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Adopt A Stream Trash Tally Sheet

2. Adopting Group Information

4. Stream Section*
   -- Select One --CJ-01 Elwood Smith ParkCJ-02 Upper Dogwood ParkCJ-03 Lower Dogwood ParkCJ-04 Dawson Farm ParkCJ-05 Upper Ritchie ParkwayCJ-06 Lower Ritchie ParkwayCJ-07 Upper Potomac Woods ParkCJ-08 Lower Potomac Woods ParkCJ-09 Montrose Woods ParkCJ-10 North Farm ParkCJ-11 Cabin John Forest PreserveRC-01 Lincoln ParkRC-02 Northeast ParkRC-03 Maryvale ParkRC-04 West Civic Center ParkRC-05 North Civic Center ParkRC-06 Middle Civic Center ParkRC-07 East Civic Center ParkRC-08 Calvin ParkRC-09 West Rockcrest ParkRC-10 West Rockcrest ParkRC-11 Twinbrook ParkWB-01 King Farm WestWB-02 King Farm EastWB-03 Upper Watts Branch - South of Gude DriveWB-04 Upper Watts Branch - Carnation DriveWB-05 Upper Watts Branch - Mainstem to Nelson StreetWB-06 Upper Watts Branch - College GardensWB-07 Anderson ParkWB-08 Upper Woodley GardensWB-09 Lower Woodley GardensWB-10 Welsh ParkWB-11 Thomas FarmWB-12 FallsgroveWB-13 Upper Watts Branch ParkwayWB-14 Upper Woottons MillWB-15 Glenora ParkWB-16 Boulder CreekWB-17 Lower Woottons MillWB-18 Winding RoseWB-19 Rockmead NorthWB-20 Rockmead SouthWB-21 Wootton High SchoolWB-22 Watts Branch Park MainstemWB-23 Horizon Hill

   CJ = Cabin John, RC = Rock Creek, WB = Watts Branch

6. Team Leader Name*

8. Group Name*

10. Phone

11. Email*

13. Date of cleanup*
    Date of cleanup

14. Time spent cleaning up:*

16. Volunteer Data

18. Total volunteers:*

20. Number of volunteers who earned SSL hours at the event.

21. Total number of SSL hours provided for the event.

    For example, if 2 students earned SSL hours and the event was 2 hours long, enter 4 hours.

23. What schools are attended by those receiving SSL hours?

29. Trash Collection Data
    Please give your best estimate for how many of each of the items below were collected during your cleanup.

    Please give your best estimate for how many of each of the items below were collected during your cleanup.

31. Total bags of trash*

33. Of the bags collected, how many could have been recycled?

35. Plastic bottles:

37. Plastic bags

    ex. grocery bags, newspaper bags, etc.

39. Tires

41. Interesting items found:

43. Additional comments:

47. Non-Native Invasive Plant Survey (optional)

49. What non-native invasive plants were found at the cleanup site?

    1. Garlic Mustard (Allaria petiolata)
    2. Japanese Knotweed (Polygonum cuspidatum)
    3. Mile-a-Minute (Persicaria perfoliata)
    4. Porcelainberry (Ampelopsis brevipedunculata)
    5. Wineberry (Rubus phoenicolasius)
    6. Multiflora Rose (Rosa multiflora)

Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field