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Category:Environmental Monitoring Report
MONTHYEARML24032A0202024-01-31031 January 2024 NPDES Biocide/Corrosion Treatment Plan Annual Report, Cy 2023 ML24011A3172024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), September 2023 ML24011A3202024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), December 2023 ML24011A3182024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), October 2023 ML24011A3192024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), November 2023 ML24011A3162024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), August 2023 ML23346A1222023-12-12012 December 2023 Annual Non-Radiological Environmental Operating Report - 2023 ML23275A0272023-09-29029 September 2023 Submittal of Discharge Monitoring Report (DMR) Quality Assurance Study 43 Final Report 2023 ML23233A0142023-08-15015 August 2023 Discharge Monitoring Report (Dmr), July 2023 ML23200A0202023-07-13013 July 2023 Discharge Monitoring Report (Dmr), June 2023 ML23165A2852023-06-14014 June 2023 Discharge Monitoring Report (Dmr), May 2023 ML23165A2862023-06-14014 June 2023 Tennessee Multi-Sector Permit (Tmsp), 2023 Annual Discharge Monitoring Report for Outfalls SW-1, SW-16, SW-17, SW-18, SW-19, and SW-21 ML23163A0382023-06-0808 June 2023 Discharge Monitoring Report (Dmr), April 2023 ML23121A0182023-04-27027 April 2023 Discharge Monitoring Report (Dmr), March 2023 ML23121A0232023-04-27027 April 2023 Tennessee Multi-Sector Permit (Tmsp), 2023 Annual Discharge Monitoring Report for Outfalls SW-2, SW-3, SW-4, SW-6, SW-8, SW-9, and SW-13 ML23075A1932023-03-16016 March 2023 Discharge Monitoring Report (Dmr), February 2023 ML23046A3552023-02-15015 February 2023 Annual Water Withdrawal Report 2022 ML23046A3482023-02-15015 February 2023 Discharge Monitoring Report (Dmr), January 2023 ML23019A3442023-01-19019 January 2023 Tennessee Multi-Sector Permit (Tmsp), 2022 Annual Discharge Monitoring Report for Outfalls SW-1, SW-16, and SW-19 ML23017A0212023-01-12012 January 2023 Discharge Monitoring Report (Dmr), December 2022 ML23017A0162023-01-12012 January 2023 Discharge Monitoring Report (Dmr), September 2022 ML23017A0182023-01-12012 January 2023 Discharge Monitoring Report (Dmr), October 2022 ML23017A0202023-01-0505 January 2023 Discharge Monitoring Report (Dmr), November 2022 ML23003A0262022-12-21021 December 2022 Tennessee Multi-Sector Permit (Tmsp), 2022 Annual Discharge Monitoring Report for Outfalls SW-17, SW-19, and SW-21 ML22347A0812022-12-13013 December 2022 Annual Non-Radiological Environmental Operating Report 2022 ML22255A0252022-09-12012 September 2022 Submittal of Discharge Monitoring Report (Dmr), August 2022 ML22251A1192022-09-0808 September 2022 Discharge Monitoring Report (DMR) Quality Assurance Study 42 Final Report 2022 ML22195A2362022-07-14014 July 2022 June 2022 Discharge Monitoring Report ML22166A3572022-06-15015 June 2022 May 2022 Discharge Monitoring Report (DMR) ML22137A2672022-05-17017 May 2022 Discharge Monitoring Report (Dmr), April 2022 ML22132A1912022-05-12012 May 2022 Submittal of Discharge Monitoring Report (Dmr), March 2022 ML22132A1842022-05-12012 May 2022 Submittal of Discharge Monitoring Report (Dmr), February 2022 ML22132A1762022-05-12012 May 2022 Tennessee Multi-Sector Permit (Tmsp), 2021 Annual Discharge Monitoring Report for Outfalls SW-2, SW-3, SW-4, SW-6, SW-8, SW-9, and SW-13 ML22131A1342022-05-11011 May 2022 Annual Radiological Environmental Operating Report for 2021 ML22115A1782022-04-25025 April 2022 Annual Radioactive Effluent Release Report for 2021 Monitoring Period ML22045A0222022-02-11011 February 2022 Discharge Monitoring Report (Dmr), January 2022 ML22018A0422022-01-13013 January 2022 Discharge Monitoring Report (Dmr), December 2021 ML22018A0342022-01-13013 January 2022 Tennessee Multi-Sector Permit (Tmsp), 2021 Annual Discharge Monitoring Report for Outfalls SW-1, SW-16, SW-17, SW-18, and SW-21 ML21348A3372021-12-14014 December 2021 Annual Non-Radiological Environmental Operating Report - 2021 ML21348A7152021-12-14014 December 2021 Discharge Monitoring Report (Dmr), November 2021 ML21347A9022021-12-13013 December 2021 Discharge Monitoring Report (DMR) Quality Assurance Study 41 Follow-up Report 2021 ML21320A0152021-11-15015 November 2021 Discharge Monitoring Report (DMR) Quality Assurance Study 41 Final Report 2021 ML21320A0192021-11-15015 November 2021 Discharge Monitoring Report (Dmr), September 2021 ML21320A0242021-11-15015 November 2021 Discharge Monitoring Report (Dmr), October 2021 ML21259A1582021-09-16016 September 2021 Discharge Monitoring Report (Dmr), August 2021 ML21250A0082021-09-0303 September 2021 Tennessee Multi-Sector Permit (Tmsp), 2021 Annual Discharge Monitoring Report for Outfalls SW-3 and SW-6 ML21242A0172021-08-24024 August 2021 Discharge Monitoring Report (Dmr), July 2021 ML21202A0642021-07-20020 July 2021 Discharge Monitoring Report (Dmr), June 2021 ML21167A0142021-06-15015 June 2021 Discharge Monitoring Report (Dmr), May 2021 ML21137A0172021-05-14014 May 2021 Plan, Submittal of Discharge Monitoring Report, April 2021 2024-01-31
[Table view] Category:Letter
MONTHYEARML24032A0202024-01-31031 January 2024 NPDES Biocide/Corrosion Treatment Plan Annual Report, Cy 2023 ML23319A2452024-01-29029 January 2024 Issuance of Amendment Nos. 366 and 360; 164 and 71 Regarding the Adoption of TSTF-567, Revision 1, Add Containment Sump TS to Address GSI-191 Issues CNL-24-017, Tennessee Valley Authority - Central Emergency Control Center Emergency Plan Implementing Procedure and Emergency Preparedness Department Procedure Revisions2024-01-17017 January 2024 Tennessee Valley Authority - Central Emergency Control Center Emergency Plan Implementing Procedure and Emergency Preparedness Department Procedure Revisions ML24018A0142024-01-17017 January 2024 Engine Systems, Inc., Report No. 10CFR21-0137, Rev. 1, 56913-EN 56913 ML24011A3182024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), October 2023 ML24011A3172024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), September 2023 ML24011A3202024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), December 2023 ML24011A3162024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), August 2023 ML24011A3192024-01-11011 January 2024 Submittal of Discharge Monitoring Report (Dmr), November 2023 IR 05000327/20234422024-01-11011 January 2024 95001 Supplemental Inspection Report 05000327/2023442 and 05000328/2023442 and Follow-Up Assessment Letter ML24010A2132024-01-10010 January 2024 CFR 21.21 Final Report Regarding Siemens Medium Voltage Circuit Breakers ML24018A0952024-01-0404 January 2024 Engine Systems, Inc., 10CFR21 Reporting of Defects and Non-Compliance Report No. 10CFR21-0137, Rev. 0 ML24004A0332024-01-0303 January 2024 Interim Report of a Deviation or Failure to Comply Crompton Instruments Type 077 Ammeter ML24004A0402024-01-0303 January 2024 Response to NRCs November 8, 2023, Request for Additional Information - Related to Independent Spent Fuel Storage Installation CNL-23-068, Request for Exemption from Enhanced Weapons, Firearms Background Checks, and Security Event Notifications Implementation2023-12-21021 December 2023 Request for Exemption from Enhanced Weapons, Firearms Background Checks, and Security Event Notifications Implementation CNL-23-036, Application to Revise Function 5 of Technical Specification Table 3.3.2-1, Engineered Safety Feature Actuation System Instrumentation, for the Sequoyah Nuclear Plant and Watts Bar Nuclear Plant (SQN-TS-23-02 and WBN-TS-23-08)2023-12-18018 December 2023 Application to Revise Function 5 of Technical Specification Table 3.3.2-1, Engineered Safety Feature Actuation System Instrumentation, for the Sequoyah Nuclear Plant and Watts Bar Nuclear Plant (SQN-TS-23-02 and WBN-TS-23-08) ML23346A1222023-12-12012 December 2023 Annual Non-Radiological Environmental Operating Report - 2023 IR 05000327/20234202023-11-28028 November 2023 Security Baseline Inspection Report 05000327/2023420 and 05000328/2023420 CNL-23-067, Central Emergency Control Center Emergency Plan Implementing Procedure Revisions2023-11-27027 November 2023 Central Emergency Control Center Emergency Plan Implementing Procedure Revisions ML23324A4362023-11-0909 November 2023 Exam Corporate Notification Letter Aka 210-day Letter ML23307A0822023-11-0808 November 2023 Request for Additional Information August 4, 2022, Exemption Request for Deviating from the Conditions of Certificate of Compliance No. 1032, Amendment No. 3, Related to Sequoyah Nuclear Plant Independent Spent Fuel Storage Installation IR 05000327/20230032023-11-0303 November 2023 Integrated Inspection Report 05000327/2023003 and 05000328/2023003 ML23306A1592023-11-0202 November 2023 Enforcement Action EA-22-129 Inspection Readiness Notification ML23292A0792023-10-19019 October 2023 Tennessee Valley Authority - Emergency Plan Implementing Procedure Revision, Includes EPIP-5, Revision 58, General Emergency IR 05000327/20230112023-10-16016 October 2023 Triennial Fire Protection Inspection Report 05000327/2023011 and 05000328/2023011 ML23285A0882023-10-12012 October 2023 Submittal of Sequoyah Nuclear Plant, Units 1 and 2, Submittal of Updated Final Safety Analysis Report Amendment 31 ML23284A4252023-10-11011 October 2023 10 CFR 50.59 and 10 CFR 72.48 Changes, Tests, and Experiments Summary Report; Commitment Summary Report; and Update to the Fire Protection Report ML23283A2792023-10-10010 October 2023 Revisions to the Sequoyah Nuclear Plant Units 1 and 2 Technical Requirements Manual ML23279A0612023-10-0505 October 2023 Paragon Energy Solutions LLC, Part 21 Final Report Re Potential Defect with Eaton Jd and Hjd Series Molded Case Circuit Breakers (Mccbs) ML23277A0462023-10-0404 October 2023 Revisions to the Sequoyah Nuclear Plant Units 1 and 2 Technical Specification Bases ML23275A0272023-09-29029 September 2023 Submittal of Discharge Monitoring Report (DMR) Quality Assurance Study 43 Final Report 2023 ML23271A1662023-09-28028 September 2023 Registration of Spent Fuel Storage Cask Pursuant to 10 CFR 72.212(b)(2) CNL-23-059, Supplement to Sequoyah Nuclear Plant, Units 1 and 2, and Watts Bar Nuclear Plant, Units 1 and 2, Application to Revise Technical Specifications to Adopt TSTF-567-A, Revision 1, Add Containment Sump TS to Address GSI-191 Issues (SQN-TS-23-2023-09-20020 September 2023 Supplement to Sequoyah Nuclear Plant, Units 1 and 2, and Watts Bar Nuclear Plant, Units 1 and 2, Application to Revise Technical Specifications to Adopt TSTF-567-A, Revision 1, Add Containment Sump TS to Address GSI-191 Issues (SQN-TS-23-03 CNL-23-061, Tennessee Valley Authority - Central Emergency Control Center Emergency Plan Implementing Procedure Revision2023-09-20020 September 2023 Tennessee Valley Authority - Central Emergency Control Center Emergency Plan Implementing Procedure Revision IR 05000327/20234032023-09-14014 September 2023 Cyber Security Inspection Report 05000327/2023403 and 05000328/2023403 (Cover Letter) ML23257A0062023-09-14014 September 2023 Enforcement Action EA-22-129 Inspection Postponement Request ML23254A2192023-09-11011 September 2023 Emergency Plan Implementing Procedure Revisions ML23254A0652023-09-0707 September 2023 Registration of Spent Fuel Storage Cask Pursuant to 10 CFR 72.212(b)(2) CNL-23-057, Central Emergency Control Center Emergency Plan Implementing Procedure Revisions. Includes CECC-EPIP-1, Revision 76 and CECC-EPIP-9, Revision 642023-09-0505 September 2023 Central Emergency Control Center Emergency Plan Implementing Procedure Revisions. Includes CECC-EPIP-1, Revision 76 and CECC-EPIP-9, Revision 64 IR 05000327/20230052023-08-29029 August 2023 Updated Inspection Plan for Sequoyah Nuclear Plant, Units 1 and 2 - Report 05000327/2023005 and 05000328/2023005 ML23233A0122023-08-17017 August 2023 Unit 1 Cycle 25 Refueling Outage - 90-Day Inservice Inspection Summary Report - Supplement ML23233A0142023-08-15015 August 2023 Discharge Monitoring Report (Dmr), July 2023 ML23215A1212023-08-0303 August 2023 301 Exam Administrative Items (2B) Normal Release ML23215A1572023-08-0303 August 2023 Enforcement Action EA-22-129 Inspection Readiness Notification CNL-23-028, Application to Revise Technical Specifications to Adopt TSTF-567-A, Revision 1, Add Containment Sump TS to Address GSI-191 Issues (SQN-TS-23-03 and WBN-TS-23-06)2023-08-0202 August 2023 Application to Revise Technical Specifications to Adopt TSTF-567-A, Revision 1, Add Containment Sump TS to Address GSI-191 Issues (SQN-TS-23-03 and WBN-TS-23-06) ML23192A4472023-07-31031 July 2023 Staff Assessment of Updated Seismic Hazards at TVA Sites Following the NRC Process for the Ongoing Assessment of Natural Hazards Information 2024-01-04
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TENNESSEE 1\14 VALLEY AUTHORITY Tennessee Valley Authority, Sequoyah Nuclear Plant, P.O. Box 2000, Soddy Daisy, TN 37384 December 21, 2022 ATTN: Document Control Desk U.S. Nuclear Regulatory Commission Washington, D.C. 20555-0001
Subject:
Sequoyah Nuclear Plant, Tennessee Multi-Sector Permit (TMSP), 2022 Annual Discharge Monitoring Report for Outfalls SW-17, SW-19, and SW-21 Attached is the 2022 Annual Discharge Monitoring Report for outfalls SW-17, SW-19, and SW-21 for Sequoyah Nuclear Plant.
Respectfully, Travis R. Markum Environmental Scientist
From: Markum, Travis R To: "Michael Bascom" Cc: water.permits@tn.gov
Subject:
TNR050015 - SQN TMSP 2022 SW-17,19,21 Reports Date: Wednesday, December 21, 2022 4:26:00 PM Attachments: SQN TMSP 2022 SW-17,19,21 signed 12.19.22.pdf Mr. Bascom, Attached are the annual monitoring results for outfalls SW 17, 19 and 21 for CY22. All results were less than benchmark threshold concentrations for Sector O of the TMSP.
Travis R. Markum Env. Scientist (Compliance)
Environmental Operations TVA Sequoyah Nuclear Plant PO Box 2000, OPS 5N Soddy Daisy, TN 37384
(: 423-843-6714
- trmarkum@tva.gov NOTICE: This electronic message transmission contains information that may be TVA SENSITIVE, TVA RESTRICTED, or TVA CONFIDENTIAL. Any misuse or unauthorized disclosure can result in both civil and criminal penalties. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the content of this information is prohibited. If you have received this communication in error, please notify me immediately by email and delete the original message.
.... Tennessee Department of Environment and Conservation Division of Water Resources William R. Snodgrass Tennessee Tower
[ j 312 Rosa L. Parks Avenue, 11th Floor, Nashville, Tennessee 37243 ANNUAL STORMWATER MONITORING REPORT
..... for Stormwater Discharges Associated with Industrial Activity under the TENNESSEE MULTI-SECTOR GENERAL PERMIT (TMSP)
Facility Name: TVA - Sequoyah Nuclear Plant TMSP Number: TNR050015 Contact Person: Travis Markum Phone Number: 423-843-6714 This report is submitted for the following calendar year (e.g. 2015): 2022 Outfall Number: SW 17 List all TMSP sectors which apply to discharge from this outfall: 0 Sample Date: 10/25/2022 Low Concentration Waiver (Note 3): list all parameters for which the facility is certifying that there has not been a significant change in industrial activity or the pollution prevention measures in the area of the facility that drains to the outfall for which sampling was waived:
DIRECTIONS: In the spaces below, provide the results of stormwater monitoring for the designated outfall. For each outfall, one Annual Stormwater Monitoring Report must be submitted. The parameters for which monitoring must be conducted depend on which industry sector(s) of the TMSP applies to the discharge. Look up your sector(s) in the TMSP and analyze for the parameters that apply. If parameter is not listed below, submit additional sheets. All samples should be grab.
Cut-off Annual Cut-off Annual Parameter Cone. Sample Parameter (continued) Cone. Sample (mg/L) Result (mg/L) (mg/L) Result (mg/L)
Aluminum, Total 0.75 Magnesium, Total 0.0636 Ammonia - 4.0 Mercury, Total 0.0024 Arsenic, Total 0.16854 Nickel, Total 0.875 BOD, 5-Day 30 Nitrate+ Nitrite Nitrogen 0.68 Cadmium, Total 0.0159 Oil and Grease 15 COD 120 pH 5.0-9.0 Copper, Total 0.018 Phosphorus, Total (as P) 2.0 Cyanide, Total 0.064 Selenium, Total 0.2385 Fluoride 1.8 Silver, Total 0.032 Iron, Total 5.0 1.420 Total Suspended Solids 150 Lead, Total 0.15 Zinc, Total 0.395 CERTIFICATION AND SIGNATURE: (Make all entries in ink, not with a pencil. This report must be signed by a responsible corporate officer for a corporation, a general partner for a partnership, the proprietor for a sole proprietorship, or a principal executive officer or ranking elected official for a public agency.)
I certify under penalty of law that this document and all of its attachments were prepared under my direction or my supervision in accordance with a system designed to assure qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. As specified in Tennessee Code Annotated Section 39-16-702(a)(4), this declaration is made under penalty of perjury.
Tony McMutuary Sr Manager, Chem/ENV 7~1f1C:~
Signature ---~
l J. L1ZI.. J:Z 1
Printed Name Official Title Date CN-1115 (Rev 10/18) Page 1 of 2 RDA 2366
.... Tennessee Department of Environment and Conservation Division of Water Resources William R. Snodgrass Tennessee Tower
- ! 312 Rosa L. Parks Avenue, 11th Floor, Nashville, Tennessee 37243 ANNUAL STORMWATER MONITORING REPORT
..... for Stormwater Discharges Associated with Industrial Activity under the TENNESSEE MULTI-SECTOR GENERAL PERMIT (TMSP)
Facility Name: TVA - Sequoyah Nuclear Plant TMSP Number: TNR050015 Contact Person: Travis Markum Phone Number: 423-843-6714 This report is submitted for the following calendar year (e.g. 2015): 2022 Outfall Number: SW 19 List all TMSP sectors which apply to discharge from this outfall: 0 Sample Date: 10/25/2022 Low Concentration Waiver (Note 3): list all parameters for which the facility is certifying that there has not been a significant change in industrial activity or the pollution prevention measures in the area of the fac ility that drains to the outfall for which sampling was wa ived:
DIRECTIONS: In the spaces below, provide the results of stormwater monitoring for the designated outfall. For each outfall, one Annual Stormwater Monitoring Report must be submitted. The parameters for which monitoring must be conducted depend on which industry sector(s) of the TMSP applies to the discharge. Look up your sector(s) in the TMSP and analyze for the parameters that apply. If parameter is not listed below, submit additional sheets. All samples should be grab.
Cut-off Annual Cut-off Annual Parameter Cone. Sample Parameter (continued) Cone. Sample (mg/L) Result (mg/L) (mg/L) Result (mg/L)
Aluminum, Total 0.75 Magnesium, Total 0.0636 Ammonia - 4.0 Mercury, Total 0.0024 Arsenic, Total 0.16854 Nickel, Total 0.875 BOD, 5-Day 30 Nitrate+ Nitrite Nitrogen 0.68 Cadmium, Total 0.0159 Oil and Grease 15 COD 120 pH 5.0-9.0 Copper, Total 0.018 Phosphorus, Total (as P) 2.0 Cyanide, Total 0.064 Selenium, Total 0.2385 Fluoride 1.8 Silver, Total 0.032 Iron, Total 5.0 0.103 Total Suspended Solids 150 Lead, Total 0.15 Zinc, Total 0.395 CERTIFICATION AND SIGNATURE: (Make all entries in ink, not with a pencil. This report must be signed by a responsible corporate officer for a corporation, a general partner for a partnership, the proprietor for a sole proprietorship, or a principal executive officer or ranking elected official for a public agency.)
I certify under penalty of law that this document and all of its attachments were prepared under my direction or my supervision in accordance with a system designed to assure qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons di rectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware there are significant penalties for submitting false information, including the possibi lity of fine and imprisonment for knowing violations. As specified in Tennessee Code Annotated Section 39-16-702(a)(4), this declaration is made under penalty of perjury.
Tony McMutuary Printed Name Sr Manager, Chem/ENV Official Title 7~ ~?~ u1 .I 12!~~
Sig ~ ~ Date CN-111 5 (Rev 10/18) Page 1 of 2 RDA 2366
..... Tennessee Department of Environment and Conservation Division of Water Resources William R. Snodgrass Tennessee Tower 312 Rosa L. Parks Avenue, 11th Floor, Nashville, Tennessee 37243
- ~~,;,- !
ANNUAL STORMWATER MONITORING REPORT
- for Stormwater Discharges Associated with Industrial Activity under the TENNESSEE MULTI-SECTOR GENERAL PERMIT (TMSP)
Facility Name: TVA - Sequoyah Nuclear Plant TMSP Number: TNR050015 Contact Person: Travis Markum Phone Number: 423-843-6714 This report is submitted for the following calendar year (e.g. 2015): 2022 Outfall Number: SW 21 List all TMSP sectors which apply to discharge from this outfall: 0 Sample Date: 10/25/2022 Low Concentration Waiver (Note 3): list all parameters for which the facility is certifying that there has not been a significant change in industrial activity or the pollution prevention measures in the area of the facility that drains to the outfall for which sampling was waived:
DIRECTIONS: In the spaces below, provide the results of stormwater monitoring for the designated outfall. For each outfall, one Annual Stormwater Monitoring Report must be submitted. The parameters for which monitoring must be conducted depend on which industry sector(s) of the TMSP applies to t he discharge. Look up your sector(s) in the TMSP and analyze for the parameters that apply. If parameter is not listed below, submit additional sheets. All samples should be grab.
Cut-off Annual Cut-off Annual Parameter Cone. Sample Parameter (continued) Cone. Sample (mg/L) Result (mg/L) (mg/L) Result (mg/L)
Aluminum, Total 0.75 Magnesium, Total 0.0636 Ammonia - 4.0 Mercury, Total 0.0024 Arsenic, Total 0.16854 Nickel, Total 0.875 BOD, 5-Day 30 Nitrate+ Nitrite Nitrogen 0.68 Cadmium, Total 0.0159 Oil and Grease 15 COD 120 pH 5.0-9.0 Copper, Total 0.018 Phosphorus, Total (as P) 2.0 Cyanide, Total 0.064 Selenium, Total 0.2385 Fluoride 1.8 Silver, Total 0.032 Iron, Total 5.0 0.158 Total Suspended Solids 150 Lead, Total 0.15 Zinc, Total 0.395 CERTIFICATION AND SIGNATURE: (Make all entries in ink, not with a pencil. This report must be signed by a responsible corporate officer for a corporation, a general partner for a partnership, the proprietor for a sole proprietorship, or a principal executive officer or ranking elected official for a public agency.)
I certify under penalty of law that this document and all of its attachments were prepared under my direction or my supervision in accordance with a system designed to assure qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. As specified in Tennessee Code Annotated Section 39-16-702(a)(4), this declaration is made under penalty of perjury.
Tony McMutuary Sr Manager, Chem/ENV
~
Sig~e 11fc1l!ii1iiifJZ-*
, ~
L:J /J. ZI<2J.
Printed Name Official Title Date CN-1115 (Rev 10/18) Page 1 of 2 RDA 2366