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Dental Office or Clinic Permit Application

Industrial Wastewater Permit Application (Short Form - Dental Office or Clinic) has been submitted successfully


Please follow the instructions listed below to complete your permit application.

1. Please download the following form and fill it out
(please include your confirmation number above on the form)
IWMD Online Permit Application Certification

2. Please download the following form and fill it out
The Best Management Practice For Dental Offices Certification of Compliance

3. Please make a check for $510.00 payable to "Department of Public Works"
and return to the following address:
City of Los Angeles, Department of Public Works
Bureau of Sanitation, IWMD, FOG Program
2714 Media Center Drive, Los Angeles, CA 90065
Attn: Pamela La Beau, Chief Environmental Compliance Inspector II

NEW EFFECTIVE DATE OF FEE: JULY 01, 2017

For additional assistance, please call (323) 342-6200