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Please download the appropriate Pretreatment Forms. Please submit completed forms by email to pretreatment@delcora.orgor by mail to:

Attention: Pretreatment
DELCORA
P.O. Box 999
Chester, PA 19016-0999

Self-Monitoring Checklist East – A form to assist permitted Industrial Users in the Eastern Service Area to ensure compliance with the monitoring requirements of the industrial discharge permit.

Self-Monitoring Checklist West – A form to assist permitted Industrial Users in the Western Service Area to ensure compliance with the monitoring requirements of the industrial discharge permit.

Industrial User Survey – A form that enables DELCORA to evaluate any potential industrial users that may require permitting under DELCORA’s pretreatment program.

Site Inspection Form – DELCORA performs routine inspections of permitted industrial users using this form.

Spill Slug Form East – Every permittee in the Eastern Service Area is required to develop a Spill/Slug Prevention Plan and this form assist industrial users fulfill the specific conditions detailed in every wastewater discharge permit.

Spill Slug Form West – Every permittee in the Western Service Area is required to develop a Spill/Slug Prevention Plan and this form assist industrial users fulfill the specific conditions detailed in every wastewater discharge permit.

Wastewater Discharge Permit Application – The application required by DELCORA to evaluate industrial users and to subsequently issue site specific wastewater discharge permits.