ML082910030

Discharge Monitoring Report for September 2008

ML082910030
Person / Time
Site:	Sequoyah
Issue date:	10/14/2008
From:	Cleary T Tennessee Valley Authority
To:	Cromer P Office of Nuclear Reactor Regulation, State of TN, Dept of Environment & Conservation
References
Download: ML082910030 (13)

Text

Tennessee Valley.Authority, Post Office Box 2000, Soddy Daisy, Tennessee 37384-2000 October 14, 2008 State of Tennessee Department of Environment and Conservation Division of Water Pollution Control Enforcement & Compliance Section 6"h Floor, L & C Annex 401 Church Street Nashville, Tennessee 37243-1534

Dear Mr. Patrick Cromer:

SEQUOYAH NUCLEAR PLANT - DISCHARGE MONITORING REPORT FOR SEPTEMBER 2008 Enclosed is the September 2008 Discharge Monitoring Report for Sequoyah Nuclear Plant.

Please contact me at (423) 843-6700 if you have any questions or comments.

Sincerely, Stephanie A. Howard Principal Environmental Engineer Signatory Authority for Timothy P. Cleary Site Vice President Sequoyah Nuclear Plant Enclosure cc (Enclosure):

Chattanooga Environmental Assistance Center Division of Water Pollution Control State Office Building, Suite 550 540 McCallie Avenue Chattanooga, Tennessee 37402-2013 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, D.C. 20555

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.O. BOX 2000

.(.INTEROFFICE SB-2A)_--

SODDY - DAISY TN 37384 Facility TVA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

MAJOR DISCHARGE MONITORING REPORT (DMR)

(SUBR 01)

TN0026450 F-FINAL PERMIT NUMBER DISCHARGE NUMBER DIFFUSER DISCHARGE Form Approved.

OMB No. 2040-0004 I

MC"NITnRImNfl PPRIOn

. EFFLUENT YEAR MO DAY YEAR MO DAY From 1

To 8

09 30 ATTN: Stephanie A. Howard NO DISCHARGE NOTE: Read instructions before comoletina this form.

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO.

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UUS' direction or supervision in accordance with a system designed to assure that qualified personnel Timothy P. Cleary properly gather and evaluate the information submitted. Based on my inquiry of the person or'"

persons who manage the system, or those persons directly responsible for gathering the Principal Environmental Engineer Site Vice President information, the information submitted is, to the best of my knowledge and belief, true, 423 843-6700 08 10 1_4 accurate, and complete. I am aware that there are significant penalties for submitting false SIGNATURE OF PRINCIPAL EXECUTIVE TYPED OR PRINTED information, including the possibility of fine and imprisonment for knowing violations OFFICER OR AUTHORIZED AGENT AR YEAR MO DA COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference al attachments here)

No closed mode operation. The following information is included in an attachment: CCW data.

EPA Form 3320-1 (REV 3/99)

Previous editions maybe used Page 1 of 2

DMR Attachment CCW Data CCW TRENCH Extractable Petroleum Date/Time Collected Hydrocarbons Analysis Date/Time Analyst Method 09/10/2008 @ 1105 0,28 mg/I 09/12/2008 @ 1552 KLM TN EPA 8015 CCW CHANNEL Extractable Petroleum Date/Time Collected Hydrocarbons Analysis Date/Time Analyst Method 09/10/2008 @ 1100

<0.10 mg/I 09/12/2008 @ 1604 KLM TN EPA 8015 I

I I

I

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.O. BOX 2000

..(.INTEROFFICLE SýB-2AJ SODDY - DAISY TN 37384 Facility TVA - SEOUOYAH NUCLEAR PLANT Location HAMILTON COUNTY ATTN: Stephanie A. Howard NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) MAJOR DISCHARGE MONITORING REPORT (DMR)

_______________(SUBR 01)

TN0026450 101 G F-FINAL PERMIT NUMBER DISCHARGE NUMBER DIFFUSER DISCHARGE Form Approved.

OMB No. 2040-0004 MONITORING PERIOD I

EFFLUENT IYEAR MO DAY YEAR MO DAY From 08T09101 To 08 09 30 NO DISCHARGE F

NOTE: Read instructions before completinq this form.

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO.

FREQUENCY SAMPLE EX OF TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS CHLORINE, TOTAL RESIDUAL SAMPLE 0.017 0.031 19 0

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RPERMIT REQUIREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER Timothy P. Cleary Site Vice President I Certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate 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 that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

I

-i TYPED OR PRINTED "I

I.....

C DE I I

COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference al! attachments here)

The following injections occured: 1. Biodetergent 73551 (max. calc. conc. was 0.018mg/L--limit 2.0mg/L) 2. MSW 101 (max. caic. conc. was 0.059mg/L--limit 0.2mg/L) 3. H-150M (max. calc. conc. was 0.038mg/L--limit 0.050mg/L) 4. H-1 50M (low detection level analytical method was <0.020mg/L--limit 0.050mg/L)

Page 2

of 2

EPA Form 3320-1"(REV 3/99)

Previous editions may be used Page 2 of 2

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address PS:. BOX 2-000 fINTEROFFIE SB-2A3 SODDY - DAISY TN 37384 Facility TVA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY ATTN: Stephanie A. Howard NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

MAJOR DISCHARGE MONITORING' REPORT* (DMR)

(SUBR 01)

TN0026450 101 Q F-FINAL PERMIT NUMBER IDISCHARGE NUMBER DIFFUSER DISCHARGE Form Approved.

OMB No. 2040-0004 MONITORING PERIOD

-7 EFFLUENT I

I YEAR MO DAY YEAR MO DAY From [0107 01J To 08 0

NO NOTE: Re QUANTITY OR LOADING 1

QUALITY OR CONCENTRATION CHARGE

[:]

ad instructions before comoletinq this form.

PARAMETER NO.

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SAMPLE MEASUREMENT PERMITh REQUIREMENT NAME/TITLE PRINCIPAL EXECUTIVE OFFICER Timothy P. Cleary Site Vice President TYPED OR PRINTED I Certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel 4

property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Principal Environmental Engineer information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false SIGNATURE OF PRINCIPAL EXECUTIV information, including the possibility of fine and imprisonment for knowing violations.

OFFICER OR AUTHORIZED AGENT COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

Boron was sampled on 07/02/2008 @ 1122, on 07/16/2008 @ 1215,and on 07/16/2008 @ 1216.

EPA Form 3320-1 (REV 3199)

Previous editions may be used Page 1 of 1

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.O. BOX 2000 (INTEROFFICE SB-2A)

SODDY - DAISY TN 37384 Facility TVA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY ATTN: Stephanie A. Howard NATIONAL POLLUTANT DISCHARGE. ELIMINATION SYSTEM (NPDES)

MAJOR Form.Approved DISCHARGE MONITORING REPORT (DMR)

(SUBR 01)

OMB No. 2040-0004 TN0026450 101 T F-FINAL PERMIT NUMBER DISCHARGE NUMBER BIOMONITORING FOR OUTFALL 101 MONITORING PERIOD

]

EFFLUENT YEAR MO DAY YEARI MO I DAYN From la08 09101 Tuoo 08 c

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PARAMETER QUANTITY OR LOADING

. QUALITY OR CONCENTRATION NO.

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~ i!TELEPHONE direction or supervision in accordance with a system designed to assure that qualified personnel Timothy P. Cleary properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Principal Environmental Engineer information, the information submitted is,to the best of my knowledge and belief, true,

• _423 843-6700 Site Vice Prestdent accurate, and complete. I am aware that there are significant penalties for submitting false SIGNATURE OF PRINCIPAL EXECUTIVE information, including the possibility of fine and imprisonment for knowing violations.

OFFICER OR AUTHORIZED AGENT AREA NUMBER TYPED OR PRINTED CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

Toxicity was not sampled in September 2008.

DATE 08 10 14 YEAR MO DAY EPA Form 3320-1 (REV 3199)

Previous editions may be used Page 1 of 1 EPA Form 3320-1 (REV 3/99)

Previous editions may be used Page I of 1

PERMITTEE NAME/ADDRESS (Include Facilitv Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.O. BOX 2000 (INTEROFFICE SB-2A)

-SODDY - DAISY TN 37384 Facility TVA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY ATTN: Stephanie A. Howard NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

MAJOR Form DISCHARGE MONITORING REPORT (DMR)

(SUBR 01)

OMB TN0026450 1

103 G I F-FINAL PERMIT NUMBER DISCHARGE NUMBER LOW VOL. WASTE TREATMENT POND.

__MONITORING PERIOD EFFLUENT Approved.

No. 2040-0004 I YEAR I MO 1DAY I YEAR I MO I DAY I From 08 09

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[:]

Iad instructions before completinq this form.

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Timothy P. Cleary properly gather and evaluate theinformation submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Principal Environmental Engineer information, the information submitted is, to the best of my knowledge and belief, true, 423 Site Vice President accurate, and complete. I am aware that there are significant penalties for submitting false SIGNATURE OF PRINCIPAL EXECUTIVE

• information, including the possibility of fine and imprisonment for knowing violations.

OFFICER OR AUTHORIZED AGENT AREA TYPED OR PRINTED I CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

EPA Form 3320-1 (REV 3199)

Previous editions may be used Page 1 of 1

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.0. BOX 2000

_.(INTEROFFICE SB-2A SODDY - DAISY TN 37384 Facility VA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY ATTN: Stephanie A. Howard NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) MAJOR DISCHARGE MONITORING REPORT (DMR)

(SUBR 01)

TN0026450 11 107 G F-FINAL F

PERMIT NUMBER DISCHARGE NUMBER METAL CLEANING WASTE POND Form Approved.

OMB No. 2040-0004 I

MONITORING PFRIOD i

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PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO.

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DAILY CALCTD NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachmentswere prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel Timothy P. Cleary properly gather and evaluate the infdrmation 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, Site Vice President accurate, and complete, I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

TYPED OR PRINTED Principal Environmental Engineer SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

No Discharge this Period EPA Form 3320-I (REV 3199)

Previous editions may be used Page 1 of 1 EPA Form 3320-1 (REV 3/99)

Previous editions may be used Page 1 of 1

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.O. BOX 2000

___L_

fa (ITRFIE SB-2A)

SODDY - DAISY TN 37384 Facility TVA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY ATTN: Stephanie A. Howard NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

MAJOR DISCHARGE MONITORING REPORT (DMR)

(SUBR 01)

TN0026450 I 1110G F-FINAL PERMIT NUMBER I

DISCHARGE, RECYCLED COOLING WATER Form Approved.

OMB No. 2040-0004 I

IUIAM IT(TP I M/7 DI: P 11717 EFFLUENT DIKI Dt=Rinr)

YEAR MO DAY YEARI MO I DAY IS G

I From! 08 09 01 to 0

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NAMErTITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachments were prepared under my

(

A, I

TELEPHONE DATE direction or supervision in accordance with a system designed to assure that qualified personnel Timothy P. Cleary properly gather and evaluate the information submitted. Based on my inquiry of the person or 0

persons who manage the system, or those persons directly responsible for gathering the Principal Environmental Engineer information, the information submitted is. to the best of my knowledge and belief, true, 423 843-6700 08_10_14 Site Vice President accurate, and complete. I am aware that there are significant penalties for submitting false SIGNATURE OF PRINCIPAL EXECUTIVE TYPED O information, including the possibility of fine and imprisonment for knowing violations.

OFFICER OR AUTHORIZED AGENT AREA I NUMBER YEAR MO DAY TYPED OR PRINTED CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

No Discharge this Period EPA Form 3320-1 (REV 3/99)

Previous editiorns may be used Page 1 of 1

PERMITTEE NAME/ADDRESS (Include FacilitvName/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.O. BOX 2000

..(.INTEROFFICE SB-2A)_

SODDY - DAISY TN 37384 Facility TVA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

DISCHARGE MONITORING REPORT (DMR)

Nl0026450 110 T]

PERMITNUER I DISCHARGE NUMBER

___MONITORING PERIOD____

MAJOR (SUBR 01)

F - FINAL RECYCLED COOLING WATER EFFLUENT Form Approved.

OMB No. 2040-0004 ATTN: Stephanie A. Howard IYEAR MO I DAY I YEAR I MO I DAY N

I R_

From

=08 09 101 T. 0" 09 3

NO DISCHARGE X

NOTE: Read instructions before completing this form.

PARAMETER I

f QUANTITY OR LOADING QUALITY OR CONCENTRATION NO.

FREQUENCY SAMPLE EX OF TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE.

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/

Ii TELEPHONE DATE I di rection or supervision in accordance with a system designed to assure that qualified personnel I

,a 6[4--

Timothy P. Cleary properly gather and evaluate the information submitted. Based on my inquiry of the person or I

persons who manage the system, or ýhose persons directly responsible for gathering the Principal Environmental Engineer inormation lhe information submitted is. to the best of my knowledge and belief, true, 423 843-6700 08 10 14 Site Vice President accurate, and complete.I am aware that there are significant penalties for submitting false SIGNATURE OF. PRINCIPAL EXECUTIVE IYEAR DAY TYPED OR PRINTED information, including the possibility of fine and imprisonment for knowing violations.

OFFICER OR AUTHORIZED AGENT AREA NUMBER TYPED_

___OR_

___PRINTED__

_CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

No Discharge this Period EPA Form 3320-1 (REV 3/99)

Previous editions may be used Page 1 of 1

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.O. BOX 2000

_LINLTEROFFICýE SB-2A).)

