Republic of the Philippines
OFFICE OF THE MUNICIPAL MAYOR
Virac, Catanduanes
CITATION TICKET
No. ____________ Date: __________________
NAME: ________________________________________________________________________________________
AGE: ______ ADDRESS: ______________________________________________________________________
Please be notified that on or about _________ o’clock am/pm of _____________________ in barangay
_______________________, Virac, Catanduanes, you have allegedly committed/omitted the following:
1. Littering, throwing/dumping of waste matters in 9. Establishment and operation of dumps;
the public places, such as but not limited to
roads, sidewalks, canas, esteros, or parks, and
establishments;
2. Undertaking activities, operating or transporting 10. The manufacture, distribution or use of non-environmentally
equipment in violation of operation if sanitation acceptable packaging materials;
and other requirement or permits pursuant to the
said Ordinance;
3. The open burning of solid waste; 11. Importation of consumer products packaged in non-
environmentally acceptable materials;
4. Causing and permitting the collection of non- 12. Importation of toxic waste misrepresented as recyclable or
segregated or unsorted waste; with recyclable content;
5. Squatting in open dumps and landfills; 13. Transport and dumping in bulk of collected domestic,
industrial, commercial and institutional wastes in area other
than centers of facilities prescribed under RA 9003;
6. Open dumping, burying of biodegradable 14. Site preparation, construction, expansion or operation of
materials in flood prone areas; waste management facilities without an Environment
Compliance Certificate required pursuant to Presidential
Decree No. 1586, the Act and not conforming with the
Comprehensive Land Use Plan of the LGU;
7. Unauthorized removal of recyclable materials 15. The construction of any establishment within two hundred
intended for collection by authorized persons; (200) meters from open dump or controlled dumps or sanitary
landfill; and
8. The mixing of source separated recyclable
materials with other solid waste in any vehicle, 16. Any waste disposal facility of any aquifer, groundwater
box container or receptacle used in solid waste reservoir or watershed and/or any portion thereof.
collection and disposal;
Which act(s) constitute violation of Section No. 66 of Municipal Ordinance No. 17s. 2012
In view whererof, you are required to settle amicably your infraction of aforesaid law by paying the prescribed fine
of ___________________________________________(₱ ____________) at the Office of the Municipal/Barangay
Treasurer within ten (10) days from issuance hereof, otherwise appropriate complaint shall be filed against you before proper
agency or agencies of the government.
BY AUTHORITY OF THE MUNICIPAL MAYOR
______________________________________
Name and Signature of Apprehending Officer
ACKNOWLEDGEMENT
I, _______________________________________________________of _________________________________________,
__________________________________, Catanduanes hereby acknowledges the receipt of this Citation Ticket and was
made to understand its content and my responsibilities this ________ day of _________________________, 20___.
______________________________________
Name and Signature
Refused to receive: ___________________
Name and Signature of Witnesses:
_______________________________________ ________________________________________
