WASTE DIVERSION FORM
Month: __________         Year:_________
     BARANGAY: _________________________                       CITY/MUNICIPALITY: QUEZON CITY
A. Recyclable Wastes
   PARTNER JUNKSHOP/ADDRESS: ___________________________________________________________
       Category                     Types of Materials                   Weight (Kgs.)       Quantity (Pcs)
                              White paper - Flat & Crumpled
                                  ONP (old news paper)
       PAPER
                                       Carton / KB
                                Assorted/Books/Magazine
                                        Pet - Clean
                                        Pet - Dirty
      PLASTICS                         Pet - Colored
                                      Sibakin/Plastic
                                         Malutong
                                        Aluminum
                                      Aluminum Can
 PRECIOUS METAL                   Bronze (Tansong Dilaw)
                                  Copper (Tansong Pula)
                                      Stainless steel
                                     Scrap Iron (Bakal)
                                      Tin Can / Lata
       METAL
                                      Metal Sheets
                                   Yero/Tapalodo / B.I.
                                        Gin / Bilog
                                        Long Neck
  BOTTLES/GLASS                           Lapad
                                          Catsup
                                          Bubog
        Others
   (please indicate):
                                                             TOTAL
B. COMPOST
        Category                                   Types of Materials                         Weight (Kgs.)
                                 Fruit and Vegetable Peelings (balat ng prutas at gulay)
  KITCHEN WASTE
                                   Left Over / Spoiled Food (tira o panis na pagkain)
     YARD WASTE                        Tree Cuttings, Grass, Dry Leaves, Manure
                                                                                     TOTAL
Prepared by:
__________________________________________                               _________________
   Committee Chair on Environment or authorized                                 Date
                   representative
Certified Correct:
__________________________________________                               _________________
              Punong Barangay                                                   Date