Love Your Neighborhood Report Form
Thank you for participating in the Love Your Neighborhood program with Keep Riverside Clean and Beautiful! Please submit your results below.
Family/Group Name *
Name of Primary Contact *
Contact Phone Number *
E-mail Address *
Date of Cleanup *
MM
/
DD
/
YYYY
Location of Cleanup *
Please include zip code. Example: Neighborhood at Victoria Ave. & Jefferson St., 92504
Did you borrow tools from KRCB? *
# Volunteers *
# Hours each volunteer worked *
# Trash bags collected *
# Streets *
# Storm Drains cleaned
# Tumbleweeds removed
# Palm fronds removed
# Green waste bags
# Illegal Signs/Poles/Etc. eradicated
# Graffiti tags removed
Please list any bulky items collected and the amount (such as furniture, appliances, tires, etc.)
Example: Shopping cart (1), Tires (5), Mattress (1)
Notes/comments to KRCB staff
3985 University Ave. Riverside, CA 92501 • 951.683.7100 x204 • ssilva@riverside-chamber.comwww.krcb.com
Thank you!
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