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Date
1. Location of Litter Pickup, Illegal-Dump
Cleanup, other activity (and name activity)
2. Total
Supervisor
Hours at this
location
3. Total Crew Hours
at this location
4. Total Road Miles *
Cleaned at this
location (applies to
litter pickup only)
5. Total Acres *
Cleaned at this location
(applies to litter pickup
only)
6.
Debris Collected
In pounds
7. Total
Illegal
Dumps
Cleaned
at this
location
8. Amounts
Recycled/
Reused
In pounds
Litter
State
State
Local
Private
Litter
Illegal
Dump
Totals
0
0
0
0
0
0
0
0
0
0
*A road mile is defined as an area one mile in length extending 30 feet from the fog line. Cleaning one mile of both shoulders of a two-lane highway equals two road miles cleaned. Along a
divided highway, cleaning both shoulders and the median for one mile equals four road miles cleaned. ** An area of 43,560 square feet, measuring approximately 210 feet by 210 feet,
equivalent to approximately one football field without the end-zones.
ECY 030-54 The Department of Ecology is an equal opportunity and affirmative action employer. This form is available online at http://www.ecy.wa.gov/programs/swfa/grants/clcp.html.
Daily Worksheet
2015-2017
Community
Litter Cleanup
Program
DOWNLOAD HERE


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