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Pollution Reporting Form

Puget Soundkeeper Pollution Reporting Form

Thank you for taking the time to report a pollution incident. Puget Soundkeeper Alliance will follow up with appropriate agencies. This is a non-emergency reporting form. For an emergency situation, such as an oil, fuel or hazardous chemical spill, please also call: 1 (800)OILS-911, AND 1 (800)424-8802 immediately. If a safety hazard exists please call 9-1-1.

Your E-Mail Address

Date and Time

/ /

:

First Name

(Leave blank for anonymous)

Last Name

(Leave blank for anonymous)

Phone Number

Waterway

Which waterway does the incident concern?

Location of Pollution (Required)

Report what you saw (Required)

Please provide any information here.

Pollutant (if known)

Quantity (if known)

Weather Conditions

(i.e. sunny, cloudy, raining, windy, snowing, etc . . .)

Marine Conditions

Resources at Risk

(shoreline, birds, mammals, fish, water quality)

Include a photo?

Send us a photo (10 Mb limit, JPG format preferred)

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