ML18094B326

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NPDES Discharge Monitoring Rept for Jan 1990.
ML18094B326
Person / Time
Site: Salem  PSEG icon.png
Issue date: 01/31/1990
From:
Public Service Enterprise Group
To:
Shared Package
ML18094B325 List:
References
NUDOCS 9003090088
Download: ML18094B326 (17)
v • d • e


Text

PERMITTEE NAME/ADDRESS (lndm/1* r JI\ I rUWIL f'OLLU r AN I lJISCHARGE ELIMrNA TION sy~; I EM 1*'-'1'/Jl:SJ Facility Name/ Location if different) DISCHARGE MONITORING REPORT (IJMRJ NAME_.e_s£.&..G_ _ _ - - - _ _ _ - - - _ _ _ (2-16) (/7-19) F - FINAL ADDRE~~Cla_BfilL._llf;~.2.J._- _ - - - __ _ NJ0005622 NON-CONTACT COOLING WATER

---~~~~~llllG£_ _ _ _ ~LOfill3~- PERMIT NUMBER J DISCHARGE NUMBER FACILI!!_ £.5.ELJi_ .5.AL.£.f!_ Ji.Ehl.ER.All N.6-5.rAlln!i _ _

_!9CATION li.Qlll.C.0.CJ(S_filU_illi.£_ _ _ _ _bU_ 080 38 MAJOR (SUBR S ) SALEM NOTE: Read instructions before completing this form_

QUANTITY OR LOADING (4Card0nly) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (54-61) (38-45) (46-53) (54-61)

EX OF TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (69-70)

(62-63) (64-68)

PH === :c::::::: :0: ~ *~~:0:¢~

6.83 7.81 0 3/wk PERMIT **~*:cu~ . *O*:Q:: :O::Q:: . *......... 6 9 WEEkL REQUIREMENT

~c~~

""""'""'-~"""'4'._,,_

SAMPLE MEASUREMENT ******

PERMIT OO:Q:::Q:O:Q:: * :Q:::Q:::Q::O~O*

.......... REPORT REQUIREMENT SAMPLE MEASUREMENT 484.10 532.80 PERMIT REQUIREMENT REPORT REPORT SAMPLE MEASUREMENT NODI NODI NODI PERMIT REQUIREMENT

'O:Qi:;):;):Q:::C::* :Q:::Q::O::l::O:Q::. REPORT SAMPLE  ::=¢~¢*0 ¢C~O~:Q:

MEASUREMENT

<0.01 PERMIT  :;)O:C:OOO* REPORT REQUIREMENT SAMPLE  ::=¢~=:::_::::: ¢~~*:::~

MEASUREMENT NODI PERMIT REQUIREMENT

O:Q:::Q::$:Q:::Q::- **~*::>:- ~===¢ *REPORT

~~~

SAMPLE 9003090088 900131 PDR ADOCK 05000272

-- - _R c:_x:rc; __

NAME/TITLE PR,INCIPAL EXECUTIVE OFFICER 1------------------1 L. K. Miller I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

71.

\_ <.

~

TELEPHONE DATE NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING l - - - - - - - - - - - - - - - - 1 G. M. Salem Operations THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 u.s.c. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE t-------~----------1 33 U.S.C. § 1319. (Penalties under theJe statutes may include fine.'f up to 1/0,000 TYPED OR PAINTED and or maximum imprisonment of between 6 111011/h.< 11nd 5 years.) OFFICER OR AUTHORIZED AGENT COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all auac/Jments here)

PARAMETER 50060 LOCATIONS: *R* = SWS DSCHG (NO CWS FLOW) *s* = SWS DSCHG (NORMAL COND) "T" = CWS DSCHG ENTER "NODI" FOR LOCATIONS THAT DO NOT APPLY*

M~Nmf!~(~~/fMd;Rtffifm~McJ.NATED., PUINfllJ~l'EsH!teRPA-4oU8MvilM:au*fl< DURING zwHft PEftlfllJ5 Of CHLfl;ft;£NATI~*

01379/122789-2116 1 of f7 1

PERMITTEE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'/Jf.'S)

Facility Name/location if different)

NAME_f.Sf..&G_ _ _ - - - - - - - - - _ _ _

DISCHARGE MONITORING REPORT (DMR)

(2-16) (17-19) F - FINAL ADORE~ f!..t.CL!. _...B.llX.......2.3.J..lAZ.J._ _ _ _ _ _ _ _ _ ~0005622 NON-CONTACT COOLING WATER PERMIT NUMBER

---~~~~~~~~---~L~m~-

FACILl!Y__ ..£5Ei..fi__ SALEM_ ..6f.M.ER1'Il N.6-5IAII1l.N - -

J:9CATION H.Allilt.llt.KS_JUU..DJif... ____ _NJ_ .ila.o.34_ _ FROM~- * . _,_ ~ HA.IOR (SUBR S ) SALEH NOTE: Read instructions before completing this form.

x ATTN: .. " 11 ' "t;ER LICFN' ,ING & RF ~lll .ATtnN (20-21) (22-23) (24-25) (26-27) (28-29) (30-31)

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

PH SAMPLE ¥¥_,., .......

J4.A""'-A"4~

  • ¢~¢¢¢ .......,..,,. ..,..._,. ....

_._.._Jt.AA .......

MEASUREMENT 6.53 7.73 0 3/wk Grab OO'tOO 1 EFFLUENT GROSS VALUI 0 0 PERMIT REQUIREMENT

0::0: :O:~:O: -
            • .: ~:;)¢:¢

¢ ..........

MINIMUM 6  :;)0¢¢¢¢ MAXIMUM g

SU WEEkL' GRAB PH SAMPLE ****:C::O: ***:oi::c::::  :::--"".... ~'""-~

-W-1"' ......... .,,.

MEASUREMENT 7.51 8.01

  • 3/wk Gr.

OOltOO 7 0 0 PERMll . ooo~:ac :' o:=:~¢::)'.L: 11:¢::1::0: . REPORT 000000 :REPORT 1 WEEl<~'t GRAB REQUIREMENT INTAk'F FROM STRFAM :o::c:o:o: MTIMTMllll li41(IMUM SU FLOW, IN CONDUIT OR SAMPLE MEASUREMENT

~~:=::::~o ............,,,.... ..............

~

""" ......... ~:r::~:::*===

THRU TREATMENT PLAN 496.30 532.80

  • Cont Cont 50050 1 0 0 PERMIT REPORT REPORT  ::::o:::i::i::ic .  ::::o:~:::c . ~**:;:o:o: * **** CONT Ir.

REQUIREMENT l=FCI llFNT t:Dn4'S V41 IU ~nna AVt: nATIV MX Mt.:n OO~:rP un11c::.

CHLORINE, TOTAL SAMPLE """"...,..,..,...,.

~-"-"'-" ...... """- A-A.-.~..._

~

....... .,,. .... ' ¥ MEASUREMENT NODI NODI NODI RESIDUAL 50060 R 0 0 PERMIT REQUIREMENT

.. .:: 0:0::0::0:00 0:0:~~  :. : ~::i::::Q: REPORT 0.3 o.s TH~Ee, GRAB te;l=E cnMME=NTS RFI nlol 3nnA AVG DA:ILY Mlll MG.IL WEEK CHLORINE, TOTAL SAMPLE  ::Q::O:::Q:*:O::O: ******

MEASUREMENT 0 12/wk Grab RESIDUAL *<O. 01 <0.01 <0.01 50060 s 0 l PERMIT REQUIREMENT

  • ~o:o:oc c==oooc~ ~:O:O:Q: REPORT REPORT 0.2 . THflEE' GRAB c;.FF c:nllMFNTc;. RFI nLI :O::Q::Q::O: 30DA AVG DAILY Ml Mr../L WEl=ll'"

CHLORINE, TOTAL SAMPLE MEASUREMENT

<A.AA...,..._"'9

~ ~.,..

o:* :c: :0: ~===

RESIDUAL NODI NODI NODI 50060 T 0 1 PERMIT REQUIREMENT

  • ~oo::::o:. **"**:-': ::::::c:::: REPORT REPORT* 0.2 THRfEJ GR.

1.u:: s:ll' SFF cnMMFNTS RFI nu

        • 3nn4* avr. na Tl y Ml Mt:./l SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE

~/I ~

AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR L. K. Miller OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

G.M. Salem Operations -..

NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 u.s.c. § 1319. (Pena/lies under these statutes may include fines up to SI0,000 SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT 609 AREA II O"lc:_.::nnn on

--MO n""> ...,...,

TYPED OR PRINTED and or maximum imprisonment of between 6 months and 5 years.) NUMBER YEAR DAY CODF

, COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all auachments here)

PARAMETER 50060 LOCATIONS: *Rn = sws DSCHG (NO cws* FLOW) "S" = SWS DSCHG (NORMAL COND) "T" = CWS DSCHG ENTER "NODI" FOR LOCATIONS THAT DO NOT APPLY*

DUftINB zwHR PERIODS Of CHLO:ftiNATI~*

01382/12278CJ-2llf. 2 OfA'i.'7 )

PERM ITT EE NAME/ADDRESS f/nc/11de NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'DES)

Facility Name/location if differenl) DISCHARGE MONITORING REPORT (DMRJ NAME_..e_sE.£.fi_ _ _ - - - - - - _ _ _ - - - (2-16) (17-19) F - FINAL ADORE~ e...._a... _B.filL..236.lN.2.1.__ _ _ _ _ _ _ _ _ NJOOOS622 NON-CONTACT COOLING WATE~

PERMIT NUMBER

---W~~~~illlliE_ _ _ _ ~LQll03~-

FACILI!!._ ..e.5.E.&.li... .5.ALE!l.. ..G£.N£.9.AllN6-5I.All.llbl _ _

FROM LOCATIONJ:fAN.C.O..C.kS BRIDGE _ _ _ ...,;_M,J_ 08Q38 _ MAJOR (SUHR S ) SALEM L IC l=N r Il\Jt:;: &. RS:1 :111 .I\ T 'I aN (20-21) (22-23) (24-25) (26-27) (28-29) {30-31) NOTE: Read instructions before completing this orm.

PARAMETER SAMPLE TYPE (32-37)

MINIMUM AVERAGE MAXIMUM UNITS (69-70)

~¢¢¢:):)

PH SAMPLE MEASUREMENT 7.08 7.69 0 3/wk Grab 00400 1 0 0 PERMIT o:::~oo . :r::o:c:::: 6 0$~0:;) 9 WEEkl,~ GRAB REQUIREMENT FFFI IJl=NT r.;anss V4l Ill ~:ero MT!llTAl**M MAXIMUM SU PH SAMPLE MEASUREMENT

oo*** Gr* .

7.51 8.01 * /wk 00400 1 0 0 PERMIT REQUIREMENT o:c:~oo -:1::00:0: REPORT *000000 REPORT I WEEKLl GRAB TtJT41tl= FRnM STRFllM 0000 MTaJTlllCM IUUfYMUM SU FLOW, IN CONDUIT OR ME:;u~'iiENT ¢=::¢~:;:o :cioooo::: :c::;: ~:c: :Q::)

417 . lO 532. 80

  • Cont Cont THRU TREATMENT PLAN------------+-~-----'

50050 1 0 0 PERMIT REPORT REPORT *~ooo~o. * :c:ooo~ *900~00**~:::::: CONTIf' FS::S::I llFNT (.;Anc;;:c; Vlll Ill REQUIREMENT . -::znna .aur. no. Tr v MW Mt:n  ::::o:o::: 11n11..;.'

CHLORINE, TOTAL SAMPLE MEASUREMENT <0.01 <0:01 0.02 0 12/wk Grab RESIDUAL 50060 R 0 0 PERMIT REQUIREMENT REPORT 0.3 o.s ITHREE,GRAB c:cs:: rnMMCIUTc;;: A.Cl nu ":llnno. aur. na Tl v MY M(.;~l Ll~Fll CHLORINE, TOTAL SAMPLE MEASUREMENT

Q::Q:O:Q::Ql:QI

<0.01 <0.01 0.02 0 12/wk Grab RESIDUAL 50060 s 0 1 REPORT REPORT 0.2 THREEJGRAB CCC rnMMCrJTC: RCI nu -:.tnna o.ur.: nan Y NV MC. /I WS:Fll CHLORINE, TOTAL i-----.---+-----4--' .

SAMPLE MEASUREMENT NOD! NOD! NOD!

RESIDUAL 50060 T 0 1 PERMIT REQUIREMENT

""""""-"'".Ao

.,,..,,,. . . ¥ REPORT REPORT 0.2 THREE1GRAB C:FF c:naUICr.ITC:O 'Ri:I nw ~nna AVr.: nA Tl y* NV Mf,;/L .WEEK SAMPLE MEASUREMENT PERMIT 7

REQUIREMENT NAMErTITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED ~ TELEPHONE DATE 1-------------------1 AND AM FAMILIAR WITH THE INFORMAllON SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~

c..

. Iler OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION ....

L. K. M1 IS TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG* I~ I' **

NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING l---1'v'--~------------I I G. M. Salem Operations THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 u.s.c. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE &:no la-:i i;:_e;nnn an h'J l'J ')

1-------------------1 33 U.S.C. § 1319. (Penalties under these statutes may include fines up to 110,()()() ,.....,.~~z..>.....i..;;:_u.u.LL.1.J'-.j.~L.-.--"-----J~~-l TYPED OR PRINTED and or maximum imprisonmentofbetween6 month.< and 5years.J OFFICER OR AUTHORIZED AGENT ~S~~ I NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Referenceallallachmentshere)

PARAMETER 50060 LOCATIONS: "R" = SWS DSCHG (NO CWS FLOW) n5n = SWS DSCHG (NORMAL COND) "T" = CWS DSCHG ENTER "NODI" FOR LOCATIONS THAT DO NOT APPLY*

DUlt:tNG Z'H~ PE~ItHlS OP Ct1Lqll~ATI(9;N*

01385/1221'89-2116 ~ - .- 1

PERMITTEE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'Dt.'S)

Facility Nome/Location if different) DISCHARGE MONITORING REPORT (DMR) ,_

NAME_.f.Sf..&.6.._ _ _ - - - _ _ _ - - - _ _ _ (2-16) (17-19) F - FINAL

~ERMIT NON-CONTACT COOLING WATER ADORE~ ~a_.. _,B.illL.2.J..61.Jjll__ _ _ _ _ _ _ _ _ f-1u0005622

---~~oc~~u~~---~~~ru~-

NUMBER HA.JOR (SUBR S ) SALEH ATTN: HA NAGER LICENi ING & RE1 iULATION (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE: Read instructions before completing this form_

(4 Card Only)

C><

(3 Card Only) QUANTITY OR LOADING QUALITY OR CONCENTRATION (46-53) (54-61) NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) OF EX TYPE

{32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (69-70)

(62-63) (64-68)

PH SAMPLE ~c:::~*::t:

...... ~ .............

...... -w- ........ ~

MEASUREMENT 6.55 7.86 0 ~/wk 1.rab OOltOO 1 0 0 PERMIT REQUIREMENT

Q::):C::C::Q:.:O ' :C::Q::C::Q::Q::Q: . ;

"=**** 6 ' ===~~:Q::Q: 9 WEEICL' GRAB EFFLUENT GROSS VALUI  :::c:::o "INIMUH "AX I MUM SU PH SAMPLE ===~:e:~~¢  :.::c:::::o::)C .,..Jlw.,..~Jll..,..

........... .,,.~111'""

MEASUREMENT 7.51 8.01

  • 3/wk Gr.

OOltOO 7 0 0 PERMIT REQUIREMENT

. ~0000 O:C:~tll!O-: t:¢*=0:- *REPORT  :::o~oo rREPORT l WEEkL' GRAB TNTAllF FRnM ~TRFAM ' ¢0:0:0 .MT&1T111111 lllAXYIUlll SIJ FLOW, IN CONDUIT OR SAMPLE MEASUREMENT 407.50 532.80

~

......... ¥ ¥ ~

~~ ........ ~JI.

):::::::;::::

THRU TREATMENT PLAN * <"ant Cont 50050 1 0 0 PERMIT REPORT: REPORT  :.o. .~o- .*:QIO~~. ;000~0-  ::::=::=:* CONT IN FFFI llFNT r.:an~~ UAI Ill REQUIREMENT

tnna .1u1i: na Tl. Y : Mlt u~n C:C::O::Q: 11nus CHLORINE, TOTAL SAMPLE MEASUREMENT
~:::coo *C*~C:C::

RESIDUAL <0.01 <0.01 <0.01 0 12/wk r.rah 50060 R 0 0 PERMIT REQUIREMENT

