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A-16 Acceptance Item 201

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CERTIFICATE OF JOB ACCEPTANCE

ITEM NO. 201 AGGREGATE BASE COURSE

Name of Project: ____________________________________________________________


Location: ___________________________________________________________________
In consideration of the satisfactory completion of the ______________ layer of lot

nos.

______________ within station limit K______________ to K______________, the succeeding activity


may be commenced.
Next Layer of Item 201
Item 202
Item 300
Item 311

Submitted by:

Materials Engineer
Contractor

Checked by:

Materials Engineer
DPWH

Approved by:

Project Engineer
DPWH

DPWH | Project Implementation Forms Acceptance Form

A-16

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