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* 1. Group and clean up details

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* 2. Date of Road Watch Clean Up

Date

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

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

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* 5. What is the estimated length of road cleaned up?

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* 6. Please estimate the amount of rubbish removed? (If you are unsure of the weight, please skip this question and go on to the next question)

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* 7. How many bags of rubbish did you collect?

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

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* 9. What were the common litter items found?

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

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* 12. Do you have any further comments regarding your recent Clean Up or in general about the Road Watch Program?

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