ML17157C436

From kanterella
Jump to navigation Jump to search
Forwards NPDES Discharge Monitoring Rept for Jul 1993.... & PA Dept of Environ Resources Monthly Facility Rept.Informs That During Month of Jul,Sewage Treatment Plant Outfall 079 Total Suspended Solid Sample Exceeded Monthly Average
ML17157C436
Person / Time
Site: Susquehanna  Talen Energy icon.png
Issue date: 08/16/1993
From: Fields J
PENNSYLVANIA POWER & LIGHT CO.
To: Crowley K
PENNSYLVANIA, COMMONWEALTH OF
Shared Package
ML17157C437 List:
References
PLE-17125, NUDOCS 9308230147
Download: ML17157C436 (14)


Text

ACCEI ERA D DOCUMENT DIST UTION SYSTEM REGULA< Y INFORMATION DISTRIBUTI SYSTEM (RIDS)

,4 ACCEc3sjON NBR:9308230147 DOC.DATE:.93/08/16 'NOTARIZED: NO DOCKET FACIL:50-387 Susquehanna Steam Electric Station, Unit 1, Pennsylva 05000387 50-388 Susquehanna Steam Electric Station, Unit 2, Pennsylva 05000388 AUTH. NAME AUTHOR AFFILIATION FIELDS,J.S. Pennsylvania Power & Light Co.

RECIP.NAME RECIPIENT AFFILIATION CROWLEY,K. Pennsylvania, Commonwealth of

SUBJECT:

Forwards "NPDES Discharge Monitoring Rept for Jul 1993...."

& PA Dept of Environ Resources monthly facility rept. Informs that during month of Jul,sewage treatment plant Outfall 079 total suspended solid sample exceeded monthly average.

DISTRIBUTION CODE: IE23D COPIES RECEIVED:LTR I ENCL ] SIZE:

TITLE: Environmental Event Report (per Tech Specs)

NOTES:

RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD1-2 LA ,3 '

PD1-2 PD 1 1 CLARKgR 1 1 INTERNAL: ACRS 5 5 NRR/DRSS/PEPB 1 1 NRR/PMAS/ILRB 1 1 OGC/HDS2- 1 1 EG FI% Ol 1 1 RGN1 1 1 EXTERNAL: NRC PDR 1 1 NSIC 1 1 NOTE TO ALL"RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 504.2065) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!

TOTAL NUMBER OF COPIES REQUIRED: LTTR 17 ENCL 17 gj~/

0 ~~

Pennsylvania Power 8 Light Company Two North Ninth Street ~AIlentown, PA 18101-1179 ~ 215/774-5151 August 16, 1993 Ms. Kate Crowley Water Quality Regional Manager Bureau of Water Quality Management Pennsylvania Department of Environmental Resources 90 East Union Street, 2nd Floor Wilkes-Barre, PA 18701-3296 SUSQUEHANNA STEAM ELECTRIC STATION DISCHARGE MONITOMNGREPORT - JULY 1993 NPDES PERMIT No. PA 0047325 CCN 741326 FILE R9-8A PLE- 17125

Dear Ms. Crowley:

Pursuant to Part A, 3.b.(1) ofNPDES Permit No. PA 0047325, enclosed is the Susquehanna Steam Electric Station discharge monitoring report for July 1993. Also enclosed is Pennsylvania Department of Environmental Resources'onthly Facility Report Form (01-112).

There was one noncompliance in July. During July, the Sewage Treatment Plant (Outfall 079) total suspended solid (TSS) sample exceeded the TSS monthly average of 30 mg/1. This TSS sample was recorded at 38 mg/1. Normally, additional samples for TSS are taken in order to meet the monthly average. To ensure compliance procedures are being developed to ensure collection of additional samples when necessary to meet the monthly average TSS limit of 30 mg/1.

Ifyou have any questions, please call me at (215) 774-7887.

Respectfully yours, J

iJ ome S.Fields P~

S 'or Environmental Scientist - Nuclear Enclosures Copies to: <300 ~g EPA Region III NRC'DocumentControLDesla NRC Region I Mr. R. J. Clark, NRC Sr. Project Manager 9308230i47 9308ih

)~tr32t~g6) PDR ADOCK 05000387

-~R PDR

I 01-11?

t ATTACHMENT 1 PA OEPARTMENT OF ENVIRONMENTAL RESOURCES Month July 1993 MONTHLY FACILITY REPORT pate Prepared 8/17/93 Facility Name Sus uehanna Steam Electric Station PWS IO NO. 24pp994

. Box 467 Facility Address Berwick PA 18603 NPOES Permit No. PA 0047325 Municipality Salem Townshi Incinerator Perm)t Number(s) N/A County Luzerne Telephone Number (215) 774-7889 Person Completing Form Jerome S. Fields P int Name Signature Y )

Title Sr. Envh tJnmental Scientist

1. Total Hours Incinerator Operated N A
2. Type of Fuel
3. Total Fuel Usage N/A
4. Supplier of Fuel N/A
5. Estimated Amount of Sludge Incinerated N/A
6. Incinerator Ash Disposal N/A 7. Sludge Disposal Water Treatment (a) How Much (Tons) a) How Much (Tons)

(b) Where b) Vh Jh (c) When (Last ccurrence (c) Mken (~st ccurrence I~egg (d) Hauler (d) Hauler (e) Receipts: es no (e) Receipts: Yes No

8. Other Wastes (Gr1ts, Barscreen1ng, etc.) *Republic Environmental Systems Hatfield, PA (a) How Much (Tons)

(b) Where (c) When (Last ccurrenci (d) Hauler (e) Receipts: es o

9. Septic Tank Masts Accapten: Yes Ro
10. If yes:

(a) Volume (b) Hauler(s Percent (%) Hauled

11. Analys1s Performed to ensure tank waste conta1ns no 1ndustr1al waste a) Yes (o) It yves, requency
12. Addit1onal Cotancnts: 2,000 allons of septic tank waste taken offsite and treated at the Hazl eton Sewer Authority (Permi t PPA0026921)

rERMITTEE NAME/AODItESS i/nt/tdt NATIONAI.POLLUTANT DISCHARGE ELIMINAYIOHSYSTEM /NPDI/5/

ocf/lty I/tntt/Locetbn gdm'tran// <<%

DlscHAItoa MONITOItlNa rtcrortT /D)f/t/

uzi

"~

216 IF/9 Form Approved.

~2LQR.'O'iZtLLH WUl (I7 5 07 A (SU BR 02) OMB No. 2040-0004.

ccccl PERMIT NVMSCR otacHARos NUMSXR F <<FINAL Approval explrese-30-91.

MONITORING PERIOD SERV AND ADNIH BUILDING SUMP FAC I LITY YEAR MO DAY VEAR MO 'DAY 'rF LOCATION FROM TO ~ HO DATA I I ATTII: R~ L~ DOZY SUPV OP" R TECHNOL / 02II /22.2 I / / / ~

I / NOTE: Read Instructions before compietilr!I this form.

(5 Cord On/i) OUANTITY OR LOADIN4 (d Conf Only) DUALITY OR CONCCNTRATION PARAMKTKlt (dtM5) (5Af/) (5645) (4W5) ($4@i) NO. FttEOUSNCY OF SAMI'LC EX ANALYSIS TYPE (524F)

AVERA4K MAXIMUM UNITS MINIMUM AVKRAOK MAXIMUM V NITS (6d48) (69-Fe)

'PH n trt(t(>>II<<"v ( 12)

SAMPLC MEASUREMENT 7. QO a. 20 00(IUO 1 0 0" ";P,PERMIT,-...:,","-,.Ald+I(ttt",,q. /F',.',.;l)ICP~t)'4:, c tc Avd UE GROSS VALU NKXISHf8+ SU SOLIDSF TOTAL SAMPLE ( 19)

MCASURKMKNT SUSPENDED 00530 1 Aa c 0 0 SKKCINRNkgeTi ":">q'~ y~~e, I(>> Vg"'c~;<~cic'",cu Ac l($

e'.;IIc4$ 4!+(~$
gc>>30,O Q, crc<<wNcc,.c>> I 1"0;9~,0;
,'g:~."((ll 5'(i SC>> E/j: ;RIB";:j""

H GROSS VALU X'~, pic;

<<W50)r V ".<<8 HG L n>>

$ :i 808 H OIL AND GREASE 8AMPLK ( 19)

FREOII EXTR"GRAV NET MEASUREMENT 3.Q Q ~1 )t/

O0556 1 -".':" S<<IRMCT.:", '." q>>'c'sc~C++Qgtttt>>c ~'c')rtlrtggg+4c c gA>>c >> 0'>>t>>n ~c tv+<<

O O t~g>$  ;-20 S,0,8~ 'c 5 ~r c ccc+ SCE/;"

U,IIT G OSS VALU 'RKCIVIRESCIIKTI 0"QO "r<<t Q c "v'c '.."<<O'i 2'8X H G/L 6: >>..r .NOHT FLOIIF I N CONDUIT OR SAMPLE Q3.10 O.O > IO

~n-OC:O'tr THRU TREATNEIIT PLAN EASUREMKNT Q, 50050 1 G 0 -;:.,'PKRMiT!.:, j"'".;REPORT-'; "; "'.-REPORT ',,<Qn Irtt/t55rd i<<, @;.'Qs~gttt/Y+ ESTXH U r<

SAMPLK MEASUREMKNT

" rl (nERMET:"': i.'".r, RCOVtRKSd CRT." + . '+<<t >>," ci~iccc" C

<<M" SAMPLE M EAS U R EM KNT SAMPLE MEASUREMKNT

'"" 'tc NAMC/TlTLKPRINCIPAL EXECUTIVE OFFICER 8 W2.Aa SV,. 5it P I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PEttSONALLY EXAMINED AND AM FAMILIAR WITH THC INFORMATION SUSMttTED HCRftN. AND SASKD ON MY INCWIRY OF THOSE INDIVIDUALS IMMEDIATELY RKSPDNSISLE FOR OSTAINYIG YHK INFDRMATIO'4. I SKLIEVE THC SUSMFIYED INFORMATION TKI.KFIHONK 'ATE IS TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARC SIG.

taFK.'ANT Pf NALTIKS FOR SUSMITYING FALSE INFORMATION. INCLUDIN Nuc.~ha. YHK PDSSiSILITY OF FINK AND IMPRISONMENT SKC te USC l IODI 4 AT OF PRIN IPAL EXECUTIVE 'f -3a&

OPa~zeVX'YIrKD 33 USC I 53IS. IPrnaltirr ucutrr thrrr ~ tatutrr may tnrtudr /tnrr up lu dttt.

OR PRINTED and vr marimum tmpnrccnmrnt u/INturrn d mccnthr and I yrarnt OFFICER OR AUTHORIZED AOKNT NUMSER ~ YEAR MO D Acr OMMENT AND EXPLANATION OF ANY VIOLATIONS (Rtltltntt ou ouvahmtntt trt)

FLOii AND PH SHALL BE IIEASURED DAILY IIHEII DISCHARGIHG ~

.PA Form 3320-1 (Aev. 048) PIE Yious editions may be used, (REPLACES EPA FORM T do WHICH MAY HOT ~ E USED.I ~ AOE Ot' 00573/930611 1/)25

~ cRMITTcc NAMEIADDRcss ffncrttdd HATIDHALPDLLUT*NTDISCHAIICC CLIMIHATIDHSYSTEM (P(PDE5/

ocdlty /rdntd/cocctbn lfdlfftront/ DIICHAltOC MONITOIIIN(3ltCPOItT fDhlR/

me ~>JU~M~~~~~JLS~M~

JiQ.HZ'>'LH ~RP'L 216 0(I7 11/9 HAJOR Form Approved 07 MX~l PERMIT NUMSER A

otacHARoc HUMaclt (SUBR 02)

F FINAL

=

COOLING TOilER BLOMDOMN OMBNo.2040-0004.

Approvalexplrea6-30-91.

rACI UTY MONITORING PERIOD YEAR MO DAY VCAR MO 'DAY

-OCATION FROM TO NO DATA ATTN- R ~ L~ DOTY SUPV OPER TE HNOL 1 1 l 1 / NOTE: Reed instructions before completlnII this firm.

(5 Cord Only) OUANTITY OR LOADIN4 (d Cord Only) DUALITY OR CONCENTRATION PARAMETER (4M5) (5Afl ) (5') (dtw5) (5461) NOr FIICDUCNCY EX ANALYSIS DP SAMPLE TYI K (5My) AVERAOC MAXIMUM UNITS MINIMUM AVCRAOC MAXIMUM UNITS (6dnre) (69-10)

SAMPLE ( 12)

M CASU RKMKNT 8 8.80 /35 Qpihg 00(IOO 1 0 0 <<+PKIlhtt'i;~~;,. 3P:. 'AXL'X':; .Rk:5/iY R SS VA U ~+~8' 8 f48 P%~4~p~'k;;~-,'~".',<,"'4 1895'";- S U ZINCF TOTAL ~ AMPLE M CASU R CM CNT

¹¹ ¹¹¹ ¹¹¹¹¹¹ o. oP, (AS ZIi) 01092 N

1 G

0 0

IN CONDUIT OR 0

VALU YhX~g+);,

,.~>~h~,t r-8 t,

):¹td¹

".A;~V~W/gM ~M$fKM'n~H~" CÃ It' '-'IG L t5Wn RSRliY,O5&

W~';".Z(k:~;;,~su-4"'4'LOMF SAMPLE CASURKMENT I t) . 7'P> >~, tl ( 03) 3</>> R.(J3F ()R THRU TREATIIENT PLAII 50050 1 0 0 "O'rKRM st,r:3'5'>'ICK4UlRKCCKNT,',

cj;,"882,OR+".;;;.';-",,'RBj308T:3 )46~ XXL'Yh", RCOR9 CHLORINE, FRFE SAMPLK MEASUREMENT

¹n.¹¹¹¹ ¹¹¹¹¹4 ( 19) FCm Owg(1)

AVAILABLE 50064 1 G 0 > ",1 SIKRMH'l~ 0~ ~'p.~jyi" j,. "..'.j'=,,,'EE.W ':I ~R'AS'.""

r O 'KOLltRKMKNT V

SAMPLE M EAS U R KM ENT

"'""SrKRMIT ~-

RKOUIREMKNT.,

SAMPLE MEASUREMENT

<<ih i "'PERMIT. c'.".;

.'~RKOUlRKMK)ctI SAMPLE MEASUREMKNT

"'SrCRMht.":="r'.

'RCOUlRKMKNT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMWCD AND AM FAMILIAR WITH THE INFORMATION SUSMtlTED HCRCIN. AND SASCD TKI.KPHONK ~

DAT C

g. Cy ~ 8'tg,Atrt SP., V t', ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RCSPONSISLE FOR DSTAWWC THK WFDRMAYIOV. 1 SELIKVE THE SUSMITTCD WFDRMAYIDN gI/~g, CIPCg+mLC)III'(r IS TRUE. ACCURATC AND COMPLETE. 1 AM AWARE THAT THCRC ARC SIC-taFICANT PENALTICS FOR SUSMfYTWC FALSE INFDRMATON. WCLUCNNC YHK PDsststLFIY CF FINc AND tMPRtsDNMENT sKc ls Usc I 1001 AND 33 USC I 1310. Iprnaltirr anarr thrrr rlatrlrr may tnrltrtr /mrr ap lo Stajttrt SIONA U C hers 0 PRINCI AL EXCCUTIVC 7I7 S'D-Sm 79 TYPED OR PRINTED ancf or marimam nnpnronmrnl ol hrtorrn d month r and 5 pram l

=QMMcNT AND cxPLANATIDN oF ANY vloLATIQNs (Rrlrrrnca au anachmrntl FREE AVAILABLE CHLORINE SHALL BE TAKEN DAILY BY GRAB DURING CHLORINATION~

rra)

OFIFICCR OR AUTHORIZED A4ENT CI) U~to: 6 0 W~< A3F O'LSCC 9QQBQ30$

t tLtt 'rNUMSER tc,g 9+081+

YEAR MO DAY PDR ADOCK 05000387 R PDR

-:PA Form 3320.1 (Rev. MS) Pilous edtVons may be used. (RCPLACCS CPA FORM T dO WHICH MAY NOT SC USED.I PACE 10F 00570/930611" 1625

acRMITTCK NAMEIADDRCSS /Indudo NATIONALteOLLUTANT DISCHAROC ELIMINATIONSYSTEM IIIPDESI YodlltyIIotns/Loartbn tfd+crontI DISCHAltOL'ONITOlalNOIKL'PORT IDII(W 3LSMZDXb 2 Id Iy Ip Form Approved,

'~DRCSSZRQ ~iLKSi12LT~~'DiEET II (SUBR 02) OMB No.2040-0004, DL.&101 PERMIT NUMSCR OtaCHAROC NUMactt F FI NAL Approval expires 6-30-91.

MONITORING PERIOD l2 TURBINE BLDG MASTE SUNP I ACILITY YCAR MO OAY YEAR MO DAY LOCATION FROM TO NQ DATA TII: R ~ L~ DOT Y SU P V OP ER T ECHIIOL I I I I I I I I NOTE: Reed Instructions before coml)lettlIIIthla (5 Cord Onttt) OUANTITY OR LOADIN4 (6 Cord Onttt) DUALITY OR CONCENTRATION fore'ARAMETER (66e55) (SAfl ) (ISA) (6645) (SAfl) Noe FRKOUKNCY Ole SAMPLE EX ANALYSIS TYPIC (5241) AVERAOC MAXIMUM UNITS M IN I MUM AVERA4E MAXIMUM UNITS 62nrl) (6645) (dtt.re)

SAMIaLE MEASUREMENT

¹¹¹¹¹¹ ( 12)

OOII00 1 '0 0 htcn) tREM CIA',

<pi~~=,Cjstttes?e";/WE >+4¹¹IICPIIe'.na'. rr¹ g6 <~+ iaah A i "nr 4¹~i> 4-S Qg 0>> AX'I'1r',g,8AS,',

G OSS V U SOLIDS, rOTAL SAMPLE ¹rjt¹r r,¹ etV¹¹¹¹ ( 19)

MEASUREMENT SUSPENDED 00530 1 0 0 ¹r J¹ QQQ'gIP Rkae~+'

N V Ll mi imere ddt" I e'e +~+5 <<(

ee e e

¹¹¹¹¹¹ rrrcri' O OIL AND GREASE SAMPLC r Ir¹¹ e

( 19)

MCASURKMCNT FREON EXTR".GRAV NET j00556 1 C 0

<<ega "i,"n r

6) P PSSCM (TP:"~'at ¹~¹ ig8pj+Qtts+Ilteret+ 'er gati/'V,'0',  %$ 'py,y hQ 0 go'+g'$@jph RA 8",:ey ItttaMIREM ~<: ~¹¹¹
FLOIIF Iti CONDUIT OR SAMleLE o3) rr e

¹r ¹¹:c"¹¹¹ M CAS U R KMKNT ZHRU TREATIIENZ PLAN

,50050 1 0 0 U"

",""~~.<PERMIT,>>.

't4UlREMENT

--'-'<<"3tEPOR'ZP ',:.::" 'AR'RCPORT ' .'~~$QQQPQ$ -.;,.- "->';",lt:s)I4rggg +'j~Qg+ggP:>>

M e.a'"r~t"er<<

e':

¹¹¹ ,k,ILYy: STIGMA SAMPLC MEASUREMENT

'ne"'rtthiIfT REM CNTrr

CCOUI SAMPLt MEASUREMENT I"I i:tthletTrnr '<<'i>>

,: lltCIUIREM047'"

SAMPLE MKASURCMCNT

'AT

~e'i<e PERMCT,>> -',

RCOUl REM EN'T.

~ NAMC/TITLC PRINCIPAL EXtCUTIVC OFFICER I CERTIFY UNDER PCNALTY OF LAW THAT I HAVE PERSONALLY KXhhttNCD TELKleNONC E AND AM FAMILIAR WITH THE INFORMATION SUbMITTED HKREIN. AND SASCD R. ('SIC.Ae ~P VP ON MY tNOUIRY OF THOSE INDIVIDUALS ttatafutATELY RCSPONStbit'OR OSThtNINtr THE tNFORMATIDN. I SELIEVE THE SUbhtlTTKD tNFDRtaATION IS TRUE. ACCURATE AND CDtaPLKTC I AM AWARE THAT THERE ARE SIC lVV~pg. DPaA.A-WICl(25 rartCANT PENALTtES fOR SUbtalTTINO FALSE INFORMATION. INCLUDtNG THc PosstbCITY DF Ftnc AND IMPRtsontaKNT sEK lb Usc I IDDI AND Sl AT R OF RINCIP L EXCCUTIVK 33 USC h 13IQ. tprnattirc tenner them atatatra may enrteatr nenra ap ln gtntttat TYPED Oh I'RINTtD and eer mazimam empnaemmrnt nr hrtarrn 6 month a and 8 scarlet OFFICER OR AUTHORIZED AOCNT NUMSCR. YEAR MO DAY

-OMMCNT AND EXPLANATION OF ANY VIOLATIONS (Rclcrcncc vll vuvchtncnts herc)

FLOII AIID PH SHALL BE tlEASURED DAILY lIHZN DISCHARGING':PA Form 3320-t (Rev. (HIS) Previous edt'lions may te used. (RCPLACCS CPA FORM TAO WHICH MAY HOT SC USCD.I PAOC OF 005B1/930611 1625

uERMITTCE NAME(ADDRESS (Jnt(ttdt NATIONALPOLLUTANT DISCHARGE ~ LIMINATIONSYSTEM (Hy()ESI otdlty Hatnt/Local(ctn (fdlfftrtntJ rem ~~~~~~~~JLSMJQM JiQEZfLZ)LZX2i WLRKZ~

DISCHAIIOK MONITORINO It CPOItY (D)(JIJ 2 Jd 7 2 073 A JW9 MAJOR Form Approved.

(SUBR 02) 0MB No. 2040-0004.

wZZ0191 PCRMIT NUM SIR cttaCHAROE NVMSER F FINAL Approval explrea6-30-91.

~ AC I LITY MONITORING PERIOD Ii TURBINE BLDG MASTE SUMP YEAR MO DAY YEAR MO 'DAY OCATION FROM All TO NO DATA A N: ~ L~ DOTY SUPV OPER TRCHNOL ( J (2 ~

J ~

J J ( J NOTE: Reed Instr UCtlons befor compIstlrrll tlils firm.

(J Cord Only) QUANTITY OR LOADINO (6 Card Only) DUALITY OR CONCENTRATION PARAMCTCR (4M)) (f ) (&42) (dtMS) (SAfl ) NO> FREDUENCY OF SAMPLE CX ANALYSIS TYPC

($ 142)

AVCRAOK MAXIMUM UNITS MINIMUM AVCRAOC MAXIMUM UNITS (6648) (69.10)

PH ~ AMPLE 4 tl nC ~

L'I <~ I) gt>cA (12)

MEASURCMCNT 004(J0> 1 0 0 '<'",jg" "'j'""(hE":;)~;- au(res>rh(P'(gal 4'ghtcyjjEys)ly'4/ ~~/ I XXI'X'AB';-'-

UBH GROSS VALU ++Urt'.(~:5%'~~>>::.";"'Ã8 ~"'.k~~,;" ~>-.:,::/l 0:0"~C: XIIX Itj'fN SOLIDSF TOTAL SAMPLE MEASURCMCNT Fr vent>:tr'Sn

( 19).

SUSPENDED 00530 1 0 0 SC,,Ef;i Rk F. SS V U MG L .1'508' .4~~ +>>> 'I;h9 OIL "".v F.g AHD GREASE SAMPLC MCASURKMCNT tr: Fr "A t(cl~gt(ct" I'c

( 19),

FREON EXTR-GRAV MET 00556 1 0 0 IIKQUIIIKMKNT'>c ,>>uu>>";1+Vg+Q IsCQI>Ch <'3-'5 9.0g~F""."'j'." ',4'(I u':,0'.,.'<5;4 ltCEfg RASE'~

G SS VA U MG L ago FLOli 6 I N CONDUIT OR SAMPLE ( 03)

THRU TREATMENT PLAN 50050 1 0 0 J6EASUREMENT

".:."'IIIRtMPITt::;; ':,'"'. REP,OR X!

MGD IIntrchFPrctIK 'XLES ESTXH SAMPLE MEASUREMENT

," jnIlAlIT .'i RI(OUIRKMKgt>'AMPLE MEASUREMENT SAMPLE MEASUREMENT

. PIRMlT

'I%'OUIRKMKNT

", I ic ',

NAME/TITLE PRINCIPAL CXKCUTIVK OFF ICCR I CKRttFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXANtHED AHD AM FAMILIAR WITH THE tHFORt>IATIDN SUStatttED HEREIN. AHD SASED TCLKPNONC DATE ON MY INQtttRY OF THOSE atDIVIDUALS ttataEDIATELY RKSPONSISLE O'DR P. &. Gqlt.ASA ~a. VP OSTAIHIHG THK IHFDRMATIDH. I SELtEVK THK SUSMITTKD ItlfQntaATIDN Alu'c.L2=rhtt. OP EIt.h T (we IS TRUE. ACCURATE AHD COMPLETE. 1 AM AWARE 'tHAT THERE ARE SIG NtfICAHT PEHALTIKS FOR SUStattTING FALSE IHFDRtaATION. INCLUDING

~ r /o> 'Q-YHK POSS18nttY Of FINE AND tMPRISDHtaKNT SEK 1S USC I IDDI AND 33 USC I 1319. tprnattira tvvtrr thrrr ~ tat tra may tart>vtr />lira ap tu sto/stat SIO ATU I OF RINCIP L EXECUTIVE 3gb TYPED OR PRINTED a>vt ur masimum tmpnrunmrnt uf hrtvrrn 6 muntha and 6 >rarni OFFICER OR AUTNORIZEO AGENT NUMSCR YEAR MO DAY

=OMMENT ANO CXPLANATION OF ANY VIOLATIONS (Rr(rrrnct au auvchtnrnts trt)

FLOII AHD PH SHALL BE MEASURED DAILY IIHEN DISCHARGING'PA Form 3320-1 (RSV.048) Plsv(ous ed(lions mey Jle used. (REPLACES CPA FORM T 60 WHICII MAY NOT ~ C USCO.I PAGE OI 00576/930611-1625

use ~~ ~~~~~2SMJikI PERMITTEE NAMKIADDRKss /Include Yadllty Famc Jlocotbn lfdlffcrcntJ

~UL~~~ L18101.

U'KKSZJM~LL'8 NATIOHALPOLLUTANT DISCHAROC ELIMINATIONSYSTCM /IIPDESJ DISCHAICOR MONITOItlN4 )%RPOItT /DJI/RJ 0

216 7

PERMIT NUMSER 079

/2.//I DtaCHAROC NVMSCR A (SUBR 02)

F -.. FINAL Form Approved.

OMB No. 2040-0004.

Approval expires 8-30-91.

MONITORING PERIOD SEIIAGE TREATHEIIT EFFLUENT FACILITY YEAR MO DAY YEAR MO 'DAY

'CATION FROM TO l(0 DATA t )

ATTN: R~ L~ DOZY SUP V OPER TECHNOL / 0.2IJ /2 ~

I J I I I NOTE: Read instructions before completin(I this Air(IL (I Card On/y) OUANTITY QR LDADINO (d Card Only) DUALITY OR CONCENTRATION tAIIAMETKIC (4M)) (5'/) (JILL) (4642) (Sdcrl) Nbr EX FRKOUCNCY OF SAMtLK TYPE

()242) ANALYSIS AVKRAOK MAXIMUM UNITS MINIMUM AVERAOK MAXIMUM UNITS (ddnra) (69-10)

PH SAMPLE +ittYOn On. AgAQgA ( 12)

MEASUREMENT 7. 90 7. e5 00400 A 0 0 'c <, A+psst Ist girt<~

,AXXil;$

S N E T PRCS CHPL RRCtUCRRMRNT~ A O A les SOLIDS TOTAL SAMPLE r~t"t(:~n". ( 26) 19)

MEASUREMENT ( 'I3 I t-8 SUSPEllDED Csr 00530 h 0 0  :-,"',;:,4CS):$04~'; ICjlfj',

~s 'CRQUNRMRNTA

KOHTH

-FLOQF F'I IN CONDUIT THRU 1REATHT.NT PLAN 50050 A G 0 CIILORINE, FREE AVAILABLE OR PL SAMPLE MEASUREMENT

'ItRCIU( RRMRICT; SAMPLE MEASUREMENT Q Gt'l> o, o>54 ( 03)

HGD

,+r~~,gQPL'I 6.>5 IX' ~~ ~rI i+a'.~ IsCQ+C$

slt+ncgtit "4 <'">'v "s2) "en 'Pc ~

c

19) 3 kXL'Y$

J3I l /pi trLOIIUD Ql'ng 50064 h 0 0 '.; rtKRMIT;,". '; ~, '"LRE PORT;;l,4-'.>REPORT':, ';,I)","

'RCtU)RRMRNT

'OLIFORIIF 4I wT'n AAAA

,'- GENERAL F BCAL ~ AMPLE MEASUREMKNT pv 13) ~/p I ~II

'74055 A 1 0 '" ", taRRhICT" i'; '~. X",'a',,'y6+gh)t);)st >~  ;,'r ',", Issfscgggtsttrt

~fIC$ 1.',.

CUIR K)SENT,"

'yflO QODF CARBONACEOUS SAMIIILK DORIC:C:0 ( 26) O9084 Cc

( 19)

I. 50 Rk;B>>::-'CAPI/;j MEASUREMENT ')/a 05 DAY, 20C 80082 A 0 0

'Cta U '05 o:O,.F;: 'I~'~".>>;,:,"'4":j>9p/Iieet)II4ih' OIISd/,8 IRRMRAT'AMPLE G L C~". <<0 MEASURKMKNT

'v." >> PERMIT/

'jltax)UlRKMRNTq

, NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CCRYIFY UNDCR PCNAI.TY OF LAW THAT I HAVC PCRSONALLY EXAMINED AND AM FAMtLIAR WITH THK INFORMATION SUSMITTCD HCRKIN. AND SASCD TKLKIsNONR ~

DATE g, Cp 8 q(C.~ Sa. ON MY INOU1RY OF THDSC INDIVIDUALS IMMEDIATCLY RCSPONSISLC FOR OSYAININO THK INFORMATIOY. I SCLIKVE THC SUSMITtED INFORMATION IS TRUE. ACCURATE AND COMPLETE. I AM AWARC THAT THERE ARK SIO tarcANT PKNALTICS Fon SUSMITTINO FALSC INFORMATXW. INcLUDINo

~IIEET.At LO Q(s THC POSSISILITY OF FtNC AND lMPRISONMCNT SEC IS USC I lOOI AND 3S USC I 1$ 1S. tPrnaltirs sndrr shear ttatstrs may snrlsdr /tars ap la Stttlsst SI A R 0 IsRINCI AL EXECUTIVE I 7 878-BaPa TYPED Olt PRINTED and sc masimsm tmpnsvnmrnt s/hrtsvrn S mnntha and S swrs.t OFI'ICKR OR AUTHORIZED AOENT NUMSKR YEAR DAY OMMKNT AND EXPLANATION OF ANY VIOLATIDNs (Rc/crcncc vtl vuvchmcnts crc)

=CPA Form 3320.1 (Rev. Ms) Ptevlous ed/Vena may be used. (RKPI ACES KPA FORM TWO WHICH MAY NOT SE USED.) PAOK OF 00584/930611 1625

PERMITTEE NAME/ADDRKss ((nc(udc NATloNALPOLLUTANT DlscHARoc ELIMINAYIDHCYCTcM (NPDErl 8'acdlty I(amcllocatbn (fdlffcrantI DISCHARGE MONIYOltINOIt KI>OItY(Dh(RI LLSQ9~~ 2.16 MAJOR Form Approved.

ADDR~XQCL 3KB~JkXliT~ST~ZT (SUBR 02) . OMB No.2040-0004.

~M3233)3 PCRMIT NUMSCR c>lacHAR44 HU>a ~ cn F -- FINAL Approvalexplres6-30-91.

MONITORING PERIOD RADNASTE TREATMENT EFFLUENT I'ACI U TY YEAR MO DAY VCAR 'DAY I OCATION FROM V TO MO

¹¹¹ NO DATA "CHN (20.211 (22.2 1 ( I 1 ( ~

1 ( 1 NOTE: Read Instructions before completlnIItlsls form.

(S Card Only) QUANTITY OR LOADINO (d Card Only) QUALITY OR CONCENTRATION PARAMETER (4M)) (sdar) (NAS) (ddt), (Sddll) NO. FRCDUENCY OF SAMPLE CX ANALYSIS TYPE (1247) AVCRAOE MAXIMUM UNITS MINIMUM AVERAOC MAXIMUM UNITS 6243) (dd48) (69-70)

SOLIDSF TOTAL SAMPLE MEASUREMENT

¹¹¹¹¹¹ ( 19) CyrLIs 8 SUSPENDED 00530 1 0 0  ;".;4> PERMIT.n.. 4 3- "¹ISK -44¹" 4'.0';:";.,,@',:.'3;"",00'h",0,~;"'".I,",',"  :.4::" 'tI CE/;:.

".'~'" '$(r g~'"+~r)c,';30 BIB;"'*'~.'LOM

~ .

a 1N COIIDUIZ OR SAMtLK M CASU R EM CNT

( 03) ¹¹¹¹¹¹ g6/~,

THRU TREATMENT PLAN 50050 1 0 0  ;:;:~marks'V4'.',L""-R8 POgkj '=~,gRg kX,LV',4> ST PORT;":;,'AMPLE

>.g~~>;~ 0

'>"...; >r a'>i"."rr MEASURKMCNT SAMPLC M CASU R KMCNT RKQS)IISOECSSTc'r'",,".~~;i..i'."r>""'q>,: '>> 'Wq~~~."'>'j~'> 4'g:."'d',

SAMPLE MEASURCMKNT SAMPLE MEASUREMCNT SAMPLE MKASUREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TCLKtHONC ~ DATE AND AH FAMILIAR WITH THE INFORMATION SUS>a>TFED HKREIN; AND CASED R.6 Bwp.~ Sg. VP ON MY INQIRRY OF THOSE n>DIVIDUALS IMMEDIATELY IIKSPDNSISLE FOll DSTNN>HG YHC n>FORMAT>OY. I SELCVE THE SUS>a>TYED INFORMATION N ~C OPGLM'1 W5 IS TRUE ACCURATE'HD CDMPLCTC I AM AWARE THAT THERE ARE S>C.

taF>CAHY PEHALT>ES FOR SUS>a>TT>NG FALSE IHFDRMAT>OH. IHCLUDIHO THE PDSS>S>LITY OF FINK AND IMPR>SDHMKHT SEC IS USC S 1001 AHD 33 USC S 1310. >t>rnattirr andrr thrrr rtatrtrr may >nrlrdr finrr ap to staler>

and or mariman>>n>pnn>nmrt>t o(h> >arm a mon>ha ands tram>

SIO AT R 0 RINCIP EXECUTIVE 7(7 ~f(g-324o )5 S >

If TYtKD OR tRINTKD OFFICER OR AUTHORIZED AOCNT NUMSKR YEAR MO L DA.Y COMMCNT AND CXPLANATION OF ANY VIOLATIONS (Rc(crcncc au attachmcntt crc) o FLON SHALL BE MEASURED DAELY MHEN DXS'HARGING~

-PA Form 3320-t (Rev. 048) Previous edillona may be used. IRcPI Aces KPA FDRM T.40 wHlcH MAY NoT sc UscD.I ~ AOC Olr 00586/930611 1625 1

>ERMITTEE HAMc/ADDftcss /lncltlda NATIDNAI PDLLUTANT DtscHARoE ELIMINATION%TOTEM /JVPDESJ aa/tlsy Nama/Locct lan (Idl//erontJ DISCHAR4K MONITORING RCPORT /Dtt/RJ um MULES.XLS~~~~MJLSJKM~ 2.16 J>t Jlt Form Approved.

LDDRCSS 0047325 271 A (SO B R 02) OMB No. 2040-0004.

PERMIT NUMSCR DtacHnnoc NUMaan F - FINAL Approvalexplres6 MONITORING PERIOD IIASTE FILTER BYPA'SS FACILITY YEAR MO DAY YCAFI MO 'OAY

'CATION FI%OM I/ TO NO DATA ATTN: R ~ L~ DOZY SUPV OPER TECHNOL / 21/ /2r2/ l ~

J / ~

J / NOTE: Read Instructions bsforicompIatIIIlItIIls firm.

(J Card Only) QUANTITY OR LOADINO (6 Cord Only) QUALITY OR CONCENTRATION PARAMETER (6tws) ($64/) (Ndf) (6642) (SAf1) NO> FRCDUENCY OF SAMPLE KX ANAI YSIS TYPE (1247)

AVERAOC MAXIMUM MINIMUM AVERAOK MAXIMUM UNITS (66'/a) (69 10)

SOLIDSF TOTAL n:n.y>:u:I>"-0 4 " F 4 I(t Q~

~ AMPLE MEASUREMENT Frt ">I I>: I>: n-( 19)

SUSPENDED 00530 1 0 0 3<'.~Mr'iTS~I';:;,'~> >>+>k,'~k 'N,CE'j~',

FLUEN GROSS VALU MG L $ HOSf H OIL AND GREASE QA Ny wt I>IA >I 4I>) dg 4( A t>t 4 A 19)

~

~ AMIILC MEASUREMENT FREON EXTR-GRAV MET 00556 1 0 0 I;:grh>>a~+i

+>ragr>uatqg" NOPE,'j, aA:BPVR U"N GRO VALU MG L FNOHTH FLOII a IN CONDUIT OR SAMPLC ( 03)

CASUREMKNT THRU TREATMENT PLAN 50050 1 0 0 ,r'()IH V G 0 V LU MGD AXJjX;-;.',INg' SAMIrLK MKASUREMKNT

),,~',n,',

.Qg5 'j~+ tX~i;".>;.

I'>ht'I',.'a~

gp>lpga

.'t

".>, '.%g', ">'; '.L,t

~r> "rt '

SAMPLE MKASURKMCNT SAM PLK MEASUREMENT

',RCQUIRCMCSCT> t:; ~> ., 's~'v".'"~i:.,q SAMPLE units MCASUREMCNT HAMKJT ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDCR PENALTY OF LAW THAT I HAVE PERSONALLY CXAMOIED TELEPHONE DATC R.. Cr . $ 3@,~ S('P AND AM FAMILIAR WITH THE INFORMATION SUOMITTED HCREIN. AND SASCD ON MY INDIXRY OF THOSE INDIVIDUALS IMMKKXATELY RKSPONSISLE FOR OSThotatth THK RIFDRMATIO'4. I BCLTEVC THE SUSMITTED INFORMATION IS TRUE. ACCURATE AND CDMPLETc I AM AwARE THAT THcRE ARE sus.

'/

g Vu~A- Oft.Ih<<ogg taFICANT PENALTICS FOR SUSMITTVIG FALSE RIFORMATION. VICLUDING THE Possto>LITT oF Fate AND IMPRtsDNMKNT sKE Ie Usc I tool AN 33 USC I I3IO. tyrnatticr u>utrr thrrr rlatutrr may inrtudr />nrr up I>> Sttt/urt SIO A R OF PRINCIP EXECUTIVC 7 ~tr - 5golZ)

TYPED OR PRINTED and u> matimum tmpnrnnmrnl u/hrturrn 6 mnnlhr >rara I OFFICER OR AUTHORIZED AOENT NUMSER YEAR DAY

OMMENT AND CXPLANATION OF ANY VIOI.ATIONS (Rctcrcncc au attachments herc)

FLOII SHALL BE IIEASORED DAILY IIHEN DISCHARGING'.PA Form 3320.1 (Rsv. 048) Plsvtoua ed/I/one may be used, (REPLACES CPA FORM? 60 WHICH MAY HOT ~ C USCD.) PAGE OF 00588/930611-.16 25

FERMI TTEE NAME/ADDRE55 /Indudc NATIONALI<<OLLVTANTDISCHAROC ELIMINATIONSYSTSM /IIPDESI Yoct/tty I/ctnc/Local/on /Idlfjcrcntl DISCHARGE MONITORING REPORT /DIdRI

~M M~~UJIM~?~~T 2/6 /7 /tt Form Approved.

ADDR~ZXO 2LK~3DJkZH SZ~LX (SU BR 02) OMB No. 2040-0004.

<<<<<<II << PCRMIT NUMSCIE Dtvcknnoc HUMscn F -, FZ HAL Approval expires 6-30-91.

MONITORING PERIOD NEUTRALIZATION BASIN DISCHARGE I'ACI LITT YEAR MO DAY 'AY

'LOCATION

'OZY

~ 'ROM TO YEAFI MO

¹¹¹ HO DATA I I TT i: R~ L~ SUPV OPER T ECHNOL /20 2/I /22.2 I ~

I I /2 ~

I / NOTE: Reed lnttructlons before completl(I((this form.

(3 Card Only) OUANTITY OR LOADINO (d Cord Only) DUALITY OR CONCCNTRATION I ARAMSTER (dtW3) (5'/) (3aA5) (d6>>53) (5Afl) NO. FRCOUCNCY CX OF SAMPLE TYPE (3247) ANALYSIS AVCRAOC MAXIMUM UNITS MINIMUM AVCRAOC MAXIMUM UNITS (6C48) (60rre)

SOLIDSF TOTAL SAMPLE ( 19)

SUSPENDED MEASURCMKNT 8 00530 1 0 0 .",~%3PCRISITL ';<< ',<<(,,n ggtcltgptvr~<<v (3 or 0 5,"~jO'i~gj ICE/.",~

'IEKEIUIRKMKIA';

¹¹ "): MG L <<808 OIL AHD GREASE SAMPLE ¹<<¹¹L ¹n FREON ZXTRGRAV MET MCASUREMKNT (.5 5/~ I 00556 1 0 0 < 'rt<<<'KRrt IT<<~<<'d rtCElllrRKMK/dTr

>>r>> <<'<<;"4Q$ ¹QQ'q) j r;: I(ttg~ ~

J J J n n ~

, '~+K<<,'(FOP',((IIWEILY,'x SC;83/'.3 (I U FLOMF IN CONDUIT OR SAMPLC ( 03)

ZHRU TREATMENT PLAh MEASURCMCNT G. I)(Q 7' ErJTI Pr(/)

50050 1 0 0 'i

<<4 rrCRMIT.>> > ""REPORT"r,", -"~'-'REPORT>> <<>>¹¹ J ,AXIIY:~

RKEIUIRKM~'AMPLE <<, MGD MEASUREMENT

'(c~<<PC/Mt(IT/'

R~EQUIRrKMKNT-'.

SAMPLE MEASURCMENT CUIR 3 3(3 SAM PLK MEASUREMENT SAMPLE M CASU REM CNT

'>>'>>~<'"tPKRMiTN';

IECEI UIRKMKNTC vS NAMC/TITLE tRINCIPAI EXECUTIVE OFFICER I CERTIFY VNDCR PENALTY OF LAW THAT I HAVC FCRSONALLY CXAMtNCD TELEPHONE DATE AND AM FAMILIAR WITH THC INFORMATION SIISMITTCD HCRKIN. AND SASCD g, G, ~IRa~ SR. YP OM MY INQIRRY OF THOSE INDIVIDUALS IMMEDIATELY RKSFONSISLC FOR DSTAINNG THK RIFDRMATIOM. I SELltVK THC SUbMITTED IMFQltMATION IS TRUE ACCURATE AND CDMFLETE I AM AWARE THAT THERE ARE Slo

'I

! Nu (:~9 Of'a9,/T-E %OS) S ICFICANT FCNALTIKS FOR SUSMITTINO FALSC INFORMATION. IMCLIIDINO THC FOSSIbtLITY OF FINE AND IMFRISDNMENT Stt Ib USC I 1001 AND I

33 USC 1315. IPrnvltirv vrvtrr thrrr Itvtvtrv mvp tnrtvdr /tnrv vp ln ltotttvt SIONAT R OF RINCII A EXECUTIVE 7 ZQ-3 I TYtCD OR thlNTCD vrvt nr movimvm tmpnvunntrt<<t <<>/hrtvrrn d mvnttlv cnit 53rvrv I OIFFICCR OR AUTHORIZED AOCNT NUMSCR, YEAR MO D/IV

=OMMCNT AND CXPLANATION OF ANY VIOLATIONS (Rr/rrrncc all auuchrncntc crc)

FLOM SHALL BE MEASURED DAILY MHEH DISCHARGIHG ~ ¹EM ~ FLOM SHALL BE MEASURED DAIL'Y

¹HEN DISCHARGIHG ~ THERE SHALl BE H¹ DISCHARGE OF POLYCHLORIHATED BIPH¹llYL COMPOUHDS ~ SEE PERMIT FOR.O'I'H 0 8) Ptsvtoud ddltlons may be used. (RCFLACCS CPA FORM 7 de WHICH MAY NOT ~ C USED.) PAOC OF 00593/930611 1625 1

>cRMITTcc NAME/ADDRcss (lnc(vdt NATIDNALPOLLUTANT DISCHARGE ELIMINATIONSYSTEM (I(PDE5/

Ifd(ffcrcntJ Yoc(l(ty /(otnejlocot(an

\ODRCSS~i

~~LkSYJJf J'd~?~~ -

cglSQ933~

DISCHARGE MONITORINQ RCPORT /DHRI 2./6 I 7.19 N A JO R Form Approved.

r (SDBR 02) OMB Nor 2040-0004.

PERMIT NUMSCR cnacHAR46 HUMaaR F -. FINAL Approvalexptres6-30-91.. ~

MONITORING PERIOD IIASTE FILTER EFFL'DENT FACILITY YEAR MO DAY YCAR MO DAY

'CATION FROM TO NO DATA UP (20 2II (22.2 I ( d. I(2 I ( I NOTE: Road Inctructloiss before compl ettlsII wIIIS fortran (5 Card Only) QUANTITY OR LOADING (6 Card Only) QUALITY OR CONCtNTRATION PARAMETER FREDUKHCY SAMI'LK (dtw5) (5dnll ) (5%45) (dtS45) (5Afl) OF TY PC (5247) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 62')) (664') (69-10)

A 'hydr SOLIDSF TOTAL SAMPLE ( 19)

MEASUREMENT "SUSPENDED

  • 00530 1 0 0 na.4

')CE//:;

O I OIL AND GREASE SAMPLE ( 19)

MCASUREMENT IFREON EXTR-GRAY MET

'00556 1 0 0  : "'Qpgttogg~l:$ ,++0 ~g>>gv, =20 4'0$ : 4'.s'~" H,eE/'. j R Br.';.,

<<<Vrtr Wi", Lr IFLOWF IN CONDUIT OR SAMPLE M CASU REM CNT

<<ADREPORT;": ( 03) h"C:SIC:(I

'HRU TREATIIEtlT PLAt)

50050 1 0 0 )SITS .;;,Q4',~ RF,PORT,~4>>

2> Lrr

LOX,tID SAMPLE MEASUREMENT

~ltegUSRKgKNg '.Sr4"<g>~~".+ Xe'gr-+'P'AM PLC MEASURthlENT gc',q(n",r@ ",q ISCQUIRKMKNI;y .'!'. ".O'"".",~;;~";"~Y~'. r")+'4'" d >rd<'+j~'"

SAMPLE MKASURtMCNT

, r,,rq<<,

re It>N SAMPLE MKASUREMCNT Fa RCQUSREMCNT lj ~

Qc r I NAMC/TITLE PRINCIPAL EXECUTIVE OFFICER l CERTIFY UNDKII PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AHD AM FAMR.IAR WITH THC INFORMATION SUSMITTED HCRKIN. AND CASED TCLKPHONC ' DATE

. A ~ &i G'tRASI 5p gP ON MY NOU1RY OF THOSE NDIVIDUALS IMMEDIATELY RKSPOHSISLE FDR OSTANNG THC NFDRMATIOV. I SCLIKVC THE SUSMITTED IHFDRMAYON H'44IR A(L 0 f'~ IS TRUE. ACCURATE AHD COMPLETE. I AM AWARE THAT THCRC ARE SIG taFICAHT PKHALYICS FOR SUSMllTNG FALSE INFORMATION. NCLUDIHG THK Possl&LITY of PINE AHD IMPRICDHMKHT scc Ie Uac S IDDI AND

$ 3 USC $ lolo. tyrnattirr andrr three ~ lalalrr may <nrtrdr /inrr ap ln ltv/am SIO A U C I'RINC AL KXCCUTIVC I7 Wg-3oQ 8 TYPCD OR PRINTED and ur marimam tmpnvmmrnt n(hrtarrn 6 menthe and I yearn.t OFFICER OR AUTHORIZED AGENT NUMSER YEAR MO DAY OMMENT AND EXPLANATION OF ANY VIOLATIONS (Rt(erenee att vnvehrntnlc here)

FLOII SFALL BE MEASURED DAILY IIHEN DISCHARGING ~

-:PA Form 8320-1 (Rev. 948) P(svtous edl(lone may be used. IRCPL*CCS CPA FORM T 60 WHICH MAY NOT ~ C USED,) F'AGC Olr 00595/930611-1625

FcRMITTEE NAMEIADDRcss (lnclttdr HATIDHALPOLLUTANT DISCHAROE ELIMINATIONSYSTEM iNPDESJ "acdlfy Jfdrnr/Cocefbn lfdfffrrrnt/

mu ODR~

~~Jf~~M~~ZSMXUM DISCHARGE MONITORINO RCPORT ID)fRI 2 Id I 1./9 Form Approved.

P 5 (SU BR 02) OMB No. 2040-0004.

PERMIT NUMSCR DNCHAROS HUM San " FI NAL Approval expires 6-30-91.

MONITORING PERIOD 571 CIRC IfIIATER PUNPHOUSE SUHP FACI LITnF YEAR MO DAY YEAR MO 'DAY I OCATION FROM TO NO DATA ). )

44'~I ATTN: RE L DOTY SUPV OPER TECHNOL I 02IJ (2 ~

J ~

J I f I NOTE: Read Inetructlons before complstIIIIIXIIIIform.

(5 Card Only) OUANTITY OR LOADINO (d Card Only) DUALITY OR CONCENTRATION PARAMETER (4M5) (545l) (W45) (4145) (Seal ) NOr FRCDUENCY SAMPLE KX OF'NALYSI

~ TYPC (5241) AVKRAOE MAXIMUM UNITS M INI MUM AVKRAOE MAXIMUM UNITS (dolt) (d9.10)

SOLIDSF TOTAL 1,7 I.7 19)

SUSPENDED

~ AMPLE MCASVREMENT ( 6 'I~) C ~~53 00530 1 0 0 i60a 0'-",4~ BCE/,I Rk SS VA 0 H L 'R".;,,;595TH V<A,l~Yg'".4 OIL AND GREASE A+I% n goal SAMPLE FREON EXTR 'GRAV tlET MCASUREMtNT O'Q'2.'O'II Q >/gI I00556 1 0 0 Qj'~gW~-

V 0 I F LOII a IN COII DUIT OR SAMPLE MEASUREMENT Q. 6'9Q ( 03) 4 lit>iIlr"44 C-'r: Ir'~ I)'I(t 1HRU TREATHENZ PLAN 50050 1 0 0 0 ""ifEP.QR'f,, ~;r"',.8 8 4'OR/:;:.'GD h'XX"Y',I, w KKIUIRtrdc)dt;"

SAMPLK MEASUREMENT

%OX'EQUIREMENT,';:

'>>";;,',,',<<,:; ',s

'AMPLE MEASUREMENT

,r:. PKRblrT'KOVIREMILNT,,

SAMPLE MEASUREMENT

'RCC}UlRKMCNT, SAMPLE MEASUREMKNT

, RKOUIRCMCIIT;;

NAME/TITLE PRINCIPAL EXCCLITIVK OIPFICKR I CERTIFY UNDER PENALTY OF LAW THAT I HAVC PKRSONALLY EXAMINED AND AM FAMILIAR WITH THC INFORMATION SUSMITTED HKRCIH. AND SASCD TELEPNONC ~

DATE 8 (In S.~1I.W~ SI. Vf' Ott MY INDUIRY OF THOSK INDIVIDUALS IMMCCXATELY RKSFONSISLC FOR OSTAININC YHC INFDRMATID'N. I SCLIKVE THK SUSMITCED INF'DRMAYION IS TRIIK. ACCURATE AND COMFLCTC I AM AWARC THAT THERE ARE SIC N IJ~o,g &P~A-r(clue NIFIC*NT PCNALTIES FOR SUSMITTINO FALSE INFORMATION. IHCLIIIXNQ I

YHK PDSSIStLITY OF ABC AND IMPRISONMENT SCC IS USC I

33 VSC ISIS. IPrnaltirr arvfrr thrrr rtatatrr may tnrfrdr finn ap ln dltlfrr IDDI AND SIO A VR 0 PRINCIP L EXECUTIVE 7/ egg- ega TYPED OR PRINTED and nr rnarimarn tntpnvrtntrnt nf hrtarrn d manthr anif 5 lraral OIFFICCR OR AUTHORIZED AOENT MO n DPrtf NUMSCR YEAR OMMCNT AND CXI'LANATIONOF ANY VIOLATIONS IRrlrrrnrr au vttvc manta rrr) ~

FLOII SHALL BE IIEASURED DAILY IIHEN DISCHARGING'

-:PA Form 8320 1 (Rev. M8) Pfsvtoua &If(one may I)e uaed. (RtPI ACES CPA FORM T dO WHICH MAY NOT SC UatD,I ~ AOC OF 00599/930611-1625