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Commercial in Confidence;OFFICIAL:Sensitive|Sensitive;OFFICIAL:Sensitive
Can you please describe the pollution?
Where are you experiencing this pollution?
How is this pollution impacting you?
Where are you being affected?
Where do you believe the pollution is coming from?
What was the date and time you experienced this pollution?
Have you experienced this before?
Please describe the scale of pollution by stating a number between 1 & 10, with 10 being the worst
If you can determine the wind direction, please state the direction. If you are unable to, please say unknown
Is this an ongoing issue?
Is this issue still occurring?
If our officers need to contact you for further information, are you willing to assist?
Would you like to be notified of the outcome of your report?
Do you consent for your details to be passed onto other government agencies if required?
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