Information

  • Site conducted

  • Address (Street Number and Street Name)

  • Suburbs

  • Conducted on

  • Prepared by

  • Please specify Officer's Name

Description of Site Activities

  • Matter/s of investigation

  • Please provide description of other activities

  • Please provide details on the type of litter

  • Attach pictures

  • Any other Comments

Site Contact

  • Name of person interviewed/ of interest

  • Title (eg Site manager, caretaker etc..)

  • Mobile

  • Email

  • Photo ID

Recommendation for further action

  • Description of further action to be taken

Officer's Signature

  • Add signature

  • Strathfield Municipal Council

  • Phone: (02) 9748 9999 Email: council@strathfield.nsw.gov.au

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