Adopt-A-Spot Program Activity Report Form

Jennifer Privette
Environmental Coordinator
1204 Jolly Pond Road
Phone: (757) 565-4000
Fax: (757) 565-1947

Email:

recycling@james-city.va.us

Hours of Operation

8:00 a.m. - 4:00 p.m.
Monday-Friday

Convenience Centers

Jolly Pond Road
7:00 a.m. - 5:00 p.m.
Seven days a week.

Tewning Road
8:00 a.m. - 12:00 p.m.
Monday;
8:00 a.m. - 4:00 p.m.
Tuesday – Saturday
Closed - Sunday

Toano Convenience Center
8:00 a.m. - 4:00 p.m.
Seven days a week.
Resources

Adopt-A-Spot Activity Report Form

(To be submitted within 10 days upon completion of area.)

Adopting Organization or Individual:
Adopted Spot:
Cleanup Date:
No. of Persons:		Hours Worked:
Daytime Phone Number:
Evening Phone Number:
Material Collected
	No./Bags	Pounds (est.)	Recycled? (Y or N)
Aluminum:
Glass:
Plastic:
Cardboard/Newspaper:
Garbage/Trash:
Other (Please specify):
Comments:

Signature:
Date:

Please print, sign, and mail this form to:

James City Clean County Commission
Attn: Kathleen Lindsay, Adopt-A-Spot Coordinator
1204 Jolly Pond Road
Williamsburg, VA 23188
Phone: (757) 565-4000

Adopt-A-Spot Activity Report Form

Material Collected