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DEQ Interagency PPT.ppt� � � State of Oregon Department of Environmental Qualiiy Incident ❑Land OV1Jate r ❑Air Type: Nancy Gramlich DEQ — Western Region Region (503) 378 — 5073 qramlich. nancy�deq.state.or. us � � � State of Oregon Department of Environmental Qualiiy Water Quality Concerns/Complaints •Domestic/Municipal — Permitted waste water treatment facilities for sewage and private domestic sewage faci I ities •Individual Onsite/Septic — Installers, Pumpers •Industrial Sources — With and without permits •Stormwater — Stormwater (general permits 1200 C, A, Z; Less than 1 acre construction); Municipal Separate Storm Sewer Systems (MS4s) •Miscellaneous — Sedimentation of streams (mudboggers, motorcycle races, sprint boats, riparian vegetation removal); Non-Stormwater discharges; Non-Stormwater general permits or individual permit required � � � State of Oregon Department of Environmental Qualiiy !.�� ��'A �� ��� �'�" u �'� ,�� � y = , �.�.. .-.� , -��, � r,.��r_., �•.���5 �' y�' -� � � f,. . �`' !FT �' � s` �'�►''^- • �'. � m . _� I` . �� . v � '� ; � r . 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To report a spill or environmental emergency, contact the Oregon Emergency Response System at 1-800-452-0311. v�rww. ore_qon qov/D EQ/ ContactAppropriate DEQ Re_qional Office by Phone � � � State of Oregon Department of Environmental Qualiiy Report a Complaint - the following information needs to be provided* •Date and time observed •Source •Incident Type: Land; Water; Air; Falsified/Incorrect Document •Location: Street Address, City, County, Zip, Phone •Description •Reported by(this can remain confidential): Name, Address, City, County, Zip, Phone *Not required: Images/Photo of incident help confirm and establish priority of the potential violation � � � State of Oregon Department of Environmental Qualiiy Referral POLLIITION CODIPL_�INT COMPLAINT INFORMATION Date Receiced Time Receiced�. TVhen Obseit-ed: Pollution Som�e: Phone�. [Soi . ne of' - 1 iAible pait}' � �_ polli [ i_ Ce bu:' - '. Prope�h, - ner, etc)', ik wil,no���t �nd' t � wch] Polhrtlon L�cation�. [Lacntion=,pecific admess ofsite ofpollution or directions to the site] CitV�� Zip Code: Connh-�. Desciiption�. [Deecriptiou ofpollution (e-s, eheen on �i�ate�, etr-1- Leac�e out compin�naut infonnation ] REFERRAL Referred to (if outside DE(1): -or- DEQ Yrogram Cont�ct: ����e... COMPLAINANT �ton�-mon3' Y❑ N❑ Nante: Conhdenhal^ Y❑ N❑ �ddreS9� Cinr Home Fhoue A n o n y m o u s pOTENTIAL RESPONSIBLE PARTY Confidential N°"'e F''°"e E�r �a�i�e,,: Citp�. State�. Zip Code: _ DEQ Response State�. Zip Code: WorkPhoue�. Ea Water Quality: •Domestic/Municipal •Individual Onsite/Septic •Industrial •Stormwater •Miscellaneous Same as Som�ce" I"❑ N❑ ConYmued as Responslble Party' I"❑ N❑ ��o��� ❑ x�:i� ❑ ni��u�� � ❑ Lo��� (To be detemwied b�- n�o,imn coN�ct.) COMPLAINT ACTION (FOLLOW-UP ACTIOM R G a7 ���„� t��� Complainant Contacted° I"❑ N❑ Complalnant Contact Date� � � Site �"isiY' I"❑ N❑ Site ��Isit D�te�. Site In j�ectoi: Reaolution Date. Staff Hom�a� [Reaolnhon Day�s� computer �cill calcnlate in database] NON I,�sue Date- NON Nmuber�. Enf. Refen�al Date- Pernut No.: FacilitS-�Site ID�. DeqO� �ur�DOH�fo`.Complaint Form-Com�r�rter Fillabl.doh Priority: •High •Medium • LOW Complainant Contact Complaint Response State of Oregon Co�nplaint Number: R'R-20 - Depm•hnentofEnvironmentnlQualih� ���'> �-> R'estern Re�ion Recei�°ed B�: � Complaints and Regulatory Authority � � You'R� �N V�oIAT►o�I oF S�v�R�� �yLaws,,M�'�M: Too MANy p���.RM►� ST�cK� ��NG�'�6R�A!D SHiNGtES State of Oregon Departmentof ��� ��a�l�,+����� �� ����� ���E. � rt A11J�� W�1'� ��.���� Environmental Qualiiy K4�5 WE��� SE�IJ � ll� T�ERE, �{bLt� OCCVPANCY clr�Astl.Y �xcEEas oQotiNauc_E5. , . • �� �� �. .,: ���:� � , ,�s � � :, �' t� � � � � � � �., �� � � ` � - - � . 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