Request for Hydrostatic Test of Water Pipelines

PMD | ENGINEERING | SSP & PQC | PROJECT QUALITY CONTROL

Contract No.: NR-21-GIP-NCL-04 To be filled-out by PQC
Contractor: A. A. ALARILLA CONSTRUCTION CO., INC Date Received(2):
Date of Request(1)(3): 04/26/23 Date of Actual Testing:
Date of Testing(1)(3): 04/28/23 Control No.:

To be filled-out by Requestor
To be filled-out by PQC
Location & Name of Street (Limits) Pipe Description
Along From To Type Size Length HSC/ App Length HSC/ App
25mm on 100
=70pcs
32 mm on 100
Rosal Magnolia End Cap PVC 100 288.5 =22pcs
63 mm on 100
=1pc
100mm GV = 1pc

End Cap Rosal GV 50 N/A 50mmGV=1pc

Requested by(2): Recommending Approval(2):

ARIES D. AQUINO/JAYMARK D. SORIANO ANTONIO D. SOTOMAYOR JR.

Signature over Printed Name Signature over Printed Name
Contractor’s Authorized Representative PMD Construction/Consultant/
Business Area (for all-works projects)
Approved:

Head, Project Quality Control

Contractor’s Contact Person Contractor’s Contact No.
09955145881 / 09489669969
Jaymark Soriano / Aries Aquino
Note:
1. PQC will conduct the actual testing within 3 working days from the requested date of testing.
2. Duly signed request must be received by PQC at least 1 day before the date of testing.
3. Request received beyond 5:00 PM is considered received on the following day.
4. Duly signed SKETCH OF PIPE SECTION must be attached.

PMD-OP-ENG-03F1 MAYNILAD WATER SERVICES, INC. MWSS COMPLEX, KATIPUNAN AVE., BALARA 1105 QUEZON CITY, PHILIPPINES
Revision: 5 TEL. NO. +632 981 3433
Page 1 of 1
Sketch of Pipe Section
PMD | ENGINEERING | SSP & PQC | PROJECT QUALITY CONTROL

Contract No.: NR-21-GIP-NCL-04 Contractor: A. A. ALARILLA CONSTRUCTION CO., INC

Control No.:

Prepared by: Approved by:

ARIES D. AQUINO/JAYMARK D. SORIANO ANTONIO D. SOTOMAYOR JR.

Signature over Printed Name Signature over Printed Name
Contractor’s Authorized Representative PMD Construction/Consultant/
Business Area (for all-works projects)

Note:
1. All appurtenances as per plan shall have been installed prior to testing.
2. The following shall be indicated on the sketch:
o All appurtenances included in the segment of work requested
o Filling point
o Test pressure observation point
o Bleeding point
o Actual length
PMD-OP-ENG-03F4 MAYNILAD WATER SERVICES, INC. MWSS COMPLEX, KATIPUNAN AVE., BALARA 1105 QUEZON CITY, PHILIPPINES
Revision: 5 TEL. NO. +632 981 3436
Page 1 of 4
Sketch of Pipe Section
PMD | ENGINEERING | SSP & PQC | PROJECT QUALITY CONTROL

Contract No.: NR-21-GIP-NCL-04 Contractor: A. A. ALARILLA CONSTRUCTION CO., INC

Control No.:

Prepared by: Approved by:

ARIES D. AQUINO/JAYMARK D. SORIANO ANTONIO D. SOTOMAYOR JR.

Signature over Printed Name Signature over Printed Name
Contractor’s Authorized Representative PMD Construction/Consultant/
Business Area (for all-works projects)

Note:
1. All appurtenances as per plan shall have been installed prior to testing.
2. The following shall be indicated on the sketch:
o All appurtenances included in the segment of work requested
o Filling point
o Test pressure observation point
o Bleeding point
o Actual length
PMD-OP-ENG-03F4 MAYNILAD WATER SERVICES, INC. MWSS COMPLEX, KATIPUNAN AVE., BALARA 1105 QUEZON CITY, PHILIPPINES
Revision: 5 TEL. NO. +632 981 3436
Page 2 of 4
Sketch of Pipe Section
PMD | ENGINEERING | SSP & PQC | PROJECT QUALITY CONTROL

PMD-OP-ENG-03F4 MAYNILAD WATER SERVICES, INC. MWSS COMPLEX, KATIPUNAN AVE., BALARA 1105 QUEZON CITY, PHILIPPINES
Revision: 5 TEL. NO. +632 981 3436
Page 3 of 4
Sketch of Pipe Section
PMD | ENGINEERING | SSP & PQC | PROJECT QUALITY CONTROL

PMD-OP-ENG-03F4 MAYNILAD WATER SERVICES, INC. MWSS COMPLEX, KATIPUNAN AVE., BALARA 1105 QUEZON CITY, PHILIPPINES
Revision: 5 TEL. NO. +632 981 3436
Page 4 of 4