ANNEX “A”

(Form 1 for Barangay)

MANILA BAY CLEAN UP, RAHABILITATION ANG PRESERVATION PROGRAM

DATE: __________________

CONDUCT OF WEEKLY CLEAN-UP DRIVE

BARANGAY: IRUHIN EAST CITY/MUNICIPALITY: TAGAYTAY CITY

A. Barangay Clean-Up Drive A

Water Body/Waterway Length Covered Weight of Waste

Date Land Area Covered Covered (if Applicable) (in meters) Collected
(in kilograms)

Details on Disposal (Final Disposal Site) Other Remarks

B. Photo Documentation (attach photos of clean up drive here)

C. List of Attendees and Total Number of Volunteers

Prepared by:

HON. JEFFREY NATANAUAN ___________________

Committee Chair on Environment or Authorized Representative Date

Certified Correct:

HON. JOEL L. LABARDA ___________________

Punong Barangay Date