Get the free ILLICIT bDISCHARGEb REPORTING bFORMb

M12 (914) ILLICIT DISCHARGE REPORTING FORM www.dot.state.pa.us Inspector Information Name: Contact Phone Number: Date and Time Discharge Discovered: Discharge Information PID Identification Number:

How to fill out illicit bdischargeb reporting bformb

How to fill out an illicit discharge reporting form:

Step 1: Contact Information

1. Begin by providing your full name, contact number, and email address.
2. Write down the date when filling out the form.

Step 2: Location Details

1. Clearly indicate the location of the illicit discharge, such as the address or nearest landmarks.
2. If possible, provide additional details about the surrounding area to help pinpoint the exact location.

Step 3: Description of the Discharge

1. Write a detailed description of the discharge you observed.
2. Include information about the type of discharge (e.g., sewage, chemicals, sediment), its color, odor, and any visible contaminants.
3. Mention whether the discharge is ongoing or if it occurred at a specific time.

Step 4: Attach Supporting Evidence

1. If available, take photographs or videos of the discharge to include with the form.
2. Ensure that the visual documentation is clear and shows the discharge and its surroundings properly.
3. If there are any relevant documents or records related to the discharge, attach them as well.

Step 5: Witness Information (if applicable)

1. If you witnessed the discharge, provide your details and contact information.
2. Include the names and contact information of any other witnesses, if applicable.
3. Provide a brief description of the witnesses' observations, if necessary.

Who needs an illicit discharge reporting form?

1. Municipal Agencies: Local governments or environmental departments often require individuals to report illicit discharges to ensure the enforcement of regulations.
2. Environmental Organizations: Non-profit organizations and activist groups encourage individuals to report illicit discharges to protect the environment.
3. Concerned Citizens: Anyone who notices a potential illicit discharge and wants to play an active role in preserving the environment can fill out an illicit discharge reporting form.
4. Businesses and Industries: Companies that prioritize environmental stewardship often have internal reporting procedures for employees to report any illicit discharges that occur within their facilities.

Note: The specific entities that require or accept illicit discharge reporting forms may vary depending on your location. It is recommended to research local guidelines or consult with environmental agencies to determine the appropriate reporting channels.

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What is illicit discharge reporting form?

The illicit discharge reporting form is a document used to report any unauthorized or illegal discharge of pollutants into the environment.

Who is required to file illicit discharge reporting form?

Anyone who witnesses or is aware of an illicit discharge is required to file the reporting form.

How to fill out illicit discharge reporting form?

The form can be filled out by providing detailed information about the illicit discharge incident, including location, time, type of pollutant, and any other relevant details.

What is the purpose of illicit discharge reporting form?

The purpose of the form is to help track and prevent unauthorized discharges of pollutants, protecting the environment and public health.

What information must be reported on illicit discharge reporting form?

Information such as location of discharge, time of discharge, type of pollutant, and any potential sources of the discharge must be reported on the form.