Water & Wastewater Mask Request Question Title * 1. Drinking Water or Wastewater? Drinking Water Wastewater Both Question Title * 2. Federal PWSID or NPDES Permit Number Question Title * 3. Population Served Question Title * 4. County Alcona Alger Allegan Alpena Antrim Arenac Baraga Barry Bay Benzie Berrien Branch Calhoun Cass Charlevoix Cheboygan Chippewa Clare Clinton Crawford Delta Dickinson Eaton Emmet Genesee Gladwin Gogebic Grand Traverse Gratiot Hillsdale Houghton Huron Ingham Ionia Iosco Iron Isabella Jackson Kalamazoo Kalkaska Kent Keweenaw Lake Lapeer Leelanau Lenawee Livingston Luce Mackinac Macomb Manistee Marquette Mason Mecosta Menominee Midland Missaukee Monroe Montcalm Montmorency Muskegon Newaygo Oakland Oceana Ogemaw Ontonagon Osceola Oscoda Otsego Ottawa Presque Isle Roscommon Saginaw St. Clair St. Joseph Sanilac Schoolcraft Shiawassee Tuscola Van Buren Washtenaw Wayne Wexford Question Title * 5. Utility Name Question Title * 6. Person Responding Question Title * 7. Phone Number Question Title * 8. Email Address Question Title * 9. Number of Water and Wastewater Employees? Question Title * 10. Choose Mask pick-up location Battle Creek Bay County Bloomfield Twp. Bridgman Cadillac Gaylord Grand Rapids Houghton Ironwood Lansing Charter Township Marquette Sandusky Question Title * 11. Person picking up the masks Question Title * 12. Is your utility currently experiencing shortage of operators or essential staff? Yes No Question Title * 13. Does your utility have a continuity of operations of plan?This plan would lay the groundwork for specific responses to a situation that is causing staffing levels to be stressed by events similar to what we are experiencing now. Yes No Question Title * 14. Is your utility a member of Michigan Water/Wastewater Agency Response Network (MIWARN)? Yes No Question Title * 15. If you are not a member of MIWARN would you like information? Yes No Done