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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: Checked by: Approved by: Materials Engineer Materials Engineer Project Engineer Contractor DPWH DPWH DPWH | Project Implementation Forms – Acceptance Form A-16

A-16 Acceptance Item 201

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Page 1: A-16 Acceptance Item 201

CERTIFICATE OF JOB ACCEPTANCEITEM 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: Checked by: Approved by:

Materials Engineer Materials Engineer Project Engineer

Contractor DPWH DPWH

DPWH | Project Implementation Forms – Acceptance Form A-16