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Bergen County Clean Communities Mini-Grant Summary Report

  1. ie. 123 Main Street, Anytown, NJ 07000

  2. Location Details

  3. If you worked in more than one municipality, list the one where most of the cleanup occurred

  4. Enter 0 if not applicable

  5. Enter 0 if not applicable

  6. Geographic Coordinates

    Please enter the geographic coordinates for your cleanup. Use the start location if you performed a cleanup along a roadway/stream or multiple locations within a town

  7. ie. 40.96007834

  8. ie. -74.07630021

  9. Cleanup Details

    Please report on the litter or recyclable material you collected during your cleanup

  10. Number of volunteers multiplied by the duration of the cleanup

  11. Summary of Litter and Recyclables collected

    Enter 0 if not applicable

  12. A 33 gallon bag=20 lbs. A 30-yd container=4,000 lbs.

  13. A 33-gallon bag of commingled recyclables=25 lbs. One auto battery=33 lbs.

  14. Cars and truck tires

  15. 1 car tire=20 Lbs. 1 truck tire=60 Lbs.

  16. If nothing, please put N/A

  17. Please provide a brief description of your cleanup project. Feel free to include any comments about the Bergen County Clean Communities Program

  18. Thank You for participating in the Bergen County Clean Communities Mini-Grant Program

    **Please remember to SUBMIT digital photos of your garbage collection

  19. Leave This Blank:

  20. This field is not part of the form submission.