Road Clearing Form
Road Clearing Form
                                                               Region IV-A
                                                          Province of BATANGAS
                                                         City/Municipality of TUY
                                                              Barangay ACLE
                                                   (for the month of ____________________)
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]                Date of                              Action Taken                        Remarks
Operations                                     Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                        Barangay BAYUDBUD
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing        Date of
Operations           Operations]              Operation                    Action Taken                        Remarks
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                         Barangay BOLBOK
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
Operations           Operations]               Date of                     Action Taken                        Remarks
   [check      [Street name /Address]         Operation
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                          Barangay BURGOS
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
Operations                                     Date of
                     Operations]              Operation                    Action Taken                        Remarks
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]           Date of                     Action Taken                    Remarks
Operations                                Operation
   [check      [Street name /Address]
appropriate
  column]
YES     NO
 Conducted
    Road
  Clearing    Location of Road Clearing
Operations           Operations]           Date of                     Action Taken                    Remarks
   [check      [Street name /Address]     Operation
appropriate
  column]
YES     NO
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]           Date of                    Action Taken                    Remarks
Operations                                Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                       Barangay LUMBANGAN
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing        Date of
Operations           Operations]              Operation                    Action Taken                        Remarks
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                           Barangay LUNA
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]               Date of                     Action Taken                        Remarks
Operations                                    Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                          Barangay LUNTAL
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing        Date of
Operations           Operations]              Operation                    Action Taken                        Remarks
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                         Barangay MAGAHIS
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]               Date of                     Action Taken                        Remarks
Operations                                    Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                       City/Municipality of TUY
                                                          Barangay MALIBU
                                                   (for the month of JUNE CY 2023)
 Conducted
    Road
  Clearing     Location of Road Clearing
                      Operations]                Date of                      Action Taken                      Remarks
Operations                                      Operation
   [check       [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                      Barangay MATAYWANAK
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing        Date of
Operations           Operations]              Operation                    Action Taken                        Remarks
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                        Barangay PALINCARO
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]               Date of                     Action Taken                        Remarks
Operations                                    Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                          Barangay PUTOL
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]               Date of                     Action Taken                        Remarks
Operations                                    Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                           Barangay RILLO
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]               Date of                     Action Taken                        Remarks
Operations                                    Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                           Barangay RIZAL
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing        Date of
Operations           Operations]              Operation                    Action Taken                        Remarks
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                          Barangay SABANG
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]               Date of                     Action Taken                        Remarks
Operations                                    Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                         Barangay SAN JOSE
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing
                     Operations]               Date of                     Action Taken                        Remarks
Operations                                    Operation
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                             Region IV-A
                                                        Province of BATANGAS
                                                      City/Municipality of TUY
                                                          Barangay TALON
                                               (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing        Date of
Operations           Operations]              Operation                    Action Taken                        Remarks
   [check      [Street name /Address]
appropriate
  column]
 YES    NO
                                                              Region IV-A
                                                         Province of BATANGAS
                                                       City/Municipality of TUY
                                                           Barangay TOONG
                                                (for the month of DECEMBER CY 2020)
 Conducted
    Road      Location of Road Clearing
  Clearing                                     Date of
                     Operations]              Operation                     Action Taken                           Remarks
Operations     [Street name /Address]
   [check
appropriate
  column]
 YES    NO
                                                              Region IV-A
                                                         Province of BATANGAS
                                                       City/Municipality of TUY
                                                       Barangay TUYON-TUYON
                                                (for the month of DECEMBER CY 2020)
 Conducted
    Road
  Clearing    Location of Road Clearing        Date of
Operations           Operations]              Operation                      Action Taken                          Remarks
   [check      [Street name /Address]
appropriate
  column]
YES     NO
                                                                    Region IV-A
                                                               Province of BATANGAS
                                                              City/Municipality of TUY
                                                       (for the month of February CY 2020)
Submitted by:
Note: To be submitted to the Provincial Office. For HUC/ICC, submit to the Regional Office.
                                                                                                     Annex "C"
                                                   Region IV-A
                                              Province of ______________
                                     (for the month of _______________ CY ________)
                                                           Total No. of
                                   Total No. of
                                                           Brgys. that
                                   Brgys. that               did not    Percentage of
                    Total No. of   Conducted Percentage of
City/Municipality     Brgys.          Road      Compliance Conducted        Non-                    Remarks
                                    Clearing                  Road       Compliance
                                                            Clearing
                                   Operations              Operations
Total
                                                                Region IV-A
                                                  (for the month of _______________ CY ________)
                                                                             Total No. of
                                              Total No. of
                                              Brgys. that                    Brgys. that
                                                                               did not    Percentage of
   City/Municipality          Total No. of    Conducted Percentage of        Conducted        Non-                   Remarks
                                Brgys.           Road      Compliance           Road       Compliance
                                               Clearing
                                              Operations                      Clearing
                                                                             Operations
Total