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Republic of the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS


AGUSAN DEL SUR 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE XIII
San Francisco, Agusan del Sur

January 8, 2018
Date
CERTIFICATE OF QUALITY CONTROL ASSURANCE

Project :Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika (Agusan - Davao Sect
Location San Francisco, Agusan del Sur k 1320+544 -k 1320+566

Contractor :MCDC
We hereby certify that we have conducted an inspection and verification on work accomplished on the above-
mentioned project for the period January 1-7, 2018. We further certify that we have found that the quality of mater
in the following items of work corresponding to the quality accomplished conforms with the Standard Specificat
and Special Provisions of the contract viz :
Quantity Accomplished
ITEM NO. : DESCRIPTION : PROGRAMMED : THIS WEEK : TOTAL

A. FACILITIES FOR THE ENGINEER


Construction of combined Field Office,
A.1.1(1) Laboratory and Living Quarters for the 1.00 ls 1.00
Engineer ls ls
B. OTHER GENERAL REQUIREMENTS
B.4(1) Construction Survey & Staking 0.22 km km 0.22 km
B.4(4) Culvert Survey & Staking 10.00 each each 10.00 each
B.4(5) Bridge Survey & Staking 1.00 ls ls 1.00 ls
B.4(10) Misc. Survey & Staking 1.00 ls ls 1.00 ls
B.5 Project Billboard/Signboard 4.00 each each 4.00 each
B.7 Occupational Safety and Health 6.00 mo. mo. 6.00 mo.
B.8 Traffic Management 6.00 mo. mo. 6.00 mo.
B.9 Moblization/Demobilization 1.00 ls ls 0.90 ls
D. EARTWORKS
100(1) Clearing and Grubbing 0.52 ha. ha. 0.52 ha.
101(6) Removal of Structures & Obstruction 107.50 cu.m. cu.m. 107.50 cu.m.
102(4) Surplus Unclassified Excavation 43.99 cu.m. cu.m. 43.99 cu.m.
103(1)a1 Structure Excavation 109.18 cu.m cu.m 109.18 cu.m
104(1)a1 Embankment from Roadway Excavatio 316.39 cu.m. cu.m. 316.39 cu.m.
104(1)b1 Embankment from (Borrow) 3,080.12 cu.m cu.m 3,080.12 cu.m
105(1)a Subgrade Preparation 637.88 sq.m. sq.m. 637.88 sq.m.
D. SUBBASE COURSES
200(1) Aggregate Sub-base Course 725.73 cu.m cu.m 725.00 cu.m
E. SURFACE COURSES
300(1) Gravel Surface Course 76.35 cu.m. - cu.m. cu.m.
311(1)e1 PCC Pavement Unreinforced (0.28 m. thick) 1,203.05 sq.m. 430.47 sq.m. 1,032.00 sq.m.
311(2)f1 PCC Pavement Unreinforced (0.30 m. thick) 80.00 sq.m. - sq.m. sq.m.
F. BRIDGE CONSTRUCTION
400(6) Structural Steel Sheet Pile, Furnished 524.00 m. m. 524.00 m.
400(12) Structural Steel Sheet Pile, Driven 497.80 m. m. 497.80 m.
400(14) Precast Concrete Piles, Driven 660.00 m. m. 660.00 m.
400(16) Test Pile Furnished & Driven 72.00 m. m. 72.00 m.
401(2)a Concrete Railings 22.00 m. - m. m.
404(1)b Reinforcing Steel 39,621.28 kg kg 33,678.09 kg
405(1)a3 Structural Concrete Class "A" 336.70 cu.m cu.m 286.2 cu.m
407(8) Lean Concrete 31.94 cu.m cu.m 31.94 cu.m
414(1) Forms & Falseworks 1.00 cu.m cu.m 1.00 cu.m
G. SLOPE PROTECTION &STRUCTURES
505(5) Grouted Riprap Class "A" 35.28 cu.m cu.m 35.28 cu.m
H. MISCELLANEOUS
600(1)a Concrete Curb 160.71 lm - lm lm
607(1) Relflectorized Pavement Studs Flush Ty 81.00 each - each each
612(1) Reflectorized Thermoplastic Pavement Mar 86.79 sq.m - sq.m sq.m
612(2) Reflectorized Thermoplastic Pavement Mar 21.60 sq.m - sq.m sq.m
New Item:
400(4)a2 Precast Concrete Piles(Furnished) 682.00 m m 682.00 m
406(1)d4 Precast Structural Concrete Members 4.00 each - each 4.00 each
412(1) Elastomeric Bearing Pads 8.00 each - each 4.00 each
Note:
Project on Going. . .

MARILYN DP ONDAP ALEXANDER B. ORTIZ


(Project Quality Control Engineer) Project Engineer I

Note: To be submitted every quarter of the month


* 1st report 1-7
2nd report 8 - 15
3rd report 16 - 22
4th report 23 - 30/31
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
AGUSAN DEL SUR 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE XIII
San Francisco, Agusan del Sur

January 16, 2018


Date
CERTIFICATE OF QUALITY CONTROL ASSURANCE

Project :Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika (Agusan - Davao Sect
Location San Francisco, Agusan del Sur k 1320+544 -k 1320+566

Contractor :MCDC
We hereby certify that we have conducted an inspection and verification on work accomplished on the above-
mentioned project for the period January 8 - 15, 2018. We further certify that we have found that the quality of
materials in the following items of work corresponding to the quality accomplished conforms with the Standard
Specifications and Special Provisions of the contract viz :
Quantity Accomplished
ITEM NO. : DESCRIPTION : PROGRAMMED : THIS WEEK : TOTAL

