ML18087A539
| ML18087A539 | |
| Person / Time | |
|---|---|
| Site: | Salem  |
| Issue date: | 10/20/1982 |
| From: | Public Service Enterprise Group |
| To: | |
| Shared Package | |
| ML18087A538 | List: |
| References | |
| NUDOCS 8211010116 | |
| Download: ML18087A539 (18) | |
Text
PERMITTEE NAMl<./ADDREBll (lnc/11dt Faclllty Namt/Locallon If dlO~rtnl)
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'Vl:."!J)
DISCHARGE MONITORING REPORT fl>MRJ
~-*
M. ~T M:;R -ENVAFF
&~-~~--~---------------
(1-16)
(17-19)
Form Approved OMB No. 158-ROJJlJ*..
- _ ~~m_PSE&<L, _______...._ __. ______ _
NJ0005627.
~~* __
..:.__J?..s!)~ BOX' 2].Q__J.OC.. __________ _
PERMIT NUMBER I
DISCHARGE NUMBER GP AT MI 17 7
I l---JlEWAmt ____ _NJ__fillQL ______ _
1::.;::~=r:_~========
MONITORING PERIOD DELAWARE RIVER COOLING WATER PARAMETER
(.11-37)
OOGlC 2
TEMPERATURE,WATER DEG.CENTIGRADE INFLUENT LJUUlU l
TE~PERATURE,WATER DEG.CENTIGRADE EFFLUENT GROSS Ul,;Ulb zt TEMPERATURE DIFFERENCE EFFLUENT NET UU4UU l
PH EFFLUENT GROSS UV"tUV L
PH INFLUENT 5UO~u l
FLOW EFFLUENT GROSS
~UUfJ4 1
CHLO~INE, FREE RESIDU*'\\L EFFLUENT G~OSS DAY YEAR MO 01 TO 8
09 (U-ZJ)
(16-17)
(18-19)
NOTE: Reed instructions before completing this form.
(JC"ardOnly)
QUANTITY OR LOADING (4C:ard0nly)
QUALITY OR CONCENTRATION l----'4_6*_"_J __
~--~~-~_6_1J __
~----+---i1_~_~_J __
~---~-6*_"_1 __
~--'~~--*~~'---~---~ ~~
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (11*'1)
FREQUENCY OF ANALYSIS (U*lll)
SAMPLE TYPE
'"*10)
SAMPLE MEASUREMENT PERMIT
- REQUIREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT * * * $
SAMPLE MEASUREMENT * * * *
- ...-*.
- PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT
' REQUIREMENT*..
SAMPLE MEASUREMENT
- . PERMIT
- \\ REQUIREMENT.
SAMPLE MEASUREMENT PERMIT REQUIREMENT
.,.* ~--,,~*:
- = :<
. x> ;**... **-.-.=*.-:*:.... :
- "* '*'*;i.I( \\' * ~* :* *. *.***
- .,..*c***<**
'*,:*_*:*..:.*');:. * *'*
- 20.30 23.50 0.20 7.32 7.33 355.20 23.50 25.70
.*.*,._., *. H'*'"*. <:'*" ".. :.;. ****:.*. i.. :
.* \\
,. *_::: DEG. c
- ~
- >*. *'.: t*. * *' **.:
32.70 9.20 7.52 38.00
- ...... *:* *. DEG. C
- .,,,* 46. 00.
13.30
.:.'. ~<.: DEG C
- :,:15* 39.**
7.70 7.55 7.78 471.70 532.80
. *<~:. *
- :,:;ir!!\\"Y." * ** *. -: :'\\.. ':'".> \\.*:*;*," MGO
- '*\\~C:*:;::::
- iet*:;* *F:
0.10 0.13 0.20
- , :'" >**0 ;;::,,:.. MG/L"'
0~5.0 CONT NA
.):':_;.:*:.**' :*:***'*
.._-.,_::*'**:: *7**'".Y**,."*:r::<
CONT.
0 CONT NA CONT O CONT NA 0
2/7 GR
- 2/7 GR CALC*:"*'N *.
CONT 0
r?.T.('
TELEPHONE NAME/TITLE PRINCIPAL EXECUTIVE OFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-i ~
1------------------l INGLY MAKING A
FALSE CERTIFICATION ON THIS REPORT OR t
SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 1---....... *--=-------~=-------t I
6 0 c 8 2 OFFENSES, SEE 18 U.S.C. f 1001 ANO 33 U.S.C. 11319, (l'mal-SIGNATURE OF PRINCIPAL EXECUTIVE 609 935-0 07 DATE 10 L. K. MILLER 1------------------1 tin undrr llitrt 1/alulH may bt /Intl up lo SI0,000 and/or mu/mum 1-r........-..------t-----t"---t-----i impri*onmtnl of hrtwttn 6 monllir 1111d,, ytar1.)
OFFICER OR AUTHORIZED AGENT
~~~~ I TYPED OR PRINTED COMMENT ANO EXPLANATION OF ANY VIOLATIONS (Rtfrrrnct all allachmrnl* lirrt)
DIS 4Pl IS #11 CONDENSER COOLING WATER
- AND NOT MORE THAN 30 MIN. EACH TIME.
. l=Pll l=nrm 11?n-1 IRPv 10-771 PREVIOUS EDITION TO RE USED
. NOT MORE THAN 3 CONDENS MAY.DIS.TOTAL OR FREE
(
NUMBER YEAR MO DAY CL AT ANY TIME,
~ad
~
cLcOOOSO ~~oa~ ~ad ocotca 9ttotottca l __ _
L--....._ ___ ----- ---
. I REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.I PAGE 1 OF 1 0
~ARA METER (J2-37) 00530 1
SOLIDS, 'IDTAL SUSPENDED 00530 B
SOLIDS, 'IDTAL SUSPENDED 00530 4
S-OLIDS I
'IDTAL SUSPENDED EFFLUENI' NET 00556 1
OIL AND GRFJ\\SE EFFLUENT GIDSS 00556 B
OIL AND GREASE STREAM IN'mKE OIL AND GREASE EFFLUENT NET I
- 1.
I
- lo.-1
... I (2-16) 17-19)
NJ0005622 481 PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD MO DAY (28-19) (30-Jl)
DEIAWARE RIVER COOLING WATER GP. AT MI 17 7 1
NOTE: Read lnstrucllons before coms>lellng this lonn_
(J Card Onl1')
QUANTITY OR LOADING (4 Card Only)
QUALITY OR CONCENTRATION (46-JJ)
(J4-61)
(J8-4j)
(46-JJ)
(J4-61)
NO. FREO~:NCY SAMPLE t--~-'-~...;_~~-r-~-'-~~~~-,-~~~--1~~~:.....;;:..:.._~~..-~~:...:....:~~~-.-~__;~..:.:..:~~-.-~~~--l EX ANALYSIS TYPE
.*
- PERMIT
.REQUIREMENT..
SAMPLE MEASUREMENT
... PERMIT\\< **
. REQUll'IEMENT.*
SAMPLE MEASUREMENT SAMPLE MEASUREMENT
, '.. PERMIT.*: (
Rl'i:QUIRllMl£NT.
SAMPLE MEASUREMENT SAMPLE MEASUREMENT PERMl1' RIEQUIREMENT.
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM
- .:~.:..... :.
OFFICER OR AUTHORIZED AGENT UNITS 62-63)
(64-68)
(69-70)
GR GR
- .'GR GR
.* *. ;GR..
GR DATE 82 10 07 NUMBER VEAR MO DAV COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrnc-~ all nllnt:lm1~nu lrtrt)
TSS -
See attached sheet.
-- *.-. -- """" * '""" 1n.771 PRl':VIOUB EDITION TO BE USED
!REPLACES EPA FORM T*AO WHICH MAY NOT BE USED.)
PAGE OF
?
lR
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT flJMRJ (2*16)
(17-1')
NJOOC5622 I
482 PERMIT NUMBER DISCHARGE NUMl!IE" MONITORING PERIOD YEAR MO DAY YEAR MO DAY FROM 82 09 01 TO 82 09 30 DELAWAR~ RIVER COOL ING WATER Form Approv~d OMB No. 158-RDQ]J GP AT MI 17 1 I
(10*21)
(21*1.I)
(14-1.f)
(16*17)
(2B-29)
(JO-JI)
NOTE: RHd ln1tructl~n1 bafore completing thl1 form.
PARAMETER (J2-J7)
I
'* X (J C'ardOnly)
QUANTITY OR LOADING f' Card Only)
QUALITY OR CONCENTRATION (46*.UJ
(.~'*61)
(.IB*'-~J "d*.U)
(54-11)
NO.
i----~-r---+--~----r-~----1 IEX AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
(*1-4J)
SAMPLE FREQUENCY OF ANALYSIS (U-U)
SAMPLE TYPE (lf-11) 00010 2
TEMPERATURE,WATER DEG.CENTIGRADE INFLUENT MEASUREMENT * * *
- 20.40 23.70 21'.1 70 CONT NA 00010 1
TEMP~RATURE,WATER DEG.CENTIGRADE EFFLUENT GROSS 00016 4
TEMPERATURE DIFFERENCE EFFLUENT NET 00400 l
PH EFFLUENT GROSS 00400 2
PH INFLUENT
~ou~u FLOW l
EFFLUENT GROSS 50064 l
CHLORINE, FREE RESliJUAL EFFLUENT GROSS SAMPLE MEASUREMENT * * * *
- . PEAMIT*:
A£~UIAEMENT
\\l.......,,...... * *:::.<<>....,_,, *.:i****... ;***:,*.;*;.: *,
- *' '*"'*\\: *" *' * **,.*.*
SAMPLE MEASUREMENT * * *
- SAMPLE M~ASUREMENT * * * *
( *1..kRMIT:.
" R~Q~IREMENT j SAMPLE MEASUREMENT SAMPLE
- < ~: ~.
.~ * ' *::*~,:,*{ *t'* * *~ *.*
MEASUREMENT * * *
- SAMPLE MEASUREMENT PERMIT REQUIREMENT
- * * * / :.~*. *' *
- NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 23.40 7.33 266.40 r*~ *.
.:.:-~r~>:~~-:~c :r
- if{*.'
0.10 IKG/Df\\Y
- r-----------------1 INGLY MAKING A
FALSE CERTIFICATION ON THIS REPORT OR SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING 32.20 7.55 474 70 0.14
- *.
- ::r= ~~*:
l
.. '.~'. '--,,*(). 2 0 17 10
- '<~;;~+*:~~~~t~:~~-~*-~~};\\~~v D E G
- C
- .:.~ '46'~:P:o ::
7 71
- ."\\'>}
'*"*'*"*.". **"o:.. :X*;' SU
. / +:. 9~:00:,
7.7R 0.40
.*'~"' *:*-;MG/l 0~50.
TELEPHONE 0
2/7 GR 2/7 GR 0
CALC NA DATE L. K. MILLER TH(S DOCUMENT 19 SIGNED WITH RECOGNITION THAT KNOW*
/J~K,~
WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINALl----"'"-'-lO--'---.....;;;=-o::;_"'------ll::Q9 iQ)5 6000 OFFENSES. SEE 18 U.S.C. I I 00 I AND 33 U.S.C. f 1319.
(P*n*I*
SIGNATURE 01' PRINCIPAL EXECUTIVE O
10 07 82 1-------------------11/r, undrr llrrir 11a111tr. may bt /lnH up to SJ0,000 and/a' maximum 1-r-r-t------1-----t---t----t lmprlsunmrnl of h*lw.. n 6 monllu and-~ y*ars.)
OFFICER OR AUTHORIZED AGENT c~~~ I TYPED OR PRINTED YEA" NUMBER DAY MO COMMENT AND EXPLANATION OF ANY VIOLATIONS (R*/rr*n<< all alla<l1mrn11 ft*rt)
DISC 482 IS #12 COND COOLING WATER.
NOT MORE THAN 3 COND MAY DIS TOTAL OR_FRE~_<;:J;. AT ANY TIME, AND NOT MORE
~E.l\\..!-l 3 0.~I!'1U'J'R8 R.~.CR TIME.
r.nA c~-~ 'l'l'>n.1 fRPV 10-771 PREVIOUS EDITION TO BF: lJSF.D
!REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.I PAGE 3 OF 18
- -* ~*"*,...........,
(2-16) 17-19 NJ0005622 482 PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD FROM 1--8_2--l-_0_9.+--~0_1-I TO 1--8_2-+_0 _9-+-_3_0--I YEAR MO DAY (10-ll)
(22-2J) (U-2.S)
MO DAY (2R-29) (JO-JI)
DEU\\WARE RIVER Coor.ING. WATER GP. AT MI 17 7 1
NOTE: Read lnstrucllon1 before completing this fonn.
PARAMETER (JZ-J7)
(J Card OnlJ')
QUANTITY OR LOADING (4 Card Only)
QUALlfY OR CONCENTRATION (46-JJ)
($4-61)
(J8...f.S)
(46..SJ)
(J4-61)
NO.,.REO~:NCY SAMPLE
~-~--'----.---'---'----.----~--....:..........:~--..---!....:....;-!..---..--__;:..._~__;-~-----l EX ANALYSIS TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM 00530 1
SOLIDS, 'IDTAL SUSPENDED 1,' I
- ** PERMIT '.
REQU IR EM Er.tt_:,....,. i****:*.. :**:*,.,:;..i****.;.,*:.**::::..=**:*::::.:::.. :*:*::*:
t--J~&J,..11,_J..1:.1.L.lU.-l.:llm...~L.-~~~~~-:-
SOLIDS, 'IOTAL SUSPENDED STREAM INTAKE 00530 4
SOLIDS, 'IDTAL SUSPENDED EFFLUENT NET 00556 1
on. AND GREASE GROSS 00556 B
OIL AND GREASE STREAM INTAKE 00556*
4 OIL AND GREASE EFFLUENT NET SAMPLE MEASUREMENT
,....... "PEAMIT*.............
,REQUIREMENT..'
SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT
. 'p1rni.t'11' nJ(.........,.. ~.......
REQUIREMENT.*
SAMPLE MEASUREMENT
, PliRMIT ;.>:
. ftS:QUIR£MS:NT SAMPLE MEASUREMENT
- .*. PtRMl'f....
RIEQUIREMENT.
8.00 8.00
.,:':.:*~.~cf~oq.,.:.. *;*>...... :.if:'.O.:o61:pg... ;:,::.:;*
- .. :;*:.;.:..... ;**:.*,.*;.*... * ;*:~:::::*:::/*:...
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-t------------------l INGLY MAKING A FALSE CERTIFICATION ON THIS REPORT OR SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING M
L WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 1---¥-~~-=~tbt.==~-------l L
- K
- IL ER OFFENSES, SEE 18 U.S.C. § 1001 AND 33 u.s.c, §1319.
- !Prnal-llrs 1mdrr rhru starutrs nwy lie* finr.f 11p to $10,000 and /or maximum TYPED OR PRINTED
/mprlwnmrnl of brtwrrn 6 munllu and.S rrars.)
OFFICER OR AUTHORIZED AGENT COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrnrr all a11ac/1nirnls /1rrr)
"'"~ "'~*~.,.,.,n_1 (r:Jn" 1n.771 PRl!:VIOUS EDITION TO BE UBED
!REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.)
UNITI (64-68)
(69-70)
GR CR:
GR GR*.
GR GR GR*.
G DATE 82 10 07 NUMBER YEAR MO DAY PAGE 11 OF l R
Form Approved NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDl:.".'i)
DISCHARGE MONITORING REPORT fD!lfRJ (1*16)
(/ 7-19)
OMB No. 158-RJJOlJ.
NJOCO!:i622 I
PERMIT NUMBER DISCHARGE NUMBER GP AT MI 17 7
I PARAMETER
(.12-37)
UU.lilU
- t.
TE~PERATURE,WATER DEG.CENTIGRADE INFLUENT UUUlU 1
TEMPERATURE, WATER DEG.CENTIGRADE EFFLUENT GROSS UUUlb
~
TEMPERATURE DIFFERENCE EFFLUENT NET UU~UU 1
PH EFFLUENT GROSS UUctUO
'L PH INFLUENT
~vC'JU l
FLOW EFFLUENT GROSS
~uuo4 1
CHLORINE, FREE RESIDUAL EFFLUENT GROSS FROM DELAWARE RIVER
.COOLING WATER NOTE: Read instructions before completing this form.
QUALITY OR CONCENTRATION C><
(3 C'ardOnly)
QUANTITY OR LOADING (4 l'arJ Onl}-J (46-.UJ
(.~4-61)
(.IN-4.~J (46-J.1)
(54-61)
NO.
1-------~--.---.+-~~~--i EX AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (ll-'1)
FREQUENCY OF ANALYSIS (64-61)
SAMPLE TYPE (69-10)
SAMPLE MEASUREMENT PERMIT.
.. REQUIREME!'fT SAMPLE MEASUREMENT PERMIT'.
- . R~QUIREMENT
.. '... *. **(
SAMPLE MEASUREMENT * * *
- SAMPLE MEASUREMENT Pl!:RMIT "
'*REQUIREMENf*.
SAMPLE MEASUREMENT PERMIT
- REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT
>*=.
ti * *-**:i~i;/'i ') ;_:*,: *: **
- * ~~ *. *
- 20.20 23.40 25.60 CONT NA
- CONT.
23.40 32.20 37.10 0
CONT 0.70 8.80
- )
13.80 0
CALC NA 7.32 7.52 7.71 0
2/7 GR
- *... y*;;* '<t',:'f'::7> SU
.*.. (f.:.>.9~ 00 7.33 7.55 7.78 2/7 GR
-~ * *".~ -.
