Northwest District Association
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November 22, 2008
My NWDA
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 Odor Survey

Name
Home Phone
Work Phone
Street Address (where odor detected)
State
Zip Code
Suspected Odor Source
Date and Time Odor Noticed
Month
Day
Year
Hour
Minute
AM/PM
Priority
Odor Type
Intensity
Effects
Duration
Comments
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Health & Environment...Odor Survey
503.823-4288 * coalition@nwnw.org

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