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2. Vehicle or Individual Description
   Please provide as much detail as possible to include the vehicle license plate information.
4. Location of Violation
   Please provide location the violation occurred to include time and date.
6. Description of items Littered
8. Follow up Contact Name and Phone Number
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10. 1. Receive an email copy of this form.
11. Email address

    This field is not part of the form submission.

12. Submit

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