ML042520333

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2004 Discharge Monitoring Report - Quality Assurance (DMR-AQ) Study 24
ML042520333
Person / Time
Site: Sequoyah  Tennessee Valley Authority icon.png
Issue date: 09/01/2004
From: Howard S
Tennessee Valley Authority
To:
Environmental Resources Management, Office of Nuclear Reactor Regulation
References
TN0026450
Download: ML042520333 (15)
v • d • e


Text

Tennessee Valley Authority, Post Office Box 2000. Soddy-Daisy, Tennessee 37384-2000 September 1, 2004 Environmental Resource Associates PT Data Group 6000 West 54 th Avenue Arvada, Colorado 80002 To Whom It May Concern:

2004 DISCHARGE MONITORING REPORT - QUALITY ASSURANCE (DMR-QA) STUDY 24 The results of the 2004 DMR-QA Study 24 Laboratory Performance Evaluation obtained by TVA Sequoyah Nuclear Plant and supporting Laboratories are enclosed as required by NPDES Permit TN0026450.

Please contact me at (423) 843-6700 if you have any questions or comments.

Sincerely,

> beLQ.0d Stephanie A. Howard Principal Environmental Engineer Signatory Authority for J. Randy Douet Site Vice President Sequoyah Nuclear Plant Enclosure cc (Enclosure)

Mr. Mark McAdoo State of Tennessee Dept. of Environment and Conservation Division of Water Pollutiorn Control Enforcement & Compliance Section 6th Floor, L&C Annex 401 Church Street Nashville, Tennessee 37243-1534 Chattanooga Environmental Assistance Center Division of Water Pollution Control State Office Building, Suite 550 540 McCallie Avenue Chattanooga, Tennessee 37402-2013 Mr. Wayne Turnbull EPA Region IV ESDIASB/LE&QAS 980 College Station Road Athens, Georgia 30605-2720 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, D.C. 20555 Pfrled on cyCd pW

DMRQA02401 RU RCEASSOCIt DMR-QA 24 Data Reporting Cover a) LABORATORY INFORMATION Customer Code:

T2033-02 Below Is the information we currently have on file for your laboratory. Please note that the address shown below Is where ERA will send your final report. If there are any corrections, please fill In the boxes below the appropriate heading.

LAB NAME: TVA Sequoyah Nuclear Plant USEPA LAB CODE: TN00999 ii I I I I IJI I I I I I III MAILING ADDRESS: Power Stores

i0 1 1910M 1A010 Io I I I I I I I 0

I I I I 00 PHONE #: 423-843-6524

[PIB I I

IslLST OP 1 1 1 1 I

1 1I I I 11-i1 CITY: Soddy Daisy ST: TN ZIP: 37379 FAX #: 423-843-7371

°LI WIE1b11 00 Ij EMAIL ADDRESS FOR OFFICIAL LABORATORY CONTACT(o tional):

I d1AHOWIIA1DIDIP-111 V 1 1 1TV 1 I I I 1]1 1111 1 I I 1 I 1-w1 b) Read and sign the ATTESTATION STATEMENT Per the requirements of the USEPA's National Standards for Water Proficiency Testing Studies, please read this attestation statement By affixing your signature below, you attest that your Proficiency Testing DMR-QA 24 study results have met the following criteria. 1) No results, or any other aspect of this study, have been revealed to or discussed with any unauthorized person or other laboratory prior to the close of the study. 2) The Proficiency Testing DMR-QA 24 study standards for which you are submitting results were not analyzed by any other laboratory. 3) Your laboratory has not kr~owingly received Proficiency Testing DMR-QA 24 study standards for analysis from any other laboratory. 4) No Information was solicited from ERA or any other laboratories concerning the assigned values or acceptance ranges for Proficiency Testing DMR-QA 24 study standards. 5)

All analyses met the criteria for the regulatory agencies to which the Proficiency Testing DMR-QA 24 study Is being sent.

Official LaboratoryContat (signature;J f

t Phone Numn

.7 5I6A Y1,TofS 1LA 1-

'All/P/

&7 Y

Official Laboratory Contact (please print)

T5Tlo1PIW14 I 1 X1 A 100-10 ft ) 1 I ] E I I I Date (k1 2004

  • Return the Data Reporting Cover Sheet plus your "DMR-QA 24 DATA REPORTING FORM(S)" to ERA by FAX or Mail.
  • Deadline for receipt of data is September 3, 2004. ERA's PT group fax number Is 1-720-898-6382.
  • Total Pages:

Fax your results to ERA at 1-720-898-6382 or enter your results on-line at www.eraqc.com NYL: 0

WvzU LuvlrWutve.o E NVIRONMENTL DMR-QA 24 Inorganic Data Reporting Form NPDES Permit#:

)-0 6

0111 PermitteeName:TIVA K M WlII 1 MIlA*M I I I I I I I I Il I I I I I I I I I I I I I II Laboratory: TVA Sequoyah Nuclear Plant USEPA Lab Code: TN00999 Customer Number: T2033-02 INSTRUCTIONS:

r1 I I I I I I Please fill in the results, method descriptions, and analysis dates for the analyte(s) you wish to report for ERAs DMR-QA 24 PT Study. Questions? See the DMR Data Reporting Instructions or call ERA at 1-800-372-0122. If you are reporting results for more than one method, photocopy this form. Please fill In the appropriate circle for method on each sheet.

O MethodA 0 Method B O MethodC Permittee Anal.

Analyte Loss Result Units Method Description Analysis Date use only No.

Than Month Day Year pH (Cat. # 577) 0019 pHt kL1 SU.LJ i 4

su I L.L Li-l-eto. 20041 M Total Residual Chlorine (Cat. # 587) 0098 l Total Residual Chlorine t 2<Lll4/.

/a7-l l

A LJA.1o11 LL1J 200

^For Permittee use only

  • If using for DMR-QA 24, place an "X" In the box to the right for each analyte that Is required In routine NPDES monitoring and should be Included In the final permittee report.

All analytes are included In ERA's A2LA accreditation. Lab Code: 1539-0 t Indicates analytes included In ERA's NISTINVLAP accreditation. Lab Code 200386-0 ru T2033-02 r

S DMRQA02401 13 SE ASSOCIATE5 DMR-QA 24 Data Reporting Cover a) LABORATORY INFORMATION Customer Code:

T2033-01 Below Is the Information we currently have on file for your laboratory. Please note that the address shown below is where ERA will send your final report. If there are any corrections, please fill In the boxes below the appropriate heading.

LAB NAME: TA Central LaboratyServi USEPA LAB CODE: TN0016 MAILING ADDRESS: 4601 N Access Rd I - I I I 4 T I I I I I I I I I I I I I I I I I1 Distribution Ctr Bldq F PHONE #: 423-876-4317 JJIITThF H-J TTT I"I[W WID))

-,o -r T-Ss I I r -F l-M-m I I I In rT-Il-f I 1-CITY: Chattanooo aST:

TN ZIP: 37415 FAX 4: 423-876-4137 I~~~~

1- -LlE~L-[Il-----

IL:]--LiLW L flTI[ILI]

EMAIL ADDRESS FOR OFFICIAL LABORATORY CONTACT o tional):

si'KlilErs-sU6~i ff~lffm^

E-V--

lr---IFT -WIL1 b) Read and sign the ATTESTATION STATEMENT Per the requirements of the USEPA's National Standards for Water Proficiency Testing Studies, please read this attestation statement. By affixing your signature below, you attest that your Proficiency Testing DMR-QA 24 study results have met the following criteria. 1) No results, or any other aspect of this study, have been revealed to or discussed with any unauthorIzed person or other laboratory prior to the close of the study. 2) The Proficiency Testing DMR-QA 24 study.standards for which you are submittirg results were not analyzed by any other laboratory. 3) Your laboratory has not kqopwngly received Proficiency Testing DMR-OA 24 study standards for analysis from any other laboratory. 4) No Information was solicited from ERA or any other laboratories concerning the assigned values or acceptance ranges for Proficiency Testing DMR-QA 24 study standards. 5)

All analyses met the criteria for the regulatory agencies to which the Proficiency Testing DMR-OA 24 study is being sent.

Official Pai M

t n a tur Title Phone Number 7; /

-o M M~orth Day Official Laboratory Contact please print) il JsFFFF 1 11 mll Date RUHJ)2 2004

  • Return the Data Reporting Cover Sheet plus your "DMR-QA 24 DATA REPORTING FORM(S)" to ERA by FAX or Mall;
  • Deadline for receipt of data Is September 3, 2004. ERA's PT group fax number Is 1-720-898-6382.
  • Total Pages: Ll Fax your results to ERA at 1-720-898-6382 or enter your results on-line atwwweraqc.com Yf LA

fOi RESa DMR-QA 24 Data Reporting Form NPDES Permit#: M l0R0FW 0 111m Please fill In NPDES Permit# and Permtiee Name fields before reporting to ERA.

PermrfteeNamed-TlYIA I) a 1L III Laboratory: TVA Central Laboratory Services USEPA Lab Code: TNO0016 Customer Number: T2033-01 Anal.

Analyte Result Units Method Description Analysis Date Fepor No. __

I Il_._l MMIDDIYY l DMRQA Hardness - Method 1 0072 Non-Filterable Residue (TSS) 80 mglL EPA 160.2 06124104 x

0023 Calcum 35 mgl.

EPA 200.7 06/25104 0

0024 Magnesium 24 mgt EPA 200.7 06/25104 5

0022 Total Hardness as CaCO3 180 mgA SM 2340 B 06/29/04 5

Demand - Method 1

  • 0038 BOD 58 fgh.

EPA 465.1 07/08/04 5

0038 COD 104 nigh.

EPA 410.4 06123104 5

0037 TOC 43.6 Mgh.

EPA 41 5.1 07/12104 5

Simple Nutrients - Method I 0031 Ammonia as N 17.2 mg.

EPA 350.1 07108104 0

0032 Nitrate as N 11.7 mgL EPA 353;2 07108104 5l 1820 tr + Nitrite as N 11.7 mgL EPA 353.2 07108/04 0

0033 Ortho-phosphate as P 2.51 mgh EPA 365.1 07/07/04 n

  • Perrnittees:

If using for DMR-QA 24, place an WX" in the box to the right for each analyte that Is required In routine NPDES monitoring and should be included in the permitlee report package.

0 EWIRONMEJm

&L I DMR-QA 24 Data Reporting Form NPDES Permit #: VIWl W Olm Please fill In NPDES Permit # and Permittes Name fields before reporting to ERA.

PermitteeName: lVIAI 6V10 161lINVI IAIC6 IKIL I M I I I I I - I I I 1 I I I 1 I I I I I I I I1 I Laboratory:

VA Central Laboratory Services USEPA Lab Code: TNOOO1 6 Customer Number: T2033-01 Anal.

Analyte l

Result Units J Method Description J

Analysis Date RpFort No.

MMtDDIW DMRQA Complex Nutrients - Method I 0034 Total KJoldahl Nitrogen 15.9 mgt EPA 351.2 06/25104 5

0035 j Total phosphorus as P 3.46 mgL EPA 365.4 06/23/04 Grease and Oil - Method I 0104 Grease &Ol (Gravimetic) 21 mg/L l

EPA 1664A 06/22104 Trace Metals - Method I 0001 Aluminum 520 pgfL EPA 200.7 06/25/04 a

0016 Antimony 423 pgQ EPA 204.2 07108104 5

0002 Arsenic 306

_gl.

EPA'206.2 08110104 j]

1015 Barium 664 PgL EPA 200.7 06/25104 5

0003 Beryllium 227 Pg.

EPA 200.7 06125104 1025 Boron 709 pgt EPA 200.7 06125104 0004 Cadmium 214 PI.9L EPA 213.2 07/08/04 O

0006 Chromium 286 pgiL EPA 218.2 07/07/04 5

0005 Cobalt

.458 Pst EPA 219.2 08110/04

. (

0007 Copper 324 EPA 220.2 07/06104 j

Peorrittees:

If using for DMR-QA 24, place an X' In the box to the right for each analyto that is required In routine NPDES monitoring and should be Included In the permittee report package.

C aASES DMR-QA 24 Data Reporting Form NPDES Permit #: l Please fill In NPDES Permit # and Permittee Name fields before reporting to ERA.

Permittee Name:d l\\/lil lgIO 101YI0d lak16W M 4 1014,W 1 I I I I I I I I I I I I 1 1 II 1 11 I 1 Laboratory: TVA Central Laboratory Services USEPA Lab Code: TNOOOI6 Customer Number: T2033-01 Anal.

Analyte Result Units Method Description Analysis Date Reporr I

For No. 1 MMIDDIY l DMRQA Trace Metals - Method I (Continued) o008 iron 454 tljg EPA 200.7 08125104 0012 Lead 340 P9&

EPA 239.2 07107(04 0010 Manganese 258 lg~t EPA 200.7 06125104 Q

0074 Molybdenum 118 1-1t EPA 200.7 06125104 51 0011 Nickel 552 PO EPA 249.2 07114104 5

0013 Selenium 812 P9AL EPA 270.2 08/09104 5

0017 Silver 154 pga EPA 272.2 07114104 O

0075 Strontium 162

  • 9¶.

EPA 200.7 00125104 5

0018 Thalllum 703 P__ _

EPA 279.2 07/12104 O

0014 Vanadium 331 pg.L EPA 200.7 06/25/04 5

0015 Zinc 700 ti-EPA 200.7 06125104 0

MercuryY-Method I 0009 Mercury 11.7 EPA 245.1 07106J04 5

  • Pernittees:

If using for DMR-QA 24, place an "X In the box to the right for each analyte that Is required In routine NPDES monitoring and should be Included In the permitfee report package.

n

DMRQA02401 EN IRONMEzAL DMR-QA 24 Data Reporting Cover a) LABORATORY INFORMATION Customer Code:

E5597-01 Below is the information we currently have on file for your laboratory. Please note that the address shown below is where ERA will send your final report. If there are any corrections, please fill In the boxes below the appropriate heading.

LAB NAME: Environmental Testing Solutlon.5 r1nr4-USEPA LAB CODE: NC01230 I11111111 I 111111111 I I I I III]

MAILING ADDRESS: 351 Depot Street IFICI l5lol: l I 5

I I(

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l l

l l

PHONE M: 828-350-9364

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CITY: Asheville ST: NC ZIP: 28801 FAX#: 828-350-9368 W hbie-1I(I f IX Ic -le F l EgT all o -

IT I

HI:

- E-IIII EMAIL ADDRESS FOR OFFICIAL LABORATORY CONTACT(o~tional).

I I liliil l~

ll111

{f I I IT D I I 1X I I 11-T T I I I Fn b) Read and sign the ATTESTATION STATEMENT Per the requirements of the USEPA's National Standards for Water Proficiency Testing Studies, please read this attestation statement. By affixing your signature below, you attest that your Proficiency Testing DMR-QA 24 study results have met the following criteria. 1) No results, or any other aspect of this study, have been revealed to or discussed with any unauthorized person or other laboratory prior to the close of the study. 2) The Proficiency Testing DMR-QA 24 study standards for which you are submitting results were not analyzed by any other laboratory. 3) Your laboratory has not knowingly received Proficiency Testing DMR-QA 24 study standards for analysis from any other laboratory. 4) No information was solicited from ERA or any other laboratories concerning the assigned values or acceptance ranges for Proficiency Testing DMR-QA 24 study standards. 5)

All analyses met the criteria for the regulatory agencies to which the Proficiency Testing DMR-QA 24 study is being sent.

OlficV Laboratory Contact (signature)

Title Phone Number 0bA Month Day Official Labor ry Contact (please printg

_____MnD

_ T Date

[W 9

2004

  • Return the Data Reporting Cover Sheet plus your "DMR-QA 24 DATA REPORTING FORM(S)" to ERA by FAX or Mail.
  • Deadline for receipt of data is September 3, 2004. ERA's PT group fax number is 1-720-898-6382.
  • Total Pages:

3 Fax your results to ERA at 1-720-898-6382 or enter your results on-line at www.eraqc.com

.NVLAp L._"."

L.F$Vll %Wr1%Vr__rVj f \\

EIVMRONMENTAL RESOURCE ASSOCIATES 6 DMR-QA 24 WET Data Reporting Form NPDES Permit #:

r l Q_.

Permittee Nam e:i4r l

A l40-YINERR IL I I

/1W#Iil T n I

- I I I I r

rI Laboratory: Environmental Testing Solution USEPA Lab Code: NC01230 V FT1, 5

T11F Customer Number: E5597-01 INSTRUCTIONS:

L2J JŽwI

  • Z

-_ 1J Please fill in the results, method descriptions, and analysis dates for the WET analyte(s) you wish to report for ERAs DMR-QA 24 PT Study. Questions? See the DMR Data Reporting Instructions or call ERA at 1-800-372-0122. If you are reporting results for more than one method, photocopy this formn.

Please fill in the appropriate circle for method on each sheet.

Method A 0

Method B 0

Method C Analysis Report!

Anal.

Test Conditions lTest Endpoint LOSS O.at Result Units Method Description Date For No.

Than Tlun l DMRQA Fathead minnow (Test Code 13) 0754 48Hr., Acute. Non-Renewal. 25 C, MHSF LC50

<0 >O 0L Llqi.LLTi 11 IoI e 1J 1L L

ilh]

i2004 j]

Fathead minnow (Test Code 15) 0756 7-day Short term Chronic. Daily Renewal. MHSF NOEC Survival L.

> L1l} CoI CIl: iI 1L 1oLL L-.l I 1 2004 l 1 0809 7-day Short term Chronic. Daily Renewal. MHSF IC25 (ON) Growth

>_O L[1 Ii.kl1 _ 14 11i LlT: [I I io1i2oo4 L

080 7-day Short term Chronic, Daly Renewal.MHSF IC2 (SN) Growth

<0 >0 0L2319LLl

% ldAL I

I I JIiI2004 [1 0810 7-day Short term Chronic, DailyRenewal. MHSF NOEC (ON) Growth <0 >o LJ2 L

4 I]

0511

-1C7-dayhrlrnhocalenwM NOEC (SN) Growth <O >0a-2L~ L: % K

~Ta#I:IIlO j6i 2004 i Ceriodaphnia dubia (Test Code 19) 0764 48Hr., Acute Renewal, 25* C. MHSF LC50

<0

>0 Li2L0I L

[I 41{JMiL1iLL

> XiIilo04 l]

  • Place an 'X In the box to the right for each analyte that Is required in routine NPDES monitoring and should be Included in the permittee DMR-QA 24 report package.

All analytes are included in ERKs A2LA axredilalion: Lab Code: 1539-01 Al analytes are Included in ERA's NISTINVLAP accreditation. Lab Code 200386 0 E5597-01

'r

EIMRONMENTAL RESOURCE ASSOCIATES, DMR-QA 24 WET Data Reporting Form NPDES Permit#:

goM Permittee Name: U-V L

lol04'AL A

1L I I I

IDL Laboratory: Environmental Testing Solution USEPA Lab Code: NC01230 Customer Number: E5597-01 INSTRUCTIONS:

l F Irc I I zt llol Please fill in the results, method descriptions, and analysis dates for the WET analyte(s) you wish to report for ERA's DMR-QA 24 PT Study. Questions? See the DMR Data Reporting Instructions or call ERA at 1-800-372-0122. If you are reporting results for more than one method, photocopy this form. Please fill in the appropriate circle for method on each sheet.

O Method A 0 Method B 0 Method C Anal. l Test Conditions Test Endpoint Lrn Gm"t~r Result Unitse Mthod Descriptlon Analysis l Report No. l I Than Than Date DMROA

__o_

Momh~ Day Year M A Ceriodaphnia dubia (Test Code 21) 0766 7-day Short term Chronic. Daily Renewal, MHSF NOEC Surival

<l L LII I.1 %

LI JO.4-1.

_ii jI200 []

0767 7-day Short term Chronic. Daily Renewal. MHSF IC25 ReproducUon <O >c

.I2LV " 1V1P1 AL jI 2(JO1 1012 0II] X04 0765 7-da Shor.term Chrn Daly Renewal, MHSF NOECReproduction <o >0 L ilCI LL liLeI o L

LLI : 1]

Mysid (Test Code 42) 0798 48Hr.. Acute, Non-Renewal, 20 C. 40 FSW O

LC50 koI >0 IliLLi.LL i x L LLiiLli]lLL[ II I I ]

Mysid (Test Code 43) 0799 7-day Short term Chron cDailyRenewal, 0fSW NOEC Survival

<0 > oI I1 Ci LKL!L I

OL]r 2004 Li 0816 7.dayShorttermn11ronlc.DallyRenewal.40FSW IC~25(0N)Growthi Io ]LLL

% LL SIIII

L TC L1Izau J204 0817 7-dayShortterrChrc.nDailyRenewal,40FSW lC25(SN)Growth LltILLI i I L 1iL:ILL-iF1 1

0 0816 7-day Short term Chronic, Dafly Renewal, 40 FSW NOEC (ON) Growth <C LL.LLTJ % LVI[LIIL I

[iL]2004 _]

0819 7-dayShorttermChronic.DailyRenewal.40FSW NOEC(SN)Growth <C

> 0 ELIL.L

-F-iLL 1:i 1 I EIiLi]2004 j

  • Place an "X' in the box to the right for each analyte that Is required in routine NPDES monitoring and should be included In the permittee DMR-QA 24 report package.

-I:

E5597-!01 itf All analytes are Included in ERA's A2LA accreditation. Lab Code: 1539-01 All analytes are Included In ERA's NISTINVLAP accreditation. Lab Code 200386;0

USEPA NPDES TN0026450 USEPA NPDES PERMITTEE ESONMENTAL Permit Number DMR-QA 24 DATA REPORT FORM The Industry Standard" Permit Extension:

Permittee/Facility Name and Address Permittee Name: Tennessee Valley Authority Facility Name(if any):

I1 I I II I II I I I I I I I I I I I I I I-I I I I I I I1 1,1 1 1 I I1 1 1 1 1 I 11 1 11 Facility Address: Sequoyah Nuclear Plant PO Box 2000 SB-2A City: Soddy Daisy State: TN Zip: 37384-2000 1 1

-I I I I I I I1-1-1 IIEIW1111W m

-EMI Name of Certification by Permit Holder or Authorized Representative Certifying Official: Stephanie A Howard Phone Number. 423-843-6700

Title:

Environmental Supervisor Fax Number 423-843-7080 IP9-I CI, W

PIAMI 100 1 IEau61I ILE4IIII-E1 1

L L Email Address: sahowarditva.gov Mailing Address:

(enter only If different from address above)

I I I I I I I I I I I I

I I I I 1 1 1 I I I

I I I I I I I T City:

State:

Zip:

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gatherand evaluate the Information submitted. Based on myInquiry of the person orpersons who manage the system, or those persons directly responsible for gathering the Information, the information submitted Is to the best of my knowledge and belief, true, accurate and complete. Each reported value was produced from a single analytical run using the analytical system that routinely performs these analyses to produce compliance monitoring data required under our National Pollutant Discharge Elimination System (NPDES) Permit.

Neither I nor any of my subordinates compared our results with results from independent analyses conducted by us or another laboratory before we reported our results to the USEPA. I am aware that therre e signifcant penaltes fors mitting false I formation, includtng the possibility of fne and mprisonment for knowing violations.

Slgnature.

ajupha,0~7 Ca4+/-I76

,V 'X /, 04'1rA0vr/I Ole l AV P_'Oje4 Date Signed: Of /

12004 Please make corrections In boxes above

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v/C6 7,07slaz r/O6VS 416yf166lvrUSEPA DMR-QA 24 Form I

USEPA DMR-QA 24 IDENTIFICATION OF ALL CHEMISTRY & WET LABORATORIES ENIVIRONMENlTAL 0

RESOURCE ASSOCIATES, The Industry Standard' USEPA NPDES TN0026450 Permit Number:l I

Permit Extension:M Lab Lab USEPA Analysis Type Laboratory Name and Address:

Putan7Xlnall Putanilnthe Assigned boxosthat pply box that applies Lab Code:

Chem WET House t

Name: ENVIROMENTAL TESTING SOLUTIONS, LLC 64¶IIIZOAJgN7A6I 1i5N IL TIIOPJj Sj I11l I 1 I I Address: RESEARCH BLD

IPOIl0o1, 1O 1X1516 1N I I I I I I I I I I I I I I I I
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Address: I ECUSTA RD (line 2)

I P05511 I

I I I I I City: BREVARD State: NC Zip: 28712 IOH1910110114_l I I-I I I I I I I I IT

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~l=l11 Name: TVA ENVIRONMENTAL CHEMISTRY 171VI41 I&W*[41 IL14181019KIN IA0 15WXYllIC14SI I I I I I I I I I I Address: HWY 153 NORTH ACCESS ROAD (line 1) o s

TN0016 Address:

(line2) 14 b I

11g FM City: CHATTANOOGA State: TN Zip: 37402 I I-E Wlll11 Name: TVA SEQUOYAH NUCLEAR PLANT Address: P.O. BOX 2000 (line 1)

I 1

0A000 L S o 1

TN00999 0999 Address: SEQUOYAH ACCESS ROAD (line 2)

City: SODDY-DAISY State: TN Zip: 37381-2000 Z ~~~

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Please make corrections In boxes above USEPA D1MR-QA 24 Form 3

Permittee: r/-4 A/W#

A/N?1ezZ,'

Z1rz Permit Number:

4t0!5rO Analyte Check List DMR-QA Study 24 NPDES Testing Requirement 0

0 0

0 ru/

0 0

0 0

0 0

13 0

0 0

0 0

EJ 0

0 V.

/

Test Sample Ordered 0

0 0

0 0

W, 0

  • 0 0

0 0

0 0

0 0

0 0

0V3 To To

111 0

Vo Vo To Vo Test Substance Aluminum Arsenic Cadmium Chromium Cobalt Copper Iron Lead Manganese Mercury Nickel Selenium Vanadium Zinc Ammonia Nitrate Orthophosphate Total Kjeldahl nitrogen Total Phosphorus COD TOC 5-day BOD 5-day carbonaceous BOD pH Test Completed 0

0 0

0 0

0 0

0 0

0 0

/

0 0

0 0/

V

{

Total cyanide Non-filterable residues (TSS)

Oil and grease Total Phenol (by the 4AAP method)

Total residual chlorine Signed:b Iho.4IQ.

Cl0Lasd Date:_6o Contract Laboratory: This check list is to be used according to the Instructions provided by the permittee.

Permittee: Return this check list with the final package sent to your regulatory authority.

c/C P'A g bit/KWd 0V7'A'T9 e/

X/s w ihc 6 /S S /Dt7/f /O oiR, A/H

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STAPLE HEREl NPDES PERMITTEE DATA REPORT FORM Form Approved. ICR No. 0280.0S Approval Expires 113112007 United States Environmental Protection Agency EPA USE NPDES Permit Number Permit Laboratory DMR-QA Evaluation Study 24 ONLY Extension Laboratory Performance Evaluation (These data are collected under the authority of

.r N -

T1 E li the Federal Water Pollution Control Act.)

tioi Current Permittee M~ailing Address NPDES Perm A Number.

rl( 0 0 64 Phone 3/471-73 3-LI 4

7 4TTENTION:

771/4 L...

§/t/

°/

W4// A/U&z6-,e

/q4./7-Follow the checklist on next page or instructions on completing this

? 0. 300% ' c1'C'OO94s 7-o t6 -c

,49 orm and submitting data for

<:SozD/

2) 5/<, TA' 3 valuation.

Enter Permittee Name as It Should Appear in Report Heading:

I i1/9 I l6llIl I Y W IM WIUI61J-i44I<

IP9V 1/1t1 1 1I I I I I I I 1I For DMR-QA Study 23, conducted in 20113, the permittee:

Received Samples:

Submitted Data: YS Received a Report in Response:

NO Certification by Permit Holder or Authorized Representative (as per 40 CFR Part 122.22 - see instructions.)

I certify underpenalty of law that this document and all attachments wereprepared tnder my direction orsupervislon in accordance with a system designed to assure that qualiftedpersonnel properlygather and evaluate the information submitted. Based on my inquiry of the person orpersons whlo manage the system, or those persons directly responsibleforgathtering tte information, the Information submitted Is. to the best of my knowledge and belief true, accurarr and complete. Each reported value was producedfrom a single analytical run using the analytical system that routlnely performs these analyses to produce compliance monitoring data required urnder our National Pollttant Discharge Elimination System (NPDES) permit.

Neither! nor any of my subordinates compared our results with resultsfrom independent analyses conducted by us or any other laboratory before we reported our results to tihe USEPA.

l am aware that there are signlf cant penaltlesfor submittingfalse information, including the possibility offine and imprisonmentfor knowing violations.

Name and Title of Certifying Official (Type or Print)

Simiature Date Signed Address of Certifying Official (if different from Pernittee address above.)

Telephone Nuinrber EPA-420 (Cin), Rev. 04-00. Previous editions are obsolete.

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II I I I I I EPA-420 (Cin), Rev. 04-00. Previous editions are obsolete. Continued on the next page Page 3

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