Line Collection

Please use this form as a template for recording your bin collection data. MRRP thanks you for your time and effort in tracking bin progress. A MRRP representative may contact you for this information.

Your Name: ___________________________________________________

Your Phone # or E-mail address: _________________________________

Bin Location (name, city, street):_________________________________

	Example
	Date	Date	Date	Date	Date
	11/02/03
1) How full is the MRRP Recycling Bin? Please base estimates on tightly packed line. Check One:
Less than 1/4 Full
1/4 Full
1/2 Full
3/4 Full
Full
2) Roughly how much trash is in the bin? One piece = one item of trash (i.e. one soda can or one cigarette package) Check one:
Less than 5 pieces
5 - 10 pieces
Over 10 pieces

3) Are there problems with the recycling bin? (Please report problems to MRRP)
Yes
No
4) If you answered 'yes' above, please briefly note the nature of the problem below, if you are submitting by email, or on the back if you are mailing in a copy of this form. ______________________________________________________________ ______________________________________________________________ ______________________________________________________________

For additions to the Database, please email Marine Fisheries, the MRRP statewide coordinator at the Fish and Wildlife Conservation Commission.

Monofilament Recovery & Recycling Program

Line Collection

MRRP Recycling Bin Data Form Template

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