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