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Wastewater Treatment Plant
Bath Industrial Waste Survey
Bath Industrial Waste Survey
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Bath Industrial Waste Survey
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Company Name
Facility Contact
(Person who is thoroughly familiar with operation of the facility and with the facts reported in this questionnaire, who can be contacted if necessary)
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Name
*
Title
*
Work Phone
*
Email
*
Facility Mailing Address
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Facility Location
Nature of Business
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Principal Product or Process
Applicable NAICS or SIC Code(s)
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Description of Product or Process
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Hazardous or Significant Chemicals or Materials Stored or Used Onsite
Wastewater Details
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Do you use water for purposes other than sanitary (toilet, shower) use?
Yes
No
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Do you discharge process wastewater to the public sewer system?
Yes
No
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Is your facility equipped with a grease trap?
Yes
No
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Do you treat the wastewater prior to discharge?
Yes
No
If yes, describe briefly (e.g. pH adjustment, oil separation, etc.)
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Signature
*
Date
Submit
Submit Bid
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Director
Lee Leiner
lleiner@cityofbath.com
Superintendent
Bryan Levitt
blevitt@cityofbath.com
General Information
Staff Directory
Phone Numbers
207-443-8348
Emergencies: Dial 911
Location
1 Town Landing Road
Bath,
ME
04530
Get Directions
Monday - Friday, 6:30AM - 2:00PM
