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tntertek Professional Service Industries,Inc. Report No: SID:07122915-2-01 <br /> 16750 Woodinville Redmond Rd NE Issue No: 1 <br /> Woodinville,WA 98072 <br /> S1 Phone:(425)409-2504 These test results apply only to the specific locations and materials <br /> noted and may not represent any other locations or elevations.This <br /> report may not be reproduced,except in full,without written <br /> permission by Professional Service Industries, Inc.If a non- <br /> compliance appears on this report,to the extent that the reported <br /> Special Inspection Dail Field Report non-compliance impacts the project,the resolution is outside the <br /> PSI scope of engagement.Tests and inspections are considered to <br /> Client: SEACON LLC CC: be simple acceptance criteria unless noted otherwise. <br /> 165 N.E. JUNIPER ST. ERIC REESE <br /> SUITE 100 <br /> ISSAQUAH,WA 98027 <br /> Project: K& H INTEGRATIVE PRINT <br /> EVERETT, WA 98203 Approved Signatory: Deborah Priest(Senior Project Engineer) <br /> Date of Issue: 12/12/2023 <br /> General Details <br /> Date: 12/6/2023 General Contractor: SeaCon <br /> Permits: B2308-052 Weather: indoors <br /> Type of Inspection Performed <br /> ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing <br /> ❑ Reinforcing Steel ❑ Soils ❑ Welding ❑� Other <br /> ❑✓ New Inspection ❑ Re-Inspection <br /> Standby Time: 0 <br /> Field Observations & Comments <br /> 0 Special Inspection ❑� Continuous ❑ Periodic <br /> Location(s)/Item(s): <br /> New strong-backs and lintels, H line/9-10 <br /> Reference Details/Drawings: <br /> Approved structural drawings; 9/S3.0. Iron Star Welding shop drawings. <br /> Remarks: <br /> The contractor epoxy grouted 5/8" all-thread rods to an existing concrete wall to attach the above 2 structural steel strong- <br /> backs and lintel for a future opening. Holes were cleaned with brush and compressed air and were found to be of required <br /> 4" depth. Hilty HIT-HY 200-A two part epoxy, lot#15243358, expiry 2024/May/31, was mixed and applied per Hilty's <br /> printed directions using a static mixing nozzle. <br /> To the best of PSI's knowledge, the work inspected to the approved construction documents are: <br /> 0 Conforming ❑ Non-Conforming <br /> Inspector: Charles Edgerton Inspector Cert No.: SI 01023 <br /> Jobsite Representative: Bryce with SeaCon <br /> ©2000-2023 QESTLab by SpectraQEST.com Page 1 of 1 <br />