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2. If you observe illegal dumping into a storm drain inlet or storm water conveyance (i.e. ditch, stream), or if you see anyone pouring something other than storm water into a storm drain inlet, please fill out and submit the form below.
4. First Name*
5. Last Name*
7. Email*
8. Phone Number
10. Incident Address
12. City
13. State
14. Zip
16. Date & Time
    Date & Time

    Date & Time
18. Description*
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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