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OTTO ROSENAU & ASSOCIATES, INC. <br /> Geotechnical Engineering, Construction Inspection &Materials Testing <br /> PROPRIETARY ANCHOR ADHESIVE INSPECTION FIELD REPORT <br /> Job Number: 23-0861 Report Number: 460443 Permit Number: B2309-055 <br /> Project: Boeing Side of Body Access Stands Client: The Boeing Company <br /> Address: Bldg 40-27 Address: <br /> Inspector: M. Gray Date: Friday, December 29, 2023 <br /> Description/Location/Intended Use <br /> Slab dowels at utility excavation,tunnel level, approx. grids T.6—T.7/6.57-6.9 per layout on sheet 1 S10-27 of plans, dated <br /> 03/02/2023, supplied by the contractor; all work approved by Boeing Engineer via email dated 12/27/2023 <br /> Building Code&Year: IBC 2015 <br /> X Reinforcing Steel ❑ All Thread <br /> Bar/Dowel Size&Quantity: (135)#5 Anchor Size&Quantity: <br /> Rebar Manufacturer: CASCADE Type of Steel(ASTM): ❑ A-36 ❑ F-1554 ❑ A-307 <br /> Rebar Grade: ❑ 40 X 60 ❑ Other: Grade: ❑ 36 ❑ 50 ❑ 75 ❑ Other: <br /> Type of Bar: X A-615 ❑ A-706 ❑ Other: Does Contractor Need to Schedule Torque Verification? ❑ Yes ❑ No <br /> Special Ductile Quality(SDQ): ❑ Yes X No Reason (if`No): <br /> Anchor Length: Varied Hole Depth: 6" Required Embedment: 6" <br /> Hole Diameter: %" Concrete Thickness: NA Concrete Strength: 5,000psi <br /> Hole Orientation: ❑ Vertical Down ❑ Upwardly Inclined X Horizontal <br /> Base Material: X Normal Weight Concrete ❑ Lightweight Concrete ❑ CMU ❑ Brick ❑ Composite Deck <br /> Hole Cleaning: ❑ Compressed Air ❑ Hand Pump ❑ Vacuum Drill Bit X Other: Vacuum <br /> Compressed Air PSI: NA Drill Bit(ANSI B212.15): YES <br /> Brushed: X Yes ❑ No Hole Condition: X Dry ❑ Damp ❑ Water Saturated ❑ Submerged <br /> Adhesive Manufacturer/Type: HILTI HIT-RE 500 V3 Expiration Date: 04/2024 ICC ESR#: 3814 <br /> Certified Installer(s): John Brady&Merle Guthrie <br /> Weather: Indoors Ambient Temperature: 66°F Substrate Temperature: 65°F <br /> Comments <br /> Reference Standard(s) Used: Conforms X Does Not Conform ❑ <br /> Start Time: Is this a re-inspection? ❑ Yes X No <br /> Finish Time: Original inspection date: <br /> Inspected by: Reviewed by: <br /> This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates, Inc.Reproduction of this report,except <br /> in full,without written permission from our firm is strictly prohibited. <br /> Page 1 of 1 <br /> 6747 M. L. King Jr.Way S.,Seattle,Washington 98118-Phone(206)725-4600 or 1-888-OTTO-4-US-Fax(206)723-2221 <br /> Form No.:INSP-86-03 LT(Rev 08119) <br />