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!!
* Required
LOCATION INFORMATION
In the following, please fill out the information about when and where you collected data.
City & State
*
Your answer
Location
*
Where exactly did you conduct your debris pick up? (On a beach? River bank? Parking lot?)
Your answer
School or Organization Name
*
Your answer
Date of Marine Debris/Trash Collection
*
Your answer
Number of People Involved
*
Your answer
Time Spent Doing Marine Debris Clean-Up (In minutes)
*
Your answer
SHORELINE & RECREATIONAL ITEMS
Number of Bags
Your answer
Number of Balloons
Your answer
Number of Bottles (Glass)
Your answer
Number of Bottles (Plastic)
Your answer
Number of Beverage Cans
Your answer
Number of Caps/Lids
Your answer
Number of Clothing/Shoe Items
Your answer
Number of Cups/Plates/Utensils
Your answer
Number of Food Wrappers/Containers
Your answer
Number of Styrofoam Pieces
Your answer
Number of Pull Tabs
Your answer
Number of Shotgun shells/Wadding
Your answer
Number of Six-Pack Holders
Your answer
Number of Straws/Stirrers
Your answer
Number of Toys
Your answer
OCEAN & WATERWAY ITEMS
Number of Bait Containers/Packaging
Your answer
Number of Bleach/Cleaner Bottles
Your answer
Number of Buoys/Floats
Your answer
Number of Crab/Lobster/Fish Traps
Your answer
Number of Crates
Your answer
Number of Fishing Line Lengths
Your answer
Number of Fishing Lures/Light Sticks
Your answer
Number of Fishing Nets
Your answer
Number of Light Bulbs/Tubes
Your answer
Number of Oil/Lube Bottles
Your answer
Number of Pallets
Your answer
Number of Plastic Sheeting/Tarps
Your answer
Number of Rope Lengths
Your answer
Number of Strapping Bands
Your answer
SMOKING-RELATED ITEMS
Number of Cigar Tips
Your answer
Number of Cigarette Lighters
Your answer
Number of Cigarettes/Cigarette Filters
Your answer
Number of Tobacco Packaging/Wrappers
Your answer
DUMPING ACTIVITY ITEMS
Number of 55-Gallon Drums
Your answer
Number of Appliances
Your answer
Number of Batteries
Your answer
Number of Building Materials
Your answer
Number of Car Parts
Your answer
Number of Tires
Your answer
DEBRIS ITEMS OF LOCAL CONCERN
Number of Unidentifiable Plastic Pieces
Your answer
Other Items
Your answer
Other Items
Your answer
Other Items
Your answer
TOTALS
Total Number of Items
Your answer
Total Pounds of Marine Debris
(If weighed)
Your answer
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