ML18096A428
ML18096A428 | |
Person / Time | |
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Site: | Salem, Hope Creek |
Issue date: | 01/08/1992 |
From: | Munzenmaier G Public Service Enterprise Group |
To: | NEW JERSEY, STATE OF |
References | |
NLR-E92004, NUDOCS 9201150179 | |
Download: ML18096A428 (3) | |
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Category:CORRESPONDENCE-LETTERS
MONTHYEARML20217M7571999-10-22022 October 1999
[Table view]Advises That Attachment 1 to ,Marked as Proprietary,Re Safety Limit MCPR & Fuel Vendor Change Will Be Withheld from Public Disclosure Per 10CFR2.790(b)(5) ML20217M2101999-10-19019 October 1999 Forwards NRC Rept Number 17, Requal Tracking Rept from Operator Licensing Tracking Sys.Rept Was Used by NRC to Schedule Requalification Exam for Operators & Record Requal Pass Dates ML20217H8471999-10-18018 October 1999 Discusses Completion of Licensing Action for GL 98-01 & Suppl 1, Yr 2000 Readiness of Computer Sys at Npps, to All Holders of Operating Licenses for NPPs ML18107A5601999-10-18018 October 1999 Submits 30-day Fuel Clad Temp Rept,Iaw 10CFR50.46.Rept Describes Changes to Calculated Peak Clad Temp (PCT) for Salem Generating Station Large & Small Break LOCA Analyses ML20217K8441999-10-15015 October 1999 Submits Revised Commitment to NRC Bulletin 90-01,Suppl 1 for Hope Creek Generating Station ML20217H9771999-10-13013 October 1999 Forwards SRO & RO Initial Exam Rept 50-354/98-302,suppl Rept on 990125-29,mtg Meeting on 990322,990429-30 & 0617-18 in-office Review & 990720 Telcon on Appeal Results.Overall, 11 of 16 Applicants Received NRC Licenses ML18107A5531999-10-0808 October 1999 Forwards Summary Rept of Plant Startup & Power Ascension Testing for Sgs,Unit 2 Cycle 11,per Requirements of TS 6.9.1.1 ML18107A5561999-10-0707 October 1999 Requests Relief Associated with Containment Examinations at Hope Creek & Salem Generating Stations.Attachment 1 Includes Proposed Alternatives & Supporting Justification for Relief Requests ML20217C4391999-10-0606 October 1999 Informs That Util Authorized to Administer Initial NRC Retake Written Exam to Applicant Listed,During Week of 991011 ML18107A5501999-10-0505 October 1999 Provides Current Status of Pse&G Actions Re GL 98-01, Y2K Readiness of Computer Sys at Npps, for Salem Nuclear Generating Station,Units 1 & 2 & Hope Creek Nuclear Generating Station ML18107A5521999-10-0505 October 1999 Encourages NRC to Support Abb Combustion Engineering Nuclear Power Request for Priority Review of Generic TR Re Crossflow Ultrasonic Flow Measurement Sys ML18107A5591999-10-0505 October 1999 Informs That Nj Dept of Environ Protection Has No Comments on License Change Request S99-07 for Sgs,Units 1 & 2 ML20217A9601999-10-0404 October 1999 Forwards Errata Redressing Deficiencies & Correcting Two Typos to Ufsar,Rev 10.Incorporate Attached Pages/Figures Into Controlled Copies of UFSAR ML20217A6861999-10-0101 October 1999 Forwards Insp Rept 50-354/99-05 on 990711-0829.Four Violations Occurred Re Areas of Fire Protection,Operation at Reduced Feedwater Inlet Temp & safety-related Battery Charging Operation & Being Treated as NCVs LR-N990430, Forwards Rev 10 to Hope Creek Generating Station Ufsar,Iaw 10CFR50.71(e).Details Re Each Change Also Attached to Facilitate NRC Review1999-09-28028 September 1999 Forwards Rev 10 to Hope Creek Generating Station Ufsar,Iaw 10CFR50.71(e).Details Re Each Change Also Attached to Facilitate NRC Review IR 05000272/19990071999-09-28028 September 1999 Forwards Insp Repts 50-272/99-07 & 50-306/99-07 on 990721- 0831.One Potentially Safety Significant Issue Identified Dealing with Control Room Special Ventilation System.Four Addl Issues of Low Safety Significance Identified ML18107A5341999-09-22022 September 1999 Provides Data Re Operator Licensing Exam for Salem & Hope Creek Station,In Response to NRC Form 536 (7-1999) ML18107A5421999-09-22022 September 1999 Forwards Discharge Monitoring Rept for Salem Generating Station for Aug 1999.Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection 05000354/LER-1999-009, Forwards LER 99-009-00, License Condition Violation - Min FW Temp Limits. Commitments Made by Util Encl1999-09-20020 September 1999 Forwards LER 99-009-00, License Condition Violation - Min FW Temp Limits. Commitments Made by Util Encl ML20217K7781999-09-16016 September 1999 Forwards Discharge Monitoring Rept for Hope Creek Generating Station for Month of Aug 1999. Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML20212B3631999-09-14014 September 1999 Forwards Rev 13 to Salem - Hope Creek Security Plan,Iaw 10CFR50.54(p).Summary of Proposed Changes to Plan,Encl. Encl Withheld ML20212B4021999-09-13013 September 1999 Submits Supplemental Info Related to Hope Creek License Change Request (LCR) H98-08,submitted to NRC on 981230, Re Flood Protection TS Changes ML18107A5321999-09-13013 September 1999 Forwards Revised 10CFR50.92 Evaluation to Clarify Util Response to Question Number 1 Re Amend to Modify TS 3/4 8.1, AC Power Sources. ML18107A5331999-09-13013 September 1999 Provides Notification That PSEG Intends to Utilize ASME Code Case N-481 During Second ISI Interval at Sgs Units 1 & 2 ML18107A5351999-09-13013 September 1999 Informs That NRC Has Reviewed Pse&G Request Proposing to Modify TS Which Allow EDG to Be Operated for 24 Surveillance Test During Any Mode,Iaw 10CFR50.91(b) & Has No Comments ML18107A5221999-09-0808 September 1999 Requests Approval to Use ASME Code Case N546,which Provides Alternative Qualification Requirements That Allow Personnel Most Familiar with Walkdown of Plant Sys,Like License Operators to Perform VT-2 Examinations ML18107A5231999-09-0808 September 1999 Forwards Salem Generating Station Semiannual Radioactive Effluent Release Rept for Jan-June 1999. Rept Summarizes Liquid & Gaseous Releases & Solid Waste Shipments from Salem Generating Station for Period of Jan-June 1999 ML20211N5421999-09-0808 September 1999 Forwards Amend 121 to License NPF-57 & Safety Evaluation. Amend Revises TSs by Relocating Procedural Details of RETS to Offsite Dose Calculation Manual LR-N990395, Provides Comments on NRC Ltr Dtd 990714, Closure of TAC Number MA1194 - Response to RAIs to GL 92-01,Rev 1,Suppl 1, Reactor Vessel Structural Integrity, for Hope Creek Generating Sation. Revised GE Report Encl Also1999-09-0101 September 1999 Provides Comments on NRC Ltr Dtd 990714, Closure of TAC Number MA1194 - Response to RAIs to GL 92-01,Rev 1,Suppl 1, Reactor Vessel Structural Integrity, for Hope Creek Generating Sation. Revised GE Report Encl Also ML18107A4981999-08-26026 August 1999 Forwards Response to NOV That Resulted from Predecisional Enforcement Conference Conducted on 990624.Corrective Actions:Communications to Supervisors Reinforced Employee Right & Duty to Raise Nuclear Safety Issues ML18107A5061999-08-26026 August 1999 Provides First Feedback from Observation of NRC Insp Under Pilot Nuclear Power Plant Insp Program.Attached Are Completed Insp Feedback Forms for Procedure 71111, Attachment 21 & Procedure 71151 ML18107A5181999-08-26026 August 1999 Forwards Ninety Day Rept for ISI Activities Conducted at Sgs,Unit 2 During Ninth Extended Outage & Tenth Refueling Outage.List of Encl,Provided ML18107A5051999-08-24024 August 1999 Informs That Nj Dept of Environ Protection Bureau of Nuclear Engineering Has Reviewed Request IAW Requirements of 10CFR50.91(b) & Has No Comments Re Amend to FOL Change Request S99-02 to Modify TS Re Penetration Valves ML18107A4921999-08-23023 August 1999 Provides Suppl Info Re 971024 Amend Request to Modify TS 3/4 7.7, Auxiliary Bldg Exhaust Air Filtration Sys. Util Withdraws from Request All Proposed Changes Associated with Filter Testing,Per Issuance of GL 99-02 ML18107A4911999-08-20020 August 1999 Forwards Revised Plant Attribute Libraries for Salem & Hope Creek Generating Stations,Iaw 10CFR50,App E,Vi, Emergency Response Data Sys, 3.b.Changes Are Identified by Rev Bars ML20211B5341999-08-20020 August 1999 Forwards RAI Re 2nd 10-yr ISI Interval Relief Requests Re Plant.Info Requested to Be Provided within 60 Days of Receipt of Ltr ML18107A4861999-08-19019 August 1999 Forwards NPDES Discharge Monitoring Rept, for Salem Generating Station for Month of Jul 1999.Rept Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18107A4831999-08-18018 August 1999 Submits Licensee Comments on NRC 990730 Ltr Which Provided Notification of Close Out of TAC Numbers MA0567 & MA0568 Re GL 92-01,Rev 1,Suppl 1 ML18107A4801999-08-13013 August 1999 Requests That Pse&Gs Contact in NUREG-0383, Directory of Compliance for Radioactive Matl Packages, Be Changed ML20210R4911999-08-11011 August 1999 Forwards Insp Rept 50-354/99-04 on 990530-0711.No Violations Noted.Inspectors Reviewed Performance Indicators Submitted as Part of Pilot Program for New Regulatory Oversight Process & Verified Data ML18107A4751999-08-0505 August 1999 Forwards Fitness for Duty Performance Data Rept for Six Month Period Ending 990630 ML20210M7571999-08-0404 August 1999 Forwards Response to Requesting Addl Info Re Status of Decommissioning Funding for Lgs,Pbaps & Sngs. Attachment Provides Restatement of Questions Followed by Response ML20210H9241999-07-26026 July 1999 Informs That State of Nj Dept of Environ Protection Has No Comments on Licensee 990517 Request for Amend to TS by Adding TS 3.3.10, Instrumentation of OPRM Sys ML20210F3271999-07-22022 July 1999 Forwards SE Granting Relief Requests RR-B1,RR-C1,RR-D1 & RR-B3 Re First 10-year Interval for ISI Program at Hope Creek ML18107A4531999-07-20020 July 1999 Forwards Discharge Monitoring Rept for Salem Generating Station, for June 1999.Rept Is Required by & Prepared for EPA & Nj Dept of Environ Protection ML20210D3971999-07-16016 July 1999 Forwards Discharge Monitoring Rept for Hope Creek Generating Station, for June 1999.Rept Is Required by & Prepared for EPA & Nj Dept of Environ Protection 05000354/LER-1999-007, Forwards LER 99-007-00,re License Condition Violation - Class-1E Battery Charging Operation.Commitments Made by Util Encl1999-07-14014 July 1999 Forwards LER 99-007-00,re License Condition Violation - Class-1E Battery Charging Operation.Commitments Made by Util Encl ML20209G2831999-07-14014 July 1999 Disclosure Closure of TAC MA1194 Re Licensee Response to RAI to GL 92-01,Rev 1,Suppl 1, Rc Structural Integrity, for Plant LR-N990250, Provides Proposed Alternative & Supporting Justification for Relief from Augmented Inservice Requirements of 10CFR50.55a(g) for Volumetric Exam of RPV Circumferential Welds1999-07-0909 July 1999 Provides Proposed Alternative & Supporting Justification for Relief from Augmented Inservice Requirements of 10CFR50.55a(g) for Volumetric Exam of RPV Circumferential Welds ML18107A4431999-07-0606 July 1999 Informs That Nj Dept of Environ Protection Bureau of Nuclear Engineering Has Reviewed Pse&G License Change Request S98-17 Re Permissible Enrichment Values for New Fuel Storage & Has No Comments 1999-09-08 Category:EXTERNAL CORRESPONDENCE MONTHYEARML18107A5421999-09-22022 September 1999
[Table view]Forwards Discharge Monitoring Rept for Salem Generating Station for Aug 1999.Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML20217K7781999-09-16016 September 1999 Forwards Discharge Monitoring Rept for Hope Creek Generating Station for Month of Aug 1999. Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18107A4861999-08-19019 August 1999 Forwards NPDES Discharge Monitoring Rept, for Salem Generating Station for Month of Jul 1999.Rept Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18107A4531999-07-20020 July 1999 Forwards Discharge Monitoring Rept for Salem Generating Station, for June 1999.Rept Is Required by & Prepared for EPA & Nj Dept of Environ Protection ML20210D3971999-07-16016 July 1999 Forwards Discharge Monitoring Rept for Hope Creek Generating Station, for June 1999.Rept Is Required by & Prepared for EPA & Nj Dept of Environ Protection ML18107A4091999-06-22022 June 1999 Forwards Discharge Monitoring Rept for May 1999,containing Info as Required by Permit NJ0005622.Rept Prepared Specifically for EPA & Nj Dept of Environ Protection ML20209C0621999-06-21021 June 1999 Forwards NPDES Discharge Monitoring Rept,May 1999, for Hcgs.Rept Prepared Specifically for EPA & Nj Dept of Environ Protection ML18107A3371999-05-21021 May 1999 Forwards NPDES Discharge Monitoring for Salem Generating Station for Apr 1999, Containing Info as Required by Permit NJ0005622 ML20195B9931999-05-20020 May 1999 Forwards NPDES Discharge Monitoring Rept,Apr 1999, for Hgcs.Rept Prepared Specifically for EPA & Nj Dept of Environ Protection ML18107A2251999-04-23023 April 1999 Forwards Discharge Monitoring Rept for Salem Generating Station for Month of Mar 1999.Rept Is Required & Prepared Specifically for EPA & Nj Dept of Environ Protection ML20206R3991999-04-22022 April 1999 Forwards Discharge Monitoring Rept for Hope Creek Generating Station for Month of Mar 1999. Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106B1111999-03-24024 March 1999 Forwards NPDES Discharge Monitoring Rept, for Salem Generating Station for Feb 1999.Rept Required by & Prepared Specifically for EPA & Nj Dept of Environmental Protection ML20205E1391999-03-22022 March 1999 Forwards NPDES Discharge Monitoring Rept for Hope Creek Generating Station for Month of Feb 1999. Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106B0831999-02-23023 February 1999 Forwards Discharge Monitoring Rept for Salem Generating Station, as Required in Permit NJ0005622 for Jan 1999. Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML20207F2201999-02-23023 February 1999 Forwards Discharge Monitoring Rept for Hope Creek Generating Station, as Required in Permit NJ0025411 for Jan 1999.Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106B0291999-01-21021 January 1999 Forwards Discharge Monitoring Rept for Salem Generating Station Containing Info as Required in Permit NJ0005622 for Month of Dec 1998.Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML20198K2031998-12-17017 December 1998 Forwards NPDES Discharge Monitoring Rept for HCGS for Month of Nov 1998. Rept Is Required by & Prepared for EPA & Nj Dept of Environ Protection ML18106A9861998-12-16016 December 1998 Forwards Discharge Monitoring Rept for Sgs, Containing Info as Required in Permit NJ0005622 for Month of Nov 1998 ML20196G7731998-11-23023 November 1998 Forwards NPDES Discharge Monitoring Rept for HCGS for Month of Oct 1998. Rept Is Required by & Prepared for EPA & Nj Dept of Environ Protection.Explanations Included to Clarify Possible Deviation from Permit Conditions,Encl ML18106A9691998-11-19019 November 1998 Forwards Discharge Monitoring Rept for Salem Generating Station Containing Info as Required in Permit NJ0005622 for Month of Oct 1998.Rept Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106A9381998-10-22022 October 1998 Forwards Discharge Monitoring Rept for Salem Generating Station for Permit Number NJ0005622 for Month of Sept 1998. Rept Was Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106A9471998-10-22022 October 1998 Forwards Suppl Rept on Corrective Measures to Be Taken to Reduce Potential of Future Occurrences,Per Discharge Confirmation Rept Submitted on 980709.Attached Pages to Be Inserted Into 980709 Rept & Previous Page Discarded ML20155C4171998-10-20020 October 1998 Forwards Discharge Monitoring Rept for Hope Creek Generating Station for Month of Sept 1998.Rept Is Prepared Specifically for EPA & Nj Dept of Environ Protection ML20154C2491998-09-21021 September 1998 Forwards Discharge Monitoring Rept for Hope Creek Generating Station for Month of Aug 1998 ML20151Z6581998-08-19019 August 1998 Forwards Discharge Monitoring Rept for Hope Creek Generating Station for Month of July 1998.Rept Is Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106A8211998-08-18018 August 1998 Forwards Discharge Monitoring Rept for Salem Generating Station for July 1998,per Requirements of Permit NJ0005622. Rept Required & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106A7871998-07-23023 July 1998 Forwards Discharge Monitoring Rept for Sgs, for June 1998. Rept Is Prepared Specifically for EPA & Nj Dept of Environ. Observed Results of Measurements & Analyses Required to Be Performed by Listed Agencies,Presented ML20236J1781998-06-22022 June 1998 Forwards Discharge Monitoring Rept for Hope Creek Generating Station for Month of May 1998.W/explanation of Conditions & Addenda ML18106A6741998-06-17017 June 1998 Forwards Discharge Monitoring Rept for Sgs, for May 1998. Rept Is Prepared Specifically for EPA & Nj Dept of Environ Protection.Observed Results of Measurements & Analyses Required to Be Performed by Noted Agencies,Presented ML20248B2591998-05-20020 May 1998 Forwards Discharge Monitoring Rept for Hope Creek Generating Station for Apr 1998. Rept Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106A6191998-05-20020 May 1998 Forwards Discharge Monitoring Rept for Salem Generating Station for Apr 1998. Rept Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML20217P4691998-04-20020 April 1998 Forwards Discharge Monitoring Rept for Month of Mar 1998, for Hope Creek Generating Station ML18106A5631998-04-20020 April 1998 Forwards Discharge Monitoring Rept for Salem Generating Station for Mar 1998,per Requirements of Permit NJ0005622. Rept Required & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18106A4461998-04-0303 April 1998 Submits Annual Rept,Summarizing Occurrences of Federally Listed Threatened & Endangered Animal Species at Plant Circulating Water Intake Structure During 1997 ML18106A4081998-03-23023 March 1998 Forwards NPDES Discharge Monitoring Rept for Salem Generating Station, for Feb 1998,per Requirements of Permit NJ0005622.Rept Required & Prepared Specifically for EPA & Nj Dept of Environ Protection ML20217G3291998-03-20020 March 1998 Forwards NPDES Discharge Monitoring Rept for Hope Creek Generating Station for Month of Feb 1998. Explanations of Conditions,Encl ML20217G3921998-03-20020 March 1998 Forwards NPDES Discharge Monitoring Rept for Hope Creek Generating Station for Month of Jan 1998 ML18106A3441998-02-24024 February 1998 Forwards NPDES Discharge Monitoring Rept for Salem Generating Station, as Required in Permit NJ0005622 for Month of Jan 1998.Rept Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML20203J3671998-02-20020 February 1998 Forwards NPDES Discharge Monitoring Rept for Hope Creek Generating Station for Month of Jan 1998. Explanations of Conditions,Encl ML18106A2751998-01-20020 January 1998 Forwards Discharge Monitoring Repts for Salem Generating Station for Dec 1997,per Requirements of Permit NJ0005622. Rept Required & Prepared Specifically for EPA & Nj Dept of Environ Protections ML20197C4921997-12-17017 December 1997 Forwards NPDES Discharge Monitoring Rept, for Nov 1997. Explanation of Conditions & Exceedances Included ML18106A2271997-12-17017 December 1997 Forwards New Jersey NPDES Discharge Monitoring Rept for Salem Generating Station for Month of Nov 1997. Rept Is Required by & Prepared Specifically for EPA & New Jersey Dept of Environ Protection ML20199J5461997-11-21021 November 1997 Forwards NPDES Discharge Monitoring Rept for Hope Creek Generating Station for Month of Oct 1997 ML18106A1731997-11-18018 November 1997 Forwards New Jersey NPDES Discharge Monitoring Repts, for Oct 1997 for Plant.Observed Results of Measurements & Analysis Required to Be Performed ML20212C3391997-10-22022 October 1997 Forwards NPDES Discharge Monitoring Rept for Hope Creek Generating Station for Month of Sept 1997. Explanation of Conditions Encl ML18102B6221997-10-0606 October 1997 Forwards New Jersey NPDES Discharge Monitoring Repts for Salem Generating Station for Sept 1997. Rept Is Required by & Prepared Specifically for EPA & New Jersey Dept of Environ Protection ML18102B5221997-08-18018 August 1997 Forwards Discharge Monitoring Rept for Salem Nuclear Generating Station for July 1997 & Results of Tracer Dye Studies Conducted to Determine Pump Flow Rates for Circulating Water Sys as Required by Part IV-B/C ML18102B4021997-06-19019 June 1997 Forwards NPDES Discharge Monitoring Rept for May 1997. Rept Required by & Prepared Specifically for EPA & Nj Dept of Environ Protection ML18102B3591997-05-23023 May 1997 Forwards Corrected Pages of Discharge Monitoring Rept for Feb 1997 for Salem Generating Station. Incorrect Entries Were Made Into Monthly Average & Daily Max Values for Total Residual Chlorine ML18102B3571997-05-23023 May 1997 Forwards Corrected Pages of Discharge Monitoring Rept for Jan 1997 for Salem Generating Station. Incorrect Entries Were Made Into Monthly Average & Daily Max Values for Total Residual Chlorine 1999-09-22 |
Text
Public Service Electric and Gas Company P.O. Box 236 Hancocks Bridge, New Jersey 08038 Nuclear Department CERTIFIED MAIL RETURN RECEIPT REQUESTED JAN o8 1992 NLR-E92004 Bureau of Discharge Prevention New Jersey Department of Environmental Protection and Energy 401 East State street CN027 Trenton, New Jersey 08625-0027 Attention: Discharge Confirmation Report
Dear Sirs:
DISCHARGE OF HYDRAULIC OIL FROM PUBLIC SERVICE ELECTRIC AND GAS COMPANY (PSE&G) ARTIFICIAL ISLAND (CASE f91-10-18-0923-05) - 30 DAY CONFIRMATION REPORT CORRECTION TO CERTIFICATION In the subject confirmation report (reference NLR-E91263), the certification lacked a Notary Public stamp. Please replace the certification in NLR-E91263 with the attached corrected certification.
Should you have any questions concerning the information contained herein, please contact Mr. Donald Bowman of Licensing and Regulation at (609) 339-1477.
~~
G. Charles Munzenmaier General Manager -
Nuclear Services Attachment I l
NJDEPE 2 NLR-E92004 C: New Jersey Department of Environmental Protection and Energy Division of Environmental Quality Bureau of Communications and Support Services CN 411 Trenton, New Jersey 08625 New Jersey Department of Environmental Protection and Energy
- Southern Bureau of Regional Enforcement 20 E. Clementon Road Gibbsboro, New Jersey 08026 Attention: Mr. William Dunphee United States Nuclear Regulatory Commission 1 Document Control Desk -:
Washington, D.C~, 20555 Salem County Department of Health 98 Market Street Salem, New Jersey 08079 Attention: Mr. James Warner
. _._ .... ,. .. CERTIFICATION state of New Jersey:
SS County of Salem I certify under penalty of law that the information provided in this document is true, accurate and complete. I am aware that there are significant civil and criminal penalties, including fines or imprisonment or both, for submitting false, inaccurate or incomplete information.
sworn and sqQscribed b~
on this /"(.bf,.( day of ~, 1991.
Notary Public