Your contact information is confidential. Although completing this section is not required, it does allow us to obtain additional information from you if necessary, and update you after the incident you report has been investigated.
Please provide as much descriptive information as you can about the location and type of problem, so that we can locate the problem. If you do not have a specific address, please indicate a cross street or identifying landmark.
If you know or suspect who was responsible for the pollution, dumping or discharge you are reporting, please provide as much information as possible, so that we may contact them. All information remains confidential and is not released.