GENSET FUEL DISPTICK MEASUREMENT FORM

TABLE 1
Fuel Tank Dimension Unit G1 % G2 % G3 %

Length (L) meters 2.197 2.197

Width (W) meters 1.4 1.4

Depth (H) meters 0.39 0.39

cu.meters 1.200 1.200

Fuel Tank Volume
Liters 1200 100 1200 100

TABLE 2

Fuel Tank volume BEFORE refill Unit G1 % G2 % G3 %

Date measured mm/dd/yy 01/24/2023 01/24/2023

Fuel Tank Area sq.meters 3.076 3.076

Depth before refill meters 0.195 0.195

cu.meters 0.600 0.600

Diesel volume before refill
Liters 600 50 600 50

Note: Please see picture on attached pages

TABLE 3

Fuel Tank volume AFTER refill Unit G1 % G2 % G3 %

Date measured mm/dd/yy 2/24/2023 2/24/2023

Fuel Tank Area sq.meters 3.076 3.076

Depth after refill meters 0.190 0.190

cu.meters 0.584 0.584

Diesel volume after refill
584 49 584 49

Note: Please see picture on attached pages

TABLE 4
Signature Signature Signature Signature
Name: Al Jehan H. Caorong Name: Janies P. Barquilla Name: Emerlinda Cabuyaon Name: Jason Familaran
Date signed: 1/25/2023 Date signed 1/26/2023 Date signed: 1/26/2023 Date signed
Prepared by: Attested by: Witnessed by: Checked by:
Mall Engineer Mall Supervisor Security OIC Technical Officer
DIPSTICK PICTURE BEFORE REFILL GENSET 1

NOTE: Only graduated wooden meter stick will

be used as dipstick. Ensure that the printed
picture of the dispstick shows clearly the wetted
area with clear proof of date in the form of
receipts or newspaper.

DIPSTICK PICTURE BEFORE REFILL GENSET 2

NOTE: Only graduated wooden meter stick will

be used as dipstick. Ensure that the printed
picture of the dispstick shows clearly the wetted
area with clear proof of date in the form of
receipts or newspaper.

Signature Signature Signature Signature

Name: Al Jehan H. Caorong Name: Janies P. Barquilla Name: Emerlinda Cabuyaon Name: Jason Familaran
Date signed: 1/25/2023 Date signed 1/26/2023 Date signed: 1/26/2023 Date signed
Prepared by: Attested by: Witnessed by: Checked by:
Mall Engineer Mall Supervisor Security OIC Technical Officer
DIPSTICK PICTURE AFTER REFILL GENSET 1

NOTE: Only graduated wooden meter stick will

be used as dipstick. Ensure that the printed
picture of the dispstick shows clearly the wetted NOT YET REFILLED
area with clear proof of date in the form of
receipts or newspaper.

DIPSTICK PICTURE AFTER REFILL GENSET 2

NOTE: Only graduated wooden meter stick will

be used as dipstick. Ensure that the printed
picture of the dispstick shows clearly the wetted NOT YET REFILLED
area with clear proof of date in the form of
receipts or newspaper.

Signature Signature Signature Signature

Name: Al Jehan H. Caorong Name: Janies P. Barquilla Name: Emerlinda Cabuyaon Name: Jason Familaran
Date signed: 2/24/2023 Date signed 2/24/2023 Date signed: 2/24/2023 Date signed
Prepared by: Attested by: Witnessed by: Checked by:
Mall Engineer Mall Supervisor Security OIC Technical Officer
 PURCHASE REQUISITION FORM

PROJECT NAME: CM Bulua PR #: _________________ (PLEASE LEAVE THIS BLANK)

DATE : February 24, 2023

ITEM DESCRIPTION QUANTITY UNIT OF REMARKS (COMPLETE SPECIFICATION)

MEASUREMENT Size (dimension/measurement) / color / brand

DIESEL 477 Liters SERVED DIESEL

PLEASE SEE ATTACHED BREAKDOWN REPORT / JUSTIFICATION REPORT

Requested By: Checked By: Endorsed By: Received by:

Janies P. Barquilla Arachel R. Sombrio _________________________ _________________________

