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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
Item Dated: 06/04/2007
Building Plan Submissions
Sewer Use Questionnaire
Water Quality Questionnaire (Sewer Use Questionnaire) for new and remodel projects
Item Dated: 06/06/2006
Common Review Comments And Corrections
Common Review Comments And Corrections
Item Dated: 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.
Item Dated: 06/05/2006
Inspection Checklist
Dental office inspection checklist regarding amalgam waste management practices
Item Dated: 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.
Item Dated: 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.
Item Dated: 06/02/2006
Summary of Requirements - Program Overview Fact Sheet
Dental amalgam recovery program overview
Item Dated: 06/02/2006
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
Item Dated: 06/06/2006
Contaminated Ground Water
Application guidelines for dischargers of contaminated groundwater to the regional water quality control plant
Item Dated: 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.
Item Dated: 06/06/2006
Machine Shops
Industrial waste discharge permit application (for discharge to the sanitary sewer system) for machine shop facilities
Item Dated: 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
Item Dated: 06/06/2006
Preparation of Toxic Organic Management Plan
Instructions for preparing a Toxic Organic Management Plan
Item Dated: 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.
Item Dated: 06/06/2006
Septic Hauler
Hauled Liquid Waste Discharge Permit (Trucker’s Discharge Permit)
Item Dated: 06/06/2006
Septic Hauler Permit Instruction Letter
Hauled Liquid Waste Discharge Permit - application & guidelines
Item Dated: 06/06/2006
Spill Control Guidelines
A list of topics that must be addressed in a Spill Control Plan
Item Dated: 07/02/2009
Report Forms
Annual Dental Waste Discharger Report
Annual dental waste disposal report
Item Dated: 06/06/2006
Annual Photo Waste Hauler Report
Annual photo waste disposal report
Item Dated: 06/06/2006
Certification Form for New Photo Facilities
Hauling certification for new photo facilities
Item Dated: 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.
Item Dated: 07/02/2009
Ground Water Emergency Shutdown Form
Emergency shutdown groundwater discharger contact information and emergency shutdown procedures
Item Dated: 06/04/2007
Ground Water PRCC
Ground Water PRCC/GSAR - Groundwater semi-annual report
Item Dated: 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)
Item Dated: 06/06/2006
Industrial Waste Sampling Instructions
Industrial wastewater sampling instructions
Item Dated: 06/06/2006
Self Monitoring Data Form
Industrial users self-monitoring log
Item Dated: 06/06/2006
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City of Palo Alto City Hall - 250 Hamilton Ave, Palo Alto, CA 94301 | Main Telephone Number 650-329-2100 8am-5pm M-Th, Alt Fridays