Republic of the Philippines PROVINCE OF BUKIDNON, Provincial Capitol Name of Project: Construction of Farm to Market Road Project Location: Sitio Bagalangit, Kalugmanan, Manolo Fortich Bukidnon WORK REQUEST (in triplicate) To: PROVINCIAL ENGINEER'S OFFICE Requested Work to Start On; Date: January 25,2022 Time: 8:00 AM From: (Contractor) Note: Contractor has to submit request in triplicate and with @ Y CONSTRUCTION AND SUPPLY minimum of 48 hoursin advance of scheduled start. PAY ITEM REQUESTED: Item No.: 311 Equipment to be used: Description: PCCP Estimated Quantity to | Quantity Tait: be Accomplished: sam Description of Work Requested: CCONGCRETE POURING @ sec:1.sa.0+520-st.0+540 sec.2.sta.0.1080-5ta.0+360 Submitted by Received by Date Time antrgetor inspected: Findings/Comments: Recommendations Site Inspector/Project in-charge Surveyor ROMEL B. CADION Engineer I, Resident Engineer Checked by: Recommended Action: ‘Marlow B.Yabunan ME/MTQA Reviewed by: RANDY P. DIAZ Engineer Iv/OIC, MTQA Division Recommended for Approval: JOSE PASTOR P. DELA CERNA, Ill Engineer IV/Chief, Maintenance Division ‘Approved: ALBERT D. YULO Provincial Engineer ‘Accepted by: