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* 1. Name

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* 2. Organization (if any)

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* 3. Number of participants (including yourself)

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* 4. Date of work day

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* 6. What best describes the activity of your work day?

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* 7. Were the issues, if any, you encountered on the trail reported?

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* 8. If you used any UCTA supplies or equipment today, please check off all items used.

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* 9. Do you have any additional comments?

Thank you for your work today!  If you borrowed grabbers and or buckets from UCTA for your work day, please return the item(s) to 155 N. 15th Street, Lewisburg, PA 17837 during the hours of 8am-4pm Monday-Friday.

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