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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information (t help u s ke ep you current) <br />Organization <br />Mail Address ?V0 C4 ���• � � S��ir S . C4 gl� <br />E -Mail KZ b AA*5 Gam, el-5 <br />Organizational Needs (check box the best represents your situation 1 being substantial need, 5 being no <br />need) <br />1 <br />3 <br />5 v <br />Information on Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />23 <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />1Z <br />O <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />❑ <br />ca <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />un <br />Monitoring and Measuring <br />❑ <br />f;a <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 />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />0 <br />❑ <br />o <br />Indoor Use <br />El <br />11 <br />11 <br />91 <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />®' <br />❑ <br />❑ <br />91 <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />Eina ial ,plorr for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation ImQlementation <br />❑ <br />❑ <br />❑ <br />❑ <br />