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FOR AGENCY USE <br /> i. Facility(see Instructions) <br /> Give the hema,ownership.and physi. <br /> cal location of Vie plant or ocher - <br /> operating facility where dlscharge(s) <br /> presently occur(a)or will occur. CITY OF MANTECA WASTEWATER QUALITY CONTROL FACILITIES <br /> Name tolls' <br /> Ownership(Public.Private or <br /> Both Public and Private). 1050, E PU8 0 PRV 0 BPP <br /> Check block If a Federal facility 'IM 0 FED <br /> and give GSA Inventory Control <br /> Number 9034 <br /> Locations2250 WEST YOSEMITE AVENUE <br /> Number <br /> aer i street 10541 - <br /> cltylose MANTECA <br /> County 1056 SAN JOAQUIN <br /> State t®se CALIFORNIA <br /> 5. Discharge to Another Municipal <br /> Facility(see Instructions) <br /> 416 Indicate if part of your discharge tole 0 Yes E3 No <br /> If into a municipal waste trans• <br /> port system under another re. <br /> sponslble organization. It ye% <br /> complete the rest of this item <br /> and continue with Rem 7. It no.. <br /> go directly to Item 7. <br /> M. Responsible Organization <br /> Receiving Discharge <br /> Name )bib <br /> Number i Strait lona <br /> City ION <br /> State 1060 <br /> Zip Cone loaf <br /> C. Facility Which Receives Discharge lost <br /> Give the name of the facility <br /> (waste treatment plant)which rw <br /> wives and is ultimately resp®n• <br /> sl®lo for treatment of the discharge <br /> from your facility. <br /> d. Average Dally Flow to Facility IOSM fngd <br /> (mgd) Give your average daily <br /> now into the receiving facility. <br /> 7. Facility Discharges,Nymeer and <br /> Discharge Volume (lee Insiru6SiOn1) <br /> Specify the number of discharges ) !J <br /> described In this application avid the <br /> volume of water discharged Or lost <br /> to eacn of the categories below. -- <br /> Estimate average volume per day in <br /> minion gallons per day. 00 not in- - 0 Z r. <br /> elude Intermittent or noneontinuous N g ' <br /> overflows.oycasses or Seasonal dis- .. �---� <br /> charges from lagoons,holding <br /> ponds,etc <br /> I-2 <br />