WASTE DIVERSION FORM

Month: __________ Year:_________

BARANGAY: _________________________ CITY/MUNICIPALITY: QUEZON CITY

A. Recyclable Wastes
PARTNER JUNKSHOP/ADDRESS: ___________________________________________________________

Category Types of Materials Weight (Kgs.) Quantity (Pcs)

White paper - Flat & Crumpled
ONP (old news paper)
PAPER
Carton / KB
Assorted/Books/Magazine
Pet - Clean
Pet - Dirty
PLASTICS Pet - Colored
Sibakin/Plastic
Malutong
Aluminum
Aluminum Can
PRECIOUS METAL Bronze (Tansong Dilaw)
Copper (Tansong Pula)
Stainless steel
Scrap Iron (Bakal)
Tin Can / Lata
METAL
Metal Sheets
Yero/Tapalodo / B.I.
Gin / Bilog
Long Neck
BOTTLES/GLASS Lapad
Catsup
Bubog

Others
(please indicate):

TOTAL

B. COMPOST

Category Types of Materials Weight (Kgs.)

Fruit and Vegetable Peelings (balat ng prutas at gulay)
KITCHEN WASTE
Left Over / Spoiled Food (tira o panis na pagkain)
YARD WASTE Tree Cuttings, Grass, Dry Leaves, Manure
TOTAL

Prepared by:

__________________________________________ _________________
Committee Chair on Environment or authorized Date
representative

Certified Correct:

__________________________________________ _________________
Punong Barangay Date