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Abbreviated Discharger Information Report

DS14 Pollution Prevention - Form 1

DS14 Halifax Water Pollution Prevention Abbreviated Discharger Information Report - Form 1

Required fields are marked with an asterisk (*)

The completion of this form by all dischargers of wastewater systems is required under the Schedule of Rates, Rules & Regulations for Water, Wastewater, and Stormwater Services.

Enter business address:
 

Is the mailing address the same as the business address?
Please enter your mailing address

ARE THERE ANY OF THE FOLLOWING WASTEWATER DISCHARGES?

Process Wastewater
Non-Contact Cooling Water
Other Sources of Wastewater (non-domestic)
Location of Process Units?
Storage of Raw Materials?
Storage of Intermediate Products?
Storage of Final Products?

IS YOUR WASTEWATER SUBJECT TO ANY TYPE OF TREATMENT BEFORE DISCHARGE? IF YES, YOU ARE REQUIRED TO ALSO FILL OUT THE DETAILED DISCHARGER INFORMATION REPORT (FORM DS15)

Grease Interceptor (CAN/CSA B-481.2)
Vehicle and Equipment Service Oil and Grease Interceptor
Sediment Interceptor
Dental Waste Amalgam Seperator

DOES THE SITE HAVE ANY OF THE FOLLOWING PROGRAMS IN PLACE TO ADDRESS DISCHARGES TO THE WASTEWATER SYSTEM?

Pollution Prevention
Best Management Practices
Environmental Management System
Additional Programs/Practices

If you have any questions or concerns regarding this form please contact our Customer Care Centre.