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Pretreatment Forms
Commercial businesses and industrial users who discharge wastewater to the sanitary sewer system in the jurisdiction of the San José-Santa Clara Regional Wastewater Facility may be required to complete these forms. If you have questions or need assistance, please contact a Source Control Inspector at (408) 945-3000.

40 CFR 437 Periodic Certification (Annual) Statement Form

Baseline Monitoring Report (BMR) Form

Certification of Non-Significant Categorical Industrial User Status Form

Power Plant Certification Form


Self Monitoring Report (SMR) Forms

Self Monitoring Report  Field pH Forms 

Signatory Requirement Authorization Form

Slug Plan Requirements and Form

Total Toxic Organic (TTO) Certification Forms

Toxic Organic Management Plan (TOMP) Forms


Industrial Wastewater Discharge Permit Application Form
City of San José, Environmental Services 
Watershed Protection - Environmental Engineering 
200 E. Santa Clara Street, 7th Floor 
San José, CA 95113

Zero Discharge Certification Form