PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)

LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA

DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : SUBMETER 1 (TENANT)
LOCATION : MAIN EE ROOM
MAIN : 1500AT(LUGS ONLY), 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 LPS-1 175AT
2 LPS-2 175AT
3 LPS-3 175AT
4 LPS-4 175AT
5 LPS-5 175AT
6 LPS-6 175AT
7 LPS-7 175AT
8 LPS-8 175AT
9 LPS-9 175AT
10 LPS-10 175AT
11 LPS-11 175AT
12 LPS-12 175AT
13 LPS-13 175AT
14 LPS-14 175AT
15 LPS-15 175AT
16 LPS-16 175AT
17 LPS-17 175AT
18 LPS-18 175AT
19 LPS-19 175AT
20 LPS-20 175AT
21 LPS-21 175AT
22 LPS-22 175AT
23 LPS-23 175AT
24 LPS-24 175AT
25 LPS-25 175AT
26 LPS-26 175AT
27 LPS-27 175AT
28 LPS-28 175AT
29 LPS-29 175AT
30 LPS-30 175AT
31 LPS-31 175AT
32 LPS-32 175AT
33 LPS-33 175AT
34 LPS-34 175AT
35 LPS-35 175AT
36 LPS-36 175AT
37 LPS-37 175AT
38 LPS-38 175AT
39 LPS-39 175AT

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : SUBMETER 2 (KIOSK)
LOCATION : MAIN EE ROOM
MAIN : 100AT(LUGS ONLY), 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D REMARKS

1 KIOSK-1 30AT
2 KIOSK-2 30AT
3 KIOSK-3 30AT
4 KIOSK-4 30AT
5 KIOSK-5 30AT
6 KIOSK-6 30AT
7 KIOSK-7 30AT
8 KIOSK-8 30AT
9 KIOSK-9 30AT
10 KIOSK-10 30AT
11 KIOSK-11 30AT
12 KIOSK-12 30AT
13 KIOSK-13 30AT
14 KIOSK-14 30AT
15 KIOSK-15 30AT
16 KIOSK-16 30AT
17 KIOSK-17 30AT
18 KIOSK-18 30AT
19 KIOSK-19 30AT
20 KIOSK-20 30AT
21 KIOSK-21 30AT
22 KIOSK-22 30AT
23 KIOSK-23 30AT
24 KIOSK-24 30AT
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : PPAC1
LOCATION : SUB EE ROOM
MAIN : 320AT(LUGS ONLY), 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 ACCU 75AT
2 ACCU 75AT
3 ACCU 75AT
4 ACCU 75AT
5 ACCU 75AT
6 ACCU 75AT
7 ACCU 75AT
8 ACCU 75AT
9 ACCU 75AT
10 ACCU 75AT
11 ACCU 75AT
12 ACCU 75AT
13 ACCU 75AT
14 ACCU 75AT
15 ACCU 75AT
16 ACCU 75AT
17 ACCU 75AT
18 ACCU 75AT
19 ACCU 75AT
20 SPARE 75AT
21 ACCU 75AT
22 SPARE 75AT
23
24
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : LP1
LOCATION : SUB EE ROOM
MAIN : 100AT(LUGS ONLY), 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 20AT
2 20AT
3 20AT
4 20AT
5 20AT
6 20AT
7 20AT
8 20AT
9 20AT
10 20AT
11 20AT
12 20AT
13 20AT
14 20AT
15 20AT
16 20AT
17 20AT
18 20AT
19 20AT
20 20AT
21 20AT
22 20AT
23 SPARE 30AT
24 SPARE 30AT
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : LP1
LOCATION : SUB EE ROOM
MAIN : 100AT(LUGS ONLY), 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 20AT
2 20AT
3 20AT
4 20AT
5 20AT
6 20AT
7 20AT
8 20AT
9 20AT
10 20AT
11 20AT
12 20AT
13 20AT
14 20AT
15 20AT
16 20AT
17 20AT
18 20AT
19 20AT
20 20AT
21 20AT
22 20AT
23 SPARE 30AT
24 SPARE 30AT
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : LP2
LOCATION : SUB EE ROOM
MAIN : 60AT(LUGS ONLY), 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 20AT
2 20AT
3 20AT
4 20AT
5 20AT
6 20AT
7 20AT
8 20AT
9 20AT
10 20AT
11 20AT
12 20AT
13 20AT
14 20AT
15 20AT
16 20AT
17 20AT
18 SPARE 30AT
19 SPARE 30AT
20 SPARE 30AT
21
22
23
24
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : LP3
LOCATION : SUB EE ROOM
MAIN : 100AT(LUGS ONLY), 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 30AT
2 30AT
3 30AT
4 30AT
5 30AT
6 30AT
7 30AT
8 30AT
9 30AT
10 30AT
11 30AT
12 30AT
13 SIGNAGE 40AT
14 SPARE 30AT
15 SIGNAGE 40AT
16 SPARE 30AT
17 SIGNAGE 40AT
18 SPARE 30AT
19
20
21
22
23
24
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : LPO
LOCATION : SUB EE ROOM
MAIN : 60AT(LUGS ONLY), 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 40AT
2 30AT
3 40AT
4 30AT
5 20AT
6 20AT
7 SPARE 20AT
8 SPARE 20AT
9 SPARE 30AT
10 SPARE 30AT
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : MDP
LOCATION : SUB EE ROOM
MAIN : 600AT,3PCB, 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 PPAC1 320AT
2 LP1 100AT
3 LP2 60AT
4 LP3 100AT
5 LPO 60AT
6 SPARE 100AT
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : LVSB
LOCATION : MAIN EE ROOM
MAIN : 2500AT,3PCB, 400V

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D

1 SUBMETER 1 1500AT
2 PPS (SUPERMARKET) 1200AT
3 MDP (MALL) 600AT
4 FIRE PUMP 500AT
5 SUBMETER 2 100AT
6 TELCO 1 100AT
7 TELCO 2 100AT
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

_______________________ _______________________
REX FORD UTON URIAN MARCO MENDOZA
PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE
 MC Gentech Builders Corporation
ENGINEERS BUILDERS GENERAL CONTRACTOR
PROJECT : PROPOSED ONE STOREY COMMERCIAL BUILDING (MALL)
LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :

PHYSICAL CHECK LISTS*

PANEL BOARD I.D. LOCATION (A) (B) (C) (D) (E)

Legend: *
A - Document inspection for physical, electrical and mechanical condition.
B- Check for proper anchorage, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.
E- Detailed listings of breaker labels.

PERFORMED BY : MC Gentech Builders Corporation

_______________________ _______________________ _____________________
JAYSON SANTIAGO ARREN CANLAPAN MARCO MENDOZA
FOREMAN PROJECT ENGINEER PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ RAY MARK MUDLONG
FCT STONE CONST. AND MGMT PROJECT IN CHARGE
MC GENTECH
ACCEPTED BY : __________________________
OWNERS REPRESENTATIVE
 MC Gentech Builders Corporation
ENGINEERS BUILDERS GENERAL CONTRACTOR

PROJECT :3 STORIES MIXED USE BLDG WITH ROOF DECK

LOCATION : BRGY PANIPUAN MEXICO PAMPANGGA
DATE :
FUNCTIONAL TEST REPORT
PANEL BOARD : SERVICE ENTRANCE
LOCATION : MAIN EE ROOM
MAIN : 1000 AT

VOLTAGE READING (V) PHYSICAL CHECKLIST

CIRCUIT NO. LOAD DESCRIPTION CB RATING REMARKS
L1-L2 L2-L3 L3-L1 L1-G L2-G L3-G L1-N L2-N L3-N G-N A B C D
1 METER CENTER A1 1OOO AT
2 METER CENTER A2 1OOO AT
3 METER CENTER A3 1OOO AT
5 METER CENTER A5 1OOO AT
6 METER CENTER B1 1OOO AT
7 METER CENTER B2 1OOO AT
8 METER CENTER B3 1OOO AT
9 METER CENTER B5 1OOO AT
10 METER CENTER C1 1OOO AT
11 METER CENTER C2 1OOO AT
12 METER CENTER C3 1OOO AT
15 METER CENTER C5 1OOO AT

INSTRUMENT ____________________________
: CALIBRATION DATE : __________________
SERIAL NUMBER ___________________________
: DUE DATE : __________________
DATE PERFORMED/TIME : ____________________________________

Legend: *
A - Passed inspection for physical, electrical and mechanical condition.
B- Check for proper termination, required clearances, physical damage and proper alignment.
C- Cleanliness of breakers, match tagging and circuit labelling.
D- Inspect insulators for evidence of physcal damage or contaminated surfaces.

PERFORMED BY : MC Gentech Corporation

________________________________________________
MIGUEL STEFANO NAVARRO / RENZ CAMACHO
PROJECT ENGINEER

ATTESTED BY :
________________________
__________________________ ELMON M. RENTASIDA _______________________
PROJECT ENGINEER PROJECT IN CHARGE PROJECT ENGINEER
FCT STONE CONST. AND MGMT MC GENTECH ASDC

__________________________
OWNERS REPRESENTATIVE