ML18100B101

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NPDES Discharge Monitoring Rept for Apr 1994. W/940519 Ltr
ML18100B101
Person / Time
Site: Salem  PSEG icon.png
Issue date: 04/30/1994
From: Hagan J
Public Service Enterprise Group
To: Caporale G
NEW JERSEY, STATE OF
References
NUDOCS 9405310163
Download: ML18100B101 (27)
v • d • e


Text

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  • Public Service Electric and Gas Company P.O. Box 236 Hancocks Bridge, New Jersey. 08038 Salem Generating Station May 19, 1994 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 1994.

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 choice 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 analytical 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.

Very truly yours, osep Vice es ent -

Nuclear Operations/

General Manager -

Salem Operations RFQ:pc Attachments 9405310163 940430 . - ~\ 95-2189 (10M) 12-89 PDR ADOCK 05000272 R - .._, PDR

' >NJPDES Report Ap:t;il 1994 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 M. Vaskis D. Hurka Central Record Facility File RPC94-104

NJPDES Report

'Explanation of Deviations Ap:r:il 1994 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 NET Atlantic, Inc. (NJDEPE certification 08153).

Bioassay results are provided by AnalytiKEM Inc.

(NJDEPE certification 82888).

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 effect upon the circulating water outfall.

NJPDES Report

':i;!:xplanation of Deviations Apr~l 1994 48C - Non-Radioactive Liquid Waste - This system continues to be operated in a batch mode to treat for hydrazine and ammonia by the. addition of sodium hypochlorite.

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 are explained below. Excursions have not endangered nor significantly impacted public health or the environment.

DMR NO. EXPLANATION DSN-48CA See attached report. Case No. 94-4-14-1052-17

___I

  • * ~HU~~ND;::L-;:ED~BY.__.____

DATE COPIED -

DATE SENT ------

OTHER_

=-----

CERTIFIED MAIL RETURN RECEIPT REQUESTED ARTICLE NUMBER: Z 691 525 088 APR 181994.

NLR-E94074 Mr. Steve Mathis NJ Department of Environmental Protection and Energy Off ice of Enforcement Policy Southern Bureau of Water and Hazardous Waste Enforcement 20 E. Clementon Road Gibbsboro, NJ 08026 Dear Mr. Mathis SALEM GENERATING STATION NJPDES PERMIT NO. NJ0005622 DISCHARGE OF HYDRAZINE CASE NO. 94-4-14-1052-17 On April 14, 1994 Public Service Electric and Gas (PSE&G) Company reported a discharge of hydrazine from the Non-Radiological Liquid Waste Disposal System (NRLWDS) at the Salem Generating Station. The NRLWDS is an internal monitoring point, DSN 48C, which ultimately discharges to the Delaware River through the circulating water system outfalls under NJPDES Permit No.

NJ0005622. The discharge was reported to the NJDEPE Hotline and was assigned Case No. 94-4-14-1052-17 by Operator 24.

The NRLWDS provides treatment through clarification, metals precipitation and utilizes break-point chlorination for ammonia and hydrazine removal. The system is currently operated in a batch mode with influent samples analyzed for ammonia and hydrazine to determine treatment requirements. In order to discharge, there may be no detectable hydrazine in the effluent.

The NRLWDS receives waste from various sources including the steam generator blowdown tanks. During normal plant operations, the waste from the blowdown tanks normally contains a small amount of hydrazine which is easily removed by maintaining a chlorine residual in the equalization basin. However, during plant outages chemistry specifications require additional hydrazine to be added to the steam generators.

/_

Steve Mathis

  • 2
  • APR 181994 NLR-E94074 On April 13, while in an outage condition, a __ steam generator from Salem Unit 1 was drained to the NRLWDS. The concentration of hydrazine in this generator was approximately 7500 ppb. This waste was treated with sodium hypochlorite to remove the hydrazine. The equalization basin was satisfactorily sampled and the NRLWDS was placed into discharge at 2215 hours0.0256 days <br />0.615 hours <br />0.00366 weeks <br />8.428075e-4 months <br />.

on April 14, at approximately 0100 hours0.00116 days <br />0.0278 hours <br />1.653439e-4 weeks <br />3.805e-5 months <br />, Chemistry personnel noticed that a hydrazine monitor in the influent equalization basin indicated the presence of hydrazine. The-discharge from the NRLWDS was immediately secured. Confirmatory samples indicated that approximately 150,000 gallons of water containing a concentration of approximately 50 ppb hydrazine had been discharged. The totaLiaVolume of hydrazine discharged was approximately one ounc'I. The total weight of hydrazine discharged was less than one (1) pound and as such was not reportable under the CERCLA Regulations.

The hydrazine that was discharged resulted from a residual amount of the steam generator waste. that remained in the waste line being added to .the equalization basin. The residual chlorine in the equalization basin was not enough to completely react with the concentration of hydrazine present resulting. in a small amount of hydrazine being carried through the system and eventually discharged.

In order to prevent reoccurrence of this incident, Chemistry is expanding system operator oversight to include additional monitoring of plant evolutions that contain high concentrations of hydrazine. This discharge has *not endangered nor significantly impacted public heal th or the environment. *.

If you have any additional comments or questions regarding this matter, please contact Mr. David Hurka at (609) 339-1275.

Sincerely,

~f~/

F. X. Thomson, Jr.

Manager -

Licensing and Regulation c Assistant Director of Enforcement NJ Department of Environmental Protection and Energy 401 East State Street Trenton, NJ 08625-0029

u. s. Nuclear Regulatory Commission Document Control Desk Washington, o.c. 20555

__j

( 11 COUNTY OF SALEM STATE OF NEW JERSEY I, Joseph J. Hagan, of full age, being duly sworn according to law, upon my oath depose and say:

1. I am Vice President of Nuclear Operations and General Manager of 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.

Sworn and subscrib~ore me this c:lo 711 day of 1994.

-~if.~

My commission expires ~-,,,<.../-}'~

NEW JEAS.PT. OF ENVIRONMENTAL PROTECTION A.NERGY Figure 3 MONITORING REPORT TRANSMITTAL SHEET NJPDES NO. REPORTING PERIOD MO. Y ... MO. Y ...

I a 1 a: 01 51 61 21 21 lo 14!9 14 I THRu I o1 41 91 41 PERMITTEE: Name Public Seryice Electric and Gas Company Hancock's Bridge, New Jersey 08038 FACILITY: Name Salem Nuclear Generating Station Address All ow Creek Neck Road Hancock's Bridge !County) Salem Telephone .....i..!.... o...

G.... 9..,.3,..5_-...,6...,o..._o...

9'---._... o _ _ _ __

FORMS ATTACHED (lndicatt! Quantitv of Each) OPERATING EXCEPTIONS SLUDGE REPORTS* SANITARY YES NO DT-vwx-001 DT-vwx-ooa DT-VWX.Q09 DYE TESTING 0 [ii TEMPORARY BYPASSING 0 G!I SLUDGE REPORTS* INDUSTRIAL DISINFECTION INTERRUPTION 0 [ii DT-vwx-01DA DT-vwx-01oe MONITORING MALFUNCTIONS D Q9 WASTEWATER REPORTS UNITS OUT OF OPERATION 0 CE Dr-vwx-011 DT-vwx-012 DT-VWX-013 OTHER 0 rn GROUNDWATER REPORTS (~tllil any "Yn" an rl!PBSI! 1idt!

in opprapriatt JPtlCI!.)

Ovwx-01s1A.BI Ovwx-01e Ovwx-011 NPDES DISCHARGE MONITORING REPORT NOTE: ~ "Harn A.ttmdm 111 Plant" on du!

117 IEPA FORM 3320-1  ;;;;;:;;of tlW 1'r<<t mat abo H t:amplmtl.

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 (Printt<JJ Richard F. Quinn Name (Printed) -~J~o_s_e.;:p~h~J~-~H;:a~g~a:-n--:T.":~":::'"::~~~

Vice P.resident Nuclear Operations Title (Printt!d) Gene ral yanager - Salem Operations 24 S;~N~ ~ ~_'le_

Date ~ 5 I

OPERATING EXCEPTIONS DETAILED

  • Figure 3 Continued k

DSN-87BA - There were no discharges from this monitoring point to DSN-487A during the reporting period. Effluent from psN-87BA has been permanently redirected to DSN-48CA.

HOURS ATTENDED AT PLANT Month~ Year~

Day of Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Licensed Operator H 8 8 8 8 8 8 8 8 8 8 Others 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 Q R R R R R R R R R Others LI. LI. LI. 4 4 LI. LI. LI. LI. LI.

25

')

OPERATING EXCEPTIONS DETAILED

  • Figure 3 Continued DSN-87BA - There were no discharges from this monitoring point to DSN-487A during the reporting period. Effluent from DSN-87BA has been permanently redirected to DSN-48CA.

HOURS ATTENDED AT PLANT Month~

  • Day of Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Licensed Operator H 8 8 8 8 8 8 8 8 8 8 Othen 4 4 4 4 4 4 4 4 4 4 4 01y of Month 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Licensed Operator Q A A A A 8 A 8 R R Others 4 4 4 4 4 4 4 4 4 A

PERMITTEE NAME/ADDRESS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM CNPDES)

DI~~~~~~E MONITORING REPORT (D~~t- )

NAME PSE&G 19 ADDRESS_P_!_O_._BOX~36/N2.!_ _ _ _ _ _ _ _ NJOOOS622 FACA

_ _ _HANCOCK~RIDGE~~~038_ _ _ _ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD THERMAL DSCHG FOR DSN 481-489 FACILITY PSE&G SALEM GENERATING STATION YEAR MO DAY YEAR MO DAY MAJOR SALEM LOCATIO~LOWER~LLOWAY~ CREE~NJ __Q_803L _

FROM 1 - - - + - - - + - - - - i TO 1 - - - + - - - - + - - - - i 94 04 01 94 04 30 SOUTHERN REGION DMR NUMBER:NJOOOS622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

PARAMEIER (32-37)

UNITS UNITS

            • ****** ****** 17.3 24.0 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. LABS: 17327 08153 82888 PAGE 1 OF 17

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

DISCHARGE MONITORING REPORT (DMR1 NAME PSE&G (2-16) (17-19)

ADDRESS_P_!_O_._BOX_?36/N2!_ -_ -_ -_ -_ -_ -- _ NJ0005622 FACB

_ _ _HANCOCKS_!IRIDGE.L_NJ 08038_ _ _ __ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD THERMAL DSCHG FOR DSN 484-4~6 FAC.!.!:..!_T!_PSE&G ~ALE~GENERATING_J!TATIO!!_ - YEAR MO DAY YEAR MO DAY MAJOR SALEM FROM 1-----+----+-----i TO 1-----1---+---l LOCATIO~LOWER ~LLOWAYJ!_ CREE~ NJ __Q_8031!_ _ 94 04 01 94 04 30 SOUTHERN REGION

~-~-~-~

DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

UNITS UNITS

            • ****** ****** 19.4 23.9 NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN* AND BASED OSEPH J
  • HAGAN ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON~IBLE FOR
  • OBTAINING THE INFORMATION~ I BELIEVE THE SUBMITTED INFORMATION G.M. - Salem Operations ~~Frn~~t ~~~~E~UsA~gRc~~BMHiNA ~~L~~A~~F6~MTIM~REI~~bEu~rnii 935-6000 94 05 18 i~

E POSSIBILITY OF F[N~ AND IMPRISONMENT. SEE 18 US¢ § 1 01 ~ND 1--------------~ USC § 1319. (Pena tl~S under these statutes may 1ni;lude fines UP to TYPED OR PRINTED 0,000 and/or maximun imprisonment of between 6 months and 5 year~.) NUMBER YEAR MO DAY EFFLUENT TEMP IS TO BE CALCULATED AS THE COMBINED AVERAGE OF EACH OF THE SEPARATE DISCHARGES 484-486.

NET TEMP DIF IS THE DIFFERENCE BETWEEN THE AMBIENT RIVER WATER TEMP AND THE AVE EFFLUENT TEMP OF 48.-486.

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 2 OF 17

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

DISCHA RGE MONITORING REPORT CDMR1 NAME PSE&G (2- 16) (17-19)

ADDRESs-p-:-o-. BOX2 3 6 ~N2 l - - - - - - -- NJ0005622 FACC

- - - - - - - ~-- - - - - - - - -

_ _ _HANCOCKS___!JRIDGE.t_NJ ..Q..!!038_ _ _ _ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERICO THERMAL DSCHG FOR DSN 481-4&6 FAC~T~PSE&G ~ALE~GENERATING.J!TATIO!!_ - YEAR MO DAY YEAR MO DAY MAJOR SALEM FROM 1-----+---'--1t----1 TO 1 - - - - - + - - - - - - 1 LOCATIO~LOWER~LLOWAY~ CREEK..LNJ __Q__803'!__ _ 94 04 01 94 04 30 SOUTHERN REGION

~-~-~~-~ ~--,-----~--__.__-~

DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

PARAMEIER (32-37)

  • UNITS UNITS 9948 20238 ****** ****** ******

VALUE NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN* AND BASED OSEPH J

  • HAGAN ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON~IBLE FOR

, OBTAINING THE INFORMATION~ I BELIEVE THE SUBMITTED INFORMATION G.M. - Salem Operations ~¥Frn~~t ~~~~E~rnsA~gRc~B~~HINA ~~L~~A~~F6~~IrIM~REl~~bEu~rnG 935-6000 94 05 18 E POSSIBILITY OF F(N~ AND IMPRISONMENT. SEE 18 US¢§ 1 01 ~ND 1------------------1 TYPED OR PRINTED i~ usc § 1319. (Per::ia ties ul)der these statutes may ini:LUde fines up to 0 ,OO 0 and/or max1llllJll 1mpr1sonment of between b months and 5 years.)

AREA CODE NUMBER YEAR MO DAY EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 3 OF 17

PERMITTEE NAME/ADDRESS NAME PSE&G ADDRESs-p--:-o-.-BOX236~N2l- - - - - - -

NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM CNPDES)

DISCHA RGE MONITORING REPORT (DMRl (2- 16)

NJ0005622

( 17-19) 48CA

- - - - - - - ~-- -- -- -- -- -- -- - - --

_ _ _HANCOCK~RIDGE~~ 08038_ _ _ _ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD NON-RADIOLOGICAL WASTE TREA~*

- - - - - - - - -- -- -- -- -- -- -- -- -- YEAR MO DAY YEAR MO DAY FAC~T!_PSE&G ~ALE~GENERATING_J!TATIOI!_ - MAJOR SALEM FROM>-------+----+--------< TO t---+----+----1 LOCATIO~LOWER~LLOWAYJ!_ CREEK..L....NJ _Q__8031!_ _ 94 04 01 94 04 30 SOUTHERN REGION DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

(3 c~4g_gg~y) QUANTl~I-g~)LOADING (4 c?3H-2g~y) QUALl!X-g~)CONCENTRATlg~-61) NO. FREQ.

t------.--------.-----1--------.--------r-------.----;E~ OF SAMPLE UNITS UNITS ~~~ ~~~u~s (6~!~5)

            • < 10 < 10 Ol'WICE1COMPOS l!ONTH m.

SAMPLE MEASUREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER l NDCERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREINi AND BASED TELEPHONE DATE JOSEPH J

  • HAGAN 8~T~lNrn8uf~~ nF6~~i~11~~~ Y 2~~I~v~M~~~ ~0~Alr~~~P?~M~R~Tr8~va 1 1 1 v~-:-~----

G. M. - Salem Operations ~~Frn~~t ~~~~EN~sA~gRc~~RtIT~iNA ~~L~~A~~F6~AirIM~REI~~bEu~rnG

  • 5091 935-6000 94 05 18 i~

E POSSIBILITY OF F[Nc AND MPRISONMENT. SEE 18 US¢§ 1 01 ~ND _ S GNATUR OF PRINCIPAL TYPED OR PR! NTED usc § nd1319. CPeoa ties ur.icter these statutes mav 1n~lude fines up tol ECUTl~* OFFICER OR Ac REAEI O,00 0 a /or max1mun 1mpr1sonment of between 6 months and 5 years.) I THORl~,"D AGENT 00 NUMBER YEAR MO DAY SINCE ONLY QUARTERLY REPORTING IS REQUIRED FOR BIOASSAY, ENTER "NODI" FOR MONTHS WHEN BIOASSAY NOT TAKE.

  • PARAMETER NITROGEN, AMMONIA TOTAL (AS NH4) 1 THREE SAMPLES WERE OBTAINED DURING THE REPORTING PERIOD EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 4 OF 17

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

Dl~~~~~~E MONITORING REPORT (D~~~- )

NAME PSE&G 19 ADDRESS=P.O. BOX 2~N21 = = = = = = = NJ0005622 481A

_ _ _HANCOCK~RIDG~~08038_ _ _ _ PERMIT NUMBER DISCHARGE NUMBER

=

MONITORING PERIOD NON-CONTACT COOLING WATER

- - -PSE&G FACILITY --- - -GENERATING SALEM - - - - -STATION ---- YEAR MO DAY YEAR MO FROM t - - - - t - - - - t - - - - 1 TO t - - - - t - - - - t - - - - 1 DAY MAJOR SALEM LOCATION LOWER ALLOWAYS CREE~NJ 08038 94 04 01 94 04 30 SOUTHERN REGION DMR NUMBER:NJ0005622 (~2-0--2-1)-'(-22---23-)~(2-4--2-5~) (~2-6--2-7)......(-28---29-)~(3-0--3-1~)

UNITS UNITS PH ****** ****** 6.5 ****** 7.9 00400 1 0 EFFLUENT GROSS PH 7 0 BELOW PARAMETER 50060 LOCATIONS: "R" ENTER 11 NODI 11 FOR LOCATIONS THAT DO NOT APPLY.

= SWS DSCHG (NO CWS FLOW) "S" = SWS 11 T11 = CWS DSCHG WHEN MAIN CONDENSERS ARE CHLORINATED, MONITOR TRC 3 TIMES PER WEEK DURING 2-HR PERIODS OF CHLORINATION.

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 5 OF 17

PERMITTEE NAME/ADDRESS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM CNPDES)

DISCHARGE MONITORING REPORT CDMRl NAME PSE&G (2-16) '(17- 19 )

ADDRESS=P.O. BOX 2~N21 = = = = = = = NJ0005622 482A

_ _ _HANCOCK~RIDGE~~08038_ _ _ _ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD NON-CONTACT COOLING WATER FACILITY PSE&G SALEM GENERATING STATION YEAR MO DAY YEAR MO DAY MAJOR SALEM LOCATIO~LOWER~LLOWAY~ CREEK...LNJ __Q_803E!_ _

FROM 1----+---+-----l TO 1----+---+-----l 94 04 01 94 04 30 SOUTHERN REGION

~-~-~-~ ~-~-~-~

DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

UNITS UNITS PH SAMPLE MEASUREMENT

            • ****** 6.8 ****** 7.8 0 lEEKL~ GRAB 00400 1 0 EFFLUENT GROSS PH SAMPLE ****** ******

MEASUREMENT

            • ****** ****** 0 ~ONTil tJOUS CHLORINE, TOTAL SAMPLE ****** ****** ****** NODI NODI 0 ~ODI NODI RESIDUAL MEASUREMENT

'=-"""'"""'""""~"""'""""'"""""""'"""""""'"""""""""""""""",,,-.t 0 l."HREE1 GRAB i'1EEK SAMPLE MEASUREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAY THAT I HAVE PERSONALLY EXAMINED ~/ TELEPHONE DATE AND AM FAMILIAR YITH THE INFORMATION SUBMITTED HEREIN~ AND BASED ~)~

JOSEPH J. HAGAN

  • g~T~lNrn~uf~~ 9~Fb~~n16~~ 1 ¥1~~e~~viM~~~ 1 ~MRhU~P9~Fb~R~Trn~ I )1////~/f-a-~-c:.------

/'7'-1 G. M. - Salem Operations ~¥Frn~~t ~~~~EN~sA~gRc~~RiHiNA ~~L~~A~~F6~AlrJM~REl~~bEu~rnii LY ' 5091 935-6000 94 05 18 E POSSIBILITY OF FfNe AND IMPRISONMENT. SEE 18 US¢§ 1 01 ~ND ,~.!GNAT RE OF PRINCIPAL 1-----------------l TYPED OR PRINTED i~ USC § 1319. (Pena ties under these statutes may rni;:lude fines UP tol "'XECUT VE OFFICER OR 0,000 and/or maximum 1q>risonment of oetween 6 months arld 5 year~.) AUffleRIZED AGENT ~~~I NUMBER YEAR MO DAY PARAMETER 50060 LOCATIONS: 11 R" = SWS DSCHG (NO CWS FLOW) 11 S 11 = SWS DSCHG (NORMAL COND) 11 T 11 = CWS DSCHG ENTER 11 NODI 11 FOR LOCATIONS THAT DO NOT APPLY.

WHEN MAIN CONDENSERS ARE CHLORINATED, MONITOR TRC 3 TIMES PER WEEK DURING 2-HR PERIODS OF CHLORINATION.

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 6 OF 17

PERMITTEE NAME/ADDRESS NATIONAL PO&~~~~ti~~l~8~t~8~1~bl~~~ai+o~D~~J~~:,<NPDES)

NAME PSE&G . ~

ADDRESS=P.O. BOX 2lliN21 = = = = = = = NJ0005622 483A

_ _ _HANCOCKURIDGE~~~038_ _ _ _ ' PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD NON-CONTACT COOLING WATER YEAR MO DAY YEAR MO DAY MAJOR SALEM FROM 1--9-4--+-0-4--0-1--t TO 1--9-4--+-0""'4-+--3-0---i SOUTHERN REGION (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

UNITS UNITS PH ****** ****** 7.3 ****** 7.9 00400 1 0 EFFLUENT GROSS PH 00400 BELOW NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN* AND BASED OSEPH J. HAGAN ON MY INQUIRY OF THOSE INDlllDUALS IMMEDIATELY RESPON~IBLE FOR OBTAIN NG THE INFORMATION~ BELjEVE IHE SUBMITTED INFORMATION G.M. - Salem Operations AYFrn~~t ~~~~E~UsA~gRc~~~1 TI~iNG ~~Ls~A'~F~UAitIM~RE1e~bEu§l2G 935-6000 94 05 18 i~

E POSSl~LITY OF FfN~ AND MPRISONMENT. SEE Y8 US¢§ 1 01 ~ND 1 - - - - - - - - - - - - - - - - - 1 USC § 1 19. (Pena ties uoder these statutes mav rni:lude fines up to NUMBER YEAR MO DAY TYPED OR PRINTED 0,000 a /or maxinum 1mpr1sorvnent of between 6 months arld 5 years.)

PARAMETER 50060 LOCATIONS: 11 R" ENTER 11 NODI 11 FOR LOCATIONS THAT DO NOT APPLY.

= SWS DSCHG (NO CWS FLOW) 11 S 11 = SWS "T" = CWS DSCHG WHEN MAIN CONDENSERS ARE CHLORINATED, MONITOR TRC 3 TIMES PER WEEK DORING 2-HR PERIODS OF CHLORINATION.

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 7 OF 17

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

Dl~~~t~~E MONITORING REPORT (D~~~- )

NAME PSE&G 19 ADDRESS=P.O. BOX 2lliN21 = = = = = = = NJ0005622 484A

_ _ _HANCOCK~RIDGE~W08038_ _ _ _ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD NON-CONTACT COOLING WATER FACILITY PSE&G SALEM GENERATING STATION YEAR MO DAY YEAR MO DAY MAJOR SALEM LOCATIO~LOWER__.!.LLOWAYS CREE~NJ _Q,...8031!__ _

FROM 1------1---~-----1 TO 1----1---~-----1 94 04 01 94 04 30 SOUTHERN REGION DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

  • UNITS UNITS PH ****** ****** 6.4 ****** 7.7 00400 1 0 EFFLUENT GROSS PH 7 0 BELOW PARAMETER 50060 LOCATIONS: 11 R" : SWS DSCHG (NO CWS FLOW) nsn ENTER 11 NODI 11 FOR LOCATIONS THAT DO NOT APPLY.

= SWS "T" = CWS DSCHG WHEN MAIN CONDENSERS ARE CHLORINATED, MONITOR TRC 3 TIMES PER WEEK DURING 2-HR PERIODS OF CHLORINATION.

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 8 OF 17

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

Dl~~~t~~E MONITORING REPORT (D~~t- 19 )

NAME PSE&G ADDRESS_P_!_O_._BOU36/'N2.!_ _ _ _ _ _ _ _ NJ0005622 485A

_ _ _HANCOCKS_!lRIDGEL- NJ ~038_ _ _ _ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD NON-CONTACT COOLING WATER FAC~T!_PSE&G ~ALE~GENERATING_!!TATIO!l_ - YEAR MO DAY YEAR MO DAY MAJOR SALEM FROM 1----+----+--~ TO 1----+----+--~

LOCATIO~LOWER~LLOWAYJ!_ CREEK..LNJ _Q__803'!_ _ .__9_4__.__0_4__,__0_1__, ~9_4~_0_4~_3_0~ SOUTHERN REGION DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

UNITS UNITS PH SAMPLE ****** ****** 6.5 ****** 7.7 0 rEEKL1 GRAB MEASUREMENT 00400 1 0 EFFLUENT GROSS lli:::::i!i:::::lll1.:llli!lii!:::!lill:

PH SAMPLE ****** ****** 0 ~EEKL1 GRAB MEASUREMENT 0 ~ONTil JOUS SAMPLE MEASUREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED 1 - - - - - - - - - - - - - - - i A N D AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN* AND BASED JOSEPH J

  • HAGAN 1---------------i TYPED OR PRINTED PARAMETER 50060 LOCATIONS: 11 R 11 ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON~IBLE FOR OBTAINING THE INFORMATION,.. I BELIEVE THE SUBMITTED INFORMATION G.M. - Salem Operations i¥Frn~~t ~~~~~~UsA~gRc~~aMWiNA ~~L~~A~~F6~Alrrn~RE ~~bEu~rnii i~

1 E POSSIBILITY OF FfNE AND IMPRISONMENT. SEE 18 us¢ §L~*~Olf~ND USC § 1319. (Pena ties under these statutes may ini: uue ines up tol 0,000 ana/or maxilllllll imprisonment of oetween 6 months and) year!>.)

SWS DSCHG (NO CWS FLOW) "S"

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94 YEAR CWS DSCHG DATE 05 MO 18 DAY ENTER 11 NODI 11 FOR LOCATIONS THAT JOO NOT APPLY.

WHEN MAIN CONDENSERS ARE CHLORINATED, MONITOR TRC 3 TIMES PER WEEK DURING 2-HR PERIODS OF CHLORINATION.

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 9 OF 17

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

DISCHARGE MONITORING REPORT CDMRl NAME PSE&G (2-16) (17-19) . ,.

ADDRESS=P.O. BOX 2~N21 = = = = = = = NJ0005622 486A

_ _ _HANCOCKS_!lRIDGE.L_NJ _Q_!J038_ _ _ _ _ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD NON-CONTACT COOLING WATER FACILITY PSE&G SALEM GENERATING STATION YEAR MO DAY YEAR MO DAY MAJOR SALEM LOCATIO~LOWER _!_LLOWAY.i!_ CREEK-'- NJ J!_803'!._ _

FROM 1 - - - - - - + - - - - - 1 TO 1 - - - - + - - - - + - - - - 1 94 04 01 94 04 30 SOUTHERN REGION

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  • OBTAINING THE INFORMATION(> I BELIEVE THE SUBMITTED INFORMATION ..... -

G.M. - Salem Operations ~¥FI~~~t ~~~~E~UsA~gRc~~BMf¥iNb ~~L~~A~~Fb~~TIM~REI~~Eu~rnii I ~091 935-6000 94 05 18 E POSSIBILITY OF F[NE AND IMPRISONMENT. SEE 18 us¢§ 1001 ~ND s NATUI~ OF PRINCIPAL 1-----------------1 TYPED OR PRINTED ~~ use § 1319. (Pena ties under these statutes 111av 1ni:LUde hnes UP!:-ol 0,000 and/or maximum unprisonment of between 6 months and 5 years.) I ECUTIV OFFICER OR UTHOR tD AGENT AREAi CODE NUMBER YEAR MO DAY PARAMETER 50060 LOCATIONS: 11 R 11 11 11

= SWS DSCHG (NO CWS FLOW) 11 S 11 = SWS D""Sel!G (NORMAL COND) 11 T 11 = CWS DSCHG ENTER NODI FOR LOCATIONS THAT DO NOT APPLY.

