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2. Date Water Waste was Observed.*
3. Time Water Waste was Observed.*
5. Address/Location of Water Waste Problem.*
7. City*
8. State*
9. Zip Code*
11. Nearest Intersection/Cross Street

    If you are unable to provide the exact address please provide this additional location information. 

13. Select the type of location where the water waste was observed.*
    -- Select One --ApartmentBankBusiness or CommercialCemeteryChurchHOA Entrance/Common AreaHome BuilderHospitalNeighborhood EntranceNursing Home/Assisted LivingHome/Residential PropertyRestaurantSchool/UniversityShopping Center
15. Type of Water Waste Problem Occured.*

    1. Sprinklers at Wrong Time or Day
    2. Run off from Sprinkler or Irrigation System
    3. Problems w/ Irrigation Maintenance & Repair
    4. Watering in/after Rainfall Event
    5. Possible Outdoor Owner Leak w/ run off
    6. Possible Indoor Owner Leak

    1. Car Wash Fundraiser - Not at Car Wash Facility
    2. Pressure Washing - Runoff Down the Street
    3. Washing Car at home on Weekday
    4. Washing Street/Sidewalk with Hose
    5. Other Violation (Please provide details below)
17. Please provide a detailed description of the observed water problem
19. If you observe the same location with repeated violations, please report each time you witness. Repeat reports for a location help to identify chronic water wasters and place them on a monitoring list.

     

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23. 1. Receive an email copy of this form.
24. Email address

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25. Submit

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