Text

Discharge Monitoring Report for November 2015
	ML16014A095
Person / Time
Site:	Hope Creek
Issue date:	12/22/2015
From:	Davison P; Public Service Enterprise Group
To:	; Office of Nuclear Reactor Regulation, State of NJ, Dept of Environmental Protection, Bureau of Permit Management
References
	HCH-2015-039, NJ0025411
	Download: ML16014A095 (16)
	v • d • e

PSEG Nuclear LLC P.O. Box 236, Hancocks Bridge, New Jersey 08038-0236 DECO 2 22015 Nuclear LLC HCH-201 5-039 CERTIFIED MAIL RETURN RECEIPT REQUESTED ARTICLE NUMBER: 7013 1710 0000 6324 5189 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 5"0 - 35"j NJPDES PERMIT NJ0025411

Dear Sir or Madam:

Attached is the Discharge Monitoring Report for the Hope Creek Generating Station for the month of November 2015, also included is the semi-annual Consolidated Waste Characterization Report for DSN-462B.

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 Travis Zigo at (856) 339-2493.

Sincerely, Paul J. Davison -- :

Site Vice President - Hope Creek .,

95-2168 REV. 7/99

DEC22 2015 HCH-201 5-0392 NJPDES DMR Attachments C Executive Director, ORBC USNPC - Docket number 50-354

DEC 2 22015 HCH-201 5-039 3 NJPDES DMR EXPLANATION OF CONDITIONS November 2015 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.

For DSN-461A, River and Cooling Tower Blowdown TOC samples were obtained one day earlier than normal due to 11/3/15 not being a normal operating day.

DEC Z.2 2015 HCH-201 5-039 4 NJPDES DMR EXPLANATION OF EXCEEDANCES N ovem ber 2015 The following exceedances are included in the attached report and explained below.

DSN No. EXPLANATI ON No Exceedances

HCH-201 5-039 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. J 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 Site Vice President- Hope Creek Sworn and subscribed before me this

day of December, 2015.

JENNIFER M, TURNER NOTARY PUBLIC OF NEW JERSEY ID # 2332557 My Commission Expires 81812020

New Jersey Department of Envirolanental Protection P146815 Division of Water Quality Surface Water Discharge Monitoring Report Submittal Form NJPDES PERMIT MONITORING PERIOD MONITORED LOCATION:

Mo0t25411 y I Y0i5 To ii~I~a 461A - DSN 461A - DSW 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 P0 BOX 236/1-15 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 rankcing 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 imprisonmnent, 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 GRADE AND REGISTRY NUMBER (IF APPLICABLE)

NAME ND OFPRINIP XECUTIEOFCRAUHRZDANTORLCNSDPRTR 2 ZL !S863915 SIGNATURE 01F PRIN~IPA~EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHONE NUMBER

For a local agency where the highes't-rankingoperator does not have the ability to autthorize capital exp7enditures aind hirepersonnel, a person having that responsibilityor person designated by that person shall sign th~efollowing certifcation:

I certify under penalty of law and in accordance with N.J.S.A. 58:10A-6F(5) that I have reviewed the attached discharge mnonitoring reports.

N/A N/A N/A N/A DATE AREA CODE/PHIONE NUMBER NAME AND TITLESGNTR SIGNATURE

Surface Water _DischargeMonitoring. Report .. ... PI 46815 PERMIT NUMBER: MONITORED LOCATION. MON/TOR/NG PERIOD: FACILITY NAME:

NJ0025411 461A DSN 461A - DSW 11/112015 TO 11130/2015 HOPE CREEK GENERATING STATION PRMETER QUOANTIT OR LOADING lUNITSI QUALIT OR CONCE TRATONUNITS ALYIS TYP'E EX.

T

Flow, In Conduit or F T 7 77 1 I Thru Treatment Plant 50050 1 SAMPLE 3c , IQ V Q I* I*0* I*

Effluent Gross Value MGD Flow, In Conduit or Thru Treatment Plant SAMPLE j (~,L35'5 I ICer~O~ I 50050 7 MGD Intake From Stream pH SAMPLE I ****** I I~,q ' (c, I 00400 1 Effluent Gross Value SU LC50 Statre 96hr Acu I I II ~ I I Mysid Bahia TAN3E 1 SAMPLE MEASUREMENT ****** ****** **

I* I6--* jeo&2* I

%EFFL Effluent Gross Value IC25 Statre 7day Chr SMysid Bahia SAMPLE MEASUREMENT I ******

I~Ic~~ Ic~ I STBP3E 1 IEffluent Gross Value %EFFL Chlorine Produced iiOxidants

CPOX I MEASUREMENT SSAMPLE ***

o, I oI I I*; I*/* I*"

MGIL Effluent Gross Value

[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-Print Creation Date: 10/1/2015 Page 1 of 3

Surface Water Discharge Monitoring Report PI 46815 PERMIT NUMBER: MONITORED LOCATION. MONITORING PERIOD:

FACILITY NAME.

NJ0025411 461A DSN 461A - DSW 11/11/2015 TO 11130/2015 HOPE CREEK GENERATING STATION PARAMETER QUANTITY OR LOADING UISQUALITY OR CONCENTRATION UIS E.ANALYSIS TYPE I

SSAMPLE MEASUREMENT (t Co~.d~,o~S> AALkR~

oTemperature,000 Effluent Gross Value DEG.C STemperature, MEASUREMENT ** ***

1q~8 I~C Intake From Stream DEG.C Carbon, Tot Organic (TOC) SAMPLE.. I ....

00680 1 MGIL Effluent Gross Value Carbon, Tot Organic SAMPL-E II j o, ~

(TOC) 00680 2 MEASUREMENT ***

I* I/*,*4' I*-1*4-J I Effluent Net Value I MGIL Carbon, Tot Organic (TOC) 00680 7 MEASUREMENT ***

I.s% I I~I/440~4~ I MGIL Intake From Stream Sulfate, Total (as SO4) S SAMPLE MEASUREMENT **** ** I ......I O°y°jI'°*°°° I I* I'/*,*q *

I 00945 1 UG/L Effluent Gross Value 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-Print Creation Date," 10/1/2015 Page 2 of 3

-Surface Water Discharge Monitoring Report PI146815 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD:

FACILITY NAME:

NJ0025411 461A DSN 461A - DSW 11/11/2015 TO 11/3012015 HOPE CREEK GENERATING STATION PARAMETER QUANTITY OR LOADING UTSQUALITY OR CONCENTRATION UIS NO. REQ.oFI SAMPLE 1 E.ANALYSIS TYPE Boron, Total SAMPLE (as B) 01022 1

. . . I,*10 I,*,o c~~s Effluent Gross Value UG/L Heat (winter)

I ..... *...... I I*I'* I*l*d SAMPLE (per Hr.) MEASUREMENT cC~C~)

81 387 1 SEffluent Gross Value MBTUIHR Copper, I

Total Recoverable 01119 1 SAMPLE MEASUREMENT I **~***

I~IAMO~4k)IO~A~S I UGIL Lab Certification #

99999 99 SAMPLE I~Ai~ 03os(s, I I I Lab 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-Print Creation Date: 10/1/2015 Page 3 of 3

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

I-oth Day- Year -Month IDay ]Year I 461C -DSN 461C -DSW internal NJ0025411 Month..1.20151ToI11 30 2015To PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC HOPE CREEK GENERATING STATION PSE&G P0 BOX 236 - ALLOWAY CREEK NECK RD ARTIFICIAL ISLAND TRAVIS ZIGO HANCOCKS BRIDGE, NJ 08038 FOOT OF BUTTONWOOD RD P0 BOX 236/1-15 LOWER ALLOWAYS CREEK, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPLICABLE: D--No Discharge this Monitoring Period [-7Monitoring 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 thle highest ranking operator does not have thle 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 aim 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 GRADE AND REGISTRY NUMBER (IF APPLICABLE)

NAME ANDl *,9OF PRIN*L

I,' EXECUTIVE

. '-.LEOFFICER, AUTHORIZED AGENT, OR *LICENSED OP~ERATOR 856-339-1555 SIGNATURE OF PRlINCIIA"L EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PIIONE NUMBER

Fora local agency where the highest-ranking operator does not h~ave the ability to autthorize capital expenditures and hire personnel, a person having that responsibility or person designated by thatperson shall siign thefollowing certification:

I certify under penalty of law and in accordance with N.J.S.A. 58:10A-6F(5) that 1 have reviewed the attached discharge monitoring reports.

