test Kitsap County Solid Waste Adopt-A-Road Program Volunteer Activity Report Link to Kitsap County's Mission Statement
Public Works - Solid Waste Division
614 Division Street, Port Orchard, WA  MS-27
Phone: (360)337-5777 * Fax: (360)337-4867
 

    

 

 

 

 

 

 

360-337-5777
REPORT ILLEGAL DUMPING

 

360 337 5285
REPORT TRASH BURNING

 

 

 

Adopt-A-Road Program
Volunteer Activity Report

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


Name: 
Phone:
Email Address:
Agreement Number:
Road Location (1)
Date
Start Time         End Time 
Road Location (2)
Date
Start Time         End Time 
Road Location (3)
Date
Start Time          End Time 
Road Location (4)
Date
Start Time          End Time 

How many volunteers participated?         

How many bags of trash were collected? 

How many road miles* were cleaned?     
  * 1 mile = one side of road, both sides = 2 miles

Describe any unusual incidents or injuries during the cleanup:
  

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

 

 


Staff Contact:  Adopt-A-Road Coordinator

Kitsap County Public Works
Kitsap1: 360.337.5777
solidwaste@co.kitsap.wa.us

Updated:  February 08, 2017

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