SODDY - DAISY TN 37384 Facility TVA - SEOUOYAH NUCLEAR PLANT Location

-HAMILTON COUNTY ATTN: Stephanie A. Howard NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

DISCHARGE MONITORING REPORT (DMR)

TN0026450 1

116 GO PERMIT NUMBER I DISCHARGE N-UMBIEýR MONITORING PERIOD YEAR MO DAY YEARI MO j DAY From 08 09 1 011 To 08 9j 301 MAJOR Form Approved.

(SUBR 01)

OMB No. 2040-0004 F - FINAL BACKWASH EFFLUENT NO DISCHARGE NOTE: Read instructions before completinq this form.

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION "

NO.

FREQUENCY SAMPLE EX OF TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS DEBRIS, FLOATING (SEVERITY)

SAMPLE

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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachments were prepared under my

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DATE direction or supervision in accordance with a system designed to assure that qualified personnel Timothy P. Cleary properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Principal Environmental Enginee4 Site Vice President information, the information submitted is, to the best of my knowledge and belief, true, PrincipalEnvironmentr 423 843-6700 08 10 14 accurate, and complete I am aware that there are significant penalties for submitting false SIGNATURE OF PRINCIPAL EXECUTIVE I

TYPED information including the possibility of fine and imprisonment for knowing violations.

OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY TYPED OR PRINTED CODE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

Operations performs visual inspections for floating debris and oil and grease during all backwashes.

EPA orm332-1 REV 199 Prvios edtios my b use Pae 1of EPA Form 3320-1 (REV 3/99)

Previous editions may be used Page 1 of 1

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Address P.O. BOX 2000 INýTEROFFICE qB-2A)

SODDY - DAISY TN 37384 Facility TVA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)

MAJOR DISCHARGE MONITORING REPORT (DMR)

(SUBR 01)

TN0026450 FF117 G

I FINAL PERMIT NUMBER DISCHARGE NUMBER BACKWASH MONITORING PERIOD EFFLUENT Form Approved.

OMB No. 2040-0004 ATTN: Stephanie A. Howard IYEAR MO I DAY I

YEAR MO I DAY From 08 1 09 01 1 Tol 08 1091 30 NO DISCHARGE cpt ts*

NOTE: Read instructions before comp:letincl this form.

PARAMETER QUANTITY OR LOADING 1

QUALITY OR CONCENTRATION NO.

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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER II Certify under penalty of law that this document and all attachments were prepared under my

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TELEPHONEDT direction or supervision in accordance with a system designed to assure that qualifed personnel Timothy P. Cleary properly gather and evaluate the information submitted. Based on my inquiry of the person or 0

persons who manage the system, or those persons directly responsible for gathering the Principal Environmenta Enginee 4

information, the information submitted is, to the best of my knowledge and belief, true, 423 843-6700 10 Site Vice President accurate, and complete. I am aware that there are significant penalties for submitting false SIGNATURE OF PRINCIPAL EXECUTIVE information, including the possibility of fine and imprisonment for knowing violations.

OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO TYPED OR PRINTED ConE COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

Operations performs visual inspections for floating debris and oil and grease during all backwashes.

EPA Form 3320-1 (REV 3199)

Previous editions may be used Page 1 of 1

PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)

Name TVA - SEQUOYAH NUCLEAR PLANT Ad.iress P.O. B1OX 2000

.(INTEROFFICE SB-2A)

SODDY - DAISY TN 37384 Facility TVA - SEQUOYAH NUCLEAR PLANT Location HAMILTON COUNTY ATTN: Stephanie A. Howard NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES)

MAJOR DISCHARGE MONITORING REPORT (DMR)

(SUBR 01)

Form Approved.

OMB No. 2040-0004 TN0026450 118 G I

F-FINAL PERMIT NUMBER JDISCHARGE NUMBER WASTEWATER& STORM WATER I

MONITORINr PFRInf' I EFFLUENT

-Y EARF MO DAY I

From Lo8109 1o01

... R Ie MO DAY TO 0!

NO DISCHARGE Fix NOTE; Read instructions before completing this form.

PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO.

FREQUENCY SAMPLE EX OF TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS OXYGEN, DISSOLVED (DO)

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!A FýL-J1REQUIRý!EMEN TY INAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel Timothy P. Cleary properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Site Vice President information, the information submitted is, to the best of my knowledge and belief, rue, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

TYPED OR PRINTED COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)

During this reporting period, there has been no flow from the Dredge Pond other than that resulting from rainfall.

Principal Environmental Engineer TELEFPHONE DATE 423 843-6700 08 10 14 SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER YEARI MOI DAY EPA Form 3320-1 (REV 3/99)

Previous editions maybe used Page 1 of 1