Eca Form Latest
Eca Form Latest
Eca Form Latest
GENERAL INFORMATION
Name of Barangay: City/Mun Location:
Quezon City
Provincial Location: Regional Location:
Metro Manila National Capital Region
Total Population: No. of Households:
Instructions:
1. This form is to be filled-out and duly signed by the Punong Barangay and be certified as
true and correct by the Head of the City Environmental and Natural Resources Officer or
Equivalent.
2. Please supply the information being required.
3. For items with options, put a check mark (✓) on the appropriate box or line; otherwise,
provide the value required.
4. The Regional Office is to ensure that all items in this form are satisfactorily filled-out.
Yes No
Page 1 of 2
4. Based on the total score, is the LGU compliant?
If score is 100%, tick “Yes”
Otherwise, tick “No”
Yes No
Yes No
Yes No
NEXT STEPS
KEY LEGAL LEGAL REASONS FOR
NEXT STEPS
PROVISION CONSEQUENCES LOW-COMPLIANCE
1. Segregation at
Source Administrative
sanctions, fines
2. Functional and/or penalties
MRFs under R.A. 9003
3. No Littering (Sections
Ordinances 49 and 50)
~END OF AUDIT~
ACCOMPLISHED BY: