Bureau of Air Quality - Complaint Form

* = Input is required

Postal Address:
Maine DEP, Bureau of Air Quality
17 State House Station
Augusta, ME 04333-0017
Attn: Louis Fontaine

Fax Number: (207) 287-7641

Office Number: (207) 287-2437

E-mail Contact: louis.fontaine@maine.gov

NAME:

EMAIL ADDRESS:

COMPANY:

PHONE:

STREET ADDRESS :

TOWN:

ZIP CODE:

HOW SHOULD WE CONTACT YOU?

WHAT IS THE SOURCE OF THIS AIR EMISSION COMPLAINT?

PLEASE SPECIFY IF OTHER:

WHAT IS THE NAME OF THE INDIVIDUAL OR ENTITY
(SOURCE) RESPONSIBLE FOR THE AIR EMISSION? *

WHAT IS THE LOCATION OR ADDRESS OF THE SOURCE?

IN WHAT TOWN IS THE SOURCE LOCATED? *

WHAT IS THE SOURCE'S TELEPHONE NUMBER (if known)?

PLEASE DESCRIBE IN AS MUCH DETAIL AS POSSIBLE THE NATURE OF THIS COMPLAINT: *