NAME: EMAIL:

ORGANIZATION/SCHOOL: MOBILE NO.:

CLEANUP SITE DESCRIPTION

Type of Environment (choose one): Mode of Data Collection (choose one):

Saltwater (Ocean/Bay/Estuary Land (beach, shoreline or inland)

Freshwater (River/Stream/Lake) Underwater

Inland (no Water Body Present Watercraft (boat, kayak or canoe)

………………………………………………………………………………………………………………………………………..
CLEANUP SITE LOCATION

Cleanup Site Name (beach, park, etc.): Coordinates (Lat, Long):

Province: City/Municipality/City/Barangay:
Country:Philippines Nearest Crossroad or Landmark:

CLEANUP SUMMARY

Month: Day: Year: Total Number of Volunteers at this site:

Total Weight of Trash Collected: lbs. kgs. Total Number of Trash Bags Filled:
Estimated Distance Cleaned: 1/4 1/2 3/4 1 2 3 4 5 (circle one) Other:
Distance Measured In: Miles Kilometers (circle one)

MOST UNUSUAL ITEM(S) COLLECTED:

1. 2. 3.

Please submit results by email or online at:

iccphilippines@gmail.com
https://sites.google.com/site/iccphilippines
MOST LIKELY TO FIND ITEMS MOST LIKELY TO FIND ITEMS
Grocery bags (plastic) Cups, plates (foam)
Other bags (plastic) Cups, plates (paper)
Beverage bottles (glass) (water, cola) Cups, plates (plastic)
Beverage bottles (plastic) (water, cola) Food containers (foam)
Beverage cans Food containers (plastic)
Beverage sachets/pouches Food wrappers (coffee, candy, chips, biscuits, etc.)
Bottle caps (metal) Lids (plastic)
Bottle caps (plastic) Straws/Stirrers
Cigarette butts Utensils (plastic)

FISHING & BOATING ILLEGAL DUMPING

Fishing lines, net, traps, rope, etc. Appliances
Foam dock pieces (buoys, etc.) Construction materials
Tires
PACKAGING MATERIAL
6 – Pack Holders OTHER ITEMS/DEBRIS
Foam packaging (for electronics, appliances, etc.) Balloons
Other plastic bottles (oil, bleach) Clothing
Plastic sachets (detergent, shampoos, etc.) E-cigarettes
Strapping Bands
Electronic wastes (phones, batteries):
PERSONAL HYGIENE Footwear
Condoms Paper bags
Cotton bud sticks (swabs) Tobacco products (lighters, cigar tips, wrap)
Diapers Toys
Gloves & masks (PPE) Other plastic waste
Syringes Other waste (metal, paper, etc.)
Tampons/Sanitary napkins

OTHER ITEMS NOT LISTED: TINY TRASH LESS THAN 2.5 CM:
1. Plastic/foam pieces:
2.
3. DEAD/INJURED ANIMAL:
4. Type of animal:
5. Status: dead/injured Entangled: yes/no
6. Type of entanglement:

Thank you for your valuable contributions to the Cleanup!