FOR GOVERNMENT PROJECT

SAMPLE CARD

PROJECT: BORONGAN AIRPORT DEVELOPMENT PROJECT

(Extension of Runway, Strip Width Correction, Runway Markings &
Provision of Slope Protection), Borongan City, Eastern Samar
(Name) (City/Province)

KIND OF MATERIAL: Concrete Beam

Sample Identification: BADP - Trial Mix - 3 Qty. Represented:
Sampled at: Job Site
(Give accurate location posible)
Original Source:
Owner/Supplier:
Sampled/Cast by: Jubelyn Jane G. Araque / Bon Jasper Lucenecio
(Name of Authorized Representative) (Signature)
B.M. Marketing / CAAP December 13, 2022
(Office) (Date)

Proposed Used: PCCP

Test Desired: Flexural Strength
Governing Specs:
(Organization/Office and Item No.)
Shipped by: Jubelyn Jane G. Araque B.M. Marketing January 10, 2023
(Name and Designation) (Office) (Date)
Send Test Result to: B.M. Marketing 116 Salazar St., Tacloban City
(Name) (Mailing Address)
REMARKS: 1 SET
Bill Charge to: B.M. Marketing
Submitted by: Jubelyn Jane G. Araque / Bon Jasper Lucenecio
(Name) (Signature)
B.M. Marketing / CAAP January 10, 2023
(Office) (Date)

Received by:
Date: Lab No.:
O.R. No.:
Date: NOTED:
 FOR GOVERNMENT PROJECT

SAMPLE CARD

PROJECT: BORONGAN AIRPORT DEVELOPMENT PROJECT

(Extension of Runway, Strip Width Correction, Runway Markings &
Provision of Slope Protection), Borongan City, Eastern Samar
(Name) (City/Province)

KIND OF MATERIAL: Concrete Cylinder

Sample Identification: BADP - Trial Mix - 3 Qty. Represented:
Sampled at: Job Site
(Give accurate location posible)
Original Source:
Owner/Supplier:
Sampled/Cast by: Jubelyn Jane G. Araque / Bon Jasper Lucenecio
(Name of Authorized Representative) (Signature)
B.M. Marketing / CAAP December 13, 2022
(Office) (Date)

Proposed Used: Pile Cap,Beams, Columns

Test Desired: Compressive Strength
Governing Specs:
(Organization/Office and Item No.)
Shipped by: Jubelyn Jane Araque B.M. Marketing January 10, 2023
(Name and Designation) (Office) (Date)
Send Test Result to: B.M. Marketing 116 Salazar St., Tacloban City
(Name) (Mailing Address)
REMARKS: 1 SET
Bill Charge to: B.M. Marketing
Submitted by: Jubelyn Jane G. Araque / Bon Jasper Lucenecio
(Name) (Signature)
B.M. Marketing / CAAP January 10, 2023
(Office) (Date)

Received by:
Date: Lab No.:
O.R. No.:
Date: NOTED: