Trash Tally – independent groups - Source to Sea Cleanup

Your Information

Your Cleanup Group Name

Is your group part of a larger Cleanup Group?

If your group is part of a larger Cleanup Group, please list their name here.

Your First Name(Required)

Your Last Name(Required)

Your Email Address(Required)

Your Phone Number(Required)

Cleanup Date(Required)

Month

Day

Year

Cleanup Type(Required)

On land (beach, shoreline, neighborhood)

By boat (kayak, canoe, powerboat)

Underwater

Cleanup Site Info

City(Required)

Enter the city of your cleanup location.

State(Required)

Select the state your cleanup location was in.

Number of adults in your group(Required)

Number of youth in your group (under 18)(Required)

Water Body

Nearest Crossroad or Landmark

Cleanup Summary

Number of Trash Bags Filled

Weight of Trash Collected (pounds)

Distance Cleaned (miles)

How long was your cleanup (hours)?

Trash Collected (Common Items)

Grocery Bags

Beverage Containers (glass)

Beverage Containers (plastic)

Beverage Containers (cans)

Beverage sachets/pouches

Bottle caps (metal)

Bottle caps (plastic)

Cigarette butts

Cups or plates (foam)

Cups or plates (paper)

Cups or plates (plastic)

Food containers (foam)

Food containers (plastic)

Food wrappers (candy, chips, etc)

Lids (plastic)

Other bags

Straws/stirrers (plastic)

Utensils (plastic)

Fishing & Boating

Fishing Gear

i.e., bait containers, line, nets, traps, rope

Foam dock pieces

Estimate using these equivalents:
Fits in a sandwich-sized baggie (560 pieces) | Fits in a kitchen-sized bag (4,200 pieces) | Fits in a large trash bag (88,000 pieces)

Illegal Dumping

Appliances

Construction materials

Tires

Packaging Material

6-pack holders

Foam Packaging

Estimate using these equivalents:
Fits in a sandwich-sized baggie (560 pieces) | Fits in a kitchen-sized bag (4,200 pieces) | Fits in a large trash bag (88,000 pieces)

Other plastic bottles

i.e. oil, bleach, etc

Strapping bands

Personal Hygiene

Condoms

Cotton bud sticks/swabs

Diapers

Gloves & masks (PPE)

Needles or syringes

Tampons & applicators

Miscellaneous Debris

Balloons

Clothing

E-cigarettes

Electronic waste

i.e. phones, batteries, etc.

Footwear (shoes/slippers)

Paper bags

Scrap metal

Estimate in pounds

Toys

Other tobacco products

i.e. lighters, cigar tips, wraps

Items of Concern

Automotive waste (not tires)

Bags of dumped trash

Mattresses

Nips (mini alcohol bottles)

Paint/spray cans

Trash Less Than 1"

Plastic/foam pieces

Estimate using these equivalents:
Fits in a sandwich-sized baggie (560 pieces) | Fits in a kitchen-sized bag (4,200 pieces) | Fits in a large trash bag (88,000 pieces)

Dead/Injured Animal

Type of animal

Status

Entangled?

Yes

No

Other Trash

List other trash

Type of Trash

Amount

Event Wrap Up

Condition of the site after your cleanup:

Finished the job. Needs review for next year.

More work is needed at this site this year.

This site needs work every year.

Do you have an anecdote or story to share about your cleanup you would like to share with us?

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