Doc.

Code r FM-TQh4-04-13
REQUEST FOR QAQC
w STA, CLARA
INTERNATIOI.IAT RECEIVING INSPECTION
Rev.
Eff.
Page
No :
Date :
0
July '15, 2015
:1of2

Name BCDA MDP PROJECT RQAQCRI No. tRF024-MDP-S-o01

Location Moron Bataan Date of APRIL 18
Location of I NECO TEMFACIL

ttlode of Request L] Email [-] Radio l--l Telephone M Verbal lnstruction

Item Material Specification Quantity Unit PONoI Remarks

No. Descri DR No.
I Column with W14x53x12 4 Pcs 0005032
base ates
2 Column with W14x53x3.5 4 Pcs
base 19

Feven Ca Received
Date & Time t17 Date & Time TAIM
Remarks/lnstruction

\--

Details of lnspection:

tTervu WWJ7 l*E a<w*enlv W.t F (pD

re W FT-(A>trq; Aft4_-A-k f,wraus
 Doc. Code
STA, CTARA REQUEST FOR QAQC FM-TQM-04.13

ffi INTERNATIOI'IAt RECEIVING INSPECTION

Rev. No
Eff. Date
Page
July
2ol 2
U
'15, 2015

lnspected by No. Reviewed by

D.
Head / Project [\llanager

L
 Doc. Code . l'Il-?',18-01-0i
Ret,.,\o. : {)
ERECTORS
ORPORAT'ON FORM E{f. Date : Dec'enrber {}8. 202-l
Page Nos. : l a_f I
TITLE:
INSPECTIOI{ REQUEST FORM

Proiect Name: MORONG DISCOVERY PARK Contract Numtrer:

IRF Numtrer: IRFO24-MDP-S-OO1 Date Prepared: April 17 2024

Construction Activity for which inspection is requested:

Ref-. Pay'Item No. Description Location Date Time Remarks

Material Receiving inspection of

Elevated

t column with base plate

-W 14 x 53 x 12m Lg. wide flange. 4
PCS
Water
Tank 01
(NS3)
APRIL
1 8. 2024
7AM

-W 14 x 53 x 3.519m Lng wide flange.

4 pcs

Received I
Signature: Name:
Name: p, Title:
Title Date:
Time:
Signature:
Name Jr
Title:

Result of

ts Wffior*,u;ks.

Testing Needed: Survey Needed:

Name: Yes: No: Yes: No:
Title:
Date:
Time:

Result of Test I
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 EfficroRS
ORPOR .ATION
QUALITY CONTROL
INSPECTION REPORT W$Jh,-c*,*$$

Name of Project: MORONG DISCOVERY PARK Contract No.

Project Location: MORONG BATAAN QCIR No.: QCIR.MDP-S-OO1

Trade.
ncivil MStruct'1. trArch'1. nElect'1. MMech'1. IFire pro nsanitary/plumbing trOthers

Receiving lssued to
ln-Process Name NECO MDP PROJECT
Final Title 5U B-Contractor
Date 04/tsl24
Construction Activity I nspected
P.O.
Item No. Description Location Date Time Remarks
No.
Material Receir,ing inspection Elevated April 7am ACCEPTED
1. of column with base plate Water Tank 'J.9,2024
(N53)
W 14 x 53 x l2m Lg. wide
flange.4 pcs
W 14 x 53 x 3.719m Lns $,ide
flange, 4 pcs

Findings / Observations

As per inspection all materials are complete, intact, and dimensions are correct.

lnspected by: Test Needed

Signatu re
Name Feven
--w
6Tlpratoy
YES

Type of Test Needed

NO

Title NECo JR. hn/qc SOR TO BE ISSUED YES NO

Date 04/09/24 CAR TO BE ISSUED YES NO
Reference No

Test / lnspection Noted by:

Signature Signature
Name Name
Title Title %
Date Date
r

+ TIqNWIDE ERECTORS
DRPORATION
QUALITY CONTROL
INSPECTION REPORT
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N€m€ of fr*iect : MOf,SflS:Sl${O\rERY pASr LabsratorY l\to

Lo6Atfsn : MORONG SATAAN Bate Subi?tittsd
Client : BCDA n*te testsd
$arnple SessriFtion : ltils slsTt
sampled al : JOESITE

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Witnessed l]!t fested by:

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