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SVD IPP Form #4FOR OFFICE USE Exempt: ___Dental Discharger ONETIME COMPLIANCE REPORTFollow up: ___ User inventory updated: ___Pursuant to US Environmental Protection Agency (EPA) requirements (40
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Gather all necessary information and documents required for the dental discharger one-time compliance form.
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Fill out the form accurately and completely, ensuring all information provided is correct.
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Submit the form to the appropriate regulatory agency or department responsible for overseeing dental discharger compliance.
04
Follow up with the agency or department to ensure that the form has been received and processed properly.
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Keep a copy of the completed form for your records.

Who needs dental discharger one-time compliance?

01
Dental facilities and practices that discharge wastewater into the public sewer system or other water bodies may need to complete the dental discharger one-time compliance form.
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Dental discharger one-time compliance is a one-time submission requirement for dental facilities that discharge dental amalgam into publicly owned treatment works (POTWs).
Dental facilities that discharge dental amalgam into POTWs are required to file dental discharger one-time compliance.
To fill out dental discharger one-time compliance, dental facilities need to provide information about their facility and their amalgam waste management practices.
The purpose of dental discharger one-time compliance is to help reduce the amount of mercury entering the environment from dental facilities.
Dental facilities must report information such as the number of chairs in the facility, the types of amalgam separators used, and the frequency of inspection and maintenance.
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