Beaumont, CA · Riverside County

No notary required

Industrial Waste Survey

Beaumont businesses complete this survey to describe their operations, water use, wastewater discharges, and sewer connections.

What this form is

The Industrial Waste Survey collects business contacts, activity details, water consumption and discharge estimates, waste-hauler information, and details about sewer drains and hazardous chemicals. Beaumont instructs businesses to complete and submit it within 14 days of receipt; incomplete forms may delay processing of an application for service. Businesses planning to discharge manufacturing process wastewater to the sewer must provide approved plumbing plans with the survey.

Who needs it

Beaumont businesses receiving the survey should complete it, including businesses that use or plan to discharge water or wastewater.

How to submit it

Submit the signed and dated survey within 14 days of receipt at City Hall’s Customer Service Counter or by email scan to [email protected], with the associated $25.82 payment.

About notarization

This survey is signed and dated without a notary; the signer certifies the information under penalty of law, and any required plumbing plans are not identified as notarized.

How to submit this form

  1. 1

    Download The Survey

    Download the Industrial Waste Survey for Beaumont.

  2. 2

    Complete The Survey

    Provide business contacts, activity and water-use details, sewer information, and the other requested responses.

  3. 3

    Gather Required Attachments

    Include approved plumbing plans if your business plans to discharge manufacturing process wastewater to the sewer.

  4. 4

    Sign And Submit

    Sign and date the survey, then submit it within 14 days of receipt at City Hall’s Customer Service Counter or by email scan with the associated payment.

Frequently asked questions

What does Beaumont’s Industrial Waste Survey ask for?
It asks for business and contact details, activities, water use and discharge estimates, waste haulers, sewer connections, and information about hazardous chemicals.
Do I need a notary for the Industrial Waste Survey?
No. The form is signed and dated without a notary. The signer certifies the information under penalty of law; approved plumbing plans may be required for certain discharges.
How do I submit the Industrial Waste Survey?
Submit the signed and dated survey within 14 days of receipt at City Hall’s Customer Service Counter or email a scan to [email protected] with the associated $25.82 payment.
Do I need to include plumbing plans?
If your business plans to discharge manufacturing process wastewater to the sewer system, the survey says to provide a complete set of approved plumbing plans.

Need something notarized?

This Industrial Waste Survey doesn’t need a notary — but if you have another Beaumont form that does, a commissioned online notary can help.