You may remain anonymous if you wish, but providing contact info will help us follow up on your report.
Please provide a detailed description of the location including roadways, landmarks, etc.:
Please describe what you observed (i.e. type of pollution, sights, smells, etc.)
Time, date and duration
Have you seen this before? YesNo
If so, when or for how long?
Do you have pictures? The maximum file size is 5MB. If unable to upload below, please send photos as attachments to firstname.lastname@example.org
Have you notified any regulatory agencies? YesNo
If yes, which agencies have you notified, and when?
Please complete this "quiz" to prove this is a valid report (please give answers in numerical form, for example "7" instead of "seven"): What is 9 plus three?
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Phone: (205) 458-0095 Fax: (205) 458-0094
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