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CITY OF ROCKTON <br /> © MUNICIPAL UTILITIES DEPARTMENT <br /> REGIONAL WASTEWATER CONTROL FACILITY Septic Tank Truck <br /> 2500 NAVY DRIVE <br /> STOCKTON, CALIFORNIA 95206 Special Application/Permit <br /> (209) 944-8750 <br /> FAX: (209) 944-8708 For Wastewater Discharge <br /> PART B - BUSINESS DESCRIPTION <br /> Applicant Business Name: <br /> Address of premise discharging wastewater: <br /> Street <br /> City Zip <br /> Business Address: <br /> Street <br /> City Zip <br /> Mailing <br /> City State Zip <br /> Chief Executive Officer: <br /> Name Title <br /> Mailing Address City State Zip <br /> Person to be contacted about this application: <br /> Name Title Phone <br /> Person to be contacted in case of emergency: <br /> Name Title <br /> Day Phone Night Phone <br /> Business Activity SIC <br /> Type of Products: <br /> Description of wastewater generating operations: <br />