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Republic of the Philippines

DEPARTMENT OF TRANSPORTATION
MRP-TDD PMO

FIELD VALIDATION FORM

Date:
City/Municipality: ______________________________

NO. OF POLES

NO. CROSSING POINTS CHAINAGE AFFECTED BY PER PLAN ACTUAL REMARKS


PULL- PULL-
NEW NEW
OUT OUT
71 + 230 & 72 + RA (71+240) & SUP
1 BRGY. INAWAYAN, STA. CRUZ, DAVAO DEL SUR 2 or 4 4
650 (72+650)
76 + 550; 76 + 700
2 BRGY. ASTORGA, STA. CRUZ, DAVAO DEL SUR ES 6 6
& 77 + 000
78 + 600 & 79 +
3 PITOGO, BRGY. ASTORGA, STA. CRUZ, DAVAO DEL SUR RUB (79+050) 8 or 10 4
000
80 +450; 80 + 700
4 BRGY. CORONON, STA. CRUZ, DAVAO DEL SUR RUB (80+450) 10 6
& 80 +850
5 SITIO LANGAN, BRGY. CORONON, STA. CRUZ, DAVAO DEL SUR 81 + 380 ROB (81+375) 3 2
82 + 200 ; 82 + 400
6 CROSSING LOAY, BRGY. PATULANGON, STA. CRUZ, DAVAO DEL SUR AT GRADE 6 7
& 82 + 700
7 BRGY. PATULANGON, STA. CRUZ, DAVAO DEL SUR 83 + 120 SUP (83+125) 3 2

8 LUBO, BRGY. ZONE 1, STA. CRUZ, DAVAO DEL SUR 84 + 900 & 85 +400 ES (85+440) 6 4
86 + 500 & 86 +
9 CROSSING LOAY, BRGY. ZONE II, STA. CRUZ, DAVAO DEL SUR ROB (86+530) 10 5
800
87 + 000 & 87 + ROB (87+000) & SUP
10 TOWNSITE, BRGY. ZONE II, STA. CRUZ, DAVAO DEL SUR 3 4
300 (87+375)
11 SO. GOMA, BRGY. ZONE IV, STA. CRUZ, DAVAO DEL SUR 88 + 000 AT GRADE 4 1
12 BRGY. SINURON, STA. CRUZ, DAVAO DEL SUR 88 + 650 ROB (88+645) 2 2
ROAD REALIGNMENT
13 SO. COGON, BRGY. TUBAN, STA. CRUZ, DAVAO DEL SUR 89 + 200 2 1
(89+200)
ELEVATED
14 BRGY. TUBAN, STA. CRUZ, DAVAO DEL SUR 90 + 300 STRUCTURE 1 or 2 2
(90+360)
ELEVATED
15 BRGY. TAGABULI, STA. CRUZ, DAVAO DEL SUR 91 + 550 STRUCTURE 1 2
(91+560)
16 BATO-TAGABULI, STA. CRUZ, DAVAO DEL SUR 93 +000- 94 + 300 AT GRADE 15 15
SUP (94+985) & ES
17 BATO, STA. CRUZ, DAVAO DEL SUR 95 +000 & 95 + 400 6 or 10 4
(95+420)
18 BRGY. SINAWILAN, DIGOS CITY 97 + 100 ES (97+100) 2 2

19 BRGY. COGON, DIGOS CITY(69KV LINE) 100 + 000 AT GRADE 1 2


99 +000 & 99 + 000
20 BRGY. COGON, DIGOS CITY ES (99+000) 19 or 22 16
to 99 + 600 left

Remarks:
_____________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________

Noted by, (Signature over printed Name)

DOTr-MRP:TDD-PMO DASURECO Representative


Representative

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