operations Branch
               Washington, D.C. 20460

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                                                            Form Approved
                                                            OMB No. 158-R0035
      INSTRUCTIONS FOR COMPLETION OF EPA FORM 7500-5 (4-72)

"REPORT ON OPERATION AND MAINTENANCE OF WASTEWATER TREATMENT PLANT"


A.  GENERAL INFORMATION

    1.   PLANT

         (a)  NAME - Use the  name  considered  "official"  which
                   would ordinarily be used on reports, etc.

         (b)  OWNER - The  responsible  public  entity,  such  as
                   community, city, metropolitan agency, sanitary
                   district, township or county, etc.

         (c)  LOCATION - This should ordinarily  be  the  mailing
                   address  of  the facility, including the city,
                   township or county, and  state  in  which  the
                   facility    is    located.    Other   specific
                   instructions to  locate  the  plant  would  be
                   placed in a portion of item A.9.

    2.   TYPE OF PLANT

              --Primary
              --Trickling Filter
                   --Standard or High-Rate
                        (Standard - less  than  150  gpd/ft2  and
                        less   than   25   Ib.  BOD/1Q3 ft3 /day;
                        trickling filters operating  at  loadings
                        in excess of one or both of these figures
                        are considered high-rate.)
                   --Single-stage or Two-stage
              --Activated Sludge
                   —Conventional
                        (approximately 4-8 hours of aeration with
                        approximately 25% sludge return)
                   --Tapered Aeration
                   --Step Aeration
                   --Complete Mix
                        (Step aeration and sludge return)
                   --Contact Stabilization
                        (Provides  aeration period of less than 2
                        hours in contact tank)
                   --Extended Aeration
                        (Greater that 24 hours)

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          —Phys i cal-Chemi cat
               (Specify type)
          -Sand Filter
          —Waste Stabilization Pond
          —Oxidation Ditch
               (Sludge digestion or auto-oxidation)
          —Aerated Lagoon
               (Surface or submerged aeration)
          —Pure Oxygen (80%+)

3.   PROJECT NO.

          List the EPA Grant Project number,  if  applicable,
          for this plant.


4.   AVERAGE DESIGN FLOW (mgd)

          Enter the flow in million gallons per day  (mgd)  for
          which the facility was designed.

5.   DESIGN POPULATION EQUIVALENT

          Enter the daily BOD process  loads  contributed   by
          the    service   area   expressed    in   population
          equivalents (0.17 Ibs.  per  capita  per  day)   for
          which the plant was designed.

6.   COLLECTION SYSTEM

          Check "combined" when it is known that the  service
          area contains combined sewers that were designed to
          transport  both  surface  water runoff and sanitary
          wastewaters.

          Check "separate"  when  all  of  the  service  area
          contributing  to  the  treatment plant is served by
          sewers designed to  carry  the  sanitary  and  other
          was-tewaters  only.    For  separate  sewers,  it  is
          assume^ that allowance for groundwater infiltration
          has been-made in the  design"Therefore a sewer can
          be  considered  separate  even  though  it  may  be
          affected by groundwater infiltration.

          Check  "both"  when  the collection system contains
          combined and separate sewers.

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     DATE PRESENT PLANT BEGAN OPERATING
          Enter the date the present plant was placed in full
          operation (date of  initial  start-up)  and/or  the
          date  of  expansion,  significant  modification  or
          conversion to another type of process.

8.   STATE PERMIT NO.

          This  number  is  the  9 -character  NPDES   permit
          identifier  given by the Federal or state agency, to
          identify the operating permit for the facility.

9.   FLOW DIAGRAM OR WRITTEN DESCRIPTION OF PLANT UNITS IN
     FLOW SEQUENCE"

          Describe or provide a simple  flow  diagram  giving
          sequence  of  processing units.  Include bypass and
          return flow lines.  Any unusual  or  unique  design
          features should be identified.

          Where possible, the following standard nomenclature
          should be used:
     Pretreatment

     Bar Screens
     Mechanical Screens
     Comminutor or Barminutor
     Grit Removal
     Gri nder
     Grease Removal
     Aerated Grit Removal
     Primary Treatment

     Primary Settling (plain)
     Primary Settling
           (pre-aeration)
     Imhoff Tank

     Secondary Treatment

     Secondary Settling
     Stabilization Pond
     Aerated Lagoon
     Standard-Rate Trickling
           Filter(s)
Advanced Treatment

Physical Chemical Treatment
Nitrification
Denitrification
Activated Carbon Filter
Intermittent Sand Filter
                                   Disinfection
Solids Handling

Anaerobic Digestion
     (one- 01*^0- stage)
Aerobic Dfgestion
Sludge Drying Beds
Centrifuge
Vacuum Filter
Thickening
Incineration
Landfill

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        (Secondary  Treatment Con't)

        High-Rate Trickling
             Filter(s)
        Roughing Trickling
             Filter(s)
        Plastic Media Trick-
             ling Filter(s)
        Conventional Acti-
             vated  Sludge
        High-Rate Activated
             Sludge
        Tapered Aeration A.S.
        Extended Aeration A.S.
        Step Aeration - A.S.
        Contact Stabilization A.S.
Effluent Disposal

Discharge to receiving
     surface water
Deep Well
Shallow Well
Re-use
Spray Irrigation
Flood Irrigation
10.     RECEIVING WATERS

             Identify the minor  and  major  receiving  streams,
             lakes, etc.

11.     PERTINENT STREAM STANDARDS AND/OR USES OF THE RECEIVING
        EATERS"

             Minimum objectives such as D.O.  or other applicable
             water quality standards established.

             Contact recreation such as swimming, water  skiing,
             etc.

             Water   supplies  such  as  municipal,  industrial,
             irrigation, etc.

             Fishing, shellfish-taking, etc.

             Boating, navigation.

             Verify by  relating controlling state and/or Federal
             requirement.

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    12.   EFFLUENT STANDARDS AND/OR REQUIREMENTS  FOR  STATE
         OPERATING PERMIT

              Enter  a  brief  list  of  the   prime    controlling
              effluent   quality  objectives   for the  treatment
              facility.

              If an NPDES permit to operate has   been  issued  to
              the  facility  by the Federal or state agency,  give
              the pertinent permit conditions including effluent
              limitations,    pretreatment    requirements    (if
              applicable) and any significant special or  general
              conditions.

B.  CURRENT PLANT LOADING

    1.   ANNUAL AVERAGE DAILY FLOW RATE (mgd)

              Calculate and enter the average of monthly  average
              flow rates for one year.

    2.   PEAK FLOW RATE (mgd)

              The dry weather peak flow rate (mgd) is the maximum
              daily flow rate in the  month  having   the  minimum
              average flow for the reporting period.

              The wet weather peak flow rate (mgd) is the maximum
              daily  flow in the month having the maximum average
              flow for the reporting period.

                   NOTE: It is possible  that  dry
                   weather  peak flow rate will  be
                   greater than  the  wet  weather
                   peak   flow   rate  because  of
                   artificial  recharge,   irriga-
                   tion, etc.

    3.   POPULATION SERVED

              This should be the  most  recent  estimate  of  the
              actual   population  being   served  by  this  waste
              treatment plant.  This is not  an  area  population
              figure.

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4.   ANNUAL AVERAGE FIVE-DAY BIOCHEMICAL OXYGEN DEMAND (BOD^)
     OF THE RAW SEWAGE AS mgTT
          This is generally determined from sampling  at  the
          plant   influent.   Care  should  be  exercised  in
          assuring that the samples do not contain any return
          from the treatment systems in the plant.

5.   ANNUAL AVERAGE SUSPENDED SOLIDS OF RAW SEWAGE IN mg/1

          Sample should generally be taken at  same  location
          as item 4, above.
6.
PRINCIPAL TYPES OF INDUSTRIAL WASTE DISCHARGED TO
MUNICIPAL SYSTEMS

     Possible sources of industrial  wastes  discharged to
     municipal systems are as follows:
          Pulp and paper mills
          Meat product and rendering
            processing
          Dairy product processing
          Canned and preserved fruits
            and vegetables processing
          Cement manufacturing
          Electroplating
          Inorganic chemicals
            manufacturing
          Soap and detergent
            manufacturing
          Fertilizer manufacturing
          Iron and steel manu-
            facturing
          Cotton ginning
          Steam electric powerplant
          Leather tanning and
            finishing
          Rubber processing
                                   Paperboard, builder's
                                     paper and board mills
                                   Grain  mills
                                   Sugar  processing
                                   Textile mills
                                   Feedlots
                                   Organic chemicals
                                     manufacturing
                                   Plastic and synthetic
                                     materials manufacturing
                                   Petroleum refining
                                   Nonferrous metals
                                     manufacturing
                                   Phosphate manufacturing
                                   Ferroalloy manufacturing
                                   Glass  and asbestos
                                     manufacturing
                                   Timber products pro-
                                       cessing
7.   POPULATION  EQUIVALENT  (BOD) OF  INDUSTRIAL WASTES

          Subtract  known population  as BOD  equivalents  from
          total   raw   BOD expressed  as population equivalents
          (Use 0.17 Ibs. per capita  per day).  The  procedure
          for calculation follows:

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                  (a)   Multiply  item B.4  (BOD5 in mg/1) by  item
                       B.I  (average daily flow in mgd)

                  (b)   Multiply   (a) above by 8.34

                  (c)   Divide (b) above by 0.17

                  (d)   Subtract   item   B.3  (population  served)
                       from (c)

                  (e)   Enter (d) in Block B.7.

8.      POPULATION EQUIVALENT (SS) OF  INDUSTRIAL WASTES

             Use procedure in 7  above  with SS  (Item 5) and  enter
             result in block B.8.

9.      VOLUME OF INDUSTRIAL WASTE (mgdj

             This is the industrial  fraction,   if   any,   of  the
             total raw flow to the waste treatment  plant.

10.     INFILTRATION PROBLEMS

             Indicate the extent of the problem (major,   minor),
             the  cause  (structural   and joint failures,  etc.),
             investigations of the problem (smoke   test,   etc.),
             type  of  corrective action, if any,  (pipe  sealing,
             replacement, etc.).

             Flows from  sewers  designed  for  both  storm  and
             sanitary  flows  should  not  be  considered infil-
             tration problems.

             Note the following definitions:

                  Infiltration  - The  discharge  of  groundwater
             into  sewers, through defects in pipelines, joints,
             manholes, or other sewer structures.

                  Inflow - The  discharge of any  kind  of  water
             into sewer lines from such sources as roof leaders,
             cellar  and  yard-area  drains,  foundation drains,
             commercial and  industrial so-called  "clean  water"
             discharges,  drains  from springs and swampy areas,
             etc.  It does not  include   "infiltration"  and  is

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              distinguished from such wastewater  discharges,   as
              previously defined.

                   Infiltration/Inflow   -   A   combination   of
              infiltration and inflow wastewater volumes in sewer
              lines that permits no distinction between  the  two
              basic  sources  and has the same effect of usurping
              the capacities of  sewer  system  and  other  sewer
              system facilities.
C.  PLANT PERFORMANCE

    7.   LABORATORY ANALYSIS

         (a)  REPORTING PERIOD
                   Data reported shall  be  on  a  complete calendar-
                   month basis;  i.e.,  the  reporting  period  shall
                   begin  with  the first  complete calendar month
                   not previously reported and  end with the  last
                   complete  calendar   month  prior to the current
                   inspection,   (e.g.,  the previous  report  ended
                   with   8/73   and  the   date  of   the  current
                   inspection   is  4/30/74;    therefore,    the
                   reporting  period is  9/73 to  3/74, inclusive.)
         (b)&(c) REPORTING PROCEDURE
                   The   numbers    reported    for  "Actual   Plant
                   Performance Data"  represent  the  average  for
                   the   reporting   period;    inasmuch   as  the
                   reporting period is  on  a complete month basis,
                   "the average for the reporting period" may  be
                   obtained by summing  the average value for each
                   month  in  the  reporting   period and dividing
                   average value  by the total   number  of  months
                   reported.
         (d)  PLANT DESIGN DATA
                   Enter the average  monthly  values   which   the
                   plant  was  designed  to  achieve.   Especially
                   important are  the  values  for  flows,   6005,
                   suspended  solids,  and settleable  solids;  any
                   additional design values,   such  as  nitrogen,
                   etc., should be listed, if applicable.

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(e)  NPDES PERMIT REQUIREMENTS

          Enter the monthly  average  values  which  the
          NPDES permit requires the plant to achieve.

(f)  DESIGN EFFICIENCY

          Compare the actual plant performance values to
          those values entered  under  Design  Data  and
          check the appropriate boxes.

(g)  PLANT COMPLIANCE WITH PERMIT REQUIREMENTS

          Compare the actual plant performance values to
          those values entered under Permit Requirements
          and check the appropriate boxes.

Monthly Items

(1)  FLOW (mgd)

          Column (c) - Enter the average flow  (in  mgd)
                         actually  occurring  during the
                         reporting period.

          Column (d) - Enter  the  flow  rate  (in  mgd)
                         which the plant was designed to
                         treat   (average   daily   flow
                         rate).

          Column (e) - Enter the average daily flow rate
                         (in mgd) specified by the NPDES
                         permit.

          Column (f) - If column (c)  is  less  than  or
                         equal   to  column  (d),  check
                         "yes"; if column (c) is greater
                         than column (d), check "no".

          Column (g) - If column (c)  is  less  than  or
                         equal   to  column  (e),  check
                         "yes"; if column (c) is greater
                         than column (e), check "no".
(2)  PEAK FLOW (mgd)

          Column (c)
Enter  the  maximum  flow  (mgd)
  actually  occurring on a single
  calendar   day    during    the
  reporting period.

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          Column  (d)  -
Enter  the  maximum  daily  flow
 (mgd) the plant was  designed  to
 treat.
          Column  (e)  -  Enter  the  maximum  daily  flow
                         (mgd)  specified  by  the NPDES
                         permit.

          Column (f) - If column  (c)  is  less  than  or
                         equal    to  column  (d),  check
                         "yes"; if column (c) is greater
                         than column (d), check "no".

          Column (g) - If column  (c)  is  less  than  or
                         equal    to  column  (e),  check
                         "yes"; if column (c) is greater
                         than column (e), check "no".

(3)  SETTLEABLE  SOLIDS (ml/I)

          Column  (c)  -  Enter  the  average   settleable
                         solids   (ml/I)  in  the  plant
                         influent and effluent  for  the
                         reporting  period  and  percent
                         removal
                         influent - effluent
                              influent
                      X 100
          Column  (d)  -  If settleable  solids  removal  was
                         specified  in  the plant design,
                         enter    the    following,  when
                         applicable:      the     average
                         influent  settleable     solids
                         (ml/1)   the  plant  was  designed
                         to  treat,  the  average   effluent
                         settleable     solids     (ml/I)
                         specified  by the design, and/or
                         the percent  removal
                         influent  -  effluent
                              influent
                      X 100
          Column (e)  -  If a requirement   for  settleable
                         solids   removal  is  specified by
                     10

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                         the  NPDES  permit, enter  either
                         the  average  allowable effluent
                         settleable solids (ml/1) or  the
                         required    percent    removal,
                         whichever  is  applicable.

          Column   (f)   -   If  the   actual effluent  value
                         (ml/I)  or   the   actual  percent
                         removal   ((%) column  (c))  meets
                         the    requirements    of     the
                         corresponding  value  in column
                         (d), check "yes", if  the actual
                         effluent  value   (ml/I)  or  the
                         actual    percent removal   ((%)
                         column  (c)) does not  meet  the
                         requirements    of  the  corres-
                         ponding value  in  column   (d),
                         check  "no".

          Column   (g)   -   If  the   actual effluent  value
                         (ml/I)  or   the   actual  percent
                         removal   ((%) column  (c))  meets
                         the    requirements    of     the
                         corresponding  value  in column
                         (e), check "yes"; if  the actual
                         effluent  value   (ml/1)  or  the
                         actual    percent removal   ((%)
                         column (c)) does not  meet  the
                         requirements       of       the
                         corresponding value   in  column
                         (e), check "no".

(4), (5), (10), & (11) -  SUSPENDED SOLIDS, BODs, NITROGEN.
                         & PHOSPHORUS"

          Follow  the  same  procedure  that  is  used for
          settleable solids.

(6), (7), (8), & (9) - DISSOLVED OXYGEN, CHLORINE RESIDUAL.
                       COL I FORM &"pTT

          Follow the same procedure that is  used  for
          Settleable  Solids,  with the exception that
          only  effluent   values  should be   considered
          (i.e.,   influent and percent removal do not
          apply).
                      11

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2.   PLANT RECORDS

          ARE MONTHLY OPERATING RECORDS FILED WITH STATE
          AGENCY?

               This question should be answered by  either  a
               responsible   plant  representative  or  state
               water pollution control agency representative.

3.   DOES PLANT HAVE ALTERNATE ELECTRIC POWER SOURCE?

          Dual Feed-     Indicates  that  two  separate   and
                    independent sources of electric power are
                    provided   to  the  complete  works.   (A
                    standby switch panel is not dual feed).

          Generator-     Would indicate an on-site stationary
                    power source, such as a  diesel  electric
                    generator* etc.

          None     -     Would indicate only a single  source
                    of power available to operate the plant.

