This form can be used to report a suspected incidence of illegal dumping in the County of Solano.

1) Street Name or Address where the illegal dumping occurred: (required):

2) Nearest Cross Street is: (required)

3) Debris visible from the street? (required)    Yes No Please provide description of items dumped and if not visible from street details on how we may locate site.

4) Did you observe the items being dumped?    Yes No If yes, please provide descriptions for persons or vehicles associated with the dumping, including license number if obtained.

5) May we contact you, should we need further information?    Yes No

6) Your Name:

7) Your email address:

8) Please provide any further information that may assist us:

9) Do you require contact?    Yes No

Be advised that you may only be contacted should additional information be needed. Please indicate in the Comment box, should you specifically require contact.