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741 Marine Drive,Bellingham, WA 98225 www.geotest-inc.com <br /> 1.11111110 <br /> oeoT 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#: AA002 <br /> PERMIT#: B1803-043 DATE: 8/28/2018 <br /> CLIENT: Port of Everett PAGE#: 1 of 2 <br /> CONTRACTOR: McClure&Sons INSPECTOR: Ben Fox <br /> Item(s) Inspected Location <br /> #4 Rebar Dowels Shear Wall at Gridline B/1-2 <br /> Rebar Dowels Plinth at Gridline B/11 <br /> Reference Drawing(s): KPFF Field Report#13 <br /> Item(s)inspected Comments <br /> Base Material Condition Sound Concrete <br /> Drill Bit Type ge ANSI Rotohammer <br /> Hole Diameter/Depth 5/8"by 8"(Wall)or 7/8"by 12"(Plinth) <br /> Hole Cleanliness je Blown,Brush,Blown <br /> Anchor Spacing/Edge Distance (ie Per Plan <br /> Anchor Type fie Reinforcing Steel <br /> Anchor Diameter/Length Rt. 1/2"by 38"(Wall)or 3/4"by 54"(Plinth) <br /> Anchor Embedment se 8"(Wall)or 12"(Plinth) <br /> Adhesive Type f Hilti HIT-RE 500 V3 <br /> Adhesive Expiration Date Fif 4/2019 <br /> Adhesive ICC-ES Report Fie 3814 <br /> Other 0 <br /> The above items were conforming Se Nonconforming Items(see below) 0 <br /> Comments: GeoTest was onsite to inspect the epoxied rebar dowels for the shearwall along <br /> gridline B/1-2. All items conformed to KPFF's Field Report#13 and the manufacturer's <br /> installation instructions. <br /> COPIES: GeoTest Services Inc Port of Everett "" Reviewed by <br /> This report shall riot be reproduced except in full,without the written approval of GeoTest Services,Inc. <br />