ML18086B452
| ML18086B452 | |
| Person / Time | |
|---|---|
| Site: | Salem |
| Issue date: | 04/19/1982 |
| From: | Miller L Public Service Enterprise Group |
| To: | |
| Shared Package | |
| ML18086B451 | List: |
| References | |
| NUDOCS 8204300443 | |
| Download: ML18086B452 (17) | |
Text
r, * £l:.b**oost*o3s MITTEE Niit'ME/UD ESS,,,,,.,..
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOf:sJ Form Ap/m'v~d PARAMETER (J1-J7J JOO lU Z
rEMPERATURE,WATER JEG.CENTIGRADE NF LUE NT x
SAMPLE MEASUREMENT (J (.'*dtlrt'1J D!SCHARGE MONITORING REPORT fVMRJ (11-lfJ I
PERMIT NUMBER DISCHARGE NUMlll:R MONITORING PERIOD DAY YEAR MO FROM 01 TO 82 03 (11*11}
(11-1.IJ (1f-17J (11-1'1 DELAWARE RIVER COOLING WATER OMB No. 158-R001J GP AT r.':
17 2
NOTE: Read lnltructlon* before completlng thlaform.
QUANTITY OR LOADING
,, C"*d """'
QUALITY OR CONCENTRATION
(#-.UJ
(.U*'*'I
(#-.UJ (JUI}
NO.
l'llE~Y SAM..U:
t--------.--------.-----+-------.--------.---~--'----.----~ EX ANALYlllS TYl"E AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNrT8 (11-4JJ (U-#J (l'-711 CONT NA JUU1U 1
rEMPERATURE,WATER DEG.CENTIGRADE EFFLUENT GROSS SAMPLE MEASUREMENT * * * * * * *
- CONT NA.
UUUlb 6t
~EMPERATURE OIFFERENCE EFFLUENT NET UU"tUU 1
PH EFFLUENT.GROSS UU'"tUU PH INFLUENT
- >UU5U FLOW 1
EFFLUENT GROSS
~UUf>U
- l CHLORINE, TOTAL RESIDUAL EFFLUENT GROSS SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT * $
SAMPLE MEASUREMENT SAMPLI!
MEASUREMENT * $
1------------------1 INGLY MAKING A FALSE CERTIFICATION ON THIS REPORT OR
~ J/./
~ "*/')
NAMEmTl..E PRINCIPAL EXECUTIVE OFFICER THIS DOCUMENT 19 SIGNED WITH RECOGNITION THAT KNOW-
~
SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING
./( U.., fJt".
\\
2/7 GR 2/7 GR CALC NA CALC GR DATE L. K. Miller w1Tt1 ANY MoN1ToR1No DEv1cE oR METHOD ARE cR1M1NAL 1----:11L:u.=:-=~~~-----~
I OFFENSES. SEE Ill U.9.C. I 1001 AND 33 U.9.C. 11318.
(Plftlll-SIONATUREO,.P'.. INCIP'ALEXECUTIVI:
609 365-700( 82 19 t------------------1 llr1 *rtdrr lltr11 *l*I*"*,..,, 61 /lrtra *P 10 Jll,111 *rt'/or.,..,,,, *.,
t-T-r-t-------jr---;---r---t 04 TYPED OR PRINTED
""""'o"""' o/ &.f-
- _,,.,.,, ~ JINn.J OFFICER OR AUTHORIZED AOENT CO~E I HUMBER YEA" MO DAY OMMENT AND EXPLANATION OF ANY VIOLATIONS (Rt/nlftrt.n.,,<<11,,,,..1, Anti OIS 401 IS CONDENSER COOLING WATER.WHEN lNTK PH LESS THA~ 6.0~DIS PH NOT TO BE LESS. HHEN INTK PH GREATE R THAN 9.0,0IS PH NOT TO EXCO INTK NOT MORE THAN 3 CONDENS MAY DIS FREE Cl AT ANY TIME,OR
~ORE THAN 3CMIN Unit Shut Down -*No Discharge Occurred During this Report Period.
1 17
NATIONAL ~LLUTANT DlllCHARGE !ELIMINATION. llYllTl!M (/YrDF.S)
Form Approv~d
- RMITTtll NAMll/ADDIH9e (111dllll1 rlll11 Narrw /Loc*tfort II "11~""')
1!!1~~~ ~._-_mw_m ___ ~-------
DISCHARGE MONITORING REPORT (DMR)
OMB No. 158 - R007 J C!
!R!!.~_PSE&~-------"---*-------
- -~_J?_&. 00,t 57.Q__.J.OC. __________ _
___.JmiABK_ ____.JU__filJJll.. ______ _
~cm.o:r_SALEM_GENERA~ ~
9.~~ICMER_ALW'lAYS CRFEK _________ _
l-16) 11-19)
NJ0005622 481 PERMIT NUMBER
,...OM 8L YEAR MONITORING DlllCHllAOE NUMBEll PERIOD 82 103 131 mDMARE mvm CJ:x)I.JN3 WA'IER GP. AT MI 17 2 1 (10-11)
UJ IU.l ITO MO I DAY I (22-ZJ) (24-ll)
YIEAR I MO I DAY
<Z6 ll) (211-l!I) (JO-JI)
NOTE: Reed lnetruetlone btfor9 eompleftng Ihle forlll.
PARAMll:TllR (JJ:.,,7) 00530 1
SOLIIlS, 'lUlm.
SUSPENDED F.FFT JTl<'tJTI I
00530 B
SOLIDS, 'lUl2\\t,
- SUSPENDED n1*1--n.M:
00530 4
SOLIIlS, ~
SUSPENDED
...__~(~"-~-J~)---r--_;..(J_4_~_1~)---r-----+--(~J-3~_J~)--...,---(~4-6"'_J~)~--r---(~J-4~~1~)~-..,....._--~ NO, ~lllEOg:NCY eAMl9Lll X
(J Card Only)
QUANTITY OR LOADING (4 Cnrd Onlr)
QUALlfY OR CONCENTRATION EiC ANAL.,919 TYPlt AVERAGE MAXIMUM UNITe MINIMUM AVERAGll MAXIMUM UNITe BAMPLE MEASUREMENT Plt.. MIT REQUIAl!lt481"iT eAMP'Lll Ml:A*UREMENT *.,, *.,,
- fr** *.'It.*
- . J;.
- .. 't
~~~~---t-~
.. *.*.~
.*. *.**~~*-.~---.~--~.~~.--1~..... _,,..~..,._-1 ?<<;/I,
.. "<\\... :: *.
.., ~
,__........ ~----..--....-~~-t-o....-~~~~M:;/I,
~
- '..... ::* *....:.::\\.:..*:
M:;/I, t**-70) 1/30 GR 1/30 GR 1/30 GR "GR
. EFFli.JEm' NF:!'
.::::30.~q * :..;..: *:, ioo~.~**>*..
....<: ;..*;.*.. \\>. "***
.*.. >*.(:..*,,.,.. ~.J.;fr
.~*;.... *.
~..
00550 1
OIL AND GRFME 00550 B
OIL.AND~
STREAM INmKE UU:>:>U 4
9AMPLll:
fr fr fr fr MllA8U RllMllNT
- AMl9Lll fr
- fr fr MllAeUREMll:NT
- *
- fr
- fr *
- 1/30 GR Git fr * *
- 1/30 GR
\\:...... ~.
OIL AND~
eAMPLll
.,, *.,, fr MEA*URl:Ml:NT
~* ".
- *
- fr
- 10. (j()......
~
... ;-+-"!""1.~~. 3-0-i-G-IRe*
1/30
'GR*
EFFLUENl' NET eAMPLll MllA*UAllMllNT
. ~.
~.
NAMll/TITLll PRINCIPAL lllCIECUTIVll OP'irlCER THI* DOCUMENT 19 SIGNED WITH RECOGNITION THAT KNOW-t1'~k
1 INOLY MAKING A f'ALllE CERTIFICATION ON THIB REPORT OR I_
Ji/.
9UP'l"'OATING DOCUMENT&
OR INTENTIONALLY TAMPERING 1 ---lt.!..'
,u._:._:_;V.~*~-*~::::l/Sl,..... ___ -1
~.,...
ttLll:PMONll DAT I!
04 19 L
K M*11 WITH ANY MONITORING DEVICE OR METHOD ARK CRIMINAL..
I 82
), - ].
er O~~EN9Ell. llEI! 19 U,11.C. § 1001 AND 33 U.11.C. 11318.
(Prnnl*
elGNATUllll! OP' PRINCIPAL IEJCl!CUTIYE 609 365-700(
---------1 lltt 11ncfrr rltru 1ra1u1r1 "" l*r fi"rJ 11r 10 $10,000 nnd/ar 11101/mum 1-r-r+----"-'-~'t---l._ _ _,... __
-t TYPED OR PRINTllD
/mprl1onmrn1 nf twrwrrn 6 rnulllh.* anti J rror1.)
OFFICER OR AUTHORIJ:l!D AGllNT
- ~I NUMlll
- R YEAR MO DAY
- OMMl:NT AND l:JCPLANATION OF ANY VIOl.ATIONll (Rrf,,rnrr all nll11rl1n1rnl.1 l1rrr)
Unit Shut Down -
No Discharge Occurred During this ~eport Period.
