ML20107J599
ML20107J599 | |
Person / Time | |
---|---|
Site: | Oyster Creek |
Issue date: | 01/31/1985 |
From: | Fiedler P GENERAL PUBLIC UTILITIES CORP. |
To: | |
Shared Package | |
ML20107J574 | List: |
References | |
NUDOCS 8502270595 | |
Download: ML20107J599 (9) | |
Text
PEnessTTEE NAM'/ADDnEss (faciasde NATIONAL POLLUTANT 98SCHAnGE ELIMINATION LYSTEM (NFlEJ) Form Approt9d facsters be=r/Laauwn 4 dageNan) DSSCH ARG 1 MONITORING REPORT CM'i) OMB Nr. 204MNNM tt.A.M1 _ _.$ J ;,,l M.}.- _ _ _ - - - - - - _ _ _ - - W U'O V ^ Y hhL LL?$i> Expires 229-84 ,
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PERMIT NUMBER oneCMARGE NUMSER
~~----------------- MONITORING PERIOD .
f.&G.!!rlH_ _ _ _ _ _ , _ _ _ _ _ _ _ _ _ _ _ - - YEAR MO DAY YEAR MO DAY FROM cj 70 jegCATI,0N_ ' > .,- ;$ ,i j, e . rn cc 7 n r*c 0 0-21i a2.23) a445> (26 27) < 28-29 > (30 34, NOTE: Reed instructions tpefore -n . / ^ 4 this form.
(J Card Only) QU ANTITY OR LOADING (4 Card Oply) QU ALITY OR CONCENTRATION PAR AM ETgm (46-53) (54-67) (38-45) (46.33) ($4-61) NO. FREQUENCY gp gggpgg EX anagygg, TYPE II AVERAGE M AX8M UM UNITS MINIMUM AVERAGE M AXIM U M UNITS pg r . 1L , e j ;+, SAMPLE ' + * + * '+ I4 + - **
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w REOUsREa8ENT t N AM3/ TITLE PRINCIPAL EXECUTlWE OFFICER e CEmTiFT uhoEm PEhALTY OF law TMAY e seawE PEmSONALLY E x amahE D TELEPHONE DATE AND Au FAMILeAR wit *e TME INFOnuaTiome SvameTTED edmtse AND 3ASED One uv shQusev OF TMOsE WoOveOuaLS mesEDATELY RE5708eEsSLE FOR Nter ?. Ff edhr o=TAaac T~r aroa=AT'o= * =rusv< T~E su= -TTEo ano==AT'oa r% TIM :t ACCUAATE AND COMPLETE e AM Awant YMAY THE nt Amt EsG r -
ViCC Ir65ide11 and CireCtOr e**'C Ae PEhALT T~E cossie.urv o'Es roa sueueTTees e ALsg nor o==e A Tiose inCoupees r rat Ano meaaisomuE=T sEE isusC e tooi Ano ~
y, ,, ,r_,o 33 USC 913i9 #Prestrere esader th S GN ATuRE OF PRINCIPAL EXECUTIVE f$ G71*47Os b l)
- d "' '"e ssaemme sairs'sauaaires adee hera ese essamare 6 asentes mes, aserdaade faaes as so $10 end 5 =ce same OR AUTHORIZED AGENT A cfo^,
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TYPED OR PRINTED OFFICER NUMBER YEAR MO DAY COMMINT AND EXPLAN - . ATION OF ANY VIOLATIONS (IfefeNace
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ed, a,freschments here) r 4. ' 4 4 ~ i .-. s,. n. .. ; i..o . y '; ,; v n i
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OO hw PDR EPA F rm 3320-1 (Rev.10-79)ParviouS EDITION TO SE Utta,e (REPLACES EPA FOnes T-40 WHICH M AY NOT BE USED.) < < PAGE OF UNTIL SUPPLY IS EXN AUSTED 2 < 4-../5 14m e'.a
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2 .GI NFRAl. INSI RUCTIONS
- l. ll forna has been parsiall> cornpteted by preprinting. dhregard instrussiom diretied at enu y of that informanon already picprinted
- 2. I nier "PI RAll FilT NMll /NI Til ING ADDRl :6 f and facthty name/loiation, if ilifferenD." "PERNill' N L' Allif.R." and " DIN ( llTRGF NU\llti R" where iniheated. t A separate for m is requir ed for cash thschange.1
- 3. Futer dates begmnmg and ending "NIONilORING PI RIOD' etnered by form whcie indicateti.
- 4. I nter cas h "P \R \\tFTI'R" as stwi!kd in monitoring requironwnh of primit.
Si l'nter "SMlPI E nil ASt'RI All NI' data for cash parameter under -QUAN'll!Y" and " QUAI ITV" in unik speedied in permit.
" \\ l R \Gl' h norm.:tt) arithmetic average speomehic aucrage for baetessal parametens of a!! sample measuremems for cash parametes
- obtamed dming "SIONiiORIN(i Pl RIOD ~ "%l \XI%lO N!" and "NilN1%llISI" arc normath estreme high .ind low measuremenh obtained dming "\lONilORING PI RIOD" INOll' to m inidpah with sesomlary treatnwn requirement. emer .To da) aserage of sample me.nuf emenn unds ~A% F R \GI " .md en:er mausmun Ntay .oer 're of umple measmenenn olu sied dm mg n,omtoring retiod under
"%I \\l%1t3f'.
ft i nier "PF RN1tT RFQUIRFNIENT" for exh parameter under "f)UANill Y" and " QUAL 11 Y" m spec hed in permit.
- 7. Under "NO. l'X" entet number of umple measurements dming monirormg pcriod that eweed masimnen tan.1/or minimum or 7-day merage as appr opr eaie l per ma r equ'rement f or cash paramet(r. II none. enter "H" R f nter "IRI'QL ENCY Of AN \l YNis' both :n "SA%IPl F Nil'ASU RI NIENT s asinal f requency of umpimg and ana!>sk used during monitormg ps rial s and a "Pt R\llT RI.QUIRI 511.NT" yeei6cd in per mit. t c g.. I nier " CONT." for tontmuom momforing.
"l/7" for one da per week "l/4r for one day per monih. "l/wr for one day per quarter. eted
- 9. Fnter "SA\lPI l' 'l Y PI'" N.ih as "S \\lPif \ll' ASUR FNIEN C' s actual umpic espe used during moniloring pernsi p and m "PI RNilT. RI QUIRI. Nil NT,". t e g.. I nter "GR Alf for mdiudual umple. - 2JllC" for 24-hour 60mpmte. *W/N' for sonunuous momtormg. etc. I
. . . . . . . . . . . . . . . . . - - . . - - - - - . . . . . . . - . . . . . . . . . . .i.s.s .u s s.3.n.s H. .a.,o. .n s-la WilFRI: VIOL ATIONS ' OF Pl RNit r RI QUIRI Nil NIS ARF Rl'POR ll D. \ l I M li \ itRil F FXPI AN AIt*IN ^10 DI M Rilll:
C \t NE AND CURRI Cll\I ACTIONS I AKI N RIl1RINCI l' Aril VIOL \ LION in DA1 f .
t II. If "no .hwharge" octut s during monihuing reiioJ. enter %O Dist 'llTRGI " asrow form in riase of d sta sna).
12 l'nter "N \\ll /TIII l' OF PRINCIPAI I NF( l' Tit l' ( tl-1 l( l R" u ish -NIGN \ l CRI Of PRINfIP\l l'NI( t 11\ l Of FICI R OR A U I'llOR l/I' D \GlN1J "If I I PilONI Nt'Nittir and *D \ll " at hatom of form.
IA \ lad signeil Report to Othsem bs dateso spedtied m permit. Retain cop > for sour records.
i 14, \ lore deladed insn ustiom for use of thh DISCitaRGl SIONilORING RI PORT e D\lk s form ma3 be oMa ne 1 from Ottkeai e vecified in pernut.
t i FG \l NOT1rli i
This report h requir(d by law 133 US C.13f x. 40 CJ.R. C5.27 5. Failuie to repmt or I;ohns n sepu t p uthin'is san seudt m citil pen.dnes not to cweed $10.0o0 per d.s) of stolation: or in criminal penahies not to esceed %25.00H per sin of t rolatum. .* ts) unpi norment f or not moie than f one ) ear. of b} both.
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PERMirim NAMvADDRasa saws de OM]No. 204MXD4
"**M**** DISCN A'2:C UONITORIN3 [EPORT (DM:)
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I 6.wS GFU AUCLE14 PERMIT NuMSER o. cNanoe nu asa 17 { Iq i 100 INTERFACF FALAJAf - ,
l PARSIFPASY 4 F4 07054 MONITO' MING PERIOD 1 Y "' F c J C F\
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- EAR MO, DAY TO YEAR - MO -
OAV r N)L I , c wavro LOCATIO L A'C E Y /TWP/
rRoM B5 01" 85 01 31---
NOTE: Reed instructions before -z ;"t.; Wils forni.
l (24 21) (22 2J) (2425) (26 27) 128-29) (10 31)
(3 Card Only) QU ANTITY OR LOADING (4 Card Only) QU ALITY OR CONCENTR ATION g gg pgg (46J3) (344I) NO. ,aEQutNCTgp PAR AM ET E R (dd-3I) (3448) (38-d3) E= a at,... 1sP=
,,,,,, AVERAGE M AXIM UM UNITS MINIMUM AVERAGE MAXIMUM UNITS 1/
S1380 2 S AM ,tE 31 NA VELOCITY ""^*""*"*"' * * * * * * * * * * .90 1.44 0
, MIT ! O >j FT/' ' 't r INFLUENT
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us TELEPHONE DATE NAME/T TLn FRlNCIPAL ExEcuTlwE OrPICSR eAMocrav.rv,aas.oan an. t eu a.trv t TME o.r La , v ar . a.va esaso aL.Lv Esans to O FM
. FosenATuous tas 5 S.u.sa 77ED Ents ss . AND SA, SED oss asy a O,uuT aam e,OSE am Y.- tz.v=== en a gone.tt.L.v.r,s.E o ro Peter B. Ffedler o 14
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ans, =ordude ,.C a,.o SIGNATURE OF PRINCIPAL EXECUTIVE E09 971_4796 fhs d a y. 33 ust t . 3 ee sN.Js.,e d e see., e.e ,e up s. ste ss.
(sana lr ~2'd**8"'*******d8"*' OFFICER OR AUTHORIZED AGENT A NtJM BER YEAR MO DAY TYPED OR PRINTED **d"'""**"""*--- c na F.On.a.ENT ANd EEPLAN AYlON Ogr ANY WBOLATIONS (Referrere add esserkmeesars heFe)
M P I s t 's .
FREQUENCY CF A N A L Y 's ! 3 FOR FREE A'!AILABLE CHLORINE S:4ALL BE C O N T I'4 0 0 0 ': Dl' - I r8G t ,t '. ' 8' I {A T [ 0 t. .
or . _ _ , -- i m ,, , i,s~~,,..-.. ,~ ,.,,.,yn p7 p.,p .c retrerS rem usm W C UCC TV NOT FD USED.8 PAGE- OF g;
I Form ApprotWd Pen.sTTes NAME/ADonEne uwhede NATIONAL POLLUTANT DesCMAmes EUMINATION (YSTEM (NCEJ) f **r> ^*a*/L=8 = a o dede' ear) DesCH ARGE h00MITORING REPORT (DWZ) OM8 No. 20doaXM ymy . e. .. . u . 1- 0-us (17-19) i - r &nL L, , 1}' gypj,og 2.ggug4 ,
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~~-------- MONITORING PERIOD EAG.I.Ir(U _ _ _ _ _ _ _ _ _ _ - - _ _ _ _ _ _ _ _ _ YEAR MO DAY YEAR MO DAY FROM TO LOC ATION JL _& JL a> ,. ; 4 s4 i ; i - E@INC (142J) (22-23) (24J5) (26 27) s28J9) (30-JJ ) NOTE: Reed instructions befose conspleting Weis forsR.
(J Card Only) QU ANTITY OR LOADING (4 Card Only) QU ALITY OR CONCENTR ATION l PARA M ETgg (46-J3) d441) (JS-df) (46-JJ) (J441) NO. FREQUENCY p SAM PLE EX aNALTses TYPE AVERAGE M AXIM UM UNITS MINIMUM AVERAGE M AXIM UM UNITS g i 4 r.e s
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e cawwy unoEm PEhaLTv Or Law ma7 s MawE PEnsOmaLLY Exame Eo DATE N Aes3/ TITLE PRINCsPAL ExsCuTivE OFFICER Am O am FAMgJAS qutTee TME eNFOsmaatiON t mTTED matsuEse amo mas"to * ; _ TELEPNOME e
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- uio ,er :n,. d,ra,., .e.a.d f ., sse== s GN ATuRE Or PRsNCIPAL EXECUTIVE 609 971 !.79(.
- d "' '*s saa.= ******'aa'r*hd N* 8 ""*84* 8ad 8 ***'*
- OFFICER OR AUTHORIZED AGENT ^ NUMBER YEAR MO DAY TwED OR PR8NTED e A, CO.M MareT AND E. APLANATION OF ANY vtOLATIO,NS
- _ -- ., tKef.raesere
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EPA Form 3320-1 (Rev.10 79) Previous uMTIL suPety EDisTION TO mE usED EXHAUSTED (REPLACES EPA Pones v.40 wniCM M AY NOT mE usEo.) .
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GI NrR Al. IN$1 RUCTIONS
- 1. If for nt 'has been p;u tialls onmpleteil by preprintim'. .tisregavil instructions directed at ents y of th.it mformation ahcadv prcpimted
- 2. I nter *PI R \llI II i N \%Il /NI All ING ADDR1 SS land faolity name/ location. if .litterint C *^PER511l NU\llti R." and "l)l5011TRGI N1 Tilti R" w here mdicated. t A separate form is required for cash d%harge.)
4 I nier dates beginning and endmg "NIONIIORING Pl.RIOD" (osered by form where unlicated.
.I I nlcr cath "P \R \\lf Il R" as secuSed in nhinitormg reytdttniems of peinur.
- 5. I:nter NAllPI l' \ll' ASt'RI NII~N I~ data for each parameter ua.ter "()t'AN ill Y" and ' QU Al ITY" in units specified m per mit.
- \VI R \Gl" h normalls arnhmet.c aseraee a gcometric aserage fm bactenal paramercis e of all sample measurements foi cash par.imerci oN.uned dming ~510NilORING PI'RIOD." "$1 \XISit31" and MilNi\ll:\l" are normaH) estreme high and low measurements obt.uned diu mp "\lONIIORING PI' RIOD." t NOil' to manidp.d* with econdary ticatmsnr requirement. entes 30 da3 asetage of umple nicawr ements undo 'A\T R AGI ~ .md enter masmmm 1-d e) ase.sge of umple mv.nmements oN iined durine monifor mg perial i.nder
" Al \\l%lt 3!".
A I nter "PI Rill! RI QUIRI3il N'I' for cath p.n ameter under "()UAN ill Y' and "QU Al il Y" as pesified in permit.
- 7. Under "NO. t X" enter number of sampic meatmements dunng nwmnosing ptrioil that eweed masimum tan !/or nnnimum or 7-day aserage as appropnate t per mit reymr ement foi cash paranwts r. If none enter "o" 8 I'n tir "I RI QL INCY 01- ANTI YSIS" Noh as "S \\!Pl l' h!F A%1;RI hli NI~ s astual frequen* > of umpling and anal >a uscJ during monitonng period t. and as "PF R \lli RI QL!!RI All N T* specified m petrmt te g. I ntes " CON I1" for sontinuous monnonng.
"I f for one das per week "l/lo" for one das per mont h. "l/90" for one day per quarter, et c. )
- 3. I nier "N \ \lPI l' I ) Pt " both as "S \\lPi l All'ASURI All'N I-* t aunal umple h pc used dur me momforing period) and .n "PI R\lli RI QUIRI Sil NT." s e g.,1:nter "GRTir foi mdisidual umple. ~2411C" for 2 4 h.xu sompmte. "N/ \" for sononoous monnormg. etc 1 t i$Hid 3tf 3H G10a)
.10 WIH RI VIOL AllONS 01: PI'R\llT RI4)UIRFSil NIS ARI' RI'PORil D. \ l l T( ll \ ilRill l'XPl ANT IlON 10 Di M Rllll' C \l'NI AND C ORRtCll\l ACTION % I AKI N. RI I i 10 NCI l' Aril N It si VIItIN 11) D \ lI .
- 11. If "no d as har ge" os t ui s during monit.ning runt ente "No Dl%( ll AR(.I ' auow form m plase of data entry.
62 I nter "N \\ll / IITI l' Ol' PRINCIPTl I XITt'llVI 001 f( I R" u nh "NIGN \ l t RI Of PRIN(IPTl i N1( l'Il\ l Of IICI R OR AUIIIORl/l D AGFN I'f "II Il' Pilo NI- Nt'\lill R" and "DAll ~ at bottom of fm m f .4 \ lad signed Reput to t hhcetu bs datess e ywlied m permit. Retain copy for sont r eon ds i4 \loic deta: Icd msts u6tions for use of thh DINCll ARGl' ilONilORING Rt POR I $ D\lk t for m may be oNa.ned f rom Gibsci s i speoiicd in pernut.
1 I G \l. NOTICF Thh report is requhed by law s i t U.S C 1.11k.10 ( T.R.125.27 L l'ailuse to seppi or ladurt te esput outhfuh san ecmh m Jul penaines not
.lo eseced $ltUmo per lay of siolation. or in sommal pen,dties not to ewced W.inin pe an of notation. o' tn une n. mue nt for not mm e t ha n one ) car, or b) both.
ONO3 E S Jef S H n".OJ 2W3H clW Y1S _
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m PEmmelTTEE N AteE/ADDeESS (fmtlade NATION AL POLLUTANT DISCNARGE ELIMINATION CYSTEM (NPDES) Form MpprODWd re.dir, .seenefkanoe at eqpewme) . DISCHARGE MONITOstlNG REPORT (DA'2) OMS NO. 20N Magg ,_ ,,_,, _ _ ,_ , ,,c.,,; __ _ _ _ _ _ _ _ _ _ _ _ _ ,_ (24'l ( W 8) t- - F .? - L L1iiIL Expires 2-29-84 ,
ApeMap ':__l_' :l________ ' *~
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PsmMIT MusG9ER ossCMameE NuesmEm
== ----------------
MONITORING PERIOD -
f.AGr M_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ v EAsi MO day vEAR MO day FROM - -
TO .
MAI).E" :-___________ -__
v -' 6 - ' -* <+
i s - i C H T N"T t2oas, e22-23 <24a5, <26 27, c 2449, < 3o.3 4 , NOTE: Reed instructions betore cosRpleting Wils lernt.
(J Card Only) QU ANTITY OR LOADING (4 Card Only) QU ALITY OR CONCENTR ATION (46-31) (344F) (4641) NO. FREQyENCY ggg pLg PARAMETra (34-45) (3441)
U assaLystS TYPE ppy AVERAGE M AXIMUM U NITS MINIMUM AVERAGE M AXIM UM UNITS
[624J) (6448) (69-70)
- i. . > * . S A M PLE eVvve+ i 49- 4e s V O v 2, PVVv+
MEASUREMENT 6700 GEO O Im
. pgneegy -w 4 'A v # + 't /i w #-# 4 ; V444w6 f v M $ sp. %$4tg 7 y p #s pg y' ygg-REeusmEneENT m- x t 4 .- T.s s ;uis s, 4 ,.1 - L SAMPLE s. / .*'- e "E^$uRE"E"'
. a. a;. .C5 .C5 1.85 1.C6 0 1/31 CCPP
-, . t PEmm T REGUangusNT u./J z.6 s< mm ' ve * . m .m en acy-co m t -
-. 4 (..; a T -. .
S AM PLE M EASU R EM ENT PERO $lt REGUIREneENT S A M PLE '
, MEASUREMENT' PEmmeIT REQUEREneENT S A M PLE M E ASU R EM ENT PEetelY REQUsagaeENT SAM PLE M EASUR EM ENT ,
PEmmet?
REQUsstEM ENT S A M PLE MEASUREMENT peres t? .
REQUIREa8ENT N Ame3/ TITLE PRINCIPAL EXECUTIVE OFFICER e CanTav uhDEm PEhaLTT Cr Lam TMat e enavE PEaschaLLv EmaMe.ED r i TELEPMONE DATE aNO aw FaM44m mMThe TME esFOmasafaD's SuemmTTED seEntise aNO SASED r
/
Pg 8,e p 3, Fjgdjgp 08e My suQusev OF TMOSE esotwoOuaLS seeMEDiaTELv seE$poseE4GLE FOR Osva*eeG THE *#0mesaTiom s mELig vE THE SuomeTTED seronMaT Oso (-
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Vice Prc51 der ** ?md CirCC OCT "-
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- '"m'as'eTec"e's 'esCLuOsseG seeFO
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't jg*pp [ppp( To.E posseuTv OF Foss aho espesOnenethY SEE IS USC 6 v00s amo 3 3 u SC t 1319 <Penstares wede, enese eser.s,e see eerf.,de fue,e op se gre me SIGNATURE OF PRINCIPAL EXECUTIVE bb b ~ bk bb C2 19 TYPED OR PRINTED **d "' '*es4=ew= 4mpmameme=* sd hewe d ameesne S wee e 4 OFFICER OR AUTMORIZED AGENT f"[^, NUMBER YEAR MO DAY COtsestaeT AND EXPLAN AT80, ee CF ANY V. IOLATIONS 4 A.ffrMKr ed 888m A8me4fs htFf)
EPA Form 3329-1 (Rev.10-79) PeEviouS EDIT IS ONEXNAUSTED TO sE uoED g Replaces EPA POGGE T-46 WM8C88 as AY NOT 95 USED,)- 1-#' s'**-,
OF UNTib SUPPLY + a*' -
PAGE. <. 'x 5X
e GI NFR Al.. INNI RUCTIONS
- 1. If form has been p.ntiath sompleted by preprinting, sinregard insttusuons directed at entey of that mfornulion already preprinted.
-2. I nter "PI RilllTI I N 011/N! \ll ING ADDRI % (and faulity name/ location. if differenu." "Pi R5f f l NU\lltFIC anil "DINCil ARGli NU\lltFM" w here indisated. ( A separ ate for m n icquired for cash discharge.)
1.- I nier dates bermning and enang "N!(INilORING PI'RIOD" soseted b) form where indicated.
J. I nter c.wh "P \R ull ll R" as speutied m menitoring requacmenh of per nut.
- 3. Enter "% D IPI l' \ll Ast'Rt \ll N T" data for cash parameter imda 1)U \N ill Y" and "QU \l IT Y" in unin specified in permit.
" O l'R \(il~ is nor m.d!> anthmetk .istrae i geomet r ic ascrape for F.wresul parametees t of all wrnple incasuremenn hu cash parameter oi,t_oned dm my "\f 0NilllRIN(i PI RltID " \1 \\lill'\l" and "\llNi\lU\l" are normath extreme high and low menuremenn obtained durmg ' iltINil()RIN(i Pi Rlt 3D " i NOlI to m micip ds w uh secondar) treatmem requirement. emer Jo-day average of sample measniemenn under ^TVIRAGI' a nsi c nt ei ma vmmn 41.n asence of umpic munmemenh of.iamed during m.mitemg period t.nder "Si \ \filC31".
- 6. I:nter PI R%llI RI QUIRI \ll NT' for cxh parameter under "Qi? \N ill Y" and "QU \111 Y' as spesiried in permit.
- 7. Under "NO. FX" enter nmnber of sample menutemenh dunng monnonng period that neced maximum s and/or mimmum or hfay merage as appi opriate t psimis requuement foi cach parameter. If none. ente "u" .
8 Enter "l RI' QUI NCY Of ANT! YNIV twh .n "S ulPI l' Sil ASt RI AIF NT ta(tual frequenev of umpimg and analph used during moniroimg perall and as "tTrolli RI(JL 1RI All'N r" speedied in permit. s e g . I'n'er M ON I ." for wntmuom monitor mg.
" l / T' for one du per wceL "t/.to" for one d. 3 per month. "l/W for one de per quai t er. c re. )
- 9. 1-nter "S Oll'l i I) PI:" binh n ST\lPl.1 \ll Wl'R F N!!'N I" t aenul' unipte ts ee used dur mg monoos mg period e 'and e "Pl R \llI Kl QUIRill!'N T / t e g.. I nier %k All" for indnidual sample. "2 'll( ' for 2thout sompo'de. "N/ A" for connnuous motutoring. etc. I
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .t.19 W t.J. '3
. 8 3.H. 0 7 0.J i lit. % llr RI: V!Of \ IlONS Ol' PI RNIIT RI QUIRI \ll N f s ARI: Rf roRil D. VI I M I! \ itRil i 1:NPI AN AI!(IN 10 Di M Riiti cal'NF AND CORRI CilVI' ACI1(INS I %I N Rt ii Ri N( l l' V li\101 ViltIN ItY D \Ii.
I !. If "no Awharge" suurs duimg momtonng reisod. enter "NO Di\( II \Rbt ' avow (m m m plase of d.aa snin.
- 12. I'nter "N 011 filil l' Of PRINCIP \l I \1 ( U il\ f Of l'l( ) R ' u hh "SibN \ l URI Of PRIM lP \1 i Nil t 11\ l of FICI R OR AU l tit )Rl/l D AGI N 1.' "lEl i PiltlNI NU \llli R" and "D A ll " at honom of f oi m 13 \ tait ugned kepoit to Otheeht by Jaicht speusied m pernut Retam wp> for s om raw ds
$ 4, Sloie sletaded insfluslieth foi use of thn DINCilARUF \lONilORING Rl PilRI' J D\lR e fof m ma,s be oMainest itom Ottkeis t '
SpestlinI in jYrimt.
I l' gal NOTIfI-I'his report h reqnnsd by law a tt U S C. t ilx. Jo C.I R.124 2? L l.nluie to repoit o t nime io u pon o mhtu'h s an ic+14 .n udt penaloes not to etceed $10.tHHi per day of siolation. or in stiminal penahics not to ewe (d s2texlo pu it.n of s iolanon o' N mm m cas nr foi rot mor e than one 3 car. os b) twh.
m
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PEResITTEE NAME/ ADDRESS (Inthsde NATION AR. POLLUTANT DISCN ARGE ELIMIN ATION CYSTEM (NPDE.f) Form Approved Facah's ^*ase/8**'a= *# dderra') DISCHARGE MONITORING REPORT CM2) OMS No. 20d0aMW HEME _ % - ! L'5E mm. m _ m _ m .1-_______
(24 9
. ~
(1749) r - r6LhiMiIL Expires 2-29-84 ,
_ .s;y :- - _. y____---__...__!----
- 6
, ,- PERMIT NUMBER os.CNAmGE NuwsEn MONITORING PERIOD
- EAG.llrIU--- --- _ -- _ _ _ _ _ _ --- - _ - YEAR MO DAY YEAR MO DAY FRoM 70 ;;
lugC,.gfigN _. __ _ _ _ _______________ , , , ,1 e
,a j; LI I i i J IN S Y U bi (20JJ) (22-J3 ) (J4 25) (16 27) (24-19) (30J1) NOTE: RSSd inSenectionS bSfore cesRpietiRg WilS fonR.
(J Card Only) QU ANTITY OR LOADING (4 Card Only) QU ALITY OR CONCENTR ATION PAR AM ETER (46-JJ) (3441) (JMJ) (46 33) (3441) NO. FREQUENCYgp ggg pgg Ex AN A<T... TvPE
(,,,,,)
AVERAGE M AXIM UM U NITS MINIMUM AVERAGE M AXIM U M U NITS t624J) (6444) (69-70) -
'" ( i ^4 !: S AM PLE 4- 74W -T5e4V eVF$#s rV4t4 MEASUREMENT JV - a PERMg7 i*6+44 f Ve Mi 'j 446944 4444.@4 , 4 $ 4 4 WS. t 4 fr s4- y.g Q
- REOu tREMENT r J.-s s .- .d ! . ya ,
adst $ * i ii S AM PLE % .- [ e. 6 *
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] I .' i5 _ L' PERegIT 1,[ 9 i e ~/ 3 J ,,, I V & M* 4 4 W ~jO ;Q -/i, j pf( {/ ' y);[ [ .
t
, ~,, REOUIREMENT g
,'t -st., m. } r4
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s 'i+ # 4+
7 S A M PLE i Y 4 " '# ' + + * - ++*&
M EASUR EM ENT Jw , 1 pgggg gy **459+ . t 4 i- 4 4k 4 'e.++ g y$WVV4 .. y _. g j { f. Agg T REQUIREMENT 3 [td Itt
- t. 1 e n- . ts 41 } i 3 ; . 4 d. .H A A I MM .
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S A M PLE
, M E ASU R EM ENT j 7 , t, 303 1 > pERne:T . i 1% 1,7 Q Af 442** 'JQ s g *) v/L J f4 h / y,tig N ,
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.j s . jms .um REQUIREMENT . -
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M EASU R EM ENT j.s _
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l'uu '
REQusREesENT 113%. . . . -
j,J a s J S AM PLE M EASU R EM ENT V e; q J g f g; y p p r PERMIT REQUIREMENT SA M PLE MEASUREMENT PERMIT REOutREMENT N AM3/ TITLE PRINCIPAL EXECUTIVE OFFICER ' CERTFW UNDER 84NALTY OF LAe TMAT i seavt PEnEONALLT E xamweEO TELEPHONE DATE ANO AM FatmLIAR WITM TME INFOnesATIOpe sumamTTED MENEwe AND SASED Cgggy pd' { j g j j g ,'. ON uv aNQus#V OF TMOSE aNOVIOuALE IMuf DATEL Y HE EPO8eSaSLE FOR OST A*eaNG YME seFOnesATiON e mELitvt TME SusamTTED seeFOnesariOpe f a
" ice' Pre *iden** and Director
'""' 'cc'"'
mof aC ANY PLPmALTES ^**FOR c "g"ueTTimeG^"
Su ***"'peFOp'es'ATao"s'e"'
FALSE s
"" 5'c pe"CLUDefeG s
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u j O v $ t S r" frePh 'uu s'OSN'Y C i oiS .,-u.
OF F 8
.w'*D sesPee5CNasENT
,,,*,e,.,
sEE se USC 6s001 AND
.e., a 4, f ,. ., , , M . SIGN ATURE OF PRINCIPAL EXECUTIVE 609 971 47W. c n2 3 e-TYPED OR PRINTED ed****8*********"*""*'idb'"*8***'****d5" OFFICER OR AUTHORIZED AGENT ,A,D NUM B ER YEAR MO DAY comas NT AND EMPLANATIOrt OF ANY ylOLATIONS tKaftrance s# ersw4asesurs Aare)
EPA FSrm 3329-1 (Rev.10-79) PREY CuS EDITION TO BE USED (REPLACES SPA PORM T-40 WN9CN M AY MOT SE USED.) .*-*,j "+, ,.A'W, ,
' PAGEL OF UNTIL SUPPLY IS EIN AUSTED- *
- q $g
GI Ni R Al. INNI RLTTIONS
- l. If for m has been patualh complete I isy preprintine, dareg.ud instructions directed at enn y of that inform ilion airs ady prepsinteil
. 2. ~ l nier "Ut R\lli 111 N Oli /N1 All IN(i .\DI)RI % vand facilit3 name/leeation. if different IJ "PI R%lli NL'NIHFRJ and "Dl%Cil \RGI' Nt alitt R" where mdisated. (T separate form is acquned for cash Jmharge i 1 I nter dates bermning and end.ng "\l(INilORING PI RIOD" coscred b) form where indsated
- 4. I nter cash "P \R ull ll R" as speuhed :n mondoving requisemenh of pea nnt.
4 I'nter ~ % OlPl l' %Il Ol R1 \ll NI" data for cash par.; meter under 1)('TN~lil Y" and "Ql' \l IT)" in unia speedied in re mit
".01R\GI" is nor m.dly arithmelie aserage f reomcaic aserage fm basienal parameten t of_ all umple measurements fm exh parameter obtained si'u mp 110N I I()R ING PI'Rii)D " Mi \\l\ll:\l" and "\llNi\1l:\l" are normalh estreme high and loa measuremena obtained duimg " \lONilDRING Pl~Rl(il)" (NOli to m*imeip ih u ith sesondary treatment requirement. enter .to de derage of umple measas emenh un&r"\\iR\Ul' and s nrer nu sonum . -da) aser are of umple me..sm emems oNainsd doting morut.n ng paiod under
"%3 ANi\lU31".
- 6. I nhr "Pt R\llT RI'QUIRI Sil NT' for ea h sparametei nede: "QUAN ill F and "QU Al 11 F as spedhed in permit
- 7. Under "NO I T enter numbei of wmple menmemenh dunng mointoring renod that eseced maumum (and/or mirumum or 7 day ascrage as appmpriare n parmt r emat ement foi cash parameter. I f none. enwr '11".
ft . I nier "I RI.QLI NCY Or AN Al i W both as "S 01P1 i %!I ANL RI All3T"
- actual f requenev of umplung and analysis used durite monitormg renod s and as "PI R\llT RI yl'IRI \llT r" specificJ in pernut. ie g . I nter "( ON r." foi contmoous momf or ing.
1/7" for one d a per u rck. "l /10" for one da) Wr mont h. "h90' for one day per quarter ele.1
- v. I nier "% O IPI I I ) PI " both as "s Oll'l I \ll Ol' Rl'.\ll'N I" t as tual umple ty pe used iha mg mondor ing penod i and as "PI R %lli Rt Ql'IRI All'NT/ tc g. I nier "0R \H' for indnidaal umple "24tl(" for 2Lhour s omposite. "N/ C for continuous momtonng. etc. e
. . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . .i.1.S W i.d. 3.. t.l 3.H. .O.'10. 3......_............__........................
f
- 80. %Ilf RI' VIOL AllONs Ol' PFRNitT RI Qt IRI~ Nil Nis ARI' Rl' PORI! n. \1Iat il \ ItRil I I .NPI AN ATION 10 DI M Riitt:
UAt'sl~ AND ( ORR) ElIVI A("llONs i Aki N. RI I l.Rl N( l' l' trel \ Hit \1It >N HY D Vil .
- 11. If "no dmh n ye" osents during monifor mg res iod. enter "N() DI$ ( 11 \R(il ' auow foe m in tslae of J.ita snn).
i
- 12. I'ntet "N OilffIftl Of PRINCIP \l I NE ( l'rl\ l OfI101 R~ aith "Sl(eN \ll'RI ( 1) PRINtIP\1 i Ni ( l'11\ l ofFICI R (>R A ltggpsggfg n 3 O g.'N i,- -g g g l ptgos; st \11tl R" and "D A ll ' at N>oom of toim.
l _1, Alait ugned Repois to Oihecal b) Jatet si speuhed m per mit Retain cops foi som re,ords
, 14. \ lose detaded imnustions for use of this DIS ( 11 \Rui \lONiltlRING RI Pt >R I : D\lR e fiu m m i> be oN.uned from Oilket u spedfied in pernut.
I FG \1 NOTICl-This report h reunited b) In (11 U.S C. litic 40 C.lER 124.M t. I'.ulure to ieron o t.oloie m es p. n i n w h t n'h san ic-nit m oul psn.does not to eseced 510.000 per day of siolation: or in snnunal gnalt ies not to cuesd s2 4.000 pa J.o of s iotmon. on 13 onm nooms ni for twt moie than one 3 car. or b) both.
QNO335 18 3H 010J k
3H3H-adWY1S 33Y7d QWlHA3u3H Q108 3H3H 37dV1S
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