Kitsap County Public Works - Solid Waste Division

1-800-424-5555
CALL BEFORE YOU DIG

Please report as often as noted in your Adopt-A-Road Agreement.
This information is essential for tracking the success of the program.

Group Name:
Group Leader:
Phone:
Email Address:
Agreement Number:

Road Name
Between
And
Date of Collection
How many road miles* were cleaned? * 1 mile = one side of road, both sides = 2 miles

How many adults volunteers participated?

How many youths between the ages of 15 & 17 participated?

How many hours did the cleanup take?

How many bags of trash were collected?

Where did you dispose of the litter?

Describe any unusual incidents or injuries during the cleanup:

Describe any garbage on private property that should be cleaned up:

Kitsap County Public Works
Solid Waste Division
(360) 337-5777 or (800) 825-4940
solidwaste@co.kitsap.wa.us

Updated: June 06, 2008

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