1321 COLBY AVE 2ND FLOOR 2021-02-17

FIRE STOPPING OBSERVATION REPORT MAYES TESTING ENGINEERS Alkttratorstompmy Report Number: M7191527.0005 Service Date: 12/13/19 20225 Cedar Valley Rd Ste 110 Report Date: 12/16/19 Lynnwood, WA 98036-6365 425-742-9360 Client Project Providence Health and Services Providence Everett MC Colby Campus Pharmacy Attn: Accounts Payable 1700 13th St 600 Broadway Ste 304 Everett, WA Seattle, WA 98122 Project No.: M7191527 Permit No.: B1905-020 Weather: Indoors Samples: N/A Inspected Firestopping for Corridors C2-5053 and C2-C28. Product used was Hilti CP 506 UL2079. First Line Systems was the installer. Also inspected all of Corridor C2-049A. Product used was Hilti FS One Max. All were destructive test inspections and appear to follow approved plan and manufacturer's instructions. To the best of our knowledge, the items inspected today are in conformance with approved plans and specifications. Services: Mayes/Terracon Rep.: Richard Treharne Reported to: Skanska USA Contractor: Skanska USA Report Distribution: (1)City of Everett WA,T Budden (1)Mayes Testing Engineers,Inc, Donna Pollard (1)Mayes Testing Engineers,Inc, (1)Providence Health and Services, Reviewed By: �� rs'411►` Todd Wirtz James Grafton (1)Skanska USA Building Inc,Galen Heath Defoor, PE Smith Senior Project Field Manager 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 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 the actual samples tested at the location(s)referenced and are not necessarily indicativet�(P properties of other apparently similar or identical materials. -R CT0001,10-16-13,Rev.102g8-1-of-+