NUSTAR - CEBU INTEGRATED RESORT Kawit Point, SRP,

Cebu City
Contractor's
logo Control No.
VSI_CIR_GP_0009_UHRI_0181

Form No. Date: May 11, 2023

GATE PASS FOR MATERIALS :
inward RLC-CCM-GF-035.1
Deliver to: Talamban, Cebu City

Hauled by Truck Hand Carry

Vehicle Type &Plate No:

Quantity Unit Item descriptions Remarks (include P.O. No.)

5 pcs Mirror
15 pcs Tempered glass
*** *** ***NOTHING FOLLOW****

for inward

Note: Kindly put *** Nothing Follows*** after the last item

Purpose/s: for installation level 22-23

Requested by: Hauled / Pull-out by: Date & Time:

Carmelita Moraleda/PM Arnel Panlaan - WHM May 11-13, 2023 Thursday

Authorized person's name Hauler's Name/Company
(Name/Signature/Date) (Name/Signature/Date)

Checked & Inspected by: Verified by:

Loucila Silvano/ QA/QC

Contractor’s QAQC/Safety RLC CCM QA/QC
(Name/Signature/Date) (Name/Signature/Date)

Recommending Approval by: Approved by: Noted by:

CCM Construction Manager CCM OIC/Area Manager CCM Heads

(Name/Signature/Date) (Name/Signature/Date) (Name/Signature/Date)

Inspected by: Acknowledged and Signed by the Receiver (if applicable)

Project Security officer/logistic officer Security Guard on Duty

(Name/Signature/Date) (Name/Signature/Date)
Attachments: Actual Photos of materials on truck to be pulled out and Truck plate number.For inward attach MDI forms, DR and photos

Distributions: VENDOR RLC QAQC Team OTHERS Rev. 003 - September 2022

RLC - Corporate Construction Management August 2022