~:; ooo:cioo .  :::1::::1:04:0:::1: : !t:Q!O:O: REPORT 0.3 o.s THREE' GRAB c:;;s::F rnMMS::tJTc:;; BS:* nl.I '. 0000 ':IODA AVG nan v Mll MC.II *WES:~:

CHLORINE, TOTAL SAMPLE :Q::Q::Qc:O::Q:O  :::o:e::o::o:::l:

MEASUREMENT RESIDUAL <0.01 <0.01 <O rn n 1 ? lw'lr r-~..,,h 50060 s 0 1 PERMIT REQUIREMENT

.\ :Q:O"OO - OOOOOOi- ............

~--"-""'-Ao REPORT REPORT 0.2 THREE~ GRAB nan Y M11 111:/L WEEI(

c:;;J:s:: rnMMi=NTc;; si::1 nw 30TI4 AVC.

CHLORINE, TOTAL  :!:¢C~*O SAMPLE MEASUREMENT ****~

RESIDUAL NOD! NOD! 111nnT 50060 T 0 1 PERMIT REQUIREMENT

o::iroooo- ooo=::iro:- )¢:Q:O . REPORT REPORT 0*2 THREEJ G~AB c:;;i::s:: cnMMS::tJTc:;; RS:I nu :oi:c: :c: :C ":lnna avr. nATI Y. MV Ut:./I lolEFk' SAMPLE MEASUREMENT PERMIT REQUIREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED L. K. Miller 0C-~.{A1 7a-ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION G.M. Salem Operations IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 u.s.c. § 1319. (Penalties under these s1a1u1es muy include fines up IO SID,()()()

SIGNATURE OF PRINCIPAL EXECUTIVE 60Q AREA II a-:tc;_i:;nnn an n? b?

TYPED OR PRINTED and or maximum imprisonmenl of between 6 mnnths and 5 years.) OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY CODE COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all at1achments here)

PARAMETER 50060 LOCATIONS: "R" = SWS DSCHG (NO CWS FLOW) *sn = sws DSCHG (NORMAL COND) *T 11 = CWS DSCHG ENTER "NODI" FOR LOCATIONS THAT DO NOT APPLY*

DURING 2wHR PERIODS OF tHL~(!NATlcg;N*

01388/122789-2116 J1 ~c , ..., 1

PERM ITT EE NAME/ADDRESS f/ridwle tJA I IONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'l>ESJ Facility Name/Locafion if different) DISCHARGE MONITORING REPORT (DMR)

NAME_.e..5E£.G.._ _ _ _ _ _ - - - _ _ _ _ _ _ (2-16) . (17-19) F - FINAL AD DRE~ e..._a.... JIDL.2.3.6.llll~ _ _ _ _ _ _ _ _ NJ0005622 NON-CONTACT COOLING WATER DISCHARGE NUMBER

___ m~~~~ll~E---~LQ&l3~-

PERMIT NUMBER FACILITY ..e5.E£.G.. SALEH- .GEN.ERAllNG-5IAllfibl _ _

LO~~J:iAw::ru:KS BBIDGE _ _ _ _N.J_ 08038 _ MA"OR (SUBR S ) SALEM ATTN: M4N41.i::A I TC:J:llC,TPJt:: F.. Ar:lr.:111 ATTntJ (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE: Read instructi<ms before completing this form.

[X (3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

PH SAMPLE MEASUREMENT ****** *~:0:¢~~

7.17

..,..,'¥~-.

'-"--"'-~-"'-

7.75 0 3/wk Grab

    • CZ*** t:::Q::Q:::Q:- g WEEICLl GRAB 00400 1 0 0 PERMIT REQUIREMENT
        • ~* 6 -****** SU J=r:FI lli=NT t;Anc;.c;. V41 111 *:CZ** MTNTMllll MllVTMUM PH SAMPLE
          • ****** 7.51

-"om"-~4'.o .........

..,,. .... ...,. 'Y'""W"'...,

8.01 3/wk brat9' MEASUREMENT

  • OOlf 00 7 0 0 PERMIT ~:ci:c:~o~ -:QIOO$:.l!O*: :::e::::::: REPORT* *, :e::.ir~o::: -REPORT I WEEkL't GRAB REQUIREMENT ..

TNTllll'I= f:RnM C:.TA l=llM

        • MTfJTllilM MAX.IMIJM SU FLOW, IN CONDUIT OR SAMPLE 449.00 532.80
~:::~===~ ~ ~'""'.-..,.,..

.... ""P . . . . . "'"r

~.-..'""'.-.

.... "W"'¥'¥'"V' ....

Cont THRU TREATMENT PLANj MEASUREMENT

  • Cont 50050 1 0 0 PERMIT REPOR-T REPORT  :=:ooo:=:::: .  : 00:::$*0 -~:::o::::::o - IC:"""""'" .,,..,,...,. CONTI fl REQUIREMENT i:s:c1 1u:MT canc;.c;. VA* lit *::u'll ru1 . a ut: nllTI Y MV 11r.:n :o:::::o:o 11n11c::

CHLORINE, TOTAL SAMPLE MEASUREMENT

  • =::*¢00 **::::0i:::o NODI NOD! NOD!

RESIDUAL 50060 R 0 0 PERMIT REQUIREMENT

  • 000:0:0:0: ' 000:0:00- ~:Q::C::Q: . REPORT 0.3 o.s ITHREEJ GRAB c;i:c c:n111u=l\lTc:;; RCI nu ""'""'~~ ~onA AVG n11nv Mlrl Nt:/L US:Ell CHLORIN#t TOTAL SAMPLE  :::::::::::::::::::::  :::~*~~1)

<0.01 <0.01 0.01 MEASUREMENT 0 12/wk Grab RESIDUAL 50060 s 0 1 PERMIT REQUIREMENT ******* OOO::CCO:C:'.: ):::l:O::Q: REPORT REPORT 0*2 THREE/ GRAB cci;:: rnM11c1.iTc; RCI nu ~~~~ 30DA AVG TIJlTI Y NV Mr../L *LIFFk CHLORINE, TOTAL SAMPLE  ::O:::Q:O:C::Q::C: """-'~

....... y. ...

MEASUREMENT RESIDUAL NnnT NnnT NnnT 50060 T 0 1 PERMIT REQUIREMENT  : ***$00' *:C::::~::::::- C:*~~- REPORT Rf PORT 0.2 THREE~ GRAB nu -- nil Tl Y Mf:/I LIS:EAC c;.s:i= rnMMl=l\JTc;. RJ:I SAMPLE

        • ~nn4 avc. MJI MEASUREMENT PERMIT REQUIREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE v:r~

AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR L. K. Miller OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

G.M. Salem Operations NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 u.s.c. § 1319. (Penalties under these s1a1u1es may include fines up lo JI0,000 and or maximum imprisonment of between 6 months and 5 years.)

SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT 1:>09 AREA II 935-6000 NUMBER 90 YEAR 02 MO 22 DAY TYPED OR PRINTED CODI' COMM ENT AND EXPLANATION OF ANY VIOLATIONS (Reference all at1achme111s here)

PARAMETER 50060 LOCATIONS: *Rn = SWS DSCHG (NO CWS FLOW) nsn = SWS DSCHG (NORMAL COND) "T" = CWS DSCHG ENTER "NODI 11 FOR LOCATIONS THAT DO NOT APPLY*

CURING 2wHft PE~IeD5 O~ CHLqJl(!NATigN*

01391/122789-2116 c; nf' 17 1

PERMITTEE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

Facility Name/location if different) DISCHARGE MONITORING REPORT (DMRJ NAME_.e..5.E.£.G_ _ _ - - - _ _ _ _ _ _ - - - (2-16) (17-19) F - FINAL ADORE~ e..._a.... __B.llX.......2.36~2.1__ _______ _ uJooos622 NON-CONTACT COOLING WATER

---~~~~~U~~---~~~ID~-

r--- PERMIT NUMBER DISCHARGE NUMBER FACILITY .f..S.E&.G_ SAL.flt_ ..GfN.fBAIINGJIAil~ - -

LO~IONHAN.t.lKKSJ..Rl.llG..E_ ____ JJ_ .o_a..Q.3.A_ _ FROM~---~----~ --~ MAJOR (SUBR S ) SALEM ex ATTN: MANAGER LICFN'-ING & REI riULATIDN (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE: Read instructions before completing this form.

PARAMETER (3 Card Only)

(46-53)

QUANTITY OR LOADING (54-61)

(4 Card Only)

(38-45)

QUALITY OR CONCENTRATION (46-53) (54-61) NO.

EX FREQUENCY OF SAMPLE I

TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MAXIMUM MINIMUM AVERAGE UNITS (62-63) (64-68) (69-70)

PH SAMPLE ~ ~=== ::::o:tJ= *:J=¢0::~

~"""" ....... .,..

MEASUREMENT 7.33 7.87 0 3/wk ~rab OO'tOO l 0 0 PERMIT ":;:===:;:¢ .. . o:;:~:;::c:,: !:... ...........

~ .....

6 . o~:c::o::;::;: g WEEKL'4 GRAB REQUIREMENT

o:c:o ..

EFFLUENT GROSS VALUi PH SAMPLE

~ ......

.,,.~ ..........,,...

~

  • O:Q:O:O:O MINI HUH 7.51 O:C::C: :C:*C MAXIMUM 8.01 SU 3/wk Gra9' MEASUREMENT
  • OOltOO 7 0 0 PERMJT REQUIREMENT* -
  • 0:0:04!0 ., 0"0$0::-: ~00:¢ REPORT  :;-000#00 (REPORT I IWEEkL~ GRAB TNTAl(F s:11nM STRF4M :c:~:c:c llTflJTlllllll M.ilXINllM SU FLOW, IN CONDUIT OR SAMPLE MEASUREMENT 444.30 532.80
o:oo::::ci:c: :o: ** o:ci:c: *****'*
  • Cont Cont THRU TREATMENT PLAN 50050 1 0 0 PERMIT REPORT REPORT 000~0- 000000 . :c:oo~ *~ ~:;:::;)::: CONTI~

FFFI llC:t.lT r.:anc;.c;. Ulll Ill REQUIREMENT

-:inn.a .au.: naTI y MY *t:::n \

C:O:C:::Qi . uou..;.'

CHLORINE, TOTAL SAMPLE ***O~C :c::cc:o:o:;:o MEASUREMENT NOD! NOD! NOD!

RESIDUAL 50060 R 0 0 PERMIT REQUIREMENT.*.

, '. : o::iro:::~

. 000000<<: b:oo::c: REPORT. 0.3 &'!**-<. o.s THREE:4 GRAB c;,1=1= rnMMf:NT... 'RJ:I nt.1 .,.

0000 -::tnDA AVG DATl.Y M)I MG/L *WEEK" CHLORINE, TOTAL SAMPLE :Q:O::S:Q::Q:O  :::::c::cco:c::c:

MEASUREMENT <0.01 <0.01 0.01 0 12/wk Grab RESIDUAL 50060 s 0 1 PERMIT REQUIREMENT*..

. ; O:C:OoOO * ~:c::::oo:*: :l:~:Qi REPORT. REPORT 0.2 THRee; GRAB c:r:r: rnMllC:NT<; RC:I nu ii.a Tl Y Mll Mr./L Wl=f:I(.

C::C::QIO ~ona AVG CHLORINE, TOTAL SAMPLE :CZ:Q::O:OO:QI :C:C:QIO:C:O MEASUREMENT NOD! NOD! NOD!

RESIDUAL 50060 T 0 l PERMIT '.J; ~. .00- 0000~:~: ~o:;:o REPORT REPORT 0.2. THREE~ G~AB REQUIREMENT:  ;;, ... -. _' ul:s::k- . ;

5FF cnMMJ:NTS 'RFI n1..1 *-

I

- ~nna* .avc.: naya v 11~ Mr.II i SAMPLE MEASUREMENT PERMIT -

REQUIREMENT NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE t*~

AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION L. K. Miller IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG-NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING 'V G.M. Salem Operations THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE 609 hs-6000 90 02 22 TYPED OR PRINTED 33 u.s.c. § 1319. (Pena/lies under these .<tatutes may indude Jines up to 110,000 and or maximum imprisonment of between 6 months and J years.) OFFICER OR AUTHORIZED AGENT AREA CODE I NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all a11achments here)

PARAMETER 50060 LOCATIONS: "R" = SWS DSCHG (NO CWS FLOW) n5n = SWS DSCHG (NORMAL COND) "T" = CWS DSCHG ENTER "NODI" FOR LOCATIONS THAT DO NOT APPLY*

HURING 2wHR PERI0>>5 Of fHLBJt£NAll~*

01394/122789-2116e::. n-F 17 1

PERM ITT EE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'DES)

Facility Name/location if different) DISCHARGE MONITORING REPORT (DMRJ NAME_.e..5E£.G.._ _ _ - - - - - - - - - _ _ _ (2-16) (17-19) F - FINAL AD~E~ e_.a... JfilL.2.3..6L1'1z.L._ _ _ _ _ _ _ _ _ NJ0005622 THERMAL DSCHG FOR DSN ~81-~83

___ m~oc~~u~E---~~Jl1Ul3~- PERMIT NUMBER DISCHARGE NUMBER FA.£!.!:I!!_ £5..E&Ji_ SALEM... .G.EN.ERAllNG..:....SI.Allfill _ _

LO~~J:Ulfll.C.W:JCS BRIDGE _ _ _ ....;.ll.J_ 08038 _ MAJOR (SUBR S ) SALEM ATTN! M41'J4Gf:R I TCS:NC Tfllr. £. su:1 ::rn .flTTnN (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE: Rea d.instruct Ions b ef ore compIetrng . t h"1s orm.

C><

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS. MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

TEMPERATURE, WATER SAMPLE :a::;:::::*::;::a: ***::C:**

MEASUREMENT 9.50 DEG* CENTIGRADE 14.10 19.70 0 Cont Cont 00010 1 w 0 PERMIT .. 0000#0~ **~oo::  ;::;:*:a: REPORT REPORT 't3e3 *~ CONTif\

S:S:Fl IJFNT r.;gnc:c; UAI Ill REQUIREMENT

~OnA AVG DAT.LY Mll ni=r..c *

  • uous 1 TEMPERATURE, WATER SAMPLE MEASUREMENT ****** *:O****

DEG. CENTIGRADE \ 7.70 11.30 14.90 0 Cont Con.,

00010 2 0 0 PERMIT ~0000* oon:;:o~*:  ::::Q:::::Q: ' REPORT .REPORT 15*3 I CONTI~