4.   ADEQUATE ALARM SYSTEM FOR POWER OR EQUIPMENT FAILURES?

          See "Federal Guidelines  -  Design,  Operation  and
          Maintenance of Wastewater Treatment Facilities".

5.   EQUIPMENT PROGRAM

          Under  this  item  the  three  sub-items  are   the
          essential   elements   of  a  complete  maintenance
          management  system.    Together,   these   elements
          provide  for  planning maintenance work, accounting
          for  performance  of  work  and  assuring  adequate
          inventory control on spares and consumables.

          Check  "adequate"  or  "inadequate" for each of the
          following:

          (a)  Routine Maintenance Schedules     -      Check
               "adequate"if the plant's system incorporates
               equipment lists  and  corresponding  equipment
               labeling; preventive maintenance schedules and
               standardized  maintenance  procedures;  a work
               order system  for  emergency  maintenance  and
               repairs   and  a  method  for  assigning  both
                           12

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               preventive   and   unscheduled  maintenance   to
               appropriate personnel.
          (b)   Records  of  Maintenance,  Repairs,  and  Replacement
               Check "adequate"  if records maintained  account
               for   all    major   preventive  and   emergency
               maintenance actions, dates performed, time  and
               money expended and personnel  assigned.
          (c)  Spare Parts Inventory - Check "adequate"  if  a
               system  for maintaining a continuous  inventory
               of replacement parts,  tools,  chemicals,  and
               other consumables  is  maintained.
6.   IS PLANT EFFLUENT BEING CHLORINATED?
          If another type of  disinfection  is  employed,   so
          indicate.
7.   DOES SEWAGE BYPASS PLANT IN  WET WEATHER?
          This refers to bypass provisions at the plant.   Do
          not confuse this question  with item 14, below.
8.   DOES SEWAGE BYPASS PLANT IN  DRY WEATHER?
          Self-explanatory.
9.   AGENCIES NOTIFIED OF EACH BYPASS
          Enter none if a report is  not made at the  time  of
          each  bypass.   If  only for certain bypasses, give
          detai1s.
10.  BYPASS  FREQUENCY (MONTHLY)
          Indicate the average number of wet and dry  weather
          bypasses that occur each month.
11.  AVERAGE DURATION OF BYPASS (HRS.)
          Self-explanatory.
12.  REASON  FOR BYPASSING.
          Some common reasons for bypassing are:   surcharged
                           13

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          collection  system,  insufficient pumping capacity,
          hydraulically overloaded plant,  equipment failures,
          construction problems.

13.  CAN BYPASS SEWAGE BE CHLORINATED?

          As  a  minimum,  all   plants,  even  in   emergency
          situations,  should provide at least the equivalent
          of primary treatment and disinfection.

          NOTE:   Unless  such  provisions  as
          above  are  made for bypasses, plant
          rating  in  item   6.4   cannot   be
          acceptable.

14.  DO SEWER OVERFLOWS OCCUR UPSTREAM OF PLANT?

          This  is  to  be  interpreted  as  meaning   relief
          overflows  from  combined  sewers, other surcharged
          sewers  or  facilities,   or   upstream   equipment
          failures.

15.  ANY ODOR COMPLAINTS BEYOND PLANT PROPERTY?

          Explain briefly in space allotted.

16.  OBSERVED APPEARANCE OF EFFLUENT, RECEIVING STREAM OR
     DRAINAGE HAY"

     Effluent - Clear, turbid,  color,  foam,  suds,  visible
               discharge plume, other.

     Receiving Waters - Clear, turbid, color, odors, other.

17.  IS A- CONSULTING ENGINEER RETAINED OR AVAILABLE FOR
     CONSULTATION ON OPERATION AND MAINTENANCE PROBLEMS?

          The important point is to indicate whether there is
          a  consulting engineer available for assistance and
          the basis upon which his services can be attained.

18.  TRAINING

          In those situations where the Inspector  determines
          that  the operator or other personnel could benefit
          from additional training and such training  is  not
                           14

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          available,  he  may suggest a correspondence  course
          such as,  "Operation of Wastewater Treatment Plants,
          a  Field   Study  Training  Program,"   prepared   by
          California  State  University, Sacramento, or other
          similar courses.  The above-mentioned course  may be
          obtained  by writing to the program director:

               Professor Kenneth Kerri
               Department of Civil  Engineering
               California State University, Sacramento
               600 Jay Street
               Sacramento, California  95819

19.  IS LAB TESTING ADEQUATE FOR THE CONTROL REQUIRED  FOR
     THIS SIZE AND TYPE OF PLANT AND USES OF RECEIVING
     WATERS?

