* 1. Date Collected

Date:
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/

* 2. County

* 3. Number of Collectors-Snorkelers

* 4. Total number of scallops collected

* 5. Total volume of scallops collected

* 6. Total time spent collecting

* 7. Ramp(s) used:

* 8. Residence zipcode:

* 9. If you would like to receive additional information about Bay Scallop management, please provide your name and an email address

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