City of Grand Rapids Online Forms

Required fields are marked with asterisks (*)

PFAS Evaluation Survey Environmental Services Department

This form is required to be submitted within 30 days of receiving notification from City of Grand Rapids.
Questions regarding survey – contact the Industrial Pretreatment Program at 456-3633

Leather, Textile, Fabric and/or Carpet Treaters, Leather Tanneries

Factory applied repellents for stain, oil and/or water have been known to contain PFAS. Applications include protective coatings on leather, clothing, or outerwear, umbrellas, tents, sails, architectural materials, carpets, and upholstery.