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Is & Equipment Testing Corp. ~ (Consultant fer Inspection & Test of Construction Heavy Equipment) DOLEAWC Accretion Centiente No 1440-191024-04 ‘This is to certify thatthe EQUIGMENT described herein had passed the actual testing and thorough examination conducted by F @ S ET Corp cand is recommended to be safe _for operation. Detsiled technical an testing inspection report is hereby attached. Equipment Owner/User_MONARK EQUIPMENT.CORP._ Equipment Description _ HYDRAULIC EXCAVATOR, 1 Bucket - Crawler Ty Brand_CATERPILLAR “Model $2002 Cap. 1.0 m* “Min. Ser. No,_Z2BH0073. Owner's Markings _NONE Signed on (yearimmide) 2016/10/04 Vality__2017/10/03 eines et {VERIFY THE AUER TICINO OF IN CERIIGNTE PLEASE INA aaa FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. ‘TECHNICAL INSPECTION CHECKLIST AS PER ANSVASME STANDARD HYDRAULIC EXCAVATOR INSPECTION REPORT 0. _F-CO-604S66 NAMIE & ADDRESS OF OWNER: .MONARK KQUIPMIENT CORP. Sout Bgiesoay ow Rod, San Peis Lagan ‘LOCATION OF EQUIPMENT: South Lxpresway cor Magsaysy Road, San Pero Laguna acho atacna wi ‘Bucket Crawler Type, ‘CATERPILLAR S200 ‘TYPE OF EOPT; Diese riven [BRAND & MODEL: team) UNITSERIALNOs 251100703 YRARMANUPACTURED? Not Fo DATE OF INSPECTION: _ October 4.2016 _ MARKS: N igang Breaking Portormance Specly the digging or breaking force whether in goo, ‘working condition. my eae of iting operation, ‘equired before the equipments pat into service Ione enter "None and state whether in safe working condition The digging and Toading performance ‘yas tested and in good working ‘ondition ‘Load iting should be over the front and follow manufacturer's standard ‘Nowe, In safe ork condition rots ABFBACRHOE DOCK FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP, A.CARRIER: UNDERCARRIAGE: 11 Track System Condition: (references — J. Il component parts below must be within the ‘manifctrer’s wear lini. In adtion, 1. No lave rack shoe and bolts, 2. No crack ontrack {ink 3. No fase pins and bushings, 4 The track and carrie rollers must have no leaks, missing ‘orlose bolts, 5 No leks ile bushings) ‘Track Shoe and Bolts: goed conton Track Links: Ingo condition «Link Pins and Bushings: In goad onion 4 Rollers, Track: “Inge condition Rollers, Carrie I god condition Elalers: In god sondion Sprockets: Ta jood condos 1 Cha, Deve: NA {Roller guards Besson Nore: 1.2 Final Drive System Condition: (ferences ~ 1. No oll leaks on final drive reduction gear ‘over, 2. No abnormal sod derced during traveling operation: Laf and right tack must Ihave the same speed during forwardreverse tavel operon and can perform pivot travel

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