Odor Alert / Outdoor Air Complaint Form

Contact Information
Business/Last Name CONTACT INFORMATION	First Name
Phone	Alternate Phone
Address	E-Mail Address
Note: Since we may need to get in touch with you to confirm all or part of this form, we cannot guarantee any action on this request unless you fill in either the Phone or E-Mail Address field.
Odor Information
Where were you when you first smelled the offending odor ? (cross streets or address)
Date odor noticed ?
Time of day/night ?
Have you ever previously noticed or smelled this bad odor, at this same place ?	----- Same Place ------ Yes No
Duration the odor was present (minutes or hours)
Intensity of the odor	--------- Intensity --------- Faint/Weak Moderate Strong
Was the wind blowing ?	----------- Wind ----------- Yes No
If yes, from what direction ?	-------- Direction --------- North South West East Northwest Northeast Southwest Southeast
Description of Odor or other details