Marine Debris Entry Form
After using the Marine Debris Data Collection Card to gather all of your field data, bring it back here and enter your numbers! After you hit submit, the data you collected is sent to our home office at NorthBay allowing us to see how much the entire "NorthBay Family" has collected! Thanks for helping keep our water clean!!
LOCATION INFORMATION
In the following, please fill out the information about when and where you collected data.
City & State *
Location *
Where exactly did you conduct your debris pick up? (On a beach? River bank? Parking lot?)
School or Organization Name *
Date of Marine Debris/Trash Collection *
Number of People Involved *
Time Spent Doing Marine Debris Clean-Up (In minutes) *
SHORELINE & RECREATIONAL ITEMS
Number of Bags
Number of Balloons
Number of Bottles (Glass)
Number of Bottles (Plastic)
Number of Beverage Cans
Number of Caps/Lids
Number of Clothing/Shoe Items
Number of Cups/Plates/Utensils
Number of Food Wrappers/Containers
Number of Styrofoam Pieces
Number of Pull Tabs
Number of Shotgun shells/Wadding
Number of Six-Pack Holders
Number of Straws/Stirrers
Number of Toys
OCEAN & WATERWAY ITEMS
Number of Bait Containers/Packaging
Number of Bleach/Cleaner Bottles
Number of Buoys/Floats
Number of Crab/Lobster/Fish Traps
Number of Crates
Number of Fishing Line Lengths
Number of Fishing Lures/Light Sticks
Number of Fishing Nets
Number of Light Bulbs/Tubes
Number of Oil/Lube Bottles
Number of Pallets
Number of Plastic Sheeting/Tarps
Number of Rope Lengths
Number of Strapping Bands
SMOKING-RELATED ITEMS
Number of Cigar Tips
Number of Cigarette Lighters
Number of Cigarettes/Cigarette Filters
Number of Tobacco Packaging/Wrappers
DUMPING ACTIVITY ITEMS
Number of 55-Gallon Drums
Number of Appliances
Number of Batteries
Number of Building Materials
Number of Car Parts
Number of Tires
DEBRIS ITEMS OF LOCAL CONCERN
Number of Unidentifiable Plastic Pieces
Other Items
Other Items
Other Items
TOTALS
Total Number of Items
Total Pounds of Marine Debris
(If weighed)
Submit
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This form was created inside of NorthBay Adventure.