          If no, explain.  The following publications may  be
          useful   for  guidance  in  assessing  adequacy  of
          laboratory control.

               (1)  "Procedural  Manual  for  Evaluating  the
                    Performance   of   Wastewater   Treatment
                    Plants."

               (2)  "Estimating    Laboratory    Needs     for
                    Municipal       Wastewater      Treatment
                    Facilities."

          Other documents which  provide  pertinent  guidance
          may  be obtained from state water pollution  control
          agencies, regional or  basin  regulatory  agencies,
          etc.

          NOTE:   This  block  must be checked
          inadequate if no data are  available
          to    complete    at   least   items
          C.l.(c)(3)  through  C.l.(c)(5)   of
          this  form  unless recent corrective
          action has been taken to assure that
          such data will be available  in  the
          future.

20.  EXPLAIN MAIN DIFFICULTY EXPERIENCED WITH INDUSTRIAL
     WASTES

          Describe types of waste effects on plant operations
                          15

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          and   whether   the   plant  needs  assistance  for
          assessment of related problems.
21.  PERMANENT RECORD FILE:
     (a)  PLANT OPERATION AND MAINTENANCE MANUAL
          The objective here is to  note  whether  the  plant
          personnel have an O&M manual for their general use.
          If  there  is  no manual tailored for that specific
          plant, or if the manual is incomplete, as  per  the
          Federal  Guidelines,  this  should  be described in
          item G.2.
     (b)  AS-BUILT PLANS AND SPECIFICATIONS
          The as-built plans should be filed at the plant and
          should show any substantive changes  subsequent  to
          commencement of operation.
     (c)  MANUFACTURER'S OPERATION AND MAINTENANCE
          SPECIFICATIONS"
          Self-explanatory.
     (d)  FLOW CHARTS
          A detailed schematic  drawing  or  other  portrayal
          showing  all  hydraulic  control  features  of  the
          facility should be exhibited at the plant.
22.  ESTIMATED WEEKLY MAN-HOURS FOR LAB WORK INCLUDING
     MAINTENANCE OF RECORDS AND PREPARATION OF REPORTS.
          Self-explanatory.
23_  ANNUAL BUDGET FOR MAINTAINING AND  OPERATING PLANT.
          Provide dollar amounts from most recent calendar or
          fiscal year.
24.  STABILIZATION PONDS
     (a)  WEEDS CUT AND VEGETATION GROWTH IN PONDS REMOVED?
               Self-explanatory.
                           16

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             (b)  BANKS AND  DIKES MAINTAINED?

                      Note  evidence of erosion and the source;  such
                      as  wind  and wave action, rodent undermining,
                      etc.

             (c)  ANY  REPORTS  OF GROUNDwATER CONTAMINATION  FROM POND?

                      If yes, note pertinent  aspects of the problem.

             (d)  SEEPAGE REPORTED?

                      Self-explanatory.

             (e)  ADEQUATE  DEPTH CONTROL?

                      There should be adequate  flexibility for depth
                      control throughout  the  full  range   of  design
                      depth.

             (f)   EFFLUENT  RELEASE IS:
                 '(CONTINUOUS. INTERMITTENT. SEASONAL)

                      Self-explanatory.

D.      LABORATORY  CONTROL

             The comments   should   generally   cover  the   evaluator's
             opinion  as    to   the    adequacy   (quantitative    and
             qualitative)   of  the  laboratory  analysis    shown    in
             relation to  this particular  plant.   The comments should
             also include  an evaluation of  the  sampling   procedures
             and  should indicate any additional  analysis  he believes
             will provide  significant increases in plant performance.

                  NOTE:   If,  Item  C. 19   is   checked
                  "inadequate"  for  any  reason,  the
                  causes for such an   evaluation  must
                  be discussed in this item.   Further,
                  any such  inadequacy will   require
                  that the   general   plant  rating  in
                  item    6.4    be   conditional   or
                  unacceptable  and   some   follow-up
                  action  should  be   included in item
                  G.2.
                                  17

