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Implementing a Dental Amalgam Program

Implementing a Dental Amalgam Program. for the San José/Santa Clara Water Pollution Control Plant. Presented by: Roberta Dunlap City of San José. Dental Amalgam Program. Program Design Implementation Lessons Learned Q & A. SJ0509i1_overall. SJ/SC WPCP. Milpitas 5%. Santa Clara 8%.

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Implementing a Dental Amalgam Program

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  1. Implementing a Dental Amalgam Program for the San José/Santa Clara Water Pollution Control Plant Presented by:Roberta DunlapCity of San José

  2. Dental Amalgam Program • Program Design • Implementation • Lessons Learned • Q & A

  3. SJ0509i1_overall

  4. SJ/SC WPCP Milpitas5% Santa Clara8% Cupertino4% San José71% Campbell3% Saratoga2% Los Gatos2% Monte Sereno SJ0509i1_overall

  5. SJ0509i1_overall

  6. Dental Amalgam Program San Francisco Bay Mercury exceeds allowable levels

  7. Dental Amalgam Program • November 2007 Mercury Watershed Permit for Dischargers to SF Bay • Requirement for Pre-treatment Strategy for Dental Offices.Target :85% of Dental Offices Participating within Five Years.

  8. Dental Amalgam Program Mine tailings are a significant source of mercury in the Central Valley and SF Bay Watersheds

  9. Hospitals Universities Vehicle Services Human Waste - Amalgam Medical Clinics HouseholdProducts Dental Offices LaundryGreywater Dental Amalgam Program Sources of Mercury in Wastewater AMSA/EPA Mercury Pollution Prevention Project (2001)

  10. Dental Amalgam Program Where Amalgam Goes

  11. Dental Amalgam Program Four Phases: • Program Design • Pre-Implementation Tasks • Implementation • On-going Program

  12. Dental Amalgam Program Decisions, Decisions, Decisions! • Permit vs Self Certification • Mandatory vs “Recommended” • Do we inspect? • Mandate Best Management Practices?

  13. Dental Amalgam Program Program Design • Dental practices as critical users • Five-year Wastewater Discharge Permit – No Fee • Self-Certification of Best Management Practices • Installation of ISO Certified Amalgam Separator • Maintenance & amalgam disposal records • Annual Report • Inspections – once during permit period

  14. Identify dentists Reach stakeholders & build partnerships Amend the Muncipal Code Develop several forms Modify an existing database Dental Amalgam Program Pre-Implementation

  15. Dental Amalgam Program Locating the Dentists • California State Department of Consumer Affairshttp://www.dca.ca.gov/consumer/public_info/index.shtml • Business Licenses • County Department of Environmental Health • Phone Book/Internet

  16. Dental Amalgam Program Stakeholder Process • LocalDental Society- Dinner Meetings - Presentations - Newsletter • California Dental Associationhttp://www.cda.org • Vendor Workshops

  17. Dental Amalgam Program Forms! • Permit Application • Identify who owns practice • Who works with whom • Shared Separators! • Permit • BMPs • Certifications • FAQs • • Approved Separators & Vendors • Sample Maintenance Log

  18. Two or more dentists share a vacuum line Need to ID who is responsible Aligning permit effective dates Challenge of determining how they are sharing Dental Amalgam Program Shared Separators

  19. Dental Amalgam Program Brochure • Step by Step Guide • Visual BMPs • Common FAQ’s on back

  20. Dental Amalgam Program Issue permits

  21. Dental Amalgam Program

  22. Dental Amalgam Program Database • Able to use existing Source Control Database • Track Dentists - who has and has not responded • Track Permits Issued • Track Inspections

  23. Dental Amalgam Program Some Logistic Suggestions • Guidance Document • Decide who is responsible for what • Filing protocol • Finalize Forms • Order Supplies in Advance

  24. Dental Amalgam Program Implementation • Sent Application Packet to each individual dentist • Cover letter • Permit Application • Brochure

  25. Dental Amalgam Program Permits From effective date of permit: • Implement BMPs for amalgam waste - 90 days to certify BMPs • Install an approved amalgam separator -180 days to certify separator installation • Keep maintenance records • Annual report due every January

  26. Dental Amalgam Program Inspections • Check placement and operation of the amalgam separator • Confirm implementation of the BMPs • Review amalgam waste management practices • Review waste shipment records • Enforcement Plan

  27. Dental Amalgam Program Lessons Learned • Simple forms Shared separators – list suite #’s/names • Send certified mail • Be prepared – files, labels, etc. • Communication with stakeholders/partners key • 10-15% will be hard to find • Need to send reminders • It will take time!

  28. Over 1,800 dentists identified 740 permits issued to date Processing BMP & separator installation certifications Sending reminders Started doing some inspections Two inspectors, part-time Ramping up this summer Dental Amalgam Program

  29. City of San José web site http://www.sanjoseca.gov/esd/wastewater/dental-amalgam-program.asp California Dental Association http://www.cda.org/ Baywise.org http://www.baywise.org Roberta Dunlap roberta.dunlap@sanjoseca.gov(408) 277-5364 Dental Amalgam Program

  30. Dental Amalgam Program Questions?

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