140707-N-CF750-098 TACLOBAN, Philippines (July 7, 2014) - U. S. Navy Builder 3rd Class Matthew Spence shovels sand onto the sifter ran by Philippine Navy Equipment Operator Seaman 2nd Class Johnson Ramales in Tacloban, Philippines. The Pacific Partnership engineering project is for a Tacloban City Hospital outpatient maternity clinic. Pacific Partnership is in its ninth iteration and is the largest annual multilateral humanitarian assistance and disaster relief preparedness mission conducted in the Asia-Pacific region. (U.S. Navy photo by Chief Mass Communication Specialist Greg Badger/Released)