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2. VOLUNTEER INSTRUCTIONS:
4. Total Number of Volunteers
6. Please estimate how many gallons of garbage you collected. Most standard grocery bags are about 2 gallons. Other trash bags indicate how many gallons they fit. Or please indicate estimated weight, if you have it.
8. First Name
9. Last Name
11. Address1
13. Address2
15. City
16. State
17. Zip
19. CLEANUP STEPS:
21. 1. Work in groups
23. 2. Keep track of what you collect
25. 3. Weigh trash
27. 4. Recycle what you can
29. ITEMS COLLECTED
31. During your cleanup, what was the most interesting find?
33. Beverage Bottles (Plastic):
34. Beverage Cans:
36. Bottle Caps (Metal):
37. Food Wrappers:
39. Bottle Caps (Plastic):
40. Lids:
42. Cigar Tips:
43. Plastic Bags:
45. Cigarette Butts:
46. Straws/Stirrers:
48. Face Masks:
49. Fireworks:
51. Foam Pieces:
52. Grocery Bags (plastic):
54. Glass Pieces:
55. Paper Bags:
57. Plastic Pieces:
58. Take out Containers (foam):
60. Balloons:
61. Tobacco Packaging/Wrap
63. Beverage Bottles (glass):
64. Fishing Line (1 yard = 1 piece):
66. Construction Materials:
67. Fish Net & Pieces:
69. Cups and Plates (paper):
70. Cups and Plates (plastic):
72. Rope (1 yard = 1 piece):
73. Condoms:
75. Diapers:
76. Syringes:
78. Tampons/Tampon Applicators:
79. 6-Pack Holders:
81. Cigarette Lighters:
82. Clothing:
84. Discarded Food:
85. Other Plastic Bottles:
87. Paper Pieces:
88. Shotgun Shells:
90. Tires:
91. Toys:
93. Other:
94. Other:
96. Other:
97. Other:
Leave This Blank:


99. 1. Receive an email copy of this form.
100. Email address

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101. Submit

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