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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 <br />Name /- )) AJ J6 44 PJ 61 0 A <br />Organization '5Q / <br />Mail Address Z 3 z 4 G A/4-5 - j - e= O D R C �� fr �x! 0 ' 6 r �° <br />E -Mail x n s o /. co <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />AI <br />f eeUj <br />L oa is ? a. J v -, ?. ✓-� c, � <br />I <br />3 <br />5 <br />// <br />Information on Water Conservation Plan nina <br />[1 <br />° <br />❑ <br />El <br />Information on Water Conservation Measures and Progra <br />° <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />° <br />° <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />Cl <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />Cl <br />0 <br />° <br />❑ <br />° <br />° <br />° <br />Financial Analyses (i.e., pricing water) <br />❑ <br />° <br />❑ <br />° <br />° <br />Monitoring and Measuring <br />° <br />0 <br />Updates and Revisions <br />Technical Su ort for Water Conservation Iml2lementation <br />❑ <br />° <br />❑ <br />° <br />Communications /Publicity/Messaging <br />� <br />° <br />° <br />° <br />° <br />Education <br />° <br />° <br />° <br />Outdoor Use <br />° <br />� <br />° <br />° <br />° <br />Indoor Use <br />M <br />° <br />° <br />° <br />° <br />Leak Detection and Repair <br />° <br />° <br />° <br />° <br />Alternative Water Supplies <br />❑ <br />° <br />❑ <br />° <br />° <br />Monitoring and Measuring <br />Financial Support for Water Conservation Plannin <br />❑ <br />F inancial Support for Water Conservation Implement <br />❑ <br />❑ <br />❑ <br />❑ <br />