Republic of the Philippines

DEPARTMENT OF HEALTH
REGIONAL OFFICE IX
Upper Calarian, Zamboanga City
Tel Nos. 983-0146/983-0314, Fax 991-3380
Email : dohchdzp@yahoo.com, Web : www.doh.gov.ph

Sanitary Inspector: ____________________________________ Years in service: __________

Municipality/Province: ______________________________
Date of evaluation: _________________________________
Statistical Accomplishment:

Access to Safe Water : ________

Access to Sanitary Toilet : ________

Remarks:

Trainings and seminars attended/participated (for the last 3 years):

Remarks:

Actual Duties (daily routine):

Remarks:

Environmental programs/ Resolutions implemented:

Remarks:
You may ask list or copies of Ordinances (envi-related) and ask if its strictly followed /
implemented

Other issues & concerns