ME/MS Area Manager Technical Head Procurement Officer
DDPMC DDPMC DDPMC DDPMC

CHARGE TO THE ACCOUNT OF:

CITYMALL
OTHERS (PLEASE SPECIFY)
DDPMC COMMERCIAL DDPC
CENTERS INC

Recommending Approval: Approved By:

_________________________ _________________________
General Manager President
DDPMC DDPC
Form revised dated 3.15.21 SAF - 001
 FUEL ORDER REQUEST FORM

CM BRANCH: CM BULUA

PURPOSE OF FUEL REFILL: TO MAINTAIN THE REQUIRED MAXIMUM FUEL LEVEL

REQUEST DATE: 25-Jan-23

GENSET NO. TO BE REFILLED: ü G1 ü G2 G3

G1 G2 G3
LAST DATE WHEN VOLUME IS AT LEAST LITERS PERCENT LITERS PERCENT LITERS PERCENT
75% AGGREGATE: JUNE 13, 2022
450 38% 502 42%

G1 G2 G3

CURRENT VOLUME IN LITERS: LITERS PERCENT LITERS PERCENT LITERS PERCENT

360 30.0% 363 30.3%

Note: Please provide DFMR's related to this fuel order request.

PROVIDE CLEAR PICTURE OF FUEL GAUGE WITH PROOF OF DATE SHOWING THE ACTUAL VOLUME OF YOUR
GENSET FUEL TANKS. PROOF OTHER THAN FUEL GAUGE MUST BE ATTACHED TO THIS FORM

[INSERT CLEAR PHOTO OF GAUGE [INSERT CLEAR PHOTO OF GAUGE [INSERT CLEAR PHOTO OF GAUGE
WITH PROOF OF DATE] WITH PROOF OF DATE] WITH PROOF OF DATE]

TOTAL VOLUME REQUESTED IN LITERS:

477

G1 G2 G3
TOTAL VOLUME AFTER PROPOSED REFILL LITERS PERCENT LITERS PERCENT LITERS PERCENT
IN LITERS:
600 50% 600 50%

NOTE: CHECK QUALITY OF FUEL PRIOR TO REFILLING OF GENSETS. TAKE PICTURE WITH PROOF OF DATE AND SEND
TO HO AFTER REFILL.

FUEL SUPPLIER NAME: STERLING TRADE & DISTRIBUTION GROUP, INC. JETTI
GAABUCAYAN ST., AGORA MARKET, LAPASAN, CAGAYAN DE ORO
SUPPLIER'S ADDRESS: CITY

CONTACT NUMBER: (08822) 726-079/ (088) 857-3731

CONTACT PERSON: Mr. Harry Sio

PRICE PER LITER: 70.45

TOTAL COST: ₱33,604.65

REQUESTED BY: AL JEHAN H. CAORONG JANIES BARQUILLA

MALL ENGINEER MALL SUPERVISOR

RECOMMENDING APPROVAL: ARACHEL R. SOMBRIO

AREA MANAGER

APPROVED BY:
AAV
CM BRANCH: BULUA

POWER FAILURE MONITORING FORM

1st STAGE OF VERIFICATION

SUMMARY OF DIESEL CONSUMPTION/ PERIOD COVERED: DECEMBER 25, 2021 TO JANUARY 23, 2023
TO BE FILLED UP BY PROPERTY ENGINEER TO BE FILLED UP BY DDPMC Disbursement
TOTAL
Genset no. in use Actual
Reason of diesel VERIFICATION DURATION OF
Date during Power Start End % Load Total Hrs. consumed Remarks
consumption [/, X] POWER
Interruption Diesel (liters)
FAILURE
09/17/2022 G2 05:38:00 AM 05:49:00 AM 11% 0.183 4.0 POWER INTERRUPTION
09/19/2022 G2 07:00:00 AM 07:13:00 AM 15% 0.22 3.0 POWER INTERRUPTION
11/23/2022 G2 09:46:00 AM 11:35:00 AM 29% 1.817 92.0 POWER INTERRUPTION
12/17/2022 G2 01:03:00 PM 01:23:00 PM 33% 1.817 15.0 POWER INTERRUPTION
12/24/2022 G2 06:20:00 PM 07:34:00 PM 36% 1.23 59.0 POWER INTERRUPTION
1/18/2023 G2 10:06:00 PM 10:41:00 PM 42% 0.58 12.0 POWER INTERRUPTION
1/23/2023 G1 11:14:00 AM 11:28:00 AM 36% 0.23 2.0 POWER INTERRUPTION

TOTAL 6.077 187.00

FUEL RATE IN LITERS/HR 30.77

Al Jehan H. Caorong
Mall/Building Engineer Admin. Assistant - Disbursement

Janies P. Barquilla
Mall/Building Supervisor Admin. Officer - Disbursement

2nd STAGE OF VERIFICATION

TO BE FILLED UP BY PROPERTY ENGINEER

TOTAL PRESENT FUEL
TOTAL REFILL FULL TANK
PREVIOUS VOLUME CONSUMED PRESENT VOLUME Genset No. LEVEL PER % Level of Fuel
VOLUME [LITERS] GENSET
VOLUME
G1 1,200.0 360.00 30.0%
910.00 187.00 723.00 G2 1,200.0 363.00 30.3%
G3 n/a n/a n/a
REFERENCE DATE PERIOD COVERED REFILL DATE REFERENCE DATE 723.00
Note: Engineer must provide a picture of gauge diesel fuel level together
Aug 31, 2022 Jan. 24, 2022 with the actual date of newspaper or receipt to verify if the declared fuel
level is correct . Use a separate sheet for photo attachments

Checked By: Checked By: Approved By:

Engr. Jason Familiaran
Technical Officer AAV CCA
 GENSET FUEL DISPTICK MEASUREMENT FORM(CM BULUA)
TABLE 1
Fuel Tank Dimension Unit G1 % G2 % G3 %

Length (L)[2.197] meters 2.197 2.197

Width (W)[1.4] meters 1.4 1.4

Depth (H) meters 0.117 0.118

cu.meters 0.360 0.363

Fuel Tank Volume
Liters 360 51 363 52

TABLE 2

Fuel Tank volume BEFORE refill Unit G1 % G2 % G3 %

Date measured mm/dd/yy 01/24/2023 01/24/2023

Fuel Tank Area sq.meters 3.076 3.076

Depth before refill meters 0.117 0.118

cu.meters 0.360 0.363

Diesel volume before refill
Liters 360 51 363 52

Note: Please see picture on attached pages

TABLE 3

Fuel Tank volume AFTER refill Unit G1 % G2 % G3 %

Date measured mm/dd/yy

Fuel Tank Area sq.meters 3.076 3.076

Depth after refill meters

cu.meters
Diesel volume after refill

Note: Please see picture on attached pages

TABLE 4
Signature Signature Signature Signature
Name: Al Jehan H. Caorong Name: Janies P. Barquilla Name: Emerlinda Cabuyaon Name: Jason Familaran
Date signed: 1/25/2023 Date signed 1/26/2023 Date signed: 1/26/2023 Date signed
Prepared by: Attested by: Witnessed by: Checked by:
Mall Engineer Mall Supervisor Security OIC Technical Officer
DIPSTICK PICTURE BEFORE REFILL GENSET 1

G1= 11.7CM

NOTE: Only graduated wooden meter stick will

be used as dipstick. Ensure that the printed
picture of the dispstick shows clearly the wetted
area with clear proof of date in the form of
receipts or newspaper.

DIPSTICK PICTURE BEFORE REFILL GENSET 2

G2= 15 CM

NOTE: Only graduated wooden meter stick will

be used as dipstick. Ensure that the printed
picture of the dispstick shows clearly the wetted
area with clear proof of date in the form of
receipts or newspaper.

Signature Signature Signature Signature

Name: Al Jehan H. Caorong Name: Janies P. Barquilla Name: Emerlinda Cabuyaon Name: Jason Familaran
Date signed: Date signed Date signed: Date signed
Prepared by: Attested by: Witnessed by: Checked by:
Mall Engineer Mall Supervisor Security OIC Technical Officer
DIPSTICK PICTURE AFTER REFILL GENSET 1

NOTE: Only graduated wooden meter stick will

be used as dipstick. Ensure that the printed
picture of the dispstick shows clearly the wetted NOT YET REFILLED
area with clear proof of date in the form of
receipts or newspaper.

DIPSTICK PICTURE AFTER REFILL GENSET 2

NOTE: Only graduated wooden meter stick will

be used as dipstick. Ensure that the printed
picture of the dispstick shows clearly the wetted NOT YET REFILLED
area with clear proof of date in the form of
receipts or newspaper.

Signature Signature Signature Signature

Name: Al Jehan H. Caorong Name: Janies P. Barquilla Name: Emerlinda Cabuyaon Name: Jason Familaran
Date signed: Date signed Date signed: Date signed
Prepared by: Attested by: Witnessed by: Checked by:
Mall Engineer Mall Supervisor Security OIC Technical Officer
 DAILY FUEL MONITORING REPORT

CM BULUA
JANIES BARQUILLA

``

GENSET KVA KW FULL DAY TANK LITERS FULL BASE TANK LITERS CM BRANCH DATE SUBMITTED EVALUATED BY APPROVED BY

G1 750 600 1200

0 CM BULUA,CDO
G2 750 600 1200

TO BE FILLED UP IN THE EVENT OF POWER FAILURE

REFILL
VOLUME
FUEL FUEL
GENSET GENSET PRIOR TO RECEIPT
DATE GENSET VOLUME AT 9 VOLUME AT REFILL VOLUME ENDVOL DURATION ADMIN MAINTENANCE SECURITY MALL SUP
AM 9 PM RUNNING HRS. RUNNING HRS. POWER NUMBERS OF BEGVOL
DURING
CONSUMED
POWER LOAD POWER
FUEL kWhr
AT 9 AM AT 9 PM FAIL IF FUEL DELIVERY POWER FAIL POWER FAIL RECEIPT NUMBERS OF VOLUME TIME TIME RATE Consumed REASON OF
ANY FUEL DELIVERY FAIL STARTED ENDED FAIL POWER FAILIURE

NO. LITERS LITERS LITERS LITERS LITERS LITERS LITERS % HRS L/HR kWhr SIGN SIGN SIGN SIGN

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

1
G2 375 375 80h37m 80h37m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

2
G2 375 375 80h37m 80h37m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

3
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

4
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

5
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

6
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

7
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

8
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

9
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

10
G2 375 375 78h42m 78h42m 0 #DIV/0! 0
 G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0
11
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

12
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

13
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

14
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

15
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

16
G2 375 375 78h42m 78h42m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

17
G2 375 375 78h42m 79h3m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

18
G2 375 363 79h3m 81h13m 375 12 363 10:06 PM 10:41 PM 42% 0.58 20.68966 1.4616

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

19
G2 363 363 81h13m 81h13m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

20
G2 363 363 81h13m 81h13m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

21
G2 363 363 81h13m 81h13m 0 #DIV/0! 0

G1 362 362 120h5m. 120h5m. 0 #DIV/0! 0

22
G2 363 363 81h13m 81h13m 0 #DIV/0! 0

G1 362 360 120h5m 120h19m 362 2 360 11:14 AM 11:28 36% 0.23 8.695652 0.4968
23
G2 363 363 81h13m 81h13m 0 #DIV/0! 0

G1 360 360 120h19m 120h19m 0 #DIV/0! 0

24
G2 363 363 81h13m 81h13m 0 #DIV/0! 0

0 #DIV/0! 0
25
0 #DIV/0! 0

0 #DIV/0! 0
26
0 #DIV/0! 0
 0 #DIV/0! 0
27
0 #DIV/0! 0

0 #DIV/0! 0
28
0 #DIV/0! 0

0 #DIV/0! 0
29
0 #DIV/0! 0

0 #DIV/0! 0
30
0 #DIV/0! 0

0 #DIV/0! 0
31
0 #DIV/0! 0
TOTAL DIESEL CONSUMED FOR THE MONTH= 14 TOTAL kWhr CONSUMED FOR THE MONTH= 1.96

LEGEND:
LV LOW VOLTAGE PI POWER INTERRUPTION
HV HIGH VOLTAGE SP SINGLE PHASE
GENSET 1 DIPSTICK AT 11.7cm

GENSET 1 DIPSTICK AT 11.8cm