<p> WASTEWATER DIVISION ODOR COMPLAINT FORM</p><p>Complainant: Name Address Phone</p><p>Date/Time Received Incident Date(s) Incident Time(s)</p><p>Received By Work Section Phone</p><p>Complaint Description:</p><p>Field Check By: Date Time</p><p>Air Temperature Wind Direction Wind Speed</p><p>H2S Readings Location Readings (ppm or ppb) (Jerome 631-X Meter)</p><p>Field Check Findings and Action Taken: (Include information from site of complaint and possible source at WPCF.)</p><p>Feedback provided to complainant following investigation YES NO Explanation if no feedback provided to complainant:</p><p>CALL 1st 2nd 3rd</p><p>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:</p><p>Final Copy to: DC Division Director Plant Manager MWMC Public Information Officer</p><p>Form Page 1 of 1 Document No. WW-1413 Odor complaint Last Revised: 10/4/06</p>