ML18096A744

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NPDES Discharge Monitoring Rept for Apr 1992 for Salem Generating Station. W/920521 Ltr
ML18096A744
Person / Time
Site: Salem  PSEG icon.png
Issue date: 04/30/1992
From: Vondra C
Public Service Enterprise Group
To: Caporale G
NEW JERSEY, STATE OF
References
NUDOCS 9206030136
Download: ML18096A744 (24)


Text

Public Service Electric and Gas Company P.O. Box 236 Hancocks Bridge, New Jersey 08038 Salem Generating Station May 21, 1992 Chief George Caporale Bureau of Information Systems CN-029 Trenton, NJ 08625 NEW JERSEY POLLUTANT DISCHARGE ELIMINATION SYSTEM DISCHARGE MONITORING REPORTS SALEM GENERATING STATION PERMIT NO. NJ0005622 Attached is the Discharge Monitoring Report for Salem Generating Station containing the information as required in Permit No.

NJ0005622 for the month of April 1992.

This report is required by and prepared specifically for the Environmental Protection Agency (EPA) and the New Jersey Department of Environmental Protection and Energy (NJDEPE)

  • It presents only the observed results of measurements and analyses required to be performed by the above agencies. The chqice of the measurement devices and analytical methods is controlled by EPA and NJDEPE, not by the company, and there are limitations on the accuracy of such measurement devices and analytic'al techniques even when used and maintained as required.

Accordingly, this report is not intended as an assertion that any instrument has measured, or any reading or analytical result represents, the true value with absolute accuracy, nor is it an endorsement of the suitability of any analytical or measurement procedure.

yours, General Manager -

Salem Operations DKH:jap Attachments The Energy People r-92060301_3_6_9_2_0_4_3_0_ _ _~.'1 Got\ I I 95-2189 (10M) 12*89

\ PDR ADOCK 05000272 R PDR

NJPDES Report Apri], 1992 C EPA-Region II Mr. Gerald M. Hansler - Executive Director USNRC - Document Control Desk Vice President - Nuclear Operations General Manager - Salem Operations RP/Chemistry Manager - Salem Operations Manager-Licensing & Regulations E. Keating P. Behrens M. Vaskis P. McCabe D. Hurka Central Record Facility File RPC92-065

NJPDES Report ~ Explanation of Deviations April 1992 The following explanations are included to clarify possible deviations from permit conditions.

General - The columns labeled, "No. Ex.," on the enclosed DMR, tabulate _the number of daily discharge values outside the indicated limits.

Data reporting and accuracy reflect the working environment, the design capabilities and reliability of the monitoring instruments and operating equipment.

All reported concentrations are based on daily discharge values.

Total residual chlorine is performed three times per week during chlorination unless otherwise indicated.

Analytical values which are less than detectable are reported as zero unless otherwise indicated.

Analytical results for all parameters other than Ph, temperature, TSS, TRC and Bioassay are provided by Century Laboratories (NJDEP certification 08153).

Bioassay results are provided by Princeton Testing Laboratories Inc. (NJDEP certification 11118) *.

Net negative discharge values are reported as negative.

487, 487B-Flow calculated as per permit based on Wilmington NWS 489, 489A Data.

489B 481-486 - Chlorination of the circulation water system normally does not occur except as otherwise noted. Service water system chlorination is normally continuous and is monitored on the circulating water system outfall.

Chlorination of both systems will be indicated by results reported for both and represents their combined affect upon the circulating water outfall.

NJPDES Report tllt: .

Explanation of Dev1at1ons Apri~ 1992 48C - Non-Radioactive Liquid Waste - This system continues to be operated in a batch mode to treat for hydrazine by the addition of sodium hypochlorite. No hydrazine has been discharged from this outfall during the reporting period. Residual chlorine is monitored at the outfalls of DSN's 481, 482, 484, and 485, and has not exceeded the permit limits at these outfalls.

The following excursions are included in the attached report and explained below. Excursions have not endangered nor significantly impacted public health or the environment.

DMR NO. EXPLANATION None

COUNTY OF SALEM STATE OF NEW JERSEY I, Calvin A. Vondra, of full age, being duly sworn according to law, upon my oath depose and say:

1. I am the General Manager of the Salem Generating Station, and as such am authorized to sign Discharge Monitoring Reports submitted to the New Jersey Department of Environmental Protection and Energy pursuant to the Station's New Jersey Pollutant Discharge Elimination System permit.
2. I have reviewed the attached Discharge Monitoring Reports.

Pursuant to N.J.A.C. 7:14A-2.4, I certify under penalty of law that I have personally examined and am famillar with the information submitted in this document and all attachments and that based on my inquiry of those individuals responsible for obtaining the information, I believe the submitted information is true, accurate and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment.

3. The signature on the attached Discharge Monitoring Reports is my signature and I am submitting this affidavit in satisfaction of the requirement that my signature be notarized. ~

caiViil A.

1 Vondra General Manager -

Salem Operations Sworn and subscribed before me this /). / day of Jn (Jbf 1992.

n 1A

,l il{9<1'1 l)/VIJr ~- f{._,-7?/7 i'Jl-11}:::*

WITOR!NG REPORT - TBANSMIU,SHEET NJPDES NO. REPORTING PERIOD MO. Y ... MO. Y ...

I 01 01 01 51 61 21 21 p !4 ~ 12 I THRu lo 14 19 12 I Public Service Electric and Gas Company PERMITTEE: Name Address _P_._o_._B_o_x_2_3_6_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Hancock's Bridge, New Jersey 08038 FACILITY: Name Salem Generating Station Address Alloway Creek Neck Road Hancock's Bridge (County) Salem Telephone ( 609 ) 935-6000 FORMS ATTACHED (lndicatt Quantiry of Each) OPERATING EXCEPTIONS SLUDGE REPORTS* SANITARY YES NO DT-VWX-007 DT-VWX-008 DT-VWX-009 DYE TESTING D IX]

TEMPORARY BYPASSING D l!J SLUDGE REPORTS - INDUSTRIAL DISINFECTION INTERRUPTION D [!]

DT-VWX*010A DT-VWX-0108 MONITORING MALFUNCTIONS D !X:I WASTEWATER REPORTS UNITS OUT OF OPERATION D IXl DT-VWX-011 DT-VWX-012 DT-vWX-013 OTHER D lil GROUNDWATER REPORTS (Detail any "Yts" on re~t sidt in approprlatt ipatt.)

Ovwx-01s1A.B! Ovwx-01s Ovwx-011 NPDES DISCHARGE MONITORING REPORT NOTE: ~ "Noun .A.tttndtd at Plant" on tht

~EPA FORM 3320-1 -;;;;;;;of thb lbftt must abo bt complettd.

AUTHENTICATION

  • I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments and that, 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 significant penalties for submitting false information including the possibility of fine and imprisonment.

LICENSED OPERATOR PRINCIPAL EXECUTIVE OFFICER or DULY AUTHORIZED REPRESENTATIVE Name (Printed) David K. Hurka ~ 1 ed'* C. A. Vondra Name,'Prlnt , - - - - - - - - - - - - - - -

G,.de & R~o: N-2 :0684 Title (Printtld)

Operations Signature JJL.. - ~a.J__

Date _ _ ~_/_z__I f. . . '7....._"2---

. _ _ __ Date -----~~L..,,:-......:....;.... _ _ _ _ _ _ _ __

I ~

24

OPERATING EXCEPTIONS DETAI. e ,' 'lf**v-.....V*1*HI~

DSN 481 - The Thermal RTD and Condenser were out ofservice for the entire monitoring period. The temperature data reported for DSN 481 is the average of DSN 482 and DSN 483.

HOURS ATTENDED AT PLANT Month l.QiiJ Year l2J1J Day of Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Licensed Operator 8 8 8 8 8 8 8 8 8 8 8 8 Others 4 4 4 4 4 4 4 4 4 4 4 4 Day of Month 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Licensed Operator 8 8 8 8 8 .8 8 8 8 8 Others 4 4 4 4 4 4 4 4 4 4 25

Plt .. MITTll:I[ NAMlt/ADD"1t** (lncludr NATIONAL "OLLUTANT Dl*CHAIUI* ltLIMINATION *Y*T*M (NP0£SJ F*clllty N*nt1/Loc.tlon If dlff-tJ DISCHARGE MONITORING REPORT fDMRJ

!IMD~~_P.SE&G

.!.!l.!!.!!!!! _ _p......a..._..llllX......2.:3.6./!l.2..L_~-~~-~

---~ g-15 NJ_Q_S622

. 17-19 Form Approved.

OMB No. 2040-0004 .


~..lilU.Il.li4NL.lll&3.a....

PUIMIT NUM*llll Approval expires 6-30-91.*

THERMAL DSCHG FOR DSN 481-~83 MAJOR '. SALEM LOCATION SOUTHERN REGION DMR NOTE: Reid ln1tructlo111 before completlnilthl9 form.

(J Card Only) QUANTITY OR LOADING P'ARAMKTllll ('6-3J) (JUI)

(J2-J7) ~M(~~X ~~O;>

TEMPERATURE, WATER DEG. CENTIGRADE I CERTIFY UNDElt PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED DATE AND AM FAMILIAR WITH THE INFORMATION SUBMITIED H[A£1N. AND BASED OH MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATIO>I. I BELIEVE THE SUBMITIED INFORMATION

c. Vondra IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE AM SIG*

NIF"ICANT PENALTIES FOR SUBMITIING FALSE INFORMATION. INCLUDING G.M.- Salem Ops. THE POSSIBILITY OF FINE AND IMPRISONMENT SEE Ill USC I 1001 AND

]3 use I 1319 1Prna/tlt'1' unar'r rltrw llGIUIH n1a" mrlwlr f*nra &IP,,,"*'""'

TYPED OR PRINTED atwl ,,, ma .... nu.n1 1ntpruu111nirr1t 11/ hrtu,"C¥n Ii muntlt11 and,:; :u*ari* 1 NUMllER YEAR MO DAY 10 c@Wtllt'Wrx~MJ t§>FfftY lj~LAf'~lttfCft'nD' uA*~mT~trCOMBINED AVERAGE OF EACH OF THE SEPARATE nISCHARGES 481-lt83.

N~T TEMP DIF IS THE DIFFERENCE BETWEEN THE AMBIENT RIVER WATER TEMP AND THE AVE EFFLUENT TEMP OF 4~~-483*

EPA*Form 3320-1 (Rev. 9-88) P18vious editions maybe used. jREPLACES E"A FORM T**O WHICH MAY NOT SE USED.J ../_?. :J '"Jh />C.Ji"~ PAGE OF LAES: ---~-- ------- -~-'"- -<.tt::~'Wl-,j- ------- 1 11

P'll:ltMITTll:I!: NAMl!:/ADDltllSS (lnclllde NATIONAL POLLUTANT Dl*CHA .. Gll llLIMINATION *YSTllM (NPDESJ F*cilily N*me/Ltx:atlon If diffcnntJ DISCHARGE MONITORING REPORT fDMRJ

!!A!!J: _ _ JSEt;G ---------

g-lci 17-19 Form Approved.

~D"!!!---1'...a..Ll.a-...B..0.X...23.b./1iL2J.._ NJ 0 5622 OMB No. 2040-0004.


1-iANCOCk'S BRJDGE,N.J 08038 PEftMIT NUM*IEft '. i Approval expires 6-30-91.

  • THERMAL D~: CHG~:FP~ DSN* 'ta4-4~6 MA:JOR  ;.:._ 'SALEM l SOUTHERN EGIQN,,: ' ; '.: ' I NOTE: Re8d ln~uctlollll biefore completing 1hl1* form.

