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Barangay:
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Municipality
RAMON MAGSAYSAY
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Province
ZAMBOANGA DEL SUR
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Region: IX
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Date of Assessment:
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DATA CAPTURE FORM 2
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AREAS 2 and 3 RESULTS
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AREA 2: SOLID WASTE MANAGEMENT
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1. FREE FROM GARBAGE AND DEBRIS ALONG THE STREETS AND OPEN SPACES, INCLUDING CANALS, DRAINAGES/WATERWAYS
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POINT SYSTEMREMAINING POINTS SCORE
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NO. OF OCCURANCES (TALLY SYSTEM)100 - Total OccurancesRemaining points x 0.20
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TOTAL OCCURANCES : _________
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2. PRESENCE OF REDUCE REUSE RECYCLING OR WASTE DIVERSION ACTIVITY/INITIATIVE FOR THE QUARTER
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Put check mark on the applicable box.
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Conducted at least one activity for the quarterMOVsPost-activity Report
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No activity was conductedPhoto Documentation
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SCOREAttendance Sheet
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Others: ___________
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3. PRESENCE OF FUNCTIONAL TRASH TRAPS IN WATERWAYS (BONUS)
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Put check mark on the applicable box.
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Conducted at least one activity for the quarter
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No activity was conducted
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SCORE
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AREA 3: WELL-MAINTAINED BARANGAY FACILITIES
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1. WELL - MAINTAINED BARANGAY HALL
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Put check mark on the applicable box.
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Functional Toilet
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With Lavatory
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With segregated waste bins
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No pile of garbage and/or debris
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Absence of broken or old parts of equipment
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Score
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2. WELL - MAINTAINED BARANGAY FACILITY (OTHER THAN BARANGAY HALL)
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NAME OF FACILITY:
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Put check mark on the applicable box.
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Functional Toilet
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With Lavatory
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With segregated waste bins
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No pile of garbage and/or debris
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Absence of broken or old parts of equipment
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Score
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Prepared and submitted by:
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________________________________________________________________________________________
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DILG OfficerMENROCSO Rep
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