ANNEX “A”

(Form 1 for Barangay)

MANILA BAY CLEAN-UP, REHABILITATION AND PRESERVATION PROGRAM

Date: SEPTEMBER 24, 2022

CONDUCT OF WEEKLY CLEAN-UP DRIVE

BARANGAY : 106 CITY: CALOOCAN
A. Barangay Clean-up Drive

Water Body/ Volume of

Date Barangay Waterway covered Length Covered Waste Collected
(if applicable) (in meters) (in kilograms)
SEPTEMBER 106 M.H. DEL PILAR ST. 100 sqm. 50KGS
17 ,2023 (8TH ,9TH,10TH AVE.)

Details on Disposal Other Remarks

 All Plastic waste will segregate  COMPLIED
 All waste materials will put in the right  COMPLIED
place

B. Photo Documentation (Attach photos of the clean-up drive here)

C. List of Attendees and Total Number of Volunteers

Prepared by:

ARLIE L. MOLET / BARANGAY KAGAWAD SEPTEMBER 17, 2023

Committee Chair on Environment or Authorized representative Date

Certified Correct:

JOSEFINA S. REYES / PUNONG BARANGAY SEPTEMBER 17, 2023

Punong Barangay or Authorized Representative Date
 ATTENDANCE

NAMES SIGNATURES

ATTESTED BY:

JERRYLYN D. BOLO
Punong Barangay