Claymont Pollution Log

                        

Claymont Pollution Log

Name___________________________________________________________

Street ___________________________________________________________

City _______________________ State ______   Postal Code _______________

Phone _____________________ Email ________________________________

Incident    Home     Work     Home    School    Park/Playground    Business

Date ___________Your Location _____________________________________

Time incident discovered­­­­____________________________________________

Time started _________     Time ended __________ Wind direction __________

I See       smoke     black cloud     furnace glow               explosion        dust    

Please describe (color & characteristics, note magnetic or not)

 _______________________________________________________________

I Smell   burning rubber       metallic           diesel  truck    diesel locomotive      other  

Please describe___________________________________________________

I Feel     Irritated eyes     dry throat/nose   coughing        breathing problem headache                                 skin irretation            nauseous          windows rattling                  house shaking other

Please describe ___________________________________________________

I Hear     constant noise       metal crashing           diesel trucks     diesel locomotive  

Please describe___________________________________________________                        

Action Taken

DNREC Complaint 800-662-8802   

Call to Randolph Harris, Claymont Steel Plant Manager 302-897-5292                       

Contact neighbors

Please describe response of each contact______________________________

________________________________________________________________ 

Please return forms in any of the following ways: Hand to your Neighborhood Coordinator, or by email claymontcleanair@yahoo.com

or bring to Claymont Community Coalition Meeting-

3^rd Thursday at Claymont Community Center

 **Please use the backside of this log for detailed notes**

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