. :: >~:_,~'S/t~*-. -~' -.
- . * **.* ~r};0:,**. *OJ~!:*.*. ;
266.40 469.20 532.80 CALC N
0.10 0.20 0
CALC GR
- -~-.". *:*
MG/b d.50.
TELEPHONE NAMEITITLEPRINCIPALEXECUTIVEOFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-
':/.' ~
t------------------1 INGLY MAKING A.FALSE CERTIFICATION ON THIS REPORT. OR
.'t,..-
SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING WITl1 ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 1------~=-----------tc::-09 IQJ5 6000 DATE L. K. MILLER OFFENSES, SEE 18 U.S.C. S 1001 AND 33 U.S.C. S 1319.
(Ptnal-SIGNATURE OF PRINCIPAL EXECUTIVE 0
r -.
82 10 07 t------------------1 tirr undrr tltnt 5latult* may bt /lnH up to SJ0,000 and/or maximum 1-T....-.-+-----+---t---+----t impri*onmtnl of htlwttn 6 monlh1 and.f ytaTJ.)
OFFICER OR AUTHORIZED AGENT
~~~~ I NUMBER TYPED OR PRINTED COMMENT ANO EXPLANATION OF ANY VIOLATIONS (Rtftrtnrt all allarhmtnlJ htrt)
DISCH 483 IS #13 COND COOLING WATER.
.MORR TH~N :rn MIN EACH TIME.
C:O/I ""'".,., 11?n.1 /Ro" 1n.77\\ PREVIOUS EDITION TO RE USED YEAR MO DAY NOT MORE THAN 3 COND MAY DIS TOTAL OR FREE CL AT ANY TIME, AND NOT I REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.I PAGE OF, n
- I
fadllty Nam,/Locallon i/ dlO,,rnl)
~~~~t-Gl~-:_ENV_l\\FF __ ~~--~---
ol!.!!.EH_PSE&~-------...... --*-------
-~J>~~00*2~_.J.OC. __________ _
__ _N&lABK_ ____ _w__fil.lfil_ ______ _
~m_SALEM_GENERATINGS~ITOO _______ _
_ATIOfLli:MER_ALUl'lAYS CREEK __________ *
(2-16) 17-19)
NJ0005622 483 PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD FROM 82 09 01 TO 1---"8.:....::2=-t--0"'-9~1-'="3_,.0-I YEAR MO DAY YEAR MO DAY (20-J.I)
(22-2J) (U-2J)
(26 7) (28-19) (30-Jl)
DEI.AWARE RIVER COOLING WA'JER GP. AT MI 17 7 1
NOTE: Reed lnstrucllon1 before complellng this fonn.
PARAMETER (J2-J7)
(J Card On/J')
QUANTITY OR LOADING (4 Card Only)
QUALITY OR CONCENTRATION f-__
(~4_6-_5~J)'-----,--~(5_4_~_1~)---r-----,i---~(~J8~4~J~)---..--~(4~6~4~J~)---.---(~J~4~..:..:.,;1)~--...-----1 NO. FRE~:NCY SAMPLE EX ANALYSIS TYPE 00530 1
SOLIDS, 'IOTAL SUSPENDED 00530 B
SOLIDS, 'roTAL SUSPENDED 00530 4
SOLIDS, 'roTAL SUSPENDED EFFLUENT NET 00556 1
OIL AND GREASE EFFLUENT GIDSS 0
6 B
OIL AND GREASE STREAM Im'AKE 00556 4
OIL AND GREASE EFFilJENT NET AVERAGE MAXIMUM UNITS
- **-,: PERMiT:".
.REQUIREMENT, SAMPLE MEASUREMENT
.;.*.. PERMIT"'.* <*>
.. REQUIREMENT,'
SAMPLE MEASUREMENT
- ,.... Pi?ftM l T. '.':***'."/.: 1,o:,.-.:.:!*iAi}*:,:<ai.:":*:*:a;
.*REQUlREM ENT **
SAMPLE MEASUREMENT
<< PERMi1- 'r'/J.LI!?"-:,., ** "'.*\\,**'":.::
Rl!QUIREMENT':
SAMPLE MEASUREMENT SAMPLE MEASUREMENT
- * '. Pi:AMIT '*:,..,
- REQUll'tEMl!NT.
SAMPLE MEASUREMENT
.. PERMl'I' REQUIREMENT COMMENT AND EXPLANATION OF ANY VIOLATIONS (.ffr/rrrncr all allaclinirnts /irrr)
MINIMUM AVERAGE Pl\\.,..,...., 'l'l?0-1 !Rav 1n-771 PREVIOUS EDITION TO BE USED
!REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.)
MAXIMUM UNITS 62~J)
(64~8)
(69-70)
GR GR
..... :*GR' GR
>GR*
GR
- GR 1/30 G
DATE 82 PAGE OF
, n i
J
PARAMETER (Jl-J1}
00010 2
TEMPERATURE,WATER DEG.CPHIGRAOE INFLUENT 00010 1
TEMPERATURE 1 WATER DEG.CENTIGRADE EFf LUENT GROSS 00016 4
T P1PERATURE DIFFERENCE EFFLUENT NET 00400 l
PH EFFLUENT GROSS C0400 2
PH INFLUENT 50050 l
FLOW EFFLUENT GROSS 50064 l
FREE
- CHLORINE, RESIDUAL EFFLUENT GROSS NATIONAL. POL.l.UTANT DISCHARGE El.IMINAllUN,_,,_11:.M (Nl'U1':>J DISCHARGE MONITORING REPORT flJMRJ (2*16}
NJ0005622 PERMIT NUMBER YEAR F~OM' 82 (10-11}
(11*1'}
I 484 DISCHARGE NUMBER DELAWARE RIVER CODLING WATER
/'arm Appro11ea OMB Na. 158-R(J(f]J GP AT MI 17 7
I NOTE: Read lnltructlon* before completing thl* form.
C><
(JCardOnly}
QUANTITY OR L.OAOING (4C:ard0nly}
QUALITY OR CONCENTRATION
(#6*.U}
(.~4-61}
(.1#-4.~}
(46*.'J}
($4*61}
NO.
fll[CJ!tNCY 1-------~---'-----~-----+------~------~----'---~----1 EX ANALY616 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (11*'3}
(U.111}
SAMPLE TYPE (lf.70}
SAMPL.E MEASUREMENT * * * *
<. '* ' PERMIT REQUIREMENT SAMPLE MEASUREMENT
~ PERMIT.
- ..
- REQUIREMENt SAMPL.E MEASUREMENT 8AMPL.E
<~
~
/'.>
)t * ** * ')' * '~ ** '* ;'
MEASUREMENT * * * * * * * *
. **PERMIT>>>.
- , "EQUIREMENT SAMPL.E MEASUREMENT
. "PERMIT
- REQUIREMENT SAMPL.E MEASUREMENT
- ~:~=-. 'PERMIT'
. R.EQUIREMENT SAMPL.E MEASUREMENT PERMIT REQUIREMENT
. :~:~-~(.:::'.: ;>*:~.,**~*=~.:*.,. ;*., /-*
- * *'..,, *\\* *' * <
- .,.* _i ".**
..... :~.
- 21. 00 23.90 26.70 CONT NA 24.90 34.90
- 41. 30 0.90 10.90 16~60 1
CALC NA 7.32 7.48 7.66 0
2/7 GR
- ~*:*~*_:::**;~_/~:* /';:;.
'~,J
.* ~~-"'... _ ';.,'-, -~-
6~.oo * ** *<:*~',* **,.;to:
.-~.
7.33 7.55 7.78 2/7 GR 255.30 370.40 532.80 0.10 0.13 0.20 0
CALC GR
"*:.-':>"' 1M G/l
- o. 50;.
?~:-:::.:- '..,-:'*:, ':.". : *
- *.* ~ONT.*. - ) 'NA':-
NAMEITITL.E PRINCIPAL. EXECUTIVE OFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW*
y?(j OL TELEPHONE DATE t-------------------1 INGL.Y MAKING A
FAL.SE CERTIFICATION ON THIS REPORT OR SUPPORTING DOCUMENTS OR INTENTIONAL.LY TAMPERING r/J Ji L. K. MILLER WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL. ~.....!'11L:1~=:~4o!lll!'.=:=--------I OFFENSES. SEE 18 U.S,C. § 1001 ANO 33 U.S.C. S 131~.
(P*nal*
t-------------------1 tlr1 unJr, 1J.,1r slalulu may b' /Inn up to tl0,000 ond/or maximum TYPED OR PRINTED lmprlummrnl of hrtwrrn 6 month* and.f yrar1.J COMMENT ANO EXPLANATION OF ANY VIOL.ATIONS (R*f.,*n<< all allachm<n" h<rr}
SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT 609fD5-6000
"'"'"' I CODE NUMl!IER 82 10 YEAR MO DIS 484 IS #21 CONDENSER COOLING WATER.
NOT MORE THAN 3 CONDENSERS MAY DIS TOTAL OR FREE CHLORINE AT ANY TIME, AND NOT MORE THAN 30 MINUTES EACH TIME.
Diff. Temp. -
See attached sheet.
07 DAY l=PI\\ l=nrm 11?fl-1 (Rov 10-771 PREVIOUS EDITION TO BE USED CREPL.ACES EPA FORM T-40 WHICH MAY NOT BE USED.I PAGE
? OFl R
(1-16)
NJ0005622 PERMIT NUMBER MONITORING FROM 1-----8-=2=-+-_0.:::....::;..9-1---00::...1=-i YEAR MO DAY (10-ll)
(22-1J) (U-25) 1"'-L.1 """" I
\\..... ****"I 17-19)
DISCHARGE NUMBER PERIOD DErAWARE RIVER COOLING WATER GP. AT MI 17 7 1
NOTE: Read Instructions before completlng this form.
PARAMETER (J2..J7)
(J Card On/)')
QUANTITY OR LOADING (4 Card Only)
QUALITY OR CONCENTRATION (46-JJ)
(J4-61)
(J8-4J)
(46.jJ)
(J4-61)
NO. F"RE~iNCY SAMPLE r-~-'--~--'-~~...,.-~-'-~-'-~~-,.-~~~~f--~~:_;,:~~~...-~-..!.:..:..;:.::...:..~~-.-~__:::....:.._:.:.::..._~--..~~~--l EX ANALYSIS TYPE AVERAGE MAXIMUM UNITB 00530 1
SOLIDS, 'IOTAL SUSPENDED I
SAMPLE MEASUREMENT * * * *
- REQ~~=~~~NT
. ~;:;~((~:::**~'~,:::* \\;:
~
........&.A.L.Ulo.ll.L.~Mo.llo.A.lllOl....~~~~~.i-.~:--
B SOLIDS, 'ID'mL SUSPENDED STREAM INTAKE 00530 4
SOLIDS, 'IUI'AL SUSPENDED EFFLUENT NET 00556 1
OIL AND GREASE EFFLUENT GROSS 00556 B
OIL AND GREASE STREAM INTAKE 00556 4
OIL AND GREASE EFFLUENT NET SAMPLE MEASUREMENT PERMIT.':. ~:.
..,REQUUt£MEfllT, SAMPLE MEASUREMENT
- ... PERMIT.\\ :\\1***".*o.i:.*,*:**.;:,.-:,.
REQU IREM liN"'..i SAMPLE MEASUREMENT SAMPLE MEASUREMENT
- .PERMIT** *..._-_
REQUIRKMS:NT SAMPLE MEASUREMENT Pti:RMIT i
. R8QUIREMl!NT_
SAMPLE MEABUREMENT PERMI~.
RIEQUIREMENT MINIMUM AVERAGE MAXIMUM
..~*****
.. ~.... ::.
64.00 64.00
\\:3o:~oo..
- J/..
... ~. *.,. :****
- .*.. :ioo~_oo*.<i:,;:,:.
.~: ***... 'X:.:: :* ;** *:* *.,:.;:.:.. ;.:*:=r:*:~:;:~;
OFFICER OR AUTHORIZED AGENT COMMENT ANQ EXPL.ANATION OF f.NY VIOLATIONS (Rr/rrrna all allaclmirnls /1rrr) 03.ily Max. (ng/J.)
M:mthly Aver. (ng/l)
SC-22 0 J 42 BD-5 3 906 0 105 2.292 DA i:,,..... ~i?n.1 IRnv 10-771 PREVIOUS EDITION TO BE USED TSS -
See attached sheet
!REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.)
UNITS 62-6J)
(64-68)
(69-10) 1/30 GR
'(.;R".
GR
.GR GR GR.
GR GR GR GR
- .GR*
DATE 82 10 07 NUMBER YEAR MO DAY PAGE 8 OF 18
PARAMETER
(.12-.17)
GOClD 2
TEMP~RATURE,WATER DEG.CENTIGRADE INFLUENT UUUl!J l
TEMPERATURE,WATER DEG.CENTIGRADE EFFLUENT GROSS UUUlo 4
TEMPERATURE DIFFERENCE EFFLUENT NET UU4UU 1
PH EFFLUENT GROSS u1.i*~uu PH INFLUENT
~oo~u l
FLOW EFFLUENT GROSS
~CU64 l
DISCHARGE MONITORING REPORT fDMRJ (2-16)
(17-19)
I PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD YEAR MO DAY YEAR MO DAY FROM 8
09 01 TO 82 09 30 (20-21)
(22-2.1)
(U-25)
(26*17)
(18-19)
(JO-JI)
DELAWARE RIVER COOLING WATER Form Approvtd OMB No. 158-RQ()lJ GP AT
~~I 17 7
I NOTE: Read instructions before completing this form.
X (JCardOn/y)
QUANTITY OR LOADING (4 Card Only)
QUALITY OR CONCENTRATION t--~-14_6_-~_)~~--,.---~-(-54_-6_1)~~--.-~~~--1~~-~l_N*_~_)~~---.-~~-~-6--~-~~~-,-~~-~-4-_61_)~~-,-~~~~ ~~
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
(*2-6.l)
FREQUENCY OF ANALYSIS (64-68)
SAMPLE TYPE (69-70)
SAMPLE MEASUREMENT PERMIT
. REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT iPERMIT REQUIREMENT
,SAMPLE MEASUREMENT
!PERMIT
- .REpu1REMENT 1sAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT
- REQUIREMEN"T' SAMPLE MEASUREMENT PERMIT REQUIREMENT
.*. ~.. \\ *. * *. * *.
- * * *'.. ; \\ *. * * * *;.. '
KG/Df\\Y 20.60 23.80 29.10 CONT NA
- /
- * ***** OEG.C CONT.
23.70 32.80 39.80 0
CONT DEG.C 46.. 00 CONT 0.90 9.00 15.10 0
CALC NA
'DEG C
- 15.30 7.03 7.35 7.67 0
2/7 GR
- 6. 00**.
- ~
- :*:~.* **":';"
.... f 2.ft 7.33 7.55 7.78 2/7 GR 266.40 419.20 532.80
- **=.:
~*~_C
___ A_L_C--+-_ N~-
iC tJNT.. *.*.
CALC GR 0.10 0.13 0.20 MG/l.
0 o~ 5o
- TELEPHONE NAME/TITLE PRINCIPAL EXECUTIVE OFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-i't.
f.------------------1 INGLY MAKING A
FALSE CERTIFICATION ON THIS REPORT OR
"/". '"/I,..
SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING
~
.VLJ WITl-1 ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 1-~-*e._~=..a.=-,-....:.'------~6 0 9 19 3 5 6 0 0 0 DATE L. K. MILLER OFFENSES. SEE 18 u.s.C.§ 1001AND33 u.s.c. §1319.
(Prnal-SIGNATUREOFPRINCIPALEXECUTIVE 82 10 07 f.------------------1 lirs undrr llu~sr statultl may bt Jlnr1 up to SI0.000 and/or maximum t-r....... :.-t-----r--~--;-~~-t""~"'--1 TYPED OR PRINTED lmprl*onmrnl of brtwrrn 6 month* and-~ yrarr.)
OFFICER OR AUTHORIZED AGENT co~~ I NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rrfruncr all allachmrnt> hrrr)
DIS 485 IS CONDENSER #22 COOLING WATER.
0AND NOT MORE THAN 30 MINUTES EACH TIME.
.rr"IA r,..............,..,...,n.. 10,.,., 1n_77\\
PRFVIOIJ~ FOITlnN Tn p~ 11c;s:-n NOT MORE THAN 3 COND MAY DIS TOTA!. OR FREE CHLORINE AT ANY TIME, I REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.I PAGE q OF 18 J
Faclllty Name/Location 11 dltlrrrnlJ
~~~~~~-_mv_AFE'_~-~~------
DDREB* PSE&G
- J__.9~~570=.J.OC.===========
__ JE-lABK_ ____ __ru__fil.lfil_ ______ _
~m~ALEM_GENERATINGSTATIOO _______ _
OCATION I..rnER ALU:WAYS CREEK Ul~'-'""'"U~ IYl'-'1'1 a~*,***-
(1-16)
ID0005622 PERMIT NUMBER MONITORING FROMt-'8~2"'-l,___,.0~9"-1-_0.....=l~
YEAR MO DAY (20-2/)
(22-2J) (U-25) 17-19) 485 DISCHARGE NUMBER PERIOD DEU\\WARE RIVER C'OOLING WATER GP. AT MI 17 7 l
NOTE: Read Instruction* before complellng this form.
