REQUEST FOR INSTALLATION/INSPECTION ( RFII )

ON CIVIL WORKS

Project: UNIQLO SIERRA VALLEY ROADSIDE STORE RFII No. 1

Location: Sierra Valley, Taytay Rizal Date:

Contractor: ProvidereOnocom, Inc. Structure:

Contract Package No.: 1 Area:

Please Check:

Survey Verification Concreting ( Slab on Grade )

Excavation / Hauling Concreting ( Lintel Beam / Stiffener Column )
Soil Poisoning Lean Concrete
Demolition Form Stripping
Backfilling / Gravel & Sand Bedding Walls ( Concrete Hollow Blocks, Bricks )
Formworks ( Slab on Grade ) Chase Closure
Formworks ( Lintel Beam / Stiffener Column ) Concrete Setting / Curing
Rebar ( Slab on Grade ) Pre - Cast Concrete
Rebar ( Lintel Beam / Stiffener Column ) Others.
Form Closure ( Lintel Beam / Column )

Contractor Check Initial Date Quality Control Check Initial Date

Check Items Remarks
Name Name

1. Line & Grade

2. Architectural
3. Structural Civil
4. Electrical
5. Mechanical
6. Fire Protection
7. Plumbing/Sanitary
8. Others

Remarks :

Requested by: Witnessed by:

(Signature Over Printed Name) ( Signature Over Printed Name )
Contractor CQC ATMCI- Site Engineer

Date:_________ Date: ___________

Checked by: Noted by:

(Signature Over Printed Name) ( Signature Over Printed Name )
Contractor - PIC ATMCI- Resident Construction Manager

Date:_________ Date: ___________

Note : This form must be submitted to ATMCI Representative duly accomplished and signed by the corresponding Contractor's
CQC / PIC at least 24 hours before to commence works.

ATMCI-F-OPN-20/48 Revision 00