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INSPECTION REPORT FOR WASTE MATERIALS

Agency: NATIONAL IRRIGATION ADMINISTRATION


Address: DILIMAN EXTENSION COR. EDSA AVE. QUEZON CITY

INSPECTION PROPER

A. REFERENCE DOCUMENTS
Document/Number Date

B. INSPECTION ACTIVITIES:
Site of Inspection : __________________________________
Date of Inspection: _______________

Items Inspected Quantity Particulars/Description

See Attached

C. FINDINGS (Statements on conformance and non-conformance with specifications including variance,


deviation or discrepancy)

_________________________________________________________________________________
_________________________________________________________________________________
__________________________________________________________________________

D. PERSONS/PERSONNEL PRESENT AT THE TIME OF INSPECTION

Name Position Signature

_______________________________________________________________________________

NOTE:
FOR POST-AUDIT REFERENCE ONLY.

Prepared by: Noted by:

ANGELO KARL C. DOCEO ELENA L. AGUSTIN


State Auditing Examiner II State Auditor V
Audit Team Member Supervising Auditor

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