Date of Observation * Time of Observation * Time of Day AM PM Observed Frequency of Waste Sunday Monday Tuesday Wednesday Thursday Friday Saturday Daily Address/Location of Observation Major Cross Streets Type of Location Residential Business Apartment City Property Other Possible Cause of Waste System Repair Required Operating at a Prohibited Time Operating on a Prohibited Day Irrigating During Rain/Below 40F Watering Hard Surfaces ex. Alleys/Streets/Sidewalks Water Flowing Away from Property Other Description * First Name (optional) Last Name (optional) Phone Number (optional) Email Address * Security Code *