Ambassador Trash Data Log
Thank you very much Ambassador! Please fill out this form to record your trash data.
Email address *
First & Last Name *
Your answer
Trash Pickup Date *
MM
/
DD
/
YYYY
Cleanup Area *
How Many Blocks Did You Cleanup? *
If you are not exactly sure, please give us your best guess.
Your answer
How Many Pounds of Trash? *
Please weight the amount of trash you collected. Be as precise as you can get.
Your answer
How Many Pounds of Recyclables? *
Please weight the amount of recyclables you collected. Be as precise as you can get.
Your answer
How Many Pounds of Green Waste?
Please weight the amount of green waste you collected. Be as precise as you can get.
Your answer
How Many Cigarette Butts? *
Please count the number of cigarette butts you picked up. If you can't count, please gave us your best estimate.
Your answer
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