2 17
~- - -*- --. __...,.. *-*"" u.uu*u MAV NnT Rf: Ulll:O.)
PAGE OF l-.
P'ERM~E NAME/ADDRE99,,......
Fecl/11, N-r/ 1.-lolt U 'UT1nrdl PA"AMIETI:"
(J1-J11 00010 z
TEMPERATURE, WATER DEG.CENTIGRADE INFLUENT 00010 1
TEMPERATURE, WATER DEG.CENTIGRADE EFFLUENT GROSS 00016 ct TEMPERATURE DIFFERENCE EFFLUENT NET 00400 l
PH EFFLUENT GROSS 00400 2
PH INFLUENT
".>UU'.:>U l
FLOW EFFLUENT GROSS
~OUbO l
CHLORINE, TOTAL RESIUUAL EFFLUENT GROSS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI DISCHARGE MONITORING REPORT (IJlllRJ (J.16/
(11-1'}
NJ0005622 I
82 PERMIT NUMllE" Dl9CHA"°K NUM*K" MONITORING PERIOD YEA" MO DAY P'ROM 82 03 01 (21-211 (22-1.11 121-2.*1 YEAR TO 82 (21*17}
MO 03 (21*2'1 DAY 1
(Jf-Jll DELAWARE RIVER COOL ING WATER Form Approvrd OMB No. 156-ROOJ'J GP AT Ml 17 2
I NOTE: Reu lnltruct~n1 before completing thl1 form.
C><
(J <"*dO,,r,I QUANTITY OR LOADINCJ f' C*' Onr,1 QUALITY OR CONCENTRATION f4'*.UJ
(~*'11 fJ8*'-'I f"*!IJI (J4-41J NO.
P'MQUIHCY t--~~~~~-..~~~~~~-.-~~~-r-~~~~~~...-~~~~~--.-~~~--~~....-~~--4 EX ANA~ **
AVERAGE MAXIMUM UNITS MINIMUM AVE.. AOE MAXIMUM UNIT8 (IJ-4JJ (U41J SAMPLE MEASUREMENT * * $
- SAMP'LE MEASU.. EMENT SAMPLE MEASU.. EMENT * * *
- SAMPLE MEASUREMENT * * * *
- ' _'.. ~RMIT i '
'- Al!QUIAEMENT SAMPLE MEASUREMltNT IAMP'LE MEASU.. EMENT llAMP'LE MEASURIMl:NT
,... ~.**~;):... ' ;
~
..,:, ('., P'llllMIT :.
.*,; lllltQUIREMICNT * * * * * * *
- CONT NA CONT NA 2/7 GR
- .:;"f.":0
'~: ~.(*.... _
,;,..;.:~--
- .,:.r*,.~**.,*.,
- '
- : 2Jl\\;::;T 2/7 GR CALC GR NAME/TITLE PRINCIPAL EXECUTIVE Ol"P'ICE" DATE t------------------1 INGLY MAKINO A
P'ALSE CERTl,.ICATION ON THl9 REPORT OR THiii DOCUMENT IS SIGNED WITH IUCOGNITION THAT KNOW*
~K.. (k,
- c*o.
1 TELIP'HONE SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING L. K. Miller 04 19 WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 1--~......:::~~:.=liL.C:::l.llmoi!..----~
I 8 2 OFFENSES. SEE UI U.S.C. I 1001 AND 33 U.S.C. 11310.
fPr,,.1-SIGNATUREOP'PRINCIPALEXl:CUTIVI:
609 365-7000 1-----------------111,. undrr lliur ll*l*lrr,,.., h
/lflll up lo SIO,OOI.,,d/or,,...,,,.u,,.
nrir+;;....;;...:=..._.;..~:....:..i:----t---+---1
,,,.,,rhortm"'I oJ """""I ""'"'"'Md 5,,.n.J O,.P'ICE" O" AUTH0,.1%ED AOENT
"'"""" I NUMllE" YEA" TYPED O" PRINTED COOE MO DAY COMMENT AND EXPLANATION OP' ANY VIOLATIONS fRrJrrrrttr *ff *ll*<lt"'" lirrrl OISC 482 IS COND COOLING WATER.INTK PH LESS 6.0 DIS PH NOT LESS.INTK PH GRTR 9.0,DIS PH NOT GRTR.NOT
~ORf.
THAN 3 COND MAY DIS TOTAL OR FREE Cl AT ANV Tl~E,AND NOT MORE THAN 30 MINUTES EACH TIME unit Shut Down -
No Discharge Occurred During this Report Period.
3 17
Fac1111, folam* /LoHllan II "llnrnl)
~~~~~?a~-:_m/_AFF' __________ _
DISCHARGE MONITORING REPORT cDMR) ll-16) 17-19
~~u*_P~&~-----------------
ID0005622
--~J>..&P~ OO>l-51..Q__.J.OC. __________ _
PERMIT NUMBER OlllCHARGt: NUMBER GP. AT MI 17 2 1
--~~----_m__filJ..QL _______
MONITORING PERIOD u~m_SALEM_GENERATINGSTA~--------
82 lU3 l ill 1 82 l 03 I 31 DElAWARE RIVER J.2C~TJ2'L~-.ALI.£MAYS CREEK __________
FROM YEAR MO l DAY J TO YEAR I COOI.ING WA'IER MO I DAY (10-ll) (22-2J) (U-25)
(1617) (1H-l<J) (.10-JI)
NOTE: Read ln*tructlone befo,. completing thl* form.
x (J Card Onl,.)
QUANTITY OR LOADING (4 Card Onlr)
QUALlfY OR CONCENTRATION PARAMETl:ll (46-,J)
(J4-M)
(Jll-.f')
(41WJ)
<'4411)
NO. P"llEQU[NC'I'
- AMPLE OP" (JJ.J7)
EX ANAL'l'lll*
TYPll:
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNIT9 6141J)
(64418)
(69-70) 00530 1
&LE
- SOLIDS, MEASUREMENT 1/30 GR rorAI..
f.'G/L SUSPENDED PERMIT 1/30 GR
~ITRl\\TI1 l".!"DnC!C ltEQUIREM*HT 00530 E;
SAMPLE
~l')I;IDS, rorAI..
MEAllUREMENT 1/30 GR.
- I SUSPENDED.
~ *:
K;/L 1/30 I
PENMIT I S'l'RF...>>1 INTAKE ltl:QUIREMllHT
~30 4 SAMPLE 1/30 SOL100, rorAI..
MEASUREMENT GR I 8:.JSPENDED Pl!ltMIT
- ':,A. ::,.
30.. 00 100.00 Ki/L 1/30 GR EFFLUENl' NET IUIQUIREMl:NT
- _;} ~ **..
00550 1
SAMPLE OIL AND GRE:ASE MEASUREMENT 1/30 GR P'EAMIT
- . (fr.
- : 'It*: *.,,
Ki/L 1/30 GR EFFIIlF.J\\TI' GBCSS 118QUIREM£NT 00550 B
SAMPLE OIL AND GREASE MEASUREMENT 1/30 GR STREAM INTAKE PBRMIT
. Ki/L 1/30 GR A£QUUlllMll:NT
\\
00550 4
SAMPLE 1/30 >-
OIL AND GREASE MEASUREMENT ft*RMIT,.
10.00
~/L 1/30 EFFWENr Nfil' ltlQUIRIEMllHT
~
SAMPLE MEASUREMENT PERMIT RltQUIAEMENT NAME/TITLE PRINCIPAL EXECUTIVE OF.-ICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-
~r_ (.1.
TELEP'HONE DATE INGLY l\\llAKING A FALSE CERTIFICATION ON THIS REPORT OR
.. lid L. K. Miller SUPPORTING DOCUl\\llENT6 OR INTENTIONALLY TAMPERING 04 19 WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 609 1365-7000 82 OFFENSES. SEE 18 u.s.c. § 1001 AND 33 u.e.c. §131S.
1Prnal-SIGNATURE OF PRINCIPAL EJIECUTIVE TYPED OR PRINTED rl'J 11111fr, thrJI' JIHIUll"J nulJ' I*** /inrf 11r 10 S/0,fl00 t1nd far ma.drtlllWI OFFICER OR AUTHORIZED AGENT
~!!~!I NUMBER YEAR MO DAY imprbunmrnt r*I l*rrwrrn 6 muntlu and j J*rOr$.)
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrnrr all allarl1n1rn1J /1rrr)
Unit Shut Down -
No Discharge Occurred During this Report Period.
4 17 PAGE OF J
PARAMETER (Jl-J1J UUUlU t!
TEMPERATURE, WATER DEG.CENTIGRADE INFLUENT UUUlU 1
TEMPERATURE 1 WATER DEG.CENTIGRADE EFFLUENT GROSS' UUUlO TEMPERATURE DIFFERENCE EFFLUENT NET uu~uu PH 1
EFFLUENT GROSS UU'tUU
~
PH EFFLUENT GROSS
- >UUbU 1
CMLOiH NE, TOTAL RESIDUAL EFFLUENT GROSS DELAWARE RIVER COOLING WATER Form Approvtd *
- I NOTE: RHd ln1tructlon1 before completing thl1 form.
C><
(JC'*dOrtlyJ QUANTITY OR LOADING (4 c:.,4 Ort/yJ QUALITY OR CONCENTRATION (N-.UJ
(.'U*llJ
(.15*4.'J (41*.UJ
(:U.. IJ NO.
FR£~Y 9AM~E t--~~~~~--..~~~~~~-.-~~~-+-~~~~~~.--~~~~~-..~~~~~~-.-~~---t EX ANALY~S TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNIT9 (IJ.f.JJ (IUIJ fl'-1'J SAMPLE MEASUREMENT SAMPLE MEASUREMENT
- ~.-.
~ -~:
~- *i.
~*
9AM~LE MEASUREMENT * * *
- SAMPLE MEASUREMENT SAMPLE MEASUREMENT PERMIT' REQUIREMltNT
.'i, l"EltMIT)'
'. "l:QUlltf!MllHT SAMPLE MEASUREMENT
. l"E"MIT '. * '
ltl!QUIREMENT J '.::** KG/0,\\1
- ~::
I* *; **
- ,.
- ,. ~ \\ *~:*',
~=*
- . {
6~00
';; !.. y
. ' ?~***~**':'
DEG.C
.: :.*. *:~. :~.,t:~*.. ~/:**. ':>.-
- -
- ~*'*<*
(*:*a.z'o Y"\\\\:>~' DEG.C
- 46. o<>
" * :~'-~-~>* MGD CONT NA CONT*
- .*.*". -~
NA CONT
... *. ' ~
CONT CONT NA
?*?.:":'*~
- \\~<*.'*,,
- .: :/ 31"
- ~. * '.
2/7 GR t;-~,°7~*'. * *~ *lj*~**"*;l'. ~;, ~t;V 'I~\\~*'.~!~**.~
2/7'.::r': :; GR
- -r~ ;*;
~~ : -
- =*i-;:,.
CONT;~
CALC GR
... ::-:-:., \\..:.
~' r*
'" 'CONT:~. '*
NAMEITITLEPRINCIPALEXECUTIVEOFFICER THIS DOCUMENT 15 SIGNED WITH RECOGNITION THAT KNOW-
~'~~
1 INGLY MAKING A
FALSE CERTIFICATION ON THIS REPORT OR SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING
'IL WITt1 ANY MONITORING DEVICE OR METHOD ARE CRIMINAL,__ __ _,,.___"=..--::"""'_..,_ ___ -I I
TELE~HONE DATE 04 19 L. K. Miller OFFENSES. SEE 1e u.s.c.11001AND33 u.s.c.1131e.
siGNATUREOl"PRINCIPALEXECUTIVE 609 365-7000 82
---*~-------11/n ur1drr lltru *l*luln,..., 6r I'" up lo Ill.HI.,.d/or,,... 1,,...,,.
1-....
,..,....,REAr-+-l-----+---i~--+----t TYPED OR PRINTED lmp1bor1rnml of 6"wttr1
- lflDrtlltJ ud J ynnJ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY C:OMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/nrrtcr.U *ll*rltmml1 ltnrJ DISCH 483 IS COND COOLING WATER.INTAKE PH LESS 6.0 DIS PH
~OT LESS.INTPH 6RTR 9.0 DIS PH NOT 6RTR.NOT MOR E THAN 3 CONO MAY DIS TOTAL OR FREECL AT ANY TI~E & NOT
~ORE THAN 30 MIN EACH TIME Unit Shut Down -
No Discharge Occurred During this Report Period.
5 17
Fat:llll~ Nam* /Loc*llon II 1Altl*rrn1)
. * ~
r-r:;R EN\\1 AFF
&~-~~-~----------------
DISCHARGE MONITORING REPORT <DUR)
(1-16) 17-19)
OMB No. 1'3
- R007.J
~~u*_P~&~-----------------
- --~J'.....O~BC>>t'57.Q__.J.OC. __________ _
NJ0005622 483 PERMIT NUMBER DISCHARGE NUMBER GP. AT MI 17 2 1
--~~----JU._fillfiL ______ _
u~m_SMm_GaIBRATINGs~noo _______ _
J.2C.AT~~IC.WER_ALLCMAYS CREEK ----__ ----
MONITORING FROM t-8_2 _ _,__0_3-t-_0.._l-t PERIOD DEIAWARE RIVER COOLING WA'JER YEAR MO DAY (10-}/)
(21-lJ) (14*1')
NOTE: Reed ln*lruclloM belo,. complellng thl* fonn.
x (J Card OnlJ*)
QUANTITY OR LOADING (4 Cnrd Onl~)
QUALITY OR CONCENTRATION "AR AM ETIER (46-H)
(H~I)
(Jll..fj)
(46.JJ)
(J4~1)
NO.,-llf:OUENCY 8AMPLE o,-
(J.1..J7)
EX ANALY919 TYPE AVERAGE MAXIMUM UNITll MINIMUM AVERAGE MAXIMUM UNITll
~61~J)
(64-61)
(69-70) 00530 1
SAMPLE MEASUREMENT l /10 r-~
SOLIDS, 'lUl'AL SUSPENDED Pl!RMIT M3/L 1/30 GR REQUIAEM*HT "C'k't;'T J """"'..... 1"'1"VV"r-00530 B
SAMPLE mtL MEABUAEMENT 1/30 SOL.IDS, 'lUl'AL SUSPENDED "IERMIT M;/L 1/30 GR REQUIREMltNT
_:o-..*1*-M [J..IVI.
w 00530 4
SAMPLE SOL.IDS, 'IDI'AL MEASUREMENT 1/30 GR SUSPENDED Pl!RMIT 30 *. 00 100.0Ci M:;/L 1/30 GR EFFLUENT NET REQUIREM*NT 00550 1
SAMPLE OIL AND GREASE MEASUREMENT 1/30 GR PEA MIT Ki/I:
1/30 GR EFFLUENT GIDSS IUtQUIREMlltNT 00550 B
SAMPLE OIL AND GREASE MEASUREMENT 1/30 GR STREAM INI'AKE P'l!IRMIT M:;/L 1/30 GR REQUllUMltNT 00550 4
SAMPLE G._
OIL AND GREA.SE MEASUREMENT 1/30
,.l:RMIT
- Jr
'If 'If 10.00 K~/L "1/30 GR EFFllJENT rl' RaQUIRIEM*NT llAMPLE MEASUREMENT l"ERMl"t RltQUIREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-
~U
.. ~
TELEPHONE DATE INGLY MAKING A FALSE CERTIFICATION ON THIB REPORT OR SUPPORTING DOCUMENT&
OR INTENTIONALLY TAMPERING L. K. Miller WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 609 '365-7000 82 04 19 OFFENSES. SEE tB U.S.C. § 1001 AND 33 U.8.C. §1319.
1rrnt1I-lllGNATURE OF PRINCIPAL EXECUTIVE TYPED OR PRINTED llr.1 1m1frr thr.*r
.1t111utC".f " 111* finr.t ur to $10,000 n"d/or rnaxlnrnm OFFICER OR AUTHORIZED AGENT
""EA I NUMllER YEAR MO DAY imprl.1unmrnl nf l1r1wrrn 6 munllu at1d j rrar.t.)
r~~_.
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/.,rncr all n11m*/1n.,n/J /1.,rl Unit Shut Down -
No Discharge Occurred During this Report Period.
6 17 PAGE OF
.. ATIONAL POLLUTANT DISCHARGE ELIMINATION BY!ITEM (NPDESJ DISCHARGE MONITORING REPORT (IJMRJ (l-ftl (17-lfl I
P'ERMIT NUMl!IEA I
I NJ0005622 I
I I,__ _____.....
I DISCHA..01[ NUM*I:"
484 MONITORING PERIOD YEAR MO I DAY I YEAR I MO I DAY l"AOM 82 03 I 01 I TO 8~ I U3 I 31 (lO-lll (ll-l.11 (ll-l1J (ll*l*I DELAWARE RIVER COOLING WATER Fann Ap/iNJvn OMB No. 151*RoDl GP AT MI 17 2
I NOTE: R**d lnltructlon* before completing thl* form.
I P'A.. AMnEA j (Jl-J'TJ r><
tJ c.. do11"1 QUANTITY OA LOADING
('*d 011'11 QUALITY OA CONCIENT"ATION (Jl*'~I
(<lf*JJI
(!JUIJ HO.
PM~ENCY eAMl"LI:
'"""I
(.W*tll 1-----------~----.;._------.....,._--............... --'---------~------'----~----'-.....;..~..... -.-~----~ IEX AHALY819 TYP'IE 00010 2
TEMPERATURE,WATER DEG.CENTIGRADE:
INFLUENT 00010 1
TEMPERATURE,WATER DEG.CENTIGRADE EFFLUENT GROSS 00016 4
TEMPERATURE DIFFERENCE EFFLUENT NET OU40U
- l PH EFFLUENT GROSS 00400 2
PH INFLUENT 50050 1
FLOW EFFLUENT GROSS 50060 l
CHLORINE, TOTAL RESIDUAL EFFLUENT GROSS AVIEAAGIE eAMP'LIE MIEASUAEMIENT * * *
- SAMP'LE MIEASUAIEMIENT SAMP'LE MIEASUAIEMIENT * * *
- eAMP'LIE MIEA9UREMENT
\\t; eAMP'LE' MIEAeUAEMIENT SAMP'LIE MIEABUREMIENT MAXIMUM UNITS MINIMUM AVIEAAGIE 2.90 6.30 10.00 19.40 1.30 13.10 6.88 7.72 6.69 7.12 266.40 1\\83.70 0.04 0.06 1--------------------------l INGLY MAKING A
l"ALSE CERTIFICATION ON THIS REPORT OA
~
MAXIMUM UNM
('1.f.JJ (fUIJ
,,.. 1'}
9.70 CONT NA 28.10 23.20 1
CONT NA 8.77 O 2/7 GR 7.56 2/7 GR 532.RO 0.08 0
CALC GR DATIE NAME/TITLE P'RINCIPAL EXECUTIVE o.. FICER THIS DOCUMENT 111 e1GNED w1TH RECOGNITION THAT KNow-
/A~ (J SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING WITH ANY MONITORING Dll:VICE OR METHOD ARE CRIMINAL l----~~..._
........ _~*-*..,,c....=....*-.---..... ~609 1365-7000 8'2 L. K. Miller oFFENsEs. sEE 111u.s.c.1 1001 AND 33 u.s.c. 1 u1e.
rr.... 1-siGNATuAEOl"PAINCIP'AL11:xEcUT1v1:
1----------------------i 1111 101d1r '""' II*'"'",,.., 61 /11111 "fl lo Ill.HI ud/or "'ul111u111 04 19 TYPED OR P'AINTl:D
,,.,,_,.Off_ of IHI*- * -111111.,.d 5 yNn.J OFFICER Oft AUTHORIJ.IED AGl:NT
~O~E j NUM*IEA YEA" MO DAY COMMENT AND EXPLANATION oir ANY VIOLATIONS (R(/nmct.n.tt*c~m... 11 lift-1J DIS 484 IS CONDENSER COOLING WATER.INTK PH LESS 6.0,0IS PH NOT LESS.INTK PH GRT 9.0,0IS PH NOT GRT.NOT MO RE THAN 3 CONO~NSORS ~AY DISCH TOT.R FREE CHLORINE AT ANY TIME,ANO NOT MOR~ THAN 30 MINUTES EACH TIME 21A Conden~er Out of Service 5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> 3-10-82.
7 17
RMITTElt NAMl!/ADDREllll (lnd111l1
- 1111,,.,.,_ 1Loc*rlor1 II dlf!-rtl)
NATIONAL POLLUTANT DISCHARGE ELIMINATION llVBTEM (Nrof:s)
.g~~~ M:;R._-_mw_m __________ _
DISCHARGE MONITORING REPORT (DMR)
(l-111) 11-19) torm Approvra OMB No. U8 - R007 J
!~a*_P~&<L-----------------
NJ0005622
__..:_J_aP-!.. oot 57..Q.._.J.OC. __________ _
. PERMIT NUMBER Dl9CHAAGC NUMBER GP. AT Mt 17 2 1
- --~----_NI._..Q7.l.QL ______ _
MONITORING FROM,__8_2-!_0_3-+_0_1--i PERIOD*
DEU\\WARE RIVm COOLING WATER
.fill.a.r_SALEM_GENERATING S'm'I'ION --------
.~TJ2f!_u::MER_ALLCMAYS CREEK ----__ ----
YEAR MO DAY (1n.JI)
(11-11)
(U-1~)
(1H-l9) (Jn. II)
NOTE: RHd lnatruc:tloM hfof9 completlng lhla form.
IX (J Card Onlr)
QUANTITY OR LOADING
(# Cnrd Only)
QUALlfY OR CONCENTRATION PARAMETER
(#IJ.jJ)
(j#-61)
(J/1-#j)
(#11.JJ)
(j#-61)
NO. P"llEOUIENCY llAMPLE OP" (J1-J7)
EX ANALY919 TYPE AVERAGE MAXIMUM UNITll MINIMUM AVERAGE MAXIMUM UNITll
~111-6.J)
(11#-611)
(119-70)
JS30 1
SAMPLE 16.76 MEASUREMENT * * *
- 16.76 1/30 JLIDS, 'lOTAL
~R JSPENDED PER.. UT M:;/L 1/30 REQUIREMENT GR l4'li'r I Tli'llJ'TI :-----
!D530 B
SAMPLE 58.32 OLIDS, 'lOTAL MEASUREMENT 58.32 1/30 G
US PENDED Pl:RMIT
- fr * *
- K;/L 1/30 1_~:~ _ _.l TREAM INTAKE llltOUIREM*HT 0530 4
9AMPLE I
I 0.00 0.00 0
OLIDS, 'lUI'AL MEASUREMENT 1/30 I
9R.
USP ENDED Pl!AMIT
~ * *
- 30.00 100.00 M3/I.
1/30
. c.:*
i FFllJENT NET llltQUIREM*NT 0550 1
l!IAMPLE 1IL AND GRFASE MEASUREMENT 2.60 1/30 GR flEAN1T M:;/L 1/30*'
GR
- FFLUENT GR)SS lt8QUIREMENT 10550 B
llAMPLll 1.40 1/30
>IL AND GRF.ASE MEAllUREMENT GR iTREAM INI'AKE Pl!AMIT.
fU!CIUIRllM*NT M3/L 1/30 GR 10550 4
II AMPLE
- 1. 20 0 1/30*
~-
>IL AND GRFASE MEAl!IUREMENT PltRMIT ;
10.oa M:;/I, 1/30
!!F'FLUE.Nr NET lllOUllUM llNT GR llAMPLE MEASUREMENT P!:IUU"f RltQUIREMEN1'
~
IAME/TITLE PRINCIPAL EXECUTIVE OP'FICER THIS DOCUMENT 19 SIGNED WITH RECOGNITION THAT !(NOW.
- f./((L -JO.
TELEPHONE DATE INGLY MAKING A FALSE CERTIFICATION ON THIB REPORT OR SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING L. K. Miller WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL v
6091365-700( 82
- 04.
19 OFFENSES. 9EE 18 U.9.C. 'i 1001 AND 33 U.8.C. §13111.
(l'r"nl-l!llGNATURE OF' PRINCIPAL EXECUTIVE
"*',,,,,,,.,,,.,,.*,. JfrlfUfr.* "'",,,. finr.t ur '" Sl(J,OO(J ""d '"' motln111n1 OFFICER OR AUTHORIZED AGENT
~~~~I NUMBER YEAR MO DAY TYPED OR PRINTED lmprfJrmmrnr of l*rrwrr" II '""""" 11,,d ' rror.*.)
OMMENT ANQ EJCPLAN.ATION OF rNY VIOLATIONS (11.rfrrrnrr nll nrrr1rl1"ornr.1 lorrr) 03.ily Max. (rrg/ )
M:mthly Aver. (rrg/l)
SC-22 0.145 0~119 B0-5 Out of Service 8
17
======~=-=-:-- --*.,.,..nu T-An WHICH MAY NOT BE USED.I PAGE OF
ltRMITR:lt NAME/ADDRESS fl<<...
NATIONAL ~LLUTANT DISCHARGE ELIMINATION SYSTEM fNPIJf.'!J}
Fann Approvtd Pi"RAMETER :
fJl*J71 OUUlU l,
TEMPERATURE, WATER DEG.CENTIGRADE INFLUENT UUUlU 1
TEMPERATURE, WATER
'DEG.CENTIGRADE
- EFFLUENT GROSS
. uuu lb If.
TEMPERATURE DIFFERENCE EFFLUENT NET UU"tUU 1
PH EFFLUENT GROSS UU"tOO PH INFLUENT
~uu~u l
FLOW EFFLUENT GROSS
~UUC:>O l
CHLORINE, TOTAL RESIDUAL EFFLUENT GROSS (17*1'1 I I LtW>
PERMIT NUMBER I DISCHARGE NUMllE" OMB No. 156-RlllllJ'.
GP AT f.41 17 2
I MONITORING PERIOD DELAWARE RIVER COOLING WATER NOTE: Reed Instruction* before completing this form.
(4'*-'JI (5'**11 f.11*4.fl f#-.UI
($4-41}
NO.
FR£~Y C><
(Jl'*dOrt/yl QUANTITY OR LOADING (4l:*d011lyl QUALITY OR CONCENTRATION 1-------..-----.---t------.----....-----~---1 EX ANALY819 SAMf"UE TYPIC AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNIT8 t*2-4JI fU-"I SAMPLE MEASUREMENT 2.50 14.00 6.10
'.*. '.'**... ~~~.;-~.<:*. '.'::
- ~;:~:;;
SAMl"l.E.
MEASUREMENT 16.00' i;>,,,:*fr~'.. ';\\ :;;.*
SAMPLE MEASUREMENT * * * * * * *
- 7.30 SAMPLE.
MEASUREMENT * * *
- 7.14 SAMPLE MEASUREMENT 6.69 SAMPLE MEASUREMENT * * * * * * *
- 266.40 Mu5:J':EL.:ENT '* * *
- Q
- 04
- '.\\
PERMrt '>
- _,.-,
- **; '/'..,...,. KG/DAY
' HQUIREMENT * *. *,:
- 23.30 45.30
- .,.... '~
- :,,..-:_ -~ -:*~,*~~~r.. T:~*-
~.* ;
<t~*:
17.20 8.05 7.12 477.30 0.06
.. ~..
.... -~~- ';. \\.:
- .* /: o.2'o:,,
- 41. 70 8.98
- 7. 56.
532.80
~;: *:"";H' MGO
- **.:** :**'.~
0.08
- :*.~.*-'*** MG/l
- o~5*a*:
CONT NA 1
CONT NA 0 2/7
- GR 2/7 GR
'f..*"..... '(,~1.._;, i!. "j\\..':** : :;:'~---~:--~; ;-.-*, ~ '
... *~11f;_t -.~> c;~:
O CALC GR TELEP'HONE NAMEITITLEPRINCIPALEXECUTIVEOFFICER THIS DOCUMENT 19 SIGNED WITH RECOGNITION THAT KNOW-tl
- ov._
INGLY MAKING A
FALSE CERTIFICATION ON THIS REPORT OR V#'" /
SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING 1/(_ _. \\A,.
WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 1---~-l*
o.e:..."'--=-.3..-"~.c::::;.._ ___
~
I L. K. Miller OFFENSES. SEE 1e u.s.c. 1 1001 AND 33 u.s.c. 113ut.
tPno*I-SIGNATUREO,.PRINCIPALExEcUTivE 609 365-7000 82 DATE 04 19
,..------------------11lr1 undrr U1rrr *l*lufrr rtt*y br /lr111 up lo Jll,lfl *rtd/or **d"'u"'
1--r-....,.-+-_.._.__.-.__.._""-+---t----+----t ilnptb01111,.nl of bttwrm * "'01fllr1 Md 5 yn11.1 OFFICER OR AUTHORIZllD AGENT
~~~~ I NUMBER YEAR TYPED OR PRINTED MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS fRr/rrr11tr.ii.it*rlimm11 lrnrl I
DIS 485 IS CONDENSER COOLING WATER.INTK PH LESS 6.0,UIS PH NOT LESS.INTK PH GRT 9.0,DlS PH NOT GRT.NOT MO RE THAN 3 CONOENSORS MAY OIS TOT. OR FREE CHLORINE AT ANY TIME,AND NOT MORE THAN 30 MINUTES EACH TIME
~~~~~~qpr Out of Service 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> with this high value recorded on 9-8 2
~---=-__.::...-..=..:::=------------~~-------=-~-
9
Facllllr Ham1/l.oc111iait *I dl/ltrflll)
DISCHARGE MONITORING REPORT (Droflt)
OMB N°d. U3
- R007 J
. &!!!.&*~~....:.. r-t;R._-_EW_AFF ____________
. (1-16)
(17-19)
I I
I
-~~u*_P~&~-----------------
tu0005622 485 GP. AT MI
. __...:._J_.9_,_ BO.'t' 57J!.._J.OC. ___________
I PER,..IT NUMBER I
lo111cHARGC NUMllCA 17 2 1
___ _WiABit ____ JU__fillQL _______
MONITORING PERIOD u~m_SALEM_GENERATINGS~fioo ________
82 03 I 01 I TO 82 I 03 I 31 DID.AWARE RIVER
.b....oc:A.T..!!!.'LUMER_AI...t.a-lAYS CREEK ----______
FROM COOLINi WATER YEAR
"'o ID,~
YEAR I "'O I DAY (10-l/) (21-ZJ) (1f*1J)
(26 11) (111-H) (.10-.11)
NOTE: Read lnstrucllona before complellng lh'9 form.
x (J Card O"IJ')
QUANTITY OR LOADING (4 Card Onlf)
QUALi fY OR CONCENTRATION PARAMETER (46-,J)
(H-61)
(J8...fJ)
(46-JJ)
<"-)
NO. f""ltOUltNCY
- AM~LE EX OP" TYPlt (J2-J7)
ANALYl!ll9.
AVERAGE
"'AXl,..UM UNITll
"'INl"'U"'
AVERAGE MAXIMUM UNIT*
KU.6J)
(6'--68)
(69-70) 00530 1
&A,..PLE 13.44 I
MEASURE,.. ENT 13.44 1/30 GR SOLIOO, TOl'AL l-13/L SUSPENDED PltRMIT 1/30 GR EFFLUENT GOOSS REQUIAIEMllHT 00530 B
SAMPLE 58.32 58.32 1/30 SOLIDS, 'rorAL MEASUREMENT
~
SUSPEND ID PERMIT M31'L 1/30 STRF.AM INTAKE REQUIREMllHT 00530 4
llAMPLE 0 1/30 SOLIDS, 'lOTAL MEASUREMENT 0.00 0.00 GR SUSPENDFD
- ~i11.
PERMIT
. 30.00 100 *. 00 r-t;/L 1/30 GR EFFil1ENI' NET RllQUIREMllNT
- {;-.. :.
UU550 1
II AMPLE 1/30 GR OIL AND GREME MEABUREMltNT
- 1. 40 M3/I,
- 1/30 PERMIT '*
GR EFFLUENT GR:>SS RllQUIREM£NT 00550 B
II AMPLE
- 1. 40 1/30 GR OIL AND GREASE MEASUREMENT STRF.AM INI'AKE P'llRMJT M3/L 1/30 GR RIEQUUUl:MllNT
\\
00550 4
SAMPLE o.oo 0 1/30 GR OIL AID GREASE MEASUREMENT
- e-PllltMIT,
10.00 ID/I.
l/30 EFFllJENT NET
.. IQUl"EMllHT llAMPLE MEASURE,.. ENT PERMl"f RltQUIREMEN"f NAME/TITLE PRINCIPAL EXECUTIVE OFFICER THl9 DOCUMENT 19 SIGNED WITH RECOGNITION THAT KNOW-Y.'~~
TELEPHONE DATE INGLY MAKING A FALSE CERTIFICATION ON THIS REPORT OR SUPPORTING DOCUMENT(;
OR INTENTIONALLY TAMPERING 82 L. K. Miller WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 609 '365-7000 04 19 OFFENSES. SEE 18 U.9.C. § 1001 AND 33 u.e.c. §1319.
(l'rnnl-SIGNATURE OF PRINCIPAL EJIECUTIVE tlf'J 1rn1ft-r thf'Jt 11111111r1 nwy,,,. /inr., ur to SI0,000 nnd /or mo*,mum OFFICER OR AUTHORIZED AGENT
~!!~!I NUMBER YEAR MO DAV TYPED OR PRINTED impr*1cmmtnf ol PJf'fM'rrn 6 muntlu arid j )'tarJ.)
CO... MENT AND EJIPL.ANATION OF ANY VIOLATIONS (Rrfrrrnrr nil nllndmir"IJ lirrr)
Daill Max. (rcg/l)
M:mthl:t Aver. (nq/l)
SC-22 0.145 0.119 I
ID-5 Out of -Service 10 1
-...........-,.."" u1u1ru uav NnT AF" UAEO.,
PAGE OF
.. A.. AMETE" (Jl-J71 00010 2
TEMPERATURE, WATER DEG.CENTIGRADE INFLUENT 00010 1
TEMPERATURE, WATER DEG.CENTIGRADE EFFLUENT GROSS 00016 4
TEMPERATURE DIFFERENCE EFFLUENT NET 00400:
1 PH EFFLUENT U0400 2
PH INFLUENT
~IJO.:>>O l
FLOW GROSS EFFLUENT GROSS 50060 I
CHLORINE, TOTAL RESIDUAL EFFLUENT GROSS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NrVESJ DISCHARGE MONITORING REPORT tnMRJ (1-U)
I I
I I NJ0005622 I li---_4_8_6 __
~
- 1 Dl!ICHAlllOll: NUMllll:"
PERMIT NUMBER MONITORING PERIOD YEAR MO I DAY I YEAR I MO I DAY FROM 82 03 101 I TO 82 103 I 31 (11-Jll (ll-:'-'J (U-1.fl (1'-171 (11*1'1
(:.J11 DELAWARE RIVER COOLING WATER Famr APfll'Ovrd OMB Na. 1'6*R001J.
GP AT r:
17 2
NOT!: Reed lnltructlon* before completing thl* form.
X (J c*.40,,,,1 QUANTITY OR LOADINCI
,, c:., o.. l?I QUALITY o.. CONCll:NT.. ATION
(#1-.UI
(_.,_.,I
(.tl-4.*I f"*.UJ (5'-411 NO.
fla:~Y 1--~~~~~-...~~~~~~.....-~~~--1-~~~~~~....-~~~~~-....~~--~~~...-~~---4 ll:X ANALY*8 AYE.. AGE MAXIMUM UNIT*
MINIMUM AYll:.. AClll:
MAXIMUM UNIT8 (0-4JJ (IUIJ SAMPLll:
MEASUREMENT SAMPLE MEASUREMENT
- -r*!;._:*::
. ~. ~*> """"' ;"":'
.-11:au1"EMl:NT,
llAMP'LE Mll:ASU.. ll:Mll:NT SAMP'Lll:
Ml:A9UREMICNT llAMl"Lll:
Mll:ASUREMENT F>; Pll:AMrT! ' *
>f\\iQUIRltMICH't SAMl"LIE Mll:AlllUREMENT SAMl"L.11:
Mll:AeU.. ll:Mll:NT
.. ~~*~;-:; ;:****
--~
- * * :et
- ,:'/'
i '.,
- ., F***J'... *".,.,,,.;.
.:*>** '.~:<*}*!':~
I
.'....*.' '>:.;), -:~*.;~
- ~L*, **::.*\\.:;i' 0.90
--.*~.--.'..~ *,_~.'., ;.- l :.~.-I>;~~:.- ;; :
- . '* *-.. ~ *~
12.60 0.00 6.78 6.69 244.20 0.04 13.60 18.90 5.40 7.34 7.12 377.80 0.06 22.90
- ONT NA
~~i-; ~.,
~: -*~ *... ~:~***::.~17
."~'-~***' ':" :...~* ;;......
i-ci CONf_.._,,$_.,,:*
.37.70 O CONT 28.90 l ::ONT NA 8.02 0 ~/7 GR 7.56 2/7 GR 532.80 0.08 O :ALC GR NAME/TITLIE l"IUNCIP'AL IEXECUTIVll: Ol'P'ICI:"
THIS DOCUMENT IS *IONED WITH "!:COGNITION THAT KNOW*
i~ JU t------------------1 INCILY MAKINO A
P'ALllE CE.. TIP'ICATION ON THI* "EP'ORT OR SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPE.. INO
..a~
WITH ANY MONITO.. ING Dl:YICll: OR METHOD ARE C"IMINAL 1--..1.~:...~~C:l..l..... ____ -l.
I 8 2 19 Tl:Lll:l"HONll:
DATii:
04 L. K. Miller OFFENSES, lllEI[ Ill u.s.c. I 1001 AND 33 u.111.c. I 131D.
- IONATURll:OP'P'RINCll"ALll:XIECUTIVll:
609 365-~0C t------------------1 Un.,.4., IAru *l*l*lrl,,.., 6* I'"" *P to JU,flf *rt'/or lflHl"'u"'
1-r...,r+-----t---+---t---I TYl"ED OR PRINTED hprlsa"m"'I o/ l>rfw-
- 11t011tA1 Md~ yMn.J Ol'l'ICI:" 0" AUTH0"1%11:D AClll:NT CODE I NUM*IE" Yll:A" MO DAY COMMENT AND IEXl"LANATION 01' ANY VIOLATIONS (Rr/rr"'cr *ll.it*rllm"'ll Arrr}
DIS 4R6 IS CONDENSER COOLING WATER.INTK PH LESS 6.0,0IS PH NOT LESS.INTK PH RE THAN 3 CONDENSORS MAY DIS TOT. OR FREE CHLORINE hT ANY TIME,~ND NOT MQR[
23B Condenser out of Service 14 consecutive hours on 3-8-82 GRT 9.0,DIS PH NOT GRT.NOT
~I THAN 30 MINUTES f:f\\CH TIME 11 17
RMITTEE NAME/ADDRIE811 (111~lrult
- 1111, Nnmr 1Loco1lon II dl(Jrrr111)
NATIONAL POLLUTANT DISCHARGE ELIMINATION BYllTEM t11/r1Jf:S) r orm,,, p11run:u
.. Ml.~~~ K;R._.-_ENV_AFF' ___...... ________ _
'e!i~_PSE&q_ _____ ~-----*-------
- -~_J?_.J)-L BC>>t-57..Q.._.lOC.. __________ _
___ JmiAmt ____.JU.._..Q1lQL ______ _
.cc..u,.o:r_SALEM_GENERATING STATION --------
~~*o~UMER_ALL<MAYS CREEK _________ _
DISCHARGE MONITORING REPORT tDMR)
(l-161 11-19)
N.10005622 486 PERMIT NUMBER Dl&CH.. AGE NUMDCR PERIOD To.... 0_2_-t--__ o...;;;.3-....;;:3;...::1=-i YEAR MO DAY (lfol) (1R.JY) (.10-11)
DEU\\WARE RIVER COJLING WATER OMB No. UB. R007J GP. AT Mi:
17 2 1 NOTE: Resd lnslructlon1 befoN completing lhlt form.
x (J Cord OrtlJ")
QUANTITY OR LOADING
<' Crml Onlv)
QUALlfY OR CONCENTRATION "ARAMETER
('6-H)
"'-"I)
(18-4.Y) 1'6--'J>
,,,-61)
NO. F""COUENCY llAM,.LE EX OF" TYPE (JJ.J7)
ANALY919 AVERAGE MAXIMUM UNITB MINIMUM AVERAGE MAXIMUM UNITll
~61-6n (6'-41!)
td9-70)
)0530 1
SAMPLE 8.84 8.84 MEASUREMENT 1/30 GR 30LIDS, 'lUl'AL 3USPENDED PERMIT M:;/L 1/30*
GR mwENT GROOS REQUIREMllNT 00530 B
SAMPLE 58.32 58.32 SOLIDS, 'lUl'AL MEASUREMENT 1/30 GR SUSPENDED f'ERMIT M:;/L 1/30 GR
- STREAM INrAKE REQUIREMENT 100530 4
SAMPLE 0.00 0.00 0 1/30 SOLIDS, 'lUl'AL MEASUREMENT GR
,SUSPENDED fll!RMIT 30.00*
i00.00 r.13/L 1/30 GR IEFFWENT NET REQUIAEMllNT
!00550 1
llAM.. LE
- 1. 20 1/30 GR
~OIL AND~
MEASUREMENT PERMIT Mi/L 1/30.
GR EFFLUENr c;iu;s RIOUIREMIENT 00550 B
BAM.. LIC
- 1. 40 1/30 GR OIL AND GREASE MEAllUREMENT STREAM INTAKE K;/L 1/30 GR REOUUllMINT
\\
00550 4
llAMPLE 0.00 0 1/30 GR OIL.AND GREASE MEASUREMENT flllAMIT,
-It * *
- 10.00 t-ti/L 1/30 GR F.FFT IJF.N'l' NP.I' IHQUIAEMKNT 9AMP'LE MEASUREMENT l"EAMl1' RIEOUIREMEN1' IAME/TITLIE PRINCIPAL EXECUTIVE OF"P"ICER THIS DOCUMENT 19 SIGNED WITH RECOGNITION THAT KNOW-INGLY MAKING A FALSE CERTIFICATION ON THIS REPORT OR TIELE.. HONE D A T E INTENTIONALLY TAMPERING I
JJCu.1' '~~
SUPPORTING DOCUMENTS OR 82 L. K. Miller WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 609 b65-7000 04 ld OF"FENSES. SEE IB U.9.C. 'i 1001 AND 3] u.s.c. §1310.
1rr""'-
SIGNATURE OF. PRINCIPAL EXECUTIVE
,,,,,,,,,,,., '""*" Jlntlllr.f """',,,. finr.* ur '" s10.non and for madn"""
OFFICER.OR AUTHORIZED* AGENT AREA I NUMBER YEAR MC TYPED OR PRINTED
'"'prf111nmrnr nl ltrtwrrn f, munrlu anti j rrar.r.)
)MME'NT AND ElCPLANATION OF ANY VIOLATIONS (Rr/rrrnrr all n11nrl1nornt.1 /irrrl Il:lily Max. (mg/l)
M:Jnthly Aver. (m:J/l)
SC-22 BD-5 0.145 0.119 12 17
-~*-*-..... * -........ **er'"'
rRF:PLACE9 IEPA FORM T*AO WHICH MAY NOT BE UBED.)
PAGE OF
.. ERMITTEE NAME/ADDRESS,,.......,
F<<lllty N-*/ I.
/alt U tJ
.. ARAMETER (31-371 HEAT MILLIONS OF BTU 1 S PER HR NET EFFLUENT NET I
i
- i:
- t,i
- TYPED OR PRINTED SAMPLE MEASUREMENT
- '.\\.HAMl'f ~-*
- * **
. fltOUIREMl:Nf SAMPLE MEASUREMENT
. (JC."*dOrrt,,J
(#1-!0J AVERAGE COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rt/nmu *If llfl*tlt111m11 llntl NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'DESJ DISCHARGE MONITORING REPORT flJMRI I
PERMIT NUMBER DISCHAlllGE NUMBE" MONITORING PERIOD MO DAY YEAR MO DAY FROM 92 03 01 03 1
DELAWARE RIVER Form Approv~d OMB"!Vo. 1'8-RWJ GP AT r-;
17 2
(10.11}
m-1*1 (1'*1.*J TO 82 (1*-171 (11*1'1 (Jf.Jll NOTE: Reed Instruction* before completlng thl1 form.
QUANTITY OR LOADING MAXIMUM UNITS
,, <"*d,,,,,,I
(.U-4.*J MINIMUM
- o. oo*.
QUALITY OR CONCENTRATION
('4-.'UJ
(!U-111 AVERAGE MAXIMUM 14747.00 OFFICER OR AUTHORIZED AGENT UNIT8 NUMBER Flft:QUENCY OF ANALYSIS 82 04 19 YEAR MO DAY TOTAL OF OiSCH *481,482,483 1 48414851486 13 li
ICIHIP ftl*- /1..oc*llOll I/ flllrNlll J a.M* e f!C'tJ* ftl;R. - 0.W AFf4 a=a-~!------~------.._...,...._ ____._.
PSE&G enm---------------------
--~J..J)~~ 57..Q.._J.OC. __________ _
___ JmilWK. ____ _w__ml.O.L ______ _
&~m.JiALEM_GENERATmi~--------
20.TJ2'f.J;Q-JER_~ CREEK----------
blSCHARGE MONITORING REPORT tDURJ l-161 1'1J0005622 48C "l'."MIT NUMBIE" 01.CHAAQI[ NUM*l:lll MONITORING PlllOM t--8_2_t-0~3__,f--~-t TO t----t---t--3_1-t YIEAR MO DAY UM B No. U8
- RUtJI J GP. AT MI 17 2 l (Jfl.)I)
(211-19) (JO.JI)
NOTE: Rnd IMbllCllcM*.,._.......... 1111 foml.
PAlllAMllTKR (JJJ7)
(_4fl_.J_J~)---.----'-~-'->---.-----+--(~J_8~--'J)----...---~(4_6_J_J_) __..---'-(J_'4_1):;... __ _,. ______ -INO. ~lllC~:NCY *AMPI.&
X (Jc.,.,, 011lr)
QUANTITY OR LOADING (4 Carel 0.. 1,,
QUALlrY OR CONCl:NTRATION r*
U ANAL.,.,.
TY,.K AYl:RAGI:
MAXIMUM UNITe MINIMUM AYl:RAGI:
MAXIMUM UNlft 00551 1
PE.9mOLEllM HYO~
EFFWENr GIU3S 01042 1
CDPPER, rorAL (AS CU)
EFFWEN1' ~
Ul045 1
! EFFLUENT GlmS 50050 1
FlOll 00610 1
~
(AS~)
EFFliJENT GK:GS
- AMP'LI'.
Ml:A*URIEMl:NT
- AMP'LI:
Ml:AeURllMl:NT eAMP'LI:
MUeU"llM llNT
- AMP'Lll MKA*URl:MKNT eAMP'LI:
MRA8URl'.MllNT eAMP'Lll MllA8URllMllNT 62.83 0.16 2.14 ltRIUlllT RIQUl1111DUlNT 8AMP'Lll MllA8U"ll:MllNT ltllRMIT RS.OU IR llM llN1'
- *~ *,
- ~-..
- -~...,,,.
0.58 0.11
.: Oi.37 KG/OAY 7.84
- 1. 49
.*.1.85 0.38 47.00 35.00 1-------------------1 INOLY Mill.KING A F"ALllE CIERTIF"IC:ill.TION ON THiii RIEPORT OR YJ 5.00 0 1/30
-10.. 00.:
i*
. ' : ~ *l/30
<0.40 1/30 GR
~*-.
,~
.. i;'
1/30 GR 0.11 1 1/30 24
. **~
(,. ***v' JO
,.i 24 1.49 4 1/30 24
. SJ.~oo*.,,..., t-13/L 1/30 1.39 CONT NA
...;.~
.
- ft **.,,.._.L'.: G>
47.00 1 1/30 GR
- * "'. *.. ~/L
- l/30
~..
Tl:Lll:,.MONll D A T It NAM&/TITLll: P'RINC:IP'AL K*llCUTIYI: OP'l"IC:l'.R THI* DOC:UMIENT 19 lllGNIED WITH RIEC:OONITION THAT KNOW-
- f?(j a
BUP'P'ORTING DOCUMENT&
OR INTIENTIONill.LLY Till.MPERINO J.
_J/ _
L K M
- 11 WITH ill.NY MONITORING DIEVICI[ OR MIETHOD ill.RI: CRIMINALl--~-.W::~--6..,oQj-~----f609 l365-700C 82 04 19 0
l er Of"~IEN91Ell. lllEIE 19 u.e.c.' 1001 AND 33 U.9.C. 113111.
tl'rftal*
e10NATUR1!: 01" P'RINC:IP'AL ll:XECUTIVll llr* 11ncfrr lhrJw 11a111rrJ "" 1,,. finr1 up 10 SI0,000 and/or MOdnt1un TYP'IED OR P'RINTll:D
'"'P*lro"'"'"' of brtwrrn 6-muftth.* a"tl j 1..a,..)
OP'P'ICIE" OR AUTHO,.IZll:D AGl[NT
- !~ j NUM*P YllAlll MO DAY COMMllNT AND ll:XPLANATION OP' ANY YIOLATIONll (Rr/rrtftU all at1acl11111nl1 h"t)
TSS, Copper, Iron & Ammonia Effluent -
Investigation and characterization of influent sources is in progress.
Design effic1ency for two unit operation is under evaluation.
14 17
-* * --- ***..,..nu T-*n WHICH MAY NOT *E U811:D.)
PAGE OF c.
r<<1111r tH11Nf&.oc*110111I **Dwnn11
~g~~~?a~-:_nN_AFr __________ _
~~~~PSE~------------------
--~J_J)~ oot 57.Q._J.OC. __________ _
--~_NfHABK. ____ JU._fil11lL ______ _
U.GU.ID'_SALEM_GENERATING STA~ --------
~~~~W'JER_ALUH\\YS CRmK _________ _
DISCHARGE MONITORING REPORT (DAIR)
(1-16) 17-19)
NJ0005622 PERMIT NUMBER OlllCHARGIE NUMlll:A MONITORING PERIOD FROM 82 03 01 YEAR MO DAY GP. AT MI 17 2 1.
(10-11)
(2l-1J) (U-1')
NOTE: R.. d lnatructlons before complellng Ulla fom1.
PAllAMETIPI (JJ.J7) 00056 1
llAMP'LE MEABUREMENT Pl!AMIT fllEQUIRl>MaNT (J Cord 01111*)
QUANTITY OR LOADING (4 Cord 0Rlr)
(46-JJ)
(JU*I)
(J8-4J)
AVERAGE MAXIMUM UNIT8 MINIMUM QUALITY OR CONCENTRATION (46.JJ)
'"~'>
AVERAGE MAXIMUM l53QO.QO 20800.QO NO. "Al:OUIENCY 8AMP'Lll:
l!X OP" TYP'IE ANALYSIS UNIT8 61~J)
(6'-&9)
(69-70)
CALC 24 GPO NA I.
Flil-l RATE (GAIU:NS PER DAY)
EFFLUENT GH:GS i-,:-:-=::-....---,....--------foo~-~*-----t-~-------......_-t*---------+-----4-~-------+--~-------+.._.,_._..... __ -l-___ -+ __....._ __ ~---i.-----l 00310 1
BOD, 5-DAY, 20 DEX;. C.
EFFlllENr GR:6S 00530 1
SOLIDS, 'lUrAI.
SUSPENDED EFFLUENl' GRES 74055 1
COLIFOBM-FEX:AL 00010 1
TEMPERA'IURE, WATER DEX;.CENTRIGRADE 00400 PH 1
EFFllJENT c;Ra;S
&LE MEA8UREMENT PEllMIT llll:QUUIEMaHT.
SAMPLE MEABUREMIENT P'l!R~UT llll:QUIAEMaNT
- AMPLE Ml!ABUREMENT 3.69 0.42
~******
- P'EAMIT
- . )>Ir.*.* 1t *
- lllQUIREMIENT
- .~..
&LE MEASUREMENT P'llRMIT.
RIEQUIRaMltNT SAMPLE MEASUREMENT P'ltAMIT *
- lllQUIREMIHT BAMP'LE MEASUREMENT
.. ERMIT Rll:QUIREMENT 7.48 0.97 KG/mY. * * *
- 0.82 KG/mY 7.60 6.00 63.70 95.00 3
5/31 G
30.00 45.00 K;/I:
1/30 24 7.30 10.40 0
5/31 24 30*.00 *.
100.00.
M;/L 1/30 24 12.00 40.00 0
5/31 GR 200.00 400 *. 00*
N/100 1/30' GR 10.90 0 CALC GR 43.30*
DEG.C
.1/30 GR 7.81 8.80 0
23/31 G 9.00 SU 1/30 GR TELEP'HONE DATE 82 04 19 COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrnrr all allarl1nrrRIJ lrrrr)
DIS 87A IS DISCHAR3E 487A. AVERAGE VALUE IS 30 DAY DAILY AVE, MAX VAL IS 7 DAY DAILY AVE (TSS,OOD5).
DISCW.RGE f.UiI'IDR PRIOR 'ID ro1B WI'IH DIS487. FUM MEAS CONT FOR mNT DIS, 1/30 FOR INTERMI'ITENT DISCH. '!HIS DISCHARGE.IS FOR 'lHE OID X
NEW SEWAGE TRFA'IMEm'PLANT.
BOD - System flow exceeds design capacity due to excess personnel for refueling outage.
15 17
- - --* *.--- --* --nu ""'~A" \\AIUlrM uav NnT AE URED.)
PAGE OF
DISCHARGE MONITORING REPORT (DMR)
OMB No. ua. R007 J i111,,,,_,,__.,,,,,.,, "'"'""')
g~~~M;R._-_mv~---~-------
PSE&G
~~-----------~---------
-~J~~~
57.Q._J.OC. __________ _
__.JEWUt ____ _.w._m.uu_ ______ _
~m_SALFN_GENERATm;~-----~--
a~~~-ALW'lAYS CREEK _________ _
l-ltl) 11-19 l'U0005622 487 1-------~
PERMIT NUMllEA Dl*CHAllO HUM*R MONITORING P'"OM 8 2 0
YEAR GP.AT MI 17 2 1 (10-11)
NOTE: Re8d IMtNclloM...._. eo111pledftg W. fonll.
PA.. AMrr.ll (J1J7)
Q0530 1
SOLIDS, '.lUl2Ui SUSPmDED EFFWENr~
00550 1
OIL AND GREPSE 00551 1
PEI'RJIEUM HYDR:>CARBCN3 EFFWml' GICSS 50050 1
nDR 00010 1
TEMPERA.'IDRE, WATER D&;.CENI'RIGRADE EFFWENr GIO)S 00400 1
PH X
(J CflTfl 011lr)
QUANTITY OR LOADING (4 Car' 011lr)
QUALITY OR CONC~NTRATION
('6-JJ)
('4~1)
(J3-4J)
(464J)
(JUI)
NO. ~*s.og:HCY t-'---'------"'!"--------r----t----'---'---.......... --c;___,.; __
_,..... --'--~..:-........,,_............ ~ ltJl ANALY*le AVllRAGll MAXIMUM UNIT*
MINIMUM AVllRAClll MAXIMUM UNIT8 U4JI (6'-")
- AMPLE MKA*UREMKNT PRIOOT lllQUIRKl\\llllNT
- AMPLK MU*UAKMKNT
- AMPLK MKA*UAKMKNT
- AMPLK MKA*UAKMSNT
- AMPLS Ml'.A*U"l:MKNT
- AM.. Lll MKA*UAKMllNT
.. OMIT;*.
RIOUl"UINT
- AM.. LK MKA*UAS.MKNT 0.10
- ~*:*,.-.
"t..;,.
~ :.
Q.10
- *
- Ir KG/DAY
- . * *.,. fr
~
.:.~*.:
.:.>::-*.. =;-.:.*=--.**
. 'fi ~*.* : *. '/
- (*:...
.*. *.. :.,.~:
~:*:*=~!(~~
-~.. -*.
7.48
.. '6. oo*
2.64 2.64 30.00 100. 00.... t-1;/L 5.00
- 10.00
- { *.
~. * ~ c :
0.50 0.01 0.01
,. d' *- ~-'.1'i<. MD
- ~*.2 ~~ :'\\~::::~i:~. ~
- .. ::~~* ** ***::~ ::
t.(f... :. **,:.. *:*'
21.00
<c; 43.~(f.T IS;.C
...:~.:..
- 7.48 7.48 0
1ii1..
0
- ** J
.. ~~.
0 1/30 1/30 1/30 1/30 J/Jo**
EST 1 l /]0 J/30 GR GR GR GR
.(;R NA NA
.GR
.. PMIT lll:OUU*KMKNT
_.................................. ~--------~-----.--~--.J1--............ ~.... ~..&...~--------L------'--~-............... --...__,.......-..........................................,...._-.1r.-~----... **'*'"""f.-...... --~.._~..-.--I NAMK/TITLR PIUNCl,.AL UllCUTIVK OP'PICK" THI* DOCUMENT 19 BIGNIED WITH RECOGNITION THAT KNOW.
~~~ ~v TllLllPHONK D A T K I
t--------------------1 INGLY MAKINO A P'AL9£ CEATIP'ICATION ON THI* REPORT OR
~
- U.. l"OATINO DOCUMENT&
OR INTl:NTIONALLY TAM.. ERINO I.
I L. K. Miller w1TH ANY MoN1ToR1No DEv1cE oR METHOD AA* cR1M1NALl----"~.::.ll...:::::~-.....:::i....4-1._,............ ~609 1365_ 7000 82 04 1 19 O~P'IEN9£*. 91[1: "' U.9.C. t 1001 AND 33 u.11.c. l1311P.
,,.,,,n/-
- 1GNATUR* OP PRINCIPAL lllll!:CUTIYll 1---------------------f Uu """ '"'" 1tn1u1r1 "" hr (inr. 11r 10 SI0,000 *11d /Or lll**lmum l-T--N'-------+---t---::-1'1'-=-".":':'4 TYPED OR PllllNTllD 1... pr110,,..,,.,,1 nl brlwrrn 11 munllu and J rrar*.)
Ol'l'ICEA OR AUTHOAIZl:D AGKNT
~!:~ I NUM*D TKAll MO DAY OMMl:NT AND 1:11.. LANATION OP' ANY VIOLATION* (Rt/rrt11rr all a11arl1"1HIJ hrrt) 16 17
..... --*... "'""... _....... ***11'.0.l PAGE OF C
Kl/If, H-/1.AC*lfoR II.. 10fFHI)
&M~~~M:;R._-_JW_J\\FF __________ _
v~m_P~_!_G--------~---------
--~J>--.D~~2~_.J.OC. __________ _
___..:..N&lABK. ____ JU__filJJlL ______ _
la~_SALFM_<illmRA~~--------
IZQ.TRL~-AU.<W\\YS CRm{ _________ _
DISCHARGE MONITORING REPORT (Dllflt) l'"OM 1-16) 17-19 tu0005622 489 l"l:AMIT NUMlllEA 018CHAROI: NUM*l:R 82 YEAR (10-11)
MONITORING PERIOD 03 I 01 I TO 82 I 03 I 31 MO I DAY I I Yl:AR I MO I DAY (21-lJ) ('4-n)
I 16 U) (11'-/!I) (JO-JI)
OMB N~.. i 38 ~ R007 J GP. AT MI 17 2 1 NOTE: And lnltlllClicM*..... co.,l1dng W. lam.
l----"'(~46_-_JJ~) ____....,... _ _..;.(J_4_~_1~)----.------+--~(J_8~-'~'~---..---~(4_6"'_J~)----..---,_.;..('44 1)'---_,.---~NO. ~**o::NCY eAMA.11 llJl ANA\\. Y8t8 TYl"ll X
(J C*d 0Rlr)
QUANTITY OR LOADING (4 C**d o..,,,
QUALlfY o" CONCl:NT.. ATION AYll"AOll MAXIMUM UNITI MINIMUM AYll"AOll MAXIMUM UNIT9
,.,_70)
I 00530 1
SOLIOO, 'lUrAL SUSPENDED 1"FF'l"I~
00550 1
OIL AND GRFA4iE.
50050 l
FIDll 00010 1
'I'EMPERA'IURE, WATER DF.X;. CENI'RIGRADE EFFLUENr GiaiS 00400 1
PH ilAMl"Lll MllAilU"IEMf.:NT IAMl"Lll MllAilU"l:MllNT ilAMl"Lf.:
Mf.:AilU.. l:Mf.:NT ilAMl"Lll MICAilU"l:MllNT ilAMl"Lll MllAilU.. l:MllNT ilAMl"LI:
Mf.:AilU"l:Ml:NT 0.87 H"MIT,
.. ** fl.ft * **.*.
"aQUIRDCUCT ilAMl"LI:.
MllAilUAl:MllNT IUIQUIR*.. l:NT IAMll/TITLI: l"RINCll"AL l:Xf.:CUTIYI'. OP'l'ICI'."
0.87 KG/DAY
. : ~.
- =:... **
7.35 6'~00.
. ~:/
- 11. 48
- 11. 48
- .. ;
- ao *. oo.
.... lOQ~OO;** l-C/L 2.90
- 10. 00 ':.' : M:;/L 0.80 l"U,.U
=*::_**...
~.. ::"*f.
0.02 0.02 20.00
-~-
-~
- 43.30.' * !l:a;.C.
- * \\..
7.35 7.35
- * *. fl.
. ':~*.,.
9.00 1 SU T&LU'MONll THI* DOCUMl:NT Ill SIGNED WITH RECOGNITION THAT KNOW-
~;;eu._ a INGLY MAKING A f'ALllE CERTlf'ICATION ON THl9 REPORT OR
-.1 llUP'PORTING DOCUMENT&
OR INTENTIONALLY TAMl"ERINO 1---~-*~--=~e::..*c=:ii.,.l.-;:.._ ___ -I 0
0
- ~
.. ~ ;'.
-~. '
0 0
L. K. Miller WITH ANY MONITORING DEVICI[ OR METHOD ARI'. CRIMINAL I
Of'~EN9Ell. 111[1[ Ill U.11.C. ~ 1001 AND 33 u.11.c. lt318.
crrnnl-illONATUlltf.: 01' l"lltlNCll"AL l:Xf.:CUTIYI: 609 365-7000
t " """ '"'" JlarurrJ '""' l*r fi"" 11r ro SI0,000 nr1d for 111a.1mu"'
TYl"ll:D O" '""INTl:D hnpr/iunmrnl "' brrwern II,...,,.,,,. and j rra**.)
OP'FICll:" OR AUTHO"l'ZED AOl:NT
- ,
- ;
- I NUM81:R
- >MMl:NT AND ll:Xl"LANATION OP' ANY YIOLATIONil (Rr/rrrr1u all allarhrnrnlr hrrr)
--* * --- --* rnaM T 0 AO WHICH MAY NOT 8E Ulll:D.I 1/30 GR 1/30:. ;;GR 1/30 1/30 1/30 GR
- l/30 EST NA
- l/30 f
1/30 GR
. l/JO GR 1/30 GR
- l/30 -.--
DATii:
17 PAGE OF 1