Illicit Discharge Reporting Form
Have you witnessed illicit discharge of a substance into a storm-drain, stream, or the like? Please fill out the short survey below to inform us of the event. We appreciate your efforts in keeping our water clean!
Name? *
Your answer
Contact Phone Number *
Your answer
Date *
MM
/
DD
/
YYYY
Time Event Occurred *
Time
:
Location of Event (indicate nearby street intersection, address, and or landmarks for reference)
Your answer
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