You can download all Best Practices for Dental Offices (zipped file).

Under Section 303(d) of the Federal Clean Water Act, states are required to develop a list of water bodies with water quality impairments. The water bodies on the list do not meet water quality standards. San Francisco Bay is listed with 12 toxic pollutants including mercury. Because of mercury impairment, fish consumption advisories have been issued for San Francisco Bay.

The California Regional Water Quality Control Board, San Francisco Bay Region (Regional Board) issues the National Pollutant Discharge Elimination System Permit (NPDES Permit) for wastewater treatment plants. The NPDES Permit requires compliance with wastewater discharge limitations for pollutants, including mercury.

The San Francisco Bay Mercury TMDL (Total Maximum Daily Load), which was recently approved by the Environmental Protection Agency (EPA) and Regional Board, requires the Plant to develop and implement an aggressive source control and pollution prevention program to comply with new mercury limits and to maximize the Plant’s control over mercury sources impairing the San Francisco Bay. Studies have shown that approximately 61% of the mercury entering the San José-Santa Clara Regional Wastewater Facility is from dental practices.

In addition, U.S. EPA's Section 503 Sludge Regulations and state and local biosolids regulations require the Plant to meet concentration limits for heavy metals, including mercury. These regulations ensure that biosolids can be safely reused for land application and landfill cover.

Wastewater treatment plants are designed to treat wastewater containing conventional pollutants such as human and food waste. Heavy metals, including mercury, are not completely removed by the treatment process. As a result, some mercury remains in the treated wastewater discharged to the South San Francisco Bay or in the biosolids, which are used for landfill cover.

Sampling will not be required. Installation and maintenance of an amalgam separator and adherence to the proposed Best Management Practices is intended to determine compliance with the permit. If an inspector finds that an individual dental practice is improperly maintaining the amalgam separator, sampling may be performed to document the condition.

We may initiate a program to sample sewer lines outside dental offices to determine overall effectiveness of the dental program to reduce mercury in the sanitary sewer system. And we continue to sample the Plant’s influent, effluent, and biosolids for mercury.

Under the proposed program, submittal of self-certifications that an amalgam separator has been installed and is being properly maintained will determine initial compliance. Scheduled inspections will take place at each dental practice no less than once during the five-year permit. Inspectors will review waste records, compliance with BMPs, amalgam separator maintenance, waste storage and disposal practices, etc., in order to determine compliance with the dental permit conditions.

A fine may be assessed if non-compliance is not corrected after a process of verbal warnings and written warnings has been concluded.

Red bag waste may require incineration. Incinerated mercury volatilizes and becomes an air pollutant. Through air deposition, it also may eventually end up in surface water. If the amalgam is disposed of with other garbage, the mercury may end up in the landfill leachate, which may eventually contaminate groundwater or surface water.

Not all of the scrap amalgam and particulates are captured by the chair-side traps and vacuum filters. Grinding, drilling, and polishing of amalgam fillings may result in the production of fine particulate matter that passes through the chair-side traps and vacuum filters. The residual particulates remain in the wastewater discharged to the sanitary sewer. Additionally, mercury may enter the wastewater from instrument washing, and chair-side trap and vacuum filter cleaning. Amalgam separators are designed to capture this form of amalgam from wastewater prior to discharging to the sanitary sewer.

San Francisco Bay has a legacy of mercury contamination from historical mercury mining in the Coast Ranges and gold extraction in the Sierra Nevada. During these mining activities, roughly 10 to 30 percent of all the mercury used was lost to the surrounding watersheds and has since been making its way, attached to sediment particles, into the San Francisco Bay-Delta.

In October of 2008, the U.S. Fish and Wildlife Service released the Final Almaden Quicksilver Restoration Plan and Environmental Assessment report detailing five restoration projects within Santa Clara County. These projects, being implemented by the County of Santa Clara Parks and Recreation Department, include the removal of remnant mining waste material, grading to create stable creek banks, stabilizing and hydro-seeding all disturbed areas, and re-vegetation of the creek banks.

The program has close to 100% participation.

No, there is currently no permit fee proposed for the Dental Amalgam Program.

Units that are approved ISO 11143 certified Amalgam Separators.

There is no cost to apply for a Dental Wastewater Discharge Permit.

The cost of amalgam separators varies, but the most popular model currently costs $600-$700 installed. Some amalgam separators can cost more than $2,000. Only one separator will be required per vacuum system, so that cost may be shared among dental practices with a shared vacuum line. If significant plumbing modifications are required to complete the installation of a separator, then the installation cost may be higher.

The estimated cost of additional disposal of amalgam and other wastes is about $200 per year.

Sampling will not be required. Installation and maintenance of an amalgam separator and adherence to the proposed Best Management Practices is intended to determine compliance with the permit.