The DEQ knows that your time is valuable. Your accurate responses to the survey questions will assist us in monitoring conditions at the landfill and identifying contributing factors; please be as specific as possible. This data is reviewed frequently; we thank you for your time.

Questions marked with * indicates a response is required.

* 1. Date(s) of offending odors:

* 2. Location where offending odors were noticed:

* 3. Time offending odors were noticed:

* 4. Duration of offending odors:

* 5. Level of offending odor (1 being the lowest, 5 being the highest):

* 6. Characteristic of offending odor (Examples: garbage, gas, sewer):

WEATHER INFORMATION

* 7. General weather (Examples: sunny, rain, snow, cloudy):

* 8. Temperature:

* 9. Wind Speed:

* 10. Wind Direction:

* 11. Additional Comments:

The field below is optional, but highly recommended should we need to contact you for more information.

* 12. Contact information (Name, phone number, email address):

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