Appendix 60

PURCHASE REQUEST

Entity Name: EMB-MIMAROPA Fund Cluster: __________________

PR No.: EMB-R4B- -20 Date:
Responsibility Center Code : ___________
Stock/ Property
Unit of issue Item Description Quantity Unit Cost Total Cost
No.

Sampling Bottle
> HDPE Construction
> supplied with polyfoam-lined caps
> suited for metals analyses and multiple inorganic
1 pcs 150 25.00 3,750.00
analytes
> 1L capacity; leak-proof
Central Office Lab -100
Oriental Mindoro - 50

Sampling Bottle
> HDPE Construction
> supplied with polyfoam-lined caps
> suited for metals analyses and multiple inorganic
2 analytes 40 100.00 4,000.00
> 1/2 gallon capacity; leak-proof
Central Office Lab - 10
Oriental Mindoro - 20
Occidental Mindoro-10

Wide-Mouth Jars
> soda-lime glass fabrication
> wide-mouthed design
> with solid-top or open-top caps
3 pcs 70 80.00 5,600.00
> suited for use in semi-volatiles, pesticides, PCBs
and select inorganic compounds
Central Office Lab - 10
Oriental Mindoro - 50
Occidental Mindoro- 10

Narrow-Mouth Bottle
> soda-lime glass fabrication
> narrow-mouthed design
> with lined screw-cap
> suited for use in bacteriological analysis;
4 pcs autoclavable 350 80.00 28,000.00
Central Office Lab - 125
Oriental Mindoro - 55
Puerto Princesa- 70
El Nido- 85
Marinduque- 15

Ice Cooler / Ice Chest

> capable of at least 2-day ice retention
> can at least hold 2-L bottles upright to prevent
5 pcs 8 2,800.00 22,400.00
spills; 15-20L capacity
> leak-resistant; low CO2 insulation for reduced
carbon emissions >
hinged lid for easy access; with carrying handles

Ice Cooler / Ice Chest

> capable of at least 2-day ice retention
> can at least hold 200mL bottles upright to
6 pcs 8 850.00 6800.00
prevent spills; 8-10L capacity
> leak-resistant; low CO2 insulation for reduced
carbon emissions >
hinged lid for easy access; with carrying handles

TOTAL AMOUNT: 70,550.00

Purpose: For the conduct of several sampling activities of ambient monitoring.

Requested by: Approved by:

Signature :
Printed Name : MAEVELYN KATHRYN D. TUPASI ATTY. MICHAEL DRAKE P. MATIAS
Designation : OIC, Ambient Regional Director

Digitally signed by
EMB-MIMAROPA
REGION OFFICE OF
THE REGIONAL
DIRECTOR
Date: 2020.05.14
11:22:24 +08'00'