Region I School Name TOCOC ELEMENTARY SCHOOL

Division LA UNION School ID 101102

District STO. TOMAS Adviser EVELYN J. MANAUIS

Male Students Profile Baseline Data

Learner's Name Date of Birth
No. LRN (Last Name, First Name, Name Extension, (MM/DD/YYYY) Weight Height
(kg) (m)
Middle Name)
1 101102150002 BARBACHANO,BRENT LOUIE MONSES 09/21/2010 24 1.23
2 101102150003 BARBACHANO,ERNESTO VILLANUEVA 04/25/2010 22 1.21
3 101102150004 CAMACHO,JERICHO SIMON AGUILAR 11/06/2009 21 1.28
4 101102150005 CASTILLANO,JAMES ESGUERRA 12/20/2009 20 1.17
5 101102150006 FRANOZO,JERVIS DAN EMOCLING 09/20/2010 22 1.28
6 101102150007 LACHICA,JOWIL JR LOPEZ 01/28/2010 20 1.18
7 101102150008 LACHICA,MARK KENJO CATAPIA 05/28/2010 22 1.23
8 101102150009 PADRIGAN,JOHN CEDRICK ZARATE 10/29/2009 23 1.35
9 101102150010 PAGAR,JAMES RUSSEL CORPUZ 11/03/2009 34 1.28
10 101102150011 PAGAR,LUDIVICO ROMERO 08/31/2010 20 1.17
11 101102150012 RAMIREZ,MARC BRYAN VALDEZ 03/31/2010 19 1.17
12 101102150013 TAMBO,EMMANUEL JAY ABANGGO 04/04/2010 21 1.18
13 101102150014 VILLANUEVA,KENT HERBEE DOMINGO 03/01/2010 25 1.25
14
15 101102150015 Student Boy 15
16 101102150016 Student Boy 16
17 101102150017 Student Boy 17
18 101102150018 Student Boy 18
19 101102150019 Student Boy 19
20 136819150304 Student Boy 20
21 101102160025 Student Boy 21
22 101102160026 Student Boy 22
23 101102140038 Student Boy 23
24 101102150021 Student Boy 24
25 101102150022 Student Boy 25
26 101102150024 Student Boy 26
27 Student Boy 27
28 Student Boy 28
29 Student Boy 29
30 123456789030 Student Boy 30
31 123456789031 Student Boy 31
32 123456789032 Student Boy 32
33 123456789033 Student Boy 33
34 123456789034 Student Boy 34
35 123456789035 Student Boy 35
36 123456789036 Student Boy 36
37 123456789037 Student Boy 37
38 123456789038 Student Boy 38
39 123456789039 Student Boy 39
40 123456789040 Student Boy 40
41 123456789041 Student Boy 41
42 123456789042 Student Boy 42
43 123456789043 Student Boy 43
44 123456789044 Student Boy 44
45 123456789045 Student Boy 45
46 123456789046 Student Boy 46
47 123456789047 Student Boy 47
48 123456789048 Student Boy 48
49 123456789049 Student Boy 49
50 123456789050 Student Boy 50
51 123456789051 Student Boy 51
52 123456789052 Student Boy 52
53 123456789053 Student Boy 53
54 123456789054 Student Boy 54
55 123456789055 Student Boy 55
56 123456789056 Student Boy 56
57 123456789057 Student Boy 57
58 123456789058 Student Boy 58
59 123456789059 Student Boy 59
60 123456789060 Student Boy 60
61 123456789061 Student Boy 61
62 123456789062 Student Boy 62
63 123456789063 Student Boy 63
64 123456789064 Student Boy 64
65 123456789065 Student Boy 65
66 123456789066 Student Boy 66
67 123456789067 Student Boy 67
68 123456789068 Student Boy 68
69 123456789069 Student Boy 69
70 123456789070 Student Boy 70
71 123456789071 Student Boy 71
72 123456789072 Student Boy 72
73 123456789073 Student Boy 73
74 123456789074 Student Boy 74
75 123456789075 Student Boy 75
76 123456789076 Student Boy 76
77 123456789077 Student Boy 77
 78 123456789078 Student Boy 78
79 123456789079 Student Boy 79
80 123456789080 Student Boy 80
81 123456789081 Student Boy 81
82 123456789082 Student Boy 82
83 123456789083 Student Boy 83
84 123456789084 Student Boy 84
85 123456789085 Student Boy 85
86 123456789086 Student Boy 86
87 123456789087 Student Boy 87
88 123456789088 Student Boy 88
89 123456789089 Student Boy 89
90 123456789090 Student Boy 90
91 123456789091 Student Boy 91
92 123456789092 Student Boy 92
93 123456789093 Student Boy 93
94 123456789094 Student Boy 94
95 123456789095 Student Boy 95
96 123456789096 Student Boy 96
97 123456789097 Student Boy 97
98 123456789098 Student Boy 98
99 123456789099 Student Boy 99
100 123456789100 Student Boy 100
 LEMENTARY SCHOOL Grade 6 School Year
101102 Section GUMAMELA Baseline Date Assessment
ELYN J. MANAUIS Track/Strand Endline Date Assessment

Endline Data Female Students Profile

Learner's Name Date of Birth
Weight Height
(kg) (m)
No. LRN (Last Name, First Name, Name Extension, (MM/DD/YYYY)
Middle Name)
50 1.63 1 101102150015 BARBACHANO,JANNA MAE PANERGO 11/16/2009
2 101102150016 BARBACHANO,JENNY ROSE FERNANDEZ 03/24/2010
3 101102150017 BARBACHANO,JESUSA SORIANO 11/05/2009
BARBACHANO,MIKAELLA JOYCE
4 101102150018 02/11/2010
SOMERA
5 101102150019 MANAUIS,WENDELYN JAPSON 03/10/2010
6 136819150304 OCOL,JUDEIL EIBRAHAM EISMA 08/30/2010
7 101102160025 PANERGO,REN REN ESTACIO 11/30/2008
8 101102160026 PANERGO,RENNIE ROSE ESTACIO 11/30/2008
9 101102140038 SERAFICA,JECEL VILLANUEVA 10/13/2009
10 101102150021 TAYO,ANTHONETTE PANERGO 11/29/2009
11 101102150022 VALDEZ,CRISTALYN JOY HERRERIA 02/12/2010
12 101102150024 VILLANUEVA,MAUREEN RINGOR 12/15/2009
13 Student Girl 13
14 Student Girl 14
15 Student Girl 15
16 Student Girl 16
17 123456789117 Student Girl 17
18 123456789118 Student Girl 18
19 123456789119 Student Girl 19
20 123456789120 Student Girl 20
21 123456789121 Student Girl 21
22 123456789122 Student Girl 22
23 123456789123 Student Girl 23
24 123456789124 Student Girl 24
25 123456789125 Student Girl 25
26 123456789126 Student Girl 26
27 123456789127 Student Girl 27
28 123456789128 Student Girl 28
29 123456789129 Student Girl 29
30 123456789130 Student Girl 30
31 123456789131 Student Girl 31
32 123456789132 Student Girl 32
33 123456789133 Student Girl 33
34 123456789134 Student Girl 34
35 123456789135 Student Girl 35
36 123456789136 Student Girl 36
37 123456789137 Student Girl 37
38 123456789138 Student Girl 38
39 123456789139 Student Girl 39
40 123456789140 Student Girl 40
41 123456789141 Student Girl 41
42 123456789142 Student Girl 42
43 123456789143 Student Girl 43
44 123456789144 Student Girl 44
45 123456789145 Student Girl 45
46 123456789146 Student Girl 46
47 123456789147 Student Girl 47
48 123456789148 Student Girl 48
49 123456789149 Student Girl 49
50 123456789150 Student Girl 50
51 123456789151 Student Girl 51
52 123456789152 Student Girl 52
53 123456789153 Student Girl 53
54 123456789154 Student Girl 54
55 123456789155 Student Girl 55
56 123456789156 Student Girl 56
57 123456789157 Student Girl 57
58 123456789158 Student Girl 58
59 123456789159 Student Girl 59
60 123456789160 Student Girl 60
61 123456789161 Student Girl 61
62 123456789162 Student Girl 62
63 123456789163 Student Girl 63
64 123456789164 Student Girl 64
65 123456789165 Student Girl 65
66 123456789166 Student Girl 66
67 123456789167 Student Girl 67
68 123456789168 Student Girl 68
69 123456789169 Student Girl 69
70 123456789170 Student Girl 70
71 123456789171 Student Girl 71
72 123456789172 Student Girl 72
73 123456789173 Student Girl 73
74 123456789174 Student Girl 74
75 123456789175 Student Girl 75
76 123456789176 Student Girl 76
77 123456789177 Student Girl 77
 78 123456789178 Student Girl 78
79 123456789179 Student Girl 79
80 123456789180 Student Girl 80
81 123456789181 Student Girl 81
82 123456789182 Student Girl 82
83 123456789183 Student Girl 83
84 123456789184 Student Girl 84
85 123456789185 Student Girl 85
86 123456789186 Student Girl 86
87 123456789187 Student Girl 87
88 123456789188 Student Girl 88
89 123456789189 Student Girl 89
90 123456789190 Student Girl 90
91 123456789191 Student Girl 91
92 123456789192 Student Girl 92
93 123456789193 Student Girl 93
94 123456789194 Student Girl 94
95 123456789195 Student Girl 95
96 123456789196 Student Girl 96
97 123456789197 Student Girl 97
98 123456789198 Student Girl 98
99 123456789199 Student Girl 99
100 123456789200 Student Girl 100
 2021-2022
Assessment 9/15/2021
Assessment 5/23/2022 Body Mass Index Chart:

Baseline Data Endline Data

Weight Height Weight Height

(kg) (m) (kg) (m)

21 1.28
20 1.18
22 1.24
22 1.26
27 1.22
24 1.22
23 1.26
24 1.26
20 1.16
25 1.28
24 1.26
16 1.2
Students with ages above 19 Years Old will have a standard BMI Chart for Ad

BMI Result Weight Status

Below 18.5 Underweight
18.5 - 24.9 Normal or Healthy Weight
25.0 - 29.9 Overweight
30.0 and above Obese
Body Mass Index Chart: Height for Age
have a standard BMI Chart for Adults as prescribed by the WHO.
Height for Age Chart
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name TOCOC ELEMENTARY SCHOOL District STO. TOMAS Division LA UNION Region I
9/15/2021

School ID 101102 Grade 6 Section GUMAMELA Track/Strand School Year 2021-2022

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)
MALE
1 101102150002 BARBACHANO,BRENT LOUIE MONSES 09/21/2010 11.08 30 1.38 1.9 15.79 Normal Normal
2 101102150003 BARBACHANO,ERNESTO VILLANUEVA 04/25/2010 12.10 36 1.5 2.25 16 Normal Normal
3 101102150004 CARBONELL CHAELVIN KNIGHT 11/06/2009
4 101102150005 CASTILLANO,JAMES ESGUERRA 12/20/2009 12.05 30 1.43 2.04 14.71 Normal Normal
5 101102150006 FRANOZO,JERVIS DAN EMOCLING 09/20/2010 11.08 29 1.43 2.04 14.22 Normal Normal
6 101102150007 LACHICA,JOWIL JR LOPEZ 01/28/2010 12.05 33 1.37 1.88 17.55 Normal Stunted
7 101102150008 LACHICA,MARK KENJO CATAPIA 05/28/2010 12.00 32 1.46 2.13 15.02 Normal Normal
8 101102150009 PADRIGAN,JOHN CEDRICK ZARATE 10/29/2009 11.10 23 1.35 1.82 12.64 Severely Wasted Normal
9 101102150010 PAGAR,JAMES RUSSEL CORPUZ 11/03/2009 12.07 40 1.67 2.79 14.34 Wasted Normal
10 101102150011 PAGAR,LUDIVICO ROMERO 08/31/2010 12.06 54 1.55 2.4 22.5 Normal Normal
11 101102150012 RAMIREZ,MARC BRYAN VALDEZ 03/31/2010 11.09 31 1.39 1.93 16.06 Normal Normal
12 101102150013 TAMBO,EMMANUEL JAY ABANGGO 04/04/2010 12.02 28 1.36 1.85 15.14 Normal Normal
13 101102150014 VILLANUEVA,KENT HERBEE DOMINGO 03/01/2010 12.01 31 1.36 1.85 16.76 Normal Normal
12.02 45 1.55 2.4 18.75 Severely Wasted Severely Stunted
FEMALE
1 101102150015 BARBACHANO,JANNA MAE PANERGO 11/16/2009 12.06 33 1.5 2.25 14.67 Normal Normal
BARBACHANO,JENNY ROSE
2 101102150016 03/24/2010 12.02 31 1.41 1.99 15.58 Normal Normal
FERNANDEZ
3 101102150017 BARBACHANO,JESUSA SORIANO 11/05/2009 12.06 41 1.46 2.13 19.25 Normal Normal
BARBACHANO,MIKAELLA JOYCE
