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GEOT E S T I Oak '.SZ' <br /> Bellingham�Arlington Oak Harborr <br /> wvvw.geotest-inc.com <br /> RMA <br /> ADHESIVE ANCHOR INSPECTION REPORT <br /> PROJECT: Marina Maintenance Shop Building JOB#: 23-2601 <br /> ADDRESS: 1205 Craftsman Way, Everett, WA REPORT#: AA001 <br /> PERMIT#: B2212-060 DATE: 10/19/2023 <br /> CLIENT: Port of Everett PAGE#: 1 of 3 <br /> CONTRACTOR: Trico INSPECTOR: Guy Hailey <br /> Item(s) Inspected Location <br /> #5 L-Shaped Bent Bar Dowels Marina Maintenance Shop Building Column Footings <br /> #5 Straight Bar Dowels Marina Maintenance Shop Building Column Footings <br /> Reference Drawing(s): Port of Everett Concrete and Slab Details-S2.0 and S3.0 <br /> Item(s) Inspected Comments <br /> Base Material Condition Dry and Sound Concrete <br /> Drill Bit Type ANSI Carbide <br /> Hole Diameter/Depth /� 3/4"/5" <br /> Hole Cleanliness Blow,Brush,Blow <br /> Anchor Spacing/Edge Distance /� Per Plan <br /> Anchor Type /� #5 Deformed Bar <br /> Anchor Diameter/Length /� 5/8"/Various Lengths <br /> Anchor Embedment Y <br /> Adhesive Type Simpson Set 3G <br /> Adhesive Expiration Date 2/2025 <br /> Adhesive ICC-ES Report [� 4057 <br /> Other ❑ <br /> The above items were conforming V Nonconforming Items(see below) ❑ <br /> Comments: Geotest was on-site to provide a special inspection for the installation of the above <br /> #5 deformed bar footing dowels. The bars were installed in accordance with the approved <br /> structural drawings. The manufacturer's published installation instructions. The contractor was <br /> made aware of this inspection result prior to GeoTest's departure. <br /> COPIES:jamesmcmonagle@tricocompanies.com,joee@portofeverett.com,JohnK@portofeverett.com, Reviewed by <br /> markknudson@tricocompanies.com,stevegarka@tricocompanies.com,todd@2812architecture.com,zachdalseg@tricocomp <br /> anies.com <br /> This report shall not be reproduced except in full,without the written approval of GeoTest Services,Inc. <br />