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SAMPLE CARD
Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Reflectorized Thermoplastic Pavement Marking (White)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : Geoconstruction Development Corporation
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Pavement Marking (Bikelane)
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3.2mm to 4.8mm
Shipped By : R. Lagbo/CQCA RTCC July 26, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL.B. Pueyo/Engineer II July 26, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.
SAMPLE CARD
Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Reflectorized Thermoplastic Pavement Marking (White)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : Geoconstruction Development Corporation
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Pavement Marking (Bikelane)
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3.2mm to 4.8mm
Shipped By : R. Lagbo/CQCA RTCC July 27, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL.B. Pueyo/Engineer II July 27, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.
SAMPLE CARD
Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Reflectorized Thermoplastic Pavement Marking (White)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : Geoconstruction Development Corporation
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Pavement Marking (Bikelane)
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3.2mm to 4.8mm
Shipped By : R. Lagbo/CQCA RTCC July 28, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL.B. Pueyo/Engineer II July 28, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.
SAMPLE CARD
Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Reflectorized Thermoplastic Pavement Marking (White)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : Geoconstruction Development Corporation
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Pavement Marking (Bikelane)
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3.2mm to 4.8mm
Shipped By : R. Lagbo/CQCA RTCC July 29, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL.B. Pueyo/Engineer II July 29, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.
SAMPLE CARD
Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Reflectorized Thermoplastic Pavement Marking (White)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : Geoconstruction Development Corporation
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Pavement Marking (Lane Marking)
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3.2mm to 4.8mm
Shipped By : R. Lagbo/CQCA RTCC July 26, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL.B. Pueyo/Engineer II July 26, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.
SAMPLE CARD
Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Reflectorized Thermoplastic Pavement Marking (White)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : Geoconstruction Development Corporation
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Pavement Marking (Lane Marking)
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3.2mm to 4.8mm
Shipped By : R. Lagbo/CQCA RTCC August 04, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL.B. Pueyo/Engineer II August 04, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.