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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 C x - l< IAI4,�A Pe..Y4 <br />Organization— a_._ cr C :L Z� 1 �� ► �, a � � <br />Mail Address n x - d 1 Dmwe4.kta a ® ff /3/ 2- <br />E -Mail <br />Organizational Needs (check box the best represents your situation I being substantial need, S being no <br />need) <br />1 <br />3 <br />S <br />Information on Water Conservation Planning <br />❑ <br />❑ <br />W <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />N <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />JR <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />JR1 <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 />0 <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />E3 <br />❑ <br />E3 <br />13 <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />V3 <br />Financial Support for Water Conservation Implementation <br />❑ <br />❑ <br />❑ <br />❑ <br />�l <br />