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E.      PLANT PERSONNEL INVENTORY
             Inspectors must provide accurate and complete  Inventory
             data  on  present and authorized plant personnel.   These
             data will provide a base  for  projecting  manpower  and
             training  requirements  at local and national levels and
             will have a significant impact on the  future  direction
             of manpower programs.
        (a)  PERSONNEL CLASSIFICATION
             1.   MANAGER/SUPERVISOR
                       Superintendent,   Assistant    Superintendent,
                       Maintenance Supervisor, Mechanical  Maintenance
                       Foreman.
             2.   OPERATOR
                       Operator II,  Operator  I,  Operations  Super-
                       visor, Shift Foreman.
             3.   LABORATORY
                       Chemist, Laboratory Technician.
             4.   MAINTENANCE
                       Mechanic,  Maintenance  Helper,   Electrician,
                       Painter.
                                                                     a
             5.   OTHER PLANT WORKERS
                       Automotive  Equipment   Operator,   Custodian,
                       Laborer.
             6.   OTHER OFFICE CLERICAL
                       Clerk-typist, Storekeeper.
        (b)  EMPLOYMENT
                  MAN-HOURS PER WEEK -  Enter  the  number  of  hours
                  workedEytReworkers  in  each of the Personnel
                  Classifications during the week before   the  plant
                  inspection.
                                 18

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         NUMBER  -  Enter  the  number  of employees in each
         Personnel Classification currently employed by  the
         plant.

         NUMBER BUDGETED - Enter the number of workers which
         the  plant is  authorized to hire.

              NOTE:    The difference between number budgeted
              "anT" the number  in   the   previous   column
              represents actual job vacancies.

         NUMBER  RECOMMENDED  -  The  number of employees in
         each Personnel Classification which  the   Inspector
         determines   should   be  actually authorized for the
         plant.  Reference should  be  made  to  EPA  and/or
         state   staffing   guidelines   for   making   this
         determination.  However,  staffing guidelines should
         be reconciled with unusual  conditions  noticed  by
         the inspector and/or  factors  identified  by the
         plant  superintendent.

(c)   CERTIFICATION

         Number of   workers   in   each   of   the    Personnel
         Classifications   recommended  or  required by  the
         state  to  be certified.  Reference should  be made to
         state  certification  guidelines.

         ACTUAL NUMBER CERTIFIED - Self-explanatory.

(d)   TRAINING REQUIRED NEXT 12 MONTHS

         NEW HIRES - Include  in  this  column  the   number  of
         workersrequired to fill  current  vacancies and any
         projected vacancies  created  by  normal  turnover  and
         plant   expansion.   Also  include any hires projected
         to correct differences  between   number  recommended
         and current actual  employment.

         UPGRADING - This  should be a  joint  determination of
         the   Inspector   and   the   Plant  Superintendent.
         Upgrade  training  requirements will  include:   normal
          refresher training,  as well  as  training  to overcome
          skill  deficiencies  of present  employees;   upgrading
          employees  to  meet needs of plant  expansion,  or to
          fill  jobs   created  by   normal  turnover; and  to
                          19

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                  provide    upgrading   needed   for   certification
                  requirements.

F.      GUIDE - VISUAL OBSERVATION - UNIT PROCESS

        These items  are  presented  here  primarily  to  assist  the
        inspector in recording comments on specific processes as they
        are   evaluated  in  the  course  of  inspecting  the  entire
        facility.

             The separate process ratings are to assist the evaluator
             in selecting a general rating for  the  entire  facility
             (item G.4.).

6.      NOTATIONS BY EVALUATOR

        1.   OPERATION AND MAINTENANCE PROBLEMS/DEFICIENCIES

                  The problem and deficiency  areas  presented  here,
                  and  the  notations  presented  in F (page 5), will
                  assist the evaluator in the selection of a  general
                  rating for the facility (item G.4.).

        2.   BRIEFLY DESCRIBE THE MAJOR PROBLEMS INDICATED ABOVE

                  List all items in need of follow-up.  Indicate  the
                  nature of actions necessary and by whom.

                  Assess  any  design  deficiencies  encountered  and
                  identify related problems.

                  Include approximate date of follow-up Inspection to
                  determine progress in  correcting  deficiencies  or
                  problems.

                  Use additional sheets if necessary.

        3.   PURPOSE OF  INSPECTION

                  GRANT  COMPLIANCE - This inspection is to  determine
                  7?th~iconstructed facility complies with Federal
                  requirements  for  the  provision  of  an  operable
                  treatment works.

                  PERMIT COMPLIANCE - This inspection is to determine
                  Tfthefacility  complies  with  the  conditions
                  stipulated by the NPDES permit.
                                  20

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          FOLLOW-UP - This  Inspection  is  to  determine  1f
          corrective    actions    have    been    taken   on
          deficiencies/problems,   and    to    assess     the
          effectiveness of such actions.

