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Environmental Results Program & Compliance Certification FormsService Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Boilers
MassDEP Commercial, Industrial & Institutional Boilers Page Information, forms and instructions for owner/operators of boilers subject to air plan approval and compliance certification requirements, temporary boilers that can be installed without site-specific permits, and federal area source standards that apply to boilers fueled by oil, coal or wood/biomass.
Web page Boiler Non Applicability Form (December 2007) Complete this form FIRST. Certain operations are exempt from ERP certification requirements. Submit this form ONLY if you are NOT required to certify. Boiler Certification (January 2008) Must be submitted to MassDEP before boiler installation Return to Compliance Form (June 2007) Complete if your facility is NOT in compliance with a particular requirement at the time you certify. Boiler Environmental Certification Workbook (January 2011) Learn about your environmental obligations and how to complete your ERP Certification. Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Dentists
Dental Amalgam/Mercury Recycling Program Information Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Dry Cleaners
Translations: Forms and workbook are now available in Korean and Vietnamese. Questions? Contact Paul Reilly at 617-556-1097 or paul.reilly@state.ma.us Non-Applicability Form There is no longer a separate non-applicability form for dry cleaners. Questions from the old form have been incorporated into the new certification form (below) as Section B: Change in Status. Dry Cleaner Certification (July 2011) Provide facility information, answer questions about your facility's environmental practices, and certify your compliance with MassDEP requirements. Return to Compliance Form (June 2007) Complete if your facility is NOT in compliance with a particular requirement at the time you certify. Spill/Release Form (June 2007) Complete ONLY if your plant had a chemical spill or pollution release during the past year. Dry Cleaner Certification Workbook (December 2011) Learn about your environmental obligations and how to complete your ERP certification. Dry Cleaner Best Management Practices Separator Water Disposal from Perchloroethylene (Perc) Dry Cleaning Machines, June 2010 Back to Environmental Results Program Forms index  - Korean
Back to Environmental Results Program Forms index  - Vietnamese
Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Engines & Turbines
New Emergency Engines & Emergency Turbines (January 2011) Environmental Certification Workbook for New Emergency Units New Engines & Turbines (Non-Emergency) (January 2011) Environmental Certification Workbook for New Units Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Holding Tanks
Regulation of Industrial Wastewater Holding Tanks & Containers (April 2003) Industrial Wastewater Holding Tank Compliance Certification (DEP 01) (December 2002) Filing options: MS Word Form 232 KB | PDF Form 428 KB Industrial Wastewater Holding Tank Return to Compliance Plan (December 2002) Filing options: MS Word Form 117 KB | PDF Form 84 KB Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Mercury-Added Lamps
MassDEP Information: Fluorescent & Mercury-Added Light Bulbs Including Massachusetts Mercury Management Act requirements that apply to lamp manufacturers. Forms for Mercury-Added Lamp Manufacturers Recycling Baseline Certification (March 2011) Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Mercury-Added Products
MassDEP Information: Mercury-Added Products Including Massachusetts Mercury Management Act requirements that apply to manufacturers. IMERC Product Notification & Update Forms Manufacturers of mercury-added products that are sold, offered for sale, or distributed in Massachusetts must notify the state of their product(s). Forms are available from the Interstate Mercury Education & Recycling Clearinghouse (IMERC). MassDEP Forms for Mercury-Added Product Manufacturers Manufacturers of mercury-added products sold, offered for sale, or distributed in Massachusetts after September 30, 2008, must file collection and recycling plans for their product(s) with the Department of Environmental Protection (MassDEP), implement their programs within 45 days of filing, and submit annual certifications of compliance to MassDEP. Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Mercury Vehicle Switches
MassDEP Information: Automotive Recyclers Including Massachusetts Mercury Management Act requirements that to vehicle manufacturers, vehicle and scrap recyclers, and mobile crushers. Forms for Vehicle Manufacturers Annual Certification (March 2011) Forms for Vehicle Recyclers & Mobile Crushers Mercury Certification (March 2011) Forms for Scrap Recycling Facilities Annual Certification (March 2011) Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Outdoor Hydronic Heaters
MassDEP Outdoor Hydronic Heater (OHH) Regulation Forms for OHH Manufacturers Certification Form (December 2008) U.S. Environmental Protection Agency (EPA) List of Cleaner-Burning Phase 2 OHH Units Only EPA Phase 2 units are eligible for MassDEP certification to be sold in Massachusetts after December 26, 2008. Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Photo Processors
Photo Processor Non Applicability Form (July 2008) Complete this form FIRST. Certain operations are exempt from ERP certification requirements. Submit this form ONLY if you are NOT required to certify. Photo Processor Certification (July 2011) Provide facility information, answer questions about your facility's environmental practices, and certify your compliance with MassDEP requirements. Return to Compliance Form (June 2007) Complete if your facility is NOT in compliance with a particular requirement at the time you certify. Spill/Release Form (June 2007) Complete ONLY if your plant had a chemical spill or pollution release during the past year. Photo Processor Certification Workbook & Addenda (October 2005) Learn about your environmental obligations and how to complete your ERP certification. Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Printers
Printer Non Applicability Form (July 2008) Complete this form FIRST. Certain operations are exempt from ERP certification requirements. Submit this form ONLY if you are NOT required to certify. Printer Certification (June 2011) Provide facility information, answer questions about your facility's environmental practices, and certify your compliance with MassDEP requirements. Return to Compliance Form (June 2007) Complete if your facility is NOT in compliance with a particular requirement at the time you certify. Spill/Release Form (June 2007) Complete ONLY if your plant had a chemical spill or pollution release during the past year. Printer Certification Workbook (November 2008) Learn about your environmental obligations and how to complete your ERP certification. Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Sewer Connections
NOTE: If you need these forms in an alternate format, please contact John Reinhardt at 617-292-5667 or john.reinhardt@state.ma.us. Industrial Wastewater Sewer Connection Certification (July 2007) Certification Form Toxic Pollutants Form MS Word Form 210 KB Additional IWPS Form MS Word Form 160 KB Return to Compliance Form MS Word Form 120 KB Related: BWP IW 38, 39 - Permit for Industrial Sewer User Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Stage II Vapor Recovery
Stage II Vapor Recovery Program Information Form A - Installation/Susbstantial Modification Certification (March 2009) For Stage II System Responsible Officials Form B - Vacuum Assist System 120-Day In-Use Compliance Certification NOTE: The use of this form has been discontinued. Form C - Annual In-Use Compliance Certification (March 2009) For Stage II System Responsible Officials Form D1 - Alternative Annual In-Use Compliance Certification (No Testing Required) (March 2009) For Stage II System Responsible Officials Form D2 - Alternative Annual In-Use Compliance Certification (Testing Required) (March 2009) For Stage II System Responsible Officials Form E - Change of Owner, Operator, Lessee or Controller Notification (March 2009) For Stage II System Responsible Officials Form F - System Closure Notification (March 2009) For Stage II System Responsible Officials Form G - Compliance Testing Company Notification (March 2009) For Stage II Compliance Testing Companies Form H - Change of Compliance Testing Company Documentation (March 2009) For Stage II Compliance Testing Companies Back to Environmental Results Program Forms index Service Center: MassDEP Environmental Results Program (ERP) & Compliance Certification Forms
Underground Storage Tanks
Underground Storage Tank Program Information FP-290: Notification for Underground Storage Tanks PDF 302 KB FP-290R: Notification for Removal or Closure of In-Place Underground Storage Tanks PDF 225 KB FP-290 Part 3: Permit to Maintain Existing/New Underground Storage Tank Facility PDF 105 KB FP-289: Third-Party Underground Storage Tank Inspection Report |
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