You are on page 1of 6

Department of Public Works and Highways

NATIONAL CAPITAL REGION


2nd Street, Port Area, Manila

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 ID Location Date of Sampling Quantity

Therm-White 1.1 NAIA (Imelda Avenue) July 25, 2022 25 sq.m.

Therm-White 1.2 NAIA (Imelda Avenue) July 25, 2022 24 sq.m.

Therm-White 1.3 NAIA (Imelda Avenue) July 25, 2022 23 sq.m.

Therm-White 1.4 NAIA (Imelda Avenue) July 25, 2022 22 sq.m.

Therm-White 1.5 NAIA (Imelda Avenue) July 25, 2022 24 sq.m.

Therm-White 1.6 NAIA (Imelda Avenue) July 25, 2022 26 sq.m.

Therm-White 1.7 NAIA (Imelda Avenue) July 25, 2022 22 sq.m.

Therm-White 1.8 NAIA (Imelda Avenue) July 25, 2022 21 sq.m.


Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

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 ID Location Date of Sampling Quantity

Therm-White 2.1 NAIA (Imelda Avenue) July 26, 2022 37 sq.m.

Therm-White 2.2 NAIA (Imelda Avenue) July 26, 2022 32 sq.m.

Therm-White 2.3 NAIA (Imelda Avenue) July 26, 2022 35 sq.m.

Therm-White 2.4 NAIA (Imelda Avenue) July 26, 2022 33 sq.m.

Therm-White 2.5 NAIA (Imelda Avenue) July 26, 2022 34 sq.m.

Therm-White 2.6 NAIA (Imelda Avenue) July 26, 2022 16 sq.m.


Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

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 ID Location Date of Sampling Quantity

Therm-White 3.1 NAIA (Imelda Avenue) July 27, 2022 50 sq.m.

Therm-White 3.2 NAIA (Imelda Avenue) July 27, 2022 40 sq.m.

Therm-White 3.3 NAIA (Imelda Avenue) July 27, 2022 55 sq.m.

Therm-White 3.4 NAIA (Imelda Avenue) July 27, 2022 35 sq.m.


Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

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 ID Location Date of Sampling Quantity

Therm-White 4.1 NAIA (Imelda Avenue) July 28, 2022 25 sq.m.

Therm-White 4.2 NAIA (Imelda Avenue) July 28, 2022 25 sq.m.

Therm-White 4.3 NAIA (Imelda Avenue) July 28, 2022 30 sq.m.

Therm-White 4.4 NAIA (Imelda Avenue) July 28, 2022 15 sq.m.

Therm-White 4.5 NAIA (Imelda Avenue) July 28, 2022 10 sq.m.

Therm-White 4.6 NAIA (Imelda Avenue) July 28, 2022 15 sq.m.


Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

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 ID Location Date of Sampling Quantity

Therm-White 5.1 NAIA (NAIA 2 int) July 25, 2022 30 sq.m.

Therm-White 5.2 NAIA (NAIA 2 int) July 25, 2022 35 sq.m.

Therm-White 5.3 NAIA (NAIA 2 int) July 25, 2022 20 sq.m.

Therm-White 5.4 NAIA (NAIA 2 int) July 25, 2022 27 sq.m.

Therm-White 5.5 NAIA (NAIA 2 int) July 25, 2022 15 sq.m.

Therm-White 5.6 NAIA (NAIA 2 int) July 25, 2022 13 sq.m.


Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

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.

Sample ID Location Date of Sampling Quantity

Therm-White 6.1 NAIA (NAIA 1 Tambo) August 03, 2022 29 sq.m.

Therm-White 6.2 NAIA (NAIA 1 Tambo) August 03, 2022 27 sq.m.

Therm-White 6.3 NAIA (NAIA 1 Tambo) August 03, 2022 27 sq.m.

Therm-White 6.4 NAIA (NAIA 1 Tambo) August 03, 2022 25 sq.m.

Therm-White 6.5 NAIA (NAIA 1 Tambo) August 03, 2022 26 sq.m.

You might also like