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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 cur rent) <br />Name e: �Ap-m -, Jc � :�:a d a- f IG-, <br />Organization U R p N Crtw a <br />Mail Addres H o I e D ce,� <br />E -Mail ���#1 I � �`'C j <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need I <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 Planning <br />General Planning <br />❑ <br />❑ ❑ <br />QV- <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />93 <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />0' <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />El--' <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />2--' <br />❑ <br />Technical Support for Water Conservation IMplementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />9 <br />❑ <br />Education <br />❑ <br />❑ <br />❑ <br />a- <br />❑. <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />0"*' <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />5Y'- <br />❑ <br />❑ <br />®-- <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />Q- <br />Financial Support for Water Conservation Planning <br />❑ <br />2 <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />EY <br />11 <br />❑ <br />❑ <br />