l=l=l=I UENT NET VAi llE REQUIREMENT :

c
o . 30n4 AVG nAILY MlC DEGeC uous TEMPERATURE, WATER SAMPLE MEASUREMENT
Q:*:Q:~C~ *O:Q::Q:::t:O DEG. CENTIGRADE 1.90 2.60 3.40 ,CnT\t- 1C'nnt-00010 7 0 0 PERMIT . OO:C:$0ie:I .. . :::::0:00::110 i b:O:Q::C:* REPORT REPORT :REPORT* **CDNT.H '

TNT.IUt'I= S:DnM c;.T1:u:nM REQUIREMENT .. ¢~00 ~nnA .avi::: ftATIYiMll n1=r..c: unuC::'

TEMPERATURE, WATER SAMPLE MEASUREMENT

c::::::c::c::::::::: :o::c::c::c::::::::: ..,..

~""'~~... .... '""'-

~..,..~...,.

57.50 67.50 p Cont Cont DEG* FAHRENHEIT 00011 1 w 0 PERMIT  :~:: ::1100::::00 .  ::1100000: c::~ ........

............ . ~00:00* .REPORT 110 . coin:u CONTI~

REQUIREMENT CS:S:I llCl'JT t::onc;.c;. u.n* Ill ~:r::.~~ ~nna avr. n.llTI Y Ml! nc:c.. r;: 11n11 c:

  • SAMPLE MEASUREMENT PEf!MIT REQUIREMENT ..

SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT

~~

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED L.K. Miller ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION G. M. Salem Operations IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

TYPED OR PRINTED NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.S.C. § 1319. (Penalties under these statutes may include fines up to SI0,000 and or maximum imprisonment of between 6 months and 5 years.)

SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT

,,no AHEA II ---

O".Jt:: --.nnn

nn YEAR --

In-.

MO

-DAY CODE NUMBER COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

EFFLUENT TEMP IS TO BE CALCULATED AS THE COMBINED AVERAGE OF EACH OF THE SEPARATE DISCHARGES 481-483*

NET TEMP DIF IS THE DIFFERENCE BETWEEN THE AMBIENT RIVER WATER TEMP AND THE AVE EFFLUENT TEMP OF 481-483*

EPA Form 3320-1(Rev.9-88) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 01367 /122789-2116 7 nf' l "1 1

PERMITTEE NAME/ADDRESS(lndude NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) ,. <..

Facility Name/location if different) DISCHARGE MONITORING REPORT (DMR)

NAME_.f.SE£G_ _ _ - - - - - - - - - _ _ _

(2-16) (17-19) F - FINAL ADORE~ e..._a.._ J..D.X.__2.3_6lN2.l..__ _ _ _ _ . ___ _ ~0005622 THERMAL DSCHG FOR DSN 484-486 PERMIT NUMBER

---~~~~~~~E---~~Jlall3~-

MAJOR (SUBR S ) SALEH ATTN: MANAGER LICENSING £ REGULATION (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTER: ead instructions before completing this forn~.-

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION C><

NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (69-70)

(62-63) (64-68)

TEMPERATURE, WATER SAMPLE ¢C:O:C:C:* ***~*::C:

12.70 17.70 0 Cont Cont MEASUREMENT 3.00 DEG. CENTIGRADE 00010 1 w 0 PERMIT *.0:::1:0000 **:0::0:0*; ~*** REPORT REPORT lf3e3 CO.NTI~

EFFLUENT GROSS VALUI .REQUIREMENT

~*~O 30DA AVG DAILY MlC DEG*C uous.

TEMPERATURE, WATER DEG* CENTIGRADE SAMPLE MEASUREMENT

c:::=:o:::c:::c:::c: :o:::c:::c:::c::c:::c:

0.40 10.00 14.60 0 ~ont colJ 00010 2 0 0 PERMJT * $o:c:o:ai=:: *  ::c::a:::c::::o:::-::* C::Q::;):Q: REPORT- REPORT \<:. J.5.3 I 'ONTifl FFFI lJFNT NFT Vftl m:

REQUIREMENT 3nnA AVG ftAILY *n ni:r.. c

  • unus .

TEMPERATURE, WATER SAMPLE :Q:::C:::C:O:O:O *~ ...... ... ****

¥¥11-¥-.r ~

Cont cont DEG. CENTIGRADE MEASUREMENT 1. 70 2.40 3.20

  • 00010 7 0 0 PERMIT ~00¢0,:0:- :oi:oi:aiooo": ~~- .... ........... REPORT** REPORT  ;;REPORT .. CONTII TNTAlll= r:AnM C::.TAl=4M REQUIREMENT
c:c:::o . -=IODA AVG D8TLY MV DJ:r..c unuc.'*,

SAMPLE MEASUREMENT PERMIT .. '

REQUIREMENT ' ..

SAMPLE MEASUREMENT PERMIT REQUiREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT" I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED DATE

?.
G~

NAMEITITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR L.K. Miller OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG* ./

G.M. Salem Operations NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE p09 1935-6000 90 02 22 TYPED OR PRINTED 33 u.s.c. § 1319. (Penalties under these statutes may include fines up to SJ0,000 and or maximum imprisonment of between 6 months and 5 years.) OFFICER OR AUTHORIZED AGENT AREA CODE I NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all allachments here)

EFFLUENT TEMP IS TO BE CALCULATED AS THE COMBINED AVERAGE OF EACH OF THE SEPARATE DISCHARGES 484-lt86*

NET TEMP DIF IS THE DIFFERENCE BETWEEN THE AMBIENT RIVER WATER TEMP AND THE AVE EFFLUENT TEMP OF 484-486.

EPA Form 3320-1(Rev.9-88) Previous editions may be used. (REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.) OF 01370/122789-2116 1

PERM ITT EE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'/Jt:S)

Facility Name/location if different) DISCHARGE MONITORING REPORT (DMR)

NAME_.f..SE£.li_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (2-16) (17-19) F - FINAL

_ ADORE~ ~0... ....llllJL.2.36.JN.z..L_ _ _ _ _ _ _ _ _ NJ0005622 THERMAL DSCHG FOR DSN 481-486

- - _ liAN.cOCk.5-Ba.ID.G.E.... _ _ _ ___,N.J.. oaa3a__ PERMIT NUMBER DISCHARGE NUMBER FACILl!r_ ..e5.E£Ji._ SAUM.. -6EHERAllfll6--5IAll.ml - -

_IB~~ HAbilC.O.C.KSJ.JUM£. ____ JLL oao 38 _

  • MAJOR (SUBR S ) SALEM
ea d.ms t rue ti ans b e f ore comp Ie t'mg th"IS f.arm.

x ATTN! M4Nllt:;F=R I TC F=N 4 TNt.: £. RS::1 ':Ill ATTnN (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTER PARAMETER (3 Card Only)

(46-53)

QUANTITY OR LOADING (54-61)

(4 Card Only)

(38-45)

QUALITY OR CONCENTRATION (46-53) (54-61) NO. FREQUENCY OF SAMPLE EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

THERMAL DISCHARGE SAMPLE 18907.40 29835.00

c:::c:::::::::  ::::::~::::;:::: ...

~.,,...,.,.~..,..~

0 Cont . :

HILL ION BTUS PER HR MEASUREMENT ca.Tc 00015 2 0 0 PERMIT REQUIREMENT REPORT 30600 **1 1BTU/ *~~¢** *****¢* ~~*;:~:::'

~ ....... <Ao CONTI* CALCT.C un11~'

F=S::S::I UENT NET VAi llE ~nna AVG DAYI V MV MD ...,...,,.~..,

SAMPLE MEASUREMENT PERMIT 9'

l REQUIREMENT SAMPLE MEASUREMENT

~"

PERMIT REQUIREMENT ..

SAMPLE MEASUREMENT PERMIT REQUIREMENT

~"* .***'

SAMPLE MEASUREMENT PERMIT ..

REQUIREMENT

  • SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT REQUIREMENT ..

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE 7/~-~

AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED L.K. Miller ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG* t~~ _/

G.M. Salem Operations NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.S.C. § 1319. (Pena/tie" under the.<e statutes may includ~ fines up to $/0,()()()

SIGNATURE OF PRINCIPAL EXECUTIVE &:;na AREA II a-:i c:;_&:;nnn an n'l ') ')

TYPED OR PRINTED and or maximum imprisonment of between 6 months and 5 years.) OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY CODF COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference al/ a11achmen1s here)

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. (REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.) PAGE OF 01373/12218q-2116 q nf 17 1

PERMITTEE NAME/ADDRESS (lndutle NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'IJES)

Facility Name! location if different) DISCHARGE MONITORING REPORT (DMR) 1t t:-

~ME_.f!.SE£G._ _ _ - - - - - - _ _ _ - - - (2-16) (17-19) F - FINAL ADORE~ e..._a.... J.DJl.....2..36~~ _______ _ NJ0005622 NON-RADIOLOGICAL WASTE TREAT.

PERMIT NUMBER DISCHARGE NUMBER

---~~OC~~~~E---~L-'lA!l3~-

MAJOR (SUBR S ) SALEM NOTE: Read Instructions before.completing this form.

(3 Card Only) QUANTITY OR LOAD! NG (4 Card Only) QUALITY OR CONCENTRATION PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) NO. FREQUENCY SAMPLE l----'---..:.----.----'--....:.._---r------1--....:.:..::...;_:..__---,---:___~--------=--..:.._-----.---~ EX OF TYPE (32-37)

AVERAGE AVERAGE MAXIMUM UNITS ANALYSIS (62-63) (64-68) (69-70)

DEMAND, CHEM LEVEL) (COD) 1--~~~.;..+-~~~~4-~~~-----4 l 0 1 PERMLT REQUIREMENT, SAMPLE MEASUREMENT PERMIT

.REQU!REMENT

    • OO~!:r -'~--

SAMPLE MEASUREMENT PERMIT REQUIREMENT.

SAMPLE MEASUREMENT ..

0.227 PERMIT*

_REQUIREMENT:.;

~REPORT, SAMPLE MEASUREMENT PERMIT 50* QTf.llT~

.REQUIREMENT' SAMPLE MEASUREMENT 27.50 35.00 PERMIT, '..

'REQUIREMENT ,*,

SAMPLE Total Organic Carbon MEASUREMENT ****** ****** ****** Comp (TOC)  :;* ('.

PERMIT Effluent Gross Value REQUIREMENT ' ******* ******* MG/L Comp I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE 1------------------1 NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR

~-

L K M" 11 1 OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION

  • er IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG- ,.

G. M. Salem Operations NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING 1----"'----J~'-----------1609 02 22 1------------------1 TYPED OR PRINTED THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.S.C. § 1319. (Penalties under these statutes may indude fines up to $10,000 and or maximum imprisonment of between 6 months and 5 years.J SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT i---~------1---4---1---~

NUMBER YEAR MO DAY COMM ENT AND EXPLANATION OF ANY VIOLATIONS (Reference all allachments here)

PARAMETER 00400 (PH) *ow IS FOR REPORTING PH AFTER MIXING WITH CIRCULATING-WATER SINCE ONLY QUARTERLY REPORTING IS REQUIRED FOR BIOASSAY, ENTER *NODI" FOR HONTHS WHEN BIOASSAY NOT TAKEN*

EPA Form 3320-1(Rev.9-88) Previous editions may be use~. (REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.) OF 01376/122789-2116 10 Of PiGf 1

PERMITTEE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ Facility Name/location if different) DISCHARGE MONITORING REPORT (DMRJ '. '

NAME_.f.SE.£6.._ _ _ - - - - - - - - - - - -

(2-16) (17-19) F - FINAL ADORE~ f!i_IL!, _ll..D.X___l..3_6[N2.l_ _ _ _ _ _ _ - - NJOQOS622 #1 SKiH TANK-DSN489A IN PERMIT PERMIT NUMBER DISCHARGE NUMBER

---~~~~~U~E---~L~m~-

FACILITY ..f.S.Et.G_ ..5.ALEM.... JiEH£ft.1'llN6-5IAIJ.Qbl _ _

