KEEP CHARLOTTE BEAUTIFUL ADOPT-A-SHORE PROGRAM PRODUCTIVITY REPORT FORM GROUP NAME:                                                               . AREA ASSIGNED:                                                          FROM:                                                            TO:                                               . LITTER REMOVAL INFORMATION LITTER REMOVAL DATE: ______________________________________________________ NUMBER OF VOLUNTEERS THAT REMOVED LITTER: ____________________________ NUMBER OF HOURS WORKED TO REMOVE LITTER: _____________________________ TOTAL NUMBER OF HOURS WORKED TO REMOVE LITTER: ______________________ NUMBER OF TRASH BAGS RECEIVED: __________________________________________ NUMBER OF TRASH BAGS FILLED DURING LITTER REMOVAL: ___________________ ESTIMATED POUNDS OF TRASH REMOVED: _____________________________________ NUMBER OF TRASH BAGS RETURNED: _________________________________________ LARGE, HEAVY OR HAZARDOUS ITEMS THAT IT IS REQUESTED THE COUNTY PICK UP: ITEM: _________________________      LOCATION (LANDMARK)__________________________         ________________________________        ________________________________ GROUP INFORMATION REPORT PREPARED BY: _________________________________________________________       (PLEASE PRINT) SIGNATURE: ____________________________________________________________________ AUTHORIZED REPRESENTATIVE”S  SIGNATURE CONTACT NUMBER: _________________________________________________________        E-MAIL: _____________________________________________________________________