Welcome to the State Water Resources Control Board Welcome to the California Environmental Protection Agency
State Water Control Board

Storm Water Program


NON-FILER REPORTING FORM

 

Non-Filer Reporting Form

Name of Business:
Type of Business:
Type of Discharge: Illegal Dumping  Polluted Storm Water Runoff
Vehicle Washing Other
Address of Business:
City:  

State:

Additional Comments:

The rest of this form is optional and is not required to be submitted.
Your Name:
Address: 
City: State: 
Phone:
Email Address: