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1d 9 0 <br />INDUSTRIAL WASTEWATER CLASS III PERMIT <br />PAGE 2 <br />V.1:Afi-JW[;J- <br />, .1 J <br />Wastewater generating processes. Check all that apply and indicate wastewater flow rate in <br />2verage gallons per day. <br />Sanitary (restrooms) <br />Cafeteria <br />Silk Screening <br />Cooling Water <br />Washing/rInsing of equipment <br />Food Processing <br />Photographic process <br />Boiler <br />Iffigationflandscape <br />Vehicle Washing <br />Medical/Dental <br />Manufacturing/Prooess <br />Other <br />Total <br />2. Describe wastewater generating processes checked abovw. <br />Min& <br />3. List chemicals or pollutants which may be carried into the sewer process dis arges, oor <br />drains, rinse water, wash up, etc. Attach applicable IVISDS sheets. <br />M <br />Chemical Quanaty go Ilk <br />4. List other chemicals used on site which are not expected to be present in wastewater. <br />�krj loll tj I a 6 a <br />El YES NO <br />PART C: POLLUTANT ABATEMENT <br />1. Check the type of treatment or controls that will be used to reduce the amount of polluwfti <br />discharged to the sewer. <br />None Grease trap/Interceptor <br />Settling Filtration <br />pH adjust, manual SON rinses, riot discharged <br />silver recovery Waste collection, not discharged <br />Mercury/Amalgam Removal Sand/Oil Interceptor <br />Other <br />0TIAT-T. I M- 4 .#. <br />