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Adopt-a-Highway Cleanup Report Form
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Adopt-a-Highway Cleanup Report Form
Adopt-A-Highway Cleanup Report Form
Group Name
*
Group Leader or Contact Person
*
First
Last
County
*
Select One
Abbeville County
Aiken County
Allendale County
Anderson County
Bamberg County
Barnwell County
Beaufort County
Berkeley County
Calhoun County
Charleston County
Cherokee County
Chester County
Chesterfield County
Clarendon County
Colleton County
Darlington County
Dillon County
Dorchester County
Edgefield County
Fairfield County
Florence County
Georgetown County
Greenville County
Greenwood County
Hampton County
Horry County
Jasper County
Kershaw County
Lancaster County
Laurens County
Lee County
Lexington County
Marion County
Marlboro County
McCormick County
Newberry County
Oconee County
Orangeburg County
Pickens County
Richland County
Saluda County
Spartanburg County
Sumter County
Union County
Williamsburg County
York County
Phone
*
Email
*
Section of Road Cleaned
*
Name of road(s) and/or Beginning and Ending Mile Points
Date Cleaned
*
MM slash DD slash YYYY
Total Number of Hours Worked
*
Total Miles Cleaned
*
Total Number of Volunteers
*
The total number of volunteers that assisted with this particular cleanup.
Total Bags Filled
*
Total Weight of the Bags
*
Did your group complete a safety meeting before your cleanup began?
*
Select One
Yes
No
Did your group separate the recyclables from the littered items?
*
Select One
Yes
No
Other notes from your cleanup
Please list any comments or concerns about your cleanup.
Pictures
Upload documents, photos, or video files related to your cleanup. You may share up to 5 files.
Drop files here or
Select files
Accepted file types: pdf, doc, docx, txt, rtf, jpg, jpeg, gif, mp3, mp4, m4a, zip, tif, tiff, png, wpf, odt, wav, mov, xls, wpd, ppt, pptx, avi, mpg, xlsx, sib, mus, 3gp, flv, webm, psd, ai, mobi, epub, wmv, eps, key, ogg, aac, flac, aiff, wma, mkv, musx, ibooks, iba, tex, bbl, ltx, m4v, svg, fdx, dwg, vsd, vss, vst, vdx, vsx, vtx, mpp, mpx, Max. file size: 5 MB, Max. files: 5.
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