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FEB-21-2007 02:4eP FROM:
<br />TO:425257e956
<br />P.2
<br />CLIENT:
<br />ATTN:
<br />ADDRESS:
<br />Materials Testing & Consulting, Inc.
<br />Geoteelmical Engineering - Special Inspection • Materials Testing
<br />REPORT OF FIELD INSPECTION AND COMPRESSION TEST
<br />PROJECT:
<br />PROJECT ADDRESS
<br />M.T.C. PROJECT #:
<br />DATE CAST:
<br />DATE'- RECEIVED:
<br />PERMIT #:
<br />ACCREDITED
<br />cw '. 1l365.61 a 1355.0a
<br />Report #C 7030E
<br />,:,;) '? - e7 -'7
<br />�
<br />Location of Placement: � >/,,,
<br />FIELD DATA
<br />��P � ,� h. �/
<br />Sample Location: r /
<br />s /• i Gr
<br />5 1 /ir . •o r C //. /.y= /Jf. <r/ . '',• ..: „ t..,
<br />Contractor:
<br />Mix # & Proportions: / '; 3q
<br />Supplier & Plant:
<br />„/(i, /4 y° �.
<br />Cement, lbs. -; -'3 ,
<br />Quantity Placed, Cu.Yd.:
<br />Flyash, lbs.
<br />Delivery Ticket #:
<br />yr y r r97 ? ra �,
<br />Water, gals. d:.t -
<br />Truck #:
<br />S<<q /
<br />Fine Agg., lbs. 3 +
<br />Batch Time:
<br />/ I r,e,
<br />Coarse Agg., lbs.
<br />Sample Time:
<br />Coarse Agg., lbs. 'r"•:h® �� 5 '
<br />Slump, in. (ASTM C-143) or W/C Ratio:
<br />// ' Job Spec
<br />Coarse Agg., lbs.
<br />Air Content, % (ASTM C-231):
<br />Job Spec
<br />Admixture, tffz:/cNvt
<br />Concrete / Ambient Temp., °F (ASTM C-1064) /1q ° l `i 3 °
<br />Admixture, ozJcwt
<br />Min / Max Temp., °F
<br />° / o
<br />Admixture oz./cwt.
<br />SAMPLE TYPE & COMPRESSION TEST RESULTS
<br />�,
<br />U Concrete (ASTM C-39)
<br />❑ Grout (ASTM C-1019) ❑ Mortar (ASTM C-109) ❑ Cubes (ASTM C-1107)
<br />❑ Lt. Wgt Concrete (ASTM C-39)
<br />❑ Other:
<br />__ Set / of J
<br />Test Age
<br />Log No. (Days) Date
<br />r1���
<br />Any Deficiencies Noted:
<br />REMARKS:_ /
<br />REPORTED BY: /1
<br />cc:
<br />Total Load Sample Sample Area Compressive .a
<br />PTest Lbs. Dimensions In. (Sq. In.) Strength(PSI) Tested 13 T;
<br />cr
<br />e:. .,,.... .:.r::::re: ,,. ...,-:ro�;� syv:,.::,5):^-=':r;y-E- r�ti:riGr � 'IIS ,dtEi!itp;::q'n`.'•,:k1i1 ;4; x,rt�•.e .:_:� e• i... i!j::'i �":'ii�i�IE}i.irgiin: vj• s•:. :: ,, ';,,!
<br />•4iiir7r •9r.etit:r!,::,. ri+�s I. (' i ' 4''xd �.! •r..: 4, u 1 � :s;.n,
<br />i�lia;. �-f..._..:i =u:. • . . s;:.�.. ; ! , .f, �}':.: • ti.t .. ..alai y /' i i. ii 1 F _ ei l {• ..
<br />Ft;i;ii; i .'q:_,.�:t :�Ilu: i+',:•�,�:.: n.rr.,:::ri:; trr::::is: f• .:.,.;; .. F r...,._; ., = ....,
<br />„,., r.:::._c:c...b!n „: ;, sr .:::.::::.:.: �,.:_...,i;:i:;r.,6•i,FItC:L�:q:,.v.. :n.ap::a i.i„rn:::...-..... ,,.. .:.
<br />] Low 7-Day Break U Low 28-Day Break Other
<br />h 5i �.� ion �' �i,.� •lJ �/r'P�„i� % __% i �/L., !�i- 1��' '�
<br />' t�!�� � !r./C � .%o•7r•. i 6' .. � /:.'rie rJa .11/` .a�s,. i `� :^vs
<br />REVIEWED BY:
<br />CC! cc:
<br />cc: cc:
<br />OBSERVATIONS
<br />bsnmples mide by a MTC mpresetu.alive
<br />❑ samples plekad up by a MTc reptasea dive
<br />©Test results comply with apply ble spocifteallon
<br />�Ileiolorelag heel Was visually Impened and fotmd I
<br />eourply With project plain evil specs
<br />❑pemlbrcing surf class not comply with pmJccl plan
<br />and spