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Sponsor:
Sacramento Stormwater Quality Program
Registration for Parks, Schools/School Districts, and Others
* Required Fields
ORGANIZATION INFORMATION
Registered As
*
Please Select
Auto parts or repair
Carwash--Mobile
Church
Convenience store only (no gas sales)
Fast food restaurant
Other
Park & recreation facility
Retail gas station/minimart only (no carwash facility on-site)
Retail gas station/minimart with on-site carwash facility
Retail store (drug store, grocery store, big box retail, hardware)
School
School district
Tire store
|Out of County| Program Affiliate
~~~RFFCP Administrator Use Only~~~
Organization Name
*
Specific
Site Address
*
Unit#
City
*
State
*
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip
*
Site Phone
*
Format: 916-555-5555
ORGANIZATION LEADERSHIP/OWNER INFORMATION (or Corporation/Entity)
First Name
*
Last Name
*
If owner not a person, enter corp/entity as first name and underscore (_) character for last name.
Mail Address
*
Check this box if Owner's or Corporation Mail Address is same as Site Address:
Unit#
City
*
State
*
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip
*
SITE MAIL INFORMATION
Site
Mail
Address
*
Check if Site Mail Address is same as: Site Address
Owner Address:
Unit#
City
*
State
*
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip
*
CONTACT PERSON INFORMATION
Full Name
*
Phone
*
Cell
Fax
E-mail
*
OTHER INFORMATION
Fundraising Event Options
*
Other
Utilize area with pervious concrete for carwashing
Utilize large landscaped area for carwashing
Utilize parking area/paved area for carwashing
When necessary, choose "Different than listed" above and enter description below manually:
Group Participation Information
*
Equipment available at site for holding RF carwashing
Other
Site provides space only
When necessary, choose "Different than listed" above and enter description below manually:
City Code
Please Select
City of Citrus Heights
City of Elk Grove
City of Folsom
City of Galt
City of Rancho Cordova
City of Sacramento
Meadow Vista (Placer County)
Unincorporated County of Sacramento
West Sacramento (Yolo County)
Organization Website
MAILING INFORMATION
Subscribe for the Following Mail Lists
General Stormwater Compliance News/Information
Information on Becoming a RFFCP Partner
News and/or Other Information on The RFFCP
Mail Preference
*
Owner mailing address
Site Mailing Address
Both
Please enter the validation code shown
*
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