Name of Project: Project Location: Construction of Schoo! Buildin Sitio Bagalangit, Kalugmanan, Manolo Fortich Bukidnon Republic of the Philippines PROVINCE OF BUKIDNON Provincial Capital 1 storey classroom} WORK REQUEST (In triplicate) Te: PROVINCIAL ENGINEER'S OFFICE Requested Work to Start On; Date: January 25, 2022 Time: 8:00 AM From: (Contractor) Y CONSTRUCTION AND SUPPLY Note: Contractor has to submit request in triplicate and with a ‘minimum of 48 hours in advance of scheduled start. PAY ITEM REQUESTED: Tem Now 405 Equipment to be used: | Description: Structural Congerete Estimated Quantity to | Quantity Unit: be Accomplished: Sq.m Description of Work Requested: CONGCRETE POURING Submitted by Received by; a Inspected by: Findings/Comments: Recommendations: Site Inspector/Project in-charge Surveyor ROMEL 8. CADION Engineer Il, Resident Engineer Checked by: Recommended Action: Marlow 8.Yabunan (ME/MTOA Reviewed by: RANDY P. DIAZ Engineer IV/OIG, MTQA Di Recommended for Approval: JOSE PASTOR P. DELA CERNA, Engineer Iv/Chief, Maintenance Division ‘Approved: ALBERT D. YULO Provincial Engineer ‘Accepted by: