California Code of Regulations
Title 23 - Waters
Division 3 - State Water Resources Control Board and Regional Water Quality Control Boards
Chapter 26 - Wastewater Treatment Plant Classification, Operator Certification, and Contract Operator Registration
Article 12 - Wastewater Treatment Plant Contract Operators
Section 3719.2 - Application for Contract Operator Registration

(1) the applicant's name, mailing and business addresses, and telephone number;

(2) the name, address, and telephone number of the owner of each wastewater treatment plant under contract;

(3) for each wastewater treatment plant to be operated, the name, business address, and telephone number of the wastewater treatment plant; the name of the chief plant operator(s); the name of the Regional Water Board overseeing the wastewater treatment plant; and the duration of each contract;

(4) the name and grade level of each wastewater treatment plant operator employed at the wastewater treatment plant(s);

(5) the original signature of the person authorized by the contract operator to sign the contract(s);

(6) a signed statement regarding whether a certifying body or court, for any act associated with performing duties at a facility that treats wastewater in a state other than California, in a territory, or on land under the jurisdiction of an Indian tribe, provided the duties are comparable to the duties of an operator or contract operator at a wastewater treatment plant, has ever: taken final action to revoke or suspend the applicant's certification or registration; taken final action to discipline or impose administrative civil liability on the applicant or conducted an investigation regarding the applicant; or imposed civil or criminal liability upon the applicant; and

(7) the registration fee as prescribed in section 3719.16.