Pretreatment Forms

Pretreatment forms are designed to satisfy the Narragansett Bay Commission Rules & Regulations as well as applicable state and federal laws. If you have a question about which forms are appropriate for you, please consult your permit or contact the NBC at (401) 461-8848 or pretreat@narrabay.com.

To download a PDF version of the form, just click on the title or the(Adobe Reader) icon. You must have Adobe Acrobat Reader installed on your computer to download a PDF file.


Form Type Forms

pH Monitoring Reports

Adobe Reader Continuous Discharge pH Report Form

Adobe Reader Batch Discharge pH Monitoring Report Form

Adobe Reader Batch pH and Color Report Form

Adobe Reader Batch pH and Chlorine Residual Report Form

Self-Monitoring Compliance Report Forms

Adobe ReaderBucklin Point Form

Adobe Reader Field's Point Form

Zero Process Discharge Certification

Adobe Reader Monthly Certification Form

Adobe Reader6-month Certification Form

Spill and Slug Prevention Control Plan

Adobe Reader Spill and Slug Prevention Control Plan

Adobe Reader Attachment A

Toxic Organic/Solvent Metal Management Plan

Adobe Reader Toxic Organic/Solvent Management Plan

Designation of Authorized Agent Form

Adobe Reader Designation of Authorized Agent Form

Plans Requirement Checklist

Adobe Reader Process Wastewater Discharge Checklist

Adobe Reader Zero Process Wastewater Discharge Checklist

List of Approved Amalgam Separators and Line Cleaners for Dentists

Adobe Reader List of Amalgam Separators and Line Cleaners for Dental Facilities

Best Management Practices for the Management of Waste Dental Amalgam

Adobe Reader Attachment A - Best Management Practice Certification

Facility Shutdown Procedure

Adobe Reader Facility Shutdown Procedure

List of Equipment Manufacturers of Grease Removal Systems

List of Equipment Manufacturers of Grease Removal Systems

Grease Removal Log Sheets

Adobe Reader Grease Removal Unit Log Sheet

Adobe Reader Indoor Passive Grease Trap Log Sheet

Adobe Reader Outdoor Grease Trap Log Sheet


The NBC’s Guide to Understanding Your Wastewater Discharge Permit offers a section-by-section explanation of your discharge permit, but if the Guide doesn’t answer your questions, please give Pretreatment staff a call at (401) 461-8848 or email at pretreat@narrabay.com. Click here for the Guide.


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