Report a Water Quality or Pressure Concern

1. Date*

2. First Name

3. Last Name

4. Address1*

5. City*

6. State

7. Zip

8. Email Address

9. Telephone

10. Please provide a preferred phone number and a District representative will call you during normal business hours. If you require immediate attention, call (510) 668-6500.

    Please provide a preferred phone number and a District representative will call you during normal business hours. If you require immediate attention, call (510) 668-6500.

11. WATER QUALITY. Check all conditions that apply.

    WATER QUALITY. Check all conditions that apply.

12. When did you first notice the problem (date/time):

13. General Information
    1. One or more internal taps affected
    2. All internal taps affected
    3. Outside front faucet (hose bib) affected
    4. Cold tap only

    1. Hot tap only
    2. Both taps affected
    3. Neighbors experiencing the same problem

14. Appearance
    1. On first draw
    2. Constantly
    3. Cloudy/Foamy/Milky

    1. Brown/Yellow
    2. Blue
    3. Green

15. What home treatment devices do you have installed?
    1. Water softener
    2. Reverse osmosis system
    3. Activate carbon filter(s)

16. Other. Please describe:

17. Additional Information

Leave This Blank:


18. 1. Receive email copy
19. Email address

20. Submit

* indicates a required field