Laserfiche WebLink
51.5276 <br /> GEOT E S T I O' @k Harbor <br /> Bellingham I Arlington Oak Harborr <br /> vvww.geotest-i nc.com <br /> ADHESIVE ANCHOR INSPECTION REPORT <br /> PROJECT: 11929 Evergreen Way JOB#: 22-0851 <br /> ADDRESS: 11929 Evergreen Way, Everett, WA REPORT#: AA004 <br /> PERMIT#: B2202-020 DATE: 10/19/2022 <br /> CLIENT: Otak, Inc. PAGE#: 1 of 2 <br /> CONTRACTOR: Otak, Inc. INSPECTOR: Scott Milligan <br /> Item(s) Inspected Location <br /> 1/2"Hilti HA-E-55(44 Dowels) Blue Line Station on Evergreen Way North of Intersection With Airport Road <br /> Reference Drawing(s): Railing Base Plate Connection on Sheet F1.02 <br /> Item(s) Inspected -16 Comments <br /> Base Material Condition Dry and Sound Concrete <br /> Drill Bit Type Carbide Bit <br /> Hole Diameter/Depth /� 5/8"/4" <br /> Hole Cleanliness Blown Out <br /> Anchor Spacing/Edge Distance /� Per Plans <br /> Anchor Type /� Hilti HA-E-55(F1554 Grade 55) <br /> Anchor Diameter/Length 1/2"/4 1/2" <br /> Anchor Embedment 4" <br /> Adhesive Type Hilti Hit HY 200-R <br /> Adhesive Expiration Date 05/2023 <br /> Adhesive ICC-ES Report [� 3963 <br /> Other ❑ <br /> The above items were conforming [� Nonconforming Items(see below) ❑ <br /> Comments: GeoTest was on-site as requested for an adhesive anchors inspection at the <br /> above locations. The anchors were installed per the manufacturer's installation instructions and <br /> the above-referenced drawing. GeoTest will return for further inspections upon request. <br /> COPIES:Jeff.Massie@otak.com Reviewed by <br /> This report shall not be reproduced except in full,without the written approval of GeoTest Services,Inc. <br />