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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 (L s'tt'v5 -rJ <br />Organization 1�4 S <br />Mail Address F0• is, /671 r'AStI.� �bG� Co �GID <br />E -Mail , G{ C �- c C Po 60,< - G a W'i <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 />Pr <br />❑ <br />❑ <br />❑ <br />Information on Wawr Conservation M asures and Progr <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />19 <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />mr <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />ff <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />O <br />Technical Support S port fnr Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />❑ <br />of <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />R <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />E9 <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />jo <br />® <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />M <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation ImQlementation <br />❑ <br />$a <br />❑ <br />❑ <br />11 <br />