May 9, 2008

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Complaint Form

ORCAA accepts complaints related to smoke, open fire, woodstoves, fugitive dust, odors, and other emissions that occur in Clallam, Grays Harbor, Jefferson, Mason, Pacific, and Thurston Counties of Washington state. Anonymous complaints are not accepted.

Note: Complaints filed using this form may not be read until the next business day. For life-threatening emergencies, please call 9-1-1.
*These fields are required to submit an online complaint.

Complaint Form

Please fill out the following information and click the submit button. "*" indicates mandatory fields.
*First Name
*Last Name
*Email
*Verify Email
*Address
Address2
*City
*State
 
*Zip Code
Phone:
( )   -
Information about Suspected Pollution Source (please include as much detail as possible)
Source First Name
Source Last Name
Source Address
Source Address2
City
State:
 
ZIP Code
Source's Phone #:
( )   -
*Urgency
 
*Response Required
 
*Describe the specific problem in detail
*Type of Problem (check all that apply)
Smoke (woodstove)
Smoke (outdoor burning)
Odor
Dust
Other:
Have you contacted ORCAA previously about this problem?
Yes No
*When did problem last occur?
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