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Adopt a Highway Garbage Pick Up Request

  1. Example: CH 2 to CH 8

  2. Example: Single or Multiple locations

  3. Estimated number of hours for all volunteers that participated in the clean-up. (I.e., Enter 8 hours if 4 volunteers performed clean-up for 2 hours each.)

  4. Submitted By
  5. Leave This Blank:

  6. This field is not part of the form submission.