Business Information Primary Contact Information Facility Address Is the facility address the same as the business address? Yes No Is this a food service establishment or cafeteria? If not, we will need some additional information. Yes No Is this an existing building or new construction? Existing building New construction What industrial activities occur onsite and what type of industry is this? (Find SIC codes through the North American Industry Classification System or Oregon's Secretary of State.) Is your industrial activity a dry process Yes, it is a dry process No, we process wastewater Will your industry discharge more than 625 gallons per day on average? Yes No Undetermined Will you be generating hazardous waste? Yes No Undetermined Do you use any chemicals that will be discharged into your wastewater? Yes No Undetermined Will any activities be conducted outside? Yes No Undetermined Submit
