ANNEX A

INVENTORY OF FACILITIES OF
SAN ANTONIO CENTRAL SCHOOL
FOR USE AS TEMPORARY QUARANTINE OR ISOLATION FACILITY

Designated Facilities for Use as Temporary Quarantine or Isolation Facility:

1. E.g. Gymnasium
2. Room __________________
3. Room __________________
4. _______________________

Facility Item (Furniture and Fixture, Quantity Condition

(Gymnasium, Equipment, etc.)
Room, etc.)
Grade 6 – Jupiter TV 1 Usable
Teacher’s Table 2 Usable
Plastic Chair 2 Usable
Teacher’s Chair (wooden) 1 Usable
Cabinet (wooden) 3 Usable
Ceiling Fan 2 Usable
Stand Fan 1 Usable
Desks 24 Usable

Other Remarks on Premises/ Structures/ Facilities

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

Prepared by:
_________________________
Signature over Printed Name
School Head
Date : ____________________
Conforme:
_________________________
Signature over Printed Name
Mayor
Date: ____________________

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