Scribd
Upload
8 views

Clean-up-Form-2 (1)

Uploaded by

rbcudiera15
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
8 views

Clean-up-Form-2 (1)

Uploaded by

rbcudiera15
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
You are on page 1/ 2

Republic of the Philippines

Province of Negros Occidental


City of Sagay
SAGAY CITY ENVIRONMENT & NATURAL RESOURCES OFFICE
Email address: scenrosagay@gmail.com

Team Leader: ___ _LEONARDO ______P._____ __GARDOQUE___________________________


(First Name) (Last Name)
LGU / Organization / Agency / Company ___Sagay City____________________________________

Address: ___Barangay Plaridel, Sagay City___E-mail Address: brgyplaridel2023@gmail.com

Phone Number: _09668653097________

Location of Clean-Up:

Street: _Purok Proper and Purok Mardal_______ Barangay: _Plaridel

City / Municipality: _Sagay City__ Province: _____Negros Occidental _____________

Date of Clean-Up: __JANUARY 31, 2025_________________________________________

List names of your team members:

1. 11.
2. 12.
3. 13.
4. 14.
5. 15.
6. 16.
7. 17.
8. 18.
9. 19.
10. 20.

Submitted by:

____LEONARDO P. GARDOQUE_______
Punong Barangay

Team Leader: ___ _LEONARDO ______P._____ __GARDOQUE___________________________


(First Name) (Last Name)
Republic of the Philippines
Province of Negros Occidental
City of Sagay
SAGAY CITY ENVIRONMENT & NATURAL RESOURCES OFFICE
Email address: scenrosagay@gmail.com

Location of Clean-Up:_Purok Proper and Purok Mardal, Barangay Plaridel, Sagay City, Negros
Occidental__________________
*email pictures & videos to:
scenrosagay@gmail.com

Picture before Clean Up Picture after Clean Up

Geographical Coordinates:

Total Quantity in kilogram (kg)

Residual (kg)
Special Waste (kg)
Total

Submitted by:

____LEONARDO P. GARDOQUE_______
Punong Barangay

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy