CLEANUP DATASHEET - Alice Ferguson Foundation

Cleanup Datasheet Form

Name

First

Last

Phone

Participating Groups or Organizations

This Datasheet is for:

A Single Cleanup Event

Multiple Cleanup Events

If Multiple Cleanup Events, How Many? (Multiple sites should all be in the same region i.e. all in Maryland)

Location of Cleanup (if multiple please list)

Trash Conditions

Is your site along a waterway?

Estimated size of site

Number of Volunteers

Approximate number of volunteer hours

Non-recyclable (Landfill) Bags of trash collected

Approximate weight of trash collected (estimate: 1 bag = 15lbs)

Number of Plastic Bags Collected

Number of Plastic Straws Collected

Number of Styrofoam Containers Collected

Number of Sharps/syringes Found (please be careful and dispose appropriately)

Recycling bags of trash collected

Approximate weight of recyclables collected

Number of Plastic Bottles Collected

Number of Aluminum Cans Collected

Number of Glass Bottles Collected

Number of Tires Collected

Estimated pounds of BULK trash (Not including tires)

List the top 3 brand names found:

Hours: Estimated In-kind contribution from the site leader

Mileage: Estimated In-kind contribution from the site leader

Printing: Estimated In-kind contribution from the site leader

Most interesting or unusual items found:

Comments, questions, or suggestions:

Thanks for cleaning up with the Alice Ferguson Foundation! Upon submission you will receive a copy of the data you submitted. Please make sure you look in your junk/spam folders, if the form does not come to your inbox. Thanks again!

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