PMCM Form-071/ Rev.

0 / 11 April 2016

PMQS CONSTRUCTION SOLUTIONS, INC.

SUBMITTAL FORM
FROM : SUBMITTAL NO. :
TO : DATE :

PROJECT : CONTRACTOR :

LOCATION :

TYPE OF SUBMITTAL :

MATERIAL SAMPLE CERTIFICATIONS

SHOPDRAWING BROCHURES

O & M MANUALS OTHERS, PLS SPECIFY :

TEST RESULTS

QUANTITY DESCRIPTION REVIEWED BY ACTION

SUBMITTED BY : REVIEWED BY : RECOMMENDING APPROVAL :

CONTRACTOR PMQS REPRESENTATIVE PMQS PROJECT MANAGER

REMARKS/ COMMENTS :

ACTION :
A - APPROVED
B - APPROVED W/ MINOR COMMENTS
C - RESUBMIT AS CORRECTED
D - DISAPPROVED/ RESUBMIT
E - ARCHITECT / DESIGNER