Title Page
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Scheme Name
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Location
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Date Completed
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Completed by
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Signature
Works undertaken
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Litter picking
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Bins emptied Bags replaced
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Signs put out in clear view
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Grass cutting
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Hedge cutting
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Shrub pruning
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Shrub bed weeding
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Weed spraying
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Date of application
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Name of chemical used
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Amount of chemical used
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Amount of mixture applied
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Moss treatment
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Date of application
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Name of chemical used
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Amount of chemical used
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Amount of mixture applied
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Are bio hazards present contact Line manager and record in notes
Fly tip and Repairs
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Any repairs required on maintainable areas
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Any fly tipping requiring removal
Play parks / Areas ( Click N/A if not applicable )
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Litter Picking
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Bins Emptied, bags replaced
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Signs put in clear view
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Grass cut
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Hedge Cut
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Weed Treatment
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Date of treatment
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Name of chemical used
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Amount of chemical used
-
Amount of mixture applied
-
Moss treatment
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Date of application
-
Name of chemical
-
Amount of chemical used
-
amount of mixture used
-
Are bio hazards present, contact Line manager and record in notes
