Pollution Reporting Form
Please complete this form to report any concerns, damage or illegal dumping to storm drains, dams, basins, levees and/or channels.
First Name:
Last Name:
Home Address:
E-Mail Address:
Phone Number:
*Location of pollution:
*Date / Time: MM/DD/YYYY
*Nearest Cross Street:
*City or community:
*Detailed description of discharge / concern / dumping:

You may also report any discharge, concerns or illegal dumping by calling 951-955-1200 during regular business hours (M-TH 7:30-4:30)
The District appreciates your input and assistance in protecting water quality.