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Today's Date
Time Discharge Discovered
Date of Last Rain Event:
Estimated Quantity of Rain (inches)
Location of Discharge
Where was discharge found?
Open DitchStreamPipe Outfall
Other?
Was Water Flow Observed?
YesNo
Was Water Flow Solid or Pulsing?
YesNo
Was a Photo Taken?
YesNo
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Odor
NoneMustySewageRotten EggsSour Milk
Other Odor?
Color
ClearRedYellowBrownGreenGray
Other Color?
Clarity
ClearCloudyOpaque
Was There an Oily Sheet?
YesNo
Was there Garbage/Sewage?
YesNo
Additional Information to Assist in the Investigation