T- One Project Management Inc.

20th Floor, Arthaland Century Pacific Tower, 5th Avenue, corner 30th St
Bonifacio Global City 1634, Philippines
(+632) 84035519 loc 158

CD-23 PULL OUT REQUEST FORM POR

PROJECT NAME: SOUTH PALMS RESORT PROJECT PULL OUT FORM NO. SPRP_POR-TACC-115

REQUESTED DATE OF PULL OUT: 10-Jul-24 TIME OF PULL OUT: 9:00 AM

Contractor Name TERP ASIA Contract Package No. CP-0606.A

REQUESTED BY: Name of Requestor ENGR. MARK ANTHONY SALATAN Signature:

Designation PE Date Submitted: 8-Jul-24

ITEMS FOR PULL-OUT

Item. No. QTY DESCRIPTION

FOR MAIN RESTAURANT (STAFF TOILET & JAN CLO)

1 172 PCS FF-06 7.5 MM THKX 300 MMX 300 MM NON SKID HOMOGENOUS CERAMIC TILES , WHITE (R-11)
2 791 PCS WF-02 7.5 MM THKX 300MM X 300 MM HOMOGENOUS CERAMIC TILES , WHITE

FOR MAIN RESTAURANT (CHEF OFFICE)

3 110 PCS FF-07 7.5MM THK X 300 MM X 600 MM NON- SKID HOMOGENOUS CERAMIC TILES

FOR MAIN RESTAURANT (CENTRAL KITCHEN)

4 7964 PCS WF-02 7.5 MM THK X 300 MM 300 MM X HOMOGENOUS CERAMIC TILE, WHITE

NOTED BY: APPROVED BY: RELEASED & CHECKED BY: RECEIVED & CHECKED BY:

JOEY MACAWILI HEIDI DANGA

PM-ARCH/ID (SIGNATURE OVER PRINTED NAME) / DATE (SIGNATURE OVER PRINTED NAME) / DATE
PROJECT MANAGER FF&E MANAGER SOUTH PALMS WAREHOUSE MANAGER CONTRACTOR REPRESENTATIVE

REMARKS : REMARKS : REMARKS : REMARKS :

T1 Project Management Inc. All Rights Reserved. CD-23 .Rev0s2023 | Page 1 of 1