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

SurfaceWater Discharge Monitoring Report PI 46815 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD: FACILITY NAME:

NJ0025411 HOPE CREEK GENERATING STATION 461C DSN 461C - DSW interna 11/11/2015 TO 1113012015 PARAMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS E. ANALYSIS TYPE Flow, In Conduit or SAMPLE I Thru Treatment Plant jxA~eA-c~

50050 1 MGD Effluent Gross Value SSolids, Total I

Suspended 00530 1 SAMPLE MEASUREMENT S I Kl/AYof44ICAA:* I MGIL Effluent Gross Value Petrol Hydrocarbons, STotal Recoverable MEASUREMENT ****.***** L;L I*1* I*

45501 1 MGIL SEffluent Gross Value Carbon, Tot Organic (TOC) 00680 1 MEASUREMENT... I .... I I I*1 J*o,* I**

MGIL SEffl uent Gross Value SLab Certification #

MEASUREMENT SAMPLE 1

t1~LA~I Ic 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.

Page 1 of 1 10/1/2015 Page I of I Date: 10/1/2015 Creation Date."

Pre-Print Creation

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

NJ1 0 NJ11541 5 mnh Mot ~ ]Year1 2015 fo Mot Da 30 [01 Ya 2 I462B -DSN 462B -DSW Internal PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC HOPE CREEK GENERATING STATION PSE&G P0 BOX 236 - ALLOWAY CREEK NECK RD ARTIFICIAL ISLAND TRAVIS ZIGO HANCOCKS BRIDGE, NJ 08038 FOOT OF BUTTONWOOD RD P0 BOX 236/H15 LOWER ALLOWAYS CREEK, NJ 08038 HANCOCKS BRIDGE, NJ 08038 REGION / COUNTY: Southern / Salem County CHECK IF APPL[CABLE: --]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.

Icertify 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 GRADE AND REGISTRY NUMBER (IF APPLICABLE)

NAME AND TITLE OF PRINC*NAL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR 856-339-1555 SIGNATURE OF PR1NCIPXL EXECUTIVE OFFICER, AUTHORIZED AGENT, OR *LICENSED OPERATOR DATE AREA CODE/PHlONE NUMBER

For a local agency where thec highest-rankingoperatordoes not have the ability to attthorize capital expenditttres and hire perws'nnel, a person having that responsibilityor person designatedby that person shall sign the following certification:

I certify under penalty of law and in accordance with N.J.S.A. 58:10A-6F(5) that I have reviewed the attached discharge monitoring reports.

N/A N/A N/A N/A D)ATE AREA CODE/PIIONE NUMBER NAME AND TITLESGNUR SIGNATURE

PI 46815 Surface Water DischargeM~onitoring Report... .

PERMIT NUMBER. MONITORED LOCATION. MONITORING PERIOD: FACILITY NAME:

NJ0025411 462B DSN 462B - DSW Interns 1111/2015 TO 1113012015 HOPE CREEK GENERATING STATION PARAMETER F-QUANTITY OR LOADING JUISQUALITY UNflIT OR CONCENTRATION I UIS E.

N.

jANALYSIS FREQ.'OF I TYPE SAMPLE 1 Flow, In Conduit or

Thru Treatment Plant SAMPLE ' i 0I 3 COtZ~PJ\3& A4e~

i50050 1 MGD Effluent Gross Value SBOD, S-Day (20 oC)

I.sAMPLE I .... **..... I i I ~ I ~ I* I'/* I*,* I 00310 G MGIL Raw Sewli nfluent BOD, 5-Day (20 oC)

I MEASUREMENTI SAMPLE I I I I I ****** I

-:7- I 00310 1 KGIDAY MG/L Effluent Gross Value BOD, 5-Day (20 oC)

MEASUREMENT, SAMPLE I ******

I II j 9~a ~ ****** I b~l/'Mo'd~ je4,J~Y 00310 K PERCENT Percent Removal Solids, Total Suspended I MEASUREMENT SAMPLE I ***

***** I Ki~o Kisc Visl'AokI~oAAp~ I 00530 G MGIL Raw Sew/influent Solids, Total Suspended I SAMPLE MEASUREMENT

- - - - I / I6~l 00530 1 MG/IL Effluent Gross Value

[ Comments: Ifthere are any questions regarding the monitoring report form, please contact Heather Genievich of the Bureau Pre-Print Creation Date: 10/1/2015 ofSurfaceWater Permitting at (609) 292-4860.

Page 1 of 2

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

NJ0025411 462B DSN 462B - DSW Interns 111112015 TO 11/3012015 HOPE CREEK GENERATING STATION PAR:AMETER QUANTITY OR LOADING UNITS QUALITY OR CONCENTRATION UNITS E.ANALYSIS TYPE Solids, Total Suspended 00530 K SAMPLE MEASUREMENT

* * *** ]

Ti- ****** [ IV'~~ c0ici-J PERCENT Percent Removal Oil and Grease SAMPLE MEASUREMENT

* * **

I MGIL Effluent Gross Value 00556 1 Nitrogen, Ammonia Total (as N) SAMPLE I ****** I * * ** *

If IS-00610 1 MGIL Effluent Gross Value Enterococci 61211 1 I SAMPLE MEASUREMENT *o I *, I I* I'/* I*

IIOOML SEffluent Gross Value I

Coliform, Fecal General I-SAMPLE I .... I ... I z.~O Ic 74055 1

IIOOML Effluent Gross Value SLab Certification #

I SAMPLE MEASUREMENT I ~

I ~ I~coS-I 99999 99 Lab IComments: 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.

Page 2 of 2 Pre-Print Creation Date: 10/1/2015

New Jersey Department of Environmental Protection Pl 46815 Division of Water Quality Consolidated Waste Characterization Report Submittal Form MONITORING PERIOD MONITORED LOCATION:

462B - DSN 462B - DSW I PERMITTEE: LOCATION OF ACTIVITY: REPORT RECIPIENT:

PSE&G NUCLEAR LLC HOPE CREEK GENERATING PSE&G P0 BOX 236 - ALLO WAY CREEK NE STATION TRAVIS ZIGO HANCOCKS BRIDGE, NJ 08038 ARTIFICIAL ISLAND POBOX 236 /H15 FOOT OF BUTTONWOOD RID HANCOCKS BRIDGE, NJ 08038 LOWER AILOWAYS CREEK, NJ 08038 REGION I COUNTY: Southern I Salem County CHECK IF APPLICABLE: D"No Discharge this Monitoring Period flMonitoring Report Comments Attached WHV!O 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) TITLE OF PRIhNCIPAL EXECUTIVE OFFICER,OR GRADE AND REGISTRY NUMBER (IF APPLICABLE)

AUTHORIZED AGENT 856-339-1555 SIGNATURE OFP*NIAL EXECUTIVE OFFICER OR DATE(MONTH/DAY AREA CODE/TELEPHONE NUMBER AUTHORIZED AGENTr [YEAR)

Fora local agency where the highest-rankingoperatordoes not have the ability to authorize capitalexpenditures and hire personnel a person having that responsibility or person desig-nated by thatperson shall sig-n thefollowing certification:

I certify under penalty of law and in accordance with N.J.S.A. 58:10A-6F(5) that I have reviewed the attached discharge monitoring reports.

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

Consolidated Waste Characterization Report PI146815 PERMIT NUMBER: MONITORED LOCATION: MONITORING PERIOD:" FACILITY NAME."

NJ0025411 462B DSN 462B - DSW Intern 7/1/2015 TO 12/3112015 HOPE CREEK GENERATING STATION SA MPLE DATE OF REPORT." - fl hA IiS*

PARAMETER I QL REPORTED UNITS REMARK SAMPLE

____________________IVALUE _____ CODE TYPE Cyanide, Total (as CN)"1I 00720 Effluent Gross Value j RQL = 40 U0 GLGA Nickel, Total RecoverableI UGL RB Zic TtlReoerbe- UG/L 101*094 Effluent Gross Value j RQL = 10 J >.

GL _____ ____

GRAB Cadium,Total Recoverable UGLGB

[01113 Effluent Gross Value I RQL 14 J UP , UG/L._ ___ GRAB__

Chromium, Total Recoverable IIIGA 01118 Effluent Gross Value RQL =14I) *20 UG/L ____GRAB___

Copper, Total Recoverable IIIunGA 01119 Effluent Gross Value RQL =2 J __ . _( _ _ _ _ _ UG/L__ _ GRAB__

Lab Certification # 'AINTP

{Lab 99999 Lab Certification #

99999 Lab-j________

INOT PIi

_. __ _ _ _ _NOTAP__

AP I

Lab Certification # NOT AP 99999 Lab ___________

IINOT Lab Certification # AP 99999 Lab I_

INOT

_ _ _I_ _ _ _ _I_ _ _ _ _ _ _ _

Lab Certification # AP 99999 Lab __ _ _ _ _ _ _ _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-Print Creation Date: 7/1/2015 Page 1 of I