Name
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Email Address
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Telephone
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Today's Date
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Date Discharge Discovered
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2023
Date of Last Rain Event
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Estimated Quantity of Rain
Location of Discharge
Where was Discharge Found?
Open Ditch
Stream
Pipe Outfall
Was Water Flow Observed?
Yes
No
Was Water Solid or Pulsing?
Solid
Pulsing
Was a Photo Taken?
Yes
No
Upload Photo
Odor
None
Musty
Sewage
Rotten
Eggs
Sour Milk
Color
Clear
Red
Yellow
Brown
Green
Grey
Clarity
Clear
Cloudy
Opaque
Was there any Oily Sheen?
Yes
No
Was there Garbage or Sewage?
Yes
No
Additional Information to Assist in the Investigation