W.A.K.E. U.P.

WATERWAYS ADOPTED KEEP ENVIRONMENTS UNDAMAGED & PROTECTED

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W.A.K.E. U.P. Clean Up Fo
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W.A.K.E. U.P. Cleanup Report
 
Date:  __________     Name:  _________________________________
 
Waterway Adopted:  ________________________________________
 
Number of trash bags filled:  _____        Total Estimated Weight:  ______lbs
 
Estimated time spent on cleanup: _____
 
________________________________________________________
 
Please pick up and record all debris that you find.
Thank You!
_______________________________________________
 
 
____  bags (paper or plastic)  ___________________________________
____  cups, plates, knives, forks, spoons  ___________________________
____  food wrappers/containers  ________________________________
____  beverage bottles (plastic)  _________________________________
____  beverage bottles (glass)  __________________________________
____  beverage cans _________________________________________
____  caps/lids  ____________________________________________
____  pull tabs  ____________________________________________
____  six pack holders _______________________________________
____  straws/stirrers  _______________________________________
____  clothing/shoes  ________________________________________
____  toys  _______________________________________________
____  cigarettes/cigarette filters  ________________________________
________________________________________________________
____  cigarette lighters  ______________________________________
____  cigar tips  ____________________________________________
____  tobacco packing/wrappers  ________________________________
____  bait containers/packing  __________________________________
____  buoys/floats  _________________________________________
____  fishing line  ___________________________________________
____  fishing lures  __________________________________________
____  fishing nets  __________________________________________
____  rope _______________________________________________
____  bleach/cleaner bottles  __________________________________
____  oil/lube bottles  _______________________________________
____  building materials  _____________________________________
____  condoms  ____________________________________________
____  diapers  _____________________________________________
____  tampon/tampon applicators  _______________________________
____  syringes  ____________________________________________
 
 
****Identify and count other items you found that are not listed.****
 
________________________________________________________
________________________________________________________
________________________________________________________
 
Please return your completed report for each cleanup to LuLu LaBella or Karen Flinn.  We can then accurately report to you the results of your hard work in our Fall Newsletter.
 
Thank you for volunteering to W.A.K.E.  U.P.!