Road Watch - Adopt A Road - Clean Up Report June 2022 - June 2023

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* 1. Group and clean up details

Name: *

Road Watch Group *

City/Town: *

Email Address:

Phone Number:

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* 2. Date of clean up activity

Date / Time

Date

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* 3. How many people participated in the clean up?

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* 4. Names of all participating volunteers

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* 5. How many hours did your clean up take?

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* 6. What is the estimated length of roadside cleaned up?

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* 7. Estimated weight of litter removed in kilograms? (If you are unsure of the weight, please skip this question and go on to the next question)

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* 8. How many bags of litter did you collect?

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* 9. Please list any interesting or unusual items found?

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* 10. What were the common litter items found?

Cans

Cigarette Butts

Clothing

Construction material

Food wrappers

House hold items

Plastic Bags

Plastic Bottles

Tyres

Other

Other (please specify)

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* 11. Were any of the following banned single-use plastic items were found:

Single-use plastic straws

Single-use plastic cutlery

Single-use plastic beverage stirrers

Single-use plastic styrofoam food/beverage packaging

Single-use plastic oxo-degradable bags

Quantification of items:

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* 12. Were there any hazardous/dangerous items or property that may have been the result of a crime (eg stolen goods, wallet, weapons) found during your clean up? If so were these items reported to your Council or relevant Agency/Police?

Road Watch - Adopt A Road - Clean Up Report June 2022 - June 2023

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* 1. Group and clean up details

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* 2. Date of clean up activity

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* 3. How many people participated in the clean up?

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* 4. Names of all participating volunteers

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* 5. How many hours did your clean up take?

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* 6. What is the estimated length of roadside cleaned up?

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* 7. Estimated weight of litter removed in kilograms? (If you are unsure of the weight, please skip this question and go on to the next question)

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* 8. How many bags of litter did you collect?

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* 9. Please list any interesting or unusual items found?

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* 10. What were the common litter items found?

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* 11. Were any of the following banned single-use plastic items were found:

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* 12. Were there any hazardous/dangerous items or property that may have been the result of a crime (eg stolen goods, wallet, weapons) found during your clean up? If so were these items reported to your Council or relevant Agency/Police?

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* 13. Has there been any improvement or extra litter at your site since your last clean up activity?

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* 14. Do you have any further comments regarding your recent clean up activity or in general about the Road Watch-Adopt A Road Program?