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t ©z� <br />A1` <br />Form 4400-277 (10711) x <br />F C Q h ,-_,Udncwi.gov't,q i, b..,, .'1,+vN( F/ <br />DepartmentWisconsin <br />Solid Waste or Hazardous Waste Complaint <br />Form 4400.277(10111) <br />State of Wisconsin <br />Department of Natural Resources <br />Waste and Materials Management Program <br />PO Box 7921, Madison, WI 53707 <br />dnr.wi.gov <br />Notice: Complete this form to voluntarily report a solid waste or hazardous waste complaint to the Department of Natural Resources for follow-up. Personal information collected will be <br />used to investigate the incident and may be provided to requesters to the extent required by Wisconsin's Open Records Law [ss. 19.31-19.39, Wis. Slats.]. <br />The DNR's Violation Hotline provides Wisconsin citizens with the opportunity to confidentially report suspected wildlife, recreational and environmental violations using a toll free <br />number. The hotline number is in operation 24 hours a day, 7 days a week. Trained staff relay reported information to our conservation wardens. Anyone who calls the hotline or <br />provides information can remain anonymous. Call 1-800-847-9367.. 24 hours a day. <br />Instructions: Please provide the information requested below. You are not required to fill in section A, but contact information almost always makes investigation of a complaint easier. <br />Without the contact information for the person making the complaint and the phone number for the person being complained about, we may not be able to adequately follow-up. <br />If this is an emergency spill, call Wisconsin's 24-hour Hazardous Substance Spill Hotline: 1-800-943-0003. <br />A. Contact Information Of <br />First Name: <br />Jason <br />Last Name: <br />Towne <br />Address: <br />7410 County Rd K <br />City: <br />Siren <br />State: <br />WI <br />Zip: <br />54872 <br />Telephone: <br />715-349-2109 <br />Email: <br />jtowne@burnettcounty.org <br />Monday, Jun 25, 2018 01:25 PM <br />