ANNE

ANNEX “A”

(Form 1 for Barangay)

MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROGRAM

Date: _______________

CONDUCT OF WEEKLY CLEAN-UP DRIVE

BARANGAY: _________________ CITY/MUNICIPALITY: ______________________

A. Barangay Clean-up Drive A

Weight of
Water Body/ Length
Waste
Date Land Area Covered Waterway covered Covered
Collected
(if applicable) (in meters)
(in kilograms)

Details on Disposal (Final Disposal Site) Other Remarks

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

C. List of Attendees and Total Number of Volunteers

Prepared by:

________________________________________________________ ____________________________
Committee Chair on Environment or authorized Date
representative

Certified Correct:

_____________________________
_________________________________________________________
Date
Punong Barangay or authorized representative