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.
Filing options: MS Word Form 122 KB | PDF Form 22 KB

Boiler Certification (January 2008)

Must be submitted to MassDEP before boiler installation
Filing options: MS Word Form 182 KB | PDF Form 43 KB
Instructions: MS Word 48 KB | PDF 42 KB

Return to Compliance Form (June 2007)

Complete if your facility is NOT in compliance with a particular requirement at the time you certify.
Filing options: MS Word Form 118 KB | PDF Form 27 KB

Boiler Environmental Certification Workbook & Errata Sheet (January 2008)

Learn about your environmental obligations and how to complete your ERP Certification.
Workbook: MS Word 110 KB | PDF 81 KB
Errata sheet: MS Word 20 KB | PDF 5 KB

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Dental Amalgam/Mercury Recycling Program Information

Web page

File Your Dental Amalgam/Mercury Recycling Certification Online (March 2007)

Download the instructions below, then either print them for reference or keep the instructions window open and refer back to it as you proceed.
MS Word 151 KB | PDF 95 KB

Part 1: Register with eDEP to create a user name and password.  If you already have an eDEP account, you may skip this part and proceed to Part 2.
Web page

Part 2: Complete your Dental Amalgam/Mercury Recycling Certification online, sign the form electronically, submit your certification, and get a summary/receipt of your transaction.
Web page

File Your Certification by Mail

Contact Steve White at 617-574-6888 or steve.white@state.ma.us for forms and instructions.

Korean Translation: To obtain a copy of this information in Korean, please contact Paul Reilly at 617-556-1097 or Paul.Reilly@state.ma.us.

Dry Cleaner Non Applicability Form (April 2007)

Complete this form FIRST. Certain operations are exempt from ERP certification requirements. Submit this form ONLY if you are NOT required to certify.
Filing options: MS Word Form 126 KB | PDF Form 23 KB

Dry Cleaner Certification (June 2006)

Provide facility information, answer questions about your facility's environmental practices, and certify your compliance with MassDEP requirements.
Filing options: | MS Word Form 211 KB | PDF Form 39 KB
Instructions: eDEP | MS Word 212 KB | PDF 86 KB

Return to Compliance Form (June 2007)

Complete if your facility is NOT in compliance with a particular requirement at the time you certify.
Filing options: MS Word Form 118 KB | PDF Form 27 KB

Spill/Release Form (June 2007)

Complete ONLY if your plant had a chemical spill or pollution release during the past year.
Filing options: MS Word Form 117 KB | PDF Form 19 KB

Dry Cleaner Certification Workbook & Addenda (October 2005)

Learn about your environmental obligations and how to complete your ERP certification.
Workbook: PDF 1.5 MB
Addenda: PDF 12 KB

Dry Cleaner Best Management Practices (July 2000)

Information for dry cleaners using spot removers
PDF 8 KB

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New Emergency Engines & Emergency Turbines (May 2006)

Environmental Certification Workbook for New Emergency Units
MS Word 86 KB | PDF 119 KB

Installation Compliance Certification for New Emergency Units
Filing options: MS Word Form 172 KB | PDF Form 77 KB
Instructions: MS Word 47 KB | PDF - included with form above

Return to Compliance Plan for New Emergency Units
Filing options: MS Word Form 118 KB | PDF Form 28 KB

New Engines & Turbines (Non-Emergency) (May 2006)

Environmental Certification Workbook for New Units
MS Word 90 KB | PDF 52 KB

Installation Compliance Certification for New Units
Filing options: MS Word Form 171 KB | PDF Form 96 KB
Instructions: MS Word 46 KB | PDF - included with form above

Return to Compliance Plan for New Units
Filing options: MS Word Form 118 KB | PDF Form 28 KB

Supplier Certification of Emissions Performance for New Units
Filing options: MS Word Form 150 KB | PDF Form 27 KB

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Regulation of Industrial Wastewater Holding Tanks & Containers (April 2003)

Web page

Industrial Wastewater Holding Tank Compliance Certification (DEP 01) (December 2002)

Filing options: MS Word Form 232 KB | PDF Form 428 KB
Instructions: MS Word 181 KB | PDF - included with form above

Notes: This certification requires submission of a transmittal for payment form. This certification does not apply to facilities certifying under the Environmental Results Program (ERP) for Dry Cleaners, Photo Processors and Printers.

Industrial Wastewater Holding Tank Return to Compliance Plan (December 2002)

Filing options: MS Word Form 117 KB | PDF Form 84 KB

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Photo Processor Non Applicability Form (August 2006)

Complete this form FIRST. Certain operations are exempt from ERP certification requirements. Submit this form ONLY if you are NOT required to certify.
Filing options: MS Word Form 125 KB | PDF Form 23 KB

Photo Processor Certification (August 2006)

Provide facility information, answer questions about your facility's environmental practices, and certify your compliance with MassDEP requirements.
Filing options: | MS Word Form 234 KB | PDF Form 117 KB
Instructions: eDEP | MS Word 210 KB | PDF 82 KB

Return to Compliance Form (June 2007)

Complete if your facility is NOT in compliance with a particular requirement at the time you certify.
Filing options: MS Word Form 118 KB | PDF Form 27 KB

Spill/Release Form (June 2007)

Complete ONLY if your plant had a chemical spill or pollution release during the past year.
Filing options: MS Word Form 117 KB | PDF Form 19 KB

Photo Processor Certification Workbook & Addenda (October 2005)

Learn about your environmental obligations and how to complete your ERP certification.
Workbook: PDF 871 KB
Addenda: PDF 12 KB

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Printer Non Applicability Form (May 2007)

Complete this form FIRST. Certain operations are exempt from ERP certification requirements. Submit this form ONLY if you are NOT required to certify.
Filing options: MS Word Form 125 KB | PDF Form 23 KB

Printer Certification (June 2007)

Provide facility information, answer questions about your facility's environmental practices, and certify your compliance with MassDEP requirements.
Filing options: | MS Word Form 314 KB | PDF Form 117 KB
Instructions: eDEP | MS Word 55 KB | PDF 43 KB

Return to Compliance Form (June 2007)

Complete if your facility is NOT in compliance with a particular requirement at the time you certify.
Filing options: MS Word Form 118 KB | PDF Form 27 KB

Spill/Release Form (June 2007)

Complete ONLY if your plant had a chemical spill or pollution release during the past year.
Filing options: MS Word Form 117 KB | PDF Form 19 KB

Printer Certification Workbook (December 2007)

Learn about your environmental obligations and how to complete your ERP certification.
PDF 1.58 MB

Printer Interactive Training CD-ROM

A free multimedia companion to the Printer Certification Workbook. To order a copy, provide your name, mailing address, and format needed to Steve White: Phone 617-574-6888, Fax 617-292-5832, Email Steve.White@state.ma.us.

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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
MS Word Form 280 KB

Instructions
MS Word 599 KB

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

Web page

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Stage II Vapor Recovery

Form A - Installation/Susbstantial Modification Certification (August 2007)

For Stage II System Responsible Officials
Filing options: MS Word 250 KB | PDF 230 KB

Form B - Vacuum Assist System 120-Day In-Use Compliance Certification (August 2007)

For Stage II System Responsible Officials
Filing options: MS Word 225 KB | PDF 225 KB

Form C - Annual In-Use Compliance Certification (August 2007)

For Stage II System Responsible Officials
Filing options: MS Word 225 KB | PDF 225 KB

Form D1 - Alternative Annual In-Use Compliance Certification (No Testing Required) (August 2007)

For Stage II System Responsible Officials
Filing options: MS Word 190 KB | PDF 240 KB

Form D2 - Alternative Annual In-Use Compliance Certification (Testing Required) (August 2007)

For Stage II System Responsible Officials
Filing options: MS Word 230 KB | PDF 190 KB

Form E - Change of Owner, Operator, Lessee or Controller Notification (August 2007)

For Stage II System Responsible Officials
Filing options: MS Word 190 KB | PDF 240 KB

Form F - System Closure Notification (August 2007)

For Stage II System Responsible Officials
Filing options: MS Word 155 KB | PDF 200 KB

Form G - Compliance Testing Company Notification (August 2007)

For Stage II Compliance Testing Companies
Filing options: MS Word 1765KB | PDF 165 KB

Form H - Change of Compliance Testing Company Documentation (August 2007)

For Stage II Compliance Testing Companies
Filing options: MS Word 176 KB | PDF 265 KB

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