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DAILY INSPECTION REPORT MAYFS TESTING ENGINEERS <br /> Report Number: ;1'17 1-7 -i 1 )'y c- <br /> , / ,i',-; Lynnwood,WA(425)742-9360 a lferracon COMPANY <br /> Service Date: 5-0), t 5! Tacoma,WA(253)584 3720 <br /> Inspection Type: Portland,WA(503)281-7515 30,5 ?fie <br /> T(5�. <br /> Client Project <br /> y r tte,; ,1;'1 <br /> Engineer: Project Number: , 1 ; i 1 a i ) 7 <br /> Architect: "`��� Permit Number: (:),, '''c <br /> Contractor: � ��� <br /> Weather: ;_— /, <br /> COMMENTS <br /> --''s i :`c; <br /> !�F It J <br /> ?Pif(4-r-1“7 t.J 1 -;1---4,-,.. - is -o )- I 1 p C :/. ;i-•-C -?4f..--( .. 'oc: <br /> - 1 <br /> j'\ 1:,..1-'.,,e 41, /4 t-e t1'jc., i 1- f;Z /10 ei Ili CiC. 4" <br /> , D ,() /4 416-.'S i_,.J j}. e -ftp _'�_, - t .‘"---(\x. ,✓ i, 'I / <br /> Jb�two,�- !, j� , <br /> ,h� t-1= Lfl' 'C�k_I _1 <br /> ' �n:1 /7..f- j.J� !.K.?i. 'j2?Z .,— ' .. <br /> - &I 0, -k 4 . 1,-Jtv. (a r is O ,U `'Vi i ki / l.tJ'Co (deJ1 <br /> / �C'�`:C %t f j �4 f' s_'•- i , ... .. Z i L`i cC1. r�..-r�j'�.d i.iJ Nt -di^ <br /> a p rt-` , t (CI <br /> SUMMARY <br /> To the best of our knowledge,all items inspected as noted above were in general ii,Yes Preliminary Observations <br /> Conformance with the approved plans and specification. n No Deficiency Corrected—Report No. <br /> Arrival: Departure: Travel Time: Total: <br /> SAMPLES OBTAINED(NUMBER/SIZE/TYPE) <br /> a' :%' ..nom,•'?is 114 w;.rT: L.(,-.0 <br /> TERRACON FIELD REPRESENTATIVE REVIEWED EY <br /> THIS REPORT IS CONSIDERED PRELIMINARY AND SUBJECT TO CHANGE PENDING REVIEW BY OUR PROJECT MANAGER. //z <br /> FINALIZED FORM SHALL BE ISSUED WITH PROJECT MANAGER SIGNATURE. J <br /> 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. <br /> M 7_01R.531-17 <br />