Industrial Pretreatment Program

Any Commercial or Industrial business that requires non-sanitary waste discharge into the Town of Bristol’s wastewater handling facility  (WPCF) is required a permit to do so. New applicants should complete the Industrial Pretreatment Program Application and submit it to the Pretreatment Coordinator. The application can be filled out online or downloaded below.

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Industrial Pretreatment Program Application

Business Name:

Business Address:

City:

State:

Zip Code:

Mailing Address:

City:

State:

Zip Code:

Business Contact Person:

Email Address:

Phone Number:

Total Number of Employees:

Hours of Operation:

Location of Discharge:*

Do you have a Waste Hauler?*

Yes

No

Name of Waste Hauler:*

Hauling Frequency:*

Floor Drain(s):

Yes

No

Grease Trap(s):*

Yes

No

Oil Separator(s):

Yes

No

Seating Capacity:

Approximate Water Usage Per Year:

Well Water:

Yes

No

Please indicate any changes that were made to your process this year.

Please explain the nature of your business; the services, operations, and/or manufacturing processes that occur at your facility (please provide an attachment if needed):

Do you have any pretreatment steps in your process? If yes, please explain:

Are chemicals used?*

Yes

No

Chemicals Used (Supply MSDS Sheets):*

List all expected pollutants and process wastestreams:*

MSDS Sheets*

 Upload

% Completed0

Grease Interceptor Service/Maintenance Log.*

 Upload

% Completed0

Required for discharge permit renewal by all businesses that prepare food.

Hazardous Waste/ Waste Disposal Manifest Copy*

 Upload

% Completed0

Name & Title of Authorized Personnel:*

Signature of Authorized Personnel:*

Current Date:*

 

Submit

Water Pollution Address: 2 Plant Avenue, Bristol, RI 02809
Hours of Operation: By Appointment
Phone: (401)-253-8877