zccm,xaam aocmmzm ocsx j:ox svsrmr · zccm,xaam aocmmzm ocsx mj:ox svsrmr REGULAT INFORMATION...
Transcript of zccm,xaam aocmmzm ocsx j:ox svsrmr · zccm,xaam aocmmzm ocsx mj:ox svsrmr REGULAT INFORMATION...
zccm,xaam aocmmzm ocsx m j:ox svsrmrREGULAT INFORMATION DISTRIBUTION STEM (RIDS)
ACCESSION NBR:9406270229 DOC.DATE: 94/05/31 NOTARIZED: NO DOCKETFACII.:50-387 Susquehanna Steam Electric Station, Unit 1, Pennsylva 05000387
50-388 Susquehanna Steam Electric Station, Unit 2, Pennsylva 05000388AUTH.NAME AUTHOR AFFILIATION
FIELDS,J.S. Pacific Gas 6 Electric Co.RECIP.NAME RECIPIENT AFFILIATION
CROWLEY,K. Pennsylvania, Commonwealth of
SUBJECT: NPDES discharge monitoring rept for May 1994 for SSES.W/940621 ltr.
DISTRIBUTION CODE: IE23D COPIES RECEIVED:LTR ENCL SIZE:TITLE: Environmental Event Report (per Tech Specs)
NOTES:
D
RECIPIENTID CODE/NAME
PD1-2 PD
COPIESLTTR ENCL
1 1
RECIPIENTID CODE/NAME
POSLUSNYgC
COPIESLTTR ENCL
1 1 D
INTERNAL: ACRSOGC/HDS2RGN1
5 5 NRR/gMAS/ILRB1 1 +glGM~EIv 011 1
1 11 1
D;
S',J
EXTERNAL: NRC PDR 1 1 NSIC
r
!
R'(
z
D)
S i
A
D
NOTE TO ALL"RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK,
ROOM Pl-37 (EXT. 504-2065) TO ELIMINATEYOUR NAME FROM DISTRIBUTIONLISTS FOR DOCUMENTS YOU DON'T NEED!
S
TOTAL NUMBER OF COPIES REQUIRED: LTTR 13 ENCL 13
Pennsylvania Power 8 Light CompanyTwo North Ninth Street ~ Allentown, PA 18101-1179 ~ 610I774-5151
June 21, 1994
Ms. Kate CrowleyWater Quality Regional ManagerBureau of Water Quality ManagementPennsylvania Department of Environmental Resources90 East Union Street, 2nd FloorWilkes-Barre, PA 18701-3296
FILE R9-8A
SUSQUEHANNA STEAM ELECTRIC STATIONDISCHARGE MONITORING REPORT - MAY1994NPDES PERMIT NO. PA 0047325CCN 741326PLE- 17878
Dear Ms. Crowley:
Pursuant to Part A, 3.b.(1) of NPDES Permit No. PA 0047325, enclosed is theSusquehanna Steam Electric Station discharge monitoring report for May 1994. Alsoenclosed is Pennsylvania Department of Environmental Resources'onthly FacilityReport Form (01-112).
There were no noncompliances in May.
lfyou have any questions, please call me at (215) 774-7889.
Respectfully yours,
/.erome S. Fieldsenior Environmental Scientist - Nuclear
Enclosures
Copies to:Ms. I, Worrell, EPA Region III
NRC Document Control D~esk
Mr. C. Poslusny, NRC Project Manager
4c~ ww~Isf/Itf3216o(26) >', 9+06+7pp~9
PDR'DOCK „'05000387R ' "
PDR
Oi-leI2
ATTACHMENT 1
FA OARTMEHT OF EHVIROHMEHTAL RESOURCES Manta HOLi
MONTHLY FACILITY REPORT Date Prepared
Facility Hame Sus uehanna Steam. Elect ic StationPWS ID NO- 2400994P.O. Box 467
Facility Address Berwick PA 18603 HPDES Permit No. PA OQ47325
Municipality Sa,lcm Townshi
County Luzerne
Incinerator Permit Number(s} N/A
Telephone Number (7l7) Sp2 ]879
Person Ccmpleti g Form Curtis H. SaxtonPrint Name
Signature
Title Environmental Scientist
Total Hours Incinerator Operated
2. Type of Fuel
N/A
3. Total Fuel Usage
4. Supplier of Fuel
5. Estimated Amount of Sludge Incinerated
6. Incinerator Ash Disposal N/A
N/A
N/A
7. Sludge Disposal Mater Treatment~S@ b FI-Rt'I
(a) How.:Much (Tons).""(b)~Mhere'-.
c) 'Mhen .( t Occurrence* (d) Hauler
(e) Receipts: Yes No
+ ~<P~~t<~ &ef-eave
SiiSIC~SHctfRcl.dq PA
(a) How Much (Tons)(b) Where(c} When (Last ccurrence(d) Hauler(e) Receipts: Yes
8. Other Wastes (Grits, Barscreening, etc.)
(a} How Mucn (Tons)(b) Where(c} When (Last ccurrence(d) Hauler(e} Receipts: es
Percent (%) Hauled
Ho
9. Septic Tank Haste Accepted: Tes Ho
1O. Ir yes:(a) Yolume(b) Hauler(s
11. Analy~is Performed to ensure tank waste contains no fndustr1al waste(a} Yes Ho(b) If yves. reqoency
IE. Addlt1onal connects: logfil Sc' In k. hl s pcs; A ril O'As 20QEI cdllolnS
~@~+'I ~AS< tCQOI .CA AZc''tTIFI CL c A1aklnofl Pcl flal~ISTA
PERMITTCK NAME/ADDRC55 ((ndudcFacily Nome(locotton tfdl//crcntJ
ADDRKss~te ~~4' QL'Ligieel~eel~
FAC II ITYLOCATION
I: R ~ ~ DOT SUP V OPE TECHIIOL
PERMIT NUMSER DlacHnnoc HUMacn
YCARFROM
MONITORING PERIODMO DAY YEAR MO OAY
TO
(20-2(J (22-23J (26.2 J ( d. I (28. I ( I
NATIONALPOLLUTANTOI5CHARGC KLIMIHATIOH5Y5TCM (NPDE5JDISCKARGE MONITORING REPORT (DNRJ
2.16 J7 J9 MA3 OR Form Approved.(SU BR 02) OMB No. 2040-0004.f - fZHAL Approval expires 6-30-91.
COOLING TOMER BLOHDOiIH
NO l)ISCHARGENOTE: Read instructions before compieti)IIIthis form.
PARAMETKR(3247) AVERAGE MAXIMUM
(3 Cord Only) OUANTITY OR LOADING(6IM3) (564II)
UNITS
(6 Cord Only)(3$45)
MINIMUM AVERAGE MAXIMUM
DUALITYOR CONCENTRATION(6643) (5663)
UNITS
NO
624s3)
FRKOUKHCYOF
ANALYSISSAMPLE
TYPE
(6648) (d9-70)
00400 1 0 0V U
ZINCF TOTAL(AS N)01092 1 0 0
FI G
SAMPLEMEASUREMENT
..PERMIT',RKGUIRKMKNT
SAMPLEMEASUREMENT
4
MKovlnEMKNT
J J J J J1 1 1 1 ~
e J J J J J1 1
1 r'QKYec
J J J J1 1 ~
J J J
e J aoJ
e J eaJi1'J1
AJeJ eOJ JJ 1 1 1 1 ~
et 1 1clj
8'. ~09i 0; ".,:-l.'e
0-OV-1 i0
( 12)
( 19)
i @QADI
FLOM o IN COHDULT ORTH RU TR EATHE'.HT PLAN50050 1 6 0
SAMPLEEASUREMENT
MIT, 'EPORT REPORT1R KO VIS EMKNT
( 03) J JaJ J JeJ1 1
as J eL@I(E,me
n J Iet Ja tet J
J +JeJCQ ~ J JeJ DAILY. RCORD
CH LOR IN EF fit EEAVAILABLE50064 1 0 0
SAMPLEMEASUREMENT
: PERICIT .
REQUIREMENT,
J J J 1 J J1 J ~ J1 ne AJ J J J J1 1 1 ~ I 1
aJ J J J J J e Je
J J e J JeJe ~ ann 1 15
020
( 19)Foo/n 4
SAMPLEMEASUREMENT
.. PERMITIIEQVIR KMKNT
SAMPLEMEASUREMENT
'RAMIT,'EGVIREMKNT
SAMPLEMEASUREMENT
PERM I'RKOVIRKMKNT
NAME/TITLEPRINCIPAL EXECUTIVE OFFICER
y~ S~ UP
f r ~+'D~TYPED 0 PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINEDAHD AM FAMILIAR WIFH THE tNFDRMATION SVBMIITKD HEREIN. AHD BASEDON MY IHGUIRY OF THOSE DIDIVIDUALS IMMEDIATELY RKSPOHSISLE FORDSTAIHOSG YHK INFORMAYIOV. I BELIEVE THE SUBMITTED INFORMATIONIS TRUE, ACCURATE Also CDMPLEFK I AM AWARE THAT THERE ARE SIG.MFKAHT PKMALTIKS FOR SUBMITTING FALSE INFORMATION INCLUDINGTHK POSSISeLITY DF FINE AHD IMPRISDHMEHY SEE 18 VSC I IDDI AHD33 USC 5 1319 tprnatttrs snort theat ~ tatstrs may tnrlodr /enrs op lee rlo!xmand en maremsm unPnsonmint 4/tertnsrn 6 months and S!rais I
IGNATU E OF PRINCIPAI ECUTIVEOFFICER OR AUTHORI D AGENT
TELEPHONE
NUMSER YEAR
DATE
MO DAYCOMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr(rrrnrc oll ultuchmrntl herr) 4 ~( e h(s b( (-I(I (s(.(rrt h u( Q0 OI II'1 IIfREE AVAILABLE CIILORINE SHALL BE TAKEN DAILY BY GRAB DURING CHLORIHATION~
EPAeForm 3320-t (Rev. 048) Previous editions may be used. (REPLACE5 CPA FORM T 60 WHICH MAYNOT SE V5EO.)00463/940307-1015
PAGE OIi
PcRMITTcE NAMclADDRE55 (/nclQdcFaculty /(arne/Locat/on Ifdifferent/
-~ILRMULKAADDRESS IL'I~ IEt)2~t: I ILLi~~~' $~
~~LLLLFACILITYLOCATION
ATTH: R ~ L DOTY SUPV OPER TECHNOL
PK 8 M IT NUMSE R otacHAnoc NUrl~ cn
MONITORING PERIODYEAR MO DAY YEAR MO -DAY
FROM TO
(2&2(/ (22.2S/ (26-2S/ ( 6. / (2 ~ / ( /
NATIONALPOLLUTANTDISCHARGE ELIMINATIONSYSTEM (NPDES/DISCHARGE MONITORINO REPORT ID/t(R/
2.16 /7/9 MAJOR Form Approved.(SU B R 02) OMB No. 2040-0004.
Approval expires 6-30-91.
SERV AND ADJOIN BUILDING SUNP
NO DISCHARGE ) jNOTE: Read instructions before comI)letl)IIIthlsform.
PARAMETER(Sly) AVERAGE MAXIMUM
(S Cord Only) OUANTITY OR LOADING(664S) ($641)
UNITS
(C Card Only)(SEES )
MINIMUM AVERAGE MAXIMUM
DUALITYOR CONCENTRATION(664S) (S641)
UNITS
NO.EX
6241)
FRKGUENCYOF
ANALYSISSAMPLE
TYPE
(69NTO)
SAMPLEMEASUREMENT
A AAA AAJ AAr I N N N J J AJ AAN 'll ~ N rN' gg (12)
00400 1 0 0 PERMIT.P, S lIALU
REOUIRKMKNT-r~~AL6~4 'AAAAA 6.0. " N NA rN.IVTIE 9 a 0
SO LIDS F TOI'AlSUSPENDED00530 1 0 0
SAMPLEMEASUREMENT
'ERMrr. -.IREOLIlnEMEN'r
AAAJ ANNN AAAAA'N ~ N N N
'T)A CQg ~ J AAAAAN N
J AAAAArN NON ~
30+0. '005/0 -= -.
80 50HCE/'AB'.'IL
AND GREASEFREON EXTR-GRAV ."IET00556 1 0 0
FLOQF IN CONDUIT ORTHRU TREATI'iENT PLA N
50050 1 0 0
SAMPI EEASUREMENT
PERMIT.rRKGUIREMENT
SAMPLEEASUREMENT
PERMIT.
RENDU
IREMENT,
J CAAJ Anr N ~
0 QI05REPORT
AAIC
CLc II&
O.oi05''EPORT
JN N
,~AAQ~yPgg "-, g$ » 0 20s0 ".
QAAA
( 19) 'lw Ge/IRCZ/; GRAS
>(~( @$AH 1;.- ESTXN
SAMPLEMEASURKMENT
PERSIITRECIUIRKMKNT
SAMPLEM EAS UR EM EN T
PERMITRKOUIREMENT
SAMPLEMEASUREMENT
PERM)t'EOUTRKMENT
NAME/TITLEPRINCIPAL EXKCUTIVE OFFICER
4 yre~ ST V
TYPED OR PRINTED
I CERTIFY UttDER PENAI.TY OF LAW THAT I HAVE PERSONALLY EXAMlNKDAND AM FAMILIAR VWTH THK INFORMATION SUBrttTTED HEREIN. AND BASEDON MY INQUtRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOROBTAINING THE tNFORMATIOV. I BELIEVE THK SUBMITTED INFORMATIONts TRUE, ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE StG.NIFICANT PENALTIES FOR SUBrrtTTING FALSE tNFORrtATIDN. INCLUIXNGTHK POSSlBILITY OF FINE AND IMPRISONMENT SKK IB USC I IDDI AND33 USC 5 t 319 tprnottnr unarr thrrr rtatutrr may tnrludr /inrr up tu rloyrrtand IJ mommum tmpnrunmrnt u( hrturrn 6 munthr end I learnt
S ATURE OF PRINCIPAL EX UTIVEOFFICER OR AUTHORIZ AGENT
TEI.EPHONE
'7/7 5"
NUMSER
DATE
YEAR MO DAYCOMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr(erencc vu vnvehmenlr herc)
E LOM AND PH SHALL BE MEASURED DAILY SHEN DISCHARGIIVG~
EPA Form 3320-t (Rev. 048) P(svious editions may be used. IREPLAEE5 ct'A FDRM T ao wHIcH MAY NDT BE U5ED.I00466/940307""+>5
PAGE OII1
PERMITTcc NAMc/ADDRE55 (Int/ttdrFecttlty /(orna(Locot ton Ifdtffrrcnt/
A»«S~~~a(.'Lh ~Mm~~"'I'ACluTY
LOCATION
ATTII: R ~ L ~ DOTl SUP|( OPER TECHNOL
PERMIT NUMSKR OISCHARCC NVMaan
MONITORING PERIODYEAR MO DAY YEAR MO 'OAY
FROM TO
(20-2/1 (22 2/J (26.2$J /(2 ~ J I J
NAYION*LPOLLUTANTDI5CHARGE ELIMINATIONSYSTEM ((/PDE$/DISCHARGE MONITORING REPORT ID//RJ
2.16 17.19 tlAJOR Form Approved.(SUBR 02) OMBNo.2040-0004.
F - FINAL Approval expires6-30-91„41 TURBINE BLDG MASTE SUMP.
NO DISCHARGENOTE: Read instructions before completirliIthis fot/IL
PARAMETER(3247)
00400 1 0 0V U
SAMPLEMEASUREMENT
PERMIT,RED I/TREMENT
AVERAGE MAXIMUM
AAAAAA Ir ¹AAA
"A¹A¹¹¹J
(3 Cord Only) OUANTITY OR LOADING(/643) ($/4/ )
UNITS
AAAPPAAAAn ~ 4
(/ Cord Only)(/ea$ )
MINIMUM
R. 556o0
AVERAGE
AJ AAAAMAXIMUM
~BG9nr0-; ': ', -:
DUALITYOR CONCENTRATION(/IL$3) ($66/)
UNITS
( 12)
NO.EX
6243)
FRKOUENCYOF
ANALYSIS
(6/4S)
SAMPLETYPE
(69-70)
GRAB r
SOLIDSF TOTALSUSPENDED00530 1 0 0
SAMPLEMEASUREMENT
PERMITREQUIREMENT
AA J AAA www pn. r
~ J AAP¹ P
AAAAnhn r,3000'r "
( 19)
RAB.".'IL
AND GPEASi.FREOII EXTR-GRAY HIET00556 1 0 0
FLOQ IN CONDUIT ORTHRU TREATMENT DIAN50050 1 0 0
SAMPLEEASUREMENT
PERMlT,-RKOUIREllKNT
SAMPLEEASUREMENT
PERMIT*REQUIREMENT,
AAAAJ J4 4 ~ ~ O'
. 0|'3REPORT
AAAAAA
¹gt¹gc¹~~AAAAPPP
<.fi06> ''"'REPORT
AAJ A~p~p pnn
AAJ AAAr .pmnr4 ~
¹¹ J 54AA
a +1500
¹¹¹¹¹¹«tQ¹¹¹¹
.2000 ".*
( 19) 6 'bLMCZ//-.
'btDAILY'AMPLE
MEASUREMENT
IaERI6 rTREKIUIRKMENTC
'AMPLE
MEASUREMENT
,PERSKITRKOUIREMKNT
SAMPLEMEASUREMENT
PERMITREOUIREMKNT
NAME/TITLEPRINCIPAL EXECUTIVE OFFICER
VP
~+ o+TYPED OR RINTED
I CERTIFY UNDER PENALTY DF LAW THAT I HAVE PERSONALLY EXAMINEDAND AM FAMILIAR WITH THE, INFORMATION SUBMITTED HKREIN. AND BASEDON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FORoBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATIONIS TRUE., ACCURATE AIID COMPLETE I AM AWARE THAT THERE ARE SXI~
NIFICANT PENALYIKS FOR SVBMITIING FALSE INFORMATION, RICLVDINGYHK POSSIBrLITY OF ANE AND IMPRISONMENT SEE IB USC I IDOI AND33 VSC I I3I9 IPrnottrrt untrrr thrrr ttototrt nray tnrtudr /rara ap tr> ltrttrrmond «r monmam tmpnvmmrtrt rr/hrtnrrn 6 mrrntha unit 5 3 rara I
IGNATU F PRINCIPAL ECUTIVEOFFICER OR AUTHORIZED AGENT
TELEPHONE
NUMSER YCAR
DAT K
MO DAYCOMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr(rrrnrr ull unurhmrntt hrrr)
FLOM AND PH SHALL BE HEASURED DAILY MHEN DISCHARGING~
EPA Form 3320-1 (Rev. IHI8) P/evious editions may be used. IREPLAcc5 EPA roRM T 60 wHIcH MAYNDT sc v5ED.I00469/940307-1015 PACE Or
1 /
FAC I I ITYLOCATION
0'' SU V 0 R TECH N L
PERMITTCE NAME/ADDRC55 ((neludeFoetr Ity/Iorne(location Ifdifferent J
~XX&U~~IMUQ'~'2PERMIT NUMBER otacnnncc HUM««it
YEARFROM
MONITORING PERIODMO OAY YEAR MO 'AY
TO
(ZO.ZIJ (222/J (Zd 2f/ (26. J (2 .2 I ( J
NATIONALPOLLUTANT015CHAROC ELIMINATIONSY5TCM (JIPDESIDISCHARGE MONITORING REPORT (()Jt(RJ
2./6 //-/9 IIAJOR Form Approved.(SUBR 02) 0MB No 2040-0004
Approval expires 6-30-91.
N2 TURBINE BLDG MASTE SUHP
NO DISCHARGENOTE: Read instruCIions before compietIIIIIIIIisform.
PARAMKTKR(fMZ) AVERAGE MAXIMUM
(f Cord Only) QUANTITY OR LOADING(464/) (fddtl)
UN ITS
(d Cord Only)(/deaf)
MINIMUM AVERAGE MAXIMUM
QUALITY OR CONCENTRATION(664f) ($66l)
UN ITS
NO.
624j) (6648) (69-10)
FRCOUENCY SAMPLEOFANALYSIS
PH SAMPLEMEASUREMENT
AAAA'VV'nr% P ~AAAAAA'Vvn+aY AAAAAAnr ~ enny ( 12)
00400 1 0 0C S
SOLIDSF TOTALSUSPENDED00530 1 0 0
N C
. PEAMI'T-sREQUTARMRNT
SAMPLEM EA SU R EM ENT
" PERMITREQUIIIKMRNT
ggAAA St
AAAA~ en 'vn Is
e. ~ +pw w
AAAJ A~ nr n'vv
nu AA~ ~ V'
JyA
6«0
H W-raise
HA4'-"st@'4 30'0 0t
9,««0;. '
( 19)
HCE/." HAB
OIL AND GREASEFREON EXTH-GRAV YiET00556 1 0 0
t
F LO II, IN CONDUIT OnTHRU TREATMENT PLAN50050 1 0 0
SAMPLEMEASUREMENT
PERMIT .
REQUIREMENT
SAMPLEEASUREMENT
: PERMITREQUIREMENT
A~ n Y'ne v
Q AQAAIst
AAA 4Y ~ pn
REPORT
Au AAAAA
( 03)
O~ACn-nAC:
3s5 g Ir5gs AA
AAAAAAp en
15' 0."-g 0 ( 19)
20010 ",'la I coliiiNCZ/'RA8
<Zl CSkAXXY, ESTXH
SAMPLEMEASUREMENT
PERMITRKQUIREMKNT.
SAMPLEMEASUREMENT
PRAMITREQU TRRMENT
SAMPLEMEASUREMENT
PERMITREQ 0 I REMEN'T
NAME/TITLEPRINCIPAL EXECUTIVE OFFICER
Q..Q . 0) ypL,m Sr V
TYPED OR RINTED
1 CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINEDAHD AM FAMILtAR WITH THE tNFDRteATION SUSMIITED HEREIN. AHD BASEDON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPOHstBLE FOROBTAIHIHG THE tHFORMA'ltole. I SELtEVE THE SUBMITTED INFORMATIONIS TRUE. ACCURATE AHD COMPLETE. I AM AWARE THAT THERE ARE SIG.t«FICAHT PENALTIES fOR SUBMITTING FALSE tHFORMATCN tHCLVDtNCTHE POSStetLIYY OF FtHE AHD tMPRISOHMENT SEE 18 USC 5 1001 AN33 VSC 5 1310 tt nattirs anorr thrsr statatrs may inrladr /tnrs ap tn tlttttimand nr mammani snipnnmmi nt sd hrtnrrn 6 manths and 1 yrars t
SIGNATURE OF PRINCIP EXECUTIVEOFFICER OR AUTHORIZED AGENT
TEI KPNONK
NUMBER YEAR
DATE
MO DAYCOMMENT AND EXPLANATIONOF ANY VIOI.ATIONS (Re/erenee ull unuchmentt here)
FLOM AND PH SHALL BE HEASURED DAILY MHEN DISCHARGING ~
EPA Form 332M (Rev. 948) Previous editions may be used. IRCPLACC5 CPA II'ORM T 60 WHICH MAY NOT ~ C U5CO.I00472/940307-~ri15
FAGS OF1
PcRMITTcc NAMc/ADDRc55 f/ndttdcFucNty Holnc/Coctttton lfdlfftecnt/
ADD RKss~t Iilll~eL~Lst~ ~c'MLLt13FACILITYLOCATION
AT II: R ~ L ~ 0 'Y SU P V OPER TECIINOL
PCRMIT NUMBER DtoCHARCC NVMSCR
MON I TOR IN6 PE R I0DYEAR MO DAY YEAR MO DAY
FROM TO
/20 2/J /22-23J /26.2 / 26. / /2 ~ J / J
NATIONALPDLLVTANTD)5CHAIIDC CI,IMINATIONSY5TCM /HPDES/DISCHARGE MONITORING REPORT /Dt/R/
2./6 1719 GAIAJOR Form Approved.(SUBR 02) 0MB No.2040-0004.
Approval expires 6-30-91„
SEMAGE TitEATtIEIIT EFFLUENT
NO DISCHARGE ) ~ )<+~ ~
NOTE: Read instruCtions before completIIIIIthis form.
PAR A MET KR(32V7) AVERAGE MAXIMUM
(3 Cord Only) QUANTITY OR LOADINO(dtLSS) (SAI/)
UNITS
(d Cord Only)(3)LdS)
MINIMUM AVERAGE MAXIMUM
QUALITYOR CONCENTRATION(ASS) (5441) NO.
UNITS62~3)
FREQUENCYOF
ANALYSIS
(664S)
SAMPLETYPE
(69-70)
00400 A 0 0
SAMPLEMEASUREMENT
PERMITREQVIREMENT
~e a e J A Ar 'r ~ 'r 'lr r Ate u e
ese ~ rA e J Ar
4>r3MC~~)r 'u 0
( 12) ~is( 6e/)e
SOLIDS TOTAl.SUSPENDED00530 A 0 0
SAMPLEMEASUREMENT
PERMIT '0 u 00RKQVtnEMENT
( 26) Ar Aue eA
30n 00''-.
e Aes AAAe er r rer
s'LOII
IN COttDUlT URNEHRU TREATMENT PLAN50050 A 0 0
SAMPLEEASUREMENT
PERMIT,"REQVIREMENT
0508
J uuAAJ Ar ~ rr rer'r A e r ee Ar res e
~uu JV++g
v'r'r ~
)I'QI'eKQ~~Q
'iat I=/oint/OAII.X-, FLOXN
CHLORI tN E F Fi(EEAVAILABLE50064 A 0 0
e
SAMPLEMEASUREMENT
. PERMIT .
REQVIREMENT.
r A e A e A
')rl~w m)r
)r J Ats QA
gAqsyA su ~ ue Aee
~ er
0 is C.sp Q~o (") xREPORT '
= REPORT . 'EPORT<'/at 6'-')>
DAILY=-'- GRAB
'OLI
FORt". F F ECALGENERAL74055 A 1 0
BODF CARBONACEOUS05 DAYF 20C80082 A 0 0
SAMPLEMEASUREMENT
PERMITEQ UIR KMENT
SAMPLEMEASUREMENT
PERMITRKQVIRKMENT
ue AAuu Aur r cree p
ur'™ ( 26)
O.O
200'xg~~~„c
. 25n 0
( 13)
C)tt(4)7.3X4,-. 0/s
~~I"~-4c' 19)
(o'e/)5NCE//'.; GRAB
OttCE/-. CO P-..
SAMPLEMEASVREMKNT
PERMlTRKQUIREM EN'T
NAME/TITLEPRINCIPAL EXKCVTIVE OFFICER
yr~ (3 l V..~ ~k(~
TYPED OR PRINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINEDAND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASEDON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FORDSTAINsNG THE INFORMATION. I BKL)EVE THE SVSMtrYED INFORMATIONIS TAVE'. ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG.tnctCANY PENALYtKS FOR SVBMtrrtNG F*LSE INFORMATION. tNCLUDINGTHE PDSSsesLtrY DF FtNE AND tMPRtSDNMKNY SKE IB USC 6 1001 AN33 USC 5 )3)9 tPrnottsro unorr three ttotutro mou snrludr /snru up ts> Sto/rmond «er mommum smpnremmrtst se/ hrturrn 6 mssnthss ond 6!corer
SIGNATV OF PRINCIPAL ECVTIVEOFFICER OR AUTHOR AGENT
TELEPHONE
( 2-NUMBER
DAT K
YEAR MO DAYCOMMENT AND EXPLANATIONOF ANY VIOLATIONS (Re/erence nu ttttuchmcnts here)
EPA Form 3320-1 (Rev. 948) Pervious editions may be used. IRCI'LACC5 CPA FORM TAO WHICH MAYNOT SC USED.I00475/940307-1015 I AGC OIr
PERMITTEE NAMEJADDRE55 (/ndttdcFadtity Name(Locat Jan lfdlffcrcnt/
ADDRESS~~~I'~IQ~~~JK>i'ULLvsm~MLLQ1 PERMIT NUMSER OIocHAnoc NUMSCR
MONITORING PERIOD
NATIDNAI POLLUTANTDISCHARGE ELIMINATIONSYSTEM (J(y/JESJDISCHARGE MONITORING REPORT (D/dRJ
2./6 /7 /9 NAJOR Form Approved.(SUBR 02) OMBNo.2040-0004.F - FINAL Approval expires 6-30-91.
RADWASTE TREATt'IENT EFFLUEtITFACILITYLOCATION
TY SU PV OPER TECHNOL (20-2// (22-22/ (26-26/ J (2 ~ / ( /
YEAR MO DAY YEAR MO DAYFROM TO HO DISCHARGE )
NOTE: Read Instructions before EomI)letIIIIItIIia form.
PARAMETER
(N47) AVERAGE MAXIMUM
(2 Card Only) QUANTITY OR LOADINQ(des) (felt)
UNITS
(6 Card Only)(/$4$ )
MINIMUM AVERAOE MAXIMUM
QUALITY OR CONCENTRATION(itMS) (5Ail) NO FREOUENCY
OFANALYSIS
62 nrem) (6648)
SAMPLETYPE
(69-70)
SOLIDSF TOTALSUSPENDED00530 1 0 0
SAMPLEMEASUREMENT
PERMIT'=.REQUIREMENT
(n ~ or ~- n.n. a Ass A4sr n C ~ 'Is
rsn n ~
WAAAAAnr
3080 '1008 C
'LOW
6 IN CONDUIT ORTHRU TREAT?JENT PLAN50050 1 0 0
SAMPLEEASUREMENT
"PERMITREOVlREMENT
SAMPLEMEASUREMENT
0 OlbQREPORT-. ncgtglgg»
D
+ 2~ixiAXLY
y
PKltMIT,REQUEREMK)IT C'
G
SAMPLEMEASUREMENT
PERMIT.'SOVIREMKNT, rv
SAMPLEMEABVREMKNT
PERMITREQUIREMENT
SAMPLEMEASUREMENT
PERMIT;REQUIREMENT s..
SAMPLEMEASUREMENT
PKRMITRED V IREM KN'T
NAME/TITLEPRINCIPAL EXECUTIVE OFFICER
P,G. yre w
tof T Om5TYPED OR PRI TED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSDNALI.Y EXAMINEDAND AM FAMILIAR WITH THE INFORMATION SVBMfrTED HEREIN. AND BASEDDN MY INDVIRY OF THDSK SIDIVIDUALS IMMEDIATELY RESPONSIBI.E FOROBTASISIG THE INFORMATION. I BELIEVE THE SUBMITTED INFDRMAT53NIS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG-ISFIEANT PENALTIES FOR SUBtoITTING FALSE INFORMATION. SICLVDINGTHE PDSSIShITY OF ANE AND IMPRISONMENT SEE 18 USC I IDDI AND33 VSC I I3I9 tprnotts'rs anarr thrsr stotatrs mav sntladr (snrs ap tss Ctttpsand ssr mommans smpns mmrnt sd hrtarrn 6 mssnths and S! rara.t
NAT F PRINCIPAL E CUTIVEOFFICER OR AUTHORIZ AGENT
TELEPHONE DATE
NUMBER YEAR MOCOMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr(rrrncc au unachmcnU hrrc)
FLOW SHALL BE HEASURED DAILY WHENDISCHARGING'PA
Form 3320.1 (Rev. 048) Previous editions may t)e used. IREIsLAGE5 EPA FDRM T 60 wHIcH MAY NDT BE USED.I00478/940307-1015
PAGE OF1
PERMITTEE NAMc/ADDRc55 (/nstttdoFanllty /(orna/Coootbx lfdtffrrsnt/
ADDItEssriIILtt~i~is~ rLl ~i~itUri
FACILITYLOCATION
~ ~ 0 SU P V 0 ER ECHHOL
PERMIT NUMBER DI5CHARCC NUM»CII
MONITORING PERIODYEAR MO DAY YEAR MO 'DAY
FROM TO
(20.2// (22.2// (26.2f/ ( 6 / (2 2 / ( 1
NAYIDNAIPOLLUTANTDISCHARGE ELIMINATIONSYSTEM (/(PDEf/DISCHARGE MONITORING REPORT (D/dR/
2.16 17-19 HAJOR Form Approved.(SUBR 02) 0MB No.2040-0004.
Approval expires 6-30-91,
IIASTE FILTER BYPASS
HO DISCHARGE ) ~~-r ~ ~
NOTE: Read instructions befo completilliithls form.
PARAMETER
(1W7) AVERAGE MAXIMUM
(f Cord Only) QUANTITY OR LOADINQ(dtWf) (f64/)
UNITS
(d Cord Only)(fthdf)
MINIMUM AVERAQK MAXIMUM
QUALITY OR CONCENTRATION(664f) (f46/)
UNITS 62~))
FREDUCNCYOF
ANALYSIS
(664S)
SAMPLETYPE
(69-70)
SOLIDSF TOTALSUSPENDED00530 1 0 0
'F
OIL AIID GREASEFREON EXTR Gl(AV liET00556 1 0 0
SAMPLEMEASUREMENT
'ERMIT,REQUIREMENT
SAMPLKEASUREMENT
'- I'ERMITRKI)UIREMENT
AAAr44 r4nrnnY
4(g 41rru4tt4
Au u rvAP~ ~ 4 ~
Au u AA 4W r r"rwW
C-'4-Yi:.r n 4-
'- vga-~gFr 4A 4 un
n sr r 4 ~
Awu u uwn nn 4 '%4
gr "py'n m rrr~rr Jl srsur
. 30»0'- ".
100.»0,'20,»
0
( 19)
( 19)
RAB. '.
FLOII, IN CONDUIT ORTHRU THEATHb.hr PLAN50050 1 0 0F 'I '
SAMPLEEASUREMENT
PERM IT;".PEQUIREMENT
SAMPLEMEASUREMENT
REPORT =;REPORT
( o3) 4A s4u A
$ QA rLIsrgp
n-n- ns>s-4t Ir n n.n-4C-'<
.'.r. 43L~+gg: Qrt 4
ggu4vFT 'OXH
- PERMTTrREQUIREMENT.
SAMPLEMEASUREMENT
.. PERMIT ~
RED UlR IorlKNT
SAMPLEMEASUREMENT
PERMITREQUIREMENT
SAMPLEMEASUREMENT
'ERMITREQUIREMENT
NAME/TITLEPRINCIPAL EXECUTIVE OFFICER
R.b„()3)r.O,m 85. V
LLC (TYPED OR P INTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINEDAND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASEDON MY INOUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOROBTAINING THE INFORMATID.'I. I BELIEVE THE SUBMITTED INFORMATIONIS YRVE, ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE. SIG.taFIKANY PENALTIES FOR SUBMITTING FALSE INFORMATION. RICLUDING.YHK PossIBAITY oF FINE AND IMPRlsoNMENT sEE 18 Usc 5 1001 AN33 USC 5 1319 tprnaltrrs unarr thrrr itarutr'a mav rnrludr /mrs up trr Slo!uwand rrr masrmum rmpnsrmmrnt o/hrturrn 6 months and Ihrars I
QNATURE O PRINCIPAL EXE TIVEOFFICER OR AUTHORIZED QKNT
TELEPHONE
NUMBER
DATE
YEAR MO DAYCOMMENT AND EXPLANATION OF ANY VIOLATIONS IRr(rrrnrr oll vnvrhmrntS hrrr)
FLOW SHALL BE IIEASURED DAILY liHEN DISCHARGIHG ~
EPA Form 3320-t (Rev. 948) Pwvious editions may be used. IRCI'LACC5 CPA FORM T 60 WHICH MAY NOT BC U5CD.)00(I01/9(I0307-1015
PAGC Olr
PERMITTcc NAMclADDRE55(InetttdeFadllly Jratne/Location lfdifferent3
ADDR ESS~ I5L)ZL~t ~~ 'VLttf~ ~t~ga tie
~~ISA)ZLIi
FACILITYLOCATION
'''TN: R ~ . ~ DOitY SU V 0 ER TECHNOL
PKRMIT NUMBER otucHAnoc NUMncti
YEARFROM
MONITORING PERIODMO OAY YEAR MO -OAY
TO
JZOZJJ (2223/ /26.2 J / 6. J (ZJJ.Z J t J
NATIONALPQLLUTANTDIScH ARcc cLIMINATION SYSYcM /JJPDESJDISCHARGE MONITORING REPORT JDI(RJ
2 16 JZJ9 MAJOR Form Approved.(SU BR 02) OMB No. 2040-0004.
F F g N A L Approval expires 6-30-91 .
NEUTRALIZATION BASIN DISCHARGE
NO DISCHARGENOTE: Read instructions before cotni)fetl)INChls fornL
PARAMETER
(3247)
SOLIDSF TOTALSUSPENDED00530 1 0 0
I
OIL AND GREAS E
F REON EXTR-GRA V ifET00556 1 0 0
FLOMF IN CONDUIT ORTHRU TREATIIEhT PLAN50050 1 0 0
AVERAGE h(AXIMUM UNITS
SAMPLEMEASUREMENT
AAAAJ AVrrVVVV AJ J J A
PERMIT'EQUIREMENT
SAMPLKEASUREMENT
A AJISM
J AAAAAratvv
-Ar J AAJ
AgAAAAAAJt V
"'PERMIT'REQUIREMKIIT
SAMPLKMEASUREMENT
3)VAJA t g uAAArr r r~ V
( 03)
MIT.'.. REPORTRKQUIRKMIUIT
REPORT
(3 Card Only) QUANTITY OR LOADING(45tss) (SAII )
(tt Card Only)(sa~S)
M IN I MUM
VVt V
2 I
AAJ AAVV
~II(Lriyrl++
AAAAAAVVV 'V ~ ~
QUALITY OR CONCENTRATION(6IW3) ($463 )
AVERAQK
D.5MAXIMUM
20'
AAAJ
3000 '00P.O., -;.,
624$ ) (66JIS) (69-70)
HCE/
HCEl": RAB,.',
~t s4
DAILY'TXMt}
NO FRCDUENCY SAMPI KOFANALYSIS
SAMPLKMEASUREMENT
': PERMIT:REQUERKMKNT.
SAMPLEMEASUREMENT
PERM IT.RKEIUIREMKNT
SAMPLEMEASUREMENT
PERMITREQUIRKMEIET
SAMPLEMEASUREMKNT
PERI6 IT ..
REQUIRELIEN'T
NAME/TITLEPRINCIPAL EXKCUTIVE OFFICER
By(a~ S~ V .
0 kt itttJTYPED OR P INTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMWEDAND AM FAMtLIAR VRTH THE WFORMATIOH SUBMITTED HERON. AND BASEDON MY INDUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPOHStBLE FOROBTAINWG THE'NFORMATION. I BELIEVE THE SUBMITTED INFORMAYIOHIS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE Sto.tuFtCANT PENALYtES FOR SUBMITYWG FALSE INFDRMAYION. WCLUDINGTHE PDSslBtLIYY OF FWE AND IMPRtSDHMEHY SEE le USC 5 IDDI AND33 USC 5 1319. tprnaltirr unarr thrrr ~ tatutrr mav tnrtuCr /inrr up tn rtttlttrtamt ur manmum tmpnrunmrnt <tr hrtuvrn 6 mnnthr andS \rafa I
IQNATUR R INCIPAL EXE TIVEOFFICER OR AUTHORIEEO GENT
TELEPHONE
NUMSER YKAR
DATE
MO DAYCOMMENT AND EXPLANATION OF ANY VIOLATIONS Utr/rrrnee all uuuchtncntr here)
FLOM SHALL BE MEASURED DAILY MHEN DISCHARGING ~ ~EM ~ FLOM SHALL BE MEASURED DAIL'XI"HEN DISCHARGING~ THERE SHALL BE Nv. DISCHARGE OF POLYCHLORINATED BIPH~NYL COMPOUNDS ~ SEE PERMIT FOR OTH
El% o 8) Pnlvious editions may be used. IRcPI Aces cl'A FDRM T 40 wHlcH MAY NoT sc U5co.)00484/940307-1015 1
PcRMITTKKNAME/ADDRE55 (IttctudcFacttity /(omc(Locatlan IfdtffcrcntJ
ADDIEESS~~I
FACILITYI OCATION
TN: R ~ ~ DOI'I SUP V OPER TL'CHNOL
PERMIT NUMBER L!15CHA11CC HUMSC11
YEARFROM
MONITORING PERIODMO DAY YEAR MO DAY
TO
(20.2I/ (22 2/J (26 2f/ (26. I (2 2 I ( J
NATIONALPOLLUTANTOISCHAROC ELIMINATIONSYSTEM (IVPDEf/DISCHARGE MONITORING REPORT (D'OR/
2 /6 I/-/9 IlAJOR Form Approved.(SUBR 02) 0MB No. 2040-0004. ~
F - FINAL Approval expires 6-30-91
NASTE FILTER EFFLUENT
NO DISCHARGENOTE: Read instructions befo e completiilIIthis ferrrL
PARAMKTKR(f247) AVERAGE MAXIMUM
(I Card Only) QUANTITY OR LOADINQ(664) ) (f6'�)
UNITS
(d Card Only)(/Ldf)
MINIMUM AVERAGE MAXIMUM
QUALITY OR CONCENTRATION(664f) (f46l)
UNITS
FREQUENCYQFEX ANALYSIS
6243) (6648)
SAMPLETYPE
(69-70)
SOLIDS, TOL'ALSUSPENDED00530 1 0 0
SAMPLEMEASUREMENT
..- . PERMlTREa VIREMKNT.
Avtr AAA'VY' rt
gttrg&v'
vt AA LA%
~ AA !~ r'
NAAAAAn N %' r ~
30«0;: .': - 100+0
( 19)
OIL AND GREASEFREON EXTR-GRAY HET00556 1 0 0
FLOW F IN CONDUIT ORTH'RU TREATMENT PLAN5oo5o 1 0 o
SAMPLEEASUREMENT
PERMITARKaVIREMENT
SAMPLEEASUREMENT
PERMIT;.,REQUIREMEANT
A AQvgav&
Avv vv Am A
'REPORT '
4 A A! nr ~
vvAJ A~ n
( 03)
$ AAQAA
gc+~~gmc~~ 15 0
4 AgQA 4
m rr m nit( 0-
20«.0 '-:.;( 19)
NCZ/"
:- 9AILY
RAB. "
SAMPLEMEASUREMENT
', PERMIT!REQVIREMENT.
SAMPLEMEASUREMENT
PERMIT,REaulRKMKNT
SAMPLEMEASUREMENT
.- PERMIT.RED VIREMENT
SAMPLEMEASUREMENT
PKRMI'TREQUIREMENT
NAME/TITLEPRINCIPAL EXKCUTIVE OFFICER
Yrpw Sr V P
TYPED OR P INTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINEDAND AM FAMX.IAR Wl'rH THE INFORMATION SUBMITTED HEREIN. AND BASEDON MY INQUIRY OF THOSE INDIVCXIALS IMMKDtATELY RESPONSIBLE'OROBTAINING THE INFQRMAT10.'t. I BELIEVE THE SUBMITtED INFORMATIONIS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG.MFICANT PENALTIES FOR SUBMITFING FALSE INFORMATION. INCLVDINGTHE PDSSII«LttY QF FINK AND IMPRtSQNMKNT SEE IB USC l 1001 AND33 VSC $ 1319 tprna(t!rv vnarr thrvr itatvtrv may tnrlvdr /!nrv vp «! litttttand nr manm!vn tmpnnv! mmtt n/hrtvrrn 6 mvnthv and S!rara I
QNATURE F PRINCIPAL EX UTIVEOFFICER OR AUTHORIZED AQKNT
TELEPHONE
2NUMBER
DATE
YEAR MO DAYCOMMENT AND EXPLANATION OF ANY VIOLATIONS (Rr(rrrnrc all vttvchmcntt hrrc)
FLOM SHALL BE MEASURED DAILY MHEN DISCHARGING ~
EPA Form 3320-1 (Rev. IH)8) Pnwious editions may be used. IREI'I Acc5 EPA FQRM T ao wHIcH MAYNQT Bc v5KD.I00(I87/9(I0307-1015
I'AGC OF
PERMITTEE NAMEIADDRc55 (inctttdrFurtttty I(omr(Location IfdiffrrrnII
ADDRESS~>~he J r>L~~L~eg~pMUXLL
FACIUTYLOCATION
N ~ ~ DOTY SU V 0 R TECHIIOL
PERMIT NUMBER OtsCHAttOE HUMaan
YEARFROM
MONITORING PERIODMO OAY YEAR MO OAY
TO
(20-2II (22 ZII (Zd ZSI ( ~ I IZ ~ I ( I
NATIONALPOLLUTANTDI5CHAROE ELIMINATION5Y5TEM (JIPDESIDISCHARGE MONITORING REPORT (DI(RI
2-16 Irr.19 MAJOR Form Approved.(S0 BR 02) OMB No. 2040-0004.F - FINAL Approval expires 6-30-91.
571 CIRC MMATER PUMPHOUSE SUMP
NO DISCHARGE )NOTE: Read Instructions before completi)l(I%II|5 form.
PARAMETER
(SMZ) AVERAGE hfAXIMUM
(I Card Only) OUANTITY OR LOADING(664$ ) (Sdnll)
UNITS
(d Card Only)(Ie~S)
MINIMUM AVERAGE MAXIMUM
QUALITY OR CONCENTRATION(664J) (6461) NO.
UNITS6MB)
FREOUENCYOF
ANALYSISSAMPLE
TYPE
(66nSS) (69-70)
SOLIDS F TOTALSUSPENDED00530 1 0 0
OIL AllD GREASEFREON EXTR-GkAV MET00556 1 0 0
SAMPLEMEASUREMENT
- PERMlT,RKOUlREMKNT
SAMPLEEASUREMENT
r r Ar~ n e
Av e V J~ n L er ~
n rS(ln.n:-8
AA$gQ ~
n war
~ ne Av v-r" wn
e re J r hA
'Sn.Alt(4,
~ rrr'pe
: IY3)'tcnICC~~.
30.0 " 100.0
;-3.5' 0 '-;-
( 19) g
( 19)
'lz( (lesHCE/.. RAB
Vat (
NCK/::
FLOM IN CONDUI1 ORTHRV TREATMENT F1 AN50050 1 0 0
~e ~
SAMPLEEASUREMKNT
.=.PERWr ',RKO'UIREMKNT
REPORT(-,. - 'REPORT
( 03) e r e,war.vn 'r
Sir Y(n-4~+n(
Cltr:n-n-C:n
DAILY'.
SAMPLKMEASUREMENT
:: . PKRhll'r:'EqulREhlENT,
SAMPLEMEASUREMENT
PERM STRKCIUIRKMKNT
SAMPLEMEASUREMENT
PERhllTRKOUIRKMENT e s
rn(
SAMPLEMEASUREMKNT
PKItMIT.REOU)RKMKNT
e .
NAME/TITLEPRINCIPAl EXECUTIVE OFFICER
& If',v)l SV
(TYPED OR RINTED
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMWEDAHD AM FAMtLIAR WITH THE INFORMATION SUBM(TIED HERKIN, AHD BASEDON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FORQBTAIHWG THE WFORMAYIO(t. I BELIEVE THE SUBMtTIED INFORMATIONIS TRUE. ACCURATE AHD COMPLETE I AM AWARK THAT THERE ARE SIG-tartCAHY PENALYtKS FOR SUBM(IYtNG FALSE tNFORMArtDN. INCLUDINGTHE PossletLITY of'wE AND tMPRISDHMKHY sKE I B U 5 c I I 001 AHD33USC I t3I9. tPrnattns ar>arr thrsr statstrs mav enrladr /enrs ap tn 5(ttptstand e>r manmnm tmpnsrmmr>n n(hrtuvrn 6 mr>nths and Shrare t
ATURE OF RINCIPAL EXE TSVE
OFFICER OR AUTHORIZED GENT
TKLEPHONE
(7 Si/2- yazdNUMBER
DATE
DAYcoMMENT AND ExPLANATloN oF ANY vtoLATIoNs (Rr(rrrnrr vu vttvrhmrntr hrrr)
FLOM SlIALL BE tIEASURED DAILY MHEti DISCHARGING ~
YKAR M(tt
EPA Form 3320-t (Rev. 048) P(svious editions may be used. IREPLACC5 CPA FORM T 60 WHICH MAY NOT BC U5CO.I00490/940307 t~15 FAGS OF
1