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Page 1 of 1 <br /> Q'*4e!=Kmzan &Associates, Inc. Field <br /> Geotechnical Engineering.Environmental Engineering Report NO.:09623397DFR7262023RR <br /> Construction Testing and Inspection <br /> DATE: 7/26/2023 Set Count: CONTRACTOR: NEUCON CONSTRUCTION <br /> PROJECT#: 09623397 PERMIT#: B2301-046 <br /> PROJECT: GREENLEAF INSPECTOR: RICH RIVERS <br /> LOCATION: 620 LAUREL DRIVE JURISDICTION: BOTHELL <br /> KA P.M.: JEFF MERCER WEATHER: PARTLY CLOUDY TEMP:66'F <br /> -A representative of Krazan and Associates arrived on-site as scheduled to perform construction observation and/or materials <br /> testing.While on-site we observed the following operations: <br /> ADHESIVE ANCHORS: <br /> -Today I arrived at 620 LAUREL DRIVE to observe the installation of 9/16"L x'/z"dia with a 3"embedment using HILTI <br /> HIT-HY 200-R V3 exp.31MAR2024 for T-Mobile Cell Battery Range Boosting Station. <br /> c <br /> W <br /> SCOTT was notified of all observations and/or test results prior to Krazan's departure from the project site. <br /> / <br /> Reviewed By:"1 4 / G G ASTM Test#: Asset Number(s): <br /> To the best of my knowledge,the above WAS performed in accordance with the approved plans,specifications and <br /> regulatory requirements. <br /> Superintendent/Representative: Technician: <br /> Offices Serving the Western United States <br /> Lynnwood(425)485-5519•Poulsbo(360)598-2126•Tacoma(253)939-2500 <br /> The information provided on this report is prepared for the exclusive use of the client.This report may not be reproduced in any format without the written permission of the client and Kra=&Associates.This report <br /> indicates our inspectors observation and testing results based on site conditions and contractor activities.This information is subject to review prior to final submittal.By signing this report,our inspector does not accept <br /> responsibility for validity of raults.The same information has been provided by others on site.The test results apply only to the specific locations,and items inspected or tested.Template date 4/20/2023 <br />