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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 : Composite Aggregates
Sample Identification : See below
Quantity Represented : See below
Sampled At : Readycon Trading & Construction Corp. Plant
Original Source : LHAI - Angono, Rizal
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/QCQA DPWH-NCR/RTCC See below
( Designation) (Date)
Proposed Use : Asphalt Overlay
Test Desired : Grading Test
Gov't Spec's : See below
Shipped By : R. Lagbo/CQCA RTCC June 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 June 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 Specification Date of Sampling Due Date Volume


Composite Aggregates -
Item 310(D) ARA "D" June 27, 2022 75 cu.m.
1

Bill No./ Date: QAHD-NCR/


Noted:

JOHN RENZ S. VALENZUELA


Chief, Quality Implementation
Section
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 : Composite Aggregates
Sample Identification : See below
Quantity Represented : See below
Sampled At : Readycon Trading & Construction Corp. Plant
Original Source : LHAI - Angono, Rizal
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/QCQA DPWH-NCR/RTCC See below
( Designation) (Date)
Proposed Use : Asphalt Overlay
Test Desired : Grading Test
Gov't Spec's : See below
Shipped By : R. Lagbo/CQCA RTCC July 20, 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 20, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Specification Date of Sampling Due Date Volume


Composite Aggregates -
Item 310(D) ARA "D" July 18, 2022 75 cu.m.
2
Composite Aggregates -
Item 310(D) ARA "D" July 18, 2022 75 cu.m.
3
Composite Aggregates -
Item 310(D) ARA "D" July 18, 2022 75 cu.m.
4
Composite Aggregates -
Item 310(D) ARA "D" July 18, 2022 75 cu.m.
5
Composite Aggregates -
Item 310(D) ARA "D" July 19, 2022 75 cu.m.
6
Composite Aggregates -
Item 310(D) ARA "D" July 19, 2022 75 cu.m.
7
Composite Aggregates -
Item 310(D) ARA "D" July 19, 2022 75 cu.m.
8

Bill No./ Date: QAHD-NCR/


Noted:

JOHN RENZ S. VALENZUELA


Chief, Quality Implementation
Section
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 : Composite Aggregates
Sample Identification : See below
Quantity Represented : See below
Sampled At : Readycon Trading & Construction Corp. Plant
Original Source : LHAI - Angono, Rizal
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/QCQA DPWH-NCR/RTCC See below
( Designation) (Date)
Proposed Use : Asphalt Overlay
Test Desired : Grading Test
Gov't Spec's : See below
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 Specification Date of Sampling Due Date Volume


Composite Aggregates -
Item 310(D) ARA "D" July 25, 2022 75 cu.m.
9
Composite Aggregates -
Item 310(D) ARA "D" July 25, 2022 75 cu.m.
10
Composite Aggregates -
Item 310(D) ARA "D" July 25, 2022 75 cu.m.
11
Composite Aggregates -
Item 310(D) ARA "D" July 25, 2022 75 cu.m.
12
Composite Aggregates -
Item 310(D) ARA "D" July 25, 2022 75 cu.m.
13

Bill No./ Date: QAHD-NCR/


Noted:

JOHN RENZ S. VALENZUELA


Chief, Quality Implementation
Section
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 : Composite Aggregates
Sample Identification : See below
Quantity Represented : See below
Sampled At : Readycon Trading & Construction Corp. Plant
Original Source : LHAI - Angono, Rizal
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/QCQA DPWH-NCR/RTCC See below
( Designation) (Date)
Proposed Use : Asphalt Overlay
Test Desired : Grading Test
Gov't Spec's : See below
Shipped By : R. Lagbo/CQCA RTCC August 02, 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 02, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Specification Date of Sampling Due Date Volume


Composite Aggregates -
Item 310(D) ARA "D" August 01, 2022 75 cu.m.
14
Composite Aggregates -
Item 310(D) ARA "D" August 01, 2022 75 cu.m.
15
Composite Aggregates -
Item 310(D) ARA "D" August 01, 2022 75 cu.m.
16

Bill No./ Date: QAHD-NCR/


Noted:

JOHN RENZ S. VALENZUELA


Chief, Quality Implementation
Section
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 : Composite Aggregates
Sample Identification : See below
Quantity Represented : See below
Sampled At : Readycon Trading & Construction Corp. Plant
Original Source : LHAI - Angono, Rizal
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/QCQA DPWH-NCR/RTCC See below
( Designation) (Date)
Proposed Use : Asphalt Overlay
Test Desired : Grading Test
Gov't Spec's : See below
Shipped By : R. Lagbo/CQCA RTCC July 12, 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 12, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Specification Date of Sampling Due Date Volume


Composite Aggregates -
Item 310(D) ARA "D" July 11, 2022 75 cu.m.
1.01
Composite Aggregates -
Item 310(D) ARA "D" July 11, 2022 75 cu.m.
1.02
Composite Aggregates -
Item 310(D) ARA "D" July 11, 2022 75 cu.m.
1.03
Composite Aggregates -
Item 310(D) ARA "D" July 11, 2022 75 cu.m.
1.04
Composite Aggregates -
Item 310(D) ARA "D" July 11, 2022 75 cu.m.
1.05
Composite Aggregates -
Item 310(D) ARA "D" July 11, 2022 75 cu.m.
1.06
Composite Aggregates -
Item 310(D) ARA "D" July 11, 2022 75 cu.m.
1.07
Composite Aggregates -
Item 310(D) ARA "D" July 11, 2022 75 cu.m.
1.08

Bill No./ Date: QAHD-NCR/


Noted:

JOHN RENZ S. VALENZUELA


Chief, Quality Implementation
Section

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