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* 1. Full Name

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* 2. Pounds or Volume Diverted per year

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* 3. Motive for Diversion (check all that apply)

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* 4. Material Diverted (select all that apply)

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* 5. How Diversion Happened

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* 6. Would you like your diversion story to be shared on the city website?

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* 7. If yes, please include contact information

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