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CITY OF STOCKTON <br /> © MUNICIPAL UTILITIES DEPARTMENT <br /> REGIONAL WASTEWATER CONTROL FACILITY Septic Tank Truck <br /> 2500 NAVY DRIVE Special Application/Permit <br /> STOCKTON, CALIFORNIA 95206 <br /> (209)944-8750 <br /> FAX:(209)944-8708 For Wastewater Discharge <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 chemical properties of each substance and product.Include Laboratory Analysis and Material Safety Data Sheets. <br /> NAME DESCRIPTION QUANTITY Gallons <br /> analyses J1 <br /> Discharge Information — Number of batch discharges: 4 per month day (circle one) <br /> Time of batch discharges: at <br /> (Days d Week) (Eburs of Day) <br /> Average quantity per batch: 6,000 gallons. <br /> Comments: Will raise PH above 5.0 prior to discharge to Stockton RWCF. <br /> Wastewater Consitutents—Indicate if any of the following constituents,characteristics or substances is or can be present(X) in your <br /> wastewater discharge. <br /> CODE CONSTITUENTS CODE CONSTITUENTS CODE CONSTITUENTS <br /> ALGC AI cles' FORMA Formaldehyde RAO Radioactivity <br /> ici <br /> AL Aluminum HC Hydrocarbons' SE Selenium <br /> NH3N Ammonia X 1- Iodide AG Silver <br /> SB Antim nV FE Iron NA Sodium <br /> AS Arsenic PB Lead SOLV Solvents' <br /> BA Barium MG Magnesium SO4= Sulfate <br /> Beryllium MN Sulfide <br /> BE S=T <br /> B Boron HG Mercur S03= Sulfite <br /> BR- Bromide MO Molybdenum MBAs Surfactants MBAS <br /> CD Cadmium NI Nickel TEMP Temperature <br /> CA Calcium O&G M Oil &Grease (Min. Orig.) <br /> CL2 Chlorine O&G T Oil & Grease (Total) PN <br /> Titanium <br /> CL- Chloride PESTC Pesticides' Tin <br /> CR Chromium PH H Increase + Vanadium <br /> CO Cobalt PH pH Decrease(–) Volatile Acids <br /> L&_::��Cyan�.de ��_ <br /> PHENL Phenols Zinc <br /> P Phosphorus Total Nitrogen <br /> F_ I Fluoride K I Potassium C Cresols' <br /> 'Identify the Chemical Compounds or Elements (Include Laboratory Analysis) <br /> Comments <br /> Other Liquid, Solid or Semi-Solid Wastes — List the type and volume of liquid waste removed from the premises. <br /> DESCRIPTION VOLUME (gal/mo)— REMOVED BY name and address DISPOSAL SITE <br />