HCH-2014-030, New Jersey Pollutant Discharge Elimination System Discharge Monitoring Report Hope Creek Generating Station NJPDES Permit NJ0025411

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New Jersey Pollutant Discharge Elimination System Discharge Monitoring Report Hope Creek Generating Station NJPDES Permit NJ0025411
ML14212A689
Person / Time
Site: Hope Creek PSEG icon.png
Issue date: 07/23/2014
From: Davison P
Public Service Enterprise Group
To:
NRC/FSME, State of NJ, Dept of Environmental Protection
References
HCH-2014-030, NJ0025411
Download: ML14212A689 (14)
v • d • e


Text

PSEG Nuclear LLC P.O. Box 236, Hancocks Bridge, New Jersey 08038-0236 JUL 2 3 2014 0 PSEG Nuclear LLC HCH-2014-030 CERTIFIED MAIL RETURN RECEIPT REQUESTED ARTICLE NUMBER: 7012 0470 0001 2518 7470 Department of Environmental Protection Office of Permit Management Division of Water Quality PO Box 420 Trenton, N.J. 08625-0420 NEW JERSEY POLLUTANT DISCHARGE ELIMINATION SYSTEM DISCHARGE MONITORING REPORT HOPE CREEK GENERATING STATION NJPDES PERMIT NJ0025411

Dear Sir:

Attached is the Discharge Monitoring Report for the Hope Creek Generating Station for the month of June 2014.

This report is required by and prepared specifically for the New Jersey Department of Environmental Protection (NJDEP). It presents only the observed results of measurements and analyses required to be performed by the above agencies. The choice of the measurement devices and analytical methods are controlled by the EPA and the NJDEP, not by the company, and there are limitations on the accuracy of such measurement devices and analytical techniques even when used and maintained as required. Accordingly, this report is not intended as an assertion that any instrument has measured, or that any reading or analytical result represents the true value with absolute accuracy, nor is it an endorsement of the suitability of any analytical or measurement procedure.

If you have any questions concerning this report, please feel free to contact Christopher White at (856) 339-3301.

Sincerely, Paul J. Davison Site Vice President - Hope Creek 95-2168 REV. 7/99

I HCH-2014-030 2 JUL 2 3 2014 NJPDES DMR Attachments C Executive Director, DRBC USNRC - Docket number 50-354

JUL 2 3 2014 HCH-2014-030 3 NJPDES DMR EXPLANATION OF CONDITIONS June 2014 The following explanations are included to clarify possible deviation from permit conditions.

General - The columns labeled "No. Ex" on the enclosed DMR tabulate the number of daily discharge values outside the indicated limits.

Data reporting and accuracy reflect the working environment, the design capabilities and reliability of the monitoring instruments and operating equipment.

Deviations from required sampling, analysis monitoring and reporting methods and periodicities are indicated on the respective transmittal sheet with explanations below.

Results reported on the Discharge Monitoring Report forms are consistent with permit limits, data supplied from contract laboratories, the December 2007 revision of the NJDEP Monitoring Report Form Reference Manual and specific guidance from DEP personnel.

Sampling frequency was increased for DSN 461A to obtain additional operational data.

JUL 2 3 2014 HCH-2014-030 4 NJPDES DMR EXPLANATION OF EXCEEDANCES June 2014 The following exceedances are included in the attached report and explained below.

DSN No. EXPLANATION No Exceedances

HCH-2014-030 5 NJPDES DMR COUNTY OF SALEM STATE OF NEW JERSEY I, Paul J. Davison, of full age, being duly sworn according to law, upon my oath depose and say:

1. I am the Site Vice President-Hope Creek for PSEG Nuclear, and as such am authorized to sign Hope Creek's Discharge Monitoring Reports submitted to the New Jersey Department of Environmental Protection pursuant to the Station's New Jersey Pollutant Discharge Elimination System permit.
2. I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe the submitted information is true, accurate and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment.
3. The signature on the attached Discharge Monitoring Reports is my signature and I am submitting this affidavit in satisfaction of the requirement that my signature be notarized.

Paul J. Davison CINDYL. RIDGWAY Site Vice President- Hope Creek Notary Public of New Jersey My Commission Expires Nov. 28, 2015 Sworn and subscribed before me this ý 5 day of July, 2014.

New Jersey Department of Environmental Protection P1 46815 Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NMonth Day Year Mo month Day V'ear 46]A-DSN 461A-DSW NJ0025411 6  ! 1 2014 To 6 30 20141 PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC HOPE CREEK GENERATING STATION PSE&G PO BOX 236 - ALLOWAY CREEK NECK RD ARTIFICIAL ISLAND TRAVIS ZIGO HANCOCKS BRIDGE, NJ 08038 FOOT OF BUTTONWOOD RD PO BOX 236 /1415 LOWER ALLOWAYS CREEK, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem Coiunty CHECK IF APPLICABLE: E- No Discharge this Monitoring Period X Monitoring Report Comnnents Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign tile second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign tile certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

Paul J. Davison. Site Vice President-Hone Creek N/A NAME AND TITI.OF PRINCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE)

"7[ ' 856-339-1555 DATE AREA CODE/PHONE NUMBER

  • For a local agency ii'here the highest-rankingoperatordoes not have the ability to authorizecapital expenditm'es and hirepersonnel, a person having that responsibility or person designatedby that person shall sign theJbllowing certification:

I certify under penalty of law and in accordance with N.J.S.A. 58:IOA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE DATE AREA CODE/PHONE NUMBER

Surface Water Discharge Monitoring Report P1 46815 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0025411 461A DSN 461A - DSW 6/1/2014 TO 6/30/2014 HOPE CREEK GENERATING STATION NO. FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. ANALYSIS TYPE Flow, In Conduit or SAMPLE / -

Thru Treatment Plant 50050 1 PERMIT REPORT REPORT MGD Continuous METER Effluent Gross Value REQUIREMENT 01MOAV 01DAMX QL ****** ******

Flow, In Conduit or MASULE Thru Treatment Plant _______ _6__________

50050 7 PERMIT REPORT REPORT MGD Continuous METER Intake From Stream REQUIREMENT 01MOAV 01DAMX O L ******* ****** - ****** ***

pH SAMPLE I/

MEASUREMENT 8 2.(,

00400 1 PERMIT. 6.0 9.0 SU l/Week GRAB Effluent Gross Value REQUIREMENT

  • 01DAMN ****** 01DAMX QL ****** ****** ******

LC50 Statre 96hr Acu SAMPLE Mysid Bahia MESRMN TAN3E 1 PERMIT REPORT %EFFL 1/Year COMPOS Effluent Gross Value REQUIREMENT 01RPMN * *****

QL QL* ********* "****** y. * *,* I... ***

IC25 Statre 7day Chr SAMPLE MEASUREMENT ...... '.C*,---'q Cd dACoCzK cc&

Mysid Bahia MEASUEMEN TBP3E 1 PERMIT REPORT 1%EFFL i/Year COMPOS Effluent Gross Value REQUIREMENT 01RPMN QL ****** ****** ******

Chlorine Produced SAMPLE MEASUREMENT.... zc" "

Oxidants

  • CPOX 1 PERMIT. 0.2 0.5 MG/L 3/Week GRAB Effluent Gross Value REQUIREMENT .01MOAV 01DAMX RQL - ** ****** 0.1 0.1.

Comments: If there are any questions regarding the monitoring report form, please contact Heather Genievich of the Bureau of Surface Water Permitting at (609) 292-4860.

Pre-PrintCreation Date: 41112014 Page 1 of 3

Surface Water Discharge Monitoring Report P1 46815 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0025411 461A DSN 461A - DSW 6/1/2014 TO 6130/2014 HOPE CREEK GENERATING STATION NO. FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. ANALYSIS TYPE Temperature, SAMPLE oC______________

00010 1 PERMIT REPORT 36.2 DGCCniuu EE

  • 1MOAV 01DAMX DEG.C Effluent Gross Value REQUIREMENT .

aL **.**** ****** ******

Temperature, MEASMRLEN ** ***

00010 7 PERMIT REPORT REPORT '

01DAMX

.Continuous METER

                • OIMOAV Intake From Stream REQUIREMENT QL *********** **** ****** ______

Carbon, Tot Organic SAMPLE/

(TOC)MEASUREMENT 00680 1 PERMIT REPORT REPORT " 1/Month" GRAB 00680I1RPMRMT 01.V 01DA* MGI Effluent Gross Value REQUIREMENT ****** . *1MOAV O0DAMX QL ****** ****** ******

Carbon, Tot Organic MEASUREMENT M

SAMPLE ........ o.O' --O'O;;. /,it"- (24 cl-/-

(TOC) 00680 2 PERMIT REQUIEMEN **** REPORT 1MOAV REPORT 01 DAMX MGIL 1/Month

... CALCTD Effluent Net Value REQUIREMENT: ,M, QL**************

Carbon, Tot Organic SAMPLE (TOC)MEASUREMENT 00680 7 PERMIT REPORT REPORT MGIL 1/Month GRAB Intake From Stream REQUIREMENT 01MOAV 01DAMX QL ****** ****** ******

Sulfate, Total SAMPLE CO&'-.

(as S04)MEASUREMENT 00945 1 PERMIT REPORT ... REPORT ... .. 1/6 Months COMP24

  • MOAV 01DAMX Effluent Gross Value REQUIREMENT'
  • aL ****** ******

[Comments: If there are any questions regarding the monitoring report form, please contact Heather Genievich of the Bureau of Surface Water Permitting at (609) 292-4860.

Pre-PrintCreation Date: 41112014 Page 2 of 3

- Surface Water Discharge Monitoring Report P1 46815 PERMIT NUMBER: MONITORED LOCA TION: MONITORING PERIOD: FACILITY NAME:

NJ0025411 461A DSN 461A - DSW 6/1/2014 TO 6/30/2014 HOPE CREEK GENERATING STATION NO. FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. ANALYSIS TYPE Boron, Total EASUREMENTSAMP** ****** -

  • Cc, (as B) MEAUREEN 01022 1 PERMIT REPORT REPORT UG/L 1/6 Months COMPOS OIMOAV 01DAMX Effluent Gross Value REQUIREMENT CIL Heat (summer) SAMPLE (per Hr.) MEASUREMENT31 81386 1 PERMIT REPORT 534 MBTU1HR I/Day CALCTD OIDAMX M*TU.H. ..

Effluent Gross Value REQUIREMENT 01MOAV QL Copper, SAMPLE

_ _ I,)

Total Recoverable MEASUREMENT 01119 1 PERMIT ,,REPORT REPORT UGIL 1/6 Months COMPOS OIMOAV 01DAMX Effluent Gross Value REQUIREMENT RQL 2 2 Lab Certification # SAMPLE MEASUREMENT A K,(3b3 C, pA C ICom5 99999 99 PERMIT REPORT, REPORT REPORT REPORT REPORT Not Applic NOT AP Lab REQUIREMENT Lab # Lab # Lab # Lab # Lab #

QLL Comments: If there are any questions regarding the monitoring report form, please contact Heather Genievich of the Bureau of Surface Water Permitting at (609) 292-4860.

Pre-PrintCreation Date: 41112014 Page 3 of 3

New Jersey Department of Environmental Protection P1 46815 Division of Water Quality Surface Water Discharge Monitoring Report Stdbmittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJ0025411 Monthth T o Day Year 461C - DSN 461C - DSW internal 6 1 1 2014 ITo 6 1 30 12014 PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC HOPE CREEK GENERATING STATION PSE&G PO BOX 236 - ALLOWAY CREEK NECK RD ARTIFICIAL ISLAND TRAVIS ZIGO HANCOCKS BRIDGE, NJ 08038 FOOT OF BUTTONWOOD RD PO BOX 236 / 1-115 LOWER ALLOWAYS CREEK, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: ]No Discharge this Monitoring Period [-- Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information., including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7: 14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

Paul J. Davison, Site Vice President- Hope Creek N/A NAME AND TTLEOF PRINCIPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE)

-7 \i 856-339-1555 SIGNATURE OF PRIN&IPAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

  • Fora local agencY where the highest-rankingoperatordoes not have the abilitY to authorize capital expenditures a111d hirepersonnel, a person having that responsibilityor personi designated bY that person shallsign the following certification:

I certify under penalty of law and in accordance with N..J.S.A. 58:1 OA-6F(.5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE I)ATE AREA CODE/PIIONE NUMBER

Surface Water Discharge Monitoring Report P1 46815 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD:- FACILITY NAME:

NJ0025411 461C DSN 461C - DSW interna 6/112014 TO 6/30/2014 HOPE CREEK GENERATING STATION NO. FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. ANALYSIS TYPE Flow, In Conduit or SAMPLE ( k -Ie..

C_ 0 0_0 Thru Treatment Plant MEASUEMEN 50050 1 PERMIT REPORT REPORT MGD Continuous -METER Effluent Gross Value REQUIREMENT, 01MOAV 01DAMX QL ****** *****

Solids, Total SAMPLE SuspendedMEASUREMENT 00530 1 PERMIT 30 100 MGL l/Month COMPOS

  • MOAV 1****** 01 DAMX ,

Effluent Gross Value REQUIREMENT S QL , , .. *** , .. ****** . .******  ::* ****** .***  ;:'i Petrol Hydrocarbons, MEASUREMENT SAMPLE ... ****** -t Total Recoverable 45501 1 PERMIT 10 15 MGIL 2/Month GRAB Effluent Gross Value REQUIREMENT 01MOAV 01DAMX QL ****** ******

Carbon, Tot Organic SAMPLE (TOC)MEASUREMENT*

00680 1 PERMIT REPORT 50 MG/L 1/Month COMPOS Effluent Gross Value REQUIREMENT 01 MOAV 01 DAMX QL

  • Lab Certification# MEASUR,,ENT IH- p , o3O" PAOlc c*005 99999 99 PERMIT REPORT REPORT REPORT REPORT REPORT Not Applic NOT AP Lab REQUIREMENT Lab# Lab # Lab # Lab # Lab #

QLa Comments: If there are any questions regarding the monitoring report form, please contact Heather Genievich of the Bureau of Surface Water Permitting at (609) 292-4860.

Pre-PrintCreation Date: 41112014 Page 1 of 1

New Jersey Department of Environmental Protection P1 46815 Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

NJ0025411 Month Day I Yr I Month I Day IYear 462B - DSN 462B - DSW Internal N 6 1 2014 To 6 d30 4

PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC 1-OPE CREEK GENERATING STATION PSE&G PO BOX 236 - ALLOWAY CREEK NECK RD ARTIFICIAL ISLAND TRAVIS ZIGO HANCOCKS BRIDGE, NJ 08038 FOOT OF BUTTONWOOD RD P0 BOX 236 /1-115 LOWER ALLOWAYS CREEK, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southerln / Salem Comnty CHECK IW APPLICABLE: No Discharge tis Monitoring Period Monitoring Report Comments Attached WHO MUST SIGN The highest ranking official having day-to-day managerial and operational responsibilities for the discharging facility shall sign the certification or, in his absence a person designated by that person. For a local agency, the highest ranking operator of the treatment works shall sign the certification. Where the highest ranking operator does not have the ability to authorize capital expenditures and hire personnel, a person having that responsibility or person designated by that person shall also sign the second certification at the bottom of this page. If the local agency has contracted with another entity to operate the treatment works, the highest-ranking official of the contracted entity shall sign the certification.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of and/or imprisonment, pursuant to N.J.A.C. 7:14A-6.9(B). The New Jersey water Pollution Control Act provides for penalties up to $50,000 per violation.

Paul J. Davison. Site Vice President- HoDe Creek N/A NAME AND TITLE OF PRINCIPAL EXECUTI\VE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR GRADE AND REGISTRY NUMBER (IF APPLICABLE) 7AT3 856-339-1555 NA SIGNATURE OF PRINCIP~AL EXECUTIVE OFFICER, AUTh1ORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

  • Fora local agency where the highest-ranking operatordoes not have the abilit, to aitthoriZecapital e.peiinditiiresand hirepersoniel,a person haviing that responsibility or person des-,inatedby that person shall sign thejblloving certification.:

I certify under penalty of law and in accordance with N.J.S.A. 58:1 OA-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A NAME AND TITLE SIGNATURE I)ATE AREA CODE/PIIONE NUMBER

Surface Water Discharge Monitoring Report P1 46815 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD. FACILITY NAME:

NJ0025411 462B DSN 462B - DSW Interna 6/1/2014 TO 6/30/2014 HOPE CREEK GENERATING STATION NO. FREQ. OF SAMPLE PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS EX. ANALYSIS TYPE Flow, In Conduit or SAMPLE Thru Treatment Plant MEASUEMEN 01 0_3 50050 1 PERMIT REPORT REPORT MGD continuous C METER Effluent Gross Value REQUIREMENT 01MOAV 01DAMX QL *** ******

BOD, 5-Day (20 oC) SAMPLE MEASUREMENT 00310 G PERMIT REPORT REPORT MGIL 1/Month COMPOS 01 MOAV 01DAMX Raw Sew/influent REQUIREMENT QL ******

BOD, 5-Day (20 oC) SAMPLE I 00310 1 PERMIT 8 REPORT KGIDAY 30 45 MG/L I/Month COMPOS Effluent Gross Value REQUIREMENT 01MOAV 01WKAV *01MOAV OIWKAV QaL ********** *************

BOD, 5-Day (20 oC) SAMPLE MEASUREMENT ***

00310 K PERMIT 87.5 1/Month CALCTD Percent Removal REQUIREMENT OIMOAVMN QL ****** ****** ******

Solids, Total Suspended SAMPLE MEASUREMENT ......

II/Vc 335" ( , . L.*/ '-,

1 00530 G PERMIT I REPORT REPORT MGIL 1/Month COMPOS Raw Sew/influent REQUIREMENT 01 MOAV 01DAMX QL ****** ****** ******

Solids, Total SAMPLE S uspended MEASUREMENT ............ ______

00530 1 PERMIT 30 45 MG/L 1/Month COMPOS Effluent Gross Value REQUIREMENT OIMOAV 01WKAV OIL . ****** - I I****

Comments: If there are any questions regarding the monitoring report form, please contact Heather Genievich of the Bureau of Surface Water Permitting at (609) 292-4860.

Pre-PrintCreation Date: 41112014 Page 1 of 2

Surface Water Discharge Monitoring Report P1 46815 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME.

NJ0025411 462B DSN 462B - DSW Interna 6/112014 TO 6130/2014 HOPE CREEK GENERATING STATION UNITS QUALITY OR CONCENTRATION UNITS EX.

NO. ANALYSIS FREQ. OF TYPE SAMPLE PARAMETER QUANTITY OR LOADING Solids, Total SAMPLE 0 -C-- &-r SuspendedMEASUREMENT **** -

00530 K PERMIT 85 REPORT 1/Month CALCTD 01 MOAVMN 01MOAV PERCENT Percent Removal REQUIREMENT QL ****** ******

Oil and Grease SAMPLE MEASUREMENT 4 00556 1 PERMIT 10 15MGIL Month Effluent Gross Value REQUIREMENT ****** **OIMOAV 01DAMX QL ****** ****** ******

Nitrogen, Ammonia SAMPLE **- 5-. A L- . ( -vS Total (as N)MEASUREMENT 00610 1 PERMIT 35 REPORT MG/L l/Month COMPOS Effluent Gross Value REQUIREMENT . OIMOAV 01 DAMX QL ******

Enterococci SAMPLE _

MEASUREMENT *** ___________ _______________________

61211 1 PERMIT REPORT REPORT #/100IML 1/Month GRAB 1

Effluent Gross Value REQUIREMENT ****** OIMOGE 01WKGE QL ******.__ ******

Coliform, Fecal SAMPLE (14 MEASUREMENT ., '

General______

74055 1 PERMIT 200 400 #100ML '/Month GRAB Effluent Gross Value REQUIREMENT * '* *01MOGE OIWKGE QL * ******

Lab Certification # SAMPLE MEASUIREMENT l m% 0 99999 99 PERMIT REPORT REPORT REPORT REPORT REPORT Not Applic NOT AP Lab REQUIREMENT Lab # Lab # Lab # Lab # Lab #

QL rs*** ****** ****** ****** a Comments: If there are any questions regarding the monitoring report form, please contact Heather Genievich of the Bureau of Surface Water Permitting at (609) 292-4860.

Pre-PrintCreation Date: 41112014 Page 2 of 2

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