LOCATION : ______________________________________________ STRENGTH : ______________________________ STATION : _____________________________________________ SLUMP : ______________________________ AREA (sq.m ) : _____________________________________________ NO.SPECIMEN : _____________________________ VOLUME (cu.m ) : _____________________________________________ NO.TRUCKS/TRIPS : _________________________ TIME STARTED : _____________________________________________ DATE SAMPLED : _________________________ TIME FINISHED : _____________________________________________ AGE IN DAYS : ______________________________
LINE & GRADE/ELEVATION
SUB-BASE COURSE AGG.BASE COURSE EXCAVATION/COMPACTION SURFACE DEWATERING FIELD DENSITY TEST (FDT) FORMWORKS/SUPPORTS REBARS/DOWELS EMBEDDED ITEMS - Water - Sewer - Drainage - Electrical Others ____________________ APPROVED POURING REQUEST FORM CONCRETE TOOLS - Finishing Broom/Rakes - Shovel APPROVED FOR POURING : - Short/Long Screeds - Conc.floats Perry Sandoval - Trowels Surveyor - Conc.cutter - Levelling Rod Herman Bibon - Conc.Vibrator SE - Mallorca - Supply of Water - Pouring Lights Antonio Lovendino - Traffic signs,warning devices,etc. SE - Mallorca
Prepared by: Henry Romero
PM - Mallorca City Engr. Apollo Jimenez PM - VJS Builders