Pretreatment Forms

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Form Type Forms

pH Monitoring Reports

 Continuous 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 Forms

Bucklin Point Form

Field's Point Form

Zero Process Discharge Certification

 Monthly Certification Form

6-month Certification Form

Spill and Slug Prevention Control Plan

 Spill and Slug Prevention Control Plan

 Attachment A

Toxic Organic/Solvent Metal Management Plan

  Toxic Organic/Solvent Management Plan

Designation of Authorized Agent Form

  Designation of Authorized Agent Form

Plans Requirement Checklist

 Process Wastewater Discharge Checklist

 Zero Process Wastewater Discharge Checklist

List of Approved Amalgam Separators and Line Cleaners for Dentists

 List 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 Facilities  One Time Compliance Report for Dental Facilities

Facility Shutdown Procedure

 Facility Shutdown Procedure

List of Equipment Manufacturers of Grease Removal Systems

List of Equipment Manufacturers of Grease Removal Systems

Grease Removal Log Sheets

 Grease Removal Unit Log Sheet

 Indoor Passive Grease Trap Log Sheet

 Outdoor Grease Trap Log Sheet

Mass-based Limit Worksheet

Mass-based Limit Worksheet

24-hour Notification Fax

24-hour Notification Fax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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.