Get the free Illicit Discharge Investigation Form - SH - 2005.pdf - City of St. Helena

City of St. Helena Illicit Discharge Reporting Form Incident ID: Investigation Date: Time: AM/PM Investigation By (Name, Dept): Location of Discharge: Municipality: St. Helena Callisto APN: - - -

How to fill out illicit discharge investigation form

How to Fill Out Illicit Discharge Investigation Form:

1. Begin by obtaining the illicit discharge investigation form from the relevant authority or organization responsible for managing illicit discharge issues. This form is typically available on their website or can be requested directly.
2. In the first section of the form, provide your personal information, including your name, contact details, and any other required identification information. This ensures that the form is properly attributed to you.
3. Next, fill in the date and location of the suspected illicit discharge. Be as specific as possible, providing nearby landmarks or the exact address if available.
4. Describe the nature of the suspected illicit discharge in detail. Include any observations or evidence you may have, such as unusual odors, discolored water, or any visual cues that suggest pollution. Attach any supporting photographs or documents if required.
5. If you witnessed the illicit discharge, provide a detailed account of what you saw, including the date, time, and any other relevant information. If possible, list any witnesses who were present and may be able to provide additional information or support your claims.
6. In the next section, specify the potential source of the illicit discharge if known. This could be a nearby industry, construction site, or infrastructure that may be contributing to the pollution. If unsure, leave this section blank or provide any theories based on your observations.
7. Indicate if any environmental agencies or authorities have been notified about the suspected illicit discharge. If you have already reported it to the appropriate authorities, provide their contact information and any case/reference numbers provided to you.
8. Finally, sign and date the form to certify the accuracy of the information provided. This legally acknowledges that you are submitting the form in good faith and understand the consequences of providing false or misleading information.

Who Needs Illicit Discharge Investigation Form:

1. Environmental Agencies: Illicit discharge investigation forms are often required by environmental protection agencies at the local, state, or federal level. These agencies are responsible for managing and controlling pollution, and the form helps them gather information about potential illicit discharges to take appropriate action.
2. Concerned Citizens: Any individual who notices or suspects an illicit discharge, be it a regular citizen, researcher, or environmental activist, can use the illicit discharge investigation form to report the incident to the relevant authorities. This allows for proper documentation and investigation of the potential pollution event.
3. Compliance Inspectors: Officials responsible for inspecting industrial facilities, construction sites, or other potential pollution sources may require individuals to fill out an illicit discharge investigation form if they come across suspected illicit discharges during their inspections. This assists them in identifying potential sources and taking necessary enforcement actions.
4. Environmental Consultants: Professionals working in the field of environmental consulting or advising may use illicit discharge investigation forms to document and report incidents to their clients or regulatory bodies. This helps in assessing the impact of the discharge and recommending appropriate remediation measures.

For pdfFiller’s FAQs

What is illicit discharge investigation form?

The illicit discharge investigation form is a document used to report and investigate any unauthorized or illegal discharges into the water system.

Who is required to file illicit discharge investigation form?

Any individual or entity that may be responsible for a discharge into the water system is required to file the illicit discharge investigation form.

How to fill out illicit discharge investigation form?

The illicit discharge investigation form can be filled out by providing detailed information about the discharge, location, date and time, and any other relevant details.

What is the purpose of illicit discharge investigation form?

The purpose of the illicit discharge investigation form is to identify and address any unauthorized discharges into the water system to protect the environment and public health.

What information must be reported on illicit discharge investigation form?

The illicit discharge investigation form must include information about the discharge, location, date and time, the source of the discharge, and any measures taken to address the issue.

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