WASTE COLLECTION FORM
Name of Establishment/ Individuals
First Name
Last Name
Phone Number
Please enter a valid phone number.
Take Photo of Waste to be treated
*
Take Photo of Waste to be treated
*
Take Photo of Waste to be treated
*
Take Photo of Waste to be treated
*
Weight of waste removed
Geolocation
*
Detected Location
*
Submit
Should be Empty: