Registration Application for Septic Tank, Chemical Toilet & Grease Trap Cleaners (Form PE 4270) is the Sacramento County Environmental Management Department form on which a cleaning firm registers, as new or as a renewal, the vehicle it uses for chemical toilets, septic tanks or grease traps. It is one of the department's Liquid Waste (Septic) Program forms. The owner or an authorized representative signs a certification tied to California Health and Safety Code sections 117400-117450 and Sacramento County Code, Chapter 6.32. On FillingPDF you can fill out the form online and download or print the completed PDF; the county publishes the original at emd.saccounty.gov.
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What is PE 4270?
The Registration Application for Septic Tank, Chemical Toilet & Grease Trap Cleaners is the Sacramento County Environmental Management Department form on which a cleaning firm identifies itself and its vehicle, marks New or Renewal, and certifies compliance with state and county law.
The form is numbered PE 4270 and the revision printed in its footer is 6-17-25. The front side collects the firm name or DBA, the mailing and business site addresses, the owners (partners, etc.), business and emergency phone numbers, business and alternate email addresses, and the vehicle used: make and model, license number and tank capacity. The applicant also checks how the vehicle is used: Chemical Toilets, Septic Tanks or Grease Traps.
The signature block certifies that the information is true and that the proposed work will conform to the conditions, orders and directions under Sections 117400-117450 of the California Health and Safety Code and Sacramento County Code, Chapter 6.32. A second certification is for firms that do not intend to operate in Sacramento County during the ensuing year.
The reverse side is headed "This side to be filled out by Environmental Compliance only." It is the county's record for each vehicle: sticker number, kind of tank, load status, watertight valves, equipment cleanliness, the applicant's knowledge of sanitary laws and ordinances, the disposal site most used (Roseville Road Septage Station or Sims Road Septage Station), the firm name on the tank or truck, the septage waste dump tube and disinfection and cleanup equipment. The county lists other Liquid Waste forms separately, such as the Liquid Waste Permit Application Form and the Liquid Waste Request for Service Form.
Who needs to file PE 4270?
The form is addressed to firms that clean septic tanks, chemical toilets or grease traps with a vehicle and register that business with the Sacramento County Environmental Management Department. The usage boxes on the form (Chemical Toilets, Septic Tanks, Grease Traps) show the three kinds of work it covers.
- New registrations and renewals. The same form serves both; mark NEW or RENEWAL at the top.
- Firms with partners or several owners. The form has a line for the owners (partners, etc.).
- Firms not operating in the county. A firm or DBA that does not intend to operate in Sacramento County during the ensuing year completes the separate certification printed under the main signature. The form says to complete that certification only in this case.
- Who signs. The owner or an authorized representative signs and dates, in the main certification and in the non-operation certification.
Applicants do not complete the reverse side. It is reserved for Environmental Compliance staff, including the environmental specialist's signature and the data entry date.
When to file PE 4270
Submit the form when the firm registers for the first time (NEW) or registers again for a new period (RENEWAL). The form links registration to a calendar year: its non-operation certification refers to "the ensuing year" and to "the calendar year subject to this application." No due date is printed on it.
A firm that will not work in Sacramento County that year uses the non-operation certification on the same application instead of leaving the question open. For the date by which a renewal is expected, contact the department at (916) 875-8400, the phone number printed on the form.
How to fill out PE 4270
Mark New or Renewal
At the top of the form, check NEW for a first registration or RENEWAL for a firm that is registering again.
Enter the firm name or DBA
In FIRM NAME OR DBA, write the business name exactly as the firm operates. This is the name the county matches to the vehicle.
Enter mailing and business site addresses
Fill in MAILING ADDRESS and BUSINESS SITE ADDRESS. They may differ, so complete both.
List the owners
In OWNERS (Partners, etc.), write the names of the owners or partners of the firm.
Add phone numbers and email addresses
Enter the BUSINESS PHONE and EMERGENCY PHONE with area codes, then the BUSINESS EMAIL and ALTERNATE EMAIL.
Describe the vehicle used
Under VEHICLE USED, enter the make and model, the license number and the tank capacity of the vehicle.
Check the usage of the vehicle
Under CHECK USAGE OF VEHICLE, check Chemical Toilets, Septic Tanks, Grease Traps, or each one the vehicle is used for.
Sign and date the certification
The owner or authorized representative signs and dates the statement that the information is true and that the work will conform to Sections 117400-117450 of the California Health and Safety Code and Sacramento County Code, Chapter 6.32.
Complete the non-operation certification if it applies
Sign and date the second certification only if the firm or DBA does not intend to operate in Sacramento County during the calendar year subject to the application. Otherwise leave it blank.
Leave the reverse side blank
The side headed "This side to be filled out by Environmental Compliance only" is for county staff and is not completed by the applicant.
Review and download the completed PDF
Check names, addresses, vehicle details and signature, then download or print the completed PDF from FillingPDF and submit it as described under How to submit.
How to submit PE 4270
The form names no submission channel, so confirm with the department how it accepts the signed application. The contact details printed on the form are:
- Address: 11080 White Rock Rd Suite 200, Rancho Cordova, California 95670
- Phone: (916) 875-8400
- Fax: (916) 875-8513
- Website: www.saccounty.gov
The county publishes the PDF among its Waste Program forms at https://emd.saccounty.gov/content/emd/us/en/forms/waste-program-forms-and-documents.html, where it is listed as updated 06/17/2025.
Before you send it, check that the owner or authorized representative has signed and dated the certification, and leave the reverse side blank. FillingPDF lets you fill out and download the PDF; submission follows the county's channels above.
Common mistakes to avoid
- Writing on the reverse side, which is printed "to be filled out by Environmental Compliance only."
- Completing the non-operation certification when the firm does intend to operate in Sacramento County; it is only for firms that do not.
- Leaving both NEW and RENEWAL unmarked, so the application does not say which kind of registration it is.
- Skipping the CHECK USAGE OF VEHICLE boxes, so the form does not show whether the vehicle serves chemical toilets, septic tanks or grease traps.
- Omitting the vehicle's make and model, license number or tank capacity from the VEHICLE USED line.
- Sending the application unsigned or undated; both the certification and the non-operation certification call for the owner's or authorized representative's signature and date.
- Using an older edition of the form instead of the revision dated 6-17-25 that the county lists as updated 06/17/2025.
Frequently asked questions
What is Form PE 4270?
Form PE 4270 is the Registration Application for Septic Tank, Chemical Toilet & Grease Trap Cleaners, issued by the Sacramento County Environmental Management Department. A cleaning firm uses it to identify itself and its vehicle, mark New or Renewal, and certify compliance with state and county law.
Is Form PE 4270 a Sacramento County business license?
The form is titled a registration application for septic tank, chemical toilet and grease trap cleaners, and it belongs to the department's Liquid Waste (Septic) Program forms. It does not describe itself as a business license. For other licensing questions, call the department at (916) 875-8400.
Who signs the septic tank cleaner registration application?
The owner or an authorized representative signs and dates it. The same signer is named on the main certification and on the separate certification for firms that do not intend to operate in Sacramento County during the ensuing year.
Do I fill out the back page of Form PE 4270?
No. The reverse side is printed "This side to be filled out by Environmental Compliance only." Environmental Compliance records the vehicle inspection there, so leave it blank when you submit the application.
What if my firm will not operate in Sacramento County this year?
Complete the second certification on the front of the form. It states that the firm or DBA does not intend to operate in Sacramento County during the calendar year subject to the application, and the owner or authorized representative signs and dates it. Firms that will operate do not use it.
What does the county check on my vehicle?
The reverse side lists the items Environmental Compliance records: kind of tank, load status, watertight tank and valves, secured valve, equipment cleanliness, firm name on both sides of the tank or truck, septage waste dump tube, and disinfection and cleanup equipment. It also records which septage station you use most.
Where do I submit the registration application?
The form names no submission channel. It prints the department's contact details: 11080 White Rock Rd Suite 200, Rancho Cordova, California 95670, phone (916) 875-8400 and fax (916) 875-8513. Call before sending to confirm how the department accepts the application.
Can I fill out Form PE 4270 online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the application with the county; you submit it through the channels the Environmental Management Department accepts.
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