Philippine Rural Development Project  Operations Manual

I-BUILD Component

ANNEX 21
Republic of the Philippines
Office of the Municipal Mayor/Provincial Governor
________, ______________ Region ___

STATUS OF TESTS

Proponent Agency:
Date: Subproject Title:
Subproject No: Subproject Description:
Location:
Physical Target:
Contractor:

Our records indicate that the status of tests on the above subproject to date are as
follows:

Number of Tests
Total Min. no. of %
Materials Conducted To Date
Est'd. Qty. Tests Req'd. Accomp.
On File Balance

Prepared by: Approved by:

________________________ _____________________
Project Engineer, Contractor Project Engineer, LGU

Concurred by:

______________________
RPCO Infrastructure Chief