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Page 1 of 1 <br />. <br />(razan <br />&Associates,lnc. Field <br />Geotechnical Engineering e Environmental Engineering Report NO.: 09621171DFR842021YT <br />Construction Testing and Inspection <br />DATE: 8/4/2021 Set Count: CONTRACTOR: Shelter Holdings <br />PROJECT #: 09621171 PERMIT #: B1912-032 <br />PROJECT: Riverfront Building B INSPECTOR: Yonas Teklemariam <br />LOCATION: 3810 Riverfront Blvd JURISDICTION: City of Everett <br />KA P.M.: Jeff Mercer WEATHER: Sunny TEMP: 67' F <br />Report #021 <br />Adhesive Anchor Installation <br />Arrived on site as requested to inspect Adhesive Anchors to the east wall of the elevator pit along GL <br />D.5 for Elevator #2. <br />- Prior to epoxy all holes were made clean and depths were also verified. <br />- Sizes of holes: 03/4"x10" <br />- Rebar dowels: (2)(9) #5bar x 53",10" OC <br />- Embedment:10" <br />- Epoxy: SET-XP22-N 1000129211 (EXP 12/04/22) <br />Adhesive anchor installation was performed as per manufacturer's standards, specification & RFI#117 <br />building B. <br />Reviewed B <br />ASTM Test #: <br />Site nhotn.c <br />Asset <br />To the best of my knowledge, the above WAS performed in accordance with the approved plans, specifications and <br />regulatory requirements. <br />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 =elusive use of the client. This report may not be reproduced in any format without the written permission of the client and Kra om & 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 sigting this report, our inspector does not accept <br />responsibility for validity of results. The same information bas been provided by others on site. <br />