(J Card Only)
QUANTITY OR LOADING (4 Card On/JI)
QUALITY OR CONCENTRATION l-__
(~4_6-~jJ~)'-----.,--~(j~4~~-J~)---...---~i---~(~J8~4~j~)---.---~(4~6=J=J~)--~-__;(~j~<f~::::.:l)~-------l NO. FREo;]iNCY SAMPLE P'ARAMETER (J:Z-37) 00530 1
SOLIDS, TCfI'AL SUSPENDED EFFLUENT GROSS I
o, P!RMiT,.....
.. REQUIREMllNT
,.._~:-
00530 B
SOLIDS, 'IOTAL SUSPENDED STREAM INTAKE 00530 4
SOLIDS, 'IOTAL SUSPENDED EFFLUENl' NE'T 00556 1
OIL AND GREASE EFFLUENT GROSS 00556 B
OIL AND GREASE STRFJ\\M INTAKE 0055'6 4
OIL AND GREASE EFFWENT NET SAMPLE MEASUREMENT
- . : PERMIT \\,
- .,REQUIREMENT,:
SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT
. **.*. * **. PtRMl1'.* *.* ***
RIECIUIREMENT A,VERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM OFFICER OR AUTHORIZED AGENT COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rt/trtna all allat:l1nrrnls /1rrr)
SC-22 BD-5 Daily Max. (It9/l)
M:mthly Aver. (ng/l) 0.142
_J)__.1~0~5.._~~~~-
- 3. 906
__..2~*~2~9~2.._~~~~~
DI\\ i=.,.'" ~~?n,1,~.. v 1n.111 PREVIOUS EDITION TO BE USED TSS -
See attached sheet I REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.)
EX ANALYSIS TYPE UNITS 62~3)
(64~8)
(69-70) 1/30 GR
- '-L3Q.. **** '.'tc.;R
- GR 1/30 GR i/3(). "GR*
1/30 GR
- .'j*:t/3Q
- . GR..
- 1/30 GR 82 10 07 NUMBER YEAR MO DAY PAGE ] 0oF l B 1
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOl:."S}
DISCHARGE MONITORING REPORT fOMRJ (2-16}
(11-l*J Form Approvrd OMB No. /58-R007J
.~
NJ0005622 I
PERMIT NUMBER 486 DISCHARGE NUMBER GP AT MI 17 7
I MONITORING PERIOD YEAR MO DAY YEAR FROM 82 09 01 TO 82 MO 09 DAY 30 DELAWARE RIVER COOLING WATER (20-21}
(21-1.1}
(14-JJJ (16-17}
(2B-l9J (JO*JIJ NOTE: Read in1tructlon1 before completing thl1 form.
PARAMETE:R fJl*J7}
146*.UJ
(.~4-61/
f.111-4-'J (46-!IJJ (5HIJ NO.
l'WCCJIF"ENCY X
(J Cord Only}
QUANTITY OR LOADING
/4 Cord Only}
QUALITY OR CONCENTRATION 1--------.---------...-----+--------.---------.--------r-----i EX ANALYSIS llAM,.LE TYPE I
I.
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (11-4J}
(U*tlJ (lf.10}
00010 2
TEMPF.RATURE,WATER OEG.CE~TIGRAOE INFLUENT 00010 1
TEMPF.RATURE,WATER DEG.CENTIGRADE EFFLUENT GROSS OC016 4
TEMPERATURE DIFFERENCE EFFLUENT NET OC400 l
PH EFFLUENT GROSS 00400 2
PH INFLUENT
~CO)O 1
FLOW EFFLUENT GROSS 50064 1
- CHLORINE, FREE RESIDUAL EFFLUENT GROSS SAMPLE MEASUREMENT PERMIT
, REQUIREMENT SAMPLE:
MEASUREMENT
.. '~
- PERMIT'...*.
REQUIREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT PERMIT.
REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT.
SAMPLE MEASUREMENT
- pf::RMIT REQUIREMENT SAMPLE Ml:ASUREMENT PERMIT REQUIREMENT
- * ~*~ *'~ * *
... :*v*:: *' *!'..
.;*., **:*.. /.. *
- . *~: ~
- * * ~
KG/Dl'\\Y 20.60 23.70 23.70 32.10 7.35 7.52
-~'*" ¥,
. *::>:~*:;>=s*_,,_.,,.'.,~;:~!.'~i-~ -~*'**=
. 6*. 00. * ~-*>. *> *.
7.33 111. 00
~.--::---*. *.. -~
- \\~.~ _:~;_:-* ~
- '**;:***'>it:****
0.10 7.55
~=, :1,~-;;~= ~,~r.>:*
- '*~*;:* *.
450.70 0.13 0.20
!-----------------~
INGLY MAKING A
FALSE CERTIF"ICATION ON THIS REPORT OR
",,/ {"
- 24.40
. **. *::,".::. "?DEG.C 40.20
-* i'*' ;:.****>'::::'-'":DEG. C
~*6~00:
16.30
<<ti*.<J. tVDEG C
- 15.30 7.68
...,.,.. :.. :*su 9.oo.
7.78 532.80 0.40
- *:. '"MG/l.
- c. 50.
CONT NA 0
CONT NA e 1
CALC NA 0
2/7 GR 2/7 2/7 GR 0
CALC GR
- ONT
- NA NAME/TITLE PRINCIPAL E:XECUTIVE Ol'"FICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW*
j a?.
SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING
,f..,\\ J.1 WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL ~~J;i...!J" ~*~M.l"~Ool',J.A~.J~---~6 9 11935 6000 L. K. MILLER OFFENSES, SEE 18 U.S.C. I 1001 AND 33 U.S.C. I 13111.
(Ptnol-SIG~NATUREOl'"PRINCIP'ALEXECUTIVE 0
('
82 10 07 r--------------------1 tin undrr lhrar 1to1utu may br Jlnri up to JI0,000 and/at maximum lmpr/1onmtnl of htlw,,n d month* ond J yraTJ.}
OFFICER OR AUTHORIZED AGENT
~~~; I NUMllER Yl:AR MO DAY TYPED OR PRINTED COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrncr oil ollorhmrnts htrrJ DIS 4H6 IS CDrJOENSER #25 COOLING WATER.
AND NOT MORE THAN 30 MINUTES EACH TIME.
Diff. Temp. -
See attached sheet
"'nA c~-~ ".l".l?n.1 /i:Jnu 1n-77l PRFVIOU'i EDITION TO RE lJ'iEO NOT MORE THAN 3 COND MAY DIS TOTAL OR FREE CHLORINE A'l' ANY TIME r
!REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.I PAGE OF 0
I
Foci/II)' Namr /Locallon II d1t1rrrn1)
~1 ~ EN\\7 AFF'
- ' &~-~!..!..--*--------------~--
(1-16)
. ~!2,!!.EH_PSE&~------------*-------
NJ0005622
..:....J-s.P~ BOX' 2JL_..lOC. __________ _
PERMIT NUMBER
___ __NaiABK_ ____ _fil._fillQL ______ _
,u~m_SALEM_GFNERATINGSm~oo _______ _
MONITORING J.2C~~~I.CMER_ALI.GlAYSCREEK _________ _
- "'-* -*...,........ ~,,
17-19) 486 DISCHARGE NUMBER PERIOD DEIAWARE RIVER CCOLING WATER GP. AT MI 17 7 1
NOTE: Read Instructions before completing this fonn.
PARAMETER (J:l-J7)
(J Card Onl>*)
QUANTITY OR LOADING (4 Card Only)
QUALi rv OR CONCENTRATION 0(46-JJ)
(j4-61)
(18...fj)
(46-JJ)
(j.f-61)
NO. FREa;;:NCY SAMPLE t---'---'----r----i--~---.-----1----=---'---~--.:.-__:. __ _,... __ ;___:;..__--.-----1 EX ANALYSIS TYPE AVERAGE MAXIMUM UNITS 00530 1
SOLIDS, TOrAl:..
SUSPENDED EFFLUENT GROSS 00530 B
SOLIDS, 'lUI'AL SUSPENDED STREAM INTAKE 00530 SOLIDS, 'I'CJmL SUSPENDED EFFllJENT NET 00556 1
OIL AND GREASE EFFUJEm' GROSS 00556 B
OIL AND GREASE STREAM INTAKE 00556 4
OIL AND GREASE I
PERMIT.
- REQUIREMENT.
SAMPl.E MEASUREMENT
- PERMIT.
. REQUllU'.MENT.. :
SAMPLE MEASUREMENT
..
- PliftMIT
. REQUIREMliNT(
SAMPLE MEASUREMENT
.** *.. '. PER~i~ \\) ;,.":.::ii'*;j,c.*'**:'.*>?**a..
>Jlll!QUIREMENTt SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT PERM11' REQUIREMENT
. ** *.:~:::*>
- ' ~. : :*.
- '*******/
..... * ::-i/ **"*
..* :*:*=:* =
- _. r
- =.... ~.. :=_;.~*:*;==.:.. :
- '-ic* ** *' **:\\
- '*F******
- .
- _.;.*:=
COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rt/trrnrt all a11adm1tnU l1trr)
Daily Max. (mg/l)
MJnthly Aver. (rrg/l)
MINIMUM AVERAGE 68.00 34.00
- .. {_
- *.
34.00
- = :~_-:*:*3_*0 *:. oo~* *
--:~..:--~=-.-
- **.-~*=': __ ;_..;::_.:.*.r :.**.**\\:=:..-..
SC-22 0.142 0.105 TSS -
See attached sheet BD-5 3
- 9 0 6 2
- 2 9 2
_..;:;...:.-=.;;...:::_.. __
~
en11 '""*-.,.,.,,._1 IQ,,., 1n_771 PREVIOUB EDITION TO BE USED
!REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.)
MAXIMUM 68.00 34.00
- toq ~tm
- : :..*
=*;;\\,*:*:*.;::}~
- ~ --~<*:.:.:;:J;i0.~!:i ::~;
5.00 UNITS M:;/L M:;/L 6Z-6J)
(64-68)
(69-70)
GR GR GR
- GR:
GR GR***
DATE PAGE 12oF 18 j
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPVliS)
DISCHARGE MONITORING REPORT ftJMRJ (1-16)
(17-19) l PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD YEAR MO DAY FROM 82 TO 0 9,,-+-~3~0___,
DELAWAR.E RIVER J<orm Approveu OMB No. 158-RIYJl1 GP AT MI 1 7 7
I (10-11)
(18-19)
(J0-.11)
NOTE: Read instructions before completing this form.
PARAMETER
(.11-.17)
HEAT
~ILLIONS CF BTU 1 S PER HR NET EFFLUFNT NET (JCa,dOn/y)
QUANTITY OR LOADING (46-53)
(.~4-61)
AVERAGE MAXIMUM SAMPLE MEASUREMENT * * *
- PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT
. REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT
- SAMPLE MEASUREMENT PERMIT REQUIRl!MENT SAMPLE MEASUREMENT
.... PERMIT
.}'IE(IUIREME.NT SAMPLE MEASUREMENT
.,;ERMIT;.
REQUIREMENT.
SAMPLE MEASUREMENT PERMIT REQUIREMENT UNITS (4 ('.,d Only)
(.IH-45)
MINIMUM 1130.00 NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-1---------------------1 INGLY MAKING A
FALSE CERTIFICATION ON THIS REPORT OR SUPPORTING DOCUMENTS OR INTENTIONALLY TAMPERING QUALITY OR CONCENTRATION (46-.U)
(54-61)
AVERAGE MAXIMUM 15,101.0 17,847.0
- 16300.00 L. K. MILLER WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL f------'--------------1 OFFENSES, SEE 18 U.S.C.. § 1001 ANO 33 U.S.C. § 1319.
(Ptnal-f----------------------1 tir1 undrr lhrtr 1ifatutu may bt Jinn up lo SI0,000 and/at maximum imprlsonmrnl of hrtwrrn 6 month1 and J yrars.)
TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT COMMENT ANO EXPLANATION OF ANY VIOLATIONS (Rtft<rnct all allachmtnt1 ht<r)
TOTAL OF DISCH 481,4B2,483,484,485,486 Heat -
See attached sheet r-nA r--...........,,.,,,,, 1 /Dn11 1n_77l PRF'Vln11c; F'nlTlnN Tn RF' 1Jc;Fn IRE PLACES EPA FORM T-40 WHICH MAY NOT BE USED.I NO.
FREQUENCY SAMPLE EX Of' TYPE ANALYSIS UNITS f'Z-6J)
(U-6/f)
(69-70) 1 CALC NA 10 07 MO DAY PAGE 1 ~OF l 8
l'ac:IUI)' Nam* /l.oc*llon II dlD*ttnl)
~** !i&M~~...!... ~._-_ml_AFF __ ~--------
~* Al!e!!.li!f_PSE&G ________.__ --*-------
1~* --~_J?_J)....L. BO>t' 57.Q.._..lQC. __________ _
11-16)
I moo05622 I
I PERMIT NUMBER I
(17-1!1)
I 48C lo1*CHARGll: NUIUll[R I GP. AT Mr 17 7 1
- ~ ---~----Jll._.Q]lQL ______ _
- ,~ uc;n.m_SALEM_GENERATING s~--------
MONITORING PERIOD
..1&2a~L~_AIUMAYS CREEK _________ _
P'ROM 82 YEAR 09l011To MO 1 DAY I 82 I 09 I 30 Yll!:AR I MO I DAY (1617) (211-111) (JO-JI)
,1 PARAMl:T*R
(.f2..J7) 00530 1
SOLIDS, 'IDrAI.
SUSPENDED EFFllJENl' GIOSS 00556 1
OIL AND GREA.5E EFFllJENl' GROSS 00551 l
P:fil'IDLEUM HYDKX::ARBCNS EFFWENl' GIOSS 01042 1
CXlPPER, 'l'OrAL (AS CU)
EFFLUENT GroSS 01045 l
EFFWENl' GIOSS 50050 1
Flil'l 00610
~
1 (AS N)
EFFLUENl' GBCSS lo I
(1"-)./) (22:D) (14-JJ)
NOTE: Reed lnalnlctiona befor9 completing this form.
X (J CMd Only)
QUANTITY OR LOADING (4 Card OnlJ')
QUALITY OR CONCENTRATION l----'(~46-~-J~)---.--~(J_4_~_1~)---.------1----'(~J-84_J~)---.---(~4-6~_J~)~--.--_..;(~U-4-l~)-~------1 NO, ~Rll:o;}:NCY U
ANALY.18 AVll:RAGlt MAXIMUM UNIT*
MINIMUM AV*RAGI:
MAXIMUM UNITW fJ~ (6"-41) llAMP'LE Mll:A*UREMll:NT Pl!RMIT
- REQUIR*MIHT*.
SAMPLlt MltA*UREMll:NT llAMPLll!:
MEAISURllMll:NT
- AMP'LE M*A8URlt:MllHT SAMP'Lll:
MEA*UREMllHT
- AMP'Lll!:
Mll!:AaURlt:MllNT aAMPLll!:
Ml!A8URltMENT l"S:RMl1' RIEQUIRaMllNT
- 11. 81
- 11. 81
- 11. 08
- 11. 08 18.45 18.45
- ;:.'i.as.....,:
8.00 8~00 0 1/30 5.00 0 1/30
- * *.~**.,:~'..:./. 'f1.*:.,Y}~'.... ~'/**.1"..
~
- . ':=****
2.00 1/30 0.75 0.75 3 1/30 12.50 12.50 4 1/30
>*':**..,: 'i/30.
<..... /,*... *, **.. *..
- 0.39 0.39 CONT
... /~ :.., *.
. :->.; ~-:**
- .*..*.
- :.. *:~.
- =.:.*.:.*:*.*.. *.*****
68.00 68.00 1 1/30
- AMP'L*
TYPI:
(6!1-70) 24
- 24.
GR
'.GR*
24 24:
24 24****
GR Tlt:LIEl"HONIE
!SUPPORTING DOCUMENT&
OR INTENTIONALLY TAMPERING NAMIE/TITLll: P'RINCIP'AL IEXllCUTIVIE OP'P'ICER THIB DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-
- y.... ?t ~
- 1----------------~
INGLY MAKING A FALSE CERTIFICATION ON THiii REPORT OR WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINAL 1--~-.......,;;"-------------j b
D A T IE 82 10 07 L. K. MILLER OF~ENSEIS. !IEE 11!1 u.s.c. § 1001 AND 33 u.a.c. 11319.
(Prnaf.
- IGNATURE OP' PRINCIP'AL ll:Xl!CUTIV* f)nq 1C\\-hnnn 1------------.-. -----i 11'1 11ndrr lh*** ua1u1rJ n111~
I*~ finu up 10 $10,000 and/or maximum r-4~~.l.-'-..J--l.l.JoLJ.....,.-t----11---+--
TYP'ED OR P'RINTllD lmprj1onmrn1 of br1wun 6-muntlu and j )'Hr1.)
OP'P'ICER OR AUTHORIZED AGll:NT
~!!,~I NUM*IER Ylt:AR MO DAY COMMllHT AND EXP'LAHATION OP' ANY VIOLATION* (Rr/rrrnC'r all allachmwnl1 l1*r*)
See.attached sheet
.. i No sludge removed during this period.
- n-.. *n "'"' *n.. v1n11111 F'DITION TO BF. Ulll!D
!REPLACEll EPA P'ORM T*.. 0 WHICH MAY NOT DE Ulllt:D,)
PAGE OF 1 L1 1 R
i I !
'I
- 1
~~
t*acm11 1'/aM*/Loc*"on II dlD*nnr)
- ~ M:;R
- Em AFF
&~-~~--~---------------
PSE&G
- ~~m-----------~---------
- ~* __ _:._J_J)_i. BOX' 57.Q__.J.OC. __________ _
---~--~-_.NJ__filJJU_ ______ _
,u~~~-GF.NERATm;S~llQtl _______ _
~~LIQJER_ALL<l'lAYSCREEK _________ _
(1-16)
I NJ0005622 I
I PIERMIT NUMBER I
P'ROM fD YEAR (10-.2/)
MONITORING nq I n1 I To MO I DAY I (22-2J) (l4-2l)
(11-19)
I 487
!01*CHARGE NUMllER PERIOD
~? I no I <n YEAR I MO I DAY (16*l7) (1R*19) (JO-JI)
GP. AT MI 17 7 1 NOTE: R.. d ln*tructloM Mfore completing Ihle lonn.
PAltAMll:Tlllt (JJJ7)
X (J Card On/J*)
QUANTITY OR LOADING (4 Cord Onlp)
QUALITY OR CONC~NTRATION l-__
<~"-t!-_JJ~)'------.--~('-"-~-'~>---.-----1---~(~J_s~_,~>----..--~<-"IS-3-J~)---.---~('_~_,_> __..,_ ___ -fNO. ~REO~:NcY p
ANALY91*
- AMPLll TYPll 00530 1
SOLIDS, 'lomL SUSPENDED EFFWENl' GR)SS 0055 1
OIL AND GBFASE 00551 1
PETIDLEUM HYDIDCARBCNS EFFWENr GaOOS
!:>UU!:>U
.L FICkl 00010 1
- 1.
TEMPERA'IURE, WATER D:e3.CENTRIGRADE EFFllJENl' GaOOS 00400 1
PH SAMPLE MIEAeUREMENT llAMPLIE MEAeURltMIENT llAMPLIE MIEAllURIEMllNT eAMPLll M ll-j'*U It IEM llNT I uMl"Lll MllAeUltl:MIENT lllAMl"LI:
MIEAeURltMIENT
- AMPLIE MIEA*URli:MltNT
- _:.l"IEAM 11.:
RIEQUlltllMllNT AVIEltAGIE MAXIMUM UNIT*
MINIMUM AVllRAGIE MAXIMUM UNIT9
- .J-4Jl
(!Ua)
(t!P.70) 7.67 I'.*
7.00 7.00
. * '19... ~
.... ~)>a,.;:l K;/L
..-:..~;
- 5. 00.
2.00 0.01 0.01 23.00 7.67 7.67 0 1/30
~**.. *.,:..
,.,,'t:. -*l/30 *./
fis.:.. :,>.*.:<'.:
GR
- 1/30 GR EST NA 0
1/30 GR NAMll/TITLIE PRINCIPAL PllCUTIVll OP'P'ICIER THle DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW* i. ~
!--------------------! INGLY MAKING A f"ALSE CERTIFICATION ON THiii REPORT OR
//
SUP'PORTING DOCUMENT&
OR INTli:NTIONALLY TAMPERING
.!\\._,
WITH ANY MONITORING DEVICE OR METHOD ARit CRIMINAL 1--.3...:..l.=.-=:.-:;..;;.--------lc Q 9 f:l 3 5 6 0 Q 0 TIELllPHONll D A T I:
L. K. MILLER 0Ff"EN9Ell. SEE 111 U.11.C. § 1001 AND 33 U.tl.C. 113111, (Prnal*
82 lQ 07
.. ------t,,,. 11n1lrr lhr*r *1a1u1n n111:r hr finr* up ro $10,000 and/or rno.rlrnurn l-tr*tc.-rEA-ijf------t---"T"--..,----
TYPED OR PRINTl:D lrnprlwnmrnl ol beiwrrn 11 munl/u and J rrorr.)
OFFICElt OR AUTHORIZED AGltNT
~!:....
NUM*l:lt YltAlt MO DAY COMMIENT AND !EXPLANATION OP' ANY VIOLATION* (Rr/rrrnu all 011acl11nrnll hrrr)
IREPLACEB EPA FORM T*AO WHICH MAY NOT BE Ulll:D.)
PAGE lSOF 18
RMITTEE NAMEf.ADDRESll (Include
- illly Nam~ /Local on I/ dlOerrnl)
NATIONAL ruL._u.,.,.,,.,..., *..,..._..... _.
~~..Jm'J~~~--m>'_l\\FF __ ~~-------
DISCHARGE MONITORING (1-/6)
IDREH PSE&G
- =
- J_&. BOX' 570 =.l.OC.===========
PERMIT NUMBER N.10005622
- --~----_ID.._fillQL ______ _
.~ar_SALEM_GENERATING STATION --------
~~~~-.AI..W'lAYS CREEK _________ _
MONITORING FROM 1--~8~2~=-0~9-1-_,0<...l=--i REPORT (DMR) 17-19)
DISCHARGE NUMBER PERIOD DEU\\WARE RIVER GP. AT MI 17 7 1
YEAR MO DAY (20-2/)
(22-23) (24-25)
NOTE: Reed lnstrucllona before completing this form.
PARAMETER (32-37)
X (J Card Only)
QUANTITY OR LOADING (4 Card Only)
QUALlfY OR CONCENTRATION l-_ __:(~46~-~5J~)---,--~(5_4_~_1~)---,.------1----'(~J~84~5~)---..--__:(~4~6J=J~) __
_,.... _ __:(~54~~=J~)---.----~ NO. FREQ~:NCY EX ANALYSIS SAMPLE TYPE 00056 1
FI& RATE (GALLONS PER DAY)
EFFLUENT GROSS 00310 1
BOD, 5-DAY, 00530 1
SOLIDS, 'IOTAL SUSPENDED EFFLUENT GROSS 74055 1
COLIFO~FECAL EFFLUENT GROSS 00010 1
TEMPERA'IURE, WATER DEG.CENTRIGRADE F.WT.r TRN"T1 r-'R()C:C:
00400 1
PH EFFLUENT GROOS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM SAMPLE MEABUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT SAMPLE MEASUREMENT
.PERMli" R&:QUIAEMENT
.\\*~-- :: -~ :;_*~\\.*~*-:.:!. :*(*'*
\\' iff:*i::i*'~ioQ'..'**
~...
~ *,*.. :. ;~,.-: *.
.. *~.
- \\:* --;'>.*.:
- . *~-
- ~.*
L.
- \\~
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-j7 ~'
11-----------------1 INGLY MAKING A FALSE CERTIFICATION ON THIS REPORT OR
. aJ SUPPORTING DOCUMENT6 OR INTENTIONALLY TAMPERING
- J;., w UNITS 62~J)
(64~8)
(69-70)
NA GPD GR GR 24 24 GR GR GR
- 1/30.
GR
. *.. :* ~:*
- =
- .
TELEPHONE DATE WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINALl----""--'~_.:::;_;_;;:~--"--------f6Q9 1935 6000 L. K. MILLER OFFENSES. SEE 18 U.S.C. § 1001 AND 33 U.B.C. §1319, (Ptna/-
SIGNATURE OF PRINCIPAL EXECUTIVE 82 10 1-------------------111,. 1mdrr lhtu Jlalul~J nul}' l*r /inn up ro $10,000 and/or maxlm11m r-r.... r+------t---i---t-----i 07 TYPED OR PRINTED lmprlsonmrnl o/ brrwrrn 6 munl/1.t arrd j )'tars.)
OFFICER OR AUTHORIZED AGENT
~!!:::!I NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS IRtltrtna all n11aclm1tn/J litrtl THIS DISCHARGE IS FOR THE OLD (ROTATING BIOLOGICAL CONTACTOR)
DIS 87A IS DISCHARGE 487A.
MONITORED PRIOR TO COMB WITH DISCHARGE 487.
(EXTENDED AEHATION)
SFW.~~E TRE.~_TMENT PLANT PRIOR TO COMBININ~ WITH T\\IF.W SF.WAGE 'l'HJi!J\\'J'MF.NT PLANT. Th.
U. t d
h is ni *was not in service uring t e reporting period.
!REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.)
PAGE l fl OF l A
L.ll:;J'-"""""-'1:............... *-*.. ***-... -. -**.,......... ~..
(1-16) 17-19)
NJ 05622 7A PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD M~m~ALfilL.GEN~AT.ING-5TATW£ _____ _
82 09 01 82 09 30 GP. AT MI DELAWARE RIVER 17 7 1 FROM TO YEAR MO DAY YEAR MO DAY b2CA~~~ALL~AXS.~REE.TL l"ARAMETER (J2-J7) 00056 1
FLOW RATE
&LE MEASUREMENT (20-l/) (22-2J) (U-2j)
(261 ) (18-19) (JO-J/)
NOTE: Read lnstrucllons before complellng this fonn.
(J Card Onl)')
QUANTITY OR LOADING
(.f Card Only)
QUALlfY OR CONCENTRATION (46-jJ)
(j.f-61)
(18-.fj)
(.f6-3J)
(j.f-6/)
NO. f"REQ~:NCY SAMPLE t-------..--------.,..----+---'---'----..--------.,.------'----..-----i EX ANALYSIS TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 62-61)
(64-68)
(69-70) 35,700.00 55,200.00 CALC NA
('GALLONS PER DAY)
EFFLUENT GROSS R~Q~~=~~TgNT.:-k(*:*.~)\\*::.';_'.. * *.*. ~<*'.:
'.* * :** *It..'
.:i°~l;,'*
NA
-..=;;..;;;..=.;;;..:;;.;.;..;;......=;;.;.;;~.;;....---+-~~*--,,..-~-+-............... """'"""""""'-~"'-1-----..-...----'-"""'-'""""4-----4-~~.-........... _._-""""""'"'........................................ 4--"'"'---'............ __
-i::;.::....::;...._~..._............... ""'"".._.o..j.o"'"""'~:=.=.-i 00310 1
MEAss~"::'E';..EENT * * *
- 2.10
- 8. 67 GR
~~~£u~~~A~~oss
.. PERMIT 0*~*91:
. 30:'~00.*.*
00530 1
SOLIDS, TOTAL SUSPENDED 74055 1
COLIFORM-FECAL EFFLUENT GROSS 00010 1
TEMPERATURE,WATER DEG.CENTRIGRADE 00400 1
pH EFFLUENT GROSS
.. REQUIA£Ml!NT..'
.*/.,.. :*.,.,.,, **
SAMPLE MEASUREMENT Pi!RMIT.::.,.: ',o:.,
Ri;QUIAEMl!NT/
SAMPLE MEASUREMENT SAMPLE MEASUREMENT
~-. *.
- '.
- l"l!AM IT}*::/
.R£QUIRltMEi:NT, SAMPLE MEASUREMENT SAMPLE MEASUREMENT PERMl1' R&:QUIFIEMENT
- .~
- irJk,:;
- ~..
7.32 i':'f.*'6*~tro*.***
NAME/TITLE PRINCIPAL EXECUTIVE OFFICER THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-1-------------------l INGLY MAKING A FALSE CERTIFICATION ON THIS REPORT OR
.. ;*: *:*:=***. :*..-...
- '0t:*;\\i;:;;r.-.***.. ***
7.48 7.63
. *.. 9 ~* cl.o:*.. r*.'.(.*.:_{,:.*
- . *~(: *:. *'.. :-:...
~ : *.
~~~~
0:~
1
.;'~ o~~;i:. ~~T';,E,?.~E 16~E~~
1
~HNo"~L :RET ~~~~
~'!~ J_ _
_.:=!1!:...:.p.:-_:::~~al!!il..lo~----l L
- K
- MILLER OFFENSES. SEE IB U.B.c. § 1001 AND 33 u.s.c. §1319.
(P*nal-11-----------------111., wufrr th*,. Jlalutrs nwy 111* (inn "I' 10 $10,000 and/or maximum TYPED OR PRINTED imprlsonm*nt of b*tw**n 6 munt/1,* and j r*ar.r.)
OFFICER OR AUTHORIZED AGENT COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrnrt all allaclir11*nls lier*)
- GR 24 GR*
GR SU DATE 82 10 07 YEAR MO DAY DIS 87A IS DISCHARGE 487A.
MONITORED PRIOR TO COMB WITH DISCHARGE 487.
~HIS DISCHARGE IS FOR THE NEW (ROTATING BIOLOGICAL CONTACTOR) SEWAGE TREATMENT PLANT PRIOR TO COMBINING WITH THE OLD (EXTENDED AERATION) SEWAGE TREATMENT PLANT..
BOD Fecal Coliform -
See attached sheet
'"' t='Mm "l'l'>n-1 /t:I"" 1n-771 PREVIOUB EDITION TO BE UBED
!REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.)
PAGE OF
., n
- acml)I Nam* /Locallan II dlO*nnr)
~g~~~M:;R._:_pN_.AFF __________ _
PSE&G w~*-----------~---------
...:..J...Q....~..2.7..Q._..lOC. __________ _
___ JmtlAmt ____ _fil.._filJDL ______ _
l!ACillrlU_SALEM_GENERATING S~-------
liQQT~IL~-ALUJolAYS CREEK----------*
LJl;a.'-""""~-- "-"1'1 I-*****-
1-16)
NJ0005622 PICRMIT NUMBER MONITORING P'l'IOM R?
oqln1-ITO YEAR MO I DAY -J 11-19 489 Dl*CHAROI[ NUMlll:R PERIOD GP. AT MI 17 7 1 (10-21)
(2l-2J) {}4-2')
Q'J I na I ~n YEAR I MO I DAY
{16-:ZT) (111-19) (JO-JI)
NOTE: RHd ln*lrucllonl behn compl*llng 11119 form.
PAlllAMICTKll (J1.J7)
(J Card Only)
QUANTITY OR LOADING (4 Card Onlr)
QUALlfY OR CONCICNTRATION (46-JJ)
(j4-61)
(JIJ-4J)
(46JJ)
(.u.41)
NO. ~H.o;}:NCY llAMPLK i---~~-'---.,---'-~~---r-----lf---~;;__...:.... __
-r-~--:._;_..;..;. __
- _...;.;,;
- :__ _ _,, ___ --1 llll ANALY*l9 TYPK AYlltRAGIC MAXIMUM UNIT*
MINIMUM AVKl'IAGK MAXIMUM UNITll (6P.70) 00530 1
SOLIDS, 'IUrAL SUSPENDED F.Ji'l4'r I J"la7T1 l'!~C!
0055 6 1
OIL AND GREASE 00551 1
PETIDLEUM HYO~
EFFLUFNr Gla)S
!:>0050 l
FI.Qt1 EFFLUEN1' GroSS 00010 1
TEMPERA'IURE, WATER Dm.CENI'RIGRADE EFFLUENl' GR:>S.S 00400 1
PH
- AMPLE MEAllUREMICNT
. :- ~... :** :. :*:. :;.... *'.
... -~*,::*.
- lll!Q~~=~~~T, <~... :~(-~:\\~> ::.:.:
8AMPLlt MEAllUl'llCMICNT lllAMPLE MEABURICMENT
- AMP'LI[
MEAllURl:MENT llAMP'Llt MEAeURICMENT llAMP'LE MICAllURICMl:NT llAMP'LIC MEABURl:MICNT
.P&:RloU'f.
RIEQUIRl!MENT
. :.. \\. >"
25.00
- ~*:.:;:: *::*:*..
.,;*_**,. '~, lt*_ *.*~*.*:J:.
- _:*.~,:::.;.::;~q i:PQ /;"*
0.02 7.94 7.94
. ****i'. *:.* ******.*************:
.*** '*** :*>/:.* ::..
1-----------------~ INGLY MAKING A FALSE CERTIFICATION ON THIS REPORT OR 25.00 5.00 2.00 23.00 9;_.'pq~:f_f.::.*_\\,.': SU
~:
.-::~ *:**::.,;:
0 1/30 0
<I.*
1/30
.l/30, 1/30 GR GR GR GR EST NA 0
1/30 GR TICLKPHONlt D A T It NAMl:/TITLIC PRINCIPAL ltXl!CUTIYE OFP'ICl!R THIS DOCUMENT IS SIGNED WITH RECOGNITION THAT KNOW-j'.;~'r,,, ~
SUPPORTING OOCUMENTS OR INTENTIONALLY TAMPERING L
K MILLER WITH ANY MONITORING DEVICE OR METHOD ARE CRIMINALl--__;:._"°"_"...,_;;__.;_.=~------~6Q9 l935-600(
OFFENSES. BEE 16 U.8.C. § 1001 AND 3:!1 U.S.C. 11319.
(l'tnt1I*
lllGNATURlt 01" PRINCIP'AL ICXl!CUTIVK 8 2 10 0 7 rlrJ "'"'" lhtJt srarurtJ n1<1y 11~ /in,. HP ro $10,000 and /or lfta.rlmum 1-rww>r-lf------+-..;;....;;T-'::;;....;;;1---'~
TYP'ED OR P'IUNTICD lmprlwnmrnr a/ wrwrM 6 noun/lu and J,.,,.,,.)
OFFICICA OR AUTHORIZED AGICNT
!!!~ I NUM*El'I YKAR MO DAY COMMENT AND EXPLANATION OP' ANY VIOLATIONll (Rt/rrrnre all 011acl1m1nll htrt)
.....,.."".. lr-t- ** 41'\\ "1'"7\\ earVU'"'. ~nrTtnN TO IU! Ufll!'D
!REPLACES EPA FORM T*AO WHICH MAY NOT llE Ul!ll:D.)
PAG~ R OF1 R