Annex 17 Form No.

Republic of the Philippines

PHILIPPINE RURAL DEVELOPMENT PROJECT (PRDP)
SUMMARY OF QUALITY CONTROL TEST PERFORMED

as of June 25, 2020

Municipality of: Prosperidad/San Luis Province of: Agusan del Sur Region: Caraga Contract No.
Project Name: CONCRETING OF BUCAC-MARCELINA-MAHAPAG-SAN VICENTE FMR PACKAGE 3: CONCRETING OF SAN VICENTE-MAHAPAG FMR Referrence No. PRDP-IB-RO13-ADS-007-000-000-2015-B-R1
Project Location: Prosperidad-San Luis, Agusan del Sur Period Covered: March 14, 2020 - June 25, 2020

Quantity Date
Lab. No. Item Description Station Represented Date Tested Kind of Test Test Result Spec's Remarks / Recommendation
Represented Sampled

D104-217,218 4+980 LR 2 HOLES 9-Jun-20 9-Jun-20 Field Density of Soil in Place 100.00% ASTM D-1556=95% Passed
Item 104-Embankment
5+000 LL by Sand Cone Method 102.00% ASTM D-1556=95% Passed

D104 211,212,213,214,215,216 4+860 CL 6 HOLES 9-Jun-20 9-Jun-20 Field Density of Soil in Place 99.00% ASTM D-1556=95% Passed
Item 104-Embankment
4+880 LL by Sand Cone Method 97.00% ASTM D-1556=95% Passed
4+900 CL Field Density of Soil in Place 97.00% ASTM D-1556=95% Passed
4+920 RL by Sand Cone Method 100.00% ASTM D-1556=95% Passed
4+940 CL Field Density of Soil in Place 98.00% ASTM D-1556=95% Passed
4+960 LL by Sand Cone Method 103.00% ASTM D-1556=95% Passed

D104 205,206,207,208,209,210 4+740 CL 6 HOLES 9-Jun-20 9-Jun-20 Field Density of Soil in Place 102.00% ASTM D-1556=95% Passed
Item 104-Embankment
4+760 RL by Sand Cone Method 102.00% ASTM D-1556=95% Passed
4+780 CL Field Density of Soil in Place 101.00% ASTM D-1556=95% Passed
4+800 LL by Sand Cone Method 102.00% ASTM D-1556=95% Passed
4+820 CL Field Density of Soil in Place 102.00% ASTM D-1556=95% Passed
4+840 RL by Sand Cone Method 101.00% ASTM D-1556=95% Passed

D104 193,194,195,196,197,198 5+500 CL 6 HOLES 10-Jun-20 10-Jun-20 Field Density of Soil in Place 97.00% ASTM D-1556=95% Passed
Item 104-Embankment
5+520 RL by Sand Cone Method 97.00% ASTM D-1556=95% Passed
5+540 CL Field Density of Soil in Place 100.00% ASTM D-1556=95% Passed
5+560 LL by Sand Cone Method 98.00% ASTM D-1556=95% Passed
5+580 RL Field Density of Soil in Place 97.00% ASTM D-1556=95% Passed
5+600 CL by Sand Cone Method 101.00% ASTM D-1556=95% Passed

D104 187,188,189,190,191,192 5+380 CL 6 HOLES 10-Jun-20 10-Jun-20 Field Density of Soil in Place 96.00% ASTM D-1556=95% Passed
Item 104-Embankment
5+400 RL by Sand Cone Method 100.00% ASTM D-1556=95% Passed
5+420 LL Field Density of Soil in Place 101.00% ASTM D-1556=95% Passed
5+440 CL by Sand Cone Method 104.00% ASTM D-1556=95% Passed
5+460 RL Field Density of Soil in Place 101.00% ASTM D-1556=95% Passed
5+480 CL by Sand Cone Method 101.00% ASTM D-1556=95% Passed

D104 181,182,183,184,185,186 5+260 CL 6 HOLES 10-Jun-20 10-Jun-20 Field Density of Soil in Place 96.00% ASTM D-1556=95% Passed
Item 104-Embankment
5+280 LL by Sand Cone Method 97.00% ASTM D-1556=95% Passed
5+300 CL Field Density of Soil in Place 99.00% ASTM D-1556=95% Passed
5+320 RL by Sand Cone Method 101.00% ASTM D-1556=95% Passed
5+340 CL Field Density of Soil in Place 104.00% ASTM D-1556=95% Passed
5+360 LL by Sand Cone Method 101.00% ASTM D-1556=95% Passed

D104 175,176,177,1789,179,180 5+140 CL 6 HOLES 10-Jun-20 10-Jun-20 Field Density of Soil in Place 103.00% ASTM D-1556=95% Passed
Item 104-Embankment
by Sand Cone Method

Page 1 SQC-R0
 Annex 17
Republic of the Philippines
PHILIPPINE RURAL DEVELOPMENT PROJECT (PRDP)
SUMMARY OF QUALITY CONTROL TEST PERFORMED

as of June 25, 2020

Municipality of: Prosperidad/San Luis Province of: Agusan del Sur Region: Caraga Contract No.
Project Name: CONCRETING OF BUCAC-MARCELINA-MAHAPAG-SAN VICENTE FMR PACKAGE 3: CONCRETING OF SAN VICENTE-MAHAPAG FMR Referrence No. PRDP-IB-RO13-ADS-007-000-000-2015-B-R1
Project Location: Prosperidad-San Luis, Agusan del Sur Period Covered: March 14, 2020 - June 25, 2020

Quantity Date
Lab. No. Item Description Station Represented Date Tested Kind of Test Test Result Spec's Remarks / Recommendation
Represented Sampled
Field Density of Soil in Place
Item 104-Embankment
5+160 RL by Sand Cone Method 101.00% ASTM D-1556=95% Passed
5+180 CL Field Density of Soil in Place 98.00% ASTM D-1556=95% Passed
5+200 LL by Sand Cone Method 98.00% ASTM D-1556=95% Passed
5+220 CL Field Density of Soil in Place 98.00% ASTM D-1556=95% Passed
5+240 RL by Sand Cone Method 102.00% ASTM D-1556=95% Passed

D104 169,170,171,172,173,174 5+020 CL 6 HOLES 10-Jun-20 10-Jun-20 Field Density of Soil in Place 99.00% ASTM D-1556=95% Passed
Item 104-Embankment
5+040 LL by Sand Cone Method 101.00% ASTM D-1556=95% Passed
5+060 CL Field Density of Soil in Place 99.00% ASTM D-1556=95% Passed
5+080 RL by Sand Cone Method 100.00% ASTM D-1556=95% Passed
5+100 CL Field Density of Soil in Place 99.00% ASTM D-1556=95% Passed
5+120 LL by Sand Cone Method 99.00% ASTM D-1556=95% Passed

D104 167,168 4+980 RL 2 HOLES 9-Jun-20 9-Jun-20 Field Density of Soil in Place 102.00% ASTM D-1556=95% Passed
Item 104-Embankment
5+000 LL by Sand Cone Method 98.00% ASTM D-1556=95% Passed

D104 161,162,163,164,165,166 4+860 CL 6 HOLES 9-Jun-20 9-Jun-20 Field Density of Soil in Place 97.00% ASTM D-1556=95% Passed
Item 104-Embankment
4+880 LL by Sand Cone Method 98.00% ASTM D-1556=95% Passed
4+900 CL Field Density of Soil in Place 105.00% ASTM D-1556=95% Passed
4+920 RL by Sand Cone Method 98.00% ASTM D-1556=95% Passed
4+940 CL Field Density of Soil in Place 103.00% ASTM D-1556=95% Passed
4+960 LL by Sand Cone Method 104.00% ASTM D-1556=95% Passed

D104 155,156,157,158,159,160 4+740 CL 6 HOLES 9-Jun-20 9-Jun-20 Field Density of Soil in Place 104.00% ASTM D-1556=95% Passed
Item 104-Embankment
4+760 RL by Sand Cone Method 97.00% ASTM D-1556=95% Passed
4+780 CL Field Density of Soil in Place 99.00% ASTM D-1556=95% Passed
4+800 LL by Sand Cone Method 96.00% ASTM D-1556=95% Passed
4+820 CL Field Density of Soil in Place 97.00% ASTM D-1556=95% Passed
4+840 RL by Sand Cone Method 100.00% ASTM D-1556=95% Passed

D104 149,150,151,152,153,154 4+620 CL 6 HOLES 9-Jun-20 9-Jun-20 Field Density of Soil in Place 100.00% ASTM D-1556=95% Passed
Item 104-Embankment
4+640 LL by Sand Cone Method 98.00% ASTM D-1556=95% Passed
4+680 CL Field Density of Soil in Place 97.00% ASTM D-1556=95% Passed
4+680 RL by Sand Cone Method 98.00% ASTM D-1556=95% Passed
4+700 CL Field Density of Soil in Place 100.00% ASTM D-1556=95% Passed
4+720 LL by Sand Cone Method 102.00% ASTM D-1556=95% Passed

Page 2 SQC-R0
 Annex 17
Republic of the Philippines
PHILIPPINE RURAL DEVELOPMENT PROJECT (PRDP)
SUMMARY OF QUALITY CONTROL TEST PERFORMED

as of June 25, 2020

Municipality of: Prosperidad/San Luis Province of: Agusan del Sur Region: Caraga Contract No.
Project Name: CONCRETING OF BUCAC-MARCELINA-MAHAPAG-SAN VICENTE FMR PACKAGE 3: CONCRETING OF SAN VICENTE-MAHAPAG FMR Referrence No. PRDP-IB-RO13-ADS-007-000-000-2015-B-R1
Project Location: Prosperidad-San Luis, Agusan del Sur Period Covered: March 14, 2020 - June 25, 2020

Quantity Date
Lab. No. Item Description Station Represented Date Tested Kind of Test Test Result Spec's Remarks / Recommendation
Represented Sampled

Submitted by: Check by: Reviewed by: Approved by: Noted by:

GILBERT SILOT ANA G. TIU VIRGINIA M. URBIZTONDO DEANNA P. FUDALAN RHIDGE L. BERDERA
Material Engineer/ Contractor PPMIU-Resident Engineer PPMIU Engineer PPMIU Head RPCO Rural Infrastructure Specialist

Page 3 SQC-R0
 Annex 17
Republic of the Philippines
PHILIPPINE RURAL DEVELOPMENT PROJECT (PRDP)
SUMMARY OF QUALITY CONTROL TEST PERFORMED

as of Oct 30, 2017

Province of: Agusan del Sur Region: Caraga
Municipality

Project Na Concreting of Marcelina-Mahapag FMR (Sta.9+020-Sta.22+320)

Project LocBayugan City-San Luis, Agusan del Sur

Item Station Quantity

Date Date
Lab. No. Descriptio Represent Represent Kind of Test
Sampled Tested
n ed ed

Item 105 09+020 Sieve Analysis

09+036
09+052

09+068
09+084
09+100
09+116
09+132
09+148
09+164
09+180
09+196
09+212
09+228
09+244
09+260
09+276
09+292
09+308
09+324
09+340
09+356
09+372
09+388
09+400
Submitted
Check by: Reviewed by: Approved by:
by:

PPMIU-
Material
Resident PPMIU-Project Engineer PPMIU Head
Engineer
Engineer
Contractor
 Form No.

JECT (PRDP)
T PERFORMED

Contract
Region: Caraga
No.
Referenc
e No.
Period Covered:

Remarks /
Test Result Spec's Recomme
ndation
Approved by:
Noted by:

RPCO
PPMIU Head
Engineer