ABCDEFHIJKLMNOPQRSTUVWXYZ
1
Republic of the Philippines
2
TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY
3
Region 02
4
SOUTHERN ISABELA COLLEGE OF ARTS AND TRADES
5
Santiago City
6
7
REQUEST FOR PRE-REPAIR INSPECTION
8
9
DESCRIPTION OF PROPERTY
10
TYPE: _______________________________
BRAND/MODEL: __________________________
11
SERIAL/ENGINE NO. ____________________
PROPERTY NO. :_______________
12
ACQUISITION DATE: _____________________
ACQUISITION COST: ______________________
13
DATE OF LAST REPAIR:________________NATURE OF LAST REPAIR:_______________
14
(Attach copy of latest Job Order)
15
16
DEFECTS/COMPLAINTS
17
18
19
Requested by:
20
21
Date: ______________
22
______________________________________________________________________________________
____________________________________________________________
23
INSPECTION REPORT
24
25
FINDINGS:
26
27
PARTS/MATERIALS TO BE REPLACED:
28
29
SCOPE OF WORK TO BE DONE:
30
31
INSPECTED BY:NOTED BY:
32
ENGR. WILBERT D. DELA CRUZ, JR.
33
Inspector/FocalVocational Instruction Supervisor-Designate
34
Date: Date:
35
36
DEO MARK I. QUIBRALCHARIES FAITH L. DE LEON
37
Admin Officer I / Supply OfficerAdministrative Officer IV
38
Date: Date:
39
_____________________________________________________________________________________
40
POST REPAIR
41
42
JOB ORDER NO.: DATE:
43
INVOICE NO.: DATE:
44
AMT. PER JOB ORDER:PAYABLE AMOUNT:
45
FINDINGS: _Operational/funtional_____________________________________________________
46
47
INSPECTED BY:NOTED BY:
48
49
_______________________DEO MARK I. QUIBRAL
50
End User/ Focal Admin Officer I / Supply Officer
51
Date: Date:
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100