ORGANIC CHEMICALS, PLASTICS AND SYNTHETIC FIBERS

Form NY-2C (01/97) - Supplement A: OCPSF

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State Pollutant Discharge Elimination System (SPDES) INDUSTRIAL APPLICATION FORM NY-2C Supplement A

ORGANIC CHEMICALS, PLASTICS AND SYNTHETIC FIBERS (40 CFR Part 414) Facility Name:

SPDES Number:

Complete the appropriate sections of the table below, and submit this form with your SPDES application. Complete one page for each outfall. If you have questions, please call Angus Eaton at (518) 457-6717.

Outfall No.:

Subpart B: Rayon Fibers

Subpart C: Other Fibers

Subpart D: Thermoplastic Resins Subpart E: Thermosetting Resins Subpart F: Commodity Organic Chemicals Subpart G: Bulk Organic Chemicals Subpart H: Specialty Organic Chemicals Subpart I: Direct Discharges, End-of-Pipe Biological Treatment Subpart J: Direct Discharges, no End-of-Pipe Biological Treatment

Average Daily Process Flow: Each of Last 5 Years (gpd)

Maximum Daily Process Flow: Each of Last 5 Years (gpd)

Maximum Daily Average Daily Process Flow: Process Flow: Projected for Next Projected for Next 5 Years 5 Years (gpd) (gpd)

Treatment System Design Capacity (gpd)