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1302 SE EVERETT MALL WAY 102 2025-06-24
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1302 SE EVERETT MALL WAY 102 2025-06-24
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Last modified
6/4/2025 9:11:41 AM
Creation date
4/24/2025 2:10:40 PM
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Address Document
Street Name
SE EVERETT MALL WAY
Street Number
1302
Unit
102
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Page 1 of 1 <br /> &Associates, Inc. Field <br /> Geotechnical Engineering*Environmental Engineering Report NO.:09623454DFRIO162023DK <br /> Construction Testing and Inspection <br /> DATE: 10/16/2023 Set Count: CONTRACTOR: J.Hu hes <br /> PROJECT M 09623454 PERMIT M B2304-060 <br /> PROJECT: Trader Joes Everett#139 INSPECTOR: Don Keller <br /> LOCATION: 1302 SE Everett Mall Way JURISDICTION: Everett <br /> KA P.M.: WEATHER: TEMP: <br /> Observed the placement of#4 ftg. dowels for Breakroom foundation @6&D-D.5 and @D&5-6. Holes <br /> drilled 5/8"round x 6"deep into existing concrete slab and cleaned as per manufacturer's <br /> recommendation. Dowels epoxy grouted with counter clockwise twisting motion to remove air. Simpson <br /> Set 3G exp. 6/25/25. 8/S20, GSN, S1.1. 1/9/23. <br /> Reviewed By: I/V`_ ASTM Test#: Asset Numbel(s):—F <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 Krazan&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 results.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 />
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