Wastewater Profile BL010 - City of Las Vegas - lasvegasnevada 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your complete company name, street address, zip code, and business telephone number in the designated fields.
3. Next, provide your mailing address including city, state, and zip code.
4. Fill in the names and titles of the authorized representatives for your company. Ensure you include their contact numbers for official correspondence.
5. Indicate whether your company has an existing Wastewater Contribution Permit by selecting 'Yes' or 'No', and if applicable, provide the permit number.
6. Answer if your company holds a City of Las Vegas business license and include the license number if available.
7. Describe the nature of work performed by your company succinctly in the provided field.
8. Respond to whether any non-restroom related discharges occur. If yes, describe these discharges clearly.
9. If applicable, detail any treatment methods used for wastewater management based on previous answers.
10. Complete questions regarding chemicals on-site and potential spill routes as required.
11. Finally, review all entries for accuracy before signing and dating at the bottom of the form. Attach additional sheets if necessary.

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