I PARAMETllR l!IAMP'Llt TYP'E (J2-J7) I (69-70)

TEMPERATURE, WATER DEG. CENTIGRADE 00010 1 1 I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E)(AMINEO DATE AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HCltEIN. AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEOIATEL Y RESPONslBLE FOR OBTAINING THE INFORMATIO>I. I BELIEVE THE SUBMITT[D INl'O-ATION

c. Vondra IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE ; SIG*

NIF'ICANT PENALTIES FOR SU-ITTING FALSE INFORMATION. INCLUDING G.M.- Salem ops. THE POSSIBILITY OF Fll'<E ANO IMPRISONMENT SEE IB US.C I 1001 AND 33 USC§ 1319 tPrnalltl'S ufUJrr tltrlll' llalut ... ma.\' 1nrludr f.nr* Up ltJ 1111.111111 Otad ur ma.nm um 1mpntumn1r11I u/ hr'lu'f"f'n 6 munlhM ar1t/ .:; )-f"Qr1t.J OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY TYP'ED OR PRINTED 1 1 c~'f."ft{Jt'Wr'x'ffr:ttf 0fs>FtfiY lt~LAf ~ftlft!~'f"~tf "Jts"mfVf~"COP4:BINED AVERAGE OF EACH OF THE SEPARATE pISCHARGES 484-486**

NET TFMP DIF 15 THE DIFFERENCE BETWEEN THE AMBIENT RIVER WATER TEHP AND THE AVE EFFLUENT TEMP OF ~84-486.

EPA*Form 3320-1 (Rev. 9-88) Previous editions maybe used. CREP'LAcEs EP'A P'oRM T-*o wH*cH MAY NoT *I!: us1:D.1 In  ::::>,;;? n ~ 1.r2 P'AGI!; OP' LABS: ---~-- ------- --'~-~ -:!::::"~~~ - - - - - - - 2 17

P'EltMITTIEE NAME/ADDltlESS (Include NATIONAL POLLUTANT DISCHAltGIE ELIMINATION *YSTltM (NPD£SJ FacUity Name/Loaitlon If dlffwnnt} DISCHARGE MONITORING REPORT fDMRJ

!!l\!il _ _ _pSE&!i ADDll~ _

__p.....a.._..R.Q.X._23b.JH2.L. _ _ _ _ _ _ _

b2*16 NJ_0_5622 17-19 Form Approved.

OMB No. 2040-0004.


1-iA NCOCICS BRJ DGE,N..J_.Q.80..3~--- PEllMIT NUMalill Approval expires 6-30-91.

THERMAL DSCHG-FOR DSN 481-486 MAJOR SALEH SOUTHERN REGIJN NOTE: Remd Instructions before completini1thi1 form.

PARAM.:TICR (Jl-J7)

THERMAL DISCHARGE MILLION BTUS PER HR 2

I CERTIFY UNDClt PCNALTY OP" LAW THAT I HAY[ ~ASONALLY EllAMINCD DATE AND AM FAMILIAR WITH THC INFORMATION SUBMITTED HCllt:IN. AND llA&ED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATIO,,.. I BELICVE THE SUBMITTED INFORMATION

c. Vondra IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE AltE SIG*

NIFICANT PENAL TIES FOR SUBMITTING FALSE INFORMATION INCLUDING o .')- ;l.._ I G.M.- Salem Ops. THE POSSllllLITY OF FINE AND IMPRISONMENT SE[ 18 LI.SC I 1001 AND J J USC i I 3 I 9 l Prnoll1<'* UMf"r tltrw 11a1utH nra~ mrlllllll' f1nr* Mp tu I lfl.llfltl TYPED OR PRINTED a,tiJ ,., m*.11muni 1mpr11m'1nrr11t o/ lwtu.,.,.n Ii munth11 and,; *'*"°'"*' ~ NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/rrrnC"r all ut1ud1mrn/S hrrr)

EPA*Form 3320-1 (Rev. 9-88) P19vlous editions may be used. P'AGIE

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QI' 11

P'EltMITTKI: NAMl:/ADD1t*** (lncludt NATIONAL POLLUTANT Dl9CHAllGK l:LIMINATION 9YSTKM (NPD£SJ FacUlty N*mt/Locatlon lfdl/1.nnt) DISCHARGE MONITORING REPORT fDMRJ

!!l\!!l _ _ _psE&G ----------

ADDll!!! _ _f'..a..11a.._..B.filL...23.6JN2J._ _ _ _ _ _ _ _

g*'ii NJ_0_5622 17-19 Form Approved.

OMB No. 2040-0004.


~Mn~L~ru_a__ ___ Pll:llMIT NUM*Ell , Approval expires 6-30-91.

  • NON-RADIOLOGICAL WAsn: TREAT*

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NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION tNCLUDfNG G.M.- Salem Ops. THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC t 1001 ANO SIGNATURE OF PRINCIPAL EXECUTIVE 33 USC ' 1319 1Prnalt1r.* uruur thr."f.f' *lalult'* n1a.v mrluJr (rnr* a..p lo 11'1.llUll t-,,.~..--+~~~~~+-~-4~~-4-~~

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P'E .. MITTEE NAME/ADD .. ll:SS (lnclud~ NATIONAL P'OLLUTANT DIBCHAllQI: ELIMINATION 8V5Tl:M (NPDESJ Facility Name/Loe.lion If diffwnntJ DISCHARGE MONITORING REPORT !DMRJ

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ADDft~ _ _p......o.-...fillL.2..3..6./.N.2L. _ _ _ _ _ _ _ OMB No. 2040-0004.


liOJCOCli:'.S -BJU..ll.G.£.,..N.4- 08038 Approval expires 6-30-91.

NON-CONTACT COOLING WATER*

HA~OR SALEM SOUTHERN REGION. .. .

NOTE: ReMf Instructions befOre completinil1his torm.

(3 Card Only) QUANTITY OR LOADING QUALITY OR CONCENTRATION PARAMETER (46-JJ) (J4-6/) (46-5.J) (J.#-6/) NO. FRE~:NCY SAMPLE l----'--'-----.-----'---~----t-~'----'---..--------.-----'--'----r-----1 EX ANALYSIS TYPE (3Z-J7)

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c. Vondra IS TRUE. ACCURATE ANO COMPLETE I AM AWARE THAT THERE ARE *srG-NIFICANT PENALT1£5 FOR SUBMITTING FALSE INFOAMATtON. INCLUDING G.M.- Salem Ops. THE POSSIBtLITY OF' FINE AND IMPRISONMENT 33 use' 1319 sec 18 use
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c~~'ff~M~p~ttrb°-' 'rdt~ fi'dN ~'!5 ~~W"'f:""S'~'~'mfj~fltt (NU cws FLOW) "S" = SWS r.SCHG (NORMAL CONO) 11 T" = CW5 11~CH;J ENTEP "NCCin FOR LOCATIONS THAT DO NOT APPLY*

WHEN MAIN CONDENSERS ARE CHLORINATED, MONITOP TRC 3 TIM~S PE~ WE~K DU~ING 2-HR PERIODS OF CHLORINATION*

EPA*Form 3320-1 (Rev. 9-88) Pmvious editions may be used. P'AGE

P'E .. MITTEE NAME/ADD .. KSS (/nc/udt Facility Namt/Locatlon If diff-nt/

!!A!D~~_f'SE&G ~~--~ Form Approved.

ADDft~ _ _p.....o.._..aux_2.lfaJH2.1__~---~~ OMB No. 2040-0004.

_ _ _ _ -1:1ANCOCKS ..B.&.l.D..G..E....-til..L 080 38 - . PUIMIT NUM*IUI Approval expires 6-30-91.

  • NON-CONTAtT COOLING WATER*

P1AJOR SALE:"1 SOUTHE~N REGION NOTE: Reid instruc:tions before completini11hi1*form.

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NAME/TITLE PRINCIPAL KXKCUTIVE OFFICER I CERTlf'Y UNDER P£NAL TY OF LAW THAT I HAVE PERSONALLY EXAMINCD D A T E AND AM FAMILIAR WIT!< THE INFORMATION SUBMITTED HERf:IN. AND llA&ED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR

c. Vondra OBTAINING THE INFORMATIO"'. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT Tt<ERE ARE SIG*

NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING G.M.- Salem Ops. THE POSSIBILITY OF FINE AND IMPRISONMENT SEC 18 USC I 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE JJUSC 11319 tPrnallwlf una,., r/.,!'W 1lolutr* nra.\' mrludr """ 11µ lo 1111,tlfMI 1-r......~~~~~~+-~--t~~-+-~--i TYPED OR PRINTED 01111 1Jf' ma.um uni 1mprr ...u11mnd u/ hf'l&A'"" 6 month .., and .i .\ran.I OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY c~1fttfJ1~P~etHft'! ~c1tl.'f'i'ct~~~ '*<<wnc~"S'~~'mnSt'l1t:; (NO CWS FLOW) "5" = 5WS D3CHG (NORMAL COND) "T" = cw~ DSCHG E~TER "NODift FOR LOC~TIONS THAT DO NOT APPLY*

WHEN M~IN CUNVENSERS ARE CHLORINATED, ~ONITOR TRC 3 TIMES PER WE~K DURING 2-H~ PERIODS Of CHLORINATION*

EPA*Form 3320-1 (Rev. 9-88) Pmvlous editions may be used. J 1).,3;}2 nO/S::>

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~--__f.SE&G ----------- g-1~ 17-19 Form Approved.

ADDft!!! _ _p..a..ll.a_JillX._2.3.ft/.N2.l_ _ _ _ _ _ _ _ fJJ_0_5622 OMB No. 2040-0004.

_ _ _ _ -1t.AlJC a c K.S_ ..Ii.Rl DGE t N .L.. .ilfill3..8_ Pl!llMIT NUM*lill Approval expires 6-30-91.

NON-CONTACT COOLING WATE:R*

HAJOR SALEH SOUTHERN REGIOt.I NOTE: Rem ln1tructlo111 before completlng1hi1 'form.

PARAMIETl!ll llAMP'LI!

TYP'I:

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PH NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE D A T E ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. ANO BA5£0 ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR

c. Vondra OBTAINING TH£ INFORMATIO,.. I BELIEVE THE SUBMITTED INFORMATION 15 TRUE. ACCURATE ANO COMPLETE I AM AWARE THAT THERE ARE SIG NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING G.M.- Salem Ops. THE POSSIBILITY or FINE AND IMPRISONMENT SEE IB USC t 1001 ANO

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WHEN MAIN CONDENSERS ARE CHLORINATED, MONITOR TRC 3 TIMES PEP WE2K tU~ING 2-HR PERIODS OF CHLORINATION*

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P'E,.MITTl!I! NAMl!/ADD,.ll:SS (Include NATIONAL P'OLLUTANT DISCHA .. GIE !ELIMINATION SYSTll:M {NPDESJ Facility Name/Location If dlffwnnt/ DISCHARGE MONITORING REPORT fDMRJ

!!.ft!g _ _ JSE£G ----------- g-1~ 17-19 Form Approved.

ADD1t~ _ _p.....o.-...B.flL2.3fi_/H2L-------- NJ_O_SG22 OMB No. 2040-0004.

______ JWJCOCKS .BRIDGE,NJ QBO 38 PEllMIT NUM81ilt Approval expires 6-30-91.

  • NON-CONTACT COOLING WATER MAJOR SALcM SOUTHEK.N REGION NOTE: Re8d lnmuc:tioris before completing this*form.

PARAMl!Tll:R (J2-J7)

PH NAME/TITLE PRINCIPAL l!:Xl!!CUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED Tl!:LEl"HONE DATE AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HCR£1N. AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEOIATEL V RESPONSIBLE FOR OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION C. Vondra IS TRUE ACCURATE ANO COMPLETE I AM AWARE THAY THERE ARC SIG*

NIFICANT PENAL TIES FOR SUBMITTING FALSE INFORMATION INCLUDING :J....I G.M.- Salem Ops. fHE POSSIBJUTY or FINE ANO IMPRISONMENT SEE 18 USC t 1001 AND 33 USC \ 1J1 9 1P,.,na/t,u uftl1t'r thrNI" uarutf'a nia_\f inrludl' ftn1'1' up tu 1111.tlfltl TYPED OR PRINTED rtt&d ur maximum 'mpri1'ot1ml'l1I u/ l>rtu.,...n fj months and .i .\l'ar.*.I OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY c~~'f(Jfkt'ft:.lff P~~tJ~ <[d~). 'fi\ffi ~r:s ~r{wnc~.,u~~S mV1St'ffl; 1 1 (NO CWS FLOW) "S" = SWS ilSCHG (NORMAL CGND) "l" = CW5 llSCHG ENTE~ "NOD!" FOR LOCATIONS THAT DO NOT APPLY*

WHEN MAIN CONDENSERS ARE CHLORINATED, ~ONITOR TRC 3 TIMES PER WEEK DU~ING 2-Ha PLRIODS Of CHLORINATICN*

EPA*Form 3320-1 (Rev. 9-88) Previous editions may be used. P'AGE: OF 6 17

f'E"MITTEE NAME/ADD"l:SS (/nc/ud~ NATIONAL POLLUTANT DISCHAllGIE !ELIMINATION SVSTIEM (NPD£SJ F*cillty Nam~/Locatbn lfdlff-nt} DISCHARGE MONITORING REPORT fDMRJ

!!l\!!.l _ _ __p5EE;G

__p.....O.-Jill.X_2..3.6J.N.2.1_ _ _ _ _. _ _ _

01-16 17-19 Form Approved.

AD~sn NJ_O_S622 OMB No. 2040-0004.

______ _HANCOCKS ..B.RIJ).G..E,lil_J__ 08038 _ _ _ PU*MIT NUM*ER Approval expires 6-30-91.

NON-CONTAtT COOLING WAT~R MAJOR SALE M SOUTHERN REGION NOTE: Remd instructions before completinilthis ~rm.

PARAM£TER (J2-J7)

PH MG/L  : ~.::

  • . i~~
5:".'* *:\

I CERTIFY UNDER PENALTY OF LAW THAT I H .. VE PERSONALLY EllAMINEO DATE ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. ANO BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR

c. Vondra OBTAINING THE INFORMATI0:-1. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE ANO COMPLETE I AM AWARE THAT. THERE ARE SIG* 609 935-600 G.M.- Salem Ops. NIFICANT PENAL TIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 1B U.SC I 1001 ANO 1L::£::...ll!~;u~~'..C....~~::.._:::::::::.._-=-~

q:i. 0'5- ~I 33 USC 11319 tPrnalllt'tt undrr lhrlll' llOlcdH ma)' 111rludr finrt1 llp It* 1111.IH#I a 11d or ma.um um 1mpruummr111 u/ hf'IU'f"f"n fi muntla" and :i .\f'GTlf.I NUMBER YEAR MO DAY TYPED OR PRINTED c~~~~J.t~P~Mf~ 'rlt~l'filffil~~ ~r{wncf:""S'Llf'gim17'St'Rl; (NO CWS FLOW) 11 '.:i 11 = SWS OSCHG (NORHllL COND) "T" = CLioiiS DSC HG ENTE~ "NODI" FOR LOCATIONS THAT DO NOT APPLY*

WHEN M~IN corJDENSERS ~RE CHLORINATED, MONITOR TRC 3 TIMES PE~ WElK DURI~G 2-HR P~PIODS OF CHLORINATION*

PA*Form 3320-1 (Rev. 9-88) Previous editions may be used. f'AGE OP"

'Cl l 1

Pl:ltMITTIUl NAMl:/ADDltl:88 (/nclud~ NATIONAL "0LLUTANT DlaCHAllGK ELIMINATION aYSTKM {NPDESJ FocUlly N*m~/Locatlon If dlffrttntJ DISCHARGE MONITORING REPCRT fDMRJ

!!M!.l~~_llSEEG ~---~ 2-16 17-19 Form Approved.

~Dft!!! _ __p.....n.._...Bll.X...23.ft/.l!l.2.L. _ _ _ _ _ _ ~ OMB No. 2040-0004.

- - --~.filU.D.G.bN...L 080.38 Approval expires 6-30-91.

  • NON-CONTACT COOLING WATcR*

MAJOR SALEf'I!

SOUTHERN REGION NOTE: Reed Instructions before completini1thl1*form.

PARAMIETEll (J2-J7)

PH NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED* DATE A .. D AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASED o .. MY INOUIRV OF THOSE 1.. 0IVIOUALS IMMEDIATELY RESPONSIBLE FOR OBTAl .. ING THE INFORMATI0"9. I BELIEVE THE SUBMITTED 11'1!'0-ATION

c. Vondra IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG*

NIFICANT PENALTIES FOR SUBMITTl .. G FALSE INFORMATION. l.. CLUDING G.M.- Salem Ops. THE POSSIBILITV OF Fl .. E A .. D IMPRISONMENT SEE 18 use I 1001 AND 33 USC t I 319 1Prnalt1r1' ufllJr, rA~M 1talulr* ma.v lfl('ludr fmrH IAP lo 1111,111111 and ur ma.um um 1mpru1mmr111 of hf'lat.,.,.n fi wwnthH and .l ,rartf.I YEAR MO DAY TYPED OR PRINTED cfJ't.'ff~Jl~p~~~ ~t1t~f!'dN!~ "~wnc-:""S'UfS'mU~t:AG (NO CW5 FLOW) "S" = SWS DSCHG (NORMAL COND) "T" = CWS DSCHG ENTER "NODI" FJR LOCATIONS THAT DO NOT APPLY.

WH=N MAIN CONDENSERS ARE CHLORINATED, MONITOR TRC 3 TIMES PER WEEK OURIN~ 2-H~ PEKIODS OF CHLORINAJIO~*

EPA*Form 3320-1 (Rev. 9-88) Previous editions may be used. ..AGI!: 01' 10 17

P'E .. MITTEE NAMIC/ADD .. ESS (Include NATIONAL P'OLLUTAHT DISCH ARGIE !ELIMINATION SVSTIEM (NPDESJ FacUily N*me/Locotlon If dl/fwnnt) DISCHARGE MONITORING REPORT fDMRJ

!L'\!!M _ _ J.SESG ADDftsn _ _p......o.._..BJJL_..2..3.6.J.N2.L-------

- - ------HANCOCK 5 JUU.D1iEf_N4'- QAO 36 NJ 0

~Z-1 0 5622 PE .. M_IT NUM*E" .J I 11-19 1

Form Approved.

OMB No. 2040-0004.

Approval expires 6-30-91.

  • n ..

1 ST()R" H20 DSCHG. DSN481 YEAR MA~OR SALEM SOUTHERN REGION .

NOTE: Reid Instructions blfOre completini1thi1-form.

(J Card Only) QUANTITY OR LOADING PARAMl:Tl:R (46-JJ) (J4-6/)

(J1-J7)

~~MU(~X ' ~f(l,).... ~X) X UNIT* 62-61) (64-68) (69-70)

OXYGEN (HIGH LEVEL) 00340 l l MG/L OXYGEN DEMAND, CHEM BAM~E (HIGH LE v EL ) ( c 0 lJ) i,.,M'""EA=B""U""R""EM.,,,E""N""T"'*""====='*"'=~===o'1 OC340 2 1 tlTll; MG/L f1G/L SU MG/L ~:I

r::* .

SOLIDS, TOTAL SUSPENDED Ou53J 2 1 MG/l c:

SOLIDS, TOTAL SUSPENDED C053':* 7 1 MG/L NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENAL TV OF LAW THAT I HAVE PERSONALLV EJIA .....ED TELEPHONE D A T E AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE F'OA

c. Vondra OBTAINING THE INFORMATION. I BELIEYE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT: THERE ARE SIG-609 935-600 G.M.- Salem Ops. NIFICANT PENALTIES FOR SUBMITTING FALSE INFOAMAttON THE POSSIBILITY Of FINE AND IMPRISONMENT SEE t8 uSc INCLUDING I 1001 AND 33 USC' 1319 tP.. nallu-~ uflll.-r rht'.w tlalul,.* nia.v 1nrludr (ml'" up ru llfl.1#111 a 1wJ ur tr1d.l'1mum 1mpruo11m .. nl u/ hrtu....-n 6 munlh!>e and.; )"f"Gr11 1 .

TYPED OR PRINTED COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference 111/ u1tud1ments here)

EPA*Form 3320-1 (Rev. 9-88) Pmvlous editions may be used. P'AGI!: 01' ll 17

PEftMITTIEE NAMIE/ADDftlESS (/nc/udt FocUlly N.,,*t/Loc.t/on If dlffarnt}

!!.tt!!J _ _ _fSE£.G ----- Form Approved.

ADDft!!!_-P.......O..-..fillL2.3.6../H2.1_ _ _ _ _ _ _ _ OMB No. 2040-0004.


~ANCOC!(S BRI DGE,N...L.a.&1.3..a_ _ _ _ . 1.  ! Approval expires 6-30-91.

ST~RM H2oinscHG~ DSN48~ i I .!_AC:IL.!..!!_ _fSEEG SAlil1 6E~.f.RAJ'llli__s]'AJ~ MAJOR I *sALEM LOCATION OWAY..S....LBEF,N.J 08038 *:__ SOUTHERN ~EGION . . r  :; ..

  • NOTE: Rem lnstruc:tioni before compl1ting1hi1.form.

(J Card Only) QUANTITY OR LOADING! (4 Cord Only) QUALITY OR CONCENTRATION PARAMllITER (44-j.J) (j4-4SI) * (J3-4j) (46-$3) ('4-61) NO. FREO:fiNCY SAMPLE l---'---'----.,...-------,...--~--+--"---i---,...-----'------.---~-~-'---~----1 EX ANALYSIS TYPE (J2-J7)

.X$$XMXX (6-UI/) (69-70)

HYDROCARBONS,IN H20 IR,CC14 EXT. CHROMA 00551 1 1 I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED DATE ANO AM FAMILIAR WITH THE INFORMATION SUSMJTTEO HEREIN. ANO BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR

c. Vondra OBTAINING TI-iE INFORMATtO~. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG*

G.M.- Salem Ops. Nlf"ICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE ANO IMPRISONMENT SEE 18 use I 1001 ANO 33 USC§ 1319 1Prnal1i~tf un.drr thrzw 1talulra may mdudr fmra &1p 111 1111.t##I TYPED OR PRINTED atul .,,. maximum 1mprumt1nlt"lll 11( ht'IM.,...n 6 munlh!C and .l .\*rar11.1 OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Re/rr*na "" <lllll<<lrm<nts h<re)

OPA*Form 3320-1 (Rev. 9-88) Pmvlous editions may be used. IREPLAcEs EPA iroRM T-*o "'"1cH MAY NOT *ii: usEo.1 Ln* ~d,..,. C'~/£..:> PAGIE 01' I l'I "Pc:;: ------- ------- *- £..~-"-L'- ----~- ------- , ? 1I

P'ltltMITTltlt NAMlt/ADDRK** (lncludr Facility N*m~/U>ctlt/Dn If d/ff.-rnt)

!L'\m _ _ _pSEEG ----------- Form Approved.

~a~sn _ _p.....a..._JilU..._...2....3fJ.N2..l_ _ _ _ _ _ _ _ OMB No. 2040-0004.


~JIBI.D~_J_..Q.8Jl..3lL _ _ _ Approval expires 6-30-91.

STORHWATER P~U_!!'_ _f. iNG_ .s.J"AJ.lillL "AJOR SALEM

=...o~~!'_--1.0..Wf.lL1U._s_~JU\Q..3jl_ SOUTHERN REGION .

DHR NUMBER: 92040273 NOTE: R18d ln1tructlon1 before compl1til'li1thl1 form.

PARAMSTER (J2-J7)

OXYGEN DEMAND, CHEM (HIGH LEVEL) (COD) 00340 1 1 I CERTIFY UNDER PENALTY OF LAW THAT I HA.VI[ PERSONALLY EXAMINED DATE ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. ANO BASED

c. Vondra ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBL[ FOR OBTAINING THE INFORMATIO>I. I BELIEVE THE SUBMITTED INFO-ATION IS TRUE. ACCURATE AND I COMPLETE I AM AWARE THAT THERE ARE SIG*

G.M.- Salem Ops. NIFICANT PENALTIES FOR SUBMITTING FALSE .INFORMATION. INCLUDING THE POSSIBILITY OF FINE ANO IMPRISONMENT SEE 1B U.SC I 1001 ANO OS (}.,_/

33 use' 1319 tPrnalltrs Untlt'f thr~ *talutr* ma:~ *nrlwlr f;nra up'" lltlJllttJ TYPED OR PRINTED and .,, ma.um um rn1pniu111mr11I o/ IH'ti."N'n ti munth" and .i .u*arN.l :

NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (R*/*rrna t11l ullu<<hmrnts hrrr)

PA*Form 3320-1 (Rev. 9-88) Previous editions may be used. PAGE 17

PE .. MITTEE HAME/ADD .. l!SS (fnc/wdt NATIONAL l'OLLUTANT DISCHA .. GIE l!LIMINA1"IOI* *VSTIEM (NPOESJ Facility N11mt/loc111lon If dif/tttnl} DISCHARGE MONITORING REPORT fDMRJ

!!.ftMJ _ _ _psEtG ----------- 2-16 17-19 Form Approved.

ADDft~ _ _p.....o..-...B.UL2..3..6./.N21....------- OMB No. 2040-0004.

- - ---HAUC..O..C.K.S-.llB....I..Ni.E_.M...L O 80 38 _ _ __ Approval expires 6-30-91.

STORMW.~TER L~L!n"_ _p  :.I.N6........5.l'AJ'..I.filL MAJOR SALEM FROM

.!:_D~TI0~--1....0W..ER.....S.......c..R.E.E._N.. Q 8:) 3 8 SOUTHU~N REGION NOTE: Read Instructions before completin111his*form.

(.J Card Only) QUANTITY OR LOADING QUALITY OR CONCENTRATION PARAMETER (46-J.J) (j4~/) (46-JJ) (~J) NO. FRE~:NCY SAMPLE l---'----'-----r--'--------T-"----+--*-..;.._-..;..__ _,........_ _:._ ___;;_ _-r--~--..:....~-~----1 EX ANALYSIS TYPE (J2-J7)

)~)lti(Wt.$~X'  ::.1/1.'.()~~w.KX/ ' UNITS )li)(-*'<~*".X> X UNITll 62~1) ( 64~8) ( 69-70)

HYOPOCAPr.nNS,IN li20 IP.,CC14 ~xr. CHR~P.A.......,__._,.....__,_..,............,.,..,.,.,.,....,,,.,.,.......,........,.""""',,..,.,..,,,,.,..,.,.-.=~.....,,.,.j

      • .-.*.;"* *,*.. ~:

HYO~OCARBONS,IN H20 I~,CC14 i::xr. CH~CMA.....,.,,,...;,,,,,.,...,...

2 1 HYOROCARBONS,IN H20 I R, CC 14 EXT* CH? 0 "! ll .......,..,.......~. . . . . . -+...,.'""'""'-...-----........i~...,._....,,,...___,,_....,,...

~ ~ 5 51 7 1

.l,~i1~ _;;*; ~l~~~l~t

  • l~l~~:~.i*l:!;

FLOW, IN CONDUIT OR nm. u T p ':AT M'~NT 1 1

, ..: ~ :"

      • +

NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER P£NAL TV 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

c. Vondra OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG*

609 935-600 G.M.- Salem Ops. NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 USC t 1001 AND INCLUDING 33 USC §i I 319 1P.-nalt1r" ut'JJt'r thr!W tlalult'* may mrlud,. fmr1' up to 1111.IHltl a1,d ur ma.x1muni m1promnmn1I u/ h**tu't"l'n Ii month ... and.; w*ar!!C.I YEAR MO DAY TYPED OR PRINTED COMMENT AND EXPLANATION OF ANY VIOLATIONS IRe/eunce <11/ <1t1<1d1menls her<)

EPA*Form 3320-1 (Rev. 9-88) Pmvious editions may be used. PAGE 011"

, '* 17

P'EltMITTEE NAMl!:/ADDlt&** (Include NATIONAL P'OLLUTANT Dl!ICHAltGIE ELIMINATION 8YSTl:M (NPDESJ Facility N*me/LOCiltlon If dlffwnntJ DISCHARGE MONITORING REPORT fDMRJ

!!.l\!!l _ _ JSEf;G -------- 2-16 17-19 Form Approved.

~Dft11n _ _p.....n.-..IW..L.2...3.&J.N2.l..... _ _ _ _ _ _ _ OMB No. 2040-0004.

_ _ _ _ ___!I ANCO CK c:: JUU.D.Li£.-1il.L. .n&l..3_8_ _ _ __ Approval expires 6-30-91.

~3 SKIM T~Nk-DSN487B IN PERMIT

~A£!_U_.!!_ _p s E& 6 5 AI f M li EtJ ER.Al"..I..N.li_ .5..JA.JI.ON__; "1A.JOR SAL[M

=-°~~~--1..IlWER...Al..S.....cB E~J.....o..8..o...3.lL_ SOUTHERN ~EGI~N . . ..

u 0 0 7 NOTE: Remd instructiom before completini11hi1 'form.

(J Card Only) (4 Card O"'y) QUALITY OR CONCENTRATION PARAMl:TER (46-JJ) (Jl-4J) (46-_JJ) (J_,_-6_1-'-)--~----i 9AMP'LE TYP'll (JZ-J7)

~ ~ iWtAill5< X' ~l(l)Q(X TEMPERATURE, WATER DEG* CENT!GP.AOf

ao10 1 o I CERTIFY UNDElt P£NALTY OF LAW THAT I HAV[ PERSONALLY EXAMINED D A T I!:

AND AM FAMILIAlt WITH THE INFORMATION SUBMITTED H[Rf:IN. AND llA&ED

c. Vondra ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE ,.OR OBTAINING THE INFORMATIO>I. I BELIEVE THE SUBMITT[O INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE AA£ SIG*

G.M.- Salem Ops. NIFICANT PENAL TICS FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 18 U.SC I 1001 AND 3 3 USC I 1 31 9 f Prnalllt'* unat>r rhrttr *lolulr* nra.~ 1nrludr fmr* up '" 1111.111111 TYPED OR PRINTED o 11d ,,, ma.11mum 1mpn1<<11tmr11I u/ lwru.,.,.n 6 mmat#u and .l ,\ran.I : OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr/errncr ul/ u/lu<"hmrnU hrrr)

PA*Form 3320-1 (Rev. 9-88) Pmvlous editions may be used. P'AGE OP"

, :i 17

~11: .. MITTIU: NAMll:/ADD .. 11:89 (Include NATIONAL POLLUTANT Dl*CHAltG* llLIMINATION *YSTllM (NPDESJ 0 _

Facility N*m~/IAcotfon If dlff.nnt) DISCHARGE MONITORING REPORT IDMRJ

~-----PSF&G ----- g-1 17-19 Form Approved.

ADE_!!En _ __f'...all..a._Jill.X_..2..3AJ.N2.l._ _ _ _ _ _ _ _ N.J_0_5622 OMB No. 2040-0004.


~.filUDfil~Lll~~-. _ _ PE .. MIT NUM*li" Approval expires 6-30-91.

~l SKIM TANK-DSN489A IN P~RHIT PARU~_ ___p Sf:LI.l S.A1.HLJ.iE.Nf.RAJ..IN1i.. .SJA.J.lfilL MAJOR SALEM LOCATION 1 0 fr4.ER._1I LL aWAY..s_ .t.R.E.£.....N..L .o..av~ SOUTHERN REGION DMR NUM~ER: 92040273 NOTE: ReMI ln1tructlo111 IMfore completing thi1 form.

(3 Card Only) QUANTITY OR LOADING PARAMETER (46-JJ) (J.f-61)

(32-37)

!JXYGE~J DEMAND, CHEM (HIGH LEVEL) (COD)~===~'====-"=~==

00340 1 t)

EFFLUENT GROSS VALU PH

  • ¢*¢(

..........  ?

5:::: -~~:* *,,

11 _ _ _ _ _ _ ---l~*-*::::...:*****.~;-;;..-;.~*~~~~~~~---'-+----l~~~~-=-'""-"--'---~-~..i.......1-----+----+;__;__..:__j_---J 1

SAMPLE 1

MEASUREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE ANO AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. ANO BASED ON MY INQUIRY OF THOSE IN04VIOUALS IMMEDtATELY RESPONSIBLE FOR

c. Vondra OBTAINING THE INFORMATIO>I. I BELIEVE THE SUBMITTED INFORMATION IS TRUE ACCURATE ANO COMPLETE I AM AWARE THAT THERE ARE SIG*

NIF'ICANT PENALTIES FOR SUBMITTING FALSE INFORMATtoN INCLUDING G.M.- Salem Ops. THE POSSIBILITY Of" FINE A.ND IMPRtSONMENT SEE 18 USC I 1001 AND SIGNATURE OF PRINCIPAL EXECUTIVE

'33USC § 1319 1P.. nall1r!i Ul'4t'r rhrN<r llalult'* nra:v rnrludr ftnrl4 up to 1111,INHI i - .........-t~~~~~--t-~~-f-~~t--~--t a1uf 11r ma.umuni 1mpr1:ummn1t of fwtu.,.,.n 6 months and .l u*aT.* I OFFICER OR AUTHORIZED AGENT NUMBER TYPED OR PRINTED YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Re/ermce u/I ut1ud1ments here)

PA*Form 3320-1 (Rev. 9*88) Previous editions may be used. IRE~LACES E"A FOAM T**D WHIC:H MAY NOT llE USED.I 1n ;;>_') ,(}~/,<~

LQB5: ------- ------- -~~- - --~.llr'"~ ------- 17

P'll!: .. MITTl:ll!: NAMll!:/ADD .. 119S (lnclwdr NATIONAL P'OLLUTANT DISCHAltGK ELIMINATION *YSTKM {NP0£SJ Facility Nomr/LOCiltlon If dlffrnnt} DISCHARGE MONITORING REPORT fDMRJ

!!J\!g _ _ J.SE£G ADDft!!!_--P....U-.JlllL.2..3.fi/J1121_ _ _ _ _ _ _ _


g*'ci NJ_0_5622 17-19 Form Approved.

OMB No. 2040-0004. ,

- - ____ JtAN.CD.CJ(S_JlRillG F

  • N,J 0 80 38 Approval expires 6-30-91. '

02 SkIH T~NK-DSN~89B IN &ERHIT s Al EM GEN f RAJ'.lllG_ .sJ"ATifilL MAJOR SAL'::M LOCATION

--.....--.-."'-'...L...n..w ....A.......Y...S....~ 080 38 SOUTHERN REGION .

NOTE: Read Instructions before completing1hi1*form.

PARAMlt:TER (J2-J7)

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

c. Vondra OBTAINING THE INFORMATIO>I. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG*

G.M.- Salem Ops. NlnCANT PENAL TIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB USC t 1001 AND JJUSC § 1319 1P.. naltll'~ utUJrr '""" 1tohdf's.n1a.v 111rludr f*nr11 up In llfl.IHNI ond ,,, ma.um um 1mpr1Nm1na ...11111/ h**ftt'f"f'n 6 month~ and .l \"Nrlf.I .

TYPED OR PRINTED YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (Rt'/t'rt'nC* "" *llt11d1ment.t h*rrl EPA*Form 3320-1 (Rev. 9-88) Previous editions may bs ussd. P'AGll!: 01' 17 17