ANNE

ANNEX “A”
(Form 1 for Barangay)

MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM

Date: August 18, 2023

CONDUCT OF WEEKLY CLEAN-UP DRIVE

BARANGAY: MATE CITY/MUNICIPALITY: TAYABAS

A. Barangay Clean-up Drive A

Water Body/ Length Weight of Waste

Date Land Area Covered Waterway covered Covered Collected
(if applicable) (in meters) (in kilograms)

Purok 4
August 18, 2023 (Vicinity of Multi- N/A 100 mtrs 1.35klg
purpose Hall)

Details on Disposal (Final Disposal Site) Other Remarks

 Different types of used plastic waste

Will be pick up by garbage collectors
 Box of Cigarette
(LGU-Eco Boys)
 Grass

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

BEFORE
 DURING

AFTER

C. List of Attendees and Total Number of Volunteers

 See attached copy of attendance.

Prepared by:

FAUSTINO G. BALMES August 18, 2023

Committee Chair on Environment or authorized Date
representative

Certified Correct:

JOHNNY J. SUMILANG August 18, 2023

Punong Barangay or authorized representative Date