WHEN MAIN CONDENSERS ARE CHLORINATED, MONITOR TRC 3 TIMES PER WEEK DURING 2-HR PERIODS OF CHLORINATION.

EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 10 OF 17'

  • PERMITTEE NAME/ADDRESS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM CNPDES)

NAME PSE&G ADDRESS-P.O. BOX 2!!/N21

_ _ _HANCOCK~RIDGE~W08038_ _ _ _

======= NJ0005622 DI~~~~~~E MONITORING REPORT CD~~~- )

PERMIT NUMBER 487A DISCHARGE NUMBER 19 MONITORING PERIOD STORM H20 DSCHG. DSN487 FAC~T.!_ PSE&G ~ALE~GENERATING ~TATIOl!_ _ YEAR MO DAY YEAR MO DAY MAJOR SALEM FROM i - - - - - + - - - - + - - - - - < TO t - - - + - - - - - t - - - - t LOCATIO~LOWER~LLOWAY_.!_ CREEK...LNJ _Q_803fL_ _ 94 04 01 94 04 30 SOUTHERN REGION

, DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER JOSEPH J

  • HAGAN I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN* AND BASED ON Mr INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON~IBLE FOR OBTA NING THE INFORMATIONA I BELIEVE THE SUBMITTED INFORMATION fJJ+/- ~""7'J'-'-""----~

TELEPHONE DATE G.M. - Salem operations ~¥Frn~~t ~~~~E~UsA~gRcWtl~~~IT~iNA ~~L~~A~~F6~AlrIM~RE 1 ~~bEu~l2ii ' 1 509 I 935-6000 94 05 18 i~0,000 and/or maximum E POSSIBILITY OF F(NI; AND MPRISONMENT. SEE 18 US¢ § 1 01 ~ND GN:wT IRE OF PRINCIPAL 1----------------< USC § 1319. CPeoa ties ul)der these statutes mav 1ni:;lude hnes up tol TYPED OR PRINTED i~risorvnent of between 6 months arld 5 years.)

t:XECUT VE OFFICER OR

~UTHO ZED AGENT AREAi CODE NUMBER YEAR MO DAY EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 11 OF 17

PERMITTEE NAME/ADDRESS NAME PSE&G ADDRESS-P-:0-.-BOX23 6 -'N2 l - - - - - - -

NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

Dl~~~t~~E MONITORING REPORT (D~~~- )

NJ0005622 487A 19 ' .

- - - - - - - ~-- - - - - - - - -

_ _ _HANCOCKS_!JRIDGE..L_NJ 08038_ _ _ __ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD STORM H20 DSCHG. DSN487 FACILITY PSE&G SALEM GENERATING STATION YEAR MO DAY YEAR MO DAY MAJOR SALEM LOCATIO~LOWER~LLOWAY_!!._ CREE~NJ __Q_803i!__ _

FROM 1 - - - - + - - - - - + - - - < TO 1 - - - - + - - - - + - - - - - - <

94 04 01 94 04 30 SOUTHERN REGION

(~2-0-_2_1)__..(_22---23-)~(2-4--2-5~) (~2-6--2-7)~(-28---29-)~(3:-0--,.,...31~)

DMR NUMBER:NJ0005622 PARAMETER (32-37)

UNITS UNITS SAMPLE ****** ****** ****** CODE=N CODE=N NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED 1------------------iAND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN* AND BASED OSEPH J

  • HAGAN ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON§IBLE FOR

, OBTAINING THE INFORMATION~ I BELIEVE THE SUBMITTED INFORMATION G.M. - Salem Operations ~~Frn~~f ~~~~~~UsA~gRc~~~~H~iNA ~~L~~A~~F6~AirIM~REI~~Ebu~rnG 935-6000 94 05 18 E POSSIBILITY OF FfNE AND IMPRISONMENT. SEE 18 US¢§ 1 01 AND TYPED OR PRINTED i~

1 - - - - - - - - - - - - - - - - - - i use § 1319. (Pena ties under these statutes maY ini:lude fines up to 0,000 and/or maximun 1111prisorvnent of between 6 months arld 5 years.) NUMBER YEAR MO DAY EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 12 OF 17

PERMITTEE NAME/ADDRESS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM CNPDES)

DI~~~t~~E MONITORING REPORT CD~~~- )

NAME PSE&G 19 ADDRESs-p--:-o-. BOX2 3 6 ~N2 l - -- -- - - -- -- NJ0005622 489A

- - - - - - -~----------

_ _ _HANCOCK~RIDGE~W08038_ _ _ _ PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD STORMWATER ...

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UNITS UNITS

            • ****** ****** CODE=N CODE=N
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""=~~~.,,,,.i.~""""'~~~i,,.,,,,~~~~,,,.,ol NAME/TITLE PRINCIPAL EXECUTIVE OFFICER lN6El~I~XMY~~A~ C~~ftLt~EOfN~a~MIYt6Nistla~~T~~gs~~~~~~.E~e~I~A~ED S?B~**~ TELEPHONE DATE JOSEPH J

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E POSSIBILITY OF F(N~ AND IMPRISONMENT. SEE 18 use§ 1001 ~ND SIGNAID E OF PRINCIPAL 1------------------1 TYPED OR PRINTED USC § 1319. (Pena ties under these statutes maY 1ni::LUde hnes up tol ( EXECUT E OFFICER OR 0,000 ano/or maximum Imprisonment of oetween 6 months ar\d 5 year!;.) I \AUTHO ZED AGENT AREAi CODE NUMBER YEAR MO DAY EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 13 OF 17

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

DISCHARGE MONITORING REPORT (DMR1 NAME PSE&G (2-16) (17- 19 )

ADDRESs-p-:-o-.-BOX236'N2l- - - - - - - NJ0005622 489A

- - - - - - - ~-- - - - - - - - - PERMIT NUMBER DISCHARGE NUMBER

_ _ _HANCOCK~RIDGE~m08038_ _ _ _

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LOCATIO~LOWER_..!.LLOWAYJ!. CREEK...LNJ ~03L _ 94 04 01 94 04 30 SOUTHERN REGION DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

UNITS UNITS SAMPLE ****** ****** ****** CODE=N CODE=N NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED f - - - - - - - - - - - - - - 1 A N D AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN* AND BASED OSEPH J

  • HAGAN ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPOdIBLE FOR OBTAINING THE INFORMATIONA I BELIEVE THE SUBMITTED INFORMATION EJtft --r------ ~

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IGNATUR OF PRINCIPAL r-------------t use § 1319. (Pena ties under these statutes mav rni;lude hnes up to EXECUTIV OFFICER OR AREA TYPED OR PRINTED 0,000 anCl/or maximun 1mprisorvnent of between 6 months and 5 years.) AUTHOR! D AGENT CODE NUMBER YEAR MO DAY EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 14 OF 17 I

PERMITTEE NAME/ADDRESS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM CNPDES)

DI~~~t~~E MONITORING REPORT CD~~~- 19 )

NAME PSE&G ADDRESS-P.O-.-BOX236JN2l- - - - - - - NJ0005622 87BA

- - - - - - - ~-- - - - - - - - - PERMIT NUMBER DISCHARGE NUMBER

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PERMITTEE NAME/ADDRESS NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES)

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- ~091 TELEPHONE 935-6000 94 DATE 05 18 E POSSIBILITY OF FfN~ ANO IMPRISONMENT. SEE 18 US¢§ 1 01 ~NO i~

GNATU E OF PRINCIPAL t------------------1 USC § 1319. (Pena ties under these statutes maY include hnes up tol ~)(ECUTj E OFFICER OR AREAi TYPED OR PRINTED 0,000 and/or maximun imprisorvnent of between 6 months and) years.) I \AUTHOR JED AGENT CODE NUMBER YEAR MO DAY EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 16 OF 17

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

DISCHA RGE MONITORING REPORT (DMRl NAME PSE&G (2- 16) (17- 19)

ADDRESS_P__!__O_._BOU36,IN2!_ _ _ _ _ _ _ _ - - - - - - NJ0005622 89BA

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.___94 _.__04____._ 01___, _ _ _

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_ .____94 _.__04 ____._ 30___, SOUTHERN REGION DMR NUMBER:NJ0005622 (20-21)(22-23)(24-25) (26-27)(28-29)(30-31)

UNITS UNITS OXYGEN DEMAND, CHEM. ****** ****** ****** < 10 < 10 (HIGH LEVEL) (COD) 00340 1 0 EFFLUENT GROSS PH 00400 NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED i - - - - - - - - - - - - - - - 1 A N D AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN* AND BASED OSEPH J. HAGAN ON MY INQUIRY OF THOSE INDIYIDUALS IMMEDIATELY RESPON~IBLE !OR

  • OBTAINING THE INFORMATIONA BELIEVE THE SUBMITTED INFORMAT ON G.M. - Salem Operations ~¥Frn~~t ~~~~~N~sA~gRc~tl~MniNA ~~L~~A~~F6~~IrJM~RE1C~EbU~l~G 935-6000 94 05 18 i~

E POSSIBILITY OF F(Ne AND IMPRISONMENT. SEE 18 US¢§ 1 01 ~ND 1 - - - - - - - - - - - - - - - - 1 use § 1319. CPeoa ties unaer these statutes may mi:LUde hnes up o TYPED OR PRINTED 0,000 anCl/or max1mun 1""riso1111ent of oetween 6 months and 5 years.) NUMBER YEAR MO DAY EPA Form 3320-1 (Rev. 9-88) Previous editions may be used. LABS: 17327 08153 82888 PAGE 17 OF 17

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