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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 Al <br />Organization U L/e4a e C 2 <br />Mail Address ,) y hog '44 5 Ca • US <br />E -Mail <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />neea) <br />1 <br />3 <br />5 <br />Information <br />on Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Information <br />on Water Conservation Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical <br />Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />�' <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />Er <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑- <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />zy' <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />a <br />❑ <br />Technical <br />Support for Water Conservation ImQllementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />.' <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />Leak Detection and Repair <br />,(a- <br />Er <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />-� <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial <br />Support for Water Conservation Planning <br />❑ <br />❑ <br />.❑' <br />❑ <br />❑ <br />Financial <br />SuQRort for Water Conservation Implementation. <br />❑ <br />❑ <br />ET' <br />13 <br />❑ <br />