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GEOT E S T I Oak '.SZ' <br /> Bellingham�Arlington Oak Harbor <br /> wvvw.geotest-inc.com <br /> RMA <br /> ADHESIVE ANCHOR INSPECTION REPORT <br /> PROJECT: Bridge Point Everett 500- Fastsigns TI JOB#: 24-1489 <br /> ADDRESS: 5900 36th Avenue West, Everett, WA REPORT#: AA002 <br /> PERMIT#: B2403-091 DATE: 7/9/2024 <br /> CLIENT: Bridge Industrial PAGE#: 1 of 2 <br /> CONTRACTOR: Northway Construction Inc. INSPECTOR: Jordan Clontz <br /> Item(s) Inspected Location <br /> #4 Rebar Dowels (3)Dock Leveler at Gridlines F.5-7/3&K.4/3 <br /> Reference Drawing(s): S0.3 <br /> Item(s) Inspected -16 Comments <br /> Base Material Condition Dry and Sound Concrete <br /> Drill Bit Type Drilled Prior <br /> Hole Diameter/Depth /� 5/8"X 6" <br /> Hole Cleanliness Blow,Brush,and Blow <br /> Anchor Spacing/Edge Distance /� Per Plan <br /> Anchor Type /� #4 Rebar <br /> Anchor Diameter/Length 1/2"X Various Lengths <br /> Anchor Embedment 6" <br /> Adhesive Type Hilti HIT-HY 200-R V3 <br /> Adhesive Expiration Date 04/30/2025 <br /> Adhesive ICC-ES Report [� 3187 <br /> Other ❑ <br /> The above items were conforming V Nonconforming Items(see below) ❑ <br /> Comments: GeoTest was on-site to provide a special inspection of the installation of the epoxy <br /> anchors at the above locations. The items listed above were installed per the approved plans <br /> and the manufacturer's installation instructions. The results of our inspections were discussed <br /> with the contractor prior to leaving the site. <br /> COPIES:bfox@rmacompanies.com,brian@northwayinc.com,jason@northwayinc.com,smayes@bridgeindustrial.com Reviewed by <br /> This report shall not be reproduced except in full,without the written approval of GeoTest Services,Inc. <br />