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ACCOUNTABILITY FORM

NAME: Jody Lacambra

DATE: 01/11/22 NL1187

ITEMS:

1unit generator
1pc welding machine(arcsmith)
1pc grinder(BOSCH)
1rolls pdx extension wire
1pc single pulley
1roll rope

1pc fire extinguisher


1pc fire extinguisher(small)
1pc safety signages
1pc first aid kit
1roll fire blanket
1pc.welding mask
1pc gasoline container
1pc hammer drill
1pair welding gloves
1pcs oxygen tank
1set cutting outfit
1pc.LPG tank(prycegas)
1pc sling
1pc fliers
1 adjustable wrench
2 pcs combination wrench("19mm)
14pcs cutting disk
5 pcs grind disk
1box bolts ("12mm)
4pcs drill bit ("12mm)
8pcs stud bolts
1pc elektricfan
1pc rice cooker
This is to acknowledge that I am accountable for the above items. I understand that
I will pay or replace the same unit in case of loss or damage due to my fault or
negligence. In case of resignation, separation or transfer, I will turnover these items
before issuance of my clearance

Conformed: Approved:

Jody lacambra
______________________
Signature over printed name Signature over printed name

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