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Report Illegal Dumping or Illicit Discharge
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This form has been modified since it was saved. Please review all fields before submitting.
Type of Discharge
*
Animal Waste
Detergent or Wash Water
Garbage
Industrial Waste
Leaf Litter or Yard Waste
Oil (cooking or petroleum)
Untreated Sewage
Vehicle Fluids
Other Issue
Contact Name
*
Contact Phone Number
*
Contact Email
*
Location of Issue Being Reported
*
Brief Description of Issue and Specifics
*
Responsible Party
*
Date of Occurrence
*
Date of Occurrence
Date of Occurrence
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