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2. Thank you for your interest in helping Coachella Valley residents reduce water waste. To report water waste, please provide the following information. Our staff will investigate every report and provide technical assistance, as needed.
   
   You can also report water waste by calling 1-888-398-5008.
4. First Name
5. Last Name
7. Email Address*
8. Your Phone*
12. Date/Time Observed
    Date/Time Observed

    Date/Time Observed
14. Address of Violation
15. City
    -- Select One --Bermuda DunesCathedral CityDesert Hot SpringsIndian WellsIndioLa QuintaMeccaNilandPalm DesertRancho MirageSalton CitySky ValleyThermalThousand Palms
17. Major Cross Streets
19. Type of Problem*

    1. Broken sprinkler or leaky irrigation valve
    2. Washing down driveways, sidewalk and other hardscapes
    3. Using a hose without a shut off nozzle

    1. Irrigation causing runoff onto sidewalks or roads
    2. Daytime Watering
    3. Other (please describe below)
21. Description
23. Attach a Photo
29. Internal Notes
31. Internal Status
    -- Select One --OpenClosedNo Issue Found
32. Internal Warning Letter Sent
    -- Select One --naSent
33. Internal Letter Sent
    Internal Letter Sent
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field