4.   GENERAL RATING

     Check "Acceptable" only If all of the following apply:

     The plant produces an effluent that  meets  an  assigned
     (where    applicable)    effluent  -  standard,    permit
     requirement,  or   regulation;   plant   efficiency   is
     consistently  equal to or better than design efficiency;
     and  disinfection,  when   required,   is   consistently
     adequate.

          NOTE:  Do not assign an "acceptable"
          rating  unless  sampling and testing
          procedures have  been  evaluated  as
          adequate  and  operational  data  is
          available    to    complete    items
          C.l.(c)(3)  through  C.l.(c)(ll)  as
          required by the plant.

     Raw or partially treated wastes are  not  bypassed  more
     than  is  absolutely  necessary.   When bypasses must be
     made, at least the equivalent of primary  treatment  and
     disinfection is provided.

     Management,  supervisory  and  key operational positions
     are assigned to personnel qualified to assure continuity
     of effective operations.

     Staff size  is  adequate ; to  continue  operating  plant
     efficiently  and  to  accomplish all required preventive
     and emergency maintenance.

     Training for new entry personnel and  for  upgrading  or
     updating  present  staff  1s available and accessible to
     employees.

Check "Conditional" if  the  following  exist  but  could  be
remedied with minor corrective action.

     The  plant  produces  an  effluent that is below, but is
     consistently close to, the assigned  (where  applicable)
                          21

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         effluent standard,  permit  requirement,   or  regulation,
         and the plant is not under orders  to  upgrade  treatment.

         Plant  staffing, maintenance  management,  or laboratory
         sampling and procedures are  substandard,  and  a   trend
         indicates  that  even  though the  effluent  standards  are
         being met at present they will  in  all   probability  fall
         below an acceptable standard in the near future.

              NOTE:   Sampling  and testing proce-
                   dures  must  be   adequate    to
                   measure  actual  plant perform-
                   ance; data must be available  to
                   complete   applicable  items   in
                   C.l.(c)(3)  through C.l.(c)(ll)
                   of    this    form;   adequate
                   disinfection  is being provided
                   (where    required);    treated
                   wastes are  not  bypassed  more
                   than is absolutely necessary.

    Check "unacceptable" if  one or more of  the following apply:

         Operational performance is substantially below  required
         levels.

         Plant  bypasses  more  frequenlty   than  is necessary or
         fails to provide the equivalent of primary  treatment and
         disinfection of bypasses.

         No operational data is maintained.

         The  quality  of sampling  and testing procedures   is
         unacceptable.

FORM DISTRIBUTION INSTRUCTIONS

    Copies of the form will  be distributed  as  follows:

              Yellow	For plant and local  use.

              Orange	State water pollution control agency.

              White	EPA   Regional   Office,   Operation  &
                             Maintenance Activity.

              Pink	EPA  Headquarters,   Municipal   Opera-
                             tions  Branch, Municipal  Permits  and
                             Operations Division, Office of Water
                             Program Operations.
                              22

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                       REFERENCE DOCUMENTS

                 Prepared Under the Auspices of:

                   Municipal Operations Branch
            Municipal Permits and Operations Division
               Office of Water Program Operations
                 Environmental Protection Agency


1.      "Procedural  Manual  for  Evaluating    the   Performance   of
        Wastewater Treatment Plants" *

2.      "Federal Guidelines - Design, Operation and  Maintenance  of
        Wastewater Treatment Facilities" *

3.      "Considerations for Preparation of  Operation and   Maintenance
        Manuals"

4.      "Maintenance  Management  Systems   for  Municipal   Wastewater
        Facilities"

5.      "Estimating  Laboratory  Needs   for    Municipal    Wastewater
        Treatment Facilities"

6.      "Start-up of Municipal Wastewater Treatment Facilities"

7.      "Estimating  Staffing  for   Municipal   Wastewater   Treatment
        Facilities"

8.      "Emergency   Planning   For   Municipal    Wastewater   Treatment
        Facilities"
        Available  from the  Operation & Maintenance  Program  in  each
        EPA Regional  Office.   All  others may be obtained at cost from
        the  Superintendent  of  Documents,  U.S. Government Printing
        Office,  Washington, D. C.  20402
                                            *• us. uffiMNEMrnwnK OFFICE at*- 5*6-317/315

                                   23

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