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Wastewater/Stormwater Follow-Up

  1. Wastewater/Stormwater Follow-Up
    Please provide additional information on the chemicals you plan on using.
  2. The license number is a three or four digit number on your license.
  3. Please list the chemicals and products you will be using in your business.
  4. Stormwater Protection*
    Soap and chemical additives cannot run off into the storm sewer.
  5. I certify under penalty of law that I have personally examined and am familiar with the information submitted herein and based on my inquiry of those individuals immediately responsible for obtaining the information. I believe the submitted information is true, accurate, and complete. I am aware there are significant penalties for submitting false information, including the possibility of fines and/or imprisonment.
  6. Please type full name
  7. Leave This Blank:

  8. This field is not part of the form submission.