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* 1. Do you wish to include your name and contact information with this report?

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* 2. WHAT TYPE OF EVENT WOULD YOU LIKE TO REPORT?

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* 3. IS THIS DUMPING ON YOUR PROPERTY?

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* 4. PLEASE GIVE THE DATE AND TIME YOU FIRST OBSERVED THIS DUMPING EVENT?

DATE YOU OBSERVED ILLEGAL DUMPING
LAST TIME YOU SAW THIS AREA CLEAN OR FREE OF TRASH

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* 5. ON WHAT ISLAND DID THIS DUMPING OCCUR?

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* 6. Describe the location where the dumping occurred. Use local landmarks, and provide a GPS location if possible

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* 7. What did the trash consist of? Please mark all items that apply.

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* 8. Do you have photographs

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* 9. Provide your name and contact information (optional)

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