4 101102150018 02/11/2010 12.03 37 1.52 2.31 16.02 Normal Normal
SOMERA
5 101102150019 MANAUIS,WENDELYN JAPSON 04/30/2010 12.00 56 1.5 2.25 24.89 Normal Normal
6 136819150304 OCOL,JUDEIL EIBRAHAM EISMA 08/30/2010 11.09 51 1.52 2.31 22.08 Normal Normal
7 101102160025 PANERGO,REN REN ESTACIO 11/30/2008 12.06 41 1.52 2.31 17.75 Normal Normal
8 101102160026 PANERGO,RENNIE ROSE ESTACIO 11/30/2008 12.06 42 1.51 2.28 18.42 Normal Normal
9 101102140038 SERAFICA,JECEL VILLANUEVA 10/13/2009 12.07 37 1.38 1.9 19.47 Normal Stunted
10 101102150021 TAYO,ANTHONETTE PANERGO 11/29/2009 12.06 45 1.52 2.31 19.48 Normal Normal
11 101102150022 VALDEZ,CRISTALYN JOY HERRERIA 02/12/2010 12.03 41 1.51 2.28 17.98 Normal Normal
12 101102150024 VILLANUEVA,MAUREEN RINGOR 12/15/2009 12.05 36 1.44 2.07 17.39 Normal Normal

WedzmerDesigns
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Sex
Severely Wasted Wasted Normal Overweight Obese Total Severely Stunted Stunted Normal Tall Total
MALE 2 1 10 0 0 13 1 1 11 0 13
FEMALE 0 0 12 0 0 12 0 1 11 0 12
TOTAL 2 1 22 0 0 25 1 2 22 0 25

Date of Assessment Conducted/Assessed By Certified Correct By: Reviewed by:

September 15, 2021 EVELYN J. MANAUIS CRISELDA G. VINOYA,HT-III DR. MARIETA B. VILLENA
Adviser School Head District Supervisor
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name TOCOC ELEMENTARY SCHOOL District STO. TOMAS Division LA UNION Region I
5/23/2022

School ID 101102 Grade 6 Section GUMAMELA Track/Strand School Year 2021-2022

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)
MALE
1 101102150002 BARBACHANO,BRENT LOUIE MONSES 09/21/2010 11.08 50 1.63 2.66 18.8 Normal Tall
2 101102150003 BARBACHANO,ERNESTO VILLANUEVA 04/25/2010 12
3 101102150004 CAMACHO,JERICHO SIMON AGUILAR 11/06/2009 12.06
4 101102150005 CASTILLANO,JAMES ESGUERRA 12/20/2009 12.05
5 101102150006 FRANOZO,JERVIS DAN EMOCLING 09/20/2010 11.08
6 101102150007 LACHICA,JOWIL JR LOPEZ 01/28/2010 12.03
7 101102150008 LACHICA,MARK KENJO CATAPIA 05/28/2010 11.11
8 101102150009 PADRIGAN,JOHN CEDRICK ZARATE 10/29/2009 12.06
9 101102150010 PAGAR,JAMES RUSSEL CORPUZ 11/03/2009 12.06
10 101102150011 PAGAR,LUDIVICO ROMERO 08/31/2010 11.08
11 101102150012 RAMIREZ,MARC BRYAN VALDEZ 03/31/2010 12.01
12 101102150013 TAMBO,EMMANUEL JAY ABANGGO 04/04/2010 12.01
13 101102150014 VILLANUEVA,KENT HERBEE DOMINGO 03/01/2010 12.02

15 101102150015 Student Boy 15

16 101102150016 Student Boy 16
17 101102150017 Student Boy 17
18 101102150018 Student Boy 18
19 101102150019 Student Boy 19
20 136819150304 Student Boy 20
21 101102160025 Student Boy 21
22 101102160026 Student Boy 22
23 101102140038 Student Boy 23
24 101102150021 Student Boy 24
25 101102150022 Student Boy 25
26 101102150024 Student Boy 26
27 Student Boy 27
28 Student Boy 28
29 Student Boy 29
30 123456789030 Student Boy 30
31 123456789031 Student Boy 31
32 123456789032 Student Boy 32
33 123456789033 Student Boy 33
34 123456789034 Student Boy 34
35 123456789035 Student Boy 35
36 123456789036 Student Boy 36
37 123456789037 Student Boy 37
38 123456789038 Student Boy 38
39 123456789039 Student Boy 39
40 123456789040 Student Boy 40
41 123456789041 Student Boy 41
42 123456789042 Student Boy 42
43 123456789043 Student Boy 43
44 123456789044 Student Boy 44
45 123456789045 Student Boy 45
46 123456789046 Student Boy 46
47 123456789047 Student Boy 47
48 123456789048 Student Boy 48
49 123456789049 Student Boy 49
50 123456789050 Student Boy 50
51 123456789051 Student Boy 51
52 123456789052 Student Boy 52
53 123456789053 Student Boy 53
54 123456789054 Student Boy 54
55 123456789055 Student Boy 55
56 123456789056 Student Boy 56
57 123456789057 Student Boy 57
58 123456789058 Student Boy 58
59 123456789059 Student Boy 59
60 123456789060 Student Boy 60
61 123456789061 Student Boy 61
62 123456789062 Student Boy 62
63 123456789063 Student Boy 63
64 123456789064 Student Boy 64
65 123456789065 Student Boy 65
66 123456789066 Student Boy 66
67 123456789067 Student Boy 67
68 123456789068 Student Boy 68
69 123456789069 Student Boy 69
70 123456789070 Student Boy 70
71 123456789071 Student Boy 71
72 123456789072 Student Boy 72
73 123456789073 Student Boy 73
74 123456789074 Student Boy 74
75 123456789075 Student Boy 75
76 123456789076 Student Boy 76
77 123456789077 Student Boy 77
78 123456789078 Student Boy 78
79 123456789079 Student Boy 79
80 123456789080 Student Boy 80
81 123456789081 Student Boy 81
82 123456789082 Student Boy 82
83 123456789083 Student Boy 83
84 123456789084 Student Boy 84
85 123456789085 Student Boy 85
86 123456789086 Student Boy 86
87 123456789087 Student Boy 87
88 123456789088 Student Boy 88
89 123456789089 Student Boy 89
90 123456789090 Student Boy 90
91 123456789091 Student Boy 91
92 123456789092 Student Boy 92
93 123456789093 Student Boy 93
94 123456789094 Student Boy 94
95 123456789095 Student Boy 95
96 123456789096 Student Boy 96
97 123456789097 Student Boy 97
98 123456789098 Student Boy 98
99 123456789099 Student Boy 99
100 123456789100 Student Boy 100
FEMALE
1 101102150015 BARBACHANO,JANNA MAE PANERGO 11/16/2009 12.06
BARBACHANO,JENNY ROSE
2 101102150016 03/24/2010 12.01
FERNANDEZ
3 101102150017 BARBACHANO,JESUSA SORIANO 11/05/2009 12.06
BARBACHANO,MIKAELLA JOYCE
4 101102150018 02/11/2010 12.03
SOMERA
5 101102150019 MANAUIS,WENDELYN JAPSON 03/10/2010 12.02
6 136819150304 OCOL,JUDEIL EIBRAHAM EISMA 08/30/2010 11.08
7 101102160025 PANERGO,REN REN ESTACIO 11/30/2008 13.05
8 101102160026 PANERGO,RENNIE ROSE ESTACIO 11/30/2008 13.05
9 101102140038 SERAFICA,JECEL VILLANUEVA 10/13/2009 12.07
10 101102150021 TAYO,ANTHONETTE PANERGO 11/29/2009 12.05
11 101102150022 VALDEZ,CRISTALYN JOY HERRERIA 02/12/2010 12.03
12 101102150024 VILLANUEVA,MAUREEN RINGOR 12/15/2009 12.05
13 Student Girl 13
14 Student Girl 14
15 Student Girl 15
16 Student Girl 16
17 123456789117 Student Girl 17
18 123456789118 Student Girl 18
19 123456789119 Student Girl 19
20 123456789120 Student Girl 20
21 123456789121 Student Girl 21
22 123456789122 Student Girl 22
23 123456789123 Student Girl 23
24 123456789124 Student Girl 24
25 123456789125 Student Girl 25
26 123456789126 Student Girl 26
27 123456789127 Student Girl 27
28 123456789128 Student Girl 28
29 123456789129 Student Girl 29
30 123456789130 Student Girl 30
31 123456789131 Student Girl 31
32 123456789132 Student Girl 32
33 123456789133 Student Girl 33
34 123456789134 Student Girl 34
35 123456789135 Student Girl 35
36 123456789136 Student Girl 36
37 123456789137 Student Girl 37
38 123456789138 Student Girl 38
39 123456789139 Student Girl 39
40 123456789140 Student Girl 40
41 123456789141 Student Girl 41
42 123456789142 Student Girl 42
43 123456789143 Student Girl 43
44 123456789144 Student Girl 44
45 123456789145 Student Girl 45
46 123456789146 Student Girl 46
47 123456789147 Student Girl 47
48 123456789148 Student Girl 48
49 123456789149 Student Girl 49
50 123456789150 Student Girl 50
51 123456789151 Student Girl 51
52 123456789152 Student Girl 52
53 123456789153 Student Girl 53
54 123456789154 Student Girl 54
55 123456789155 Student Girl 55
56 123456789156 Student Girl 56
57 123456789157 Student Girl 57
58 123456789158 Student Girl 58
59 123456789159 Student Girl 59
60 123456789160 Student Girl 60
61 123456789161 Student Girl 61
62 123456789162 Student Girl 62
63 123456789163 Student Girl 63
64 123456789164 Student Girl 64
65 123456789165 Student Girl 65
66 123456789166 Student Girl 66
67 123456789167 Student Girl 67
68 123456789168 Student Girl 68
69 123456789169 Student Girl 69
70 123456789170 Student Girl 70
71 123456789171 Student Girl 71
72 123456789172 Student Girl 72
73 123456789173 Student Girl 73
74 123456789174 Student Girl 74
75 123456789175 Student Girl 75
76 123456789176 Student Girl 76
77 123456789177 Student Girl 77
78 123456789178 Student Girl 78
79 123456789179 Student Girl 79
80 123456789180 Student Girl 80
81 123456789181 Student Girl 81
82 123456789182 Student Girl 82
83 123456789183 Student Girl 83
84 123456789184 Student Girl 84
85 123456789185 Student Girl 85
86 123456789186 Student Girl 86
87 123456789187 Student Girl 87
88 123456789188 Student Girl 88
89 123456789189 Student Girl 89
90 123456789190 Student Girl 90
91 123456789191 Student Girl 91
92 123456789192 Student Girl 92
93 123456789193 Student Girl 93
94 123456789194 Student Girl 94
95 123456789195 Student Girl 95
96 123456789196 Student Girl 96
97 123456789197 Student Girl 97
98 123456789198 Student Girl 98
99 123456789199 Student Girl 99
100 123456789200 Student Girl 100
WedzmerDesigns
 SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Sex
Severely Wasted Wasted Normal Overweight Obese Total Severely Stunted Stunted Normal Tall Total

MALE 0 0 1 0 0 1 0 0 0 1 1
FEMALE 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 1 0 0 1 0 0 0 1 1

Date of Assessment Conducted/Assessed By Certified Correct By: Reviewed by:

May 23, 2022 EVELYN J. MANAUIS