Pretreatment Forms

Form TypeForms
pH Monitoring ReportsContinuous Discharge pH Report Form 
Batch Discharge pH Monitoring Report Form 
Batch pH and Color Report Form 
Batch pH and Chlorine Residual Report Form
Self-Monitoring Compliance Report FormsBucklin Point Form
Field’s Point Form
Zero Process Discharge CertificationMonthly Certification Form
6-month Certification Form
Spill and Slug Prevention Control PlanSpill and Slug Prevention Control Plan 
Attachment A
Toxic Organic/Solvent Metal Management PlanToxic Organic/Solvent Management Plan
Designation of Authorized Agent FormDesignation of Authorized Agent Form
Plans Requirement ChecklistProcess Wastewater Discharge Checklist 
Zero Process Wastewater Discharge Checklist
List of Approved Amalgam Separators and Line Cleaners for DentistsList of Amalgam Separators and Line Cleaners for Dental Facilities
Best Management Practices for the Management of Waste Dental Amalgam Attachment A – Best Management Practice Certification
One Time Compliance Report for Dental FacilitiesOne Time Compliance Report for Dental Facilities
Facility Shutdown ProcedureFacility Shutdown Procedure
List of Equipment Manufacturers of Grease Removal SystemsList of Equipment Manufacturers of Grease Removal Systems
Grease Removal Log SheetsGrease Removal Unit Log Sheet 
Indoor Passive Grease Trap Log Sheet 
Outdoor Grease Trap Log Sheet
Mass-based Limit WorksheetMass-based Limit Worksheet
24-hour Notification Fax24-hour Notification Fax
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