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Permit Application & Related Documents
Published: 12/31/2003  |  Updated: 08/15/2006
Published By: ERM: Pollution Prevention

Dental practices must submit a Dental Practice Wastewater Discharge Permit Application Form to the City and County of San Francisco.  The following documents have been prepared to assist dental practices in completing their applications:
ALL dental practices must follow specific Mandatory Best Management Practices (BMPs) in addition to submitting their application form.  When dental practices receive their permit from the City, a BMP Certification Form will be included.  Practices must sign this certification form and submit it to the City to certify that they have implemented these required BMPs. 
    

Dental practices that select Option 1 in order to comply with the permit requirements (installation of an amalgam separator) will need the following forms and resources:



Attachments: (Help)
pdf attachment Mandatory Best Managment Practices (BMPs) (99 KB)
pdf attachment Mandatory BMPs Certification Form (48 KB)
pdf attachment List of Approved Amalgam Separators (76 KB)
pdf attachment Instructions for Completion of Permit Application (209 KB)
pdf attachment Example of Completed Permit Application (324 KB)
pdf attachment Dental Practice Wastwater Discharge Permit Application Form (311 KB)
pdf attachment Amalgam Separator Installation Report Form (57 KB)



 
 
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