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ICIPAL UTILITIES DEPARTMEN <br /> REGIONAL WSTEWATER CONTROL FACILITIO <br /> ® 25W NAVY DRIVE <br /> STOCKTON, CALIFORNIA 952(6 Groundwater Discharge Attachment <br /> C� OF STOCKTON `209' x9s <br /> "- 76o Part B - Groundwater Description <br /> PURPOSE—The Groundwater Description will be used to evaluate all aspects of the groundwater proposed to be <br /> discharged to the sanitary system <br /> Further instructions on reverse side <br /> B1 Business Activity— Describe the present and past business activity occurring on the premise, as well as present <br /> and past wastewater generating operations <br /> a) Present Activity <br /> Product <br /> Wastewater Generating Operations (s) <br /> b) Past Activity <br /> Product <br /> Wastewater Generating Operations(s) <br /> B2 Description — Describe the known or suspected pollutant source(s) and history of the groundwater contaminants <br /> (Attach sheets as necessary) 0® qa F*/,�- <br /> �'�►e_ 6116)trr1 P amu. <br /> O a Co b O v <br /> M f <br /> B3 Substances Proposed to be Discharged -- Give common and technical names of any materials or chemicals pro- <br /> posed to be discharged to the sewer Briefly descnbe the physical and chemical properties of each substance and <br /> product Give proposed concentrations (Attach sheets as necessary) <br /> NAME / E IP ION CONCENTRATIONS <br /> 1 164 •ham <br /> a <br /> B4 Proposed Quantities—give the average estimated gallons/day as well as peak hourly and peak daily flows in gallons <br /> of the groundwater proposed to be discharged to the sewer <br /> B5 Proposed Discharge Period --- Give the following information - <br /> a) Discharge will occur daily from to <br /> b) Circle the k that the discharge will occur- <br /> S M T W T F S <br /> c) Seasonal — arc e t e month(s) of the year the discharge will occur <br /> J F M A M J J A S 0 N D <br /> d) Years — Indicate the total proposed discharge period <br /> MUD 1089 <br />