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&ASS 0CI ate S, Inc. CONCRETE <br /> JX09623454CR701823-DK' ; Lai REPORT NO.: <br /> Geotechnical Engineering.Environmental Engineering <br /> Construction Testing and Inspection <br /> DATE: 10/18/2023 CONTRACTOR: J Hu4hes <br /> PROJECT#: 09623454 PERMIT#: B2304-060 <br /> PROJECT: Trader Joe'#139 INSPECTOR: Don Keller <br /> LOCATION: 1302 Everett Mall Way Ste. 102 JURISDICTION: Everett <br /> KA P.M.: WEATHER: TEMP: <br /> Field Data Reported Batch DATA <br /> Concrete: 07400E Other: 1 Cement Type <br /> Supplier: Miles Plant No. 125 Site Mix: Design Actual <br /> Slump Mix Air Unit Mix No. 10.75 <br /> Time Truck# Ticket# %Air Inch Temp(F) Temp(F) Weight cem.Lbs. 5115 <br /> 1015 1187 1 069770T 5 1 74'—F-61 '-7 F Ash lbs. 1315 <br /> C.Agg.Lbs 18060 <br /> C.Agg.Lbs <br /> C.Agg.Los <br /> Placement Area Sand ibs 16720 <br /> Location: Breakroom ftgs.@6&D.5 Water 1610 <br /> Admixture adx003 388.0 <br /> Admixture <br /> Admixture <br /> Air Ent. <br /> (Oz/cwt.) <br /> Water Added On Job Site <br /> Remarks: <br /> (Gals.) <br /> Field Test <br /> ASTM Method <br /> Please Refer To Field Repot Number: C172 <br /> C143 C138 <br /> C1064 C231 <br /> Inspector: Don Keller C31 N other <br /> Laboratory Data Design Strength:[ 4000 @ 28 days Date Specimens Rec'd: 10/19/2023 <br /> Cyl. Test Field Wt. Max Comp. Set Tested Birk Test Method <br /> Code Date Cure Age Dia. Area # Load Strength # By Typ ASTM C39 ✓ <br /> 84715-1 10/25/23 7 4.00 12.57 -- 58070 4620 1 RCD 2 ASTM C109 <br /> 84715-2 11/15/23 28 4.00 12.57 -- 72080 5730 TK 2 ASTM C617 <br /> 84715-3 11/15/23 28 4.00 12.57 -- 71750 5710 TK 2 ASTM C1231 ✓ <br /> 84715-4 11/15723 28 4.00 12.57 -- 72500 5770 TK 2 ASTM C1019 <br /> OTHER ij <br /> Test Results <br /> Remarks: Conforming <br /> Results Reviewed By: Date: —1 L7 <br /> t-.. .l <br /> Codes for Break Types: <br /> 1 , <br /> 1 2 3 4 5 6 <br /> Offices Serving The Western United States <br /> Concrete Report Effective 10/4/2023 <br /> Lynnwood(425)485-5519• Poulsbo(360)598-2126•Tacoma(253)939-2500 <br /> Theinfprmb,,provided on this report is Prepared for the eizlusive°sa ofrha cliaM.and may nM ba repratl—in any—A vmh-the wd—permi—of tha—antlKh—,BAssxiates.This report intlinhh,our lnspec Vo bservati-antl—in,resul6 based on site <br /> contlitions end cwdnctor activities.This iMorlratlon is s°bjat to review prior to final submittal.By si5ninq mis report,our inspector does not accept responsibilhy for valldlly 0—fts.The same intormabon has been provided by others an one. <br />