Please fill out as much information as possible. Thank you for helping protect and keeping our city clean. Location of the dumpNearest address to the dump Street Address Address Line 2 Describe where the dump is located, including any relevant landmarks.Type of waste appliances bags construction debris electronics furniture household trash liquids tires Other waste Additional InformationIf you observed a vehicle used in the dumping, and noted the license plate: Date you first observed the dump: MM slash DD slash YYYY Name of the person or company you believe is responsible, if known:Describe the person or vehicle you believe is responsible. Include height, weight, sex, race, and any other distinguishable characteristics:CommentsContact informationPlease leave your name in case we need to ask any follow-up questions. This is completely optional.Name First Last Email PhoneAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Would you like a copy of your complaint emailed to you Yes No EmailThis field is for validation purposes and should be left unchanged. adminReport a dump site01.18.2017