Republic of the Philippines

Department of Education (DepEd)

Region VIII (Eastern Visayas)
Division of Leyte

PALOMPON NATIONAL HIGH SCHOOL

Central II, Palompon, Leyte

REQUEST FOR PRE-REPAIR INSPECTION

DESCRIPTION OF PROPERTY

Type: Brand/Model
Repair of Drainage along EPAS Classrooms, JHS
TLE Laboratory and School Canteen
Serial No. Property No.

Acquisition Date: Acquisition Cost:

Date of Last Repair: Nature of Last Repair:

Not yet repaired

(Attached a copy of latest job order if any)

Defects/complaints:
Drainage along EPAS Classrooms, JHS TLE Laboratory and School Canteen is insufficient to prevent water
to enter to the EPAS Classrooms during heavy rains.
Nature and Scope of Work to be Done:
Repair drainage along EPAS Classrooms, JHS TLE Laboratory and School Canteen

Requested by: Date:

NOEMI S. CARLOBOS 04/05/2023

School Head

Pre-Repair Findings: Drainage along EPAS

Classrooms, JHS TLE Laboratory and School
Canteen is insufficient to prevent water to enter to the
EPAS Classrooms during heavy rains.
Pre-Inspected by: Noted by:

MYLENE S. DIANSAY NOEMI S. CARLOBOS

Inspection Officer School Head

Date: 04/06/2023

POST-REPAIR

Job Order No. Date:

04/09/2023
Invoice No. Date:

Amount per Job Order: Amount Payable:

P 1,848.90

Findings: Repair of Drainage along EPAS

Classrooms, JHS TLE Laboratory and School
Canteen is complete, rain water are now flowing to
the main drainage and thus prevent water to enter the
classrooms during heavy rain..
Inspected by: Noted:

MYLENE S. DIANSAY NOEMI S. CARLOBOS

Inspection Officer School Head

Date: 04/10/2023 Date: : 04/10/2023