Pretreatment Forms
Wastewater Discharger 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.
Wastewater Discharge Application Forms
- Wastewater Discharge Permit Application: MS Word or PDF
- Short Term (1 year) Wastewater Discharge Permit Application: PDF
Wastewater Discharge Application Forms should be submitted to the Senior Environmental Inspector at:
City of San José, Environmental Services
Watershed Protection Division
200 E. Santa Clara Street, 7th Floor
San José, CA 95113
(408) 793-5300 or (408) 945-3000
Zero Discharge Certification Forms
TTO Certification Forms For Your SMR
- If you DON'T have TTO's:
- If you DO have TTO's:
Self Monitoring Report Forms
Signatory Requirement Authorization
Certification Form for Assigning a Duly Authorized Representative: PDF