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* 1. Name:

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* 2. Address or nearest cross street for odor complaint:

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* 3. Date and time of odor complaint:

Date
Time

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* 4. What is the nature of your odor complaint?

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* 5. How intense was the odor?

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* 6. What weather conditions best describe the status at the time of your odor complaint?

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* 7. Please share any other comments you would like to add:

0 of 7 answered
 

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