LO~IONJ:iAW:W::KS BRIDGE _ _ _ _N.L 08..0.38...._ FROM HAJOR (SUBR *5 ) SALEM NOTE: Rea d.instruct Ions bef ore comp Ietmg . t h"1s orm.

x ATTN: MANAGER LICEN 1 ING & RE :mLATION (20-21) (22-23) (24-25) (26-27) (28-29) (30-31)

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

OXYGEN DEMAND, CHEM. SAMPLE MEASUREMENT

~c::::o:*~ ======*~*~ ...

...... ~...-~-.- ....

..,.4~.,..-"-

(HIGH LEVEL) * (COD) 21 nn ?l 00 0 /m+-n ('.!-.., 'h 00340 1 0 0 PERMiT . ===~411$0.0 .: ' 00$000 *1 : ~~==. 90:Q=OO:O: * .REPORT 100: ONC:E/,, G~AB REQUIREMENT °, ~:;:  ;

FFFL U~NT £.;AOSS VAL lJl ' .. '  :::oo~ 30DA AVG DATLYi M>I MG/L "MONTt PH  :::::: :::c::: ::c: * ******

SAMPLE MEASUREMENT 7.14 ****** 7.14 0 l/mth Gra.

  • ~***~*

00400 1 0 0 PERMIT *:::110~00:_;: ~:Q::::l::::C** . 6eO*: ¢0:#000. ,* 9.0*** I ONCE/~ G~AB

.. REQUIREMENT '

CCCI llS:NT r.:Rnc;.c;. V41 111 F  :(l:::Ql:Q::Or . MTNTMl~M 11.llJfTMUM SU *MONT*

SOLIDS, TOTAL SAMPLE ~:;:::::,co  :;::c:;:*:::::O 00 ~=== :c: c SUSPENDED MEASUREMENT 11.00 11.00 0 l/mth Grab

' DNCEJ:~

00530 1 0 0 . :i.too:c::0r:o - :00~00."' ~o:::o * ,.

0!0*000;; 30 .100'. G~AB

~ _..:.... ..~~

PERMIT FFFL llS:~T t:Rnc;,~ VAi lJI .REQUIREMENT

        • ~nnA AV(.; 84 Tl y'- llV MG/L . -***- *'*

HYDROCARBONS, IN H2D1 IR,CC14 EXT. CHROHA SAMPLE MEASUREMENT ******  :::c~o:c::c:

  • . ****** ---- 0.90 0.90 0 l/mth Grab ON~el:o1

__ ... GRAB 00551 1 0 0 PERMIT*

.REQUIREMENT *.

2 oooc***' :O*"**'.:  :::Qi:;l:::C:. :OIOO~C- l.O ,'.* 15 ....;;..

EFFL UFNT GRnc:.s VAl Ill :0:0:0:0 '='ODA AVG DAYLY M'.111 MG/L FLOW, IN CONDUIT OR SAMPLE  :::~ :0::) ¢~ .,_..,....

-.r....-y.~

.... .,,.  ::::::c~~:e.

MEASUREMENT 0.0027 0.0027 THRU TREATMENT PLAN" ...

  • l/mth Cale 50050 1 0 0 PERMIT  ::;. REP:ORT . REPORT. *****:QI- . '. ::11000:0:0  :.oco:o:~: i:Q::C:O:;l: <<

ONCE/,~

' ';.. ** ~

C"LCTI

. REQUiREMENT . *  !  ;

EFS:I Uf=NT f'::ROSS V41 Iii *:~nna* AVG nany:Mv MGD o:c::c:o 'ftlJNIF Total Organic Carbon ***** ***** ******* Gr~.

SAMPLE MEASUREMENT 2.70 2.70

  • l/mth (TOC) -- *-r--- .... --*-r-** """\_.,,..,I I _ ..... '

one '.:,,

Effluent Gross Value PERMIT REQUIREMENT. .... ***11'.* *""*

.. ******* ... ******* 30 day Avg Daily MX !

Monfh\, 9rab SAMPLE MEASUREMENT PERMIT REQUiREMENT.

~~

NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR

.L.K. Miller OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION JS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG-G.M. Salem Operations NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 u.s.c. fi 1319. (Penalties under these statutes may include fines up to SJ0,000 SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT 609 AREA II 93s-i::;noo 90 0?  :;>::>

DAY TYPED OR PRINTED and or maximum imprisonment of between 6 months and .5 years.) COOF NUMBER YEAR MO COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

EPA Form 3320-1(Rev.9-88) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 11 nf l 7 1

l'E:HMI I I E:E: NAMEJAUUHl:88 f/11c/uoe NAI IUNAL POLLUIANI DISCHARGE ELIMINATION SYSTEM (Nl'DJ::S)

Facility Name/location if different) DISCHARGE MONITORING REPORT (DMRJ '., \

NAME_..fSE.££i_ _ _ - - - - - - _ _ _ - - - (2-16) (17-19) F - FINAL ADORE~ e...O.. ....B.Wl...2.3.JN.2.1_ _ _ _ _ _ _ _ _ NJ0005622 02 SKIM TANk-DSN489B IN PERMIT PERMIT NUMBER DISCHARGE NUMBER

---~~~~~UllGE---~~JlA03~-

FACILII!'._ ..e..5.E.&.G.. SALE!!.. ..Gall.E.8.AllNG_;_SIAlln.N _ _

_g>CATION.H.Alll.C.O.C.KS BRIDGE _ _ _ ...Jil.L 06Q3A _ MAJOR (SUBR S ) SALEM ft.TTN: M4 ... AGFR (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE: Read instructions before completing this form.

(3Card0nly). QUANTITY OR LOADING (4 Card Only)

X QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) EX OF TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

OXYGEN DEMAND, CHEM4 SAMPLE MEASUREMENT (HIGH LEVEL) (COD) 25.00 25.00 0 1/mth Grab 00340 1 0 J:S:FI UFNT r.:anc;.c;. Val Ill 0 PERMIT REQUIREMENT

.~
oi:oioo r ****
C:~*~

REPORT

~nnA AVG: DA'IlY! MX 100 MG~L

' ONCE/ *. GRAB MANT.. :

PH

'~..-*

SAMPLE MEASUREMENT 7.42 7.42 )

l/mth OOIJOO 1 0 0 PERMIT -~t::==~*;~**** 6;.o c 9*0 1

. ONC El."! GRAB REQUIREMENT.

s:s:s:1 11cNT r.:anc:s VAi 111 :c)**~ MTNTMUM MAXIMUM SU HONn 1 SOLIDS, TOTAL SAMPLE MEASUREMENT SUSPENDED 1n nn in nn

  • .*~:c:~- ONGE/~GRAB 00530 C:Ctcl ll~MT 1 0 0 t:l10C:Cj, V41 llJ PERMll:

REQUIREMENT l

..

  • 30 .. ""*:

30DA av~ . ftllILY! Mlli Mf.;~L 100 ;

,' __ ...;;;.._ .......;;t* l HYDROCARBONS, IN H20' MEASUREMENT SAMPLE IRtCC14 EXT* CHROMA'.__,_,_,-+-_,-_,..._,1----_,---1 ., nn ., nn n 0 0551 1 0 0 PERMIT*:

REQUIREMENT ..

10 .. 1s- QNC et*-;, 6,AB C:CCI llCA*T r.:onc:c: Uftl Ill -:11nna 4VI: .: ftll.TI YI Mllll Mt:./I MONTI-I FLOW' IN CONDUIT OR SAMPLE THRU TREATMENT PLAN~~-M-EA_s_u_RE_M_EN_T-+~O~-~n'-><.61n2..L--7~-+.>L.&.n~n1~n.?..1-7_---1 1 /m+.l-.

50050 1 0 0 REciJ,=~~ENT ~-:.REPORT REPORT ,-ccc~;:c.;e:*~* ONCEJ;., CALCTI CCCI llCMT ~onc:c:. Uftl 114 . :::inn.a ft UC: n4Tl y llV 1111'.'.~;n C:ll:C:*  ; MONTl.i Total Organic Ca~bon SAMPLE *** **** ***** 1.34 1.34

MEASUREMENT t---f~:i=-on~t_h..,.-j~G~:_.r~

PERMIT, .t<.epo:i;t Keportl!>UJ one~ /.

Effluent Gross Value REQUIREMENT ***** ****** W Day Avg. Daily MAx MG/L Month "** Grab SAMPLE MEASUREMENT c fk£ L PERMIT .

REQUIREMENT NAME/TITLEPRINCIPALEXECUTIVEOFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED ~ TELEPHONE DATE 1-----------------~ AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR -

  • 11 OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION /" /

L. K. Mi er

.G

  • M . Sa 1 em Operations IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING - - - - - - - - - - - - - - -

THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 u.s.c. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE E 09 I935-6000 90 02 22

!-----------------~ 33 U.S.C. § 1319. (Penalties under these statutes may include fines up to 1/0.()()() t-:-..=.-+-----+----+---+-----i TYPED OR PRINTED and or maximum imprisonmentofbetween6monthsand 5years.) OFFICER OR AUTHORIZED AGENT ~~~~ I NUMBER YEAR MO DAY COMM ENT AND EXPLANATION OF ANY VIOLATIONS (Reference all allachments here)

EPA Form 3320-1(Rev.9-88) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 01~15/122189-2116 12 of 17 1

PERMITTEE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

Facility Name/location if different) DISCHARGE MONITORING REPORT (DMRJ NA~_.e.5.E£Ji_ _ _ _ _ _ - - - - - - _

  • _ _ (2-16) (17-19) F - FINAL ADORE~ 1!..alla __j).Il.X.__.2.36[N2J_ _ _ _ _ _ _ _ _ NJ0005622 ~3 SKIH TANk-DSN487B IN PERMIT PERMIT NUMBER

-- - HAfll.c:DCKS-BRI.Il.G.E... _ _ _ _N..L oao3a__

HA~OR (SUBR S) SALEM .-

ATTN: MQNAGFR 1 TC Fair, TNf.O £. R c.~* n l\TT nN (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE: Read instructions before completing this for'!!.

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION TEMPERATURE, WATER PARAMETER (32-37)

C>< SAMPLE MEASUREMENT

--'-~-6--5~~---T--'-~-4-_6~0_ _

AVERAGE MAXIMUM

-"T"_ _ _

UNITS

-+----'-(.3~8-4~~c..---T_ __:(~46~-5_3~)--..----'-~-4-_61~)--....-------l MINIMUM 20.00 AVERAGE 20.00 MAXIMUM 20.00 UNITS (

0 NO.

EX 62 _63)

FREQUENCY l/mth OF A~:,~~IS SAMPLE TYPE (69-70)

Grab.

DEG. CENTIGRADE 00010 1 0 0 PERMIT ~:0~0~'

'* ,. ~

REPORT .. REPORT 4393. *ONCE/. 6,AB S:S:S:I llS:NT l:AOS.S VAi Ill" REQUIREMENT . '** 30DA AVG DAILY M>I ni:c.:.c - --MONT *.

OXYGEN DE HAND' CHEM* SAMPLE

<10.00 <10.00 ) 11/mth Gr.

(HIGH LEVEL) (COD) 1--M-EA_s_uR_E_M_EN_T-+------4-------'

0031t0 1 0 Q PERMIT* 0000:*0 r*:~oo;:. ~:REPORT ("**** .100: I ONCE[~ $~AB s:s: s:1 tJFNT c.:a ns s VAi rn :REQUIBE'l!!=NL*~ *:: ... ~00

~nnA AVG DJl.ILY: MJI MG/L 'MONTI PH SAMPLE MEASUREMENT 7.59 7.59 0 l/mth Grab 00400 1 0 0 PERMIT . :(1:$$000 *.:~ C::c:;::c: 6*0 9;..o *ONCE/:: GRAB CCCI llC"-T t:::Dnc;.c:;.

  • V41 II REQUIREMENT

=Cl<lll~:(j: . llT ... TIHIU N4YYMUM c;;(J

  • Ml'U1IT~

SOLIDSt TOTAL SAMPLE MEASUREMENT <l.00 <l.00 0 l/mth Grab SUSPENDED 00530 1 0 0 PERMIT,.

REQUIREMENT * ':

30 ..,. 100:  :: ONCE/:; GRAB CCCI ns:NT. r.:anc:.c;. Ulll Ill~ . ' ~nnA AV(.; n.ll Tl y: Ml!! 11<.:/L ,:iiariarl'~ '

HYDROCARBONS, IN H201 ME;SAU~~';jENT <0.10 <(LlO ) ~/mth Grab IRtCC14 EXT* CHROMA.-~---.~-+~~~~---,1--~------1 00551 1 0 0 PERMIT *  ; ~00:~ i:i:::o:i:::c:. 10 ,;. 15. ONCE/;~( GRAB CC/Cl llS:NT r.;gnc:;.c;; U.lll Ill REQUIREMENT

~ ...... ~ -:z.nna . avr. 1'1!.Tl V' Mlr Mt:JI

-**IW I ..

FLOW, IN CONDUIT OR SAMPLE 0 .0018 01 THRU TR EATH ENT PLAN -M-EA_s_u_RE_M_E_NT-1~-----~-o_.o_ _a_.-i l/mth C. .

50050 1 0 0 PERMIT '>REPORT REPORT.': 000~:0: .l **** ,. gNcei: C~LCTI S:S:CI llS:NT r.anc;;c;. U41 Ill REQUIREMENT-~

SAMPLE

.it"'nA;:, 4Ut: naTfV -!anii ucn \ *. ****  ;:MnNTt 1 Total Organic Carbon MEASUREMENT ****** ****** ******* 1.00 1.00
  • l/mth Grab (TOC) PERMIT.

.t<eporc .t<eport: \::>OJ once /

Effluent Gross Value .REQUIREMENT .* ***** ****** ******* 30 Day Avg. Daily MX ~G/L Month Grab NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE 1-----------------l AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR

  • 11 OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION L. K. Mi er IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

G M l

. . Sa em Operations

, NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING 1----------------1 6 09 1935-6000 90 02 22 0------------------ TYPED OR PRINTED THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 u.s.c. § 1001 AND 33 U.S.C. § 1319. (Penalties under the.re statutes may include fines up 10 SI0,000 and or maximum imprisonment of between 6 months and 5 years.)

SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AG ENT

........._,.......__ _ _ _- + - - - + - - - - < i - - - - '

~~~~ I NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 0140CJ/12278CJ-2116 11 nf l 7 1

PERMITTEE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (Nl'/Jl::S)

Facility Name/Location if different) DISCHARGE MONITORING REPORT (DMRJ (2-16) (17-/9) F - FINAL

~ME_.e..5£&..G.._ __ - - - - - - - - - - - -

ADORE~ e.....O... __.B.ilX........2.3J.Jj21__ _ _ _ _ _ _ _ _ NJ0005622 STORM H20 DSCHG* DSN't8l

_ _ _ liAtilCOCKS-BR.ID.G.E... _ _ _ Jil.J... oao3a__ PERMIT NUMBER DISCHARGE NUMBER FACILI!.!... J!..S.E.£.6,_ SALEM.... -6£!1..ER.AllN.G-SIAll.Dlil _ _

.!:9~~HAW:.W:JC.S__Bll.D.&£_ _ _ _ ...:....fU_ oao3a MA.IOR (SUBR S ) SALEM . t:

NOTE : Rea d Instruct Ions be f ore comp Ieting t h"1s orm. .

x ATTN: MAN.Ill.ER l ICEN*,l:NG £ RS:1 l:Ul ATTDN (20-1/) (22-23) (24-25) (26-27) (28-29) (30-3/)

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46,53) (54-6/) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

OXYGEN DEMAND, CHEH, SAMPLE  :::c:::*~=== ""'-""-"""""""..,.. ....

