Please use this form to submit an alleged violation of the State of California Senate Bill (SB) 1383 Regulations. Once received, Mendocino County will review your submission and commence an investigation within 90 days if it is determined the allegations, if true, would constitute a violation and all necessary information to investigate the complaint has been provided.

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1.  Identity of the Alleged Violator

Name of Business or Multi-Family Property:

 *

Name of Business or Multi-Family Property:

Address:

 *

Address:

Phone Number (Optional):

Phone Number (Optional):ext.

Email (Optional):

Email (Optional):

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2.  Alleged Violation 

Select at least one option and/or indicate "Other" if applicable.

 *

Select at least one option and/or indicate "Other" if applicable.

Failure to provide recycling service

Failure to provide organics service

Improper sorting/disposal or contamination of materials

Other If other, type text here.

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3.  Alleged Violation Description

Please describe, in detail, the alleged violation, including locations(s) and all other relevant facts known to the complainant. Please attach all relevant photographic or documentary evidence to support the allegations in the complaint (if available).

Please describe, in detail, the alleged violation, including locations(s) and all other relevant facts known to the complainant. Please attach all relevant photographic or documentary evidence to support the allegations in the complaint (if available).

Please describe, in detail, the alleged violation, including locations(s) and all other relevant facts known to the complainant. Please attach all relevant photographic or documentary evidence to support the allegations in the complaint (if available).

Please describe, in detail, the alleged violation, including locations(s) and all other relevant facts known to the complainant. Please attach all relevant photographic or documentary evidence to support the allegations in the complaint (if available). Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

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4.  Witnesses

Identity of any witnesses (if known) and any available contact information

Identity of any witnesses (if known) and any available contact information

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5.  Your Contact Information (Optional)

This form may be submitted anonymously but if you would like Mendocino County to contact you on the status of the investigation, you may include your contact information below. Confidentiality: Every effort will be made to keep the complainant's identity confidential within the limits of existing laws.

Name:

Name:

Phone Number:

Phone Number:ext.

Email:

Email:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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