WASTEWATER TREATMENT/DISCHARGE. 5.1 Do you discharge industrial wastewater to: storm drain? sewer? surface water? no industrial discharge
5.2 Is your industrial wastewater treated before discharge? Yes ( ) No ( ) If yes, describe the type of treatment conducted.
5.3 Attach copies of any wastewater discharge permits issued to your company with respect to its operations on the premises.
WASTEWATER TREATMENT/DISCHARGE a. Do you discharge industrial wastewater to: ____ storm drain? ____ sewer? ____ surface water? ____ no industrial discharge
b. Is your industrial wastewater treated before discharge? Yes ( ) No ( ) If yes, describe the type of treatment conducted. ____________ ________________________________________________________________________________ __________________________________.
c. Attach copies of any wastewater discharge permits issued to your company with respect to its operations on the Premises.
WASTEWATER TREATMENT/DISCHARGE. 5.1 Do you discharge industrial wastewater to: _____storm drain? _____sewer? _____surface water? _____no industrial discharge
5.2 Is your industrial wastewater treated before discharge? Yes ( ) No ( ) If yes, describe the type of treatment conducted. ________________________________________________________________________________________________________________________________________________
WASTEWATER TREATMENT/DISCHARGE. 6.1 Do you discharge wastewater to: Storm drain: Yes o No ý Sewer: Yes o No ý Surface water: Yes o No ý Industrial xxxxx.: Yes o No ý Is your wastewater treated before discharge? Yes o No o If yes, describe the type of treatment conducted.
6.3 Attach copies of any wastewater discharge permits issued to your company with respect to its operations at the premises.
WASTEWATER TREATMENT/DISCHARGE. 6.1 Will your proposed operation require the discharge of wastewater to (answer Yes or No to each of the following)? surface water no industrial discharge storm drain sewer
6.2 Does your business have a Sewer Use Questionnaire on file with Alameda County Sanitation District? Yes No
6.3 Is your wastewater treated before discharge? Yes No Not Applicable
6.4 Does your business conduct operations outside the building or store materials outside? Yes No Not Applicable
6.5 Do you have a Storm Water Pollution Prevention Plan (SWPPP)? Yes No Not Applicable
6.6 Does your business have a General Permit for storm water discharge associated with industrial activity? Yes No Not Applicable
6.7 Does your business operate under a National Pollution Discharge Elimination System (NPDES) Permit? Yes No Not Applicable 60447235.v9
WASTEWATER TREATMENT/DISCHARGE. Do you discharge industrial wastewater to: storm drain? sewer? surface water? X no industrial discharge
WASTEWATER TREATMENT/DISCHARGE. 6.1 Do you discharge wastewater to: NA storm drain? NA sewer? NA surface water? NA no industrial discharge
6.2 Is your wastewater treated before discharge? Yes ¨ No x If yes, describe the type of treatment conducted.
6.3 Attach copies of any wastewater discharge permits issued to your company with respect to its operations at the premises.
WASTEWATER TREATMENT/DISCHARGE. 6.1 Do you discharge wastewater to: Storm drain: Yes [ ] No [ ] Sewer: Yes [ ] No [ ] Surface water: Yes [ ] No [ ] Industrial xxxxx.: Yes [ ] No [ ] Is your wastewater treated before discharge? Yes [ ] No [ ] If yes, describe the type of treatment conducted. ______________________________________________________________________
WASTEWATER TREATMENT/DISCHARGE. 6.1 Will your proposed operation require the discharge of wastewater to (answer Yes or No to each of the following)? storm drain sewer surface water no industrial discharge
6.2 Does your business have a Sewer Use Questionnaire on file with Sacramento Regional County Sanitation District? Yes o No o
6.3 Is your wastewater treated before discharge? Yes o No o Not Applicable o If yes, describe the type of treatment conducted. Does your business conduct operations outside the building or store materials outside? Yes o No o Not Applicable o
6.4 Do you have a Storm Water Pollution Prevention Plan (SWPPP)? Yes o No o Not Applicable o
6.5 Does your business have a General Permit for storm water discharge associated with industrial activity? Yes o No o Not Applicable o
6.6 Does your business operate under a National Pollution Discharge Elimination System (NPDES) Permit? Yes o No o Not Applicable o
6.7 Attach copies of any wastewater discharge permits issued to your company with respect to its operations on the premises.
WASTEWATER TREATMENT/DISCHARGE. 6.1 Do you discharge wastewater to: storm drain? other? Describe. ---- ---- ----------------- --------------------------------------------- surface water? no industrial discharge ---- ---- sewer? ----
6.2 Is your wastewater treated before discharge? Yes [ ] No [ ] If yes, describe the type of treatment conducted. If no, explain why treatment is not required. --------------------------------------------------------------
6.3 Attach copies of any wastewater discharge permits issued to you with respect to the operations on the premises.
6.4 Provide the name, telephone number and agency (local, state or federal) which supervises your wastewater discharge practices: -------------------------------------------------------------- --------------------------------------------------------------
