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Ocean and Coastal
Resource.Management
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South Carolina Adopt-A-Beach Clean Up Reporting Form
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Organization:
Beach Area:
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Number of participating volunteers:
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Total bags of garbage:
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nate(s) of cleaning:
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Estimated Weight Collected:
f0
lbs.
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Estimated Time (hours):
2.0
ENTANGLED ANIMALS (Dead or Alive) List al1 entangled animals found during your cleanup. Te11 us if
they were dead or alive and what they were entang ed in (fishing line, net, etc.)
DEBRIS REPORT
Please indicate how many items of each material were collected. Keep track of your collection by entering tick
marks on the line and entering the total in the boxes provided.
SHORELINE AND RECREATIONAL ACTIVITIES
(Debris from beach-goers, games, litter, etc.)
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Forni Wrappers/Containers _ _ _ _ _ _ __
Balloons _ _ _ _ _ _ _ _ _ _ __
2,__
PullTabs _ _ _ _ _ _ _~----
Beverage Bottles(plastic)._ _ _ _ _ _ __
5
6-Pack Holders _ _ _ _ _ _ _ _ _ __
Beverage Cans _ _ _ _ _ _ _ _ __
Shotgun Shells/Wadding _ _ _ _ _ _ __
Clothing, Shoes _ _ _~------
Straw&Stirrers _ _ _ _ _ _ _ _ _ __
Cups, Plates, FOiks, Knives, Spoons _ _ _ __
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SMOKING-RELATED ACTIVITIES
1. . .£.~~
::z...r,..,, Toys 13£,41)5. AoU.JGRS , pJ.~ne
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) 5c) Caps/Lids _ _ _ _ _ _ _ _ __
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Foti b OGBR1S
DUMPING ACTIVITIES
Butane Lighters._ _ _ _ _ _ _ __
Cigars/Tips._ _ _ _ _ _ _ _ _ __
Tobacco PackagindW"rappers._ _ _ _ __
DHEC 978 (6/2010)
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MEDICAL/PERSONAL HYGIENE
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DEBRIS ITEMS OF LOCAL CONCERN
Condoms~~~~~~~~-
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Diapers _ _ _ _ _ _ _ _ __
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Tampons/ApplicatoJS _ _ _ _ _ _ __
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Tell us the most interesting or unusual item you came across:
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Did you encounter debris items that you were not able to remove? If so, please list item and its
approximate location:
No
How far into the water did you go to remove litter items?
Please return as soon as possible after your cleaning date to kvne.rc:[email protected]~.sc. gov
or mail to:
Adopt-A-Beach
c/o DHEC - OCRM
1362 McMillan Ave.
Suite 400
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Charleston, SC 29405
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THANK YOU! Remember to R ecycle Whenever Possible!
DHEC 978 (6/2010)
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