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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />contact intormation (to neip us Keep you currenq <br />Name CjAAPL6Z SPtE <br />Organization ,v TC �ys TA C11Y l.ov19G1L ; Rro 6kr4,c�DE,,d 1 Dt,tkjbT,4 13L <br />Mail Address 2.00 — T'iZU/ -i Any Air, MoNTa 05—TA FIY4 4 <br />E -Mail o g 5T i e VD M;i 1a Ga m <br />Organizational Needs (check box 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 />❑ <br />❑ <br />® <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />19 <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 />N <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />® <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />1Z <br />❑ <br />❑ <br />❑ <br />Education <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />® <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />® <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />19 <br />❑ <br />11 <br />❑ <br />