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Appendix G: New Jersey Industrial Survey
Pages 139-152

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From page 139...
... ~pCDd~ ~ Nag louse Industda1 Sumac List of Selected Substances (gable 1) Selected Substance Report Quesdonnsire and Instructions *
From page 140...
... 140 {D ' C C os o, _ o CL - ~D C)
From page 141...
... 1, HEREBY, CERTIFY TttAT AEL STATEMENTS MAOE eY ME iN TFtlS REP - T ARE TRUE, COMPLETE ANO CORRECT TO ThiE BEST OF ~ KNOWL~E A~ THAT ESTIMATES WH~E US~ HAYE B~N ~OE IN G=O FAITH. NAME (Prtnt)
From page 142...
... and dispmal SltO (1 s by 1and spr~ding or buri~, landtililng, lagoon or s - Pago Pit) sit~r on or ott site?
From page 143...
... P`OUCT I Form CO~ 021 8 q - . ~ State ol New lereq ~tn~rn o' Environ~tal Proteetion ART tI SELECTED SUBSTANCE REPORT OMPLETE ONE FORM FOR EACH SE~£CTED SUBSTANCE ~ ar*
From page 144...
... The Industrial Survey Project is being conducted by DEP's Toxic Substances Program. If you have questions about the survey or the questionnaire forms, or if you need additional information, you may contact: Industrial Survey Project 1474 Prospect Street EN 405 Trenton, New Jersey 08625 Tel.
From page 145...
... seq.~. These regulations describe the proj ect in somewhat greater detail, provide for the protection of confidential information submitted by survey respondents, and set penalties for persons who fail to return questionnaires or who make unauthorized disclosures of confidential information.
From page 146...
... For your own protection, we recommend the use of certified mail, return receipt requested, a messenger service, personal delivery, or some other means that will give you verification that the Project has received your material. You may use ordinary mail, but the Proj ect assumes no responsiblity for materials not signed for until they are actually received in the proj ect office.
From page 147...
... You may use engineering estimates and computations; process material balance studies; field tests or measurements made by the plant, equipment manufacturers or government agencies, or other technically sound bases.
From page 148...
... Part I consists of 15 questions about the plant site, its operations and its use of selected substances. Part II consists of separate sheets, each of which is to be filled out with information about only one selected substance.
From page 149...
... The Proj ect is aware of this, and it has beer taken into account in the design of the computer programs that will analyze the survey responses. QUESTION 4 - Quantity Producted on Site: this refers to quantities of the substance synthesized in your plant production processes.
From page 150...
... Since computing an average daily storage quantity would require averaging your daily inventory records over an ent' re year, to simplify your response we have requested only the maximum quantity stored. Enter the largest amount of selected substance you had in storage on-site at any time during 1981.
From page 151...
... QUESTION 12 - Discharge into Publicly Owned Treatment Works: Enter the total quantity of selected substance you discharged into a municipal sewer system or one owned by an MUA, SA or regional utilities authority. WASTE DISPOSAL (Question 133: This question asks you to describe how you dispose of wastes containing selected substances which are not emitted into the atmosphere or discharged into surface waters or sewerage systems.


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