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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information (to help us keep you current) <br />Name <br />Organization �; Tom. a� I,.��ho mon ,�b� i c L�orks� L� c; <br />Mail Address _ 4 1 A VIL-- io n a yy n n l C,O go'�o <br />E -Mail rc, n 1, aro�re r`qp, t',% )o nQ rnJ71A c--Q1 VII <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />��'� �� <br />In formation Water-Conservation i <br />❑ <br />❑ <br />■ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Pro reams <br />❑ <br />■ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />9 -- � �,���, <br />General Planning <br />❑ <br />■ <br />❑ <br />❑ <br />❑ <br />Water System. Mapping and Evaluations <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />■ <br />❑ <br />11 <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />im <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />❑ <br />IN <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />® <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />a <br />❑ <br />0 <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />0 <br />■ <br />❑ <br />❑ <br />■ <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />,Financial Suort for Water Conservation Piannina <br />❑ <br />■ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conse=i n Im lleementation <br />■ <br />13 <br />11 <br />13 <br />11 <br />