You may remain anonymous if you wish, but providing contact info will help us follow up on your report.
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Name:
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Last Name:
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Email:
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| Phone: |
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| Waterbody Affected: |
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| Please provide a detailed description of the location including roadways, landmarks, etc.: |
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| Please describe what you observed (i.e. type of pollution, sights, smells, etc.) |
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| Suspected Cause/Polluter |
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| Time, date and duration |
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| Weather Conditions |
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| Have you seen this before? |
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| If so, when or for how long? |
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| Do you have pictures? |
Please send photos as attachments to nbrooke@blackwarriorriver.org |
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| Have you notified any regulatory agencies? |
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| Please keep us posted if you have. |
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