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FIELD <br /> --= <br /> i(11'az;ar1&As soc I ate s, Inc. REPORT NO.: 15347DFR092815-IV <br /> Geotechnical Engineering•Environmental Engineering <br /> Construction Testing and Inspection <br /> DATE: 9/28/2015 CONTRACTOR: ALEGIS <br /> PROJECT#: 09615347 PERMIT#: <br /> PROJECT: JIMMY JOHNS#292 INSPECTOR: Itiaj Vahora <br /> LOCATION: 2602 Broadway Ave JURISDICTION: Everett <br /> KA P.M.: Jeff Mercer WEATHER: Sunny TEMP: 50° <br /> 10n site per request for adhesive anchor installation at footing perimeter per detail S-5. Contractor drilled holes 3/a"dia.For <br /> X15 rebar dowels with 5 inches embedment. Monitored cleaning of hole with compressed air and wire brush for 42 dowels <br /> installed using Hilti 200-R epoxy with current expiration date. <br /> contractor will schedule inspection for remaining dowel installation when ready. <br /> Reviewed By: 1 �� ASTM Test#: Equipment/Asset Number(s): <br /> To the best of my knowledge,the above WAS performed in accordance with the approved plans,specifications and regulatory requirements. <br /> Superintendent/Representative: Technician: <br /> Offices Serving the Western United States <br /> Lynnwood(425)485-5519•Poulsbo(360)598-2126•Puyallup(253)939-2500 <br /> Daily Field Report Revision 8 Effective 02/13/2013 <br /> me information provided on rho report is prepared for the exclusive use of tile client.This report may not be reproduced in any Comsat witbom the writtm permission of the cheat and Klemm&Associates.no report indicates our inspectors observation and testing results based on site conditions and contractor <br /> activifi6.This information a subject to review prior to final submittal By signing this report,our inspector does not accept reapoo9bilini for validityofresvbs.The same information has baa provided by others co site. <br />