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2. Location*
   The location of the issue/concern. Please be as specific as possible using street numbers, business names, or intersections if applicable.
4. Time of Day*
   What time(s) of day is the issue occurring?
6. Days of the Week*

   1. Sunday
   2. Monday
   3. Tuesday
   4. Wednesday
   5. Thursday
   6. Friday
   7. Saturday

   What days is the issue occurring?
8. Description of the Issue/Concern*
10. Attach a File
    If you have a photo or video related to the issue being reported, please attach it here
12. Name*
13. Email Address*
15. Phone Number
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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