SERVICING REQUEST FORM

J.O. Number: 16494 Date Requested: 10/1/2020

Customer Name: URC calamaba Expected Date of Mobilization: 10/2/2020
Project Engineer: Rex Oliverio Quoted Duration of Work:
Reference: Expected Date of Finished Work:

Vehicle Request:
Project Location:

MANPOWER REQUEST
NAME OF PERSONEL DESCRIPTION Qty JOB DESCRIPTION

Total 0

TOOLS & EQUIPMENT REQUEST

DESCRIPTION Qty UNIT
1 pc
H-Frame 8 sets
base jack 16 pcs
Flat form 9 pcs
Access ladder 3 pcs
1 1/2" x 6meter 10 pcs
1 1/2" x 6meter 16 pcs
fix clamp 40 pcs
swevel clamp 40 pcs
Extension ladder 1 pc
generator 1 set
luna 1 pc
hot stick 1 pc
lototo 5 pcs

Safety Requirement(PPE)
high voltage gloves

INSTRUMENT REQUEST
DESCRIPTION QTY UNIT
high voltage Detector pc
IR fluke 10KV
 CONSUMABLES REQUEST
DESCRIPTION QTY UNIT

1/4" drill bit 8 pcs

3/8" drill bit 2 pcs
1/2" drill bit 2 pcs
5/8" drill bit 2 pcs

MATERIALS
DESCRIPTION NO. OF ITEMS UNIT BRAND
fuse cut out 3 pcs
pin insulator 6 pcs

Note: this List of material and consummables is intial and for mobilization, other material and equipment will follow after the final approval of our proposal .

REX OLIVERIO Approved and Received by:

Submitted by: ____________________________
PROJECT ENGINEER SERVICING MANAGER
(PRINTED NAME AND SIGNATURE) (PRINTED NAME AND SIGNATURE)

Internal Department Approval:

Pre-approved by: ___________________________
POWERSYSTEM SUPERVISOR
(PRINTED NAME AND SIGNATURE)

Final approval by: ___________________________

POWERSYSTEM MANAGER
(PRINTED NAME AND SIGNATURE)
 SERVICING REQUEST FORM
J.O. Number: 16261 Date Requested: 12/11/2019
Customer Name: Amcor Tobaco Packaging Corp. Expected Date of
Mobilization: 12/26/2019
Project Engineer: Rex Oliverio Quoted Duration of Work: 15
Reference: Expected Date of Finished
Work: 1/10/2020
Vehicle Request: 1
Project Location: Cainta Rizal

MANPOWER REQUEST
NAME OF PERSONEL DESCRIPTION Qty JOB DESCRIPTION
Rex Oliverio Project engineer 1
? safety officer 1
Mark Wally Ravas scaffolder 1
Micheal tapel & ? electrician 2

Arnel Agub helper 1

? driver 1

Total 7

TOOLS & EQUIPMENT REQUEST

DESCRIPTION Qty UNIT
scaffolding wrench 2 pcs
A-ladder 1 pc
socket wrench 2 PCS
combination wrench 2 PCS
side cutter 2 PCS
plier 1 PCS
flat screw driver 2 PCS
star Screw driver 2 PCS
grinder 1 PC
electric drill 1 PC
extension drum 2 pcs
full body harness 4 pcs
wire cutter 1 pc

electric fan 4 pcs

foam 8 pcs
gas tank 1 pc
gas stove double burner 1 pc
kitchen Untensil 1 lot

INSTRUMENT REQUEST
DESCRIPTION QTY UNIT
INSULATION RESISTANCE TEST 1 pc
CLAMP/MULTI TESTER 1 pc
Voltage Detector 1 pc
 CONSUMABLES REQUEST
DESCRIPTION QTY UNIT
Ear plug 20 pcs
Eye goggle 20 PCS
Rubber Gloves 15 PCS
cable tie 300mm long 2 pack
Dust Mask 20 PCS
4" dia cutting Disc 20 PCS
1/2 drill bit 1 pc
3/8 " drill bit 1 pc
1/4" drill bit 1 pc
4" dia grinding Disc 2 pcs

MATERIALS
DESCRIPTION NO. OF ITEMS UNIT BRAND
30MM2 THHN WIRE(RED YELLOW BLUE) 30 METERS EACH
8.0MM2 THHN WIRE(GREEN) 30 METERS EACH
30MM2 LONG BARREL CRIMPING LUGS (1 HOLE) 8 PCS
8.0 MM2 LONG BARREL CRIMPING LUGS (1 HOLE) 4 PCS

REX OLIVERIO Approved and Received by:

Submitted by: ____________________________
PROJECT ENGINEER SERVICING MANAGER
(PRINTED NAME AND SIGNATURE) (PRINTED NAME AND SIGNATURE)

Internal Department Approval:

Pre-approved by: ___________________________
POWERSYSTEM SUPERVISOR
(PRINTED NAME AND SIGNATURE)

Final approval by: ___________________________

POWERSYSTEM MANAGER
(PRINTED NAME AND SIGNATURE)