Dental Clinic Resources

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Tools to keep dental mercury out of wastewater

Madison Metropolitan Sewerage District requires area dental clinics to report their amalgam-related activities annually. We also provide a variety of dental clinic training and resources on responsible amalgam management that area clinics can use to help minimize mercury pollution.

Required reporting | Training presentations | Amalgam management posters

Please reach out to a pollution prevention specialist with any questions about required reporting or training materials.

Required reporting for dental clinics

One-Time Compliance Report

Under EPA’s dental effluent rule, Effluent Limitations Guidelines and Standards for the Dental Office Category (“Dental Amalgam Rule”), 40 CFR 441.50, dental dischargers (see applicability FAQ) are required to complete and submit a one-time compliance report within 90 days of opening. The District is the control authority for our service area.

New clinics in this area should use the One-Time Compliance Report for Dental Clinics form to complete this requirement within 90 days of beginning operations.

Transfer of Ownership

Effluent Limitations Guidelines and Standards for the Dental Office Category (“Dental Amalgam Rule”), 40 CFR 441.50, also requires that clinics file a new compliance report within 90 days of a transfer of ownership. If you have assumed ownership of an existing clinic in the area, submit the Transfer of Owner form within 90 days of beginning operations.

Annual certification

The District’s Sewer Use Ordinance, Section 7.1, outlines requirements for dental clinics in the service area, including the requirement to report annually, using forms provided by the District.

Dental clinics within the District’s service area must complete amalgam certification via an online form each year to certify that they are managing amalgam waste according to local requirements. The certification form is typically emailed to one address for each clinic. The District typically mails a letter to clinics once a year to notify the reporting schedule.

  • Watch a video tutorial with instructions on completing the annual amalgam certification form.
  • Open the written guide with instructions for accessing and completing the annual amalgam certification form.

Amalgam management resources

Dental Clinic Staff Training Presentations

These resources help dental clinic staff learn about amalgam management requirements and practices to minimize pollution. The presentations are intended for those involved in handling and disposing of amalgam waste; they can be an introduction for staff new to amalgam management or a refresher for staff already experienced in working with amalgam.

Mercury, amalgam and wastewater
Background on mercury pollution and why the District regulates amalgam waste.

Amalgam requirements for dental clinics
Overview of local and federal amalgam management requirements and descriptions of each required best management practice.

Reporting requirements, tools and other resources
Summary of EPA and District amalgam reporting requirements, an overview of the District’s annual certification process and other recommended pollution prevention practices for dental clinics.

Dental clinic Amalgam Management Posters

To help minimize mercury-containing amalgam discharges to the sewer system, the District created posters as a quick reference for dental clinic staff when disposing of amalgam waste and inspecting amalgam separators.

Managing amalgam waste in the clinic identifies types of amalgam waste and how to properly collect and dispose of this waste. Display this poster in an area where amalgam waste is stored, such as a storeroom.

Inspecting your amalgam separator includes steps to follow when visually checking your Solmetex-brand separator to ensure it’s functioning properly. Display this poster near your separator


Additional resources