Dental Offices

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DUE DECEMBER 15, 2024: Annual Self-Monitoring Report

Instructions for Submitting Self-Monitoring Report to Citizen Self Service

Citizen Self Service Portal Update: Existing permit holders can be upload the Annual Self-Monitoring Report as an attachment using the above .PDF copy. You will still need to create an account using your existing email address (must be same as on file with the District) in order to submit your report. You may also fill out the online fillable form if you are able to view it.

Fill out the .PDF fillable form and upload to your online permit as an Attachment.

Dentists new to our service area must fill out a Dental Facility Compliance Report. Please go to our Citizen Self Service site, create an account, click Apply, and search for the above report to fill it out.

How to fill out the Dental Compliance Report

Questions? Email us at WaterConservation@dsrsd.com.

To reduce the amount of mercury entering the wastewater system, dental practices that place or remove mercury amalgam fillings are required to obtain a wastewater discharge permit from DSRSD and implement mercury reduction best management practices (BMPs), including installing approved amalgam separators.

In the absence of dental BMPs and amalgam separators, mercury amalgam waste from dental offices is estimated to be the single largest source of mercury to wastewater treatment plants. Some of this mercury will pass through treatment and be discharged into San Francisco Bay. To protect the Bay, its fish, and the citizens of the Bay Area, the Regional Water Quality Control Board requires DSRSD and other Bay Area wastewater agencies to work with dentists to divert amalgam waste and other sources of mercury from dental wastewater.

Requirements

DSRSD designed its dental mercury source control program based on the current Dental Association guidelines and with input from the local dental associations. All dental practices that receive wastewater service from DSRSD and City of Pleasanton are required to participate in the program. Users are required to:

Obtain a Dental Practice Wastewater Discharge Permit
Implement best management practices (BMPs)
Install ISO Certified amalgam separators
Annually submit a report that documents the amount of amalgam waste generated and removed by licensed waste hauler

District staff conducts inspections to ensure compliance with these requirements. Dental practices pay fees for a four-year permit and inspections. The inspection fee will vary, based on staff time needed to inspect the facility and complete administrative duties following the inspection(s).

To apply for a permit or for more information, contact us at WaterConservation@dsrsd.com, or Clean Water Programs Specialist Stefanie Olson at (925) 875-2245.

Forms and Resources

The California Dental Association provides more information on recommended practices for managing amalgam waste and contact information for suppliers and vendors.

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