Section C – Wastewater Characterization Table 1: Summary of Total Sewer Discharges by Outfall (see instructions) Wastewater Flow (gal) BOD (mg/L) TSS (mg/L) TKN (mg/L) pH pH Batch* or Flow Rate Pollutants/ (specify range (specify Process (describe) Daily Daily Monthly Continuous (gpm**) Characteristics Avg Max Avg Max Avg Max before range after Average Max Max treatment) treatment) OF1: OF2: OF3: Domestic 180 180 40 40 N/A N/A N/A N/A N/A * If batch discharge, complete table below. ** gpm = gallons per minute. State how the rate of discharge will be controlled: Table 2: Batch Discharges to Sewer # discharges per (indicate) day, Batch Process Volume per batch Duration week, month, or year For Office Use Only: Flow (gallons) Flow (pathogen gal) BOD (lbs) TSS (lbs) TKN (lbs) gpm Max Monthly for SIF Eval: Table 3: Wastewater Discharges Wastewater Amount Wastewater Amount Describe Other Location Discharged to Other Describe Water Source Process/Wastestream Discharged to Sewer (e.g., product consumption, Location (gal/day) (well or City name) evaporation, recycled) (gal/day) Complete next column Process Cooling Boiler Water Treatment Washdown Irrigation Domestic Other wastestream (specify) Other wastestream (specify)
Section C – Wastewater Characterization Table 1: Summary of Total Sewer Discharges by Outfall (see instructions) Process (describe) Wastewater Flow (gal) BOD (mg/L) TSS (mg/L) TKN (mg/L) pH (specify range before treatment) pH (specify range after treatment) Batch* or Continuous Flow Rate (gpm**) Pollutants/ Characteristics Daily Average Daily Max Monthly Max Avg Max Avg Max Avg Max OF1: OF2: OF3: Domestic 180 180 40 40 N/A N/A N/A N/A N/A * If batch discharge, complete table below. ** gpm = gallons per minute. State how the rate of discharge will be controlled: Table 2: Batch Discharges to Sewer Batch Process # discharges per (indicate) day, week, month, or year Volume per batch Duration For Office Use Only: Flow (gallons) Flow (pathogen gal) BOD (lbs) TSS (lbs) TKN (lbs) gpm Max Monthly for SIF Eval: Table 3: Wastewater Discharges Process/Wastestream Describe Water Source (well or City name) Wastewater Amount Discharged to Sewer (gal/day) Wastewater Amount Discharged to Other Location (gal/day) Complete next column Describe Other Location (e.g., product consumption, evaporation, recycled) Process Cooling Boiler Water Treatment Washdown Irrigation Domestic Other wastestream (specify) Other wastestream (specify)
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