ML18096B203
| ML18096B203 | |
| Person / Time | |
|---|---|
| Site: | Salem  |
| Issue date: | 11/30/1992 |
| From: | Vondra C Public Service Enterprise Group |
| To: | |
| Shared Package | |
| ML18096B202 | List: |
| References | |
| NUDOCS 9301220233 | |
| Download: ML18096B203 (2) | |
Text
P'EHMITTEE
!!:/ADDRESS {/nc/11ae Focility Nome/J.
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_f_~~~~EH_iiENERATINLSTATIOL
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NATIONAL P'OLLU1 DISCHA~
2-16
- >ISCHARGll: l<LIMIHATIOI* 9V5Tt:M (NPDESJ MONITORING REPORT fDMRJ 17-19 NJ0005622 87BA PIEftMIT NUM*lift Dl*CHANGll HUM*ll*
MONITORING PERIOD
~3 SkIH MAjOR Form Approved.
OMS No. 2040-0004.
Approval expiras 6-30-91 \\-
TANK-DSN~ala IN' PERHIT SALEM
\\.
SOUTHERN REGION
- l DMR NUMBER: 92120268 NOTE: Re.cl in1truction1 before completing this form.
PARAMl!TIER (J1..J7)
EHPERATUREr*WATER EG. CENTIGRADE 0010 1 0 FFLUENT GROSS XYGEN DEMAND, CHEM.
(HIGH LEVEL) (COD) 0340 1 0 FFLUENT GROSS VALU PH 00400 1 0 EFFLUENT GROSS SOLIDS, TOTAL SUSPENDED 0530 1 0 EFFLUENT GROSS VALU YDROCARBONS,IN H2D, IR,CC14 EXT* CHROMA 00551 1 0 EFFLUENT GROSS VALU FLOW, IN CONDUIT OR HRU TREATMENT PLA 50050 1 0 EFFLUENT GROSS C. VoN:DR..A GM-Salem OPS.
TYPED OR PRINTED (J Card Only)
QUANTITY OR LOADING (4 Cord Ollly)
QUALITY OR CONCENTRATION (46-3J)
(~I)
(JB-4J)
(46-3J)
(~l)
NO. f'R£o;;:NCY SAMPLE 1----------.....,..-~--:...--""T'""----+-----~--...--~-~--...--.;--.:;___""T" ___ -t EX ANALYBlll TYPE YMiVkiWii~xx x~WCA)Ou\\'.>:>:
uN*T*
x~k'i>4K¥;'.XX x~~xx X~)Ul(XX UNIT*
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(64-MJ (69-70)
I CERTIFY UNDER PENALTY OF" LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILUUI WITH THE INFORMATION SUBMITTED HDIEN; AND BASED OH 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*
NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION.
INCLUDING THE POSSIBILITY OF" FINE AND IMPRISONMENT. 5£E Ill U.S.C I 10()1 AND 33 USC 113111. tP.nallil* Wllirr IA,., *lolulr* mo.~ inrlud* fill** up'" 1111.111111 and,,, nta.z;nuu11 impri.unmr111 u/ IH-tuwn I lfluntlt* allll S _,.,.., *.,
. 930-12*20233. 921228 NODI NODI NUMBER GRAB CAL CT DATE
'12. 12 28 YEAR MO DAY CORRECTED DMR PDR ADOCK 05000272 R
PDR EPA*f-orm3320-1 (Rev.8-18) Pl911iouaeditJOiJ1maybeu0a.- - *_* * -
- LifiS:c;sm **A.-a11M T-.o-wH1cH MAY NOTH uHD,J 1'1 ~z.z _Q.4l I ~3
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NATIONAL POLLUT DISCHAF.
2-Jo 018CHAROll l:LIMINATION IYITllM (NPDESJ MONITORING REPORT tDMRJ 17-19 Form Approved.
AD~~-_f_tl!_~BOl!._23~N21 _______ _
N..10005622 89AA OMB No. 2040-0004.
Approval expire.. ~ 6-30*91 ;\\
~~ffiCkLBRIDGE~L0803L __ _
PIEllMIT NUM*li:ll Dl8CHARGI: NUM81UI PARAMl!:TER (J2-J7)
XY6EN DEHAND, CHEM*
(HIGH LEVEL) (COD) 0340 1 0 EFFLUENT GROSS VALU H
0400 1 0 EFFLUENT GROSS SOLIDS, TOTAL SUSPENDED 00530 1 0 EFFLUENT GROSS VALU YDROCARBDNS,IN H2Dt R,CC14 EXT. CHROMA 00551 1 0 EFFbUENT GROSS VALU FLOW, IN CONDUIT DR THRU TREATMENT PLAN 50050 1 0 EFFLUENT GROSS VALU C. \\) Cfv D l<.1~
G-1"1 -
S:ale..n1 ors.
TYPED OR PRINTED MONITORING PERIOD
=1 SKI" "A.JOR TANK-DSN489A IN 1 PERHIT SALEH SOUTHERN REGION NOTE: Re8d ln1tructlon1 before completing this form.
(J Cord Only)
QUANTITY OR LOADING (4 Cord Oldy)
QUALITY OR CONCENTRATION (46-JJ)
(JUI)
(JMJ)
(46-JJ)
('44fl)
NO. FRca;;:NCY SAMPLE t--------------r-------""-----..--------+-----'---~-----.---.....;.--.....:...........,.---~--~----....-------~ EX ANALYlll TYPIE XX.IY~)i(XX x~~xx uN1T9 x~KW){l(XX x~~~xx x~lhY.xx uN1n 61~1)
(64~8)
(dP-70)
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITIED HEREIN. ANO BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE F'OA OBTAINING THE INFORMATIO~. I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG*
NIFICANT PENAL TIES FOR SUBMITTING FALSE INFOF:MATK>N.
INCLUDING THE POSSIBILITY OF FINE AND IMPRtSONMENT SEE 18 use t 1001 ANO
]3 USC t 1319. 1Pnaalt1ra una_., tltrw 1lelcdr1 ma:~ lnt'lltldr (1nr* Mp lo llfl.llflill a1"',,, mai1mum 1mpr11uJ11mrut 11/ h,lu'C'Y'n & munlll* anti.i,\\rar*.I OFFICER OR AUTHORIZED AGENT TELEPHONE D A T E 935-6000 '12 12 2.8 NUMBER YEAR MO DAY COMMENT AND EXPLANATION OF ANY VIOLATIONS (R~/rrrnce u// ullu<*hments here)
CORRECTED DHR EPA *Form 3320-1 (Rev. HB) Pl8vious editions may b6 used.
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