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Site Info Location of dump site:
(Please be as specific as possible, using address, GPS or map coordinates, city, landmarks, etc.)
Property Owner (if known)
Type of waste: Appliances Construction Debris Electronics Furniture Household Trash Shooting Debris Tires Vehicle Yard Debris Other
Date you first observed the dump(mm/dd/yyyy)
Date of the illegal dumping, if known(mm/dd/yyyy)
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
Model
Color
License number
Additional Information
Describe the suspect(s) you believe is /are responsible for the dumping. Include height, weight, sex, race and distinguishing characteristics.
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.
I wish to remain anonymous
First Name
Last Name
Primary Phone
Address
City
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Zip Code
E-mail
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