Report an illicit discharge

2. Please use this form to alert the City of Menlo Park of an illicit discharge incident. Please provide as much detail as possible so our staff can act to resolve the matter. Please do not use this form to report an emergency situation. You can find more information online at menlopark.org/stormwater.
   
6. INCIDENT INFORMATION
8. Date/time observed
   Date/time observed

   Date/time observed
10. Location type

    1. Residential
    2. Commercial (include business name)
    3. Park
    4. Street

    1. Storm drain
    2. Creek
    3. Other (please describe below)
12. Discharge yype

    1. Construction debris
    2. Automotive fluids
    3. Cooking oil/grease
    4. Litter

    1. Hardscape/car washing discharge
    2. Landscape debris
    3. Pet waste
    4. Other (please describe below)
14. Address or location
16. City
17. State
18. Zip
20. Cross streets
22. Upload photo/video #1
    *Optional
23. Upload photo/video #2
    *Optional
25. Please describe what you observed
29. YOUR CONTACT INFORMATION
31. First name
32. Last name
34. Address
36. City
37. State
38. Zip
40. Phone
41. Email
Leave This Blank:


43. Submit

* indicates a required field