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Doc. Code : FII-TQM-o -13

STA. CTARA REQUEST FOR QAQC Rev. No : 0

% II{TIRNATIO}.{At RECEIVING INSPECTION Eff. Date : July 15,2015

Page .1oI1

Project Name BCDA MDP PROJECT RQAQCRI No. tRF024-MDP-S-009

Location Morong Bataan Date of Request 31 2024
Supplier BLASTMASTER Location of lnspection NS3 (EWT 29-A)

Mode of Request E Email fI Radio l*_l Telephone l--l Verbal lnstruction

Item Material Specification Quantity Unit PONo/ Remarks

No Description DR No.
Fabricated Shell (1.8m x ASTM A36 MS
1 4 Pcs. 1 3358
6m) Shot blasted Plate
Fabricated Shell (1.44m x ASTM A36 MS
2. 4 Pcs, 1 3358
6m) Shot blasted Plate
Fabricated Shell (1.44m x ASTM A36 MS
3. 2 Pcs. 1 3358
3.993m) Shot blasted Plate
Fabricated Shell (1.8m x ASTM A36 MS
4. 2 Pcs 1 3358

L E
3.993) Shot blasted
Fabricated Shell (9mm T
Plate

ASTM 436 MS
x 1800 x 6000) Shot I Pcs 1 33s9
Plate
blasted
Fabrrcated Shell (9mm T
ASTM A36 MS
o x1440x6000) Shot 2 Pcs, 1 3359
Plate
blasted
Fabricated Shell (9mm T
ASTM 436 X/S
7 x1444x3993) Shot 1 Pc. 1 3359
Plate
blasted
Fabricated Shell(9mm T
c ASTM 436 MS
x 1800 x 3993) Shot 1 Pc. 1 3359
Plate
blasted

n-
Requested by: B Request Received by:
Date & Time June 1{zoz+ t7'.aoam Date & Time 7:00am

r\* Remarks/lnstruction Ttr€

Astrt],fi O/*r,'-r'^* , FDa.A< cb V(FF\- f:l-xrb tT /,(11 I
I I
^fi

Details of lnspection:

lnspected by: QCIR No. Reviewed by

00tfl-MDP- s- 020 PETER ALLAN D. PINEDA

Head / Project lVlanager

\
 NATIONWIDE ERECTORS
ORPORATION
QUALITY CONTROL
INSPECTION REPORT WFJ"**s,!*.$$

Name of Project: MORONG DISCOVERY PARK Contract No.

Project Location: MORONG BATAAN QCIR No : ACIR-MDP.S.02O

Trade;
trCivil MStruct'1. trArch'1. nElect'1. nMech'1. trFire Pro [lSanitary/Plumbing

Receiving lssued to
ln-Process Name NECO MDP PROJECT

Final Title SUB-Contractor

Date 31" May 2024
Construction Activity Inspected
P.O.
Item No. Description Location Date Time Remarks
No.
Ivlaterial Receiving lnspection for the ff:;

L 1. 1. ASTM 436 MS PlateiFabricated Shell

(1 8m x 6m) Shotblasted (4 Pcs )
2. ASTI\4 436 MS Plate/Fabricated Shell
t. (1 a4m x 6m) Shotblasted (4 Pcs,7
3. ASTM 436 MS Plate/Fabricated Shell
3. (1 .44n x 3 993) Shotblasted (2 Pcs )
4. ASTM 436 MS Plate/Fabricaled Shell
(1 8m x 3 993) Shotblasted (2 Pcs,)
4. Elevated Water
6 AQTI\I A?A l\.4Q Dlata/trahrinofarl Qhall
Tank June 1 3,
E
(9mm T x 1800 x 6000) Shotblasted (2 B:00 am Accepted
Pcs,) EWT 29.C 2024
6 ASTM 436 [/S Plate/Fabricated Shell (ss1)
0. (9mm T x 1440 x 6000) Shotblasted (2
Pcs,)

7. 7 ASTI\,,1A36 MS PlatelFabricated Shell

(-omm T x 1440 x 3993) Shotblasted (1

Pc)
B
8. ASTM 436 h/S Plare/Fabricaled Sheil
(9mm T x 1880 x 3993) Shotblasted (1
Pc)

Findings / Observations

lnspected by: Test Needed

Signature n. YES NO
Name Bienveffo Reyes Type ofTest Needed
Title QA/QC En[ineer - NECO SOR TO BE ISSUED YES NO
Date 1 3 June 2024 CAR TO BE ISSUED YES NO
Reference No.

Test/lnspectionWitness"9Fyi I It Noted by:

Signature I
Signature
lt

Name L.l :)Qz\BhSqp'- Name I rtbfrjmpana

Title lliaterials Engineer / SCIC Title - SCIC
Date 13 June 2024 Date
 Doc. ('ode : 1",\,1-l,tB-41-Al
.\o. :
Rey. {)

0RrsRATl0r'r
tRtcT0&$
l ul{vl Date '.
Eff. Decernber (]E, )023
Page Nos : ) of I
TTTI,tr:
ri\sPEcTrof{ REQUEST FORM

Proiect Name: MORONG DISCOVERY PARK Contract Number:

IRF Number: IRFO24.MDP-S-OO9 Date Prepared: June 1312024

Construction Activitv for which inspection is requested:

Rei. Pay item No. Description Location Date Time KemarKs

Material Receiving lnspection lbr the f1':

l.) ASTM ,436 MS Plate/I'abricated Shctl
( I .8m x 6m) Shol blasted (4 Pcs.)
2.) ASTM ;\36 IVIS Plate/Fabricated Shell
(1.:lLlm x 6m) Shol blastcd (4 Pcs.)
3.) ASI-M 436 MS Plale/l-abricatecl Shell
x 3.993) Shot blasted (2 Pcs.)
( I .,14m
E,levatecl
4.) ASTN4 A36 MS PlateiFabricated Shell
rvater tank
.l une I 3"
. rLOrlr.\
o.,. , .'.,,Jt
? oo ), ct, .,^r , 1 r) .. , 7:00 am
\ Jttut., t-l^
utds(lu \_ I !\,,,
29-A(NS3)
5.) ASTNI ,\36 MS Plate/Fabricated Sheil
(9rnrl I' x I 800 x 6000i Shot blastcd 12 Pcs. )
6.) AS f M A36 l\4S Platc/l-ablicaicd Shell
(9mrn T' r I440 x 600U) Shot btasted (2 Pcs. )
7.) ASTM ,4.36 MS PlatelFabricated Shell
(9mrr I'r 1440 x 3993) Shot blastcd
Pc.) (l
AS l'lvl A36 MS Platc/l"abricated Shell
'Ilx 1800x3993 Shot blasrcd I Pc.
Received
Name Alex
Name Title:
Title Date: June I 1 2024
Tirne: 4:00

Narne: Rr.rben Jr
Title:
Result of

Testing Needed: Survey Needed:

Name: Yes: No: Yes: No:
-I-:+1 ...

Date:
Time:
n,- Ir I
tLcsutt ut
-iT--L
_f esl /

Test / Survey witnessed try: Request to proceed:

Date: Date:
 It r *vv\rv
DELIVERY RECEIPT
Date

Customer: TTN

Place of Delivery MkR No.

Trucking: Plate No.

ItEAni
ITEM NO: Qry, CRIPTION
l"tt { PGs iDrfu T
,ls I f,a!r

t*

Nrrle: Alr ,rrrr ml*an'i.rl __-tru:,_w.g-ffi

-t4i iru.&jF

I
Prepared by: Approved by: Delivered by: Received above materials in goad
order and conditian

rf lh{11
t
Customer
5C Erdls {59x4) I ?5C r-i 5033
*inigl! Accrtri 1oiio. No. I 03!t!18201ariCg0@ 0L08
Bllt Aulrordy to Prit lto. : OCN:027Air202300m06999
Dole or ATP] $epleEbelzl.2Q2i
Dole or Accr@fdllonr la2AB Erprv Dote ]226:23

Q.C GnAPHIC Cor'..,rM',l #3 ]GDAUG ST., t\4Af,tRaSA 1, Q.C

vAT nE6, TtN. i03-96t-38?-080CA
'THIS DO9UMENT rS NOT VAUD FOR gLAtM'Ne tNpur TAXES'
 lt; Jrrg\l\/
DELIVERY RECEIPT
!ate May 31, X*'3,{
Custotner : N*ti*nwlds Er*tors Corp. TIN

Place of Delivery, ; MkR No.:

T\ucking :
I
Plnte No.: Nw bq t7
I
ITEM NO: QIY DESCRIPTION
{a pc$ *rl OTBT,A.-$TgD Fabricrtrd
1.0 dr*Il Ssuntx IS**
?"* I Fcn Stl Febricatcd *rell *mmt x t,{48 x Sfiilft
?{t I Fe Stl Fsbricatd *rell *wmr x 144t! x IS$S
4.ri I pc SII Fabricatsd *reJt fnrant x t8** x 3gS3
-NOTHING TOLI.{}W$-
Notel.A borre matrri verc bla**d & prinnd using Owaer *:pplie*t paint

flJi

Prepared by: Approved by: Delivered by: Received abave materials in gaod
order and condition

t'

d*r
Plant Engineer Customer
5C Bk,ts {50x,il } 2501 -1 sCm Pin+ds Accredr,dion No. : 038&A2p_1-6mie01it@
Biii A!ffo,il/to Pint No i CCN:C27AU20230000m6999
Dqte of Acc€cbtion: 12:27:l& ExprryDole le2.a*a
Dste ot AiPi gtDl@Oe2l. 2023
O C. GnAPHiC CON1M r. #3 tcOAtlG SL. MANAESA t. I C.
vAI liEG. TIN: 103-061.339-C&00

'THIS DOCUMENT IS NOT VATID FOR CLAIMING INPUT TAXES'

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