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741 Marine Drive.Bellingham, WA 98225 www.geotest-inc.com <br /> ceOTx 9T 20611 67th Ave.NE. Unit A.Arlington, WA 98223 <br /> phone.(360)733 7318 toll free:(888)251.5276 fax (360)733 7418 <br /> ADHESIVE ANCHOR INSPECTION REPORT <br /> PROJECT: Cargo Transit Shed Relocation JOB#: 18-0297 <br /> ADDRESS: Everett, WA REPORT#: AA001 <br /> PERMIT#: B1803-043 DATE: 8/27/2018 <br /> CLIENT: Port of Everett PAGE#: 1 of 2 <br /> CONTRACTOR: McClure&Sons INSPECTOR: Ben Fox <br /> Item(s)Inspected Location <br /> (4)#6 Rebar Dowels Plinths at Gridlines 8/2 and D/2 <br /> (9)#4 Rebar Dowels Shear Wall at Gridline C-D/1 <br /> (5)#4 Rebar Dowels Shear Wall at Gridline C.5-D/11 <br /> Reference Drawing(s): RFI#13, KPFF Field Report#13 <br /> Item(s)Inspected Comments <br /> Base Material Condition (V" Sound Concrete <br /> Drill Bit Type fve ANSI Rotohammer <br /> Hole Diameter/Depth 7/8"by 12"(Plinths)and 5/8"by 8"(Shear Walls) <br /> Hole Cleanliness (r Blown,Brushed, Blown <br /> Anchor Spacing/Edge Distance Se Per Reference Drawings <br /> Anchor Type IZI* Reinforcing Steel <br /> Anchor Diameter/Length #6 by 54"(Plinths)and 1/2"by 36"(Shear Walls) <br /> Anchor Embedment ivir 12"(Plinths)and 8"(Shear Walls) <br /> Adhesive Type Hilti HIT-RE 500 V3 <br /> Adhesive Expiration Date 01/2019 <br /> Adhesive ICC-ES Report 3814 <br /> Other ❑ <br /> The above items were conforming V. Nonconforming Items(see below) EJ <br /> Comments: GeoTest was onsite to inspect the installation of the epoxied rebar dowels at the <br /> above-referenced locations. All items were installed per the approved reference drawings and <br /> manufacturer's installation instructions. The non-conformance noted on both GeoTest's CB004 <br /> and IR006 reports were corrected. <br /> COPIES. GeoTest Services Inc Port of Everett Reviewed by <br /> This report shall not be reproduced except in full,without the written approval of GeoTest Services,Inc. <br />