DESIGN SCIENCE R. D.

INTERIOR JUNIOR CONSTRUCTION

INCORPORATED General Engineering and GeneralBuilding
Manila, Philippines M-05 Prince Jun Condominium, #42 Timog Avenue, Quezo

Site Address : Km.7. Brgy. Baluno, Isabela Basilan, Region IX

Project Name : 16JO0089, CP 3A-Na: Construction/Improvement of Basilan Circumfere

Isabela-Lamitan Section, Sta. 00+000.00 - sta. 27+300.00 (with exception

WORK REQUEST
No: __________

STATION

ITEM NO.

DESCRIPTION OF WORK

EQUIPMENT TO BE USED

ESTIMATED QUANTITY

SCHEDULE DATE AND TIME

REQUESTED BY: REQUEST RECEIVED BY:

PIO FRANCISCO E. MABBORANG

Project Manager

IMPLEMENTING OFFICE: ROADS MANAGEMENT CLUSTER II-Multilateral, UNIFIED PROJECT MANAG

OFFICE (RMC 2-Multilateral, UPMO)

CHECKED BY: Date: Time: Signature:

__________________

Earthworks Inspector
 REYNALDO T. RANTE
Pavement Inspector

DON RENDEL D. GALICINAO

Locating Engineer

RENATO T. PACILLOS
Sr. Materials Engineer, ME-II

GINO C. GALICINAO
Sr. Quantity Engineer

Approved Disapproved Noted by:

LEONARDO R. ENRIQUEZ
DPM/Concurrent Resident Engineer

Date / Time: Date / Time:

REMARKS:
OR CONSTRUCTION
and GeneralBuilding
m, #42 Timog Avenue, Quezon City ISO 9001:2008
CERTIFIED

Basilan Circumferential Road,

.00 (with exception)

Date:

Time:

FIED PROJECT MANAGEMENT

Signature: Remarks
YACOB N. MAMBUAY
Project Manager 1
DPWH-RMC II-Multilateral, UPMO