ML18026A430
| ML18026A430 | |
| Person / Time | |
|---|---|
| Site: | Susquehanna  |
| Issue date: | 08/31/1993 |
| From: | Fields J, Saxton C PENNSYLVANIA POWER & LIGHT CO. |
| To: | Crowley K PENNSYLVANIA, COMMONWEALTH OF |
| References | |
| CCN-741326, PLE-17241, NUDOCS 9309290311 | |
| Download: ML18026A430 (13) | |
Text
Pennsylvania Power & Light Company Two North Ninth Street ~Allentown, PA 18101-1179 ~ 215/774-5151 September 23, 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 MONITORlNGREPORT - AUGUST 1993 NPDES PERMIT NO. PA 0047325 CCN 741326 FILE R9-8A PLE- 17241
Dear Ms. Crowley:
Pursuant to Part A, 3.b.(1) of NPDES Permit No. PA 0047325, enclosed is the Susquehanna Steam Electric Station discharge monitoring report for August 1993. Also enclosed is Pennsylvania Department of Environmental Resources'onthly Facility Report Form (01-112).
There were no noncompliances in August.
Ifyou have any questions, please call me at (215) 774-7889.
Respectfully yours, rome S. Fields enior Environmental Scientist - Nuclear Enclosures Copies to:
EPA Region III
- - - NRC-Document Control Desk NRC Region I Mr. R. J. Clark, NRC Sr. Project Manager jsGltQ216o(26) 93092903ii 93083i PDR ADOCK 05000387 R PDR
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ATTACHMENT 1 01-112 PA OEPARTHEHT OF EHYIROHHEHTAL RESOURCES Heath AIL CISL MOHTHLY FACILITY REPORT Oate Prepared ( IIV( l 3 Facility Name Sus uehanna Steam Elect .ic Station PWS IO HO. 24OQ994 P.O. Box 467 Facility Address Berwick PA 18603 HPOES Permit Ho. PA 0047325 Municipal i ty Salem Township Incinerator Permit Number(s) N/A Coo)nty Luzerne Tele phone Humber (4.lV)D'lZ=l879 Persan Cantp(et ng Form Curb'S)(SCtxlan Print Name Signature /p Title 'nvironmental Scientist
- 1. Total Hours Incinerator Operated N A
- 2. Type of Fuel N/A
- 3. Total Fuel Usage N/A
- 4. Supplier of Fuel N/A
- 5. Estimated Amount of Sludge Incinerated N/A
- 6. Incinerator Ash Oisposal N/A 7. Sludge Oisposal Water Treatment (a) How Much (Tons) (a) Hau Huch (Tons) 2.9 T<<S (b) Where (b) Where k'.b Env)runrn nial (c) When (Last ccurrence (c) When ( st Occurrence (d) Hauler (d) Hauler (e) Receipts: Yes (c) RcCeipts: Yes Ho
- 8. Other Wastes (Grits, Barscreening, etc.) )I )IEI)tt)slic COYIYOTIInenfol Bq's)OIIE l4t6eld,'Pl (a) How Much (Tons)
(b) Where (c) When (Last ccurrcncc (d) Hauler (e) Receipts: es Ho I
- 9. Septic Tank Waste Accepted: Ycs
/
- 10. If yes:
,(a) Volume (b) Hauler(s Percent (4) Hauled
- 11. Analysis Performed to ensure tank waste contains no industrial waste (a) Yes Ha (b) It yves, requency \
- 12. Additional Comcnts: l J C(33 a((oYI 0$ S C. lni gQ 8 o (ss T~g ~Os qaQ eo((Isns.
PKIIMITTcc NAMKIADDRcss (1n8udc NATIDHALPOLLUTANT DISCHARGE ELIMINATIONSYSTEM INPD//5/
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(SUBR 02) 0MB No.2040-0004.
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FREE AVAILABLE CHLORINE SHALL BE TAKEN DAILY BY GRAB DURING CHLORIHATIOH~
I UMt. Q ion~ S l 'nue EPA Form 3320.1 (Rev. 948) /tfevlous edlllons may l!e used. (REPLACES EFIA P OIIM T de WHICH MAY NOT SC USED,I IsAGE Olr 1
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ADDR~TJILL~BQ~JkI~~ STZKZT (SU BR 02) OMB No.2040-0004.
mm~M1 PKFIMIT NUMSER OIoCHAIIOC HUM ~ !II FINAL Approval expires 6-30-91.
MONITORING PERIOD SFRV AND ADMIN BUILDING SUMP P'ACI LITV YEAR MO OAY YEAR MO 'OAY LOCATION r IIOM TO O4e NO DATA V 0 DR ECHNOL /20-21/ /22.2 / /2d. / //2 ~
/ / / NOTE: Road Instructions before completIIIIIthls form.
(f Card Only) QUANTITY OR LOADINO (d Card Only) QUALITY OR CONCENTRATION FR COUENCY PARAMKTCR (4Lff) - (f441) (/iLdf) (dtLff) (fAf/) NO KX or SAMPLK TYPE (fMF) ANALYSIS AVKRAOE MAXIMUM UNITS MINIMUM AVERAOC MAXIMUM UNITS 62JI/) (6468) (69-F0)
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FLOM AitD PH SHALL BE MEASURED DAILY MHEII DISCHARGING ~
EpA Form 3320-1 (Rsv. M8) /r/sv/oua ed/tlons may be used, IRKI'I Aces CPA PDRM T dO wHlcH MAY NQT sc Usaoal PAOC OP I I 00574/930611 1625 1
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MONITORING PERIOD II1 TURBINE BLDG MASTE SUMP FACILITY YEAR MO DAY YEAR MO "DAY LOCATION FROM t TO NO DATA SUP ER T ECH OL (20-2/J (22 2 j/ (ji. J ~
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(/ Card Only) OUANTITY OR LOADINO (i Card Only) DUALITY OR CONCENTRATION FREOUENCY PARAMETER (4M/) (fAll) (JIL66) (664/) (544/) OF SAMPLE TYPE (NDZ) ANALYStp>
AVERAOE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM 62al J) (6648) (69rre)
SAMPLE MEASUREMENT
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Ofay'IOhl( v'f'LI4WICR.g. taFCANT PENALTICS FOR SUSMIYYING FALSE INFOIIMATION. VICLUIXNG THC POSSISILITY OF FINE ANO IMPRISONMENT SEC IS USC I 1001 ANO 33 USC I 1319. tPrnallirr undrr thrrr rtatatrr may tnrludr (inrr up tn rta/t>ta SIONATURC Of'RINCIP EXECUTIVE TYPCD OR PICINTCD and>>r marimum >mpnronmn>t o/h> turrn 6 monthr and 8 hrars.t OFFICER OR AUTHORIZED AOCNT NUMSClt YEAR MO DAY coMMcNT AND cxpLANATIDN of'NY vloLATloN$ (Rr(armor au anaahmrnlr rra)
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MUULSXLJf JLh~~~~lLSQll~~ 2M /7/9 II A JOR Form Approved.
(SUBR g2) OMB No.2040-0004.
JLLLE'3~2L ~Jl MM3 P - Fr NAL Approval'explre86-3'0.91.
. PERMIT NUMSKR OlaCHAROK NUM aCR MONITOR IN(n PERIOD f2 TURBINE BLDG IIASTE SUHP S ACIuTY YEAR MO DAY YEAR MO DAY LOCATION FROM l TO iiO- DATA I I
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~ cliMITTKcNAMKIADDRcss (lnuludd NATIONALPOLLUTANT DtSCHAROE CLtMtNATIONSYSTEM (NPDES/
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ADDRK CHAL,JLLB~~SLST3KZT (SUBR 02), OMB No.2040-0004.
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SAMPLE MKASUREMKNT
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4 ~pg CX%,Lh TAOtog MFKANY PCNALTIES FOR SUSMtYYING FALSC INfORMATION. tNCLUDING THE PossrsrLITY of ftNE AND tMPRtsoNMENT sEc is 33 USC I 13IO, tPrnoltira andrr thrar atatvtra moy rnrlndr finr~ ap trr Stttlavt Usc I tool AND SIONATUIIC OF PRINCIPAL EX UTIVC TYPED OR PRINTED ond rrr maairnvm rmpnarmmrnt rrf h tvrrn d mr>ntha and S hrara.t OFFICCR OR AUTHORIZ D OINT NUMSCR YEAR MO AY COMMENT AND CXPLANATION OF ANY VIOLATIONS (Rrfaronud tru uuurhrnanta ara)
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~ cRMITTEK NAMEIADDREss (/ndudc HAYIONALPOLLUTANT DISCHARGE CL1MINATIONSYSTEM /NPDIIS/
lraal/lly //arna/Local/on /fd/ffarcn/I D ISCHAROC MONITORINO RCIaORT IDMRI eau ~UUUSM~~~F~~JLSMQkKEh 2 /I/ /1/e Form Approved.
- DDR~~ II 7 7 h (SU BR 02) OMB No,2040-0004.
PERMIT NUMSER OtaCHAROt HUMaan F - FINAL Approval explrese-30-91.
MONITORING PERIOD RADMASTE TREA.TRENT EFFLUENT PAULI TY YEAR MO DAY YEAR MO DAY LOCATION FROM TO NO DATA i ~4'+
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'TNs ~ ~ DO'I'Y SUPV OPER TBCHNOL /2(h21/ 22 I ~
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( 19) t(a/ &
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SAMPLE MEASUREMKNT
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SAMPLE MEASUREMENT
- ,'. PERMIT i REQUIREMENT SAMPLK MEASUREMCNT r .>>n NAME/TITLE PRINCIPAL EXtCUTIVt OFFICCR I CERTIFY UNOER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATC ANO AM fAMILIAR WITH THE INFORMATION SVSMITTEO HEREIN; ANO SASCO g.. c . O'terat~ sz. vp ON MY tNOtttRY OF THOSE INIXVIOUALS IMMCCttATELY RESPONSISLE FOR OSTAINtNG THE tNSORMATIOtt. 1 SELIEVE THE SUSMtTTEO INSORMATION g~~ Oo~mmOuq IS TRUC ACCURATE AHD COMPLETC 1 AM AWARE THAT THCRE ARE SIG.
taFICANT PCNALTtES FOR SUBMITTING FALSE INFORMATION. INCLUIXNG THE POSSIStLITY OF SINE AHO tMPRtSONMENT SEC IS USC I IOGI ANG I
33 USC 1319, tprnattira under thrrr ttatvtrr may tnrtndr /t'nra ap ta Stvlxttt NATURE 0 PRINCIPAL EX TIVE DISCHARGING'UMSIR TYIIIIDOR PRINTED and>>>>r matdmvm tmpnaanmrnt v/hrtvrrn d manlha and 3 yrarnt OFFICCR OR AUTHORIZED OINT YEAR MO DAY.
COMMENT AND CXPLANATION OF ANY VIOLATIONs (Rr/arran vll vuvchtnrnU rra)
FLOM SHALL SE MEASURED DAILY IIHEN EPA Form 3320.1 (Itev. 948) P/evlous edlr/ons may be used. (RCPLACCS CPA FORM T ~ 0 WHICH MAY NOT SC USED>>I 1>>AGC OF 00585/930611" 1625
PERMITTEE NAME/ADDIIcss (/rtc/uds NATIONAL POLLUTANT OIXCHAROC ELIMINATIONaVSTCM (f(PDCSI fecfflty /fsrnsflocatlon (fdgsrsnr/ DISCHARGE MONITOIEINQ IKKPOIKT(D/CRl BhHS MUU5LSXLZMLLti~~~r~IIS~I~ALO 2.16 12./ 9 MAJOR Form Approved.
AODR~~lLQLGKHf ~QL~~>
JLLIJ ~M ~MMM3 PERMIT NUMSER oIacHAnaa HUM ann (SU BR 02)
F . F IN A L MASTE FILTER BYPASS OMB No. 2040-0004.
Approval expires 6-30-91; ap FACILITY MONITORING PERIOD t
YEAR MO DAY YEAR MO DAY LOCATION FROM TO NO DATA )
0 EB ECHNOL (2(A2(/ (22 2 / (2d. / f2 ~
/ ( / NOTE: Read Instr UCtiona before compIetilIIIthis form.
(S Card Only) OUANTITY OR LOADINO (s Card Only) QUALITY oR coNccNTRATIDN PARAMETER (dIMS) (SAII ) (/ILSS) (4649) (546/) NO. FREQIICNCY SAMPLE TYPE (JM1) AVERAGE OI'NALYSIS MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (6d ala) (69-re)
SOLIDS, TOTAL AJ gA yaA VC >tit~a SAMPLE MEASUREMENT
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( 19)
SUSPENDED 00530 1 0 0 "
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0 BG L '865 OIL AND GREASE ' )Ag SAMPLE MEASUREMENT F
( 19)
FREON HXTR"'GRAV MET 00556 1 0 0 I 'ur PERMIT ":": "'~ "~pP~+~~
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PLOMP IN CONDUIT OR SAMPLE MEASUREMENT ( 03) gg4I'Ygg~-
THRU TREATNENT:PLAN'0050 1 0 0 "'Y'."
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PvKRii'T~t. 'rh);<.'Ba&oggt'.:
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SAMPLE MCASURKMCNT
- , rrs SAMPLE M CASU R CM CNT SAMI'LK MCASURCMCNT
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RCOI/IIIKMKI(Ti NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMIUAR WITH THE INFORMATION SUSMITYCD HEREIN; AND SASCD TELKIIHONK DAT C ON MY IHOIIIRY OF THOSC INDIVIDUALS IMMCDIATELY RCSPONSISLK FOR P ~ (D. SN A,eve S(' P DSTAINatG THE nIFDRMATIDN. I SCUCVE THE SUSMITYED INFORMATION IS TRUC. ACCURATE AHD COMPLETE. I AM AWARE THAT THERE ARK SIC.
IAFICANT PEHALTIKS FOR SUBMITTING FALSC IHFDRMATCXI. INCLUCNHG 0 II'~91< IOQ THE PossitnLltY oF Fate AND IMPRisoHMKNT sEc Ie Usc I 1001 IONATURC OI PRINCIPAL E CUTIVE
$ 3 USC I 1319. IPrnattKa andrr thrrr <<atatra may inrladr finrr ap tn dto/aa TYPED OR PRINTED and nr maaimam tmpnranmrnt af hrtnvrn d mnntha anil 8 >rara I OFFICER OR AUTHORIZ AOCNT NUMSKR YEAR MO DAY coMMcNT AND cxpLANATIDN oF ANY vloLATIoNs (Rs/stones au <<ftuchrnsnts hsrs)
FLOM SHALL i3E HEASURiD DAILY WHEN DISCHARGING ~
EPA Form 3320.1 (Rsv. 948) P/SYtoua ed((tons may be used. IRCPLACCS EPA FORM T de WHICH MAY NOT SC USCD.I ~ ACE OF r 00589/93061l".1625 1
~ CRMITTEC NAME/ADDRESS /Jndudc NATIONALPOLLUTANT DISCHARGE CLIMIHATIDHSYSTEM (NPDJ/5/
Adt/ltr1/dnuflocetlon /fd/ffcrdnrt OISCHAROg MONITOItINOItKI'OI%T/D/t/RJ mew ~I'&JJt~~M~~uSQllXHZJL ADD" SSZ3$ XL2U)ZEALJkZZLT~S1'~ET 2./6 /1/t/ Form Approved (SUBR 02) OMB No.2040-0004.
~auns~ mmMM1 PCRMIT NUMSCR OI@CHAROC NUMSXR FINAL Approval expires 6-30-91.
MONITORING PERIOD NEUTRALIZATION BASIN DISCHARGE I I ACluTY YEAR MO DAY YEAR MO DAY LOCATION FROM TO
( (J HO DATA I C N /20.21 J /22. J 4 J 1 / ~
1 / 1 NOTE: Read instructions before complatilILIITIlls form.
(5 Card Only) OUANTITY OR LOADINO (d Cord Only) DUALITY OR CONCENTRATION PARAMETER (4') (5461 ) (5IL/5) (d645)- . (546/) Now FREGUCNCY CX ANALYSISOr SAMPLE TYPE (5241) I AVCRAOK MAXIMUM UNITS MINIMUM AVKRAOC MAXIMLIM UNITS (6dOS) (60-10)
SOLIDSF TOTAL SUSPENDED
~ AMPLE MCASURKMCNT I(:~ II:OOn. g 'llIr Q Q nr (19)Q '/zt 6Re3 00530 1 0 0 '~'+>/PERMIT" rrtt.aaatggli j'Mgaaas:., PCE/~f R'A'8'.: -,:
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'IKEIUIIIKIE OIL c~cc0c(s 44Q444 AHD GREASE FREON EXTR:,GRAY MET SAMPLE MCASURCMCNT 2 l
( 19) tie W/3 00556 1 0 0 j~(I/cslKRakh".'-"'r'0 '@,Rj'S,RA stsIEILIIIIKMNff FLOW IN CONDUIT OR SAMPLE MCASURKMCNT
-"SOAALI4-THRU TREATMENT PLAN 50050 1 0 0
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) rn 9 I SAMPLE M CASU R CMKNT n
III(OUf QFKNWI
~ AMPLE MCASURKMCNT
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7IKEgrlRKMWNT" SAMPLE MCASURCMCNT
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'AMPLE M CASU R CM CNT
'j ~'",'-"PERMIT.:;-'Y;
'.IICOUIRKMCNt NAMC/TITLC PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PCRSONALLY CXAMINCD AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HCRKIN. AND SASED TELEPHONE DATC p, (. g>q gA~ 5'c. DN MY INCWIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSISLE FDR DSTAOIING THE INFORMATCV. I dEUKVE THE SUSMITTCD INFORMATION IS TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG.
MFKANT PCNALTIES FOR SUSMITTIIIG F*LSK INFORMATION. INCLUDING Of"EgA~LDO3$ THE PDSSISILITY OF FINK AND IMPIIISDNMCNT SCK Id USC I IODI AND vLJ/=L&dhC.
GNATURC PRINCIPAL CX UTIVC DISCHARGING' TYPED OR PRINTED 33 USC I 1310. IPrnaltira dna'rr thrrr atatatrr may tnrta/r /inrr ap la ItttfÃat and vr moaimam impnrvnmrnt a/hrtvwn d mimtha one 8 Irarmt OFI'ICER OR AUTHORICCO AGENT NUMSCR YEAR MO DAY coMMcNT AND cxl'LANATIDNQF ANY vloLATIoNS (Rc/crcncc ou vttvchmcntl crc)
FLOW SHALL BE HEASUIRED 48EH 'HERE DAILY WiiEN DISCHARGING'vEII SHALL-BE Nct'DISCHARGE OF POLYCHLORIHATED BIPH>NYL COMPOUNDS'EE PERHIT FOR OTH
~ FLOW SHALL BE IIEASURED DEWILY a o ) Pmv/oua edit/one may be used. (REPLAcds EPA FGRM TAO vcHIcN MAY NoT SE Usco.i 00592/930611~1625 1
tcRMITTEE NAMEIADDltdss ((nttudt NATIONAI.FOLLUTANT DISCHAROS ELIMINATIONSYSTEM (h'PDESJ hDDRESSZM
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Fcdtlry Nant/Lotarlfn tfdgtrNUJ
~EQL~lfi MJKfD
$~~ fiick DISCHAltOL'ONIYOIIINOI%RPOICT (DI(lt/
I Ill 00 7325 471 (739 A (SU BR 02)
Form Approved.
OMB No,2040-0004.
PKltMIT NUMSER OlaCHAROE NUMacn F -" FINAL Approvalexpires6-30-91.-
I MONITORING PERIOD FXLZr:R EFFLUENT .'lASTE FACILITY LOCATION FROM YEAR MO DAY YE'AR MO 'AY TO NO DATA A TN: R. L. nOTV SUPV OIER TE'HNOL (3 Card Only)
(arg QUANTITY OR LOADINO i( - 3 (d Card Only) QUALITY OR CONCENTRATION
)
NOTE: Read Instructions befor completlnil this form.
PARAMETER (dIL53) (5 Atl) (3ILdf) (diL53) (54dl) NO. FRCOUKNCY SAMPLE OI'NALYSIS TYPE (NQP) AVCRAOC MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS d?u)3) (d9-70)
SOLIDS'OTAL SAMI'LC 0" OI( IW~ ( 19)
MEASURCMKNT SUSPENDED 00530 1 0 0 g.;~i" pcRLIIT6 v <<'"ci,a0$ uaac, c I.,tOY, IS+0 ~wp fr($4 fJ(rr($~CIpc ,;"IJOI'ea 0,,',)$ jiQ~%.";,,"i LUZN G OSS VALU 'ltcctI)IRcsc~
nicccc ',
4444K I.>HtL) "AVER":-I'45'AI51~5X lkG/L OIL AND GREASE SAMPLK Quc Jc J 19)
FREON EXT R,<<'GRAV I%ET MEASURCMKNT 00556 LU' 1
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FLOM F IN CONDUIT OR SAMPLK 03) ~ I"4 I) 0-Cc4 EASURKMCNT THRU TREATMENT PLAN 50050 1 0 0 ~j",,:RRP,og f>%', Pj,',.'gP,.6 Rxj' nag@6 ~,,"ccr .~III
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SAMPLE MEASURCMKNT g~ gc'dgs'.c~vc '.v<; < vr V)c
<<@ RKatKNT:
SAMPLE MEASUREMENT
)v Y cardccurP ' g'pp' cv
'."'uiRniiITr'p'"IICQUIICKMCSIt'AMPLC gv.p'I j i'~.
MKASURCMCNT PFERMi T',r:,
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c.c NAME/TITLE tRINCIPAL EXECUTIVE OFFICCR I CKltrIFY UNDER tEHALTY DF LAW THAT I HAVE FCRSOHALLY EXAMINED AND AM FAMILIAR WITH THE REFORMATION SUSMITTED HCltCIN. AHD SASCD TELClrHONK DATE g.(". Gqa>eri Sc. YP ON MY INQUIRY DF THDSC INDIVIDUALS IMMEDIATELY RKSFONSIdLC FOR DSTAIHIHG THE INFDltMATIDN. I SKLIKVE THK SUSMITrED INFORMATION IS TltUE. ACCURATE AND CDMFLKIC I AM AWARE THAT THCltC ARE SIG.
InFICANT FCNALTIKS FOR SUSMITTING FALSE INFDltMATIDN. INCLUDING NuLL-S.CL(t QC&R-A ( IOW THC FDSSIdcLITY OF FRIC AHD IMPRISONMENT SEC Id USC I 1001 AND
$ 3 USC I 1319. Itrnaliirr vndrr IArrr rlalvlrr may Inrivdr finrr vp Iu gluprm ~ ONATU Olr IIIRINCIPAL C CUTIVE TYl'ED OR tltlNTCD and cu marimvm unpnrunmrnl ul drrurrn d munthr and d >rara.r OFFICER OR AUTHORIZ AGENT NUMSCR MO DAY COMMCNT AND EXPLANATION OF ANY VIOLATIONS (Rt(trtntt au auuthmtnlt htrt)
FLOM SHALL BE MEhSURED DAILY MHEN DISCHARGING'PA Form 3320.1 (Rsv. 048) Prsvtous ed(t(ons may be used. lltCFLACCS CtA FORM TAO WHICH MAY NOT ~ C USCD.I ~ AGE Ot 0059(I/930611-..1625
PcRMITTcK NAME/ADDRcss //ndttdc NATIONALPOLLUTANT DISCHARDS ELIMINATIONSYSTSM /NPDE$1 Fadllty //dtncllocat tun Vol rant/ I) ISCHAROg MONITOR(NO RAPPORT (DJ>>JRJ BAH% gZJULSXLJULBZJL~ ~~ILSQOZS Kh 2 16 /W9 tiA.JQH Form Approved.
ADDRCSS~~g~t (SUBR 02) OMB No.2040-0004.
JLLLEAQXUs~ lB101 PCRMIT NUMSER DtaCHAIIDS NDMaan F F IHAL Approval expires 6-30-91.
MONITOR IN G PER IOD 571 CIRC HII ATER POI<<PHOVSE SUMP I ACILITY YEAR MO OAY YCAR MO OAY LOCATION FROM TO CI ti J DATA T S( I V 0 ER ECHHOL /20 2/J /22.2/J /2d. J //2 ~
/ / J NOTE: Read instructions before completil(Nthis form.
(S Cord Only) OUANTITY OR LOAOINO (d Curd Only) OUALITY oR CONCENTRATION PARAMETER (dt's/) No FREDUCNCY SAM PL,E (si41 ) (SSAS) (d642) ($66/) OI ANALYSIS TYPE (1241) AVERAOE MAXIMUM UNITS MINIMUM AVKRAOE MAXIMUM UNITS 6243) (666S) (69-10)
SOLI DS F TOT ilL SAMPLC ¹¹¹¹¹¹ Q I/ g ( 19)
SUSPENDED MEASUREMENT 6e(/
00530 1 0 0 '>>/PERMIT: /.~I" <<, g Cg I/I.ir
'RKCIU>>IIIKICKt4TF. ';,Ccc,",'g g ", ~rnc,">>
OIL AND GREASE SAMPLE MEASUREMENT
¹>>r ¹u ¹¹0¹¹¹ b.o ( 19)
FREON EYTR,GRAV MET 00556 1 5 0 IdtaIKRSEIT(~+c a/naca "IEKt>>IQIIIKSd~,c jangle 4j;¹4Q~~j C);0;~>>,.' g, ', g5;Qa;d,@>jk SNCR/~~
FLOMF IH CONDUIT'OR SAMPLE
,MEASURKMCNT Ir" ¹¹¹¹¹ 1~¹¹¹¹ ¹ THRO TREATMENT PLAN 50050 1 0 0 >>
.s("SIIKRM1T;, +;~ 'c~'.,:$ 8POgg ,jn';.4,Rg .0RQ~ I('8'4@0+a(trtc;c 3>~ij(cps>>Q@tc'." Irfjp>>tttctcri'a lF .
<<ji:.! . AXIS'j>,J OXN 0 SAMPLE MEASUREMENT
'"'.'c'>> PERM IT&r'-"'c SAMPLE MKASURKMKNT SAMPLC MEASU REM CNT
+:Q;,);"c 'C '>> 'r; r f'"'w .',',c SAMIrLC MCASURCMKNT
'>>IIVKRMIT,>>'t;;
'RED UIRKM>> KNT NAME/TITLC PRINCIPAL EXECUTIVE OFFICCR I CERTIFY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUSMITTED HEREIN. AND SXSCD TELEPHONE DATK ON MY INDIXRY OF THOSE INDIVIDUALS IMMCDIs>>TELY RCSPONSISLC FDR Bqg.g(VI S P V'P
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DSTAINSIC THE INFDRMATID;t. I bELIEVE THE SUSMITTED INFORMATION IS 'TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARC SID.
taFICANT PENALTIKS FOR SUSMITTIND FALSE INFORMATION. INCLUDINQ g (t OPEC.AN te~'YII>>CD THC PDSSIbtLITY Of FSIC AND IMPRISONMENT SEE Ib USC I IDDI AND 33 USC I 1310. IPrnahica undrr thrrr rtatulrr may inrludr /inrc ap tu Stvsttct I NATURE Olr PRINCIPAL EXEC IVE OR I RINTKD and c>>r rrtasimam inrpnrunmrnl u/t>>rt urn d munthn andS >carat OFFICER OR AUTHORIZE ENT NUMSER YEAR MO DA"/
COMMCNT AND CXPLANATION OF ANY VIOLATIONs (Rc/rrrncc oll unvchmcnls crc)
FLDlt SHE'LL BE MEASURED DAILY ltHEN DISCHARGIHG ~ ~
r rc I rr t r
>> II EI>A Form 3320.1 (Rev. 048) Pts vtous ed/1/ons may be used, (RCI'I ACCS CPA FORM TWO WHICH MAY NOT SC USCD>>I IrAOC Olr 00598/930611>1625