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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. Odour Tone

    List the odour description provided by the complainant.

  5. Add any other odour description provided by the complainant

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

  7. C. OPERATIONAL SPECIFIC DATA

  8. Describe how the odour was investigated.

  9. Was the Complaint Substantiated? *

  10. Name of facility staff person

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

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

  13. Name of staff person

  14. Leave This Blank:

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