ANNEX A

(Form 1 for Barangay)

MANILA BAY CLEAN UP, REHABILITATION AND PRESERVATION PROJECT

Date: November 18, 2023
CONDUCT OF WEEKLY CLEAN-UP DRIVE

Barangay: SAN ANTONIO

Municipality: ARAYAT

S
A. Barangay Clean Up Drive

Water Length Volume of Waste

Date Barangay Body/Waterway Covered Collected (in
if Applicable (In meters) Kilograms/Sacks)

Nov. 18, 2023 SAN ANTONIO PUROK 1 150 METERS 6 SACKS

Details on Disposal Other Matters

MRF

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

C. List of Attendees and Total Number of Volunteers

Prepared by:

BRIANNE B. CANDA
November 18, 2023
Committee Chari on Environment or authorized Date
Representative

Certified Correct:

TEODY A. TUAZON November 18, 2023

Punong Barangay Date
BEFORE

DURING

AFTER
BEFORE

DURING

AFTER

ATTENDANCE
ATTENDANCE