Pollution Incidents.
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Name
Phone Number.
*
This needed in case the Association needs to contact you.
Email
*
Date.
*
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Day
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Month
Year
Please give the approximate time the incident was witnessed.
*
AM
PM
AM/PM Option
What was the nature of the incident.
*
Please give as much information as possible.
File Upload.
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Any pictures or videos would be a great help.
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If you spoke to SEPA can you give the name of their representative you spoke with and their response.
Incident number.
This is the umber SEPA SHOULD have given you,this helps the Association with follow ups.
Please verify that you are human
*
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