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Page 1 of 1 <br /> 101(mzanStAssociates, Inc. Field <br /> Geotechnical Engineering•Environmental Engineering Report NO.:09623454DFR1023231V <br /> Construction Testing and Inspection <br /> DATE: 10/23/2023 Set Count: CONTRACTOR: J Hughes <br /> PROJECT#: 09623454 PERMIT#: B2304-060 <br /> PROJECT: Trader Joes 139 INSPECTOR: Itiai Vahora <br /> LOCATION: 1302 SE Everett Mall Way,Suite 102 JURISDICTION: City of Everett <br /> KA P.M.: JSM WEATHER: Cloud TEMP:51'F <br /> On site per request for adhesive anchor installation inspection. Monitored cleaning of holes with wire <br /> brush& compressed air prior to installing#4 rebar dowels, 6"embedment into perimeter walls per <br /> detail 6/S-2.0. Verified hole depth and cleanliness, Simpson SET-3G epoxy expiration date. <br /> Location- SOG area gridlines B.2-D/ 1-7. Qty. 350 <br /> At <br /> I \t r��f <br /> r <br /> C ' <br /> ti <br /> Reviewed By: ASTM Test#: Asset Numbe 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 /> I a <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 o£the client.This report may not be reproduced in any format without the written permission of the client and Kraran&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 10/4/2023 <br />