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Licensed Facility Response Form

  1. A. GENERAL COMPLAINT DATA

  2. address or nearest cross roads

  3. B. ODOUR SPECIFIC COMPLAINT DATA

  4. As reported by the complainant

  5. Other likely sources of odour near the complaint location that match the odour description.

  6. E.g. weather station at facility, Ministry maintained weather station, school weather station, etc.

  7. C. OPERATIONAL SPECIFIC DATA

  8. Describe how the odour was investigated.

  9. Was the Complaint Substantiated? *

  10. Name of facility staff person

  11. If applicable, describe what measures has been taken to reduce future complaints from the facility of this kind.

  12. Name of staff person

  13. Leave This Blank:

  14. This field is not part of the form submission.