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Report an illicit discharge
This form has been modified since it was saved. Please review all fields before submitting.
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
.
INCIDENT INFORMATION
Date/time observed
Date/time observed
Date/time observed
Location type
Residential
Commercial (include business name)
Park
Street
Storm drain
Creek
Other (please describe below)
Discharge yype
Construction debris
Automotive fluids
Cooking oil/grease
Litter
Hardscape/car washing discharge
Landscape debris
Pet waste
Other (please describe below)
Address or location
City
State
Zip
Cross streets
Upload photo/video #1
*Optional
Upload photo/video #2
*Optional
Please describe what you observed
YOUR CONTACT INFORMATION
First name
Last name
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