ANNEX “A”

(Form 1 for Barangay)

MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM

DATE: FEBRUARY 22, 2020

CONDUCT OF WEEKLY CLEAN-UP DRIVE

BARANGAY: CAMIAS MUNICIPALITY: MAGALANG

A. Barangay Clean-up Drive

Date Barangay Water Body/ Length Volume of
Waterway covered Covered Waste
(if applicable) (in meters) Collected
(in kilograms)

FEBRUARY 22, 2020 CAMIAS PUROK 1&2 600m 500kls.

Details on Disposal Other Remarks

RESIDUAL CLEARED

B. Photo Documentation (attach photos of the Clean-up drive here)

C. List of Attendees and Total Number of Volunteers
D.
Prepared by:
BERNALDO C. SAMSON FEBRUARY 22, 2020
Committee Chair on Environment or Date
Authorized representative

Certified Correct:

HON. ERNESTO G. GUEVARRA FEBRUARY 22, 2020

Punong Barangay Date