City of Palo Alto Homepage
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Location:
250 Hamilton Avenue
Palo Alto, CA 94301
Telephone:
Phone: 650-329-2295
Hours:
Mon-Thu 7:30-5:30pm
Fri 8-5pm
Forms, Permits and Applications

Water Quality reviews the plans for the following:

  • New facilities
  • Remodels
  • “Spec” buildings
  • Laboratories
  • Facilities with hazardous materials storage or use
  • Commercial facilities with discharges
  • Food service facilities
  • Photo Shops
  • Auto Service
  • Dry Cleaners
  • Medical
  • Dental
  • Buildings with Elevators with discharge lines
  • Buildings with Loading docks
  • Buildings with Cooling towers
  • Buildings with Proposed high water use
  • Residential
  • Large/multi-unit Residential Projects
  • Projects with Underground parking
  • Projects with Swimming pools (other than single family)
  • Projects with Elevators with discharge lines

Industrial Waste Permitting
Permit Issuance

Phone: 650-329-2598
Fax: 650-494-3531

Forms and Permit Applications
This section contains forms to print from your computer. You cannot submit the data online at this time.
About these Forms
Revision Date: 06/04/2007
Annual Best Management Practices Certification
PDF
Annual Best Management Practices Certification
Revision Date: 06/04/2007
Word 2000 DOC
Annual Best Management Practices Certification
Revision Date: 06/04/2007
Building Plan Submissions
Sewer Use Questionnaire
Water Quality Questionnaire (Sewer Use Questionnaire) for new and remodel projects
Revision Date: 06/06/2006
Common Review Comments And Corrections
Common Review Comments And Corrections
Revision Date: 06/06/2006
Dental Practice Requirements and Information
Amalgam waste reduction requirements and other information
Dental Section of the Sewer Use Ordinance
Requirements for dental facilities that remove or place amalgam fillings excerpted from the city of Palo Alto ordinance.
Revision Date: 06/05/2006
Inspection Checklist
Dental office inspection checklist regarding amalgam waste management practices
Revision Date: 06/02/2006
Self-Certification of Amalgam Management Requirements
Self-Certification of Amalgam Management Requirements. This form is due on June 15, 2004. Contact us if you need an extension.
Revision Date: 06/02/2006
Self-Certification of Amalgam Separator Installation
Self-Certification of Amalgam Separator Installation. This form must be submitted by the dental practice, with appropriate attachments, within 30 days of installation of the amalgam separator.
Revision Date: 06/02/2006
Summary of Requirements - Program Overview Fact Sheet
Dental amalgam recovery program overview
Revision Date: 06/02/2006
Periodic Report of Continued Compliance (PRCC)
Data Log - Excel 97 XLS
Periodic Report of Continued Compliance (PRCC)
Revision Date: 06/06/2006
PDF
Periodic Report of Continued Compliance (PRCC)
Revision Date: 06/06/2006
Word 2000
Periodic Report of Continued Compliance (PRCC)
Revision Date: 06/06/2006
Permit Issuance
A discharge permit is required for the discharge of any process water from the facilities or activities below.
Automotive Repairs/Car Washes
Industrial waste discharge permit application (for discharge to the sanitary sewer system) for vehicle service facilities
Revision Date: 06/06/2006
Contaminated Ground Water
Application guidelines for dischargers of contaminated groundwater to the regional water quality control plant
Revision Date: 06/06/2006
Cooling Water>2000 Gallons/Day/New Facilities Permit Application
Industrial waste discharge permit application
Revision Date: 06/06/2006
Discharge Application For Exceptional Wastewater
Discharge Application For Exceptional Wastewater form, Sampling Instructions and Designation of Authorized Representitive Form used for: One Time Discharge<2000 gallons, One Time Discharge>2000 gallons, and other exceptions.
Revision Date: 06/06/2006
Hazardous Waste Certification Addendum
Certification that wastes for which the discharge application is filedm will not constitute “hazardous waste”
Revision Date: 06/06/2006
Industrial Waste Discharge Permit Renewal Application
Use this application for RENEWAL of an Industrial Waste Discharge Permit
Revision Date: 06/06/2006
Machine Shops
Industrial waste discharge permit application (for discharge to the sanitary sewer system) for machine shop facilities
Revision Date: 06/06/2006
Photo Processing Facilities
Silver Reduction Ordinance Treatment Compliance Plan And Permit Application for, Commercial Photoprocessing, Medical Practice, Professional Photography, Dental Practice, Printing Graphic Arts, and other
Revision Date: 06/06/2006
Preparation of Toxic Organic Management Plan
Instructions for preparing a Toxic Organic Management Plan
Revision Date: 06/06/2006
Reclaimed Water Reuse Application Form and Instructions
The Palo Alto Regional Water Quality Control Plant will permit and provide reclaimed water to many commercial and government agencies for residential landscaping, parks, industrial parks, sod nurseries, pesticide spraying, decorative fountains, and many more applications.
Revision Date: 06/06/2006
Septic Hauler
Hauled Liquid Waste Discharge Permit (Trucker’s Discharge Permit)
Revision Date: 06/06/2006
Septic Hauler Permit Instruction Letter
Hauled Liquid Waste Discharge Permit - application & guidelines
Revision Date: 06/06/2006
Spill Control Guidelines
A list of topics that must be addressed in a Spill Control Plan
Revision Date: 06/06/2006
Zero Discharge
Industrial Waste Zero Discharge Permit Application
Revision Date: 06/06/2006
Report Forms
Annual Dental Waste Discharger Report
Annual dental waste disposal report
Revision Date: 06/06/2006
Annual Photo Waste Hauler Report
Annual photo waste disposal report
Revision Date: 06/06/2006
Certification Form for New Photo Facilities
Hauling certification for new photo facilities
Revision Date: 06/06/2006
Designation of Authorized Representation
Various reports require the signature of a principal executive officer of at least the level of vice-president if the permittee is a corporation OR a general partner or proprietor if the permittee is a partnership or sole proprietorship.
Revision Date: 06/06/2006
Ground Water Emergency Shutdown Form
Emergency shutdown groundwater discharger contact information and emergency shutdown procedures
Revision Date: 06/04/2007
Ground Water PRCC
Ground Water PRCC/GSAR - Groundwater semi-annual report
Revision Date: 06/06/2006
Hazardous Waste Certification
Hazardous waste certification addendum
Revision Date: 06/06/2006
Zero Discharge PRCC
Zero discharge facility periodic report of continued compliance
Revision Date: 06/06/2006
Sampling Instructions and Guidelines
Ground Water Sampling Instructions
Sampling is required from all dischargers to the Regional Water Quality Control Plant (RWQCP)
Revision Date: 06/06/2006
Industrial Waste Sampling Instructions
Industrial wastewater sampling instructions
Revision Date: 06/06/2006
Sampling Frequency Guidelines
Industrial self-monitoring frequency guidlines
Revision Date: 06/06/2006
Self Monitoring Data Form
Industrial users self-monitoring log
Revision Date: 06/06/2006
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