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The Industrial Waste Program

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Forms for industrial waste dischargers

See "Instructions" below the forms listed.


Industrial Waste Discharge Self-Monitoring Report

Monthly report:   Microsoft Word File   (or)   Adobe PDF File

Monthly report, for food processors only:
Microsoft Word File   (or)   Adobe PDF File

Quarterly report:   Microsoft Word File (or) Adobe PDF File

Semiannual report:   Microsoft Word File (or) Adobe PDF

Annual report:   Microsoft Word File   (or)   Adobe PDF File

Annual report, for groundwater remediation only:       Microsoft Word File   (or)   Adobe PDF File

Instructions for completing self-monitoring report forms: Adobe PDF File

To make self-monitoring reporting easier for all industrial waste dischargers and to ensure accurate data entry, the Industrial Waste program has designed forms, based on reporting frequency, that are customized to industrial users’ permit reporting requirements. If you have questions or believe that you have special reporting needs which are not addressed by the form, please contact your Industrial Waste Compliance Investigator.

Note about using the Word file: Word is capable of adding the Flow column to give Total Monthly Flow. For instructions, go to Help and type that you want "perform calculations in a table." After Word adds a column, be sure to reapply the addition formula if you change any number in the column--the total does not automatically change. If you have problems, telephone Kristin Painter, Industrial Waste Program, (206) 263-3002.


Industrial Waste Program Wastewater Discharge Permit Application
Microsoft Word File


Industrial Waste Program Wastewater Discharge Permit Application Instructions
Adobe PDF File


Hazardous Waste Notification Form
Microsoft Excel File         (or)        Adobe PDF File


Instructions

The above forms are down-loadable as Microsoft Word files, Microsoft Excel files or Adobe PDF files as indicated.

You cannot open a Microsoft Word file (.doc) unless you have the Word application installed on your computer or if you get the Microsoft Word Viewer. When the document opens, you can type in it to fill it out.

You cannot open a Microsoft Excel file (.xls) unless you have the Excel application installed on your computer or if you get the Microsoft Excel Viewer. When the document opens, you can type in it to fill it out.

You must have Adobe Acrobat Reader installed to open an Adobe PDF file (.pdf). To install it, download a free plug-in. The PDF file cannot be changed; you must print it out and fill in the printout by hand.

Return Industrial Waste forms that must have a signature by FAX or regular mail (not e-mail). Include the name of your Industrial Waste Program Investigator.

Contact information:
Industrial Waste Program
130 Nickerson Street,
Suite 200, Seattle, WA 98109-1658.
PHONE (206) 263-3000.
FAX (206) 263-3001.


(Page revised 9/25/07. For further information, e-mail Kristin Painter.) 
 


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