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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information Ito help us <br />Name 129V I Y <br />Organization <br />Mail Address 2 CDO <br />E -Mail COU mite <br />u S • , Wye 30 0 <br />1 rc we-, co w► <br />✓A.r , CC T D 2 <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />1 <br />3 <br />5 <br />Information on Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planni2a <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />go <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />En <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity/Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />IR <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑] <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />❑ <br />❑ <br />❑J <br />