Industrial & Commercial Stormwater Evaluation Program Facility Survey
Please complete the survey questions below. If you have any questions please contact Mr. Ty Fukuroku, of Maui Highways at (808) 873-3535 or at his email address,
Sign in to Google to save your progress. Learn more
Facility Owner's Name & Location Address: *
Contact Name for Scheduling & Obtaining Access to Facility: *
Facility Contact's Email Address & Phone Number: *
Facility's Standard Industrial Classification (SIC) Code:
Select all that are applicable about your facility's on-site activities:
If required does the facility have any of the following documents:
Clear form
Never submit passwords through Google Forms.
This form was created inside of Enviroservices & Training Center LLC. Report Abuse