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01/27/2004 14:16 E.E.C. 4 12094683433 N0.029 D06 <br /> CITY OF STOCKTON <br /> MUNICIPAL UTILITIES DEPARTMENT <br /> *A& REGIONAL WASTEWATER CONTROL FACILITY Septic Tank Truck <br /> 2500 NAVY DRIVE Special Application/Permit <br /> STOCKTON, CALIFORNIA 96208(20)937• 7 Wastewater>rYastewateF Discharge <br /> � FAX; (20A)837.6708 <br /> i <br /> PART C — DISCHARGE INFORMATION <br /> Substances Proposed to be Discharged —Give common and technical names of any materials proposed to be discharged. Briefly <br /> describe the physical and chemlcal properties of each substance and product.Include Laboratory Analysis end Material Safety Data sheets. <br /> NAME DI°9CRIPTION '4UA TIrY osl a <br /> bj w • a r r L rq <br /> a I�. a C:• n, <br /> Discharge Information — Number of batch discharges: per month/day (circle one) <br /> Time of batch discharges: , ___ , at <br /> (bays of Wook) (HOurt o1 NY) <br /> Average quantity per batch: gallons. <br /> Comments:7h Ls - 06 e +:mt cJ Q�i ►" j r� tr+,.J�I c� � �g f D <br /> Wastewater Coneltutents--Indicate If any of the following constituents, characteristics or substances is or can be present(X)In your <br /> wastewater discharge. <br /> COIJE CON,5TITUENTS I CODE CONSTITU NTS 11 coloe CO 'PUENTS <br /> At= AI leides• FORMA Formaldehyde RAO Radlo@cIM <br /> AL Aluminum HC Hydrocarbons' BE selenium <br /> NH3N Amm nia I. Iodide AO Silver <br /> Be AnTirriont FE Iran NA Sodium <br /> AS A -Landsolvers, <br /> BA Barium 11 ma a nesium 1 SOAM Sulfatsa <br /> BE pa Ilium I MN Man anase I SOT Sulfide <br /> B Boron I HO Merou 803n 9ullte <br /> OR- Bromide I MO Molybdenum MBA® Surfaotante MBA6 <br /> CD Ca ml T I N1 Nickel TEMP lkn erature <br /> CA Calcium 0&0 M Oil &Grease Min, Orig.) <br /> CL2 Chlorine 040 T CII &Grease al TI Titanium <br /> CV Chloride PEft Pesticide®' SN Tin <br /> CR Chramlum PH M Increase + Y Vanatliurn <br /> CO Cobalt PH RH Decrease — TVA Volitl(la Asada <br /> CU Copper PHENL Phanuls Zinc <br /> CN Cysnida P Phae horus N Total Nitro en <br /> F— I Fluoride K Potassium C Croeals' <br /> 'Identify the Chemlcal Co pounds or Elements(Include Laboratory Analysis) <br /> k <br /> 7.sZ ',- 2 <br /> r e - t. <br /> Comments <br /> 1.Other Liquid, Solid or Semi-Solld Wastes — List the type and volume of liquid waste removed from the premlaea. <br /> DEBCR MON VOW ME 19alimaL REMOVED 8 fnarns and address DISPOSAL SITE <br /> f <br />