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Miscellanous

The document is a sample card from the Department of Public Works and Highways for materials testing. It describes 10 samples of galvanized iron pipe and 10 samples of galvanized iron sheet that were taken from the NAIA Tambo Bridge jobsite on September 15, 2022. The samples will undergo thickness testing to ensure they meet the required government specifications of 4mm for pipe and 3mm for sheet. Test results will be picked up by Readycon Trading and Construction Corp.

Uploaded by

John Lee Pueyo
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
0% found this document useful (0 votes)
28 views12 pages

Miscellanous

The document is a sample card from the Department of Public Works and Highways for materials testing. It describes 10 samples of galvanized iron pipe and 10 samples of galvanized iron sheet that were taken from the NAIA Tambo Bridge jobsite on September 15, 2022. The samples will undergo thickness testing to ensure they meet the required government specifications of 4mm for pipe and 3mm for sheet. Test results will be picked up by Readycon Trading and Construction Corp.

Uploaded by

John Lee Pueyo
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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Department of Public Works and Highways

NATIONAL CAPITAL REGION


2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Galvanized Iron Pipe (G.I. Pipe) Sched 40
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Regulatory and Warning Signs
Test Desired : Thickness Determination
Gov't Spec's : Thk = 4mm
Shipped By : R. Lagbo/CQCA RTCC September 16, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 16, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Properties

G.I. Pipe - 1.1 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

G.I. Pipe - 1.2 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

G.I. Pipe - 1.3 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

G.I. Pipe - 1.4 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

G.I. Pipe - 1.5 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

G.I. Pipe - 1.6 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

G.I. Pipe - 1.7 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

G.I. Pipe - 1.8 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

G.I. Pipe - 1.9 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Galvanized Iron Pipe (G.I. Pipe) Sched 40
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Regulatory and Warning Signs
Test Desired : Quality Test
Gov't Spec's :
Shipped By : R. Lagbo/CQCA RTCC September 16, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 16, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Properties

G.I. Pipe - 1.0 NAIA Tambo Bridge - Domestic September 15, 2022 2" , Sched 40

xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Galvanized Iron Sheet (G.I. Sheet)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Regulatory and Warning Signs
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3mm
Shipped By : R. Lagbo/CQCA RTCC September 16, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 16, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Due Date

G.I. Sheet - 1.1 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.2 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.3 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.4 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.5 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.6 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.7 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.8 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.9 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 1.10 NAIA Tambo Bridge - Domestic September 15, 2022 -

xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Galvanized Iron Sheet (G.I. Sheet)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Regulatory and Warning Signs
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3mm
Shipped By : R. Lagbo/CQCA RTCC September 16, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 16, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Due Date

G.I. Sheet - 2.1 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.2 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.3 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.4 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.5 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.6 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.7 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.8 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.9 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2.10 NAIA Tambo Bridge - Domestic September 15, 2022 -
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Galvanized Iron Sheet (G.I. Sheet)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Regulatory and Warning Signs
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3mm
Shipped By : R. Lagbo/CQCA RTCC September 16, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 16, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Due Date

G.I. Sheet - 3.1 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.2 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.3 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.4 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.5 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.6 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.7 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.8 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.9 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 3.10 NAIA Tambo Bridge - Domestic September 15, 2022 -
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Galvanized Iron Sheet (G.I. Sheet)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Regulatory and Warning Signs
Test Desired : Thickness Determination
Gov't Spec's : Thk = 3mm
Shipped By : R. Lagbo/CQCA RTCC September 16, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 16, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Due Date

G.I. Sheet - 4.1 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 4.2 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 4.3 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 4.4 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 4.5 NAIA Tambo Bridge - Domestic September 15, 2022 -

xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Galvanized Iron Sheet (G.I. Sheet)
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Regulatory and Warning Signs
Test Desired : Quality Test
Gov't Spec's :
Shipped By : R. Lagbo/CQCA RTCC September 16, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 16, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Due Date

G.I. Sheet - 1 NAIA Tambo Bridge - Domestic September 15, 2022 -

G.I. Sheet - 2 NAIA Tambo Bridge - Domestic September 15, 2022 -

xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Portland Cement Type - 1P
Sample Identification : see below
Quantity Represented : 2000 bags
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Concrete Pedestal for Signages
Test Desired : Quality Test
Gov't Spec's : ASTM - 595
Shipped By : R. Lagbo/CQCA RTCC September 05, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 05, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Due Date

Pedestal - P.C.1P NAIA Tambo Bridge - Domestic September 03, 2022 -

xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Fine Aggregates
Sample Identification : see below
Quantity Represented : 1500 cu.m.
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Concrete Pedestal for Signages
Test Desired : Quality Test
Gov't Spec's : Item 405
Shipped By : R. Lagbo/CQCA RTCC September 05, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 05, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Specs Date of Sampling Due Date

Pedestal - F.A. Item 405 September 03, 2022 -

xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Coarse Aggregates
Sample Identification : see below
Quantity Represented : 1500 cu.m.
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Concrete Pedestal for Signages
Test Desired : Quality Test
Gov't Spec's : Item 405
Shipped By : R. Lagbo/CQCA RTCC September 05, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS :
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 05, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Specs Date of Sampling Due Date

Pedestal - C.A. Item 405 September 03, 2022 -

xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Concrete Cylinder
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Concrete Pedestal
Test Desired : Compressive Test
Gov't Spec's : 3000 psi @ 28 days
Shipped By : R. Lagbo/CQCA RTCC September 30, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS : Falls on 27th Day
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 30, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Due Date

Pedestal - Conc. Cyl - 1 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022

Pedestal - Conc. Cyl - 2 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022

Pedestal - Conc. Cyl - 3 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022

Pedestal - Conc. Cyl - 4 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022

Pedestal - Conc. Cyl - 5 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022

Pedestal - Conc. Cyl - 6 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022

Pedestal - Conc. Cyl - 7 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022

Pedestal - Conc. Cyl - 8 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022

Pedestal - Conc. Cyl - 9 NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
10
xx Nothing Follow xx
Department of Public Works and Highways
NATIONAL CAPITAL REGION
2nd Street, Port Area, Manila

SAMPLE CARD

Project : Proposed Asphalt Overlay along Presidential Route, NAIA Road (Tambo Bridge - Imelda
Avenue intersection), Imelda Avenue (NAIA Rd. Intersection - Terminal 1) Finance Road,
Manila (P. Burgos St. - Taft Avenue)
Kind of Materials : Concrete Cylinder
Sample Identification : see below
Quantity Represented : see below
Sampled At : Jobsite
Original Source : C.O. Readycon Trading & Construction Corp.
Owner/Supllier : Readycon Trading & Construction Corp.
Sampled/CastBy : JL.B.Pueyo/R. Lagbo
( Name of Authorized Representative ) (Signature)
Engr. II/CQCA DPWH-NCR/RTCC see below
( Designation) (Date)
Proposed Use : Concrete Pedestal
Test Desired : Compressive Test
Gov't Spec's : 3000 psi @ 28 days
Shipped By : R. Lagbo/CQCA RTCC September 30, 2022
( Name and Designation) ( Office) (Date)
Send Test Results to : To be picked-up.
REMARKS : Falls on 27th Day
Bill Charge to : Readycon Trading & Construction Corp.
Submitted By : JL. Pueyo/E. Romero/ Engr. II-Lab Tech September 30, 2022
(Name) (Date) (Signature)
DPWH-NCR 2nd Street, Port Area, Manila
( Office) ( Mailing Address)
Received By : Lab No.
Due Date : Bill No.

Sample ID Location Date of Sampling Due Date


Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
1.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
2.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
3.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
4.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
5.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
6.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
7.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
8.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
9.1
Pedestal - Conc. Cyl -
NAIA Tambo Bridge - Domestic September 03, 2022 October 01, 2022
10.1
xx Nothing Follow xx

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