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OTTO ROSENAU& ASSOCIATES, INC.
<br /> CONCRETE REPORT 355479
<br /> Job Number: 1 (c_0 i 5 Permit Number: ''
<br /> t�C.tGk,,.
<br /> Project: R1‘i, : �{ r..:1 `; t n,,. ^ Client:
<br /> Address: c'�C.ts,, Address:
<br /> Inspector/Date: '3- (V\4. ' t } C` dl)Contractor: ,
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<br /> _ � �.�.:_ >c:. rte.- #' � �`��j{�--��
<br /> l._ •.- sc.iiii1 i. i�. ,A Ss t-t,ppcal -1,\-',....- F\ J . „. ,,,,,{ i` C \(\ 7—(Th; \
<br /> - L \?,?k. 4't C+?3 314_. t , • -.),., rem s Vk C. \`'\ (1 .- 0 7 C.._ \
<br /> Resteel verified: v Date/Checked by:Qi_L 7 `, 04e- Grade: Manufacturer: ,.
<br /> � C i<..
<br /> Supplier: 1 41 ~.: d v Cement(lbs/type): (^
<br /> Mix Number: ; : \L.3 ' Fine Agg. lbs r
<br /> Slump Spec: 5# . \v Coarse Agg. (lbs/size): 11 - f'.
<br /> W/C Ratio Spec: 0 Coarse Agg. (lbs/size): - Y
<br /> 7.C) i<G•.,
<br /> Air Spec: +ti I ,,\ Slag Cement (lbs):
<br /> Total Yards: ? \ Fly Ash (lbs): r
<br /> r;
<br /> Placed via: �
<br /> c MWC\ -'\c l..1\. Water(lbs or gal): T. Cy(a
<br /> Consolidated: ' ( iees....)/ no ) Admixtures (specify): v
<br /> Required Strength (psi): C, ,_
<br /> :„:..4 .,,._: ”' Sampling and Testing:Data(ASTM C172,C31)
<br /> Total#of Samples Cast: L Total#of Field Cures: Curing Method/Location:
<br /> Water C 143 C 231 C1064
<br /> Cast Samples Special Time Cubic Added Air% Conc. Ambient Truck Ticket
<br /> Break Days Size Made Yards _to Load Slump Test Temp Temp No. No.
<br /> Weather: •
<br /> i-, SlumpRange: L1 7��
<br /> ti ,-,,., Air% Range
<br /> .E.K.a ,x.t„+. � �,�... .a1��'�'s�i„ �:. . , ,,,,,..,:41', -...• ,- ''i, Q�'. .�E;-� ,;�4,Y?� >tef �� t , "��`..�s."' «`'a'., j+..,T a;�:�' f#
<br /> ' $. ,, Conforms
<br /> .� ! c : Does Not Conform 1
<br /> Inspected by: �.� N ; �1, "'"',
<br /> Reviewed by:� (Signature)
<br /> Start Time:
<br /> Finish Time:
<br /> This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates, Inc. Reproduction of this report,
<br /> except in full,without written permission from our firm is strictly prohibited.
<br /> Page of
<br /> 6747 M.L.King Way S., Seattle,Washington 98118-Phone(206)725-4600 or 1-888-OTTO-4-US-Fax(206)723-2221
<br /> Form No.:INSP-62-05(Rev 05/13)
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