| Site Info |
Location of dump site:
(Please be as specific as possible, using address, GPS or map coordinates, city, landmarks, etc.) |
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| Property owner (if known): |
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| Type of waste: |
Appliances
Construction debris
Electronics
Furniture
Household Trash |
Shooting Debris
Tires
Vehicle
Yard Debris
Other
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Date you first observed the dump:
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Date of the illegal dumping, if known:
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| Suspect Info |
Vehicle used in the dumping, describe it as best you can and any part of the license plate and company name if possible: |
Make:
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Model:
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Color:
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License:
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Additional info (company markings, distinguishing features, etc.):
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| Describe the suspect(s) you believe is /are responsible for the dumping. Include height, weight, sex, race and distinguishing characteristics. |
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| Contact Info |
You can report this confidentially. However, if you would like to know the results of our investigation or when the dump is cleaned up, please provide your contact information. |
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I wish to remain anonymous. |
First Name:
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Last Name:
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Address:
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City:
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Zip code :
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Phone:
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Email:
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