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Trash Data Form

This document contains a trash collected data form used by the Schools Division of Zamboanga del Norte in the Philippines. The form collects information about cleanup sites, the most common items found, fishing gear, packaging materials, personal hygiene products, tiny trash, other trash, any dead or injured animals, entangled items, items of local concern, and a summary of the cleanup details. Site coordinators, school heads, and district supervisors must sign off to confirm the collected trash data.

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Lyndon Morales Andajao
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198 views3 pages

Trash Data Form

This document contains a trash collected data form used by the Schools Division of Zamboanga del Norte in the Philippines. The form collects information about cleanup sites, the most common items found, fishing gear, packaging materials, personal hygiene products, tiny trash, other trash, any dead or injured animals, entangled items, items of local concern, and a summary of the cleanup details. Site coordinators, school heads, and district supervisors must sign off to confirm the collected trash data.

Uploaded by

Lyndon Morales Andajao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
REGION IX
SCHOOLS DIVISION OF ZAMBOANGA DEL NORTE

TRASH COLLECTED DATA FORM

CLEANUP SITE LOCATION


Cleanup Site Name:
Barangay/Municipality:
Country:

CLEANUP SITE DESCRIPTION


Type of Environment (choose one):
‫ ۝‬Saltwater (Ocean/Bay/Estuary)
‫ ۝‬Freshwater (River/Stream/Lake)
‫ ۝‬Inland (No Body of Water Present)

Mode of Data Collection (choose one):


‫ ۝‬Land (beach, shoreline or inland)
‫ ۝‬Underwater
‫ ۝‬Watercraft (powerboat, sailboat, kayak or canoe)

MOST LIKELY TO FIND ITEMS:


Item Garbage Counter Total
Cigarette Butts
Food Wrappers (candy, chips, etc.)
Take Out/Away Containers (plastic)
Take Out/Away Containers (foam)
Bottle Caps (plastic)
Bottle Caps (metal)
Lids (plastic)
Straws/Stirrers
Forks, Knives, Spoons
Beverage Bootles (plastic)
Beverage Bootles (glass)
Beverage Cans
Other Plastic Bags
Paper Bags
Cups & Plates (paper)
Cups & Plates (plastic)
Cups & Plates (foam)

FISHING GEAR:
Item Garbage Counter Total
Fishing Buoys, Pots & Traps
Fishing Net & Pieces
Fishing Line (1 yard/meter = 1 piece)
Rope (1 yard/meter = 1 piece)

Address: Capitol Drive, Estaka, Dipolog City 7100 Tel. No.: (065) 212- 5843
Email: zn.division@deped.gov.ph Website: www.depedzn.net
FB: DepEd Tayo- Schools Division of Zamboanga del Norte
Republic of the Philippines
Department of Education
REGION IX
SCHOOLS DIVISION OF ZAMBOANGA DEL NORTE

PACKAGING MATERIALS:
Item Garbage Counter Total
6-Pack Holders
Other plastic/Foam Packaging
Other Plastic Bottles (oil, bleach, etc.)
Strapping Bands
Tobacco packaging/Wrap

PERSONAL HYGIENE:
Item Garbage Counter Total
Condoms
Diapers
Syringes
Tampons/Tampon Applicators
Gloves & Masks (PPE)
E-cigarettes

TINY TRASH LESS THAN 2.5cm:


Item Garbage Counter Total
Foam Pieces
Glass Pieces
Plastic Pieces

OTHER TRASH:
Item Garbage Counter Total
Appliances (refrigerators, washers, etc.)
Balloons
Cigar Tips
Cigarette Lighters
Construction Materials
Fireworks
Tires

DEAD/INJURED ANIMAL:
Status
Dead/Injured Animal
(Dead or Injured)

Address: Capitol Drive, Estaka, Dipolog City 7100 Tel. No.: (065) 212- 5843
Email: zn.division@deped.gov.ph Website: www.depedzn.net
FB: DepEd Tayo- Schools Division of Zamboanga del Norte
Republic of the Philippines
Department of Education
REGION IX
SCHOOLS DIVISION OF ZAMBOANGA DEL NORTE

ENTANGLED ITEM:
Entangled
Type of Entanglement Item
(Yes or No)

ITEMS OF LOCAL CONCERN:


Item Total

CLEANUP SUMMARY (circle units)

‫ ۝‬Number of Trash Bags Filled:

‫ ۝‬weights of Trash Collected: lbs/kgs

‫ ۝‬Distance Cleaned: miles/km

Prepared by:

School DRRM Coordinator

Conformed by:

School Head

Noted:

Public Schools District Supervisor

Address: Capitol Drive, Estaka, Dipolog City 7100 Tel. No.: (065) 212- 5843
Email: zn.division@deped.gov.ph Website: www.depedzn.net
FB: DepEd Tayo- Schools Division of Zamboanga del Norte

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