RO/SDO/SCHOOL INSPECTION REPORT

(To be accomplished by the RO/SDO/School inspectorate Team

in the inspection of goals procured by the CO/RO/SDO upon delivery)

NAME OF SCHOOL : SAMPAGUITA ELEMENTARY SCHOOL

Supplier:
Project: SBFP (E – NUTRIBUN)

Contact No:
Inspection Order Date of Inspection:
Ref. No & Date December 7,2021-June 3,
2022
Item No. Item Description Unit Quantity Remarks
E- NUTRIBUN PCS 1485 Good condition

Note if any:

45 feeding days

The above indicated items were inspected as to physical form or condition and quality. We here by
recommended the acceptance of the items which passed the inspection procedure.

Inspectorate Team
(Signature Over Printed Name)

____________________________________________ _________________________________________
SCHOOL HEAD SBFP FEEDING COORDINATOR

___________________________________________ _________________________________________
SCHOOL PROPERTY CUSTODIAN ASST. SBFP FEEDING COORDINATOR

__________________________________________ __________________________________________
Representative, Accounting Provisional Member
Division/Section /Units
NAME OF SCHOOL: