Cleanup Event Reporting Document
Please complete within one week of your cleanup.
Date of Cleanup *
MM
/
DD
/
YYYY
Group/Organization: *
Your answer
Cleanup Location *
Your answer
Contact Person: *
Your answer
Phone #
Your answer
Number of volunteers  *
Your answer
Number of bags collected: *
Your answer
Number of bags recycled: *
Your answer
List any unusual or interesting items:
Your answer
River Assessment:
The following questions concern the condition of the river.
Water Color: *
(please describe)
Your answer
Was there an unusual odor? *
Required
Was there an oily sheen on the surface of the water? *
Was the water foamy? *
Was there any algae growing in the water source? *
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