DMC-建筑材料厅DepartamentodeMateriaisdeConstruo.doc

DG - 地工技術廳 / Departamento de Geotecnia NFP – 基礎及勘測中心 / Núcleo de Funda??es e Prospec??o 工作申請表 WORK REQUEST(KODEN) 空白部分由客戶填寫 本公司專用 Filled by client LECM used only 本中心專用 / For use only 工作申請編號 WR No.: /N/ 工程編號 Project No.: 報告編號 Report No.: /N/ 客戶 Client: 電話 Tel: 地址 Address: 傳真 Fax: 工程 Project: 樣本描述 Sample description: 測試方式Type of Test: 正常 Normal，加快 Urgent 正式報告份數 No of true copy report : Supervisor監理 / Engineer工程師 ___________________ □ Others其他 ___________________ 材料証明Certificate of material: 呈交 presented； 沒有呈交 not presented 接收日期Received date: 分包測試Subcontracted test: 是 Yes 分包實驗室Subcontractor: _________________________________________________________ 價目編號Price list item No. 測試種類Test Type 數量Quantity 單價（葡幣）Unit price (Patacas) 金額（葡幣）Amount (Patacas) 10.0超聲波Koden Test (深度少於30m，每一 depth not exceed 30m), per test (Test Standard: In House Method, based on Operation Manual of Koden DM-602/604 and 89/392/ECC ANNEX I (98/44/EEC)) 4,200.00 10.10 超聲波(深度大於30m，每增加10m或零數之額外費用) ，每一 depth exceed 30m, for every 10m or fraction, extra over), per test (Test Standard: In House Method, based on Operation Manual of Koden DM-602/604 and 89/392/ECC ANNEX I (98/44/EEC)) 420.00 調遣費Mobilization 375.00 加班費 由at ________至to_______日期date _______ Over time 由at ________至to_______日期date _______ 總數Total：MOP 折扣Discount：% 備註 Remarks 客戶確認 Client’s Acceptance: 簽署/公司蓋章 Signature/Company stamp: 接收: Received by: : Approved by: 日期date: 日期Date: F-DG-NFP-WR00/E