Wastewater Division

WASTEWATER DIVISION ODOR COMPLAINT FORM

Complainant: Name Address Phone

Date/Time Received Incident Date(s) Incident Time(s)

Received By Work Section Phone

Complaint Description:

Field Check By: Date Time

Air Temperature Wind Direction Wind Speed

H2S Readings Location Readings (ppm or ppb) (Jerome 631-X Meter)

Field Check Findings and Action Taken: (Include information from site of complaint and possible source at WPCF.)

Feedback provided to complainant following investigation YES NO Explanation if no feedback provided to complainant:

CALL 1st 2nd 3rd

Plant Operations Supervisor Operations Technician 3 Plant Manager Maintenance Supervisor Pump Stations Pump Station Supervisor Plant Manager Facilities Supervisor Residuals Residuals Supervisor Residuals Technician 3 Plant Manager NOTE: ROUTE TO SUPERVISOR: (as e-mail attachment) Supervisor's Comments:

Final Copy to: DC Division Director Plant Manager MWMC Public Information Officer

Form Page 1 of 1 Document No. WW-1413 Odor complaint Last Revised: 10/4/06