A. FACILITIES FOR THE ENGINEER


Construction of combined Field Office,
A.1.1(1) Laboratory and Living Quarters for the 1.00 ls 1.00
Engineer ls ls
B. OTHER GENERAL REQUIREMENTS
B.4(1) Construction Survey & Staking 0.22 km km 0.22 km
B.4(4) Culvert Survey & Staking 10.00 each each 10.00 each
B.4(5) Bridge Survey & Staking 1.00 ls ls 1.00 ls
B.4(10) Misc. Survey & Staking 1.00 ls ls 1.00 ls
B.5 Project Billboard/Signboard 4.00 each each 4.00 each
B.7 Occupational Safety and Health 6.00 mo. mo. 6.00 mo.
B.8 Traffic Management 6.00 mo. mo. 6.00 mo.
B.9 Moblization/Demobilization 1.00 ls ls 0.90 ls
D. EARTWORKS
100(1) Clearing and Grubbing 0.52 ha. ha. 0.52 ha.
101(6) Removal of Structures & Obstruction 107.50 cu.m. cu.m. 107.50 cu.m.
102(4) Surplus Unclassified Excavation 43.99 cu.m. cu.m. 43.99 cu.m.
103(1)a1 Structure Excavation 109.18 cu.m cu.m 109.18 cu.m
104(1)a1 Embankment from Roadway Excavatio 316.39 cu.m. cu.m. 316.39 cu.m.
104(1)b1 Embankment from (Borrow) 3,080.12 cu.m cu.m 3,080.12 cu.m
105(1)a Subgrade Preparation 637.88 sq.m. sq.m. 637.88 sq.m.
D. SUBBASE COURSES
200(1) Aggregate Sub-base Course 725.73 cu.m cu.m 725.00 cu.m
E. SURFACE COURSES
300(1) Gravel Surface Course 76.35 cu.m. - cu.m. cu.m.
311(1)e1 PCC Pavement Unreinforced (0.28 m. thick) 1,203.05 sq.m. sq.m. 1,032.00 sq.m.
311(2)f1 PCC Pavement Unreinforced (0.30 m. thick) 80.00 sq.m. - sq.m. sq.m.
F. BRIDGE CONSTRUCTION
400(6) Structural Steel Sheet Pile, Furnished 524.00 m. m. 524.00 m.
400(12) Structural Steel Sheet Pile, Driven 497.80 m. m. 497.80 m.
400(14) Precast Concrete Piles, Driven 660.00 m. m. 660.00 m.
400(16) Test Pile Furnished & Driven 72.00 m. m. 72.00 m.
401(2)a Concrete Railings 22.00 m. - m. m.
404(1)b Reinforcing Steel 39,621.28 kg 1,614.53 kg 35,292.61 kg
405(1)a3 Structural Concrete Class "A" 336.70 cu.m cu.m 286.2 cu.m
407(8) Lean Concrete 31.94 cu.m cu.m 31.94 cu.m
414(1) Forms & Falseworks 1.00 cu.m cu.m 1.00 cu.m
G. SLOPE PROTECTION &STRUCTURES
505(5) Grouted Riprap Class "A" 35.28 cu.m cu.m 35.28 cu.m
H. MISCELLANEOUS
600(1)a Concrete Curb 160.71 lm - lm lm
607(1) Relflectorized Pavement Studs Flush Ty 81.00 each - each each
612(1) Reflectorized Thermoplastic Pavement Mar 86.79 sq.m - sq.m sq.m
612(2) Reflectorized Thermoplastic Pavement Mar 21.60 sq.m - sq.m sq.m
New Item:
400(4)a2 Precast Concrete Piles(Furnished) 682.00 m m 682.00 m
406(1)d4 Precast Structural Concrete Members 4.00 each - each 4.00 each
412(1) Elastomeric Bearing Pads 8.00 each - each 4.00 each
Note:
Project on Going. . .

MARILYN DP ONDAP ALEXANDER B. ORTIZ


(Project Quality Control Engineer) Project Engineer I

Note: To be submitted every quarter of the month


* 1st report 1-7
2nd report 8 - 15
3rd report 16 - 22
4th report 23 - 30/31
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
AGUSAN DEL SUR 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE XIII
San Francisco, Agusan del Sur

January 23, 2018


Date
CERTIFICATE OF QUALITY CONTROL ASSURANCE

Project :Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika (Agusan - Davao Sect
Location San Francisco, Agusan del Sur k 1320+544 -k 1320+566

Contractor :MCDC

We hereby certify that we have conducted an inspection and verification on work accomplished on the above-
mentioned project for the period January 16 - 22, 2018. We further certify that we have found that the quality of
materials in the following items of work corresponding to the quality accomplished conforms with the Standard
Specifications and Special Provisions of the contract viz :
Quantity Accomplished
ITEM NO. : DESCRIPTION : PROGRAMMED : THIS WEEK : TOTAL

A. FACILITIES FOR THE ENGINEER


Construction of combined Field Office,
A.1.1(1) Laboratory and Living Quarters for the 1.00 ls 1.00
Engineer ls ls
B. OTHER GENERAL REQUIREMENTS
B.4(1) Construction Survey & Staking 0.22 km km 0.22 km
B.4(4) Culvert Survey & Staking 10.00 each each 10.00 each
B.4(5) Bridge Survey & Staking 1.00 ls ls 1.00 ls
B.4(10) Misc. Survey & Staking 1.00 ls ls 1.00 ls
B.5 Project Billboard/Signboard 4.00 each each 4.00 each
B.7 Occupational Safety and Health 6.00 mo. mo. 6.00 mo.
B.8 Traffic Management 6.00 mo. mo. 6.00 mo.
B.9 Moblization/Demobilization 1.00 ls ls 0.90 ls
D. EARTWORKS
100(1) Clearing and Grubbing 0.52 ha. ha. 0.52 ha.
101(6) Removal of Structures & Obstruction 107.50 cu.m. cu.m. 107.50 cu.m.
102(4) Surplus Unclassified Excavation 43.99 cu.m. cu.m. 43.99 cu.m.
103(1)a1 Structure Excavation 109.18 cu.m cu.m 109.18 cu.m
104(1)a1 Embankment from Roadway Excavatio 316.39 cu.m. cu.m. 316.39 cu.m.
104(1)b1 Embankment from (Borrow) 3,080.12 cu.m cu.m 3,080.12 cu.m
105(1)a Subgrade Preparation 637.88 sq.m. sq.m. 637.88 sq.m.
D. SUBBASE COURSES
200(1) Aggregate Sub-base Course 725.73 cu.m cu.m 725.00 cu.m
E. SURFACE COURSES
300(1) Gravel Surface Course 76.35 cu.m. - cu.m. cu.m.
311(1)e1 PCC Pavement Unreinforced (0.28 m. thick) 1,203.05 sq.m. sq.m. 1,032.00 sq.m.
311(2)f1 PCC Pavement Unreinforced (0.30 m. thick) 80.00 sq.m. - sq.m. sq.m.
F. BRIDGE CONSTRUCTION
400(6) Structural Steel Sheet Pile, Furnished 524.00 m. m. 524.00 m.
400(12) Structural Steel Sheet Pile, Driven 497.80 m. m. 497.80 m.
400(14) Precast Concrete Piles, Driven 660.00 m. m. 660.00 m.
400(16) Test Pile Furnished & Driven 72.00 m. m. 72.00 m.
401(2)a Concrete Railings 22.00 m. - m. m.
404(1)b Reinforcing Steel 39,621.28 kg kg 35,292.61 kg
405(1)a3 Structural Concrete Class "A" 336.70 cu.m cu.m 286.2 cu.m
407(8) Lean Concrete 31.94 cu.m cu.m 31.94 cu.m
414(1) Forms & Falseworks 1.00 cu.m cu.m 1.00 cu.m
G. SLOPE PROTECTION &STRUCTURES
505(5) Grouted Riprap Class "A" 35.28 cu.m cu.m 35.28 cu.m
H. MISCELLANEOUS
600(1)a Concrete Curb 160.71 lm - lm lm
607(1) Relflectorized Pavement Studs Flush Ty 81.00 each - each each
612(1) Reflectorized Thermoplastic Pavement Mar 86.79 sq.m - sq.m sq.m
612(2) Reflectorized Thermoplastic Pavement Mar 21.60 sq.m - sq.m sq.m
New Item:
400(4)a2 Precast Concrete Piles(Furnished) 682.00 m m 682.00 m
406(1)d4 Precast Structural Concrete Members 4.00 each - each 4.00 each
412(1) Elastomeric Bearing Pads 8.00 each - each 4.00 each
Note:
No activities on the period covered. . .

MARILYN DP ONDAP ALEXANDER B. ORTIZ


(Project Quality Control Engineer) Project Engineer I

Note: To be submitted every quarter of the month


* 1st report 1-7
2nd report 8 - 15
3rd report 16 - 22
4th report 23 - 30/31

Republic of the Philippines


DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
AGUSAN DEL SUR 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE XIII
San Francisco, Agusan del Sur

February 1, 2018
Date
CERTIFICATE OF QUALITY CONTROL ASSURANCE

Project :Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika (Agusan - Davao Sect
Location San Francisco, Agusan del Sur k 1320+544 -k 1320+566

Contractor :MCDC
We hereby certify that we have conducted an inspection and verification on work accomplished on the above-
mentioned project for the period January 23 - 31, 2018. We further certify that we have found that the quality of
materials in the following items of work corresponding to the quality accomplished conforms with the Standard
Specifications and Special Provisions of the contract viz :
Quantity Accomplished
ITEM NO. : DESCRIPTION : PROGRAMMED : THIS WEEK : TOTAL

A. FACILITIES FOR THE ENGINEER


Construction of combined Field Office,
A.1.1(1) Laboratory and Living Quarters for the 1.00 ls 1.00
Engineer ls ls
B. OTHER GENERAL REQUIREMENTS
B.4(1) Construction Survey & Staking 0.22 km km 0.22 km
B.4(4) Culvert Survey & Staking 10.00 each each 10.00 each
B.4(5) Bridge Survey & Staking 1.00 ls ls 1.00 ls
B.4(10) Misc. Survey & Staking 1.00 ls ls 1.00 ls
B.5 Project Billboard/Signboard 4.00 each each 4.00 each
B.7 Occupational Safety and Health 6.00 mo. mo. 6.00 mo.
B.8 Traffic Management 6.00 mo. mo. 6.00 mo.
B.9 Moblization/Demobilization 1.00 ls ls 0.90 ls
D. EARTWORKS
100(1) Clearing and Grubbing 0.52 ha. ha. 0.52 ha.
101(6) Removal of Structures & Obstruction 107.50 cu.m. cu.m. 107.50 cu.m.
102(4) Surplus Unclassified Excavation 43.99 cu.m. cu.m. 43.99 cu.m.
103(1)a1 Structure Excavation 109.18 cu.m cu.m 109.18 cu.m
104(1)a1 Embankment from Roadway Excavatio 316.39 cu.m. cu.m. 316.39 cu.m.
104(1)b1 Embankment from (Borrow) 3,080.12 cu.m cu.m 3,080.12 cu.m
105(1)a Subgrade Preparation 637.88 sq.m. sq.m. 637.88 sq.m.
D. SUBBASE COURSES
200(1) Aggregate Sub-base Course 725.73 cu.m cu.m 725.00 cu.m
E. SURFACE COURSES
300(1) Gravel Surface Course 76.35 cu.m. - cu.m. cu.m.
311(1)e1 PCC Pavement Unreinforced (0.28 m. thick) 1,203.05 sq.m. sq.m. 1,032.00 sq.m.
311(2)f1 PCC Pavement Unreinforced (0.30 m. thick) 80.00 sq.m. - sq.m. sq.m.
F. BRIDGE CONSTRUCTION
400(6) Structural Steel Sheet Pile, Furnished 524.00 m. m. 524.00 m.
400(12) Structural Steel Sheet Pile, Driven 497.80 m. m. 497.80 m.
400(14) Precast Concrete Piles, Driven 660.00 m. m. 660.00 m.
400(16) Test Pile Furnished & Driven 72.00 m. m. 72.00 m.
401(2)a Concrete Railings 22.00 m. - m. m.
404(1)b Reinforcing Steel 39,621.28 kg kg 35,292.61 kg
405(1)a3 Structural Concrete Class "A" 336.70 cu.m cu.m 286.2 cu.m
407(8) Lean Concrete 31.94 cu.m cu.m 31.94 cu.m
414(1) Forms & Falseworks 1.00 cu.m cu.m 1.00 cu.m
G. SLOPE PROTECTION &STRUCTURES
505(5) Grouted Riprap Class "A" 35.28 cu.m cu.m 35.28 cu.m
H. MISCELLANEOUS
600(1)a Concrete Curb 160.71 lm - lm lm
607(1) Relflectorized Pavement Studs Flush Ty 81.00 each - each each
612(1) Reflectorized Thermoplastic Pavement Mar 86.79 sq.m - sq.m sq.m
612(2) Reflectorized Thermoplastic Pavement Mar 21.60 sq.m - sq.m sq.m
New Item:
400(4)a2 Precast Concrete Piles(Furnished) 682.00 m m 682.00 m
406(1)d4 Precast Structural Concrete Members 4.00 each - each 4.00 each
412(1) Elastomeric Bearing Pads 8.00 each - each 4.00 each
Note:
No activities on the period covered. . .

MARILYN DP ONDAP ALEXANDER B. ORTIZ


(Project Quality Control Engineer) Project Engineer I

Note: To be submitted every quarter of the month


* 1st report 1-7
2nd report 8 - 15
3rd report 16 - 22
4th report 23 - 30/31
January 8, 2018
Date

san - Davao Section)

on the above-
quality of materials
andard Specifications

: OMPL.

100.00 %

100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
90.00 %

100.00 %
cu.m. 100.00 %
cu.m. 100.00 %
100.00 %
cu.m. 100.00 %
100.00 %
sq.m. 100.00 %

100.00 %

cu.m. 0.00 %
sq.m. 85.78 %
sq.m. 0.00 %

100.00 %
100.00 %
100.00 %
100.00 %
0.00 %
85.00 %
85.00 %
100.00 %
100.00 %

100.00

0.00
0.00
0.00
0.00

100.00
100.00
50.00

B. ORTIZ
gineer I
January 16, 2018
Date

san - Davao Section)

on the above-
he quality of
ith the Standard

: OMPL.

100.00 %

100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
90.00 %

100.00 %
cu.m. 100.00 %
cu.m. 100.00 %
100.00 %
cu.m. 100.00 %
100.00 %
sq.m. 100.00 %

100.00 %

cu.m. 0.00 %
sq.m. 85.78 %
sq.m. 0.00 %

100.00 %
100.00 %
100.00 %
100.00 %
0.00 %
89.07 %
85.00 %
100.00 %
100.00 %

100.00
0.00
0.00
0.00
0.00

100.00
100.00
50.00

B. ORTIZ
gineer I
January 23, 2018
Date

san - Davao Section)

on the above-
the quality of
ith the Standard

: OMPL.

100.00 %

100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
90.00 %

100.00 %
cu.m. 100.00 %
cu.m. 100.00 %
100.00 %
cu.m. 100.00 %
100.00 %
sq.m. 100.00 %

100.00 %

cu.m. 0.00 %
sq.m. 85.78 %
sq.m. 0.00 %

100.00 %
100.00 %
100.00 %
100.00 %
0.00 %
89.07 %
85.00 %
100.00 %
100.00 %
100.00

0.00
0.00
0.00
0.00

100.00
100.00
50.00

B. ORTIZ
gineer I

February 1, 2018
Date

san - Davao Section)

on the above-
the quality of
ith the Standard

: OMPL.

100.00 %

100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
100.00 %
90.00 %

100.00 %
cu.m. 100.00 %
cu.m. 100.00 %
100.00 %
cu.m. 100.00 %
100.00 %
sq.m. 100.00 %

100.00 %

cu.m. 0.00 %
sq.m. 85.78 %
sq.m. 0.00 %

100.00 %
100.00 %
100.00 %
100.00 %
0.00 %
89.07 %
85.00 %
100.00 %
100.00 %

100.00

0.00
0.00
0.00
0.00

100.00
100.00
50.00

B. ORTIZ
gineer I
MONTHLY MATERIALS QUALITY CONTROL PROGRESS REPORT

January 2018
Month Year

Project: Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika (Agusan - Davao Section)
San Francisco, Agusk 1320+544 -k 1320+566

P 35,167,412.13 MCDC
Contract Amount and Sources of Funds Contractor

ALEXANDER B. ORTIZ
(Project Engineer,Gov't)

Quality Control Activity

a. Similar ( Number and kind sent to Control / Regional Office lab. )

b. Test done in regional or Project laboratory ( kind & item No. )

c. Inspection

Quality Control Works Accomplished

13.28% 75.26%
(Current Month) Total to Date

Quality Control personnel in project ( Name & Designation )

PREPARED BY:

NYLVEN N. MANTUHAC
ME -II Accreditation No.3765
Madyaw Construction and Development Corp.

SUBMITTED BY:

LEODEGARIO M. MAZO
Engineer III
Chief, Quality Assurance Section
e than 2 lanes) along Daang Maharlika (Agusan - Davao Section)

61.98%
SUMMARY REPORTS OF FIELD TESTS

Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika (Agusan -
Project : Davao Section) For the period: January 1 - 31, 2017
Location : San Francisco, Agusan del Sur k 1320+544 -k 1320+566

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/


Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

Note:
Project on-going…

PREPARED BY: CERTIFIED CORRECT: ATTESTED BY:

NYLVEN N. MANTUHAC MARILYN dP ONDAP ALEXANDER B. ORTIZ


ME -II Accreditation No.3765 Engineer II/ME-1 Accred. # D1-00727 Engineer II
Madyaw Construction and Development Corp. Quality Assurance Section Project Engineer I
SUMMARY REPORTS OF FIELD TESTS

Project Concreting of Butuan City-Talacogon-Veruela-Loreto-Sta. Josefa Road


: For the period: October 1-31, 2013
Location : La Paz, Agusan del Sur k 1360+420 - k 1362+000 & k 1362+000 - k 1362+420

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/


Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

CBCTLVSJR1360-144 Embankment Borrow sta 1361+ 384 LL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 6-Sep-13 Passed
CBCTLVSJR1360-145 Embankment Borrow sta 1361+ 416 CL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 6-Sep-13 Passed
CBCTLVSJR1360-146 Embankment Borrow sta 1361+ 448 RL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 6-Sep-13 Passed
CBCTLVSJR1360-147 Embankment Borrow sta 1361+ 480 LL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 6-Sep-13 Passed
CBCTLVSJR1360-148 Embankment Borrow sta 1361+ 512 CL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 6-Sep-13 Passed
CBCTLVSJR1360-149 Embankment Borrow sta 1361+ 544 RL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 6-Sep-13 Passed
CBCTLVSJR1360-150 Embankment Borrow sta 1361+ 576 LL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-151 Embankment Borrow sta 1361+ 608 CL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-152 Embankment Borrow sta 1361+ 640 RL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-153 Embankment Borrow sta 1361+ 672 LL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-154 Embankment Borrow sta 1361+ 704 CL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-155 Embankment Borrow sta 1361+ 736 RL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-156 Embankment Borrow sta 1361+ 768 RL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-157 Embankment Borrow sta 1361+ 800 CL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-158 Embankment Borrow sta 1361+ 832 LL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-159 Embankment Borrow sta 1361+ 864 LL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-160 Embankment Borrow sta 1361+ 896 CL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CBCTLVSJR1360-161 Embankment Borrow sta 1361+ 928 RL 1st Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 7-Sep-13 Passed
CERTIFIED CORRECT: ATTESTED BY:

NELSON B. BURLAT EDUARDO L. AGAD


Engineer II Engineer II
Quality Assurance Section Project Engineer III

SUMMARY REPORTS OF FIELD TESTS

Project Concreting of Butuan City-Talacogon-Veruela-Loreto-Sta. Josefa Road


: For the period: October 1-31, 2013
Location : La Paz, Agusan del Sur k 1360+420 - k 1362+000 & k 1362+000 - k 1362+420

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/


Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

CBCTLVSJR1360-162 Embankment Borrow sta 1360+ 820 LL 2nd Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-163 Embankment Borrow sta 1360+ 852 CL 2nd Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-164 Embankment Borrow sta 1360+ 884 RL 2nd Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-165 Embankment Borrow sta 1360+ 916 RL 2nd Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-166 Embankment Borrow sta 1360+ 948 CL 2nd Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-167 Embankment Borrow sta 1360+ 980 LL 2nd Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-168 Embankment Borrow sta 1361+ 000 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-169 Embankment Borrow sta 1361+ 032 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-170 Embankment Borrow sta 1361+ 064 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-171 Embankment Borrow sta 1361+ 096 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-172 Embankment Borrow sta 1361+ 128 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-173 Embankment Borrow sta 1361+ 160 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 11-Sep-13 Passed
CBCTLVSJR1360-174 Embankment Borrow sta 1361+ 192 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-175 Embankment Borrow sta 1361+ 224 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-176 Embankment Borrow sta 1361+ 256 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-177 Embankment Borrow sta 1361+ 288 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-178 Embankment Borrow sta 1361+ 320 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-179 Embankment Borrow sta 1361+ 352 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed

CERTIFIED CORRECT: ATTESTED BY:

NELSON B. BURLAT EDUARDO L. AGAD


Engineer II Engineer II
Quality Assurance Section Project Engineer III

SUMMARY REPORTS OF FIELD TESTS

Project Concreting of Butuan City-Talacogon-Veruela-Loreto-Sta. Josefa Road


: For the period: October 1-31, 2013
Location : La Paz, Agusan del Sur k 1360+420 - k 1362+000 & k 1362+000 - k 1362+420

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/


Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

CBCTLVSJR1360-180 Embankment Borrow sta 1361+ 384 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-181 Embankment Borrow sta 1361+ 416 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-182 Embankment Borrow sta 1361+ 448 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-183 Embankment Borrow sta 1361+ 480 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-184 Embankment Borrow sta 1361+ 512 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-185 Embankment Borrow sta 1361+ 544 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 12-Sep-13 Passed
CBCTLVSJR1360-186 Embankment Borrow sta 1361+ 576 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-187 Embankment Borrow sta 1361+ 608 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-188 Embankment Borrow sta 1361+ 640 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-189 Embankment Borrow sta 1361+ 672 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-190 Embankment Borrow sta 1361+ 704 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-191 Embankment Borrow sta 1361+ 736 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-192 Embankment Borrow sta 1361+ 768 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-193 Embankment Borrow sta 1361+ 800 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-194 Embankment Borrow sta 1361+ 832 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-195 Embankment Borrow sta 1361+ 864 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-196 Embankment Borrow sta 1361+ 896 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed
CBCTLVSJR1360-197 Embankment Borrow sta 1361+ 928 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 13-Sep-13 Passed

CERTIFIED CORRECT: ATTESTED BY:

NELSON B. BURLAT EDUARDO L. AGAD


Engineer II Engineer II
Quality Assurance Section Project Engineer III

SUMMARY REPORTS OF FIELD TESTS

Project Concreting of Butuan City-Talacogon-Veruela-Loreto-Sta. Josefa Road


: For the period: October 1-31, 2013
Location : La Paz, Agusan del Sur k 1360+420 - k 1362+000 & k 1362+000 - k 1362+420

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/


Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation
CBCTLVSJR1360-198 Embankment Borrow sta 1360+ 780 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-199 Embankment Borrow sta 1360+ 807 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-200 Embankment Borrow sta 1360+ 834 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-201 Embankment Borrow sta 1360+ 861 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-202 Embankment Borrow sta 1360+ 888 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-203 Embankment Borrow sta 1360+ 915 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-204 Embankment Borrow sta 1360+ 942 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-205 Embankment Borrow sta 1360+ 969 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-206 Embankment Borrow sta 1360+ 996 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-207 Embankment Borrow sta 1361+ 000 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-208 Embankment Borrow sta 1361+ 027 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-209 Embankment Borrow sta 1361+ 054 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 16-Sep-13 Passed
CBCTLVSJR1360-210 Embankment Borrow sta 1361+ 081 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed
CBCTLVSJR1360-211 Embankment Borrow sta 1361+ 108 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed
CBCTLVSJR1360-212 Embankment Borrow sta 1361+ 135 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed
CBCTLVSJR1360-213 Embankment Borrow sta 1361+ 162 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed
CBCTLVSJR1360-214 Embankment Borrow sta 1361+ 189 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed
CBCTLVSJR1360-215 Embankment Borrow sta 1361+ 216 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed

CERTIFIED CORRECT: ATTESTED BY:

NELSON B. BURLAT EDUARDO L. AGAD


Engineer II Engineer II
Quality Assurance Section Project Engineer III

SUMMARY REPORTS OF FIELD TESTS

Project Concreting of Butuan City-Talacogon-Veruela-Loreto-Sta. Josefa Road


: For the period: October 1-31, 2013
Location : La Paz, Agusan del Sur k 1360+420 - k 1362+000 & k 1362+000 - k 1362+420
Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/
Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

CBCTLVSJR1360-216 Embankment Borrow sta 1361+ 243 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed
CBCTLVSJR1360-217 Embankment Borrow sta 1361+ 270 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed
CBCTLVSJR1360-218 Embankment Borrow sta 1361+ 297 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 17-Sep-13 Passed
CBCTLVSJR1360-219 Embankment Borrow sta 1361+ 324 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed
CBCTLVSJR1360-220 Embankment Borrow sta 1361+ 351 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed
CBCTLVSJR1360-221 Embankment Borrow sta 1361+ 378 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed
CBCTLVSJR1360-222 Embankment Borrow sta 1361+ 405 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed
CBCTLVSJR1360-223 Embankment Borrow sta 1361+ 432 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed
CBCTLVSJR1360-224 Embankment Borrow sta 1361+ 459 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed
CBCTLVSJR1360-225 Embankment Borrow sta 1361+ 486 LL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed
CBCTLVSJR1360-226 Embankment Borrow sta 1361+ 513 CL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed
CBCTLVSJR1360-227 Embankment Borrow sta 1361+ 540 RL Top Layer Jobsite FDT 104 C.F.Vinson/R.C.Batisting 18-Sep-13 Passed

CERTIFIED CORRECT: ATTESTED BY:

NELSON B. BURLAT EDUARDO L. AGAD


Engineer II Engineer II
Quality Assurance Section Project Engineer III
SUMMARY REPORTS OF FIELD TESTS

Project Concreting of Butuan City-Talacogon-Veruela-Loreto-Sta. Josefa Road


: For the period: October 1-31, 2013
Location : La Paz, Agusan del Sur k 1360+420 - k 1362+000 & k 1362+000 - k 1362+420

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/


Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

CBCTLVSJR1360-01 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-02 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-03 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-04 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-05 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-06 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-07 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-08 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-09 Portland Cement stab. Rd. Mix Course 1500 cu.m Umayam River, Loreto ADS Compaction 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed

CBCTLVSJR1360-01 Portland Cement stab. Rd. Mix Course sta 1362+ 032 LL Umayam River, Loreto ADS FDT 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-02 Portland Cement stab. Rd. Mix Course sta 1362+ 090 LL Umayam River, Loreto ADS FDT 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed
CBCTLVSJR1360-03 Portland Cement stab. Rd. Mix Course sta 1362+ 934 LL Umayam River, Loreto ADS FDT 204 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 19-Sep-13 Passed

CERTIFIED CORRECT: ATTESTED BY:

NELSON B. BURLAT EDUARDO L. AGAD


Engineer II Engineer II
Quality Assurance Section Project Engineer III
SUMMARY REPORTS OF FIELD TESTS

Project Concreting of Butuan City-Talacogon-Veruela-Loreto-Sta. Josefa Road


: For the period: October 1-31, 2013
Location : La Paz, Agusan del Sur k 1360+420 - k 1362+000 & k 1362+000 - k 1362+420

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/


Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

CBCTLVSJR1360-36 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 4-Oct-13 Passed
CBCTLVSJR1360-37 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 4-Oct-13 Passed
CBCTLVSJR1360-38 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 4-Oct-13 Passed
CBCTLVSJR1360-39 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 4-Oct-13 Passed
CBCTLVSJR1360-40 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 4-Oct-13 Passed
CBCTLVSJR1360-41 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 4-Oct-13 Passed
CBCTLVSJR1360-42 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 5-Oct-13 Passed
CBCTLVSJR1360-43 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 5-Oct-13 Passed
CBCTLVSJR1360-44 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 5-Oct-13 Passed
CBCTLVSJR1360-45 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 5-Oct-13 Passed
CBCTLVSJR1360-46 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 5-Oct-13 Passed
CBCTLVSJR1360-47 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 5-Oct-13 Passed
CBCTLVSJR1360-48 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 7-Oct-13 Passed
CBCTLVSJR1360-49 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 7-Oct-13 Passed
CBCTLVSJR1360-50 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 7-Oct-13 Passed
CBCTLVSJR1360-51 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 7-Oct-13 Passed
CBCTLVSJR1360-52 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 7-Oct-13 Passed
CBCTLVSJR1360-53 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 7-Oct-13 Passed
CBCTLVSJR1360-54 Coarse Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 7-Oct-13 Passed

CERTIFIED CORRECT: ATTESTED BY:


NELSON B. BURLAT EDUARDO L. AGAD
Engineer II Engineer II
Quality Assurance Section Project Engineer III

SUMMARY REPORTS OF FIELD TESTS

Project Concreting of Butuan City-Talacogon-Veruela-Loreto-Sta. Josefa Road


: For the period: October 1-31, 2013
Location : La Paz, Agusan del Sur k 1360+420 - k 1362+000 & k 1362+000 - k 1362+420

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/


Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

CBCTLVSJR1360-21 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 1-Oct-13 Passed
CBCTLVSJR1360-22 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 1-Oct-13 Passed
CBCTLVSJR1360-23 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 1-Oct-13 Passed
CBCTLVSJR1360-24 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 1-Oct-13 Passed
CBCTLVSJR1360-25 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 1-Oct-13 Passed
CBCTLVSJR1360-26 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 2-Oct-13 Passed
CBCTLVSJR1360-27 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 2-Oct-13 Passed
CBCTLVSJR1360-28 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 2-Oct-13 Passed
CBCTLVSJR1360-29 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 2-Oct-13 Passed
CBCTLVSJR1360-30 Fine Aggregate 1500 cu.m Umayam River, Loreto ADS Grading 311 C.F.Vinson/R.C.Batisting 19-Sep-13 C.F.Vinson/R.C.Batisting 2-Oct-13 Passed
CERTIFIED CORRECT: ATTESTED BY:

NELSON B. BURLAT EDUARDO L. AGAD


Engineer II Engineer II
Quality Assurance Section Project Engineer III
STATUS OF TEST
Date:

Project: Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika (Agusan - Davao Secti
Location: San Francisco, Agusan del Sur k 1320+544 -k 1320+566

Our records indicate that the status of test in the above project for the month of
is as follows.
Medium Number
Item Materials Actual Estimated No. of Test on
Quantities Required File
A. FACILITIES FOR THE ENGINEER
Construction of combined Field Office,
A.1.1(1) Laboratory and Living Quarters for the Engineer 1.00 ls P.E. Cert-1 1

B. OTHER GENERAL REQUIREMENTS


B.4(1) Construction Survey & Staking 0.22 km P.E. Cert-1 1
B.4(4) Culvert Survey & Staking 10.00 each P.E. Cert-1 1
B.4(5) Bridge Survey & Staking 1.00 ls P.E. Cert-1 1
B.4(10) Misc. Survey & Staking 1.00 ls P.E. Cert-1 1
B.5 Project Billboard/Signboard 4.00 each P.E. Cert-1 1
B.7 Occupational Safety and Health 6.00 mo. P.E. Cert-1 1
B.8 Traffic Management 6.00 mo. P.E. Cert-1 1
B.9 Moblization/Demobilization 1.00 ls P.E. Cert-1 0
D. EARTWORKS
100(1) Clearing and Grubbing 0.52 ha.P.E. Cert-1 1
101(6) Removal of Structures & Obstruction 107.50 cu.m.
P.E. Cert-1 1
102(4) Surplus Unclassified Excavation 43.99 cu.m.
P.E. Cert-1 1
103(1)a1 Structure Excavation 109.18 cu.mP.E. Cert-1 1
104(1)a1 Embankment from Roadway Excavation 316.72 cu.m.
GPC-1, 1
D-10 10
104(1)b1 Embankment from (Borrow) 3,080.12 cu.m GPC-3 3
D-100 51
105(1)a Subgrade Preparation 637.88 sq.m. GPC-1 1
D. SUBBASE COURSES D-6 0
200(1) Aggregate Sub-base Course 725.73 cu.m GP-2 2
C-1 1
CBR-1 0
D-24 0
E. SURFACE COURSES
300(1) Gravel Surface Course 76.35 cu.m. GP-1 1
C-1 1
Q-1 1
D-5 0
311(1)e1 PCC Pavement Unreinforced (0.28 m. thick) 1,203.05 sq.m. CBS -7 sets 0
a.) Portland Cement 3,200.11 bags *
b.) Screened & Washed Fine Aggregate 185.27 cu.m. **
c.) Screened & Washed Coarse Aggregate 336.85 cu.m. ***
d.) Water - - P.E. Cert-1 1
e.) RSB 601.53 kgs. ****
f.) Curing Chemical Compound 348.88 lit. *****
g.) Asphalt Sealant 204.52 lit. ******
311(2)f1 PCC Pavement Unreinforced (0.30 m. thick) 80.00 sq.m CBS - 1 set 0
a.) Portland Cement 212.80 bags *
b.) Screened & Washed Fine Aggregate 12.32 cu.m **
c.) Screened & Washed Coarse Aggregate 22.40 cu.m ***
d.) Water - - P.E. Cert-1 1
e.) RSB 2,114.35 kgs. ****
f.) Curing Chemical Compound 23.20 lit. *****
g.) Asphalt Sealant 13.60 lit. ******
F. BRIDGE CONSTRUCTION
400(6) Structural Steel Sheet Pile, Furnished 524.00 m. Q-1 1
400(12) Structural Steel Sheet Pile, Driven 497.80 m. IR-1 1
400(14) Precast Concrete Piles, Driven 660.00 m. IR-1 1
400(16) Test Pile Furnished & Driven 72.00 m. CCS-1 set 1
IR-1 1
401(2)a Concrete Railings 22.00 m. CCS-1 set 0
404(1)b Reinforcing Steel 39,621.28 kg ****
405(1)a3 Structural Concrete Class "A" 336.70 cu.m CCS -6 sets 0
a.) Portland Cement 3,198.65 bags *
b.) Screened & Washed Fine Aggregate 168.35 cu.m. **
c.) Screened & Washed Coarse Aggregate 336.70 cu.m. ***
d.) Water - - P.E. Cert-1 1

407(8)Lean Concrete 31.94 cu.m CCS-1 set 0


a.) Portland Cement 257.12 bags *
b.) Screened & Washed Fine Aggregate 15.97 cu.m **
c.) Screened & Washed Coarse Aggregate 31.94 cu.m ***
d.) Water - - P.E. Cert-1 1
414(1) Forms & Falseworks 1.00 cu.m P.E. Cert-1 1
G. SLOPE PROTECTION &STRUCTURES
505(5) Grouted Riprap Class "A" 35.28 cu.m
a.) Portland Cement 105.84 bags *
b.) Screened & Washed Fine Aggregate 8.82 cu.m **
c.) Water - - P.E. Cert-1 1
d.) Boulders 37.04 cu.m Sp.Gr-1 1
IR-1 0
H. MISCELLANEOUS
600(1)a Concrete Curb 160.71 lm CCS - 1 set 0
a.) Portland Cement 115.71 bags *
b.) Screened & Washed Fine Aggregate 6.43 cu.m. **
c.) Screened & Washed Coarse Aggregate 12.86 cu.m. ***
d.) Water - - P.E. Cert-1 1
607(1) Relflectorized Pavement Studs Flush Type 81.00 each P.E. Cert-1 0
612(1) Reflectorized Thermoplastic Pavement Markings (White) 86.79 sq.m Q-1 1
612(2) Reflectorized Thermoplastic Pavement Markings (Yellow) 21.60 sq.m Q-1 1

New Item:
400(4)a2 Precast Concrete Piles(Furnished) 682.00 m CCS-1 set 1
406(1)d4 Precast Structural Concrete Members 4.00 each CCS-1 set 0
412(1) Elastomeric Bearing Pads 8.00 each Q-1 0

Summary for item 311(1)e1, 311(2)f1, 405(1)a3, 407(8), 505(5) & 600(1)a:
a.) Portland Cement * 7,090.00 bags Q-4 4
b.) Screened & Washed Fine Aggregate * 397.16 cu.m Q-1 1
G-6 3
c.) Screened & Washed Coarse Aggregate ** 359.25 cu.m Q-1(Item 311) 1
G-5 0
381.50 cu.m. Q-1(Item 405) 1
G-5 5
d.) RSB **** 42,337.16 kgs Q-1/size per 10,000 kgs. 1
e.) Curing Chemical Compound ***** 372.08 ltr Q-1 1
f.) Asphalt Sealant ****** 218.12 ltr Q-1 1

PHYSICAL ACCOMPLISHMENT:
91.75%
PREPARED BY: NOTED:

NYLVEN N. MANTUHAC ALEXANDER B. ORTIZ


ME -II Accreditation No.3765 Engineer II
Madyaw Construction and Development Corp. Project Engineer I
LEGEND

M- Mechanical or Sieve Analysis P- Plastic and Liquid Limits Test


C- Compaction of Test D- Field Density Test
Q- Quality Test SF- Shrinkage Factor Test
FT- Free Test IR- Inspection Report
-One test of every layer of 20 cu.m. distance between test holes not to exceed 150 linear meters.
-One set by Cylinder samples for every dry pouring but not exceed 75 cu.m
-One set by beam samples for every dry pouring but not exceed 75 cu.m.
October 31, 2017

rlika (Agusan - Davao Section)

October 1-31,2017

Test Work
Balance Accom.

0 100.00%

0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
1 90.00%

0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%###
49 51.00%
0 100.00%
6 0.00%
0 100.00%
0 100.00%
1 0.00%
24 0.00%

0 100.00%
0 100.00%
0 100.00%
5 0.00%
7 0.00%

0 100.00%

1 0.00%

0 100.00%

0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
1 0.00%
6 0.00%

0 100.00%

1 0.00%

0 100.00%
0 100.00%

0 100.00%
0 100.00%
1 0.00%

1 0.00%

0 100.00%
1 0.00%
0 100.00%
0 100.00%

0 100.00%
1 0.00%
1 0.00%

0 100.00%
0 100.00%
3 50.00%
0 100.00%
5 0.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%

75.26%

LEXANDER B. ORTIZ
Engineer II
Project Engineer I

P- Plastic and Liquid Limits Test


D- Field Density Test
SF- Shrinkage Factor Test
IR- Inspection Report
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
AGUSAN DEL SUR 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE XIII
San Francisco, Agusan del Sur

June 8, 2017
Date

CERTIFICATION
Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika
Name of Project : (Agusan - Davao Section) k 1320+544 -k 1320+566

Location : San Francisco, Agusan del Sur

Contractor : MCDC

I hereby certify that Item 414(1) which represents the Forms & Falseworks of the above
named project with total quantity of one(1.00) cubic meter was done in accordanceto the
approved plans & specifications.

ALEXANDER B. ORTIZ
Project Engineer I
017
BRS FORM QA-1

MONITORING OF QUALITY ASSURANCE (QA) IMPLEMENTATION BY THE


DISTRICT ENGINEERING & CITY OFFICES IN DPWH INFRASTRUCTURE PROJECTS

Name of Project : Widening of Lagcogangan Bridge (to more than 2 lanes) along Daang Maharlika (Agusan - Davao Sect
Contractor : MCDC Construction San Francisco, Agusan del S k 1320+544 -k 1320+566
Implementing Office : DPWH 2nd District Engineering Office , SFADS Project Cost : P 26,038,770.00
Project Duration : a.) Date Started : February 27, 2017
b.) Project Date of Completion :
c.) Calendar Days :

CONCERN REMARKS
* Accreditation of PE/PI A
ALEXANDER B. ORTIZ PE I
Accreditation No.
* Accreditation of Contractors'/Consultants' Project on-going..
ME B
NYLVEN N. MANTUHAC ME - 1
Acreditation No. 3765
* Limits of Assignment of PE/ME C
Not exceed P50 M/Not more than P30 M

* Current or latest sanction(s) Imposed on


DPWH PE/PI/ME or Contractor's/ME

Warning/None/None/None

* Approval of BRS on Special Items of Works


(SPL) D

None

* Accreditation of Private Testing Laboratory


and Batching Plants E

* Compliance to Minimum Testing Requirements F The minimum testing requirement were


performed by the contractor

A. D.O. No. 73, s.1998


B. D.O. No. 184, s.1999
C. D.O. No. 42 s.2006 and D.O. No. 41,s. 2007
D. D.O. No. 43, s.2006
E. D.O. No. 253, s.2003 and D.O No. 26, s.1989
F. DPWH Secretary's Memorandum dated 25 January 1989
BRS FORM QA-1

ON BY THE
URE PROJECTS

a (Agusan - Davao Section)


20+544 -k 1320+566
038,770.00

ment were