747 Aurora Blvd., Quezon City Tels:721-2736 to 37 Fax: 722-7058 www.metrosoils.

com

Date: ___________Time : _________

Proposed Title

Project Description :
Location :
Company Name :
Contact Name :

Position:

Contact No:

Source of Inquiry:

Company Address :
OTHERS INFORMATION NEEDED:

a. scope - number, depth of boreholes

b. site access issues
c. offsite housing needed?
d. water supply
e. is there existing foundation/concrete slab to break through
f. board-up needed?
g. PPE/training requirements?
h. sloping conditions
i. permits required?
j. other special requirements?
k. lot area
Others

foot print of bldg.