Check slip to Accompany Requisition for Quality Control Certificate

1. Name of the work

a) Technical Sanction No., Date & :

Amount
b) Revised Technical Sanction No.,
Date & Amount
c) Agreement No., Date & Amount :
d) Supplemental Agt.No., Date &
Amount
2. Name of the Agency

:
:

MPLADS 2011-12.Dr.D.Narayana rao, Honble M.P

(R.S), Construction of Cremation shed in Hindu Burial
ground of 9'th ward at Palacole Municipality.
S.E (PH), SER.No.1/2013-14,Dt.20-04-2013,Rs.15.00
lakhs.
S.E (PH), Rjy.L.S.Agt No.11/2013-14, Dt.31-10-2013.
Rs.13,48,395.50,
.
Sri.Patapalla Rambabu, Vardhanam, palacole Mandal.

3.Reference Bill No.

a) Total value upto date

b) part bill Amount-First and part

Q.C.Issued Amount
Rs.5,17,796.00

c) Present Q.C.C required

First and Part bill-Rs.8,03,376.00

1327 B

Second and Final bill

4. Recorded M.Book No.

:
5) Whether all required testes on :
material and process control testes
are being carried out as per
specification by the field officers
and
the
prescribed
codal
frequencies (As per Para 4 of the
Q.C Manual)
6) Whether the record of testes
:
performed has been maintained
(As per Para 4 of the Q.C Manual)
7) Detailed QCD inspections Nos

8) Whether ATRs are furnished for

Quality Control Observations (As
per para 8 of the Q.C Manual)
9) Stage of work

Assistant Engineer
Palacole Municipality.

Rs.13,21,171.95
Bill Paid amount

Yes

Yes
19-09-2014
-Nil-

Completed..

Dy Executive Engineer,
PH Sub-Division,
Bhimavarm.

Executive Engineer
P.H.Division
ELURU