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Resource Recovery Program RESOURCE RECOVERY PERMIT (NON-HAZARDOUS) <br /> 46/3P. O.Box 24055,MS 702 Addendum A <br /> Oakland,CA 94623-1055 <br /> EBMUD (510)287-1336 <br /> RRwaste@ebmud.com <br /> Material Acceptance Agreement <br /> A Material Acceptance Agreement must be completed for each material. Include a complete description of the process <br /> generating the material. If applicable, include analytical data and MSDS, along with percentage concentration of constituents of <br /> concern within the material. If your Material Acceptance Agreement is approved, a Gate Pass will be sent to you. You may only <br /> deliver materials for which you have received a Gate Pass; each delivery must be accompanied by an EBMUD Gate Pass. <br /> I certify that the description of the waste below is a true and accurate representation of the wastewater and any <br /> changes to the wastewater described below will be disclosed to the EBMUD Resource Recovery Program for further <br /> review of material acceptability. <br /> To be completed by CUSTOMER To be completed by EBMUD <br /> Ponder Environmental Services, Inc. <br /> 1) Permit Holder(Company Name) Permit Number <br /> SFPP LP (STOCKTON TERMINAL) <br /> 2) Generator/Site Name Material Description <br /> 2947 Navy Drive, Stockton, CA 95206 <br /> 3) Site Address Material Type <br /> Liquid 3,000 - 4,000 gallons <br /> 4) Material Composition (Ex:liquid,sludge,etc) 5) Estimated Volume (gallons or pounds) <br /> ASAP 1 load <br /> 6) Estimated Deliver Dates (Ex:April 8-16,2013,or on-going) 7) Delivery Frequency (Ex: M,W,F (3)loads/day) <br /> 8) Describe wastewater generation and its known and potential pollutants. <br /> This was clean city water used to test volume flow through product lines. The lines had been <br /> flushed prior to this process, and the only possible constituent of concern was TPH. <br /> 9) Is the wastewater generation subject to Federal Categorical Pretreatment Standards? Yes ❑ No 0 <br /> • If yes,indicate Federal Categorical regulation 40 CFR <br /> • If yes,is the wastewater fully compliant with the applicable federal categorical regulations?Yes ❑No ❑ <br /> 10) P.O. or job number(if desired for your tracking purposes): Job #19-8007 <br /> 11) Permit Holder Signature (or duly authorized representative): <br /> Joe Anderson, Compliance Manager 7/9/2019 <br /> Print Name and Title Date <br /> joe.anderson@ponder-env.com <br /> Signure of Permit Holder Email Address <br /> Recommendation by R2 Program Manager: (For EBMUD Use Only) <br /> COMMENTS (such as volume capacity): <br /> EBMUD Resource Recovery Program Permit Decision: Approved Rejected Expiration Date: <br /> Division Manager Signature: Date: <br /> Revised 9/1/2013 <br />