ODOR REPORT FORM

Name:*

Address:*

City, State, Zip:*

Email Address:*

Odor Detection

Date when odor was detected:*

Time when odor was detected:*

Location where odor was detected:*

Wind direction:*

Describe the Odor *
Compost
Manure
Fresh-cut wood
Grassy/prairie
Fresh-cut grass
Car/truck exhaust
Sweet/fruity
Foul/putrid
Rotten garbage
Smoke
Sewer/septic
Other

If "Other" above, please describe

Rate the strength of the odor on a scale of 0-10 (0=very weak, 10=very strong) *
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10

Rate the offensiveness of the odor on a scale of 0-10 (0=very weak, 10=very strong) *
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