Date* Date Format: MM slash DD slash YYYY Time : HH MM AM PM Location of Observed Spill or DumpingLocation details and surrounding identifying landmarks*Nearest Street and/or House AddressCan you see where the spill/dumping starts at?*YesNoIf Yes, please describe the starting locationDescription of Spill or DumpingClarity*ClearSlightly CloudyCloudyOpaqueFloatables*No FloatablesFloating SolidsFoamOil/Grease Sheen*No Oil or GreaseFlecks & SlickGlobsSheenColor*ClearRedOrangeYellowGreenBluePurpleWhiteBlackSolids*No SolidsSettled SolidsSuspended SolidsSmell*No SmellRotten Egg (hydrogen sulfide)Gasoline/Solvent (fuel, petroleum products, chemicals)Pungent (ammonia, chlorine, chemicals)Sour (acidic, greases, putrid substances)Is algae or bacteria present?*YesNoAre dead fish present?*YesNoPlease describe anything else you can notice (and attach photos or files below)Location Photo or GPS ScreenshotUp Close of Spill/DumpingOther Useful Photo/FileWould you like to be contacted either with follow up information or for follow up questions?YesNoName First Last PhoneEmail