23ED0006 - SITIO RUBIA - APRIL

Republic of the Philippines
Department of Public Works and Highways

OFFICE OF THE DISTRICT ENGINEER
Calapan City, Oriental Mindoro
STATEMENT OF TEST PERFORMED

(Materials Testing Fund)
January 30, 2023
STP Report :
Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental
PROJECT : Mindoro
Location : Baco, Oriental Mindoro
Under Contract with : MIDR CONSTRUCTION & SUPPLIES
TEST
DESCRIPTION OF MATERIALS UNIT RATE TOTAL COST
PERFORMED
Compressive/Flexural Test:
Conc. Beam Sample 2 pcs 210.00 420.00
Trial Mix (311) 1 pcs 140.00 140.00
Conc. Cylinder Sample 1 pcs 180.00 180.00
Quality Test
CBR 1 pc 1390.00 1,390.00
Abrasion 1 pc 720.00 720.00
Fine Aggregates 1 pc 2620.00 2,620.00
Coarse Aggregates(Natural) 2 pc 2920.00 5,840.00
RSB 25mm plain 1 pc 1140.00 1,140.00
RSB 16mm def. 1 pc 1320.00 1,320.00
RSB 12mm def. 1 pc 1320.00 1,320.00
TOTAL: Eleven Thousand Three Hundred Twenty Pesos Only 15,090.00

NOTE: Report of Test covered by this statement are on file with this office.
CHECKED BY: APPROVED:
GRACE M. MANONGSONG MERCEDES G. ASPI

Engineer II Engineer III
MIDR CONSTRUCTION & SUPPLIES
QUALITY CONTROL PROGRAM
Contract ID: 23ED0006
Contract Name: Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
LIMITS: LOCATION: Baco, Oriental Mindoro
APPROPRIATION/CONTRACT COST P 19,266,428.54 SOURCE : Tigkan River
A. TEST TO BE PERFORMED: DATE : February 12, 2023

Pay Item No. Description UNIT QUANTITY NO. OF TEST (MIN.)
PART A FACILITIES FOR THE ENGINEER
A.1.1(3) Construction of Field Office for the Engineer (Area = 4m x 3m) l.s. 1.00 Inspection Report
Provision of Furniture/Fixtures & Appliances for the living
A.1.1.(22) month 4.53 Inspection Report
Quarters for the Engineer (Rental Basis)
Provision of 4x2 Pick-up Type Service Vehicle for the Engineer on
A.1.2(4) Vehicle-Month 4.53 Inspection Report
Bare Rental Basis
Operation and Maintenance of 4x2 Pick-up Type Service Vehicle
A.1.2(6) Vehicle-Month 4.53 Inspection Report
for the Engineer
PART B OTHER GENERAL REQUIREMENTS
B.5 Project Billboard/Signboard each 2.00 Inspection Report
B.7 (1) Occupational Safety & Health Program Months 4.53 Inspection Report
B.8 (2) Traffic Management l.s. 1.00 Inspection Report
B.9 Mobilization/Demobilization l.s. 1.00 Inspection Report
B.12 Removal and Relocation of Utilities l.s. 1.00 Inspection Report
PART C EARTHWORKS
Individual Removal of Trees (small b,above 150mm dia.Up to
100 (3) a1 each 90.00 Engineer's Certification
300mm dia)
Individual Removal of Trees(small b, above 301mm dia Up to
100 (3) a2 each 18.00 Engineer's Certification
500 mm dia.)
100(3)a3 Individual Removal of Trees (Small, 501-750mm dia) each 6.00 Engineer's Certification
101(3)b1 Removal of Existing Concrete Pavement (0.15m thk PCCP) sq.m. 80.10 Engineer's Certification
102(2) Surplus Common Roadway Excavation cu.m. 3813.54 Engineer's Certification
103(3) Foundation Fill cu.m. 7.44 GPC-1, D-1
103(6) a Pipe Culvert and Drain Excavation, Common Soil cu.m. 112.46 Engineer's Certification
104(1) a Embankment from roadway excavation, Common Soil cu.m. 596.76 GPC - 1 , D - 18
105 (1) a Subgrade Preparation,Common Material sq.m. 949.60 GPC -1, D-5
PART D SUBBASE AND BASE COURSE
200(1) Aggregate Subbase Course cu.m. 2079.40 GP-7,C-2,ABR-2,CBR-1,D-63
PART E SURFACE COURSES
311 (1) b1 Portland Cement Concrete Pavement (Unreinforced) 0.20 m thick sq.m. 6257.00
a. Concrete cu.m. 1251.40 ##-1/PD Approx-17 sets
b. Reinforcing Steel Bar kgs 2440.23 1-QT/10000 kgs/size
c. Curing Compound L 1814.53 1-QT/per shipment
d. Asphalt Sealant L 750.84 1-QT/40 M.T.
e. Steel Forms (Rental ) - 23cm width m 2878.22 Inspection Report

f. Sand cu.m. 688.27 G-10, 1-Q**
g. Crushed Gravel cu.m. 1251.40 Q-1,G-17
h. Cement bags 11888.30 Q-6
i. Concrete Saw (Diamond Blade 14" diam.) pc 0.94 Inspection Report
j. Pipe Sleeve, 2" diam. G.I. Pipe S40 m 53.81 Inspection Report
k. Grease/Tar L 35.04 Inspection Report
l. Water ltr 1.00 Engineer's Certification
m.Design Mix with Trial Mix ltr 1.00 ##-1
n. Completed Pavement sq.m. 6257.00 T-5/Km/lane
311 (1) f1 Portland Cement Concrete Pavement (Unreinforced) 0.15 m thick sq.m. 637.04
a. Concrete cu.m. 95.56 ##-1/PD Approx-2 sets
b. Reinforcing Steel Bar kg 210.22 Q-1/10,000 kgs/size
c. Curing Compound L 184.74 1-QT/per shipment
d. Asphalt Sealant L 76.44 1-QT/40 M.T.
d. Steel Forms (Rental ) - 20cm width m 293.04 Inspection Report
f. Sand cu.m. 52.56 G-1;1-QT**
g. Crushed Gravel cu.m. 95.56 G-2;1-QT***
h. Cement bags 910.97 1-QT
i. Concrete Saw (Diamond Blade 14" diam.) pc 0.10 Inspection Report
j. Pipe Sleeve, 2" diam. G.I. Pipe S40 m 4.97 Inspection Report
k. Grease/Tar L 0.96 Inspection Report
l. Water ltr 1.00 Engineer's Certification
m.Design Mix with Trial Mix ltr 1.00 ##-1
n. Completed Pavement sq.m. 637.04 T-5/Km/lane
PART G DRAINAGE AND SLOPE PROTECTION STRUCTURES
404 (1) a Reinforcing Steel, Grade 40 kgs 4199.35 1-QT/10000kgs/size
405 (2) c Structural Concrete Class B (18 Mpa) - Wheel Guard cu.m. 56.77
a. Lumber, Good - 4 uses bd-ft 451.32 Inspection Report
b. Marine Plywood (1/2" x 4' x 8') 4 uses pc 55.63 Inspection Report
c. Assorted CWN (1kg/100 bd-ft of Lumber) kg 4.54 Inspection Report
d. Cement bag 454.16 1-QT*
e. Sand cu.m. 28.39 G-1;1-QT**
f. Gravel cu.m. 56.77 G-1;1-QT
500 (1) b3 Pipe Culverts, RCPC, 910 mm dia, Class IV L.m. 54.00 1-Q
506 (1) Stone Masonry cu.m. 1045.56
a. Cement bags 5750.58 3-QT
b. Sand cu.m. 1725.17 G-24;2-QT
c. Gravel Fill cu.m. 20.91 G-1
d. Wheep Holes (3" PVC) m 265.57 Inspection Report
e. Filter Cloth sq.m. 13.59 Inspection Report
f. Boulders cu.m. 1097.84 Inspection Report/Sp.Gr.
PART H MISCELLANEOUS STRUCTURES
611 (1) Trees Furnishing and Transplanting each 3500.00 Inspection Report
x-x-x-x
NOTE
* Test included in Item 311 (1) f1 - h
** Test included in Item 311(1)b1-g
*** Test included in Item 506(1) - b
PREPARED BY:
MARK IAN M. DELOS REYES

Materials Engineer
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
MINDORO ORIENTAL DISTRICT ENGINEERING OFFICE
Masipit, Calapan City, Oriental Mindoro
REVIEWED BY: APPROVED:
GRACE M. MANONGSONG ERWIN DG. UMALI

Materials Engineer I OIC-District Engineer
DPWH DPWH
February 12,2023
STATUS O F TEST
As of APRIL 2023
Physical Accomplishment: 50.86%
CONTRACT ID: 23ED0006
CONTRACT NAME: Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
LOCATION: Baco, Oriental Mindoro
CONTRACTOR : MIDR CONSTRUCTION & SUPPLIES
Contract No. of Test % of Work

Pay
Description/Materials Unit Min. # Total Required
Item No. Quantity On File Balance
Accomplished
``
Construction of Field Office for the Engineer l.s. Inspection Report IR IR

A.1.1(3) (Area = 4m x 3m) 1.00 50.00%
Provision of Furniture/Fixtures & Appliances
for the living Quarters for the Engineer month Inspection Report IR IR
A.1.1.(22) (Rental Basis) 4.53 50.11%
Provision of 4x2 Pick-up Type Service V-
Vehicle for the Engineer on Bare Rental Inspection Report IR IR
Month
A.1.2(4) Basis 4.53 50.11%
V- IR
Operation and Maintenance of 4x2 Pick-up Inspection Report IR
Month
A.1.2(6) Type Service Vehicle for the Engineer 4.53 50.11%
each Inspection Report IR

B.5 Project Billboard/Signboard 2.00 100.00%
Months Inspection Report IR IR

B.7 (1) Occupational Safety & Health Program 4.53 50.11%
l.s. Inspection Report IR IR

B.8 (2) Traffic Management 1.00 42.00%
l.s. Inspection Report IR IR

B.9 Mobilization/Demobilization 1.00 50.00%
l.s. Inspection Report IR

B.12 Removal and Relocation of Utilities 1.00
PART C EARTHWORKS
Individual Removal of Trees (small b,above each Engineer's Certification EC

100 (3) a1150mm dia.Up to 300mm dia) 90.00
Individual Removal of Trees(small b, above each Engineer's Certification EC

100 (3) a2301mm dia Up to 500 mm dia.) 18.00
Individual Removal of Trees (Small, 501- each Engineer's Certification EC

100(3)a3 750mm dia) 6.00
Removal of Existing Concrete Pavement sq.m. Engineer's Certification EC

101(3)b1 (0.15m thk PCCP) 80.10
cu.m. Engineer's Certification EC EC 42.89%

102(2) Surplus Common Roadway Excavation 3,813.54
cu.m. GPC-1, D-1 GPC-1, D-1

103(3) Foundation Fill 7.44 100.00%
Pipe Culvert and Drain Excavation, Common cu.m. Engineer's Certification EC

103(6) a Soil 112.46
Embankment from roadway excavation, cu.m. GPC - 1 , D - 18 GPC - 1 , D - 18

104(1) a Common Soil 596.76
sq.m. GPC -1, D-5 GPC - 1 , D-2 D-3

105 (1) a Subgrade Preparation,Common Material 949.60 53.11%
200(1) Aggregate Subbase Course 2,079.40 cu.m. GP-7,C-2,ABR-2,CBR-1,D-63 GP-2, C-1, ABR-1,CBR-1, D-16 GP-5, C-1, ABR-1, D-47 53.19%
Portland Cement Concrete Pavement sq.m.
311 (1) b1(Unreinforced) 0.20 m thick 6,257.00 57.17%
a. Concrete 1,251.40 cu.m. ##-1/PD Approx-17 sets ##-1/PD Approx-5 sets ##-1/PD Approx-12 sets 57.17%
b. Reinforcing Steel Bar 2,440.23 kgs 1-QT/10000 kgs/size 1-QT/10000 kgs/size 100.00%
c. Curing Compound 1,814.53 L 1-QT/per shipment 1-QT/per shipment 100.00%
d. Asphalt Sealant 750.84 L 1-QT/40 M.T. 1-QT/40 M.T. 100.00%
e. Steel Forms (Rental ) - 23cm width 2,878.22 m Inspection Report IR IR 57.17%
f. Sand 688.27 cu.m. G-10, 1-Q** **Q-1, G-2 G-8 57.17%
g. Crushed Gravel 1,251.40 cu.m. Q-1,G-17 Q-1,G-4 G-13 57.17%
h. Cement 11,888.30 bags Q-6 Q-6 100.00%

pc Inspection Report IR IR
i. Concrete Saw (Diamond Blade 14" diam.) 0.94 57.17%
j. Pipe Sleeve, 2" diam. G.I. Pipe S40 53.81 m Inspection Report IR IR 57.17%
k. Grease/Tar 35.04 L Inspection Report IR IR 57.17%
l. Water 1.00 ltr Engineer's Certification EC 100.00%
m. Design Mix with trial mix 1.00 ltr ##-1 ##-1 100.00%
n. Completed pavement 6,257.00 sq.m. T-5/Km/lane T-5/Km/lane 0.00%
Portland Cement Concrete Pavement sq.m.

311 (1) f1 (Unreinforced) 0.15 m thick 637.04
a. Concrete 95.56 cu.m. ##-1/PD Approx-2 sets ##-1/PD Approx-2 sets
b. Reinforcing Steel Bar 210.22 kgs Q-1/10,000 kgs/size Q-1/10,000 kgs/size
c. Curing Compound 184.74 L 1-QT/per shipment 1-QT/per shipment
d. Asphalt Sealant 76.44 L 1-QT/40 M.T. 1-QT/40 M.T.
d. Steel Forms (Rental ) - 20cm width 293.04 m Inspection Report Inspection Report
f. Sand 52.56 cu.m. G-1;1-QT** G-1;1-QT**
g. Crushed Gravel 95.56 cu.m. G-2;1-QT*** G-2;1-QT***
h. Cement 910.97 bags 1-QT 1-QT
pc Inspection Report Inspection Report

i. Concrete Saw (Diamond Blade 14" diam.) 0.10
j. Pipe Sleeve, 2" diam. G.I. Pipe S40 4.97 m Inspection Report Inspection Report
k. Grease/Tar 0.96 L Inspection Report Inspection Report
l. Water 1.00 ltr Engineer's Certification Engineer's Certification
m. Design Mix with trial mix 1.00 ltr ##-1 ##-1
n. Completed pavement 637.04 sq.m. T-5/Km/lane T-5/Km/lane

DRAINAGE AND SLOPE PROTECTION
PART G STRUCTURES
404 (1) a Reinforcing Steel, Grade 40 4,199.35 kgs 1-QT/10000kgs/size 1-QT 100.00%
Structural Concrete Class B (18 Mpa) - Wheel cu.m.
405 (2) c Guard 56.77 19.69%
a. Lumber, Good - 4 uses 451.32 bd-ft Inspection Report IR IR 19.69%
b. Marine Plywood (1/2" x 4' x 8') 4 uses 55.63 pc Inspection Report IR IR 19.69%
c. Assorted CWN (1kg/100 bd-ft of Lumber) 4.54 kg Inspection Report IR IR 19.69%
d. Cement 454.16 bag 1-QT* 1-QT* 100.00%
e. Sand 28.39 cu.m. G-1;1-QT** 1-QT**, 1-G 100.00%
f. Gravel 56.77 cu.m. G-1;1-QT G-1, 1-QT 100.00%

L.m. 1-Q 1-Q
500 (1) b3Pipe Culverts, RCPC, 910 mm dia, Class IV 54.00
506 (1) Stone Masonry 1,045.56 cu.m. 60.25%
a. Cement 5,750.58 bags 3-QT 3-QT 100.00%
b. Sand 1,725.17 cu.m. G-24;2-QT QT-1,G-2 QT-1,G-22 60.25%
c. Gravel Fill 20.91 cu.m. G-1 G-1 100.00%
d. Wheep Holes (3" PVC) 265.57 m Inspection Report Inspection Report IR 60.25%
e. Filter Cloth 13.59 sq.m. Inspection Report Inspection Report IR 60.25%
f. Boulders 1,097.84 cu.m. Inspection Report/Sp.Gr. Inspection Report/Sp.Gr. IR 60.25%

611 (1) Trees Furnishing and Transplanting 3,500.00 each Inspection Report IR
Prepared by Submitted By:

Materials Engineer Chief, Quality Assurance Section
WEEKLY CERTIFICATE OF QUALITY CONTROL ASSURANCE

CONTRACT NAME:
Mindoro
We hereby certify that we have conducted an inspection and verification on the work accomplishment on the above mentioned project for the
period of APRIL 2023.
We further certify that we have found that the quality of materials and workmanship on the following items of work corresponding to the
quantity accomplished conforms with the plans, standard specifications and provisions of the Contract, viz:
PAY ITEM CONTRACT

PAY ITEM DESCRIPTION QUANTITY
UNIT APRIL 1-7 APRIL 8-14 APRIL 15-21 APRIL 22- 28
NO. TOTAL
Construction of Field Office for the

A.1.1(3) 1.00 l.s.
Engineer (Area = 4m x 3m)
0.053 0.053 0.053 0.053 0.21
Provision of Furniture/Fixtures &
A.1.1.(22) Appliances for the living Quarters for the 4.53 month
Engineer (Rental Basis) 0.827 0.83
Provision of 4x2 Pick-up Type Service
A.1.2(4) Vehicle for the Engineer on Bare Rental 4.53 Vehicle-
Basis Month 0.827 0.83
Operation and Maintenance of 4x2 Pick-up
A.1.2(6) 4.53 Vehicle-
Type Service Vehicle for the Engineer
Month 0.827 0.83
B.7 (1) Occupational Safety & Health Program 4.53 Months

0.21 0.207 0.207 0.207 0.83
B.8 (2) Traffic Management 1.00 l.s.
0.045 0.045 0.045 0.045 0.18
B.9 Mobilization/Demobilization 1.00 l.s. 0.00
B.12 Removal and Relocation of Utilities 1.00 l.s. 0.00
102(2) Surplus Common Roadway Excavation 3813.54 cu.m. 0.00
103(3) Foundation Fill 7.44 cu.m. 0.00
Pipe Culvert and Drain Excavation,
103(6) a 2.00 l.s.
Common Soil 0.00
Embankment from roadway excavation,
104(1) a 3.00 l.s.
Common Soil 0.00
102(2) Surplus Common Roadway Excavation 3813.54 cu.m. 0.00
105 (1) a Subgrade Preparation,Common Material 949.60 sq.m.
0.00
200(1) Aggregate Subbase Course 2079.40 cu.m. 600.00 600.00
Portland Cement Concrete Pavement
311 (1) b1 6257.00 sq.m.
(Unreinforced) 0.20 m thick 938.50 938.50 1877.00
404 (1) a Reinforcing Steel, Grade 40 4199.35 kgs 0.00
500 (1) b3 Pipe Culverts, RCPC, 910 mm dia, Class IV 4200.35 kgs
16.00 16.00
506 (1) Stone Masonry 1045.56 cu.m. 0.00
611 (1) Trees Furnishing and Transplanting 1046.56 cu.m. 0.00
GRACE M. MANONGSONG MARK LESTER B. CABRAL
Materials Engineer Project Engineer
MONTHLY CERTIFICATE QUALITY CONTROL ASSURANCE

We hereby certify that we have conducted an inspection and verification on the work accomplishment on the above mentioned project for the period of FEBRUARY 2023.
We further certify that we have found that the quality of materials and workmanship on the following items of work corresponding to the quantity accomplished conforms with the plans,
standard specifications and provisions of the Contract, viz:
QUANTITY
CONTRACT
PAY ITEM NO. PAY ITEM DESCRIPTION UNIT
QUANTITY
PREVIOUS THIS PERIOD TOTAL BALANCE

A.1.1(3) Construction of Field Office for the Engineer (Area = 4m x 3m) 1.00 l.s. 0.060 0.060 0.94
Provision of Furniture/Fixtures & Appliances for the living Quarters for the Engineer
A.1.1.(22)
(Rental Basis) 4.53 month 0.270 0.270 4.26
A.1.2(4) Provision of 4x2 Pick-up Type Service Vehicle for the Engineer on Bare Rental Basis 4.53 Vehicle-Month 0.270 0.270 4.26
A.1.2(6) Operation and Maintenance of 4x2 Pick-up Type Service Vehicle for the Engineer 4.53 0.270 0.270 4.26
Vehicle-Month
B.5 Project Billboard/Signboard 2.00 each 2.000 2.000 -

B.7 (1) Occupational Safety & Health Program 4.53 Months 0.270 0.270 4.26
B.8 (2) Traffic Management 1.00 l.s. 0.060 0.060 0.94
B.9 Mobilization/Demobilization 1.00 l.s. 0.250 0.250 0.75
B.12 Removal and Relocation of Utilities 1.00 l.s. - - 1.00
PART C EARTHWORKS
100 (3) a1 Individual Removal of Trees (small b,above 150mm dia.Up to 300mm dia) 90.00 each - - 90.00
100 (3) a2 Individual Removal of Trees(small b, above 301mm dia Up to 500 mm dia.) 18.00 each - - 18.00
100(3)a3 Individual Removal of Trees (Small, 501-750mm dia) 6.00 each - - 6.00
101(3)b1 Removal of Existing Concrete Pavement (0.15m thk PCCP) 80.10 sq.m. - - 80.10
102(2) Surplus Common Roadway Excavation 3,813.54 cu.m. 635.570 635.570 3,177.97
103(3) Foundation Fill 7.44 cu.m. - - 7.44
103(6) a Pipe Culvert and Drain Excavation, Common Soil 112.46 cu.m. - - 112.46
104(1) a Embankment from roadway excavation, Common Soil 596.76 cu.m. - - 596.76
105 (1) a Subgrade Preparation,Common Material 949.60 sq.m. 182.300 182.300 767.30
PART D SUBBASE AND BASE COURSE - - - - -
200(1) Aggregate Subbase Course 2,079.40 cu.m. 206.010 206.010 1,873.39
PART E SURFACE COURSES - - - - -
311 (1) b1 Portland Cement Concrete Pavement (Unreinforced) 0.20 m thick 6,257.00 sq.m. 1,200.000 1,200.000 5,057.00
311 (1) f1 Portland Cement Concrete Pavement (Unreinforced) 0.15 m thick 637.04 sq.m. - - 637.04
PART G DRAINAGE AND SLOPE PROTECTION STRUCTURES - - - - -
404 (1) a Reinforcing Steel, Grade 40 4,199.35 kgs 577.200 577.200 3,622.15
405 (2) c Structural Concrete Class B (18 Mpa) - Wheel Guard 56.77 cu.m. - - 56.77
500 (1) b3 Pipe Culverts, RCPC, 910 mm dia, Class IV 54.00 L.m. - - 54.00
506 (1) Stone Masonry 1,045.56 cu.m. 209.990 209.990 835.57
PART H MISCELLANEOUS STRUCTURES - - - - -
611 (1) Trees Furnishing and Transplanting 3,500.00 each - - 3,500.00
Note : The aforementioned quantities may serve as reference for payment/billing purposes but may not be equal to the Statement of Work Accomplished for billing depending on the
intended/requested quantity to be billed by the Contractor evaluated as reasonable for payment


We hereby certify that we have conducted an inspection and verification on the work accomplishment on the above mentioned project for the period of MARCH 2023.
PAY ITEM NO. PAY ITEM DESCRIPTION CONTRACT QUANTITY

QUANTITY UNIT PREVIOUS THIS PERIOD TOTAL BALANCE
A.1.1(3) Construction of Field Office for the Engineer (Area = 4m x 3m) 1.00 l.s. 0.060 0.228 0.288 0.712
A.1.1.(22)
(Rental Basis) 4.53 month 0.270 1.173 1.443 3.087
A.1.2(4) Provision of 4x2 Pick-up Type Service Vehicle for the Engineer on Bare Rental Basis
4.53 Vehicle-Month 0.270 1.173 1.443 3.087
A.1.2(6) Operation and Maintenance of 4x2 Pick-up Type Service Vehicle for the Engineer
4.53 Vehicle-Month 0.270 1.173 1.443 3.087
PART B OTHER GENERAL REQUIREMENTS -
B.5 Project Billboard/Signboard 2.00 each 2.000 - 2.000 -
B.7 (1) Occupational Safety & Health Program 4.53 Months 0.270 1.173 1.443 3.087
B.8 (2) Traffic Management 1.00 l.s. 0.060 0.180 0.240 0.760
B.9 Mobilization/Demobilization 1.00 l.s. 0.250 0.250 0.500 0.500
B.12 Removal and Relocation of Utilities 1.00 l.s. - - - 1.000
PART C EARTHWORKS - - - - - -
100 (3) a1 Individual Removal of Trees (small b,above 150mm dia.Up to 300mm dia) 90.00 each - 7.000 7.000 83.000
100 (3) a2 Individual Removal of Trees(small b, above 301mm dia Up to 500 mm dia.) 18.00 each - 2.000 2.000 16.000
100(3)a3 Individual Removal of Trees (Small, 501-750mm dia) 6.00 each - 1.000 1.000 5.000
101(3)b1 Removal of Existing Concrete Pavement (0.15m thk PCCP) 80.10 sq.m. - 80.100 80.100 -
102(2) Surplus Common Roadway Excavation 3,813.54 cu.m. 635.570 1,000.000 1,635.570 2,177.970
103(3) Foundation Fill 7.44 cu.m. - 2.000 2.000 5.440
103(6) a Pipe Culvert and Drain Excavation, Common Soil 112.46 cu.m. - 25.000 25.000 87.460
104(1) a Embankment from roadway excavation, Common Soil 596.76 cu.m. - 293.090 293.090 303.670
105 (1) a Subgrade Preparation,Common Material 949.60 sq.m. 182.300 322.010 504.310 445.290
PART D SUBBASE AND BASE COURSE - - - - - -
200(1) Aggregate Subbase Course 2,079.40 cu.m. 206.010 300.000 506.010 1,573.390
PART E SURFACE COURSES - - - - - -
311 (1) b1 Portland Cement Concrete Pavement (Unreinforced) 0.20 m thick 6,257.00 sq.m. 1,200.000 500.000 1,700.000 4,557.000
311 (1) f1 Portland Cement Concrete Pavement (Unreinforced) 0.15 m thick 637.04 sq.m. - - - 637.040
PART G DRAINAGE AND SLOPE PROTECTION STRUCTURES - - - - - -
404 (1) a Reinforcing Steel, Grade 40 4,199.35 kgs 577.200 713.420 1,290.620 2,908.730
405 (2) c Structural Concrete Class B (18 Mpa) - Wheel Guard 56.77 cu.m. - 11.180 11.180 45.590
500 (1) b3 Pipe Culverts, RCPC, 910 mm dia, Class IV 54.00 L.m. - - - 54.000
506 (1) Stone Masonry 1,045.56 cu.m. 209.990 420.000 629.990 415.570
PART H MISCELLANEOUS STRUCTURES - - - - - -
611 (1) Trees Furnishing and Transplanting 3,500.00 each - - - 3,500.000


We hereby certify that we have conducted an inspection and verification on the work accomplishment on the above mentioned project for the period of APRIL 2023.
PAY ITEM NO. PAY ITEM DESCRIPTION CONTRACT QUANTITY

QUANTITY UNIT PREVIOUS THIS PERIOD TOTAL BALANCE

A.1.1(3) Construction of Field Office for the Engineer (Area = 4m x 3m) 1.00 l.s. 0.288 0.212 0.50 0.50
A.1.1.(22) 4.53 month 1.443 0.827 2.27 2.26
(Rental Basis)
A.1.2(4) Provision of 4x2 Pick-up Type Service Vehicle for the Engineer on Bare Rental Basis
4.53 Vehicle-Month 1.443 0.827 2.27 2.26
A.1.2(6) Operation and Maintenance of 4x2 Pick-up Type Service Vehicle for the Engineer
4.53 Vehicle-Month 1.443 0.827 2.27 2.26
PART B OTHER GENERAL REQUIREMENTS - - -
B.5 Project Billboard/Signboard 2.00 each 2.000 2.00 -
B.8 (2) Traffic Management 1.00 l.s. 0.240 0.180 0.42 0.58
B.9 Mobilization/Demobilization 1.00 l.s. 0.500 0.50 0.50
B.12 Removal and Relocation of Utilities 1.00 l.s. - - - 1.00
PART C EARTHWORKS - - - - -
100 (3) a1 Individual Removal of Trees (small b,above 150mm dia.Up to 300mm dia) 90.00 each 7.000 7.00 83.00
100 (3) a2 Individual Removal of Trees(small b, above 301mm dia Up to 500 mm dia.) 18.00 each 2.000 2.00 16.00
100(3)a3 Individual Removal of Trees (Small, 501-750mm dia) 6.00 each 1.000 1.00 5.00
101(3)b1 Removal of Existing Concrete Pavement (0.15m thk PCCP) 80.10 sq.m. 80.100 80.10 -
102(2) Surplus Common Roadway Excavation 3,813.54 cu.m. 1,635.570 1,635.57 2,177.97
103(3) Foundation Fill 7.44 cu.m. 2.000 2.00 5.44
103(6) a Pipe Culvert and Drain Excavation, Common Soil 112.46 cu.m. 25.000 25.00 87.46
104(1) a Embankment from roadway excavation, Common Soil 596.76 cu.m. 293.090 293.09 303.67
PART D SUBBASE AND BASE COURSE - - - - -
200(1) Aggregate Subbase Course 2,079.40 cu.m. 506.010 600.000 1,106.01 973.39
PART E SURFACE COURSES - - - - -
311 (1) b1 Portland Cement Concrete Pavement (Unreinforced) 0.20 m thick 6,257.00 sq.m. 1,700.000 1,877.000 3,577.00 2,680.00
311 (1) f1 Portland Cement Concrete Pavement (Unreinforced) 0.15 m thick 637.04 sq.m. - - 637.04
PART G DRAINAGE AND SLOPE PROTECTION STRUCTURES - - - - -
404 (1) a Reinforcing Steel, Grade 40 4,199.35 kgs 1,290.620 1,290.62 2,908.73
405 (2) c Structural Concrete Class B (18 Mpa) - Wheel Guard 56.77 cu.m. 11.180 11.18 45.59
500 (1) b3 Pipe Culverts, RCPC, 910 mm dia, Class IV 54.00 L.m. - 16.000 16.00 38.00
506 (1) Stone Masonry 1,045.56 cu.m. 629.990 629.99 415.57
PART H MISCELLANEOUS STRUCTURES - - - - -
611 (1) Trees Furnishing and Transplanting 3,500.00 each - - 3,500.00


CONTRACT NAME:
Mindoro
period of FEBRUARY 2023.
PAY ITEM CONTRACT

PAY ITEM DESCRIPTION QUANTITY UNIT February 12-15 February 16-22 February 23-28
NO. TOTAL

A.1.1(3) 1.00 l.s. 0.06 0.060
Engineer (Area = 4m x 3m)

A.1.1.(22) Appliances for the living Quarters for the 4.53 month 0.090 0.090 0.090 0.270
Engineer (Rental Basis)
V-
A.1.2(4) Vehicle for the Engineer on Bare Rental 4.53 0.090 0.090 0.090 0.270
Month
Basis
Operation and Maintenance of 4x2 Pick-

A.1.2(6) 4.53 Vehicle- 0.090 0.090 0.090 0.270
up Type Service Vehicle for the Engineer
Month
B.5 Project Billboard/Signboard 2.00 each 2.000 2.000
B.8 (2) Traffic Management 1.00 l.s. 0.030 0.030 0.060
B.9 Mobilization/Demobilization 1.00 l.s. 0.250 0.250
102(2) Surplus Common Roadway Excavation 3813.54 cu.m. 317.785 317.785 635.570

311 (1) b1 6257.00 sq.m. 200.000 1,000.000 1200.000
(Unreinforced) 0.20 m thick
404 (1) a Reinforcing Steel, Grade 40 4199.35 kgs 577.200 577.200
506 (1) Stone Masonry 1045.56 cu.m. 109.990 100.000 209.990


CONTRACT NAME:
Mindoro
period of MARCH 2023.
PAY ITEM CONTRACT

PAY ITEM DESCRIPTION QUANTITY UNIT
NO. MARCH 1-6 MARCH 7-14 MARCH 15-21 MARCH 22- 31 TOTAL

A.1.1(3) 1.00 l.s.
Engineer (Area = 4m x 3m) 0.06 0.076 0.076 0.076 0.23
A.1.1.(22) Appliances for the living Quarters for the 4.53 month
Engineer (Rental Basis) 0.27 0.346 0.346 0.211 1.173
A.1.2(4) Vehicle for the Engineer on Bare Rental 4.53 Vehicle-
Basis Month 0.27 0.346 0.346 0.211 1.173
Operation and Maintenance of 4x2 Pick-
A.1.2(6) 4.53 Vehicle-
up Type Service Vehicle for the Engineer
Month 0.27 0.346 0.346 0.211 1.173
B.7 (1) Occupational Safety & Health Program 4.53 Months 0.27 0.346 0.346 0.211 1.173
B.8 (2) Traffic Management 1.00 l.s. 0.06 0.050 0.050 0.02 0.18
B.9 Mobilization/Demobilization 1.00 l.s. 0.25 0.25
B.12 Removal and Relocation of Utilities 1.00 l.s. 0.00
Individual Removal of Trees (small
100 (3) a1 90.00 ea.
b,above 150mm dia.Up to 300mm dia) 7.00 7.00
Individual Removal of Trees(small b,
100 (3) a2 18.00 ea.
above 301mm dia Up to 500 mm dia.) 2.00 2.00
Individual Removal of Trees (Small, 501-
100(3)a3 6.00 ea.
750mm dia) 1.00 1.00
Removal of Existing Concrete Pavement
101(3)b1 80.10 sq.m.
(0.15m thk PCCP) 80.10 80.10
102(2) Surplus Common Roadway Excavation 3813.54 sq.m. 0.00
103(3) Foundation Fill 7.44 cu.m. 2.000 2.00
Pipe Culvert and Drain Excavation,
103(6) a 112.46 cu.m.
Common Soil 25.000 25.00
Embankment from roadway excavation,
104(1) a 3.00 l.s.
Common Soil 146.545 146.545 293.09
102(2) Surplus Common Roadway Excavation 3813.54 cu.m. 1,000.00 1000.00
311 (1) b1 6257.00 sq.m.
(Unreinforced) 0.20 m thick 500.00 500.00
404 (1) a Reinforcing Steel, Grade 40 4199.35 kgs 713.42 713.42
Pipe Culverts, RCPC, 910 mm dia, Class
500 (1) b3 54.00 L.M.
IV 0.00
506 (1) Stone Masonry 1045.56 cu.m. 200.00 220.00 420.00
Region -IV-B, MIMAROPA
DATE: April 8, 2023
Pouring Permit Report

Name of Project: Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
Contractor : MIDR CONSTRUCTION & SUPPLIES
Part of Structure Estimated Volume : 75.00 cu.m.
to be Poured : Conc. Pavement L/S Date of Pouring :
Station Limits/Section: 0+325.00 to 0+400.00 April 08, 2023
Requested by:
Contractor's Materials Engineer
CHECKLIST
X Concrete Vibrator X Field Density Test
X Protective Covering Materials X Beam/Cylinder Molds
X Warning Signs/Barricades/Flagmen X Curing Materials
X Concrete Saw X Slump Cone
X Concrete Block Spacers X Plumbness
X Finishing Tools/Equipment(Screeder X Quality of Materials Used (Result of Design/Test
X broom etc.) Mix, Test Reports, etc.)
X Line and Grade alignment (form setting, Lighting System
X Elevations , etc.
X Required construction equipment Electrical Layout (Roughing-ins/embedments)
X Rebars sizes, spacing and number Plumbing Layout (Roughing-ins/embedments)
X Rebars installation requirements X Falseworks Formworks adequacy
Checked by:
GRACE M. MANONGSONG MERCEDES G. ASPI April 8, 2023

Materials Engineer Engineer III Date
REMARKS/
RECOMMENDATIONS :
RAMIR G. BASA April 8, 2023

Project Inspector : Date
REMARKS/
RECOMMENDATIONS :
Request X Approved Disapproved

REMARKS/
RECOMMENDATIONS :
MARK LESTER B. CABRAL

Project Engineer
Acc No. : 4646
DATE: April 10, 2023

to be Poured : Conc. Pavement L/S Date of Pouring :
Requested by:
CHECKLIST
X Elevations , etc.
Checked by:

REMARKS/
RECOMMENDATIONS :

REMARKS/
RECOMMENDATIONS :

REMARKS/
RECOMMENDATIONS :

Project Engineer
Acc No. : 4646

to be Poured : Conc. Pavement R/S Date of Pouring :
Requested by:
CHECKLIST
X Elevations , etc.
Checked by:

REMARKS/
RECOMMENDATIONS :

REMARKS/
RECOMMENDATIONS :

REMARKS/
RECOMMENDATIONS :

Project Engineer
Acc No. : 4646
Requested by:
CHECKLIST
X Elevations , etc.
Checked by:

REMARKS/
RECOMMENDATIONS :

REMARKS/
RECOMMENDATIONS :

REMARKS/
RECOMMENDATIONS :

Project Engineer
Acc No. : 4646
DATE: April 15,2023
Station Limits/Section: 0+625.00 to 0+700.40 April 15,2023
Requested by:
CHECKLIST
X Elevations , etc.
Checked by:
GRACE M. MANONGSONG MERCEDES G. ASPI April 15,2023

REMARKS/
RECOMMENDATIONS :
RAMIR G. BASA April 15,2023

REMARKS/
RECOMMENDATIONS :

REMARKS/
RECOMMENDATIONS :
Project Engineer
Acc No. : 4646
23ED0091
EFFECTIVITY : 30-Mar-23
ORIG/REV EXPIRY: 07/31/2023/ 09/29/2023
ORIG/REV AMOUNT: 9,746,587.99/ 9,899,952.33
ORIG CD/ REV CD : 124/184
TIME EXTENSION: 60 DAYS
L.N. SALVADOR CONSTRUCTION CORP.
REPORT ON CONCRETE WORKS
Lab. Number: RCW-RAB-311-01
Project: 23ED0006 - Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
(Name of Project) (Town/City/Province)
Structure & Part of Structure Concrete: Concrete Pavement R/S
Station/Station Limits: 0+000.00 to 0+400.00
==================================================================
Date & Time of Pouring: 04/08/23 Weather : Fair

Class of Concrete: Class "A" Capacity of Mixer : 20 Baggers _________________
Method of Mixing: Concrete Mixer Designed Cement Factor: 9.5 bags/cu.m.
Cement Brand: Fortune Computed Volume: 0.1053 cu.m.
Condition of Storage: Good Condition
Actual Quantities Per Batch:
Cement No. of Bags: 1 bag Water, Liters: 21.89 liters
Fine Aggregates: 92.84 cu.m. Coarse Aggregates: 108.98 cu.m.
Cement used(TOTAL): 713 Bags Vol. of Concrete Poured: 75.00 cu.m.
Admixture: None cc/ bag of cement
ACTUAL SPEC'S
Cement, factor, bags/cu.m.- - - - 9.51 9.50
Water, L/bag - - - - - - - - - - - - - - . 21.89 liters 22.00
Slump, mm - - - - - - - - - - - - - - - 75.00 75.00
____________________________________________________________________________________________
SAMPLE TAKEN
Kinds of Sample: Concrete Beam Sample Sample Identification: RAB-FT-01-A,B & C

Quantity Represented: 75.00 cu.m. Method of curing: Immersed in Water
Sampled By: Contractor's Personnel MIDR CONSTRUCTION & SUPPLIES April 8, 2023
(Name and Designation) (Office) (Date)
==================================================================
CHECKED BY: SUBMITTED BY:

Structure & Part of Structure Concrete: Conc. Pavement
==================================================================

ACTUAL SPEC'S
Slump, mm - - - - - - - - - - - - - - - 75.00 75.00
____________________________________________________________________________________________
SAMPLE TAKEN

==================================================================

Structure & Part of Structure Concrete: Conc. Pavement R/S
==================================================================

ACTUAL SPEC'S
Slump, mm - - - - - - - - - - - - - - - 75.00 75.00
____________________________________________________________________________________________
SAMPLE TAKEN

==================================================================

==================================================================

ACTUAL SPEC'S
Slump, mm - - - - - - - - - - - - - - - 75.00 75.00
____________________________________________________________________________________________
SAMPLE TAKEN
Kinds of Sample: Concrete Beam Sample Sample Identification: RS-RAB-FT-04-A,B & C

==================================================================

(Name of Project) 625 12-Apr-23
==================================================================
Date & Time of Pouring: April 15,2023 Weather : Fair

ACTUAL SPEC'S
Slump, mm - - - - - - - - - - - - - - - 75.00 75.00 MM
____________________________________________________________________________________________
SAMPLE TAKEN
Kinds of Sample: Concrete Beam Sample Sample Identification: RS-RAB-C-FT-05-A,B & C

Sampled By: Contractor's Personnel MIDR CONSTRUCTION & SUPPLIES April 15,2023
==================================================================

WORKSHEET FOR FLEXURAL/COMPRESSIVE TEST
Date: May 06, 2023
LAB. NUMBER: RAB-FT-01

PROJECT: 23ED0006 - Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
KIND OF SAMPLE: Conc. Beam Sample Spec,'s. Item Number: 311 Class : "A"
SOURCE OF MIXTURE : Jobsite DESIGN STR. IN 28 DAYS 4.50 Mpa .
SAMPLED BY: Contractor"s Personnel MIDR CONSTRUCTION & SUPPLIES April 8, 2023
TESTED BY: QAS PERSONNEL DPWH May 6, 2023
COMPUTED BY: QAS PERSONNEL DPWH May 6, 2023
SAMPLE PART OF STRUCTURE DATE AGE FLEXURAL GOVERNING
IDENTIFICATION STATION REPRESENTED SAMPLED IN DAYS STRENGTH SPECIFICATION
MPA MPA
RAB'-FT-01-A 0+325.00 to 0+400.00 April 8, 2023 28 4.73 4.50
RAB-FT-01-B 0+325.00 to 0+400.00 April 8, 2023 28 4.59 4.50
RAB-FT-01-C 0+325.00 to 0+400.00 April 8, 2023 28 4.61 4.50
X-X-X-X
==========================================================================
REMARKS:
This report gives the result of test for the sample performed by the
MQC personnel. 475 4/10/2023
PREPARED BY: SUBMITTED BY:
AARON LOUIE C. ALULOD MERCEDES G. ASPI

Laboratory Technician II Engineer III
Date: May 8, 2023

COMPUTED BY: R.S. Romasanta DPWH May 8, 2023
MPA MPA
RAB-FT-02-A 400 to 475 April 10, 2023 28 4.74 4.50
RAB-FT-02-B 0+400.00 to 0+475.00 April 10, 2023 28 4.80 4.50
RAB-FT-02-C 0+400.00 to 0+475.00 April 10, 2023 28 4.75 4.50
X-X-X-X
==========================================================================
REMARKS:
MQC personnel.

Date: May 09, 2023

MPA MPA
ITS-FT-03-A 0+475.00 to 0+550.00 April 11, 2023 28 4.61 4.50
ITS-FT-03-B 0+475.00 to 0+550.00 April 11, 2023 28 4.79 4.50
ITS-FT-03-C 0+475.00 to 0+550.00 April 11, 2023 28 4.65 4.50
X-X-X-X
==========================================================================
REMARKS:
MQC personnel.

Date: May 10, 2023

(Name and Designation) 625 (Date)
MPA MPA
RS-RAB-FT-04-A 0+550.00 to 0+625.00 April 12, 2023 28 4.79 4.50
RS-RAB-FT-04-B 0+550.00 to 0+625.00 April 12, 2023 28 4.60 4.50
RS-RAB-FT-04-C 0+550.00 to 0+625.00 April 12, 2023 28 4.70 4.50
X-X-X-X
==========================================================================
REMARKS:
MQC personnel.

Date: May 11, 2023

SAMPLED BY: Contractor"s Personnel MIDR CONSTRUCTION & SUPPLIES April 15,2023
MPA MPA
RS-RAB-FT-05-A 0+625.00 to 0+700.40 April 15,2023 28 4.76 4.50
RS-RAB-FT-05-B 0+625.00 to 0+700.40 April 15,2023 28 4.61 4.50
RS-RAB-FT-05-C 0+625.00 to 0+700.40 April 15,2023 28 4.85 4.50
X-X-X-X
===========================================================================
REMARKS:
MQC personnel.

Date: April 3, 2023

SAMPLED BY: Contractor"s Personnel MIDR CONSTRUCTION & SUPPLIES March 6, 2023
TESTED BY: QAS PERSONNEL DPWH April 3, 2023
COMPUTED BY: QAS PERSONNEL DPWH April 3, 2023
MPA MPA
RS-RAB-FT-06-A 0+700.40 to 0+325.00 3/6/2023 28 4.81 4.50
RS-RAB-FT-06-B 0+700.40 to 0+325.00 3/6/2023 28 4.68 4.50
RS-RAB-FT-06-C 0+700.40 to 0+325.00 3/6/2023 28 4.62 4.50
X-X-X-X
===============================================================================
REMARKS:
MQC personnel.

311 STATION AGE SPECS VOL
1-Apr NO POURING
2-Apr NO POURING
3-Apr NO POURING
4-Apr NO POURING
5-Apr NO POURING
6-Apr NO POURING
7-Apr NO POURING
8-Apr 0+000.00 to 0+400.00 28 4.5 75.00
9-Apr
10-Apr 0+400.00 to 0+475.00 28 4.5 75.00
11-Apr 0+475.00 to 0+550.00 28 4.5 75.00
12-Apr 0+475.00 to 0+550.00 28 4.5 75.00
13-Apr NO POURING
14-Apr NO POURING 28
15-Apr 0+550.00 to 0+700.40 28 4.5 75.4
16-Apr 28 3000
17-Apr 28 3000 3234 3232 3244
18-Apr 28 3000 3236 3238 3245
19-Apr 28 3000 3238 3231 3239
20-Apr
21-Apr
22-Apr
23-Apr
24-Apr
25-Apr
26-Apr
27-Apr
28-Apr
29-Apr
30-Apr

LOCATION : Baco, Oriental Mindoro

KIND OF MATERIALS: Construction of Field Office for the Engineer (Area = 4m x 3m)
ITEM NO. INSPECTED: A.1.1(3) DATE: February 13, 2023
PROPOSED USED: temporary office space on your construction site
REMARKS/RECOMMENDATION:
Inspected by:



KIND OF MATERIALS: Provision of Furniture/Fixtures & Appliances for the living Quarters for the Engineer (Rental Basis)
ITEM NO. INSPECTED: A.1.1.(22) DATE: February 13, 2023
PROPOSED USED:
Inspected by:



KIND OF MATERIALS: Provision of 4x2 Pick-up Type Service Vehicle for the Engineer on Bare Rental Basis
PROPOSED USED: for the service of the engineer
Inspected by:



KIND OF MATERIALS: Operation and Maintenance of 4x2 Pick-up Type Service Vehicle for the Engineer
PROPOSED USED: for the maintenance of the vehicle of the engineer
Inspected by:



KIND OF MATERIALS: Project Billboard/Signboard
ITEM NO. INSPECTED: B.5 DATE: February 13, 2023
PROPOSED USED:
Inspected by:



KIND OF MATERIALS: Occupational Safety & Health Program
ITEM NO. INSPECTED: B.7 (1) DATE: February 13, 2023
PROPOSED USED: for safety purposes
Inspected by:



KIND OF MATERIALS: Traffic Management
ITEM NO. INSPECTED: B.8 (2) DATE: February 16, 2023
PROPOSED USED: attaining maximum efficiency from the existing road network
while minimising adverse impacts of traffic
Inspected by:



KIND OF MATERIALS: Mobilization/Demobilization
ITEM NO. INSPECTED: B.9 DATE: February 13, 2023
PROPOSED USED:
Inspected by:



KIND OF MATERIALS: Portland Cement Concrete Pavement (Unreinforced) 0.20 m thick
Concrete Saw, Pipe Sleeve, 2" diam. G.I. Pipe S40, Grease/Tar, Steel Forms
ITEM NO. INSPECTED: 311 (1) b1 DATE: February 22, 2023
PROPOSED USED: for the maintenance of the vehicle of the engineer
Inspected by:



KIND OF MATERIALS: Stone Masonry
Wheep Holes, Filter Cloth, Boulders
ITEM NO. INSPECTED: 506 (1) DATE: February 15, 2023
PROPOSED USED:
Inspected by:



KIND OF MATERIALS: Stone Masonry
Structural Concrete Class B (18 Mpa) - Wheel Guard
ITEM NO. INSPECTED: 405 (2) c DATE: March 01, 2023
PROPOSED USED:
Inspected by:

STATUS O F TEST
As of FEBRUARY 2023
Physical Accomplishment: 15.18%
Pay Item Contract No. of Test % of Work

Description/Materials Unit Min. # Total Required
No. Quantity On File Balance Accomplished
Construction of Field Office for the Inspection Report IR IR

A.1.1(3) Engineer (Area = 4m x 3m) 1.00 l.s. 6.00%
Appliances for the living Quarters Inspection Report IR IR
A.1.1.(22) for the Engineer (Rental Basis) 4.53 month 5.96%
Provision of 4x2 Pick-up Type
Service Vehicle for the Engineer on V- Inspection Report IR IR
A.1.2(4) Bare Rental Basis 4.53 Month 5.96%
Operation and Maintenance of 4x2
Pick-up Type Service Vehicle for the V- Inspection Report IR IR
A.1.2(6) Engineer 4.53 Month 5.96%
Inspection Report IR
B.5 Project Billboard/Signboard 2.00 each 100.00%
Occupational Safety & Health Inspection Report IR IR

B.7 (1) Program 4.53 Months 5.96%
Inspection Report IR IR
B.8 (2) Traffic Management 1.00 l.s. 6.00%
B.9 Mobilization/Demobilization 1.00 l.s. 25.00%
Inspection Report IR
B.12 Removal and Relocation of Utilities 1.00 l.s.
PART C EARTHWORKS
Individual Removal of Trees (small
b,above 150mm dia.Up to 300mm Engineer's Certification EC
100 (3) a1 dia) 90.00 each
Individual Removal of Trees(small
b, above 301mm dia Up to 500 mm Engineer's Certification EC
100 (3) a2 dia.) 18.00 each
Individual Removal of Trees (Small, Engineer's Certification EC

100(3)a3 501-750mm dia) 6.00 each
Removal of Existing Concrete Engineer's Certification EC

101(3)b1 Pavement (0.15m thk PCCP) 80.10 sq.m.
Surplus Common Roadway Engineer's Certification EC EC 16.67%

102(2) Excavation 3,813.54 cu.m.
GPC-1, D-1 GPC-1, D-1

103(3) Foundation Fill 7.44 cu.m.
Pipe Culvert and Drain Excavation, Engineer's Certification EC

103(6) a Common Soil 112.46 cu.m.
Embankment from roadway GPC - 1 , D - 18 GPC - 1 , D - 18

104(1) a excavation, Common Soil 596.76 cu.m.
Subgrade Preparation,Common GPC -1, D-5 GPC - 1 , D-1 D-4

105 (1) a Material 949.60 sq.m. 19.20%
200(1) Aggregate Subbase Course 2,079.40 cu.m. GP-7,C-2,ABR-2,CBR-1,D-63 GP-1, C-1, ABR-1,CBR-1, D-7 GP-6, C-1, ABR-1, D-56 9.91%
Portland Cement Concrete
Pavement (Unreinforced) 0.20 m
311 (1) b1 thick 6,257.00 sq.m. 19.18%
a. Concrete 1,251.40 cu.m. ##-1/PD Approx-17 sets ##-1/PD Approx-5 sets ##-1/PD Approx-13 sets 19.18%
b. Reinforcing Steel Bar 2,440.23 kgs 1-QT/10000 kgs/size 1-QT/10000 kgs/size 100.00%
c. Curing Compound 1,814.53 L 1-QT/per shipment 1-QT/per shipment 100.00%
d. Asphalt Sealant 750.84 L 1-QT/40 M.T. 1-QT/40 M.T. 100.00%

e. Steel Forms (Rental ) - 23cm width 2,878.22 m 19.18%
f. Sand 688.27 cu.m. G-10, 1-Q** **Q-1, G-2 G-8 19.18%
g. Crushed Gravel 1,251.40 cu.m. Q-1,G-17 Q-1,G-4 G-13 19.18%
h. Cement 11,888.30 bags Q-6 Q-6 100.00%

i. Concrete Saw (Diamond Blade 14" Inspection Report IR IR
diam.) 0.94 pc 19.18%
j. Pipe Sleeve, 2" diam. G.I. Pipe S40 53.81 m 19.18%
k. Grease/Tar 35.04 L Inspection Report IR IR 19.18%
l. Water 1.00 ltr Engineer's Certification EC 100.00%
m. Design Mix with trial mix 1.00 ltr ##-1 ##-1 100.00%
n. Completed pavement 6,257.00 sq.m. T-5/Km/lane T-5/Km/lane
Portland Cement Concrete

Pavement (Unreinforced) 0.15 m
311 (1) f1 thick 637.04 sq.m.
a. Concrete 95.56 cu.m. ##-1/PD Approx-2 sets ##-1/PD Approx-2 sets
b. Reinforcing Steel Bar 210.22 kgs Q-1/10,000 kgs/size Q-1/10,000 kgs/size
c. Curing Compound 184.74 L 1-QT/per shipment 1-QT/per shipment
d. Asphalt Sealant 76.44 L 1-QT/40 M.T. 1-QT/40 M.T.
Inspection Report Inspection Report

d. Steel Forms (Rental ) - 20cm width 293.04 m
f. Sand 52.56 cu.m. G-1;1-QT** G-1;1-QT**
g. Crushed Gravel 95.56 cu.m. G-2;1-QT*** G-2;1-QT***
h. Cement 910.97 bags 1-QT 1-QT
i. Concrete Saw (Diamond Blade 14" Inspection Report Inspection Report

diam.) 0.10 pc
Inspection Report Inspection Report
j. Pipe Sleeve, 2" diam. G.I. Pipe S40 4.97 m
k. Grease/Tar 0.96 L Inspection Report Inspection Report
l. Water 1.00 ltr Engineer's Certification Engineer's Certification
m. Design Mix with trial mix 1.00 ltr ##-1 ##-1
n. Completed pavement 637.04 sq.m. T-5/Km/lane T-5/Km/lane

DRAINAGE AND SLOPE
PART G PROTECTION STRUCTURES
404 (1) a Reinforcing Steel, Grade 40 4,199.35 kgs 1-QT/10000kgs/size 1-QT 100.00%
Structural Concrete Class B (18 Mpa) -
405 (2) c Wheel Guard 56.77 cu.m.
a. Lumber, Good - 4 uses 451.32 bd-ft Inspection Report `
b. Marine Plywood (1/2" x 4' x 8') 4 Inspection Report IR
uses 55.63 pc
c. Assorted CWN (1kg/100 bd-ft of Inspection Report IR
Lumber) 4.54 kg
d. Cement 454.16 bag 1-QT* 1-QT*
e. Sand 28.39 cu.m. G-1;1-QT** 1-QT**, 1-G

f. Gravel 56.77 cu.m. G-1;1-QT G-1, 1-QT
Pipe Culverts, RCPC, 910 mm dia, 1-Q 1-Q
500 (1) b3 Class IV 54.00 L.m.
506 (1) Stone Masonry 1,045.56 cu.m. 20.08%
a. Cement 5,750.58 bags 3-QT 3-QT 100.00%
b. Sand 1,725.17 cu.m. G-24;2-QT QT-1,G-2 QT-1,G-22 20.08%
c. Gravel Fill 20.91 cu.m. G-1 G-1 100.00%
d. Wheep Holes (3" PVC) 265.57 m Inspection Report Inspection Report IR 20.08%
e. Filter Cloth 13.59 sq.m. Inspection Report Inspection Report IR 20.08%
f. Boulders 1,097.84 cu.m. Inspection Report/Sp.Gr. Inspection Report/Sp.Gr. IR 20.08%

611 (1) Trees Furnishing and Transplanting 3,500.00 each Inspection Report IR
Prepared by Submitted By:
Materials Engineer Chief, Quality Assurance Section
Region –IV-B, MIMAROPA
CONTRACT NAME: Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental
Mindoro

CONTRACTOR: MIDR CONSTRUCTION & SUPPLIES
ITEM NO.: 102(2) Surplus Common Roadway Excavation
KIND OF MATERIALS:
CERTIFICATION
THIS IS TO CERTIFY that the 1,635.57 cu.m. waste materials for the Item
of the afformentioned project, was disposed properly, hence no test is required.
This certification/inspection report is being used upon for the absence of
Quality Test as per Quality Control Program for the said project.
CERTIFIED BY:

Structure & Part of Structure Concrete: Concrete Pavement R/S
Station/Station Limits:
Time : 8:00am - 10:00am
==================================================================

ACTUAL SPEC'S
Slump, mm - - - - - - - - - - - - - - - 75.00 75.00
____________________________________________________________________________________________
SAMPLE TAKEN

Sampled By: Contractor's Personnel MIDR CONSTRUCTION & SUPPLIES March 1, 2023
==================================================================

MIDR CONSTRUCTION SUPPLIES
WORKSHEET FOR DESIGN OF CONRETE
PROJECT: Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
(Number) (Name) (City/Province)
PREPARED BY: MARK IAN M. DELOS REYES ME MIDR CONSTRUCTION & SUPPLIES
(Name) (Designation) (Office)
LAB. NUMBER: RAB-DM-311(1)-01
DATA FROM PRELIMINARY TESTS:
Fine Aggregates, Q-FA Coarse Aggregates, Q-CA
Manufactured/Natural : /X/ Natural Rounded // Angular/X / Rounded
Finess Modulus 2.99 Maximum size, mm 19.00
Specific Gravity (SSD)_ 2.68 Abrasion Loss (%) 23
Moisture Content, % 2.19 Specific Gravity(SSD) 2.68
Absorption, % 0.82 Moisture Content, % 2.06
Unit, Wt. Kg./m3 (loose) 1548.51 Absorption, % 0.96
Type & Brand of Cement : Type 1 / Fortune Unit Wt., kg./m3 (loose) 1562.87
Admixture Brand _____ NONE___________________ Water Source Deepwell
================================================== ============================
DESIGN SPECIFICATION REQUIREMENTS:
Class of Concrete "A" Cement Factor, bags/m3 9.10
Compressive Strength, MPA 3000 Slump, mm 75
Proportion of Cement Total Aggregates Parts by Weight:
Cement: 40 Total Agg. : 209.20
============================================================= =================
DESIGN MIX PER BAG OF CEMENT:
Absolute Volume of Concrete, m3, cement factor ________ _ 0.109890
Absolute Volume of 40 kg./bag of cement, m3 0.012698
Absolute Volume of Water, m3 ________________________ 0.021888
Absolute Volume of Water and Cement, m3__________________ 0.034586
Absolute Volume of Fine & Coarse Aggregates, m3 ________________ 0.075304
Absolute Volume of Fine Aggregates, % of Total Aggregates by absolute Volume:
Fine Aggregates: ______ 46.00 (From Table V)
Total Correction (%) _________ 0.00 (From Table of Adjustments)
Corrected Fine Aggregates_______________ 46.00
Absolute Volume of Fine Aggregates, m3 ___________ 0.034640
Absolute Volume of Coarse Aggregates, m3____ _____ 0.040664
Materials Absolute Specific Unit wt. of Uncorrected Corrected

Volume m3 Gravity water kg/m3 Weights kg. Weight kg.
Cement 0.012698 3.15 1000 40.0 40
Fine Agg. 0.034640 2.68 1000 92.84 94.11
Coarse Agg. 0.040664 2.68 1000 108.98 110.18
Water 0.021888 1.00 1000 21.89 19.42
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = == = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
PREPARED BY: CHECKED BY: SUBMITTED BY:
MARK IAN M. DELOS REYES GRACE M. MANONGSONG MERCEDES G. ASPI

Materials Engineer Materials Engineer Engineer III
MIDR CONSTRUCTION & SUPPLIES DPWH-MODEO CHIEF, QAS-MODEO
WORKSHEET OF SIEVE ANALYSIS
Project : Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
(Name) (Town/City/Province)
Kind of Materials : Subgrade Preparation Specification Item No. : 105(1)a
Sampled at : Jobsite Stockpile
(Give as accurate a location as possible)
Original Source : Tigkan River
(Pit, Quarry, River, etc. and location)
Sampled by : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 15, 2023
(Name & Designation) (Office) (Date)
Tested by : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 15, 2023
Computed by : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 15, 2023
Lab No. RAB-G-105-01 Original Weight in grams : 3970

Oven Dried Weight : 3854
Moisture Content, % : 3.00 Washed Ovendried Weight: 3472
Fineness Modulus :
SIEVE SIZES CUMULATIVE Governing Spec's,

Weight Retained, gram
English Metric % Retained Weigth passing, gram % passing %
Passing
3" 75.0 mm
2 1/2" 63.0 mm
2" 50.0 mm 0 3854 100 100
1 1/2" 37.5 mm 77 3777 98
1" 25.0 mm 540 3237 84
3/4" 19.0 mm 231 3006 78
1/2" 12.5 mm 347 2659 69
3/8" 9.5 mm 308 2351 61
No. 4 4.75 mm 540 1811 47
No. 8 2.36 mm 193 1619 42
No. 10 2.00 mm 270 1349 35
No. 16 1.18 mm 270 1079 28
No. 30 0.600 mm 231 848 22
No. 40 0.425 mm 116 732 19
No. 50 0.300 mm 231 501 13
No. 100 0.150 mm 39 462 12
No. 200 0.075 mm 39 424 11 0-15
PAN 42
Wash Passing 200 382
TOTAL 3854
Remarks/Recommendations: Sample meets grading specifications
Prepared by: Checked by: Noted By:

Materials Engineer- Contractor Engineer II Engineer III
WORKSHEET FOR FIELD DENSITY TEST
(Name) (Town /City/ Province)
KIND OF MATERIALS: Granular Materials
TEST HOLE: DEPTH: 0.150M. LOCATION :
(Location & Reference to Center Line)
REPRESENTING: 1st Layer 0.15 M. to _________ __________.
(Layer No.) (Depth) (Station to Station) (Width)
TESTED BY: Contractor's Tech Contractor February 16, 2023
COMPUTED BY: Contractor's Tech Contractor February 16, 2023
====================================================== ======= ======== ====
LAB. NUMBER: RAB-D-105-1
UNIT WEIGHT OF AIR-DRY SAND MASS OF SAND TO FILL FUNNEL

1. Container Full of Water, kg. 6.6 8. Mass of Jar + Sand, kg. 8.34
2. Container, kg. 2.28 9. Mass of Jar + Sand, kg. 6.77
3. Water, kg. (1) - (2) 4.320 10. Sand in Funnel, kg. (8) - (9) 1.57
4. Container, m3 (3)/ 1000 0.00432
5. Container filled with air
dry sand, kg. 8.70
6. Air-dry sand, kg. (5) - (2) 6.42
7. Unit weight of dry sand,
kg. /m3 (6- / (4) 1486.11
1 2 3
ACTUAL MOISTURE CONTENT
11. Container + Wet soil, g. 152.00 154.50 151.00 154.30
12. Container + Dry soil, g. 135.00 140.00 134.00 140.00
13. Moisture, g. (11) - (12) 17.00 14.50 17.00 14.30
14. Container, g. 18.50 18.50 18.50 18.50
15. Dry Soil, g. (12) - (14) 116.50 121.50 115.50 121.50
16. Actual Moisture Content (13)/(15)x100 14.59 11.93 14.72 11.77
17. Average actual moisture
Content, % 13.26 13.24
FIELD DENSITY TEST
18. Total matl. taken from hole, kg. 6.10 6.10
19. Mass of jar - Sand, kg. 9.960 9.960
20. Mass of jar+Sand,kg.(after pouring) 4.47 4.47
21. Sand to fill hole, kg. (19) - (20) - 10) 3.920 3.920
22. Volume of hole, m3 (21) / (7) 0.002638 0.002638
23. Wet unit weight, kg. / m3 (18) / (22) 2312.57 2312.57
24. Dry Unit Weight,kg.M3(23)/(1+(17)/100) 2041.77 2042.11
25. Laboratory Compaction test data:
a) Maximum dry density, kg. /m3 2152 2152
b) Optimum Moisture Content 9.00 9.00
26.Degree of Compaction(24)/(25 a)x100 95% 95%
REMARKS / RECOMMENDATION: Passed.

Materials Engineer Material Engineer (DPWH) Engineer III
Chief, QAS MODEO
WORKSHEET FOR PLASTIC AND LIQUID LIMIT TESTS
Project: Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
Location: Baco, Oriental Mindoro
Contractor: MIDR CONSTRUCTION & SUPPLIES
Kind of Material : Embankment Spec's Item No. : 105(1)a
Sampled at : Jobsite
Sampled By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 15, 2023
Tested By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 15, 2023
Computed By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 15, 2023
==================================================================================================================================
Lab. No. RAB-LLPL-105(1)a
LIQUID LIMIT PLASTIC LIMIT
Determination Number 1 2 3 4 1 2
Container Number A B C D E F
Container & Wet Soil, g 35.32 35.78 35.24 35.33 37.15 37.10
Container & Dry Soil, g 34.14 34.4 33.83 33.63 35.55 35.46
Moisture Loss, g 1.18 1.38 1.41 1.7 1.6 1.64
Container, g 29.80 29.60 29.70 28.90 27.40 26.40

Dry Soil, g 4.34 4.8 4.13 4.73 8.15 9.06
Moisture Content (%) 27 29 34 36 20 18
Number of Blows 32 27 15 10 19
FLOW CURVE
37 SIEVE ANALYSIS
36
35
Sieve Size % Passing
34
No. 10 35
M 33
No. 40 19
C 32
No. 200 11
% 31
30 Liquid Limit 29.5
29 Plastic Limit 19
28 Plasticity Index 11
27 Group Index 0
26 Group Class A-2-4
6 10 15 20 25 30 35 40 Remarks: SILTY OR CLAYEY

Number of Blows SAND & GRAVEL
Prepared / Tested By: Computed / Certified Correct: Noted By:

Materials Engineer ( Contractor ) Material Engineer (DPWH) Chief, QAS-MODEO
WORKSHEET FOR TEST OF MOISTURE DENSITY
RELATIONS OF SOILS
Project : 23ED0006 - Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco,
Oriental Mindoro
0 (Name) (Town /City/ Province)
KIND OF MATERIALS:0 Granular Materials
SAMPLE AT: 0
JOBSITE QUANTITY REPRESENTED: 1,500.00 cu.m.
ORIGINAL SOURCE:
Tigkan River
SAMPLED BY: Contractor's
1 Tech. MIDR CONSTRUCTION & SUPPLIES February 16, 2023
TESTED BY: Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 16, 2023
COMPUTED BY: Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 16, 2023
===================================================
LAB. NUMBER: RAB-C-105-01
TRIAL NUMBER 1 2 3 4 5 6
Water Added in Q.C. 430 654 754.5 855 1050
Mold + Wet Soil (kg.) 10.55 10.99 11.26 11.25 10.89
M O L D (kg.) 6.28 6.28 6.28 6.28 6.28
Wet Soil (kg.) 4.27 4.71 4.98 4.97 4.61
Wet Density, kg/cu.m. 2010 2218 2345 2340 2170
Can Number A-1 A-2 A-3 A-4 A-5
Can + Wet Soil, (grams) 186.10 178.77 181.84 184.90 185.80
Can + Dry Soil, (grams) 178.46 167.80 167.83 167.86 165.20
WATER 7.64 10.97 14.00 17.04 20.60
C A N (grams) 11.10 11.20 11.2 11.20 11.00
Dry Soil (grams) 167.36 156.60 156.63 156.66 154.20
Moisture Content, % 4.57 7.01 8.94 10.88 13.36
Dry Density, kg/cu.m. 1923 2072 2152 2110 1915
=========================================================================================================
Method Used: T - 180 - D
Weight of rammer:(kg.) 4.50 kgs.
COMPACTION
Volume of Mold:(cu.m) 0.002124
0.002124
2200 Number of Blows layers: 56 / 5
Max Dry Density, kg./cu.m.: 2152
2150
D Optimum Moisture Content: 9.00
Dry Density, kg/cu.m.
R 2100
Y PREPARED BY:
2050
D MARK IAN M. DELOS REYES
2000
E Materials Engineer
N 1950
S CHECKED BY:
I 1900
T GRACE M. MANONGSONG
Y 1850 Material Engineer (DPWH)
1800
SUBMITTED BY:
4 5 6 7 8 9 10 11 12 13 14
Moisture Content, %
Moisture Content % MERCEDES G. ASPI
Engineer III
(Town/City/Province)
Kind of Materials : Coarse Aggregate Specification Item No. : 311(1)b1
Original Source : TIgkan River
Sampled by : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES March 6, 2023
Tested by : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES March 6, 2023
Computed by : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES March 6, 2023
Lab No. RAB-G-311-CA-02 Original Weight in grams : 3506

Fineness Modulus :

English Metric % Retained Weigth passing, gram % passing % Passing
3" 75.0 mm
2 1/2" 63.0 mm 0 3434 100 100
2" 50.0 mm 206 3228 94 90-100
1 1/2" 37.5 mm 1271 1957 57 35-70
1" 25.0 mm 1511 446 13 0-15
3/4" 19.0 mm 34 412 12
1/2" 12.5 mm 309 103 3 0-5
3/8" 9.5 mm 69 34 1
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 17 17 0.50 0-1
PAN 11
Wash Passing 200 6
TOTAL 3434

Kind of Materials : Coarse Aggregate Specification Item No. : 311(1)
Lab No. RAB-G-311-CA-03 Original Weig 3506

Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3434 100 100
2" 50.0 mm 206 3228 94 90-100
1 1/2" 37.5 mm 1271 1957 57 35-70
1" 25.0 mm 1511 446 13 0-15
3/4" 19.0 mm 34 412 12
1/2" 12.5 mm 309 103 3 0-5
3/8" 9.5 mm 69 34 1
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 17 17 0.50 0-1
PAN 11
Wash Passing 200 6
TOTAL 3434

Project : Construction of Road, Sitio Binarilan, Canubing - Sityo Ilaya, Brgy. Malad, Calapan City, Oriental Mindoro

Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3228 100 100
2" 50.0 mm 123 3105 96 90-100
1 1/2" 37.5 mm 1262 1843 57 35-70
1" 25.0 mm 1423 420 13 0-15
3/4" 19.0 mm 97 323 10
1/2" 12.5 mm 194 129 4 0-5
3/8" 9.5 mm 32 97 3
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 74 23 0.70 0-1
PAN 15
Wash Passing 200 8
TOTAL 3228

Kind of Materials : Fine Aggregates Specification Item No. : 311(1)f1
Lab No. RAB-G-311-FA-01 Original Weight in grams : 3492

Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3416 100 100
2" 50.0 mm 239 7 3177 93 90-100
1 1/2" 37.5 mm 1196 42 1981 58 35-70
1" 25.0 mm 1503 86 478 14 0-15
3/4" 19.0 mm 68 88 410 12 -
1/2" 12.5 mm 273 96 137 4 0-5
3/8" 9.5 mm 69 98 68 2 -
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 51 17 0.50 0-1
PAN 13
Wash Passing 200 4
TOTAL 3416
Prepared by: Noted By:

Kind of Materials : Fine Aggregates Specification Item No. : 311(1)

Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3434 100 100
2" 50.0 mm 206 3228 94 90-100
1 1/2" 37.5 mm 1271 1957 57 35-70
1" 25.0 mm 1511 446 13 0-15
3/4" 19.0 mm 34 412 12
1/2" 12.5 mm 309 103 3 0-5
3/8" 9.5 mm 69 34 1
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 17 17 0.50 0-1
PAN 11
Wash Passing 200 6
TOTAL 3434

:
Project
Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
Kind of Materials : Fine Aggregate Specification Item No. 506(1) b

Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 0 3652 100 100
2" 50.0 mm 138 4 3514 96 90-100
1 1/2" 37.5 mm 1391 42 2123 58 35-70
1" 25.0 mm 1611 86 512 14 0-15
3/4" 19.0 mm 109 89 403 11
1/2" 12.5 mm 257 96 146 4 0-5
3/8" 9.5 mm 73 98 73 2
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 41 32 0.88 0-1
PAN 17
Wash Passing 200 15
TOTAL 3652

DATE: March 1, 2023

to be Poured : Structural Concrete Date of Pouring :
Station Limits/Section: - March 01, 2023
Time : 8:00am - 10:00am
Requested by:
CHECKLIST
X Concrete Vibrator Field Density Test
Concrete Saw X Slump Cone

broom etc.) Mix, Test Reports, etc.)

Line and Grade alignment (form setting, Lighting System
X Elevations , etc.

Checked by:
GRACE M. MANONGSONG MERCEDES G. ASPI March 1, 2023

REMARKS/
RECOMMENDATIONS :
RAMIR G. BASA March 1, 2023

REMARKS/
RECOMMENDATIONS :

REMARKS/
RECOMMENDATIONS :

Project Engineer
Acc No. : 4646
Date: March 3, 2023

LAB. NUMBER: RAB-FT-TM-01
PROJECT:
23ED0006 - Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
SAMPLED BY: Contractor"s Personnel MIDR CONSTRUCTION & SUPPLIES February 24, 2023
TESTED BY: QAS PERSONNEL DPWH March 3, 2023
COMPUTED BY: QAS PERSONNEL DPWH March 3, 2023
MPA
TM-A TRIAL MIX February 24, 2023 7 4.11 3.60
TM-B TRIAL MIX February 24, 2023 7 4.25 3.60
TM-C TRIAL MIX February 24, 2023 7 4.30 3.60
X-X-X-X
==========================================================================
REMARKS:
MQC personnel.
Prepared BY: SUBMITTED BY:

Date: March 29, 2023

SAMPLED BY: Contractor"s Personnel MIDR CONSTRUCTION & SUPPLIES March 1, 2023
TESTED BY: QAS PERSONNEL DPWH March 29, 2023
COMPUTED BY: QAS PERSONNEL DPWH March 29, 2023
MPA MPA
RAB'-CT-01-A STRUCTURAL CONCRETE March 1, 2023 28 4.73 4.50
RAB-CT-01-B STRUCTURAL CONCRETE March 1, 2023 28 4.59 4.50
RAB-CT-01-C STRUCTURAL CONCRETE March 1, 2023 28 4.61 4.50
X-X-X-X
==========================================================================
REMARKS:
MQC personnel.

BILLING FEBRUARY MARCH
FACILITIES FOR THE ENGINEER -
Construction of Field Office for the Engineer (Area = 4m x 3m) 0.29 0.144 0.144
Provision of Furniture/Fixtures & Appliances for the living Quarters for the Engineer (Rental Basis) 1.44 0.722 0.722
Provision of 4x2 Pick-up Type Service Vehicle for the Engineer on Bare Rental Basis 1.44 0.722 0.722
Operation and Maintenance of 4x2 Pick-up Type Service Vehicle for the Engineer 1.44 0.722 0.722
OTHER GENERAL REQUIREMENTS - - -
Project Billboard/Signboard 2.00 1.000 1.000
Occupational Safety & Health Program 1.44 0.722 0.722
Traffic Management 0.24 0.120 0.120
Mobilization/Demobilization 0.50 0.250 0.250
Removal and Relocation of Utilities - - -
EARTHWORKS - - -
Individual Removal of Trees (small b,above 150mm dia.Up to 300mm dia) 7.00 3.500 3.500
Individual Removal of Trees(small b, above 301mm dia Up to 500 mm dia.) 2.00 1.000 1.000
Individual Removal of Trees (Small, 501-750mm dia) 1.00 0.500 0.500
Removal of Existing Concrete Pavement (0.15m thk PCCP) 80.10 40.050 40.050
Surplus Common Roadway Excavation 1,635.57 817.785 817.785
Foundation Fill 2.00 1.000 1.000
Pipe Culvert and Drain Excavation, Common Soil 25.00 12.500 12.500
Embankment from roadway excavation, Common Soil 293.09 146.545 146.545
Subgrade Preparation,Common Material 504.31 252.155 252.155
SUBBASE AND BASE COURSE - - -
Aggregate Subbase Course 506.01 253.005 253.005
SURFACE COURSES - - -
Portland Cement Concrete Pavement (Unreinforced) 0.20 m thick 1,700.00 850.000 850.000
Portland Cement Concrete Pavement (Unreinforced) 0.15 m thick - - -
DRAINAGE AND SLOPE PROTECTION STRUCTURES - - -
Reinforcing Steel, Grade 40 1,290.62 645.310 645.310
Structural Concrete Class B (18 Mpa) - Wheel Guard 11.18 5.590 5.590
Pipe Culverts, RCPC, 910 mm dia, Class IV - - -
Stone Masonry 629.99 314.995 314.995
MISCELLANEOUS STRUCTURES - - -
Trees Furnishing and Transplanting - - -
PENETRATION AT 65 BLOWS
120.00
100.00
(80/105.7)X 100 = 79.69%
Penetration
Load(kg./cm²) 80.00(60.82/70.3)X 100 = 86.51%
60.00 CBR₆₅ = 86.51%
40.00
20.00
0.00
0 1 2 3 4 5 6 7 8 9 10 11
Penetration,mm
PENETRATION AT 30 BLOWS
90.00
80.00
70.00
(64/105.7)X 100 = 60.55%
60.00
Penetration (45/70.3)X 100 = 64.01%
50.00
Load(kg./cm²)
40.00 CBR₆₅ = 64.01%
30.00
20.00
10.00
0.00
0 1 2 3 4 5 6 7 8 9 10 11
Penetration,mm
120.00
110.00
90.00 Unit WT
CBR VALUE CBR₃₀ = 64.01 2008.02 g/cu.m.

80.00
CBR₆₅ = 86.51 2121.95 g/cu.m.
70.00
CBR VALUE = 82%
60.00
1900 1950 2000 2050 2100 2150 2200
DRY UNIT WEIGHT

Kind of Materials : Aggregate Subbase Course Specification Item No. : 200 (1)

Fineness Modulus :

Weight Retained,
English Metric gram % Retained Weigth passing, gram % passing
% Passing
3" 75.0 mm
2 1/2" 63.0 mm
2" 50.0 mm 0 3338 100 100
1 1/2" 37.5 mm 67 3271 98
1" 25.0 mm 567 2704 81 55-85
3/4" 19.0 mm 67 2637 79
1/2" 12.5 mm 167 2470 74
3/8" 9.5 mm 367 2103 63 40-75
No. 4 4.75 mm 33 2070 62
No. 8 2.36 mm 401 1669 50
No. 10 2.00 mm 467 1202 36
No. 16 1.18 mm 100 1102 33
No. 30 0.600 mm 134 968 29
No. 40 0.425 mm 300 668 20
No. 50 0.300 mm 167 501 15
No. 100 0.150 mm 100 401 12
No. 200 0.075 mm 167 234 7 0-12
PAN 90
TOTAL 3338

MIDR CONSTRUCTION SUPPLIES
WORKSHEET FOR TEST OF MOISTURE DENSITY
RELATIONS OF SOILS
0 (Name) (Town /City/ Province)

KIND OF MATERIALS: 0 Granular Materials
SAMPLE AT: 0
JOBSITE QUANTITY REPRESENTED: 1,500.00 cu.m.
ORIGINAL SOURCE: Tigkan River
SAMPLED BY: Contractor's
1 Tech. MIDR CONSTRUCTION & SUPPLIES February 16, 2023
TESTED BY: Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 16, 2023
COMPUTED BY: Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES February 16, 2023
================================================ ==========================
LAB. NUMBER: RAB-C-200-01
TRIAL NUMBER 1 2 3 4 5 6
Water Added in Q.C. 450 650 750 850 1050
Mold + Wet Soil (kg.) 10.54 10.98 11.22 11.18 10.88
M O L D (kg.) 6.25 6.25 6.25 6.25 6.25
Wet Soil (kg.) 4.29 4.73 4.97 4.93 4.63
Wet Density, kg/cu.m. 2020 2227 2340 2321 2180
Can Number A-1 A-2 A-3 A-4 A-5
Can + Wet Soil, (grams) 186.10 178.77 181.84 184.90 185.80
Can + Dry Soil, (grams) 178.46 167.80 167.83 167.86 165.20
WATER 7.64 10.97 14.00 17.04 20.60
C A N (grams) 11.10 11.20 11.2 11.20 11.00
Dry Soil (grams) 167.36 156.60 156.63 156.66 154.20
Moisture Content, % 4.57 7.01 8.94 10.88 13.36
Dry Density, kg/cu.m. 1932 2081 2148 2093 1923
=========================================================================================================
Method Used: T - 180 - D
Weight of rammer:(kg.) 4.50 kgs.
COMPACTION
Volume of Mold:(cu.m) 0.002124
2200 Number of Blows layers: 56 / 5
Max Dry Density, kg./cu.m.: 2148
2150
D Optimum Moisture Content: 9.00
Dry Density, kg/cu.m.
R 2100
Y PREPARED BY:
2050
D MARK IAN M. DELOS REYES
2000
E Materials Engineer
N 1950
S CHECKED BY:
I 1900
T GRACE M. MANONGSONG
Y 1850 #VALUE!
1800
SUBMITTED BY:
4 5 6 7 8 9 10 11 12 13 14
Moisture Content, %
Moisture Content % MERCEDES G. ASPI
Engineer III
Kind of Materials : Aggregate Subbase Course Specification Item No. : 200 (1)

Fineness Modulus :

Weight Retained,
English Metric gram % Retained Weigth passing, gram % passing
% Passing
3" 75.0 mm
2 1/2" 63.0 mm
2" 50.0 mm 0 3339 100 100
1 1/2" 37.5 mm 67 3272 98
1" 25.0 mm 568 2705 81 55-85
3/4" 19.0 mm 67 2638 79
1/2" 12.5 mm 167 2471 74
3/8" 9.5 mm 367 2104 63 40-75
No. 4 4.75 mm 33 2070 62
No. 8 2.36 mm 401 1670 50
No. 10 2.00 mm 467 1202 36
No. 16 1.18 mm 100 1102 33
No. 30 0.600 mm 134 968 29
No. 40 0.425 mm 301 668 20
No. 50 0.300 mm 167 501 15
No. 100 0.150 mm 100 401 12
No. 200 0.075 mm 167 234 7 0-12
PAN 90
TOTAL 3339

WORKSHEET FOR ABRASION TEST
KIND OF MATERIALS: Aggregate Subbase Course Spec's Item No.: 200
SAMPLED AT: Jobsite Stockpile
SAMPLED BY: Contractor's Personnel MIDR CONSTRUCTION & SUPPLIES February 16, 2023
TESTED BY: MQC Personnel DPWH February 16, 2023
Lab. Number : RAB-ABR-01
SIEVE SIZE GRADING "A"

Passing Retained No. of Spheres - 12
37.5 mm 25 mm - 1250 gms
25 mm. 19.0 m. - 1250 gms
19.0 mm. 12.5 mm. - 1250 gms
12.5 m. 9.5 m. - 1250 gms
TOTAL 5000 gms
Percentage of Wear % = Original Mass - Sample retained

of Sample No. 1.70 mm sieve, g. X 100
Original of Sample, g.
= 1150
5000 X 100
% of Wear = 23.00 SPECS = 40%
REMARKS: PASSED

AARON LOUIE C. ALULOD GRACE M. MANONGSONG MERCEDES G. ASPI
Laboratory Technician II Engineer II Engineer III
Project : Concreting of Inarawan-Tagumpay-San Andres Putik Road, Naujan, Oriental Mindoro

Kind of Materials : Aggregate Subbase Course Specification Item No. : 200(1)
Original Source : Alcate River
Lab No. RAB-G-CA-02 Original Weight in grams : 3970

Fineness Modulus :

Weight Retained,
gram
%
English Metric % Retained Weigth passing, gram % passing
Passing
3" 75.0 mm
2 1/2" 63.0 mm
2" 50.0 mm 100
1 1/2" 37.5 mm 100 100
1" 25.0 mm 0 3885 100 95-100
3/4" 19.0 mm 932 24 2953 76 -
1/2" 12.5 mm 1437 61 1515 39 25-60
3/8" 9.5 mm 699 79 816 21 -
No. 4 4.75 mm 738 78 2 0-10
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 62 16 0.40 0-1
PAN 5
Wash Passing 200 11
TOTAL 3885
GRACE M. MANONGSONG GRACE M. MANONGSONG MERCEDES G. ASPI

Material Engineer (DPWH) Engineer II Engineer III
WORKSHEET FOR CALIFORNIA BEARING RATIO

(AASHTO T183-99)
(Name of Project) (Province)
Kind of Materials: AGGREGATE SUB BASE COURSE Spec's. Item Number : 200
Sampled At: Tigkan River
(Given the accurate location as posible)
Tested By: QAS Personnel MODEO-QAS 16-Feb-23
Computed By: QAS Personnel MODEO-QAS 16-Feb-23
Laboratory Number: BANGKATAN-CBR-200-01
DENSITY DETERMINATION MOISTURE CONTENT

NO. OF BLOWS NO. OF BLOWS
TEST SAMPLE TEST NUMBER
65 30 10 65 30 10
Mold Identification C D Can number 2 4 6 8
Compacted sample + mold, g 14335 14103 Can + wet soil 188.10 179.13 185.77 192.15
Wt. of mold, g 9513 9540 Can + oven dry soil 177.42 169.04 175.21 181.22
Wt. of sample, g 4822 4563 Wt. of water 10.68 10.09 10.56 10.93
Volume of mold 2.125 2.125 Wt. of can 25.25 25.27 25.29 25.31
Wet Density, g/cm³ 2269.18 2147.29 Wt. of oven dry soil 152.17 143.77 149.92 155.91
Dry Density,g/cm³ 2120.33 2006.25 Moisture Loss,% 7.02 7.02 7.04 7.01
NOTE: Allowable variation from optimum is plus or minus 0.5%. If Average Moisture Loss% 7.02 7.03
variation exceeds allowable discard specimen and mold another to meet
the requirements M.C. After Penetration
SOAKED SAMPLE SWELL DATA

Swell, % = swell / ht
Mold I.D. Date Molded 1st Day 2nd Day 3rd Day 4th Day
of soil, mm
Sample No.
1 65 - C 11-Mar-22 4 8 8 6.4
2 30 - D 11-Mar-22 8 14 14 11.2
3
SOAKED COMPACTED VALUES

Penetration Test Sample 65 Blows Penetration Test Sample 30 Blows
(mm) Dial Load Load Corrected Std. CBR (mm) Dial Load Load Corrected Std. CBR
Reading kg. (kg./cm² (kg./cm²) Load (%) Reading kg. (kg./cm² (kg./cm² Load (%)
0 0 0 0 0 0 0 0
0.6350 2.25 60.89 3.15 0.6350 1.05 28.30 1.46
1.2700 9.65 261.13 13.50 1.2700 6.83 184.07 9.51
1.9100 18.75 507.38 26.22 1.9100 14.36 387.00 20.00
2.5400 25.44 688.41 35.58 43.8 70.3 62.30 2.5400 18.95 510.70 26.39 32.00 70.3 45.52
3.8100 34.21 925.72 47.84 3.8100 25.77 694.50 35.89
5.0800 40.2 1087.81 56.22 60 105.7 56.76 5.0800 30.45 820.63 42.41 44.00 105.7 41.63
7.6200 50.1 1355.71 70.06 7.6200 36.35 979.63 50.63
10.1600 55.74 1508.32 77.95 10.1600 41.54 1119.50 57.86
Piston Area 19.35 cm²

Max. Dry Density(MDD) 2100
Optimum Moisture Content(OMC) 7.80%
Calibration Factor 27.06 kgs.
PREPARED / TESTED BY: Submitted By:

ENGINEER II Engineer-III
Chief QAS Section
Kind of Material : Embankment Spec's Item No. : 200(1)
Sampled By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES 2/16/2023
Tested By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES 2/16/2023
Computed By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES 2/16/2023
==================================================================
Lab. No. RAB-LLPL-200(1)-01
Moisture Loss, g 1.18 1.38 1.41 1.7 1.6 1.64
Container, g 29.80 29.60 29.70 28.90 27.40 26.40
Dry Soil, g 4.34 4.8 4.13 4.73 8.15 9.06
FLOW CURVE
37 SIEVE ANALYSIS
36
35
34
No. 10 36
M 33
No. 40 20
C 32
No. 200 7
% 31

29 Plastic Limit 19
27 Group Index 0


Kind of Material : Embankment Spec's Item No. : 200(1)
Sampled By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES 2/16/2023
Tested By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES 2/16/2023
Computed By : Contractor's Tech. MIDR CONSTRUCTION & SUPPLIES 2/16/2023
=============================================================================================================
Lab. No. RAB-LLPL-200(1)-02
Moisture Loss, g 1.18 1.38 1.41 1.7 1.6 1.64
Container, g 29.85 29.65 29.75 28.94 27.40 26.40
Dry Soil, g 4.34 4.8 4.13 4.73 8.15 9.06
FLOW CURVE
37 SIEVE ANALYSIS
36
35
34
No. 10 36
M 33
No. 40 20
C 32
No. 200 7
% 31
29 Plastic Limit 19
27 Group Index 0


REPRESENTING: 1st Layer 0.15 M. to ___________________.
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = == = = = = = = = = = = = = = = =

4. Container, m3 (3)/ 1000 0.00425
dry sand, kg. 8.70
6. Air-dry sand, kg. (5) - (2) 6.45
kg. /m3 (6- / (4) 1517.65
1 2 3
11. Container + Wet soil, g. 154.28 153.65 153.61 153.82 153.99 153.81
12. Container + Dry soil, g. 143.00 144.30 144.40 144.80 144.75 144.85
13. Moisture, g. (11) - (12) 11.28 9.35 9.21 9.02 9.24 8.96
14. Container, g. 18.50 18.50 18.50 18.50 18.50 18.50
15. Dry Soil, g. (12) - (14) 124.50 125.80 125.90 126.30 126.25 126.35
16. Actual Moisture Content (13)/(15)x100 9.06 7.43 7.32 7.14 7.32 7.09
Content, % 8.25 7.23 7.21
FIELD DENSITY TEST
18. Total matl. taken from hole, kg. 6.00 5.99 5.90
19. Mass of jar - Sand, kg. 9.960 9.980 9.990
20. Mass of jar+Sand,kg.(after pouring) 4.47 4.49 4.51
21. Sand to fill hole, kg. (19) - (20) - 10) 3.900 3.900 3.890
22. Volume of hole, m3 (21) / (7) 0.002570 0.002570 0.002563
23. Wet unit weight, kg. / m3 (18) / (22) 2334.84 2330.95 2301.83
24. Dry Unit Weight,kg.M3(23)/(1+(17)/100) 2156.97 2173.82 2147.13
a) Maximum dry density, kg. /m3 2148 2148 2148
b) Optimum Moisture Content 9.00 9.00 9.00
26.Degree of Compaction(24)/(25 a)x100 100% 101% 100%

Materials Engineer Engineer II Engineer III
Chief, QAS MODEO
================================================= ==============================

4. Container, m3 (3)/ 1000 0.00425
dry sand, kg. 8.70
6. Air-dry sand, kg. (5) - (2) 6.45
kg. /m3 (6- / (4) 1517.65
4 5 6
13. Moisture, g. (11) - (12) 11.69 11.72 11.43 11.41 11.37 11.29
14. Container, g. 15.25 15.25 15.30 15.35 15.37 15.52
15. Dry Soil, g. (12) - (14) 143.51 143.71 143.96 144.06 144.26 144.29
Content, % 8.15 7.93 7.85
FIELD DENSITY TEST
22. Volume of hole, m3 (21) / (7) 0.002596 0.002497 0.002557
a) Maximum dry density, kg. /m3 2147.87353784361 2147.87353784361 2147.87353784361

Chief, QAS MODEO
================================================= ==============================

4. Container, m3 (3)/ 1000 0.00425
dry sand, kg. 8.70
6. Air-dry sand, kg. (5) - (2) 6.45
kg. /m3 (6- / (4) 1517.65
7 8 9
13. Moisture, g. (11) - (12) 10.78 10.43 10.38 10.51 11.33 10.73
14. Container, g. 15.25 15.25 15.36 15.37 15.37 15.35
15. Dry Soil, g. (12) - (14) 144.85 145.55 145.14 145.50 144.98 144.77
Content, % 7.30 7.19 7.61
FIELD DENSITY TEST
22. Volume of hole, m3 (21) / (7) 0.002622 0.002478 0.002510

Chief, QAS MODEO
================================================= ==============================

4. Container, m3 (3)/ 1000 0.00425
dry sand, kg. 8.70
6. Air-dry sand, kg. (5) - (2) 6.45
kg. /m3 (6- / (4) 1517.65
10 11 12
13. Moisture, g. (11) - (12) 11.79 10.69 10.38 10.51 11.33 10.73
14. Container, g. 15.25 15.36 15.36 15.37 15.37 15.35
15. Dry Soil, g. (12) - (14) 144.10 144.64 145.14 145.50 144.98 144.77
Content, % 7.79 7.19 7.61
FIELD DENSITY TEST
22. Volume of hole, m3 (21) / (7) 0.002576 0.002478 0.002510

Chief, QAS MODEO
================================================= ==============================

4. Container, m3 (3)/ 1000 0.00425
dry sand, kg. 8.70
6. Air-dry sand, kg. (5) - (2) 6.45
kg. /m3 (6- / (4) 1517.65
13 14 15
13. Moisture, g. (11) - (12) 11.93 11.56 13.06 10.92 11.88 10.56
14. Container, g. 15.30 15.25 15.37 15.35 15.25 15.56
15. Dry Soil, g. (12) - (14) 144.35 144.87 143.25 144.93 145.02 144.76
Content, % 8.12 8.33 7.74
FIELD DENSITY TEST
22. Volume of hole, m3 (21) / (7) 0.002464 0.002583 0.002629

Chief, QAS MODEO

================================================= ==============================

4. Container, m3 (3)/ 1000 0.00425
dry sand, kg. 8.70
6. Air-dry sand, kg. (5) - (2) 6.45
kg. /m3 (6- / (4) 1517.65
16 17 18
11. Container + Wet soil, g. 170.88 171.40
12. Container + Dry soil, g. 159.36 159.85
13. Moisture, g. (11) - (12) 11.52 11.55
14. Container, g. 15.37 15.25
15. Dry Soil, g. (12) - (14) 143.99 144.60
16. Actual Moisture Content (13)/(15)x100 8.00 7.99
Content, % 7.99
FIELD DENSITY TEST
18. Total matl. taken from hole, kg. 6.12
19. Mass of jar - Sand, kg. 10.020
20. Mass of jar+Sand,kg.(after pouring) 4.47
21. Sand to fill hole, kg. (19) - (20) - 10) 3.960
22. Volume of hole, m3 (21) / (7) 0.002609
23. Wet unit weight, kg. / m3 (18) / (22) 2345.45
24. Dry Unit Weight,kg.M3(23)/(1+(17)/100) 2171.84
a) Maximum dry density, kg. /m3 2147.87353784361
b) Optimum Moisture Content 9.00
26.Degree of Compaction(24)/(25 a)x100 101%

Chief, QAS MODEO
Lab. Report No. RSB(16) - 03 - 01 - 23

TEST REPORT ON REINFORCING STEEL Date February 27, 2022
Name of Project : Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
Kind of Materials : Reinforcing Steel Bar (16mmØ, deformed)
Sample Identification : RSB16mmD-1
Quantity Represented : 10, 000 kgs/sample
Sampled at : Stockpile
Original Source : Steel Asia
Supplied by : MIDR CONSTRUCTION & SUPPLIES
Proposed Use : Reinforcement
Spec's Item No. : AASHTO M 31, Grade 280 (40)
Submitted by : MARK IAN M. DELOS REYES MIDR CONSTRUCTION & SUPPLIES February 23, 2022
(Name and Designation) (Office) (Date Received)
Lab. No. RSB(16) - 03 - 01 - 23
TESTS REQUIREMENTS RESULTS
Tensile Properties:
Yield Point, Mpa 280 Min. 359.85
Tensile Strength, Mpa 420 Min. 541.62
Elongation, % 12 Min. 13.81
Bending Properties: No cracking on outside No cracking on outside

Degree bent, 180 degrees bent portion bent portion
Unit Mass, kg/m 1.552 1.488
Variation in mass, % -6.0 Max. under nominal mass 4.30 under nominal mass
Deformation, mm.
Spacing, average 11.10 Max. 10.76
Height, average 0.71 Min. 1.37
Gap 6.10 Max 4.27
Phosphorous Content 0.06 Max. 0.037
REMARKS: Sample meets specification on test performed.
Tested by: Checked by:

GRACE M. MANONGSONG
#VALUE!
MERCEDES G. ASPI
Chief, Quality Assurance Section
GRACE M. MANONGSONG
Engineer II
Attested by:
ERWIN D.G. UMALI

OIC-District Engineer
Date Tested: 27-February-2022
Lab. Report No. RSB (12) - 03 - 01 - 23


Lab. No. RSB (12) - 03 - 01 - 23

Tensile Properties:
Deformation, mm.
Gap 4.90 Max. 4.15
REMARKS:
Sample meets specification on test performed except on variation in mass requirement. It can still be used provided that the
spacing of rebar should be adjusted based from the evaluation/recommendation of the Chief, Planning and Design Section and
furnish copy of revised plans and design computations for reference and file.
GRACE M. MANONGSONG
#VALUE!
MERCEDES G. ASPI
GRACE M. MANONGSONG
Engineer II
Attested by:
ERWIN D.G. UMALI

OIC - District Engineer
Lab. Report No. RSB (25) - 03 - 01 - 23

Lab. No. RSB (25) - 03 - 01 - 23
Tensile Properties:
Elongation, %

Deformation, mm.
Spacing, average 17.8 Max.
Height, average 1.27 Min.
Gap 9.7 Max.
Phosphorous Content 0.06 Max.
REMARKS: Sample meets specification on test performed except on variation in mass requirement. It can still be used provided that the
KEVIN E. GARCIA
Engineer II
MERCEDES G. ASPI
GRACE M. MANONGSONG
Engineer II
Attested by:
ERWIN D.G. UMALI

Region IV-B, MIMAROPA
Mindoro Oriental District Engineering Office
February 12, 2023

Lab. No.: I.R. - 01
Name of Project: Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental
Mindoro
Construction of Field Office for the Engineer
Item No.: A.1.1(3) (Area = 4m x 3m) 0.12 L.S.
INSPECTION REPORT
This is to certify that the equipment used in the aboved - mentioned project
were found to be in order abiding the required specification and contract
agreement.
This certification/inspection report is being issued upon for the absence of Quality Test
as per Quality Control Program for the said project.
CHECKED BY: CERTIFIED BY:

February 12, 2023

Lab. No.: I.R. - 02
Mindoro
Provision of Furniture/Fixtures & Appliances
Item No.: A.1.1.(22) for the living Quarters for the Engineer 0.54 Each
(Rental Basis)
INSPECTION REPORT
This is to certify that the materials used in the aboved - mentioned project
agreement.

February 12, 2023

Lab. No.: I.R. - 03
Mindoro
Provision of 4x2 Pick-up Type Service Vehicle

Item No.: A.1.2(4) 0.54 Months
for the Engineer on Bare Rental Basis
INSPECTION REPORT
agreement.

February 12, 2023
LAB. NUMBER : I.R. - 04

PROJECT : Mindoro
Item No.: A.1.2(6) Operation and Maintenance of 4x2 Pick-up 0.54 Months
Type Service Vehicle for the Engineer
INSPECTION REPORT
This is to certify that the materials used in the aboved - mentioned project listed
hereunder were found to be in order abiding the required specification and contract
agreement.

February 12, 2023

Lab. No.: I.R. - 05
Name of Project:
Mindoro
Item No.: B.5 Project Billboard/Signboard 2.00 ea
INSPECTION REPORT
agreement.
Materials Used:
a. Printed Tarpauline
b. Marine Plywood 1/4" thk
c. Cocolumber
d. CWN Assorted Sizes


February 12, 2023

Lab. No.: I.R. - 06
Name of Project:
Mindoro
Item No.: A.1.2(6) Occupational Safety & Health Program 0.54 L.S.
INSPECTION REPORT
agreement.
Materials Used:
a. Safety Shoes
b. Safety Helmet
c. Safety Gloves

February 12, 2023

LAB. NUMBER : I.R. - 07
PROJECT : Mindoro
Item No.: B.8 (2) Traffic Management 0.12 L.S.
CERTIFICATION
agreement.

February 12, 2023

Lab. No.: I.R. - 08
Name of Project: Mindoro
Item No.: B.9 Mobilization/Demobilization 0.50 L.S.
INSPECTION REPORT
agreement.


February 22, 2023

Lab. No.: I.R. - 09
506(1) Stone Masonry 409.99 cu.m.

Item No.:
INSPECTION REPORT
agreement.
506(1) a) Wheep Hole (3" PVC)

b) Filter Cloth
c) Boulders


February 23, 2023

Lab. No.: I.R. - 10
Structural Concrete Class B (18 Mpa) -
Item No.: 405 (2)
Wheel Guard
11.18 cu.m.
INSPECTION REPORT
agreement.
405(2)c a) Lumber, Good - 4 uses

b) Marine Plywood (1/2" x 4' x 8') 4 uses
c) Assorted CWN (1kg/100 bd-ft of Lumber)


February 23, 2023

Lab. No.: IR - 11
Item No.: Portland Cement Concrete Pavement
311 (1)
(Unreinforced)
1,700.00 sq.m.
CERTIFICATION
This is to certify that the Water used for the Item 311(1)c1(l) PCCP
for the afformentioned project, was clean, hence no test is required.

iental
L.S.
iental
Each
iental
Months
iental
iental
iental
iental
iental
iental
iental
iental
Item No. Description Unit QTY
A.1.1(3) Construction of Field Office for the Engineer (Area = 4m x 3m) 1.00 l.s.
Provision of Furniture/Fixtures & Appliances for the living Quarters
A.1.1.(22) 4.53 month
for the Engineer (Rental Basis)
Provision of 4x2 Pick-up Type Service Vehicle for the Engineer on Vehicle-
A.1.2(4) 4.53
Bare Rental Basis Month
Operation and Maintenance of 4x2 Pick-up Type Service Vehicle for Vehicle-
A.1.2(6) 4.53
the Engineer Month
B.5 Project Billboard/Signboard 2.00 each
B.7 (1) Occupational Safety & Health Program 4.53 Months
B.8 (2) Traffic Management 1.00 l.s.
B.9 Mobilization/Demobilization 1.00 l.s.
102(2) Surplus Common Roadway Excavation 3813.54 cu.m.
105 (1) a Subgrade Preparation,Common Material 949.60 sq.m.
200(1) Aggregate Subbase Course 2079.40 cu.m.
311 (1) b1 Portland Cement Concrete Pavement (Unreinforced) 0.20 m thick 6257.00 sq.m.
404 (1) a Reinforcing Steel, Grade 40 4199.35 kgs
405 (2) c Structural Concrete Class B (18 Mpa) - Wheel Guard 56.77 cu.m.
506 (1) Stone Masonry 1045.56 cu.m.
2/12/2023
136
Tuesday, June 27, 2023
FEBRUARY MARCH JUNE
12-15 16-22 23-28 1-7 8-15 16-21 22-31 1-7 8-15
0.12 0.12
0.54 0.135 0.135 0.135 0.135
0.54 0.135 0.135 0.135 0.135
0.54 0.135 0.135 0.135 0.135
2.00 2
0.54 0.135 0.135 0.135 0.135
0.12 0.03 0.03 0.03 0.03
0.50 0.03 0.03 0.03 0.03
1,635.57 817.785 817.785
364.60 182.30 182.30
506.01 253.01 253.01
1,700.00 850.00 850.00
577.20 192.40 192.40 192.40
11.18 5.59 5.59
409.99 205.00 205.00
JUNE JULY
16-21 22-30 1-7 8-15 16-21 22-27
Date: February 24, 2023

LAB. NUMBER: RAB-TM-01
SOURCE OF MIXTURE : Jobsite DESIGN STR. IN 14 DAYS 4.5 Mpa
TESTED BY: QAS PERSONNEL DPWH February 24, 2023
COMPUTED BY: QAS PERSONNEL DPWH February 24, 2023
Mpa Mpa
TM-A TRIAL MIX 3/11/2022 7 4.69 4.50
TM-B TRIAL MIX 3/11/2022 7 4.57 4.50
TM-C TRIAL MIX 3/11/2022 7 4.64 4.50
X-X-X-X
==================================================== ================
REMARKS:
MQC personnel.


SAMPLED BY: Contractor's Personnel MIDR CONSTRUCTION & SUPPLIES
(Name and Designation) (Office)
TESTED BY: QAS PERSONNEL DPWH August 15, 2022
COMPUTED BY: QAS PERSONNEL DPWH August 15, 2022
SAMPLE PART OF STRUCTURE DATE AGE COMPRESSIVE GOVERNING
Mpa Mpa
TM-A TRIAL MIX 8/1/2022 14 20.89 20.68
TM-B TRIAL MIX 8/1/2022 14 20.99 20.68
TM-C TRIAL MIX 8/1/2022 14 20.87 20.68
X-X-X-X
======================================================
REMARKS:
MQC personnel.
ROBERT M. GONDA MERCEDES G. ASPI

Date: April 22, 2023

SAMPLED BY: Contractor's Personnel MIDR CONSTRUCTION & SUPPLIES April 8, 2023
TESTED BY: QAS PERSONNEL DPWH April 22, 2023
COMPUTED BY: QAS PERSONNEL DPWH April 22, 2023
Mpa Mpa
RS-FT-01-A 0+000.00 to 0+400.00 4/8/2023 14 4.73 4.50
RS-FT-01-B 0+000.00 to 0+400.00 4/8/2023 14 4.94 4.50
RS-FT-01-C 0+000.00 to 0+400.00 4/8/2023 14 4.82 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.

Date: August 16, 2022

LAB. NUMBER: BIN-FT-02
SAMPLED BY: Contractor's Personnel LINKS BUILDERS AND ENTERPRISES
Mpa Mpa
RS-FT-03-A 0+150.00 - 0+300.00 8/2/2022 14 4.81 4.50
RS-FT-03-B 0+150.00 - 0+300.00 8/2/2022 14 4.92 4.50
RS-FT-03-C 0+150.00 - 0+300.00 8/2/2022 14 4.84 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.


Construction of Road, Sitio Binarilan, Canubing - Sityo Ilaya, Brgy. Malad, Calapan City,
PROJECT:
Oriental Mindoro
SAMPLED BY: Contractor's Personnel LINKS BUILDERS AND ENTERPRISES August 3, 2022
Mpa Mpa
RS-FT-04-A 0+300.00 0+450.00 8/3/2022 14 4.79 4.50
RS-FT-04-B 0+300.00 0+450.00 8/3/2022 14 4.58 4.50
RS-FT-04-C 0+300.00 0+450.00 8/3/2022 14 4.65 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.


PROJECT:
Oriental Mindoro
SAMPLED BY: Contractor's Personnel LINKS BUILDERS AND ENTERPRISES August 4, 2022
Mpa Mpa
RS-FT-06-A 0+450.00 - 0+600.00 8/4/2022 14 4.69 4.50
RS-FT-06-B 0+450.00 - 0+600.00 8/4/2022 14 4.75 4.50
RS-FT-06-C 0+450.00 - 0+600.00 8/4/2022 14 4.92 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.

Date: September 30, 2022

PROJECT:
Oriental Mindoro
SAMPLED BY: Contractor's Personnel LINKS BUILDERS AND ENTERPRISES September 16, 2022
TESTED BY: QAS PERSONNEL DPWH September 30, 2022
COMPUTED BY: QAS PERSONNEL DPWH September 30, 2022
Mpa Mpa
RS-FT-05-A 0+600.00 - 0+750.00 9/16/2022 14 4.95 4.50
RS-FT-05-B 0+600.00 - 0+750.00 9/16/2022 14 4.83 4.50
RS-FT-05-C 0+600.00 - 0+750.00 9/16/2022 14 4.70 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.
CARLO C. MANALO MERCEDES G. ASPI

Date: October 1, 2022

PROJECT:
Oriental Mindoro
TESTED BY: QAS PERSONNEL DPWH October 1, 2022
COMPUTED BY: QAS PERSONNEL DPWH October 1, 2022
Mpa Mpa
RS-FT-06-A 0+750.00 - 0+900.00 9/17/2022 14 4.92 4.50
RS-FT-06-B 0+750.00 - 0+900.00 9/17/2022 14 4.85 4.50
RS-FT-06-C 0+750.00 - 0+900.00 9/17/2022 14 4.73 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.


PROJECT:
Oriental Mindoro
Mpa Mpa
RS-FT-07-A 0+900.00 - 0+126.00 9/18/2022 14 4.94 4.50
RS-FT-07-B 0+900.00 - 0+126.00 9/18/2022 14 4.88 4.50
RS-FT-07-C 0+900.00 - 0+126.00 9/18/2022 14 4.76 4.50
X-X-X-X R/S L/S
======================================================
REMARKS:
MQC personnel.


PROJECT:
Oriental Mindoro
Mpa Mpa
RS-FT-08-A 0+126.00 - 0+276.00 9/23/2022 14 4.95 4.50
RS-FT-08-B 0+126.00 - 0+276.00 9/23/2022 14 4.88 4.50
RS-FT-08-C 0+126.00 - 0+276.00 9/23/2022 14 4.76 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.


PROJECT:
Oriental Mindoro
Mpa Mpa
RS-FT-09-A 0+276.00 - 0+426.00 9/24/2022 14 4.96 4.50
RS-FT-09-B 0+276.00 - 0+426.00 9/24/2022 14 4.88 4.50
RS-FT-09-C 0+276.00 - 0+426.00 9/24/2022 14 4.76 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.


PROJECT:
Oriental Mindoro
Mpa Mpa
RS-FT-10-A 0+426.00 - 0+576.00 9/28/2022 14 4.95 4.50
RS-FT-10-B 0+426.00 - 0+576.00 9/28/2022 14 4.86 4.50
RS-FT-10-C 0+426.00 - 0+576.00 9/28/2022 14 4.76 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.


PROJECT:
Oriental Mindoro
Mpa Mpa
RS-FT-11-A 0+576.00 - 0+726.00 9/29/2022 14 4.94 4.50
RS-FT-11-B 0+576.00 - 0+726.00 9/29/2022 14 4.87 4.50
RS-FT-11-C 0+576.00 - 0+726.00 9/29/2022 14 4.78 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.


PROJECT:
Oriental Mindoro
Mpa Mpa
RS-FT-12-A 0+726.00 - 0+924.00 9/30/2022 14 4.94 4.50
RS-FT-12-B 0+726.00 - 0+924.00 9/30/2022 14 4.88 4.50
RS-FT-12-C 0+726.00 - 0+924.00 9/30/2022 14 4.76 4.50
RS-FT-12-D 0+726.00 0+924.00 9/30/2022 14 4.82 4.50
RS-FT-12-E 0+726.00 0+924.00 9/30/2022 14 4.77 4.50
RS-FT-12-F 0+726.00 0+924.00 9/30/2022 14 4.90 4.50
X-X-X-X
======================================================
REMARKS:
MQC personnel.

DZEE Builders & Construction

PREPARED BY: MARK IAN M. DELOS REYES ME Supply
LAB. NUMBER: BANGKATAN BACO ROAD-DM-311-01
Manufactured/Natural : /X/ Natural Rounded /X/ Angular// Rounded
Specific Gravity (SSD)_ 2.64 Abrasion Loss (%) 23.18
Unit, Wt. Kg./m3 (loose) __ 1577.72 Absorption, % 0.38
====================================================
Class of Concrete "A" Cement Factor, bags/m3 ____9.00______ 9.10
Flexural Strength, PSI 3000 Slump, mm ____76.20_______________
100
Cement: 40 Total Agg. : _ 196.71
=============================================== ===
Total Correction (%) ______ -1.96 (From Table of Adjustments)
Absolute Volume of Coarse Aggregates, m3____ _____
0.041422

Cement 0.012698 3.15 1000 40.0 40
Fine Agg. 0.032595 2.64 1000 86.20 88.31
Coarse Agg. 0.041422 2.67 1000 110.50 113.18
Water 0.023175 1.00 1000 23.18 18.39
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = == = = = = = =
WILBERT MCKINLY NOCHE ROCKY TOM BERNARD S. ROMASANTA MERCEDES G. ASPI

PROJECT: 0
PREPARED BY: #REF! ME Green Artic Builders

LAB. NUMBER: MALBOG.BR-DM-405-01

Manufactured/Natural : /X/ Natural Rounded /X/ Angular// Rounded
Specific Gravity (SSD)_ 2.88 Abrasion Loss (%) 0.00
Absorption, % 0.32 Moisture Content, % #REF!
Unit, Wt. Kg./m3 (loose) __ 1478.71 Absorption, % #REF!
====================================================
Class of Concrete "A" Cement Factor, bags/m3 ____9.00______9.50
Flexural Strength, PSI 3000 Slump, mm ____76.20_______________
100
=============================================== ===
Total Correction (%) ______ -3.68 (From Table of Adjustments)
0.040770

Cement 0.012698 3.15 1000 40.0 40
Fine Agg. 0.029908 2.88 1000 86.22 87.91
Coarse Agg. 0.040770 0.00 1000 0.00 #REF!
Water 0.021888 1.00 1000 21.89 #REF!
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = == = = = = = =
#REF! ROBERT M. GONDA MERCEDES G. ASPI

PROJECT: 0
Lab. Report No. Q-FA-01

Date : April 11, 2022
TEST REPORT ON CONCRETE AGGREGATE
Kind of Material : Fine Aggregate
Sample Identification : TAGUMPAY POLA MPB-FA-01
Quantity Represented : 1500 cu.m.
Sample at : Jobsite Stockpile
Supplied by : #REF!
Proposed Use : Concrete works
Spec's Item No. : 900
Sampled by : Contractor's Tech. #REF! April 4, 2022
Submitted by : Quality Assurance Personnel DPWH-MODEO April 11, 2022
Lab. No. Q-FA-01

Sieve Analysis : Cumulative % passing Grading Grading
Sieve Size, mm (Grading 'A") Item 311,405,500 Item 311,405,500
9.50 mm ( 3/8" ) 100 #VALUE!
4.75 mm ( No. 4 ) 95 - 100 #REF!
2.36 mm ( No. 8 ) - #REF!
1.18 mm ( No. 16 ) 45 - 80 #REF!
0.600 mm ( No. 30 ) - #REF!
0.300 mm ( No. 50 ) 5 - 30 #REF!
0.150 mm ( No. 100 ) 0 - 10 #REF!
0.075 mm ( No. 200 ) 3 max #REF!
Fineness Modulus #REF!
Moisture Content #REF!
Bulk Specific Gravity #REF!
Absorption, % #REF!
Absorption,
Clay Lumps,%% 1 max #REF!
Soundness (Na4SO4), % Loss 10 max. #REF!
Organic Impurities (Colorimatic Test) Equal or Lighter than standard Lighter color
Dry Unit Mass, kg/m3
Loose #REF!
Rodded #REF!
REMARKS
Passed gov't. spec's.!
Tested by : Certified Correct:
MA. VIVIENE M. TOLENTINO ROCKY TOM BERNARD S. ROMASANTA

Laboratory Technician I Engineer II
Checked by: Attested by:
KEVIN E. GARCIA MERCEDES G. ASPI

Engineer II Chief, Quality Assurance Section
Lab. Report No. Q-CA-01

Date : April 11, 2022
TEST REPORT ON CONCRETE AGGREGATE
Kind of Material : Coarse Aggregate
Sample Identification : TAGUMPAY POLA MPB-CA-01
Quantity Represented : 1500 cu.m.
Sample at : Jobsite Stockpile
Supplied by : #REF!
Proposed Use : Concrete works
Spec's Item No. : 900
Sampled by : Contractor's Tech. #REF! April 4, 2022
Submitted by : Quality Assurance Personnel DPWH-MODEO April 11, 2022
Lab. No. Q-CA-01

Sieve Analysis : Cumulative % passing Grading Grading
Sieve Size, mm (Grading 'A") Item 311,405,500 Item 311,405,500
63.00 mm ( 21/2" )
50.00 mm ( 2" )
37.50 mm ( 11/2" ) 100
25.00 mm ( 1" ) 95-100 #REF!
19.00 mm ( 3/4" ) - #REF!
12.50 mm ( 1/2" ) 25-60 #REF!
9.50 mm ( 3/8" ) - #REF!
4.75 mm ( No. 4 ) 0-10 #REF!
0.075 mm ( No. 200 ) 1 max. #REF!
Moisture Content #REF!
Abrasion Loss (LAM), % 40 max. #REF!
Fractured Face, % - -
Bulk Specific Gravity #REF!
Absorption, % #REF!
Clay Lumps, % 0.25 max. #REF!
Soundness (Na2SO4), % Loss 12 max. #REF!
Dry Unit Mass, kg/m3
Loose #REF!
Rodded #REF!
REMARKS
Passed gov't. spec's.!
Tested by : Certified Correct:
MA. VIVIENE M. TOLENTINO ROCKY TOM BERNARD S. ROMASANTA

Laboratory Technician I Engineer II
Checked by: Attested by:
KEVIN E. GARCIA MERCEDES G. ASPI

Q-FA-01
April 11, 2022
POL.MUNBLDG-FA-01
Construction / Improvement of Pola Municipal Building, Pola, Oriental Mindoro
#REF!
#REF!
April 4, 2022
(Date)
April 11, 2022 April 18, 2022
(Date Received)
ESULTS
Grading
VALUE!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
ghter color
#REF!
#REF!
MASANTA
ection
Q-CA-01
April 11, 2022
#REF!
April 4, 2022
(Date)
April 11, 2022
(Date Received)
ESULTS
Grading
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
-
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
MASANTA
ection
WORKSHEET FOR QUALITY TEST
Date: March 1, 2023
(Number) (Name) (City/Town/ Province)
KIND OF MATERIALS: Fine Aggregates .
SAMPLE IDENTIFICATION: RAG-CA QUANTITY REP. 1,500.00 cu.m.
SAMPLED AT: Jobsite
PROPOSED USED: Conc. Works SPEC'S ITEM No.: 506(1) b
SAMPLED BY: MQC Personnel MQC-DPWH February 22, 2023
COMPUTED BY: Contractor"s Personnel MQC-DPWH March 1, 2023
=============================================================
---------------------------------------------------------------------------------
LAB. NUMBER: RAB-506-QTFA-01
SIEVE ANALYSIS:
50.00 MM 37.50 MM 25.00 MM 19.00 MM 12.50 MM 9.50 MM 4.75 MM
SIEVE SIZE 2" 1 1/2" 1" 3/4" 1/2" 3/8" No. 4
REQUIREMENTS 95-100 35-70 10-30 - 0-5
RESULTS 96 86 55 30 14 4 2
==========================================================
TESTS Materials Abrasion Fractured Specific Absorption Priable
0.075 mm Loss, % Face Gravity Percentage Particles
REQUIREMENTS 0-3 40 max. - - - -
RESULTS 2.00 0.00 2.79 0.394 NT
==============================================================
TESTS Soundness Organic Clay Dry Unit Wt.,Kg/m3 Mortar

Na SO4 Loss Impurities Lumps Loose Rodded Strength
REQUIREMENTS 12% max. - - -
RESULTS 7.457% 1648.59 1795.99 NT
REMARKS : Materials tested passed and meet specification requirements.

PREPARED BY: MARK IAN M. DELOS REYES ME MIDR CONSTRUCTION & SUPPLIES
Specific Gravity (SSD)_ 2.68 Abrasion Loss (%) 22
Unit, Wt. Kg./m3 (loose) __ 1548.51 Absorption, % 0.96
==================================================== =====================
Class of Concrete "A" Cement Factor, bags/m3 ____9.00______ 9.10
Compressive Strength, MPA 4.5 Slump, mm ____76.20_______________
100
=============================================== === =====================
Total Correction (%) ______ 0.00 (From Table of Adjustments)
0.041711

Cement 0.012698 3.15 1000 40.0 40
Fine Agg. 0.035532 2.68 1000 95.22 96.53
Coarse Agg. 0.041711 2.68 1000 111.79 113.02
Water 0.019949 1.00 1000 19.95 17.41
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = == = = = = = =

PREPARED BY: MARK IAN M. DELOS REYES MTE Contractor

Finess Modulus 10 Maximum size, mm 19.00
Specific Gravity (SSD)_ 2 Abrasion Loss (%) 0
Moisture Content, % 5 Specific Gravity(SSD) 0
Absorption, % 1 Moisture Content, % 2.06
Unit, Wt. Kg./m3 (loose) __ 2.68 Absorption, % 0
Type & Brand of Cement : Type 1 / Fortune Unit Wt., kg./m3 (loose) 0
==================================================== =====================
Class of Concrete "A" Cement Factor, bags/m3 ____9.00______9.10
Compressive Strength, MPA 3000 Slump, mm ____76.20_______________
100
=============================================== === =====================
Total Correction (%) ______ 0.00 (From Table of Adjustments)
0.052484

Cement 0.012698 3.15 1000 40.0 40
Fine Agg. 0.044708 2.00 1000 89.42 92.99
Coarse Agg. 0.052484 0.00 1000 0.00 0.00
Water 0.000000 1.00 1000 0.00 -3.58
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = == = = = = = =

Project Data Report
NAME OF PROJECT: 23ED0006 - Construction of Road, Sitio Rubia to Sta. Ana, Barangay
Bangkatan, Baco, Oriental Mindoro
FUND: GAA 2023
LOCATION / PROVINCE: Baco, Oriental Mindoro
CONTRACT AMOUNT: P 19,266,428.54
EFF. OF CONTRACT: February 12, 2023
CONTRACT TIME: 136 Calendar Days
PREPARED BY: CHECKED BY:

NOTED BY:
ERWIN DG. UMALI

Lab. Report No: MODEO-RSB-1-17-22(12)
January 17, 2022
TEST REPORT ON REINFORCING STEEL
Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco,

Project : Oriental Mindoro
Kind of Material : Reinforcing Steel Bar (12mmØ, deformed)
Sample identification : NAUJAN STP-1-13-22-12MM
Quantity represented : 10,000 kgs/sample
Original Source :
Proposed use : Reinforcement
Governing Specification : AASHTO M 31
Sampled by : Contractor's Personnel Contractor January 13, 2022
(Name & designation) (Office) (Date)
Submitted by : Contractor's Personnel Contractor January 13, 2022
(Name & designation) (Office) (Date received)
Lab. No. : RSB-1-13-22(12)
Tensile Properties
Yield Point, Mpa 280 Min. 420
Tensile Strength, Mpa 420 Min. 595
Elongation % 12 Min. 15.35
Actual Unit Mass, kg/m 0.994 0.83
Variation in mass -6.0 Max under nominal mass -16.3 under nominal mass
Deformation, mm
Gap 4.9 Max. 2.80
REMARKS: Sample meets specification on test performed except on variation in mass
It can still be used provided that the spacing of rebar should be
adjusted based on the evaluation/recommendation of the Chief Designer
KEVIN E. GARCIA
Engineer II
GARY F. QUINZON MERCEDES G. ASPI

Engineer I Chief, Quality Assurance Section
ATTESTED:
Witnessed by:
VICROSE JOSE D. DEMADARA ERWIN D.G. UMALI

Contractor's Representative OIC-District Engineer

May 22, 2021

Project : Mindoro
Sample identification : 3U-DRYER-OCCMIN-5-22-21-12MM
Original Source :
Supplied by : AGRI COMPONENT CORPORATION AND AGRICOMP MACHINERIES AND CONSTRUCTION CORPORATION
Proposed use :Reinforcement
Governing Specification :AASHTO M 31
Sampled by :Contractor's Personnel Contractor May 22, 2021
Submitted by : Contractor's Personnel Contractor May 22, 2021
Lab. No. : RSB-5-22-21(12)
Tensile Properties
Deformation, mm
Gap 4.9 Max. 4.10
Phospourous Content 0.06 Max 0.025
REMARKS: Sample meets specification on test performed except on variation in mass
It can still be used provided that the spacing of rebar should be
KEVIN E. GARCIA
Engineer II
REAH A. MONAKIL ALBIEN M. MAHIA

ATTESTED:
Witnessed by:
BERNADETTE AILENE M. DIZON ERWIN D.G. UMALI

Contractor's Representative Caretaker-Office of the District Engineer
Lab. Report No: PSPC-7-1-20(12)

July 2, 2020

Project : 2019 FFSU Project PSPC Calapan Terminal
Sample identification : PSPC-7-1-20-12MM
Original Source :
Supplied by :METALITE BUILDERS DEVELOPMENT CORP. INC.
Governing Specification :AASHTO M 31, Grade 420(60)
Sampled by :Contractor's Personnel Contractor July 1, 2020
Submitted by : Contractor's Personnel Contractor July 1, 2020
Lab. No. : RSB-7-1-20(12)
Tensile Properties
Deformation, mm
Gap 4.9 Max. 0.33
REMARKS: Sample meets specification on test performed except on variation in mass and
height requirement. It can still be used provided that the spacing of rebar should be
KEVIN E. GARCIA
Engineer I
ALBIEN M. MAHIA
GARY F. QUINZON Chief, Quality Assurance Section
Engineer I ATTESTED:
Witnessed by:
Mark Bajaro - Contractor Representative

NESTOR L. DEL ROSARIO
District Engineer

Project : Mindoro
Sample identification : RSB16mmD-1
Original Source :
Supplied by :MIDR CONSTRUCTION & SUPPLIES
Governing Specification :AASHTO M 31
Sampled by :Contractor's Personnel Contractor January 13, 2022
Submitted by : Contractor's Personnel Contractor January 13, 2022
Lab. No. : RSB-1-13-22(16)
TESTS REQUIREMENTS
Tensile Properties
Yield Point, Mpa 280 Min.
Tensile Strength, Mpa 420 Min.
Elongation % 12 Min.
Bending Properties: No cracking on outside
Degree bent, 180 degrees bent portion
Actual Unit Mass, kg/m 1.552
Variation in mass -6.0 Max under nominal mass
Deformation, mm
Spacing, average 11.1 Max.
Height, average 0.71 Min.
Gap 6.1 Max.
REMARKS: Sample meets specification on test performed
KEVIN E. GARCIA
Engineer II
Engineer I Chief, Quality Assurance Section
ATTESTED:
Witnessed by:
VICROSE JOSE D. DEMADARA ERWIN D.G. UMALI

Contractor's Representative OIC-District Engineer
ighways
INEER
ro
. Report No: MODEO-RSB-1-17-22(16)

January 17, 2022
a, Barangay Bangkatan, Baco, Oriental
tor January 13, 2022

) (Date)
tor January 13, 2022
) (Date received)
RESULTS
355
505
#DIV/0!
No cracking on outside
bent portion
#DIV/0!
10.50
3.40
3.60
MERCEDES G. ASPI
Quality Assurance Section
ERWIN D.G. UMALI

Date: March 2, 2023
SAMPLE IDENTIFICATION: RAB-311-CA QUANTITY REP. 1,500.00 cu.m.
SAMPLED AT: Jobsite
PROPOSED USED: Conc. Works SPEC'S ITEM No.: 311(1)f1
=============================================================
---------------------------------------------------------------------------------
SIEVE ANALYSIS:
50.00 MM 37.50 MM 25.00 MM 19.00 MM 12.50 MM 9.50 MM 4.75 MM
SIEVE SIZE 2" 1 1/2" 1" 3/4" 1/2" 3/8" No. 4
REQUIREMENTS 95-100 35-70 10-30 - 0-5
RESULTS 96 86 55 30 14 4 2
==========================================================
RESULTS 2.00 0.00 2.79 0.394 NT
==============================================================

RESULTS 7.457% 1648.59 1795.99 NT

Date: March 6, 2023
KIND OF MATERIALS: Coarse Aggregates .
SAMPLE IDENTIFICATION: RAB-FA QUANTITY REP. 1,500.00 cu.m.
SAMPLED AT: Jobsite
PROPOSED USED Conc. Works SPEC'S ITEM No.: 311 (1) f1
COMPUTED BY: Vivien M. Tolentino - L.T. I MQC-DPWH March 6, 2023
========================================================
---------------------------------------------------------------------------------
LAB. NUMBER: RAB- 311-QTFA-01

SIEVE ANALYSIS:
9.5 MM 4.75 MM 2.0 MM 1.18 MM 0.600MM 0.300 MM 0.150 MM
SIEVE SIZE 3/8" No. 4 No. 10 No. 16 No. 30 No. 50 No. 100
REQUIREMENTS 100 95 - 100 - 45 - 80 - 5 - 30 0 - 10
RESULTS 100 96 65 49 22 7
====================================================
Materials Absorption Abrasion Fractured Specific Priable
TESTS 0.075 mm. Percentage Loss (LAM) Face Gravity Particles
No. 200
REQUIREMENTS 0-3 - - - -
RESULTS 3.00 0.71 - 2.70 N/T
Soundness Organic Fineness Dry Unit Weight Mortar

TESTS Na SO4 Impurrties Modulus Loose (LAM) Rodded Strength
Loss ( Kg./m3) (Kg./m3)
REQUIREMENTS 10% max. - - - - -
RESULTS 5.95% NT 2.72 1629.72 1726.42 NT

Date: March 2, 2023
SAMPLE IDENTIFICATION: RAB-311-CA QUANTITY REP. 1,500.00 cu.m.
SAMPLED AT: Jobsite
PROPOSED USED: Conc. Works SPEC'S ITEM No.: 311-1
=============================================================
---------------------------------------------------------------------------------
SIEVE ANALYSIS:
50.00 MM 37.50 MM 25.00 MM 19.00 MM 12.50 MM 9.50 MM 4.75 MM
SIEVE SIZE 2" 1 1/2" 1" 3/4" 1/2" 3/8" No. 4
REQUIREMENTS 95-100 35-70 10-30 - 0-5
RESULTS 96 86 55 30 14 4 2
==========================================================
RESULTS 2.00 0.00 2.79 0.394 NT
==============================================================

RESULTS 7.457% 1648.59 1795.99 NT


Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3416 100 100
2" 50.0 mm 239 7 3177 93 90-100
1 1/2" 37.5 mm 1196 42 1981 58 35-70
1" 25.0 mm 1503 86 478 14 0-15
3/4" 19.0 mm 68 88 410 12 -
1/2" 12.5 mm 273 96 137 4 0-5
3/8" 9.5 mm 69 98 68 2 -
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 51 17 0.50 0-1
PAN 13
Wash Passing 200 4
TOTAL 3416

Lab No. RAB-G-311-FA-02 Original Weig 3506

Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3434 100 100
2" 50.0 mm 206 3228 94 90-100
1 1/2" 37.5 mm 1271 1957 57 35-70
1" 25.0 mm 1511 446 13 0-15
3/4" 19.0 mm 34 412 12
1/2" 12.5 mm 309 103 3 0-5
3/8" 9.5 mm 69 34 100
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 17 17 0.50 0-1
PAN 11
Wash Passing 200 6
TOTAL 3434


Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3416 100 100
2" 50.0 mm 239 7 3177 93 90-100
1 1/2" 37.5 mm 1196 42 1981 58 35-70
1" 25.0 mm 1503 86 478 14 0-15
3/4" 19.0 mm 68 88 410 12 -
1/2" 12.5 mm 273 96 137 4 0-5
3/8" 9.5 mm 69 98 68 2 -
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 51 17 0.50 0-1
PAN 13
Wash Passing 200 4
TOTAL 3416



Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3434 100 100
2" 50.0 mm 206 3228 94 90-100
1 1/2" 37.5 mm 1271 1957 57 35-70
1" 25.0 mm 1511 446 13 0-15
3/4" 19.0 mm 34 412 12
1/2" 12.5 mm 309 103 3 0-5
3/8" 9.5 mm 69 34 1
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 17 17 0.50 0-1
PAN 11
Wash Passing 200 6
TOTAL 3434


Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 3434 100 100
2" 50.0 mm 206 3228 94 90-100
1 1/2" 37.5 mm 1271 1957 57 35-70
1" 25.0 mm 1511 446 13 0-15
3/4" 19.0 mm 34 412 12
1/2" 12.5 mm 309 103 3 0-5
3/8" 9.5 mm 69 34 1
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 17 17 0.50 0-1
PAN 11
Wash Passing 200 6
TOTAL 3434


Kind of Materials : Fine Aggregate Specification Item No. : 311(1)
Sampled by : Contractor's Tech. LINKS BUILDERS AND ENTERPRISES February 23, 2023
Tested by : Contractor's Tech. LINKS BUILDERS AND ENTERPRISES February 24, 2023
Computed by : Contractor's Tech. LINKS BUILDERS AND ENTERPRISES February 24, 2023

Fineness Modulus : 2.61

3" 75.0 mm
2 1/2" 63.0 mm
2" 50.0 mm
1 1/2" 37.5 mm
1" 25.0 mm
3/4" 19.0 mm
1/2" 12.5 mm
3/8" 9.5 mm 0 3118 100 100
No. 4 4.75 mm 89 3 3029 97 95-100
No. 8 2.36 mm 281 12 2748 88
No. 10 2.00 mm - 2405 77
No. 16 1.18 mm 593 31 2155 69 45-80
No. 30 0.600 mm 500 47 1655 53
No. 40 0.425 mm - 1499 48
No. 50 0.300 mm 905 76 750 24 5-30
No. 100 0.150 mm 500 92 250 8 0-10
No. 200 0.075 mm 156 2.61 94 3 0-3
PAN 50
Wash Passing 200 44
TOTAL 3118


Date: March 6, 2023
SAMPLE IDENTIFICATION: RAB-FA QUANTITY REP. 1,500.00 cu.m.
SAMPLED AT: Jobsite
PROPOSED USED Conc. Works SPEC'S ITEM No.: 311 (1) b1 - f
COMPUTED BY: Vivien M. Tolentino - L.T. I MQC-DPWH March 6, 2023
========================================================
---------------------------------------------------------------------------------

SIEVE ANALYSIS:
9.5 MM 4.75 MM 2.0 MM 1.18 MM 0.600MM 0.300 MM 0.150 MM
REQUIREMENTS 100 95 - 100 - 45 - 80 - 5 - 30 0 - 10
RESULTS 100 96 65 49 22 7
====================================================
No. 200
RESULTS 3.00 0.71 - 2.70 N/T

RESULTS 5.95% NT 2.72 1629.72 1726.42 NT

RSB(12) - 03 - 01 - 23
TEST REPORT ON REINFORCING STEEL March 04, 2023
Sample Identification : RSB12mmD-404-1
Submitted by : MARK IAN M. DELOS REYES MIDR CONSTRUCTION & SUPPLIES -
Lab. No. 0
Tensile Properties:
Deformation, mm.
Gap 4.90 Max. 4.15
REMARKS:
GRACE M. MANONGSONG
#VALUE!
MERCEDES G. ASPI
GRACE M. MANONGSONG
Engineer II
Attested by:
ERWIN D.G. UMALI

Date Tested: 04-March-2023
Lab. Report No. MODEO- RSB-BANGKATAN (16)

TEST REPORT ON REINFORCING STEEL Date March 04, 2023
Lab. No. RSB-BANGKATAN (16)
Tensile Properties:

Deformation, mm.
Gap 6.10 Max 4.27
REMARKS: Sample meets specification on test performed.
KEVIN E. GARCIA
Engineer II
MERCEDES G. ASPI
GRACE M. MANONGSONG
Engineer II
Attested by:
ERWIN D.G. UMALI

Lab. Report No. MODEO- RSB-BANGKATAN (10)

TEST REPORT ON REINFORCING STEEL Date March 04, 2023
Lab. No. RSB-BANGKATAN (10)
Tensile Properties:

Deformation, mm.
Gap 3.60 Max. 3.10
REMARKS: spacing of rebar should be adjusted based from the evaluation/recommendation of the Chief, Planning and Design Section
and furnish copy of revised plans and design computations for reference and file.
KEVIN E. GARCIA
Engineer II
MERCEDES G. ASPI
GRACE M. MANONGSONG
Engineer II
Attested by:
ERWIN D.G. UMALI

Date: March 1, 2023
SAMPLE IDENTIFICATION: RAB-CA QUANTITY REP. 1,500.00 cu.m.
SAMPLED AT: Jobsite
PROPOSED USED: Conc. Works SPEC'S ITEM No.: 405 (2)
COMPUTED BY: MARK IAN M. DELOS REYES MQC-DPWH March 1, 2023
===================================================== ============================
---------------------------------------------------------------------------------
LAB. NUMBER: RAB-405-QTCA-01
SIEVE ANALYSIS:
50.00 MM 37.50 MM 25.00 MM 19.00 MM 12.50 MM 9.50 MM 4.75 MM
SIEVE SIZE 2" 1 1/2" 1" 3/4" 1/2" 3/8" No. 4
REQUIREMENTS 95-100 35-70 10-30 - 0-5
RESULTS 96 86 55 30 14 4 2
==========================================================
RESULTS 2.00 0.00 2.79 0.394 NT
==============================================================

RESULTS 7.457% 1648.59 1795.99 NT

Lab No. RAB-G-405-FA-01 Original Weig 3506

Fineness Modulus :

Weight Retained, gram %
English Metric % Retained Weigth passing, gram % passing Passing
3" 75.0 mm
2 1/2" 63.0 mm 0 3434 100 100
2" 50.0 mm 206 3228 94 90-100
1 1/2" 37.5 mm 1271 1957 57 35-70
1" 25.0 mm 1511 446 13 0-15
3/4" 19.0 mm 34 412 12
1/2" 12.5 mm 309 103 3 0-5
3/8" 9.5 mm 69 34 1
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 17 17 0.50 0-1
PAN 11
Wash Passing 200 6
TOTAL 3434


Fineness Modulus :

Weight Retained, gram %
English Metric % Retained Weigth passing, gram % passing Passing
3" 75.0 mm
2 1/2" 63.0 mm 0 3434 100 100
2" 50.0 mm 206 3228 94 90-100
1 1/2" 37.5 mm 1271 1957 57 35-70
1" 25.0 mm 1511 446 13 0-15
3/4" 19.0 mm 34 412 12
1/2" 12.5 mm 309 103 3 0-5
3/8" 9.5 mm 69 34 1
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 17 17 0.50 0-1
PAN 11
Wash Passing 200 6
TOTAL 3434

Date: March 1, 2023
SAMPLE IDENTIFICATION: RAB-CA QUANTITY REP. 1,500.00 cu.m.
SAMPLED AT: Jobsite
PROPOSED USED: Conc. Works SPEC'S ITEM No.: 405 (2) c - f
========================================================
---------------------------------------------------------------------------------

SIEVE ANALYSIS:
9.5 MM 4.75 MM 2.0 MM 1.18 MM 0.600MM 0.300 MM 0.150 MM
REQUIREMENTS 100 95 - 100 - 45 - 80 - 5 - 30 0 - 10
RESULTS 100 96 65 49 22 7
====================================================
No. 200
RESULTS 3.00 0.71 - 2.70 N/T

RESULTS 5.95% NT 2.72 1629.72 1726.42 NT

Date: March 1, 2023
SAMPLE IDENTIFICATION: CBG-FMR-CA QUANTITY REP. 1,500.00 cu.m.
SAMPLED AT: Jobsite
PROPOSED USED: Conc. Works SPEC'S ITEM No.: 506(1) c
=============================================================
---------------------------------------------------------------------------------
LAB. NUMBER: RAB-506-QTCA-01
SIEVE ANALYSIS:
50.00 MM 37.50 MM 25.00 MM 19.00 MM 12.50 MM 9.50 MM 4.75 MM
SIEVE SIZE 2" 1 1/2" 1" 3/4" 1/2" 3/8" No. 4
REQUIREMENTS 95-100 35-70 10-30 - 0-5
RESULTS 96 86 55 30 14 4 2
==========================================================
RESULTS 2.00 0.00 2.79 0.394 NT
==============================================================

RESULTS 7.457% 1648.59 1795.99 NT

Kind of Materials : Coarse Aggregate Specification Item No. : 506(1) c


Fineness Modulus :

3" 75.0 mm
2 1/2" 63.0 mm 0 0 3650 100 100
2" 50.0 mm 137 4 3514 96 90-100
1 1/2" 37.5 mm 1391 42 2123 58 35-70
1" 25.0 mm 1611 86 512 14 0-15
3/4" 19.0 mm 109 89 403 11
1/2" 12.5 mm 257 96 146 4 0-5
3/8" 9.5 mm 73 98 73 2
No. 4 4.75 mm
No. 8 2.36 mm
No. 10 2.00 mm
No. 16 1.18 mm
No. 30 0.600 mm
No. 40 0.425 mm
No. 50 0.300 mm
No. 100 0.150 mm
No. 200 0.075 mm 41 32 0.88 0-1
PAN 17
Wash Passing 200 15
TOTAL 3652

Soundness test of Aggregate by used of Sodium Sulfate or Magnesium Sulfate

(AASHTO) T-104)
(Name of Project) (Province)
Kind of Materials: Fine and Coarse Aggregate Spec's. Item Number : 311
Sampled At: Tigkan River
(Given the accurate location as posible)
Tested By: MQC Personnel DPWH 27-Feb-23
Computed By: MQC Personnel DPWH 05-Mar-23
Laboratory Number: RAB-S-FA&CA-01
Sample Original Weight Test Weight Test Loss in Percent Wt. Average
SIEVE SIZE Grading Percent Fraction Before Fraction After Weight Loss (Corrected
Retained Test, gms. Test, gms. After Test, gms. After Test % Loss)
Passing Retained (A) (B) © (D) (E) (F)
SOUNDNESS TEST FOR FINE AGGREGATE
No. 30 No. 50 27% 100 91 9.00 9.00 2.43%

No. 16 No. 30 26% 100 92 8.00 8.00 2.08%
No. 8 No. 16 24% 100 93 7.00 7.00 1.68%
No. 4 No. 8 9% 100 92 8.00 8.00 0.72%
3/8" No, 4 14% 100
TOTAL 100% 500 6.91%
SOUNDNESS TEST FOR COARSE AGGREGATE
2 1/2" 1 1/2" 14% 3000.00 2648.00 352.00 11.73 1.643%

1 1/2" 3/4" 56% 1500.00 1402.00 98.00 6.53 3.659%
3/4" 3/8" 26% 1000.00 917.00 83.00 8.30 2.158%
3/8" No. 4 4% 300.00 0.000%
TOTAL 100% 5800.00 7.459%
Remarks/Recommendation: Passed
Prepared by: Submitted by:

TEST ON CLAY LUMPS OF FINE AGGREGATES
Lab. No.:
PROJECT:
KIND OF MATERIALS: SPECS. ITEM NO.:

TESTED BY:
COMPUTED BY
(M-R)
P= x 100
M
Where:
P = Percent of clay lumps and friable particles
M = Mass of test sample (for fine aggregate the mass of the portion coarser than
the 1.18 mm (No. 16) sieve and shall have a mass not less than 25 g)
R = Mass of particles retained on designated sieve
(M-R)
P= x 100
M
25 24.8
= x 100
25
P= 0.80 SPEC'S = 1% Max.
GRACE M. MANONGSONG MARK LESTER B. CABRAL MERCEDES G. ASPI

Engineer II Engineer II Engineer III
Lab. No.: RA-CL-FA-01
Naujan, Oriental Mindoro
KIND OF MATERIALS: Fine Aggregates SPECS. ITEM NO.: 311(1)
TESTED BY: MQC Personnel DPWH - MODEO February 28, 2023
COMPUTED BY MQC Personnel DPWH - MODEO March 1, 2023
(M-R)
P= x 100
M
Where:
(M-R)
P= x 100
M
25 24.8
= x 100
25
P= 0.80 SPEC'S = 1% Max.

(M-R)
P= x 100
M
Where:
(M-R)
P= x 100
M
25 24.8
= x 100
25
P= 0.80 SPEC'S = 1% Max.

(M-R)
P= x 100
M
Where:
(M-R)
P= x 100
M
25 24.8
= x 100
25
P= 0.80 SPEC'S = 1% Max.

TRIAL MIX -405

Source: Tigkan River
Cement Factor: 9.50 cu.m./bag
CEMENT 40.00 kgs

WATER 16.63 kgs
FINE AGGREGATES 70.45 kgs
COARSE AGGREGATES 132.40 kgs
TOTAL 259.48 kgs
Weight of Concrete 98.2 kgs
Wt. of Concrete
WEIGHT = (Wt. of Ind. Materials)
Total Wt. of Mat'ls
98.2
CEMENT = 40.00 = 15.14 kgs
259.48
98.2
FA = 70.45 = 26.66 kgs
259.48
98.2
CA = 132.40 = 50.11 kgs
259.48
98.2
WATER = 16.63 = 6.29 kgs
259.48
Summary:
Cement 15.14 kgs
Fine Aggregates 26.66 kgs
Coarse Aggregates 50.11 kgs
Water 6.29 kgs
Prepared by: Certified by:
MARK IAN M. DELOS REYES GRACE M. MANONGSONG

Materials Engineer Materials Engineer
MIDR CONSTRUCTION & SUPPLIES DPWH-MODEO
Noted by:
MERCEDES G. ASPI
QAS-MODEO, Chief
TRIAL MIX -311

Source: Tigkan River
Cement Factor: 9.50 cu.m./bag
CEMENT 40.00 kgs

WATER 21.89 kgs
FINE AGGREGATES 92.84 kgs
COARSE AGGREGATES 108.98 kgs
TOTAL 263.70 kgs
Weight of Concrete 98.2 kgs
Wt. of Concrete
WEIGHT = (Wt. of Ind. Materials)
Total Wt. of Mat'ls
98.2
CEMENT = 40.00 = 14.90 kgs
263.70
98.2
FA = 92.84 = 34.57 kgs
263.70
98.2
CA = 108.98 = 40.58 kgs
263.70
98.2
WATER = 21.89 = 8.15 kgs
263.70
Summary:
Cement 14.90 kgs
Fine Aggregates 34.57 kgs
Coarse Aggregates 40.58 kgs
Water 8.15 kgs
Prepared by: Certified by:
MARK IAN M. DELOS REYES GRACE M. MANONGSONG

Materials Engineer Materials Engineer
MIDR CONSTRUCTION & SUPPLIES DPWH-MODEO
Noted by:
MERCEDES G. ASPI
QAS-MODEO, Chief
WORKSHEET FOR UNIT WEIGHT
PROJECT:
KIND OF MATERIALS: Fine Aggregate Spec's Item No.:
SAMPLED AT:
ORIGINAL SOURCE:
SAMPLED BY:
TESTED BY:
COMPUTED BY:
Lab. Number : BIN-UW-311-FA-01
LOOSE
I II III
1. Wt. of Container + sample, kg.
2. Wt. of Container, kg.
3. Sample, kg. (1) - (2)
4. Vol. of Container, cu.m.
5. Unit Weight/mass, kg/cu.m. (3) / (4)
Ave. Unit Weight
RODDED
I II III
3. Sample, kg. (1) - (2)
Ave. Unit Weight

PROJECT:
KIND OF MATERIALS: Coarse Aggregates Spec's Item No.:
SAMPLED AT:
ORIGINAL SOURCE:
SAMPLED BY:
TESTED BY:
COMPUTED BY:
Lab. Number : BIN-UW-311-CA-01
LOOSE
I II III
3. Sample, kg. (1) - (2)
Ave. Unit Weight
RODDED
I II III
3. Sample, kg. (1) - (2)
Ave. Unit Weight

KIND OF MATERIALS: Fine Aggregate Spec's Item No.: 311(1)
TESTED BY: MQC Personnel DPWH March 1, 2023
COMPUTED BY: MQC Personnel DPWH March 1, 2023
Lab. Number : BIN-UW-311-FA-01
LOOSE
I II III
1. Wt. of Container + sample, kg. 4.86 5.060 4.98
2. Wt. of Container, kg. 1.463 1.463 1.463
3. Sample, kg. (1) - (2) 3.397 3.597 3.517
4. Vol. of Container, cu.m. 0.0020200 0.0020200 0.0020200
5. Unit Weight/mass, kg/cu.m. (3) / (4) 1681.68 1780.69 1741.09
Ave. Unit Weight 1734.49
RODDED
I II III
3. Sample, kg. (1) - (2) 3.577 3.907 4.117

KIND OF MATERIALS: Coarse Aggregates Spec's Item No.: 311(1)
ORIGINAL SOURCE: Alcate River
TESTED BY: MQC Personnel DPWH March 1, 2023
COMPUTED BY: MQC Personnel DPWH March 1, 2023
Lab. Number : BIN-UW-311-CA-01
LOOSE
I II III
3. Sample, kg. (1) - (2) 3.107 3.157 3.057
RODDED
I II III
3. Sample, kg. (1) - (2) 3.457 3.307 3.707

WORKSHEET FOR SPECIFIC GRAVITY AND ABSORPTION OF AGGREGATES/BOULDERS

(AASHTO T-84/T-85)
DATE: February 28, 2023

Lab. No. RAB-311-SG-FA&CA-01
PROJECT : Construction of Road, Sitio Rubia to Sta. Ana, Barangay Bangkatan, Baco, Oriental Mindoro
SAMPLED AT: Stockpile
ORIGINAL SOURCETigkan River
SAMPLED BY: Vivien M. Tolentino - L.T. 1 DPWH March 9, 2018
TESTED BY: Vivien M. Tolentino - L.T. 1 DPWH March 11, 2018
= = = = = = = = = = = = = ======================
= = = = = = = = = = = == == == == == == == == == == == == == == == =======
= = = =============== = = = = = = = = = = ================= = = = = = = = = = = = = =
TRIAL
COARSE AGGREGATE (WIRE BASKET METHOD)
II I Average
1. Weight of oven dry sample in air,gms. 4451 4449 4450
2. Wt. of surface dry sample in air,gms. 4469 4466 4468
3. Weight of saturated sample in water,gms. 2864 2860 2862
4. Bulk Specific Gravity, (Dry) 1/(2-3) 2.77 2.77 2.77
5. Bulk Specific Gravity (SSD) 2/(2-3) 2.78 2.78 2.78
6. Apparent Specific Gravity, (SSD) 1/(1-3) 2.80 2.80 2.80
7. Absorption, % ((2-1)/1x100) 0.382 0.404 0.393
===============================================================================================================
TRIAL
FINE AGGREGATE (PYCNOMETER METHOD)
I II Average
1. Weight of oven dry sample in air 496.00 497.00 496.50
2. Wt. of Vol. Flask full of water 650.00 653.00 651.50
3. Weight of Vol. flask full + sample + water 965.00 968.00 966.50
4. Wt. of sample in water (3-2) 315.00 315.00 315.00
5. Volume sample in water (500-4) 185.00 185.00 185.00
6. Bulk Specific Gravity, (SSD) (500 / 5) 2.70 2.70 2.70
7. Bulk Specific Gravity, (DRY) (1/ 5 ) 2.68 2.69 2.68
8. Apparent Specific Gravity, (SSD) ( 1/(1-4)) 2.74 2.73 2.74
9. Absorption, % (( 500 - 1)/ 1 x 100) 0.81 0.60 0.71
Prepared by: Submitted by:

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS'
WORKSHEET FOR FRACTURE FACE
Project:
Kind of Materials: Coarse Aggregate Spec's Item No.:
Sampled at:
Original Source :
(Pit, Quarry, River, etc. and possible)
Sampled by:
Tested by: DPWH
Computed by: DPWH
Lab. No. :
FOR AGGREGATE WITH MAXIMUM NOMINAL SIZE OF 3/4" OR LARGER

Retained Wt. of test sample (g) Wt. of Crushed Particle (g.) % Fracture Face
FOR AGGREGATE WITH MAXIMUM NOMINAL SIZE OF 3/4" OR SMALLER

Weight of AVERAGE
Weight of
Passing Retained fractured % Fracture Face
sample (g.) % Weight % Retained
(g.)
TOTAL
REMARKS:
PREPARED/TESTED BY: CERTIFIED CORRECT:

Project:
Kind of Materials: Coarse Aggregate Spec's Item No.:
Sampled at:
Original Source :
Sampled by:
Tested by:
Computed by:
Lab. No. :


Weight of AVERAGE
Weight of
(g.)
TOTAL
REMARKS:

Kind of Materials: Coarse Aggregate Spec's Item No.: 311(1)b1 , 405(2)c
Sampled at: Tigkan River, Naujan Oriental Mindoro

Original Source : Tigkan River, Naujan Oriental Mindoro
Sampled by: Contractor's Personnel MIDR CONSTRUCTION & SUPPLIES 2/28/2023
Tested by: MQC Personnel DPWH 3/2/2023
Computed by: MQC Personnel DPWH 3/2/2023
Lab. No. : RAB-FF-01

9.50 mm (3/8") 3854 2438 63.25
Weight of AVERAGE
Weight of
(g.)
19.00 mm (3/4") 9.50 mm (3/8') 2068 1856 56.63% 50.82% 89.75%
9.50 mm (3/8") 4.75 mm (#4) 1584 965 43.37% 26.42% 60.92%
TOTAL 3652 2821
REMARKS:

Kind of Materials: Fine Aggregate Spec's Item No.: 311(1)b1 - g, 405(2)c - e
Sampled at: Tigkan River, Naujan Oriental Mindoro

Original Source : Tigkan River, Naujan Oriental Mindoro
Sampled by: Tigkan River, Naujan Oriental Mindoro MIDR CONSTRUCTION & SUPPLIES 5/5/2015
Tested by: MQC Personnel DPWH 5/7/2015
Computed by: MQC Personnel DPWH 5/7/2015
Lab. No. : RAB-FF-01

9.50 mm (3/8") 3854 2438 63.25
Weight of AVERAGE
Weight of
(g.)
19.00 mm (3/4") 9.50 mm (3/8') 2068 1856 56.63% 50.82% 89.75%
9.50 mm (3/8") 4.75 mm (#4) 1584 965 43.37% 26.42% 60.92%
TOTAL 3652 2821
REMARKS:

WORKSHEET FOR ORGANIC IMPURITIES
KIND OF MATERIALS: Fine Aggregates
SAMPLED AT: Stockpile
COMPUTED BY: MQC Personnel DPWH - MODEO February 28, 2023
Lab. No.: RAB-OI-01
REAGENTS AND REFERENCE STANDARD COLOR SOLUTION:
1. Weight of Sample in Bottle level 120 ml
2. Weight of 3% Sodium Hydroxide Solution 5 ml
3. Weight of Water in Bottle 180 ml
4. Color Value Lighter color
5. Injurious organic compound in natural sands NONE
AARON LOUIE C. ALULOD GRACE M. MANONGSONG MERCEDES G. ASPI

LABORATORY TECHNICIAN II Engineer II Engineer III

23ED0006 - SITIO RUBIA - APRIL

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Republic of the Philippines

Department of Public Works and Highways

STATEMENT OF TEST PERFORMED

January 30, 2023

TOTAL: Eleven Thousand Three Hundred Twenty Pesos Only 15,090.00

CHECKED BY: APPROVED:

GRACE M. MANONGSONG MERCEDES G. ASPI

QUALITY CONTROL PROGRAM

Contract ID: 23ED0006

APPROPRIATION/CONTRACT COST P 19,266,428.54 SOURCE : Tigkan River

A. TEST TO BE PERFORMED: DATE : February 12, 2023

B.5 Project Billboard/Signboard each 2.00 Inspection Report

B.8 (2) Traffic Management l.s. 1.00 Inspection Report

B.9 Mobilization/Demobilization l.s. 1.00 Inspection Report

B.12 Removal and Relocation of Utilities l.s. 1.00 Inspection Report

102(2) Surplus Common Roadway Excavation cu.m. 3813.54 Engineer's Certification

103(3) Foundation Fill cu.m. 7.44 GPC-1, D-1

a. Concrete cu.m. 1251.40 ##-1/PD Approx-17 sets

b. Reinforcing Steel Bar kgs 2440.23 1-QT/10000 kgs/size

c. Curing Compound L 1814.53 1-QT/per shipment

d. Asphalt Sealant L 750.84 1-QT/40 M.T.

e. Steel Forms (Rental ) - 23cm width m 2878.22 Inspection Report

MARK IAN M. DELOS REYES

GRACE M. MANONGSONG ERWIN DG. UMALI

Contract No. of Test % of Work

Construction of Field Office for the Engineer l.s. Inspection Report IR IR

PART B OTHER GENERAL REQUIREMENTS

each Inspection Report IR

Months Inspection Report IR IR

l.s. Inspection Report IR IR

l.s. Inspection Report IR IR

l.s. Inspection Report IR

Individual Removal of Trees (small b,above each Engineer's Certification EC

Individual Removal of Trees(small b, above each Engineer's Certification EC

Individual Removal of Trees (Small, 501- each Engineer's Certification EC

Removal of Existing Concrete Pavement sq.m. Engineer's Certification EC

cu.m. Engineer's Certification EC EC 42.89%

cu.m. GPC-1, D-1 GPC-1, D-1

Pipe Culvert and Drain Excavation, Common cu.m. Engineer's Certification EC

Embankment from roadway excavation, cu.m. GPC - 1 , D - 18 GPC - 1 , D - 18

sq.m. GPC -1, D-5 GPC - 1 , D-2 D-3

c. Curing Compound 1,814.53 L 1-QT/per shipment 1-QT/per shipment 100.00%

d. Asphalt Sealant 750.84 L 1-QT/40 M.T. 1-QT/40 M.T. 100.00%

e. Steel Forms (Rental ) - 23cm width 2,878.22 m Inspection Report IR IR 57.17%

f. Sand 688.27 cu.m. G-10, 1-Q** **Q-1, G-2 G-8 57.17%

g. Crushed Gravel 1,251.40 cu.m. Q-1,G-17 Q-1,G-4 G-13 57.17%

h. Cement 11,888.30 bags Q-6 Q-6 100.00%

k. Grease/Tar 35.04 L Inspection Report IR IR 57.17%

l. Water 1.00 ltr Engineer's Certification EC 100.00%

n. Completed pavement 6,257.00 sq.m. T-5/Km/lane T-5/Km/lane 0.00%

Portland Cement Concrete Pavement sq.m.

b. Reinforcing Steel Bar 210.22 kgs Q-1/10,000 kgs/size Q-1/10,000 kgs/size

c. Curing Compound 184.74 L 1-QT/per shipment 1-QT/per shipment

d. Asphalt Sealant 76.44 L 1-QT/40 M.T. 1-QT/40 M.T.

f. Sand 52.56 cu.m. G-1;1-QT** G-1;1-QT**

g. Crushed Gravel 95.56 cu.m. G-2;1-QT*** G-2;1-QT***

h. Cement 910.97 bags 1-QT 1-QT

pc Inspection Report Inspection Report

k. Grease/Tar 0.96 L Inspection Report Inspection Report

l. Water 1.00 ltr Engineer's Certification Engineer's Certification

m. Design Mix with trial mix 1.00 ltr ##-1 ##-1

n. Completed pavement 637.04 sq.m. T-5/Km/lane T-5/Km/lane

d. Cement 454.16 bag 1-QT* 1-QT* 100.00%

e. Sand 28.39 cu.m. G-1;1-QT** 1-QT**, 1-G 100.00%

f. Sand 688.27 cu.m. G-10, 1-Q Q-1, G-2 G-8 57.17%

f. Sand 52.56 cu.m. G-1;1-QT G-1;1-QT

g. Crushed Gravel 95.56 cu.m. G-2;1-QT* G-2;1-QT*

e. Sand 28.39 cu.m. G-1;1-QT 1-QT, 1-G 100.00%