~~¥'"'V""'V" ... .....,,, .......

-"oAoA .... '""".,,.

....,.~

MEASUREMENT NOD! NOD!

(HIGH LEVEL) (COD) 0031t0 1 0 1 PERMIT

  • II****** . ****** ~ :~*** ****** REPORT REPORT ANNUAL COMPO~

REQUIREMENT r::s::c1 llFNT t::R04'S VJU Ill :O:~*:C: 30DA AVG DAILY Mll MG/L OXYGEN DE HAND, CHEM* SAMPLE MEASUREMENT

  • 0:::::::=:::::  :::~===*~:.=: 'V' ... .--.r .....

~"""-"""'-.A.~

'"""'9 NOD! NOD!

(HIGH LEVEL) (COD) 00340 2 0 0 PERMIT REQUIREMENT

11:::0:000. *¢::Q:0000; ~*** -******* REPORT 100 I ANNUAL CALCTI r::s:s:I llJ=NT Nl=T V41 llE ===~:::~ 3ona AVG nAILY Ml HG/L OXYGEN DEHAND, CHEM* SAMPLE ***:;)¢~ *****~ :Q: 0 ~:a:*:::

MEASUREMENT NOD! NOD!

(HIGH LEVEL) (COD) 0031t0 7 0 0 PERMIT REQUIREMENT

      • ¢*lCI . ****** :' )***. ****** REPORT .REPORT ANNUAL COMPO~

TNTJlll'I= S:RnM t:;.TQll=4M ~¢~;:t 3nn4 avr. nATLY MY Mf.:/L PH SAMPLE MEASUREMENT NOD! ~~..,,.-""""'* ......

..,,,..~.._...,.....,.'¥ NOD!

OOltOO 1 0 l PERMIT REQUJ.REMENT ******* ¢~~~:c: ~*:

~**** 6.o :c::c:o:oi:o:::: 9.0 ANNUAL GRAB CCCI llCl'IJT t::Ano:;.c;: V81 Ill ~~!!It MTl'JTMllll MAVTNllM C:ll SOLIDS, TOTAL SAMPLE MEASUREMENT

)~0:::¢~
            • *===:;)~~~ NOD! NOD!

SUSPENDED 00530 1 0 1 PERMIT REQUIREMENT .

,00~0*- *****==* ::::::::o ******- REPORT REPORT ANNUAL COMPO~

CCS:I llC~IT f:Rnc:o:;. V.BI Ill ~~~~ "=Inna 11vr. . nll.TI V Mlt 11r.: JI SOLIDS, TOTAL  ::i: ..,...,,...,...,..,..

.......... ~"""-"-

SAMPLE MEASUREMENT ****** ****** NOD! NOD!

SUSPENDED 00530 2 0 0 PERMIT REQUIREMENT

***=c:o:o: *****==* ~:::::c::o:

'******* 30 100 ANNUAL CALCTJ ll=S:S:I UFNT NFT V4l lJF

        • '::lnna AV(:; n4.'IL Y Mll Mr.IL SOLIDS, TOTAL SAMPLE MEASUREMENT
Q::C::C:~¢0
            • ~===~c:c:c SUSPENDED NOD! NOD!

00530 7 0 0 PERMIT REQUIREMENT

.,- * ::ii::::::o:oio 0:0;"::0* ==o:c::::: *~**** REPORT REPORT ANNUAL COMPO~

TNTJll(S:: r::11nM 4'TAS:4M ~!!!.*~ ~nnft Alic - nATI V Mll Nt::/I NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE

/f; a._R-2__

AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION L.K. Miller JS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG-NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING G.M. Salem Operations THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE 609,935-6000 90 02 22 33 u.s.c. § 1319. (Penalties under these statutes may include fines up to S/O,()()()

TYPED OR PRINTED and or maximum imprisonment of between 6 months and 5 years.) OFFICER OR AUTHORIZED AGENT AREA CODF I NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all a1tachmen1s here)

EPA Form 3320-1(Rev.9-88) Previous editions may be used. (REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.) OF 01397/122789-2116 1

PERMITTEE NAME/ADDRESS (lnducle Facility Name/location if different)

NAME_.fSf..&.G_ _ _ _ _ _ - - - - - - - - -

NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NP/JES)

DISCHARGE MONITORING REPORT (DMR)

(2-16) (17-19) F - FINAL

. " \-

ADORE~~~ ___p.ill(~_Jg[NZJ, ________ _ NJ0005622 487 A STORM H20 DSCHG* DSN487

___ m~~~~~~~---~~~~~- PERMIT NUMBER DISCHARGE NUMBER "AJOR (SUBR S ) SALEH NOTE : Rea d ms

' t rue t"ions b ef ore comp Iet"mg th"IS orm.

x ATTN: HANAGFR LIC EN 4 ING & REI iULATION (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) ,_

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

HYDROCARBONS, IN H201 SAMPLE

~~***~ **¢~::::;:

MEASUREMENT NODI NODI IR,CC14 EXT* CHROMA' 00551 1 0 1 PERMIT REQUIREMENT

      • ~*-* . **¢:0:** . :=¢*~* *~*** REPORT REPORT ~NNUA~ GRAB FFFI UFNT GRnc;c;, V41 IH 30DA AVr. nATl Y MX Mr.IL HYDROCARBONS, IN H201 IR,CC14 EXT* CHROMA 00551 2 0 0 SAMPLE MEASUREMENT PERMIT REQUIREMENT
          • (::)

.:C::Q:::::O:oc:

¢¢0*0:Q::* ~¢~*-

NODI 10 NODI 15 I ANNUAL CALCTil e

EFFLUENT NS:T V41UF **** 30Till AVG DAILY MJI Mr.IL HYDROCARBONS, IN H20* SAMPLE *~*~*~ :Q:O:Q=:Q::O::Q: ~*¢*¢*

MEASUREMENT NODI NODI IR,CC14 EXT* CHROMA 00551 7 0 0 PERMIT REQUIREMENT

l:O*OO* * :Q:C:Qr:Q::Qr¢ .:i)::Qr:Q::Q: *"0¢*** REPORT :RE.PORT ANNUAL GRAB TNTAICf: FRnM c;.TRFllM ~::::::::o ~ana AVG nAYLY M}j Ml;.IL FLOW, IN CONDUIT OR SAMPLE **~:a: :c: 0 c:::::::::i:c:c::  ::::i)*¢¢0 MEASUREMENT NODI NODI THRU TREATMENT PLAN 50050 1 0 1 PERMIT REQUIREMENT

..'REPORT REPORT* *O**:::*. .OO::SO*O* '******'" **C*. ANNUAL CALCTI S:S:S:I IJFNT (.;Rnc;.c;. U41 **I ~nna avr. naTIV MX Mt:::n "'*-"'-~ .....

.,.. ....'¥'.,

Total Organic Carbon SAMPLE MEASUREMENT (TOC) ****** ******* ******* NODI NODI PERMIT Report Report REQUIREMENT Intake From Stream ****** ******* ******* 30 Day Avg. Daily MX MG/L ~nnual c'omp Total Organic Carbon SAMPLE (TOC) MEASUREMENT ****** ****** ******* NOD! NODI Effluent Gross Value PERMIT Report Report REQUIREMENT

            • ****** ****** 30 Day Avg Daily MAX MG/L Annual Comp Total Organic Carbon SAMPLE MEASUREMENT (TOC) ***** ****** ******* NODI NODI Effluent net value PERMIT Report Report(SO)

REQUIREMENT

              • ******* 30 Dav avq. Dailv MX rmnual Cale

~ML-NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION L.K. Miller IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING G.M. Salem Operations THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE 009 1935-6000 90 D2 22 TYPED OR PRINTED 33 u.s.c. § 1319. (Penalties under these statutes may include fines up to S/0,000 and or maximum imprisonment of between 6 months and 5 years.) OFFICER OR AUTHORIZED AGENT AREA CODE I NUMBER YEAR MO DAY COMM ENT AND EXPLANATION OF ANY VIOLATIONS (Reference all auachments here)

EPA Form 3320-1(Rev.9-88) Previous editions may be used. (REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.) PAGE OF 01398/122789-2116 15 of 17 2

PERM ITT EE NAME/ADDRESS (lndude NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSl EM (NPDl:.'S)

Facility Name/Location if different) DISCHARGE MONITORING REPORT (DMRJ NAME_.e.5E£.!i... _ _ - - - _ _ _ - - - _ _ _ (2-16) (/ 7-19) f - FINAL ADORE~ e..._a... _JHlX. . ....2.3blf,12.L_ _ _ _ _ _ _ _ _ NJ0005622 STORMWATER

___ m~~~~ll~E---~~_Q&l3~- PERMIT NUMBER DISCHARGE NUMBER SALEM... ..6..EN.E.RAllM.G.......SIAll.D.l'll - -

FACILI!!_ .e.5££...G_

LOCATIONJ:lAHCDC.kS BRIDGE _ _ _ ....:....MJ.... 08038 _ FROM ......... ____. MAJOR (SUBR S ) SALEM , ~

ex ATTN: N4Nllr.ER I TC f=N* ,TNG £. R C1 "".111 JlTTnN (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE: Rea d .ms true ti ons be f ore compIetmg . th"IS orm.

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

OXYGEN DEMAND, CHEM* SAMPLE MEASUREMENT NODI NODI *~~~*:::

NODI NODI *** ***

(HIGH LEVEL) (COD) 0031t0 1 0 0 PERMIT REPORT REPORT* <GI . :&11000::::0 REPORT 100 ONCE/ GRAB

= REQUIREM.ENT S:S:CI IJFNT OXYGEN DEMAND, CHEM*

(HIGH LEVEL) (COD) r.Anss V41 lJI SAMPLE MEASUREMENT

'::(nna AVG

===~*¢:::1=r naTIV MX DAV

..,..~,.,...

.,.,,.....,.~

.... --..A.

.... ' ¥ .. ..,...,...,...,..

OA..A.4".A-"-

30DA AVG NOD!

DAILY Hll MG/L NOD!

MONTJ

.oi:roooo. '0¢0000: :C**** REPORT 100 ANNUAl CALCTJ 00340 f=S:CI llF=NT 2 0 NF=T 0

Ulll lit=

PERMIT REQUIREMENT

        • "**** ":lODA AVG n4TI Y Ml HGIL I

OXYGEN DEMAND, CHEM* SAMPLE MEASUREMENT ****** ===~~¢C:CC ~c::::a:::::c: NOD! NOD!

(HIGH LEVEL) (COD)

............ REPORT REPORT ANNUAl COMPO~

00340 TNTllVC 7

CDnM 0 0 C:.TDS:ftM PERMIT REQUIREMENT

        • ~* ¢*:():Q::Q:O ~

A""'-~~

              • ~nn4 nut: n.llTI V Mll! Mt:;/(

PH SAMPLE MEASUREMENT

¢¢*:)¢:) .,~ ............

......... JO..,.,...,..._..

NOD!

..... ~~ .......... ~

...,.....,. ... "'V" .......

NOD!

OOltOO 1 0 1 PERMIT '* 0¢0000- ~===~*O~ . o::::~:o: 6*0 **~** 9.0 *ANNUAL GRAB REQUIREMENT CCCI llCMT ronc:.c Ulll Ill ~~~~ lllTNTUllM 114VTMIJM Sii

..:..i, SOLIDS, TOTAL SAMPLE MEASUREMENT

¢::=~~¢~

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NOD! NOD!

SUSPENDED 00530 1 0 1 PERMIT  : 0¢0:;)::0¢ .. *:Qr::Q:O:C::O::Q:* ;::Q::C::C:**

  • oo**** .REPORT REPORT ANNUAL COMPm REQUIREMENT S:CCI llCll.*T r.;:gnc:.c UD.I Ill ..A..A.~~ ":(On .0 4Ur: TI4TI Y Mil Mt:/I SOLIDS, TOTAL SAMPLE

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¢
Q::Q:* .,._A....,Jl.J'.A CA~

.,,...,.'YY.¥¥ ... ' ¥ ¥ ' ¥ ¥ ¥ SUSPENDED MEASUREMENT NOD! NOD!

00530 2 0 0 PERMIT REQUIREMENT

.; O:C::QrCOO O:O:O:QrO:C:" t:i:c:::cr::: O:Qr:C::::O:C: 30 .100 ANNUAi CCS:I llJ:NT NF=T Uni lU:  :::1::¢~ ':Inn A AV(; ~DAILY' Mlll MG/l SOLIDS, TOTAL .,.. ............. .......

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    • C¢*~

SAMPLE MEASUREMENT

..._,.~_,._.

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SUSPENDED NOD! NOD!

00530 7 0 0 PERMIT

            • o:::o:c:o:c: pc,.,.. ........

....1'"..,. oo::ii:oi:c::c:. REPORT REPORT ANNUAL COftPO~

REQUIREMENT TMTLlk"r: CDnM C:.TDC4M ~c~~ ~nn4 4Vt: naTI y M)C 11r.:/1 NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED / TELEPHONE DATE t/~~

AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION L.K. Miller IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG*

NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING G.M. Salem Operations THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE ID09 1935--6000 90 02 22 33 u.s.c. § 1319. (Penalties under these S/atutes may include Jines up to $10,000 TYPED OR PRINTED and or maximum imprisonment of between 6 months and 5 years.) OFFICER OR AUTHORIZED AGENT AREA CODE I NUMBER YEAR MO DAY COMM ENT AND EXPLANATION OF ANY VIOLATIONS (Reference all a/lachments here)

~: . **
      • Pre-Printed Form is incorrect. This Should also be an annual requierment.

EPA Form 3320-1(Rev.9-88) Previous editions may be used. (REPLACES EPA FORM T*40WHICH MAY NOT BE USED.) PAGE OF'**

01403/122789-2116 lC: ~" 1"7 1

PERMITTEE NAME/ADDRESS (Include NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

Facility Name/Location if different) DISCHARGE MONITORING REPORT (DMRJ NAME_.fSU!i._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (2-16) {17-19) F - FINAL ADDRE~~OeJOX_236[t421_ _ _ ----- _ NJ0005622 469 A STORMWATER

___ m~~~~~~~---~~~n~- PERMIT NUMBER DISCHARGE NUMBER

*-------- MONITORING PERIOD FACILI!!_ £.S.EfJi_ SAL.EB._ _Gf.ttfB..AllMGJIAD.llN - -

LO~ION HA.W:.DJ;.KSJJUJlG.f.. ____ JJ_ .U-°J.L _ FROM L~~~- ~~---~ MAJOR (SUBR S ) SALEM NOTE: Read instructions before completing this for"!-

x ATTN: MANAGER LICEN ING & R~I *ULATION (20-2/) (22-23) (24-25) (26-27) (28-29) (30-31)

(3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER (46-53) (54-61) (38-45) (46-53) (54-61) OF EX TYPE (32-37) ANALYSIS AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (62-63) (64-68) (69-70)

HYDROCARBONS, IN H20i SAMPLE  :::* *:O::C::C:

MEASUREMENT IR,CC14 EXT* CHROMA" NODI NODI NODI NODI *** ***

00551 1 0 0 ' PERM"fr *.. REPOR*T;: - REPORT'1 ~GI .......* 10 15  ;

.. ONCE/, GRAB*.:

s::s:ic:* *JFNT t:Dnc;.s VA* m ;REQUIREMENT .*

,,; .30TIA AVG D~l:ILY tNlf DAY **3onA AVG DAILY: MX Mr.IL '. NBNT~ f '

HYDROCARBONS, IN H2D* SAMPLE MEASUREMENT

          • O: :Q=::O::Q=:OOO
              • NODI NODI IR;CC14 EXT* CHROMA'

'<" . *. ooo=o:ai ;;:: :=:o:;::Q:

00551 2 EFS:I IJFNT NFT VAi 10::

0 0 PEflMtT REOL!iRE~ENT;:'. -,-

        • 0*0060:

r: . .-:;:~:::=-

30DA AVG 10 .

nan.v' 15 fUI MGJ'L I'.:.

~NNUAL CALCTI

... ~*** 1,,~

HYDROCARBONS, IN H2D1 SAMPLE

            • *:C::C:O:C::C:O :c::c::::::;:::::::r:

MEASUREMENT NODI NODI IR,CC14 EXT. CHROMA1 00551 T~TAKF IN 7

FRnM 0 0

~TAFAM PERMIT

.REQUIREMENT

~000~:0:,, . ' 9:0:0000 ::.: i:io:::::c:

......... ~ ..

~

  • .o"ooo: REPORT

~nna AUG lREPORT na Tl y. Mll MG/l

"' "Nt4UAt GRAB FLOW7 THRU TREATMENT CONDUIT OR PLAN SAMPLE MEASUREMENT NODI NODI O:Ql:Ql:Qi:;)O

Q: ***** :C:::ll:Q::C::Q:O
  • "< .~:REPORT: . o*~oo * **

4~NUA1 CALCTJ 50050 CS:CI llS:t.IT 1 0 CD nc;s 1

Ulll Ill

,,,, PERMlt;

REQUIREMENT~
; ,._  !~rina AVt;

-REPORT'.l naTtY i111t Mt:n

    • O:OCO'*

~.OOOOICl::ll i L>

o:.:::.::o ***: "'} ,.. *;  ; .

Total Organic Carbon SAMPLE ***** **** ****** NODI NODI MEASUREMENT (TOC) "---- ...

~

T"llo----"-

  • ~

Intake From Stream Pi;RMIT REQUIREMENT.:

" *****" ***** ***** 30 day avg. daily MX MG/L Annuat comp Total Organic Carbon (TDC)

Effluent Gross Value

'l'Ota.t urganic carnon (TOC)

Effluent NET Value SAMPLE MEASUREMENT PERMIT REQUIREMENT *.

SAMPLE MEASUREMENT Report NODI 30 Day Avg.

NODI NODI Report Daily MX NODI MG/L *1~mial comp -*

PERMIT Report IReport(SO)

REQUIREMENT. ****** ******* *******

30 D~y Avg. Daily MX MG/L Annual Cale

-?'U~

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED L.K. Miller ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION G.M. Salem Operations IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG-NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE 609,935-6000 90 02 22 33 U.S.C. § 1319. (Penalties under these statutes may include fines up to $/0,000 TYPED OR PRINTED and or maximum imprisonment of between 6 months and J years.) OFFICER OR AUTHORIZED AGENT AREA CODE I NUMBER YEAR MO DAY COMM ENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

EPA Form 3320-1 (Rev, 9-88) Previous editions may be used. (REPLACES EPA FORM T*40 WHICH MAY NOT BE USED.) OF 01404/122789-2116 17 ofPAf' 2

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