CONCRETE POURING REQUEST

PROJECT TITLE : TOTE PAN CLEANING FACILITY

LOCATION : BCEZ, LOAKAN ROAD, BAGUIO CITY

Client : MOOG CONTROLS CORPORATION

CPR No. : MOOG-TOTEPAN-CPR-2024-0000 Pouring Date/ Time:
Date Requested :
Contractor : ARKINOVUS OPC

Subject :
LOCATION : MOOG CONTROLS CORPORATION, BCEZ, LOAKAN ROAD, BAGUIO CITY

Design Mix/ Specs : Ordinary PCD

Slump : 100 mm 150 mm
Curing Period :
M. S. A. :
Strength : psi
Estimated Volume : m3 Actual Volume :_______________m3
Pouring Starts : Pouring Ends :
Method Application :

Trade Contractor
Names Signature Date Remarks
(QA/QC)
Survey
Civil
Structural
Architectural
Mechanical
Electrical
Plumbing
Fire Pro
Auxiliary
Safety
Others

Requested by: Noted by:

Field Engineer Project Manager/ Project-in-Charge

Inspector Comments/ Remarks:

Checked by:
Engr./ Inspector
Signature over Printed Name Date/ Time

Approval:
Project Head
Signature over Printed Name Date/ Time
Note: Submission of Concrete Pouring Request is at least 2 days before the pouring