ADEQ: Arizona Department of Environmental Quality AZ.gov, Arizona's Official Web Site
 
Border Trash Cleanup Field Form
* Date of Cleanup: To                
* Cleanup Event Name:  
LEADER OF CLEANUP GROUP
Leader Name:    
* Group Name: Email:
Regular Phone:
Ext:
Contact Phone at Cleanup:
format: (xxx) xxx-xxxx
format: (xxx) xxx-xxxx
You must provide at least one of the following: E-mail, Regular Phone or Contact Phone.
ACCOMPANYING STAFF/VOLUNTEERS
# of People:
LAND INFORMATION
* Site Name:
GPS Coordinates: -- Decimal Degrees or Degrees Minutes Seconds, Datum WGS84  
Latitude N: Longitude W:    
Elevation: ft Terrain: Slope: %
Location Description:
Distances: from Parking: ft from Facilities: ft from Roadway: ft
* County:
* Land Owner:
Other (specify):
* Land Use:
Other (specify):
Soil Type:
Other (specify):
Accessibility:
Other (specify):
BORDER TRASH COLLECTED
Number of Bags: * Estimated Weight: lbs Site Entirely Cleaned Up:
Estimated Affected Area: sq ft or acres   Taken to Landfill:
Landfill Name/County:
Landfill Tipping Fees: Estimated Cleanup Cost: In-Kind Services:
Specify In-Kind Services:
# Hours to Complete Cleanup:     Total # Person Hours:
SPECIAL SITUATIONS ENCOUNTERED   (check all that apply)
Other Wildlife: Other Waste:
PHOTOS

Managing Your Cleanup Form Photos

This area is provided for you to upload photos that you have taken before, during and after the cleanup. Please read these instructions carefully. If you are experiencing problems or you are unable to upload your photos, please contact support at AZBorderTrash@azdeq.gov

  • You may add up to 3 Before Cleanup photos per cleanup form.
  • You may add up to 3 During Cleanup photos per cleanup form.
  • You may add up to 3 After Cleanup photos per cleanup form.
  • All add/replace/delete photo operations will not have effect until you click the Update button.
  • You may replace or delete any existing photo at any time until the Submit button is clicked.
  • Allowed photo formats are: png, jpg, jpeg or gif.
  • Photo file sizes can be a maximum of 4MB.
  • Recommended photo resolution is 1280x1024 but smaller or larger is acceptable.
  • Please read the instructions that pertain to your camera to adjust photo quality/resolution.
  • You may crop/resize/sharpen/rotate your photos using a computer before adding to this form.

We recommend that you add all 9 photos allowed for each cleanup form. This helps create better documentation of your cleanup efforts.

 

Before cleanup image 1

This image will be deleted once you press the Update button.

You may click the Cancel Delete link below to restore image.

Add New Delete

Photos Before Cleanup:

Before cleanup image 2

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Before cleanup image 3

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During cleanup image 1

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You may click the Cancel Delete link below to restore image.

Add New Delete

Photos During Cleanup:

During cleanup image 2

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You may click the Cancel Delete link below to restore image.

Add New Delete

 

During cleanup image 3

This image will be deleted once you press the Update button.

You may click the Cancel Delete link below to restore image.

Add New Delete

 

After cleanup image 1

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You may click the Cancel Delete link below to restore image.

Add New Delete

Photos After Cleanup:

After cleanup image 2

This image will be deleted once you press the Update button.

You may click the Cancel Delete link below to restore image.

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After cleanup image 3

This image will be deleted once you press the Update button.

You may click the Cancel Delete link below to restore image.

Add New Delete
ADDITIONAL INFORMATION
Notes/Comments (include description of trash found):  
 
To save an incomplete form in order to return later and complete, click the Submit button below followed by the Save button on the next screen.
        
 
Click the Review button to review your Arizona Border Trash cleanup form.

Click the Save button to save your form for completion later.
Or click the Submit button to submit your cleanup form for approval now.