About You
What Happened?     No Yes
No Yes
Better Same Worse
Air
Pavement
Soil
Water
Other: Type in the box below
Animal
Battery
Asbestos
Chemical
Pesticide
Odor
Petroleum
Sewage
Smoke
Solid Waste
Unknown
Other: Type in the box below
Odor Complaint Information What does the odor smell like? This is the first time
Daily
2-6 times/week
Weekly
Monthly
Don't know
Less than 1 hour
1-6 hours
6-12 hours
More than 12 hours
Trace (very faint odor)
Noticeable (faint but noticeable)
Moderate (disinct and recognizable)
Strong (distinct and overwhelming)
Very strong (distinct and pervasive)
Not unpleasant
Unpleasant
Offensive
Highly offensive
Observation, comments or impacts
Incident Location No Yes
 
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