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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information Ito help us <br />Name i <br />Organization 9c, tjl f 0 0 0C'-p J?1 ' e Q <br />Mail Address •1 O 2�9 S CE ;?- 0 — ee <br />E -Mail tj 1 1 ( E It ?Z 16 ya 4®o , 6®2,a <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 Plannina <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 />® <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />© <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />® <br />Cl <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />9 <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />B <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />�9 <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />11 <br />❑ <br />❑ <br />Education <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />® <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Ej <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />99 <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />El <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />❑ l <br />❑ <br />❑ <br />