Name of Project:
Project Location:
Construction of Schoo! Buildin
Sitio Bagalangit, Kalugmanan, Manolo Fortich Bukidnon
Republic of the Philippines
PROVINCE OF BUKIDNON
Provincial Capital
1 storey classroom}
WORK REQUEST
(In triplicate)
Te:
PROVINCIAL ENGINEER'S OFFICE
Requested Work to Start On;
Date: January 25, 2022 Time: 8:00 AM
From: (Contractor)
Y CONSTRUCTION AND SUPPLY
Note: Contractor has to submit request in triplicate and with a
‘minimum of 48 hours in advance of scheduled start.
PAY ITEM REQUESTED:
Tem Now 405 Equipment to be used: |
Description: Structural Congerete Estimated Quantity to | Quantity Unit:
be Accomplished: Sq.m
Description of Work Requested:
CONGCRETE POURING
Submitted by Received by;
a
Inspected by: Findings/Comments: Recommendations:
Site Inspector/Project in-charge
Surveyor
ROMEL 8. CADION
Engineer Il, Resident Engineer
Checked by:
Recommended Action:
Marlow 8.Yabunan
(ME/MTOA
Reviewed by:
RANDY P. DIAZ
Engineer IV/OIG, MTQA Di
Recommended for Approval:
JOSE PASTOR P. DELA CERNA,
Engineer Iv/Chief, Maintenance Division
‘Approved:
ALBERT D. YULO
Provincial Engineer
‘Accepted by: