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UPMO • Flood Control Management Cluster • KAMANAVA Area

REQUEST FOR INSPECTION OF WORKS

To : Project Manager-UPMO-FCMC Request for Inspection No. : 1


Project : 21O00134 Construction of Date : April 20, 2022
South Pinagkabalian Pumping Station, Will be ready for your inspection prior to :
Malabon City 1. Concrete Pouring for Column, Footing, Footing
Location : Brgy. Muzon, Malabon City Tie-Beam
Description of work/activity : Volume: 15 cu.m.
1.) Assembling footing rebar on April 25, 2022 est. time : 10:00 PM
2.) Assembling footing tie beam rebar at Brgy. Muzon, Malabon City
3.) Assembling column rebar
4.) Signed for :
5.) Print Name : Roy J. Bueno
6.) Designation : Project Engineer

Inspection and Test Plan No. :


Activity No. : Hold/Witness Point

Plan to be used : For : E.F. Chua Construction, Inc.

To be completed by the DPWH Representative :

INSPECTION

The above works have been inspected and have been : Approved Not Approved

Date Inspected :

Inspection Conducted by : Renz Joseph M. Rivera


DPWH Project Inspector Signature

Inspection Conducted by : Jerome Jerme D. Marin


DPWH Project Engineer Signature

The following remedial work/action is required :


UPMO • Flood Control Management Cluster • KAMANAVA Area

REQUEST FOR INSPECTION OF WORKS

To : Project Manager-UPMO-FCMC Request for Inspection No. : 2


Project : 21O00134 Construction of Date : April 28, 2022
South Pinagkabalian Pumping Station, Will be ready for your inspection prior to :
Malabon City 1. Concrete Pouring for Column
Location : Brgy. Muzon, Malabon City
Description of work/activity : Volume: 4 cu.m.
1.) Assembling column rebar on May 2, 2022 est. time : 9:00 PM
2.) at Brgy. Muzon, Malabon City
3.)
4.) Signed for :
5.) Print Name : Roy J. Bueno
6.) Designation : Project Engineer

2
Inspection and Test Plan No. :
Activity No. : Hold/Witness Point

Plan to be used : For : E.F. Chua Construction, Inc.

To be completed by the DPWH Representative :

INSPECTION

The above works have been inspected and have been : Approved Not Approved

Date Inspected :

Inspection Conducted by : Renz Joseph M. Rivera


DPWH Project Inspector Signature

Inspection Conducted by : Jerome Jerme D. Marin


DPWH Project Engineer Signature

The following remedial work/action is required :

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