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Y <br /> CONCRETE OBSERVATION REPORT MAYES TESTING ENGINEERS <br /> AlbratOn COMP.' <br /> Report Number: M7191527.0002 <br /> Service Date: 09/20/19 20225 Cedar Valley Rd Ste 110 <br /> Report Date: 09/25/19 Lynnwood, WA 98036-6365 <br /> 425-742-9360 <br /> Client Project <br /> Providence Health and Services Providence Everett MC Colby Campus Pharmacy <br /> Attn:Accounts Payable 1700 13th St <br /> 600 Broadway Ste 304 Everett, WA <br /> Seattle, WA 98122 <br /> Project No.: M7191527 <br /> Permit No.: B1905-020 Weather: Indoors <br /> Samples: (4) 4x8" cylinders <br /> On site for inspection of reinforcement and concrete placement of(2) cubic yards Cadman mix 4W50436 for slab <br /> infills at (3) locations on Level C2 in the Colby Pharmacy replacement area. Two of the pour-backs are 48x48x5" <br /> deep and the third is 20x20x5" deep. There are steel angles on (2) sides of each pour-back, connected to existing <br /> concrete with 1/2"wedge anchors (previously verified). <br /> Verified 6x6-W2.9xW2.9 welded wire fabric over metal deck, per SK001/S1.01. The concrete was placed via <br /> Georgia buggy and mechanically consolidated. Cast (4) 4x8" cylinders for compressive strength testing (4000 psi <br /> at 28 days required). <br /> To the best of our knowledge, the items inspected today are in conformance with approved plans and <br /> specifications. <br /> Services: Special Inspections/Materials Testing <br /> Mayes/Terracon Rep.: Charles Solway <br /> Reported to: Skanska USA <br /> Contractor: Skanska USA <br /> Report Distribution: <br /> (1)City of Everett WA,T Budden (1)Mayes Testing Engineers,Inc, <br /> Donna Pollard <br /> (1)Mayes Testing Engineers,Inc, (1)Providence Health and Services, Reviewed By: rM.. <br /> � � <br /> Todd Wirtz James Grafton <br /> (1)Skanska USA Building Inc,Galen Heath Defoor, PE <br /> Smith <br /> Senior Project Field Manager <br /> The tests were performed in general accordance with applicable ASTM,AASHTO,or DOT test methods. This report is exclusively for the use of the client <br /> indicated above and shall not be reproduced except in full without the written consent of our company. Test results transmitted herein are only applicable to <br /> the actual samples tested at the location(s)referenced and are not necessarily indicative of the properties of other apparently similar or identical materials. <br /> CT0001,10-16-13,Rev.10 <br />