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What does the geodatabase (.mdb) file do in WaterGEMS for ArcMap?
The geodatabase file acts as an intermediate file that allows ArcMap to communicate data from and to the WaterGEMS database file. For the newer version of the software from 08.11.04.58 + this is the .sqlite file and for previous versions this was an .mdb file.
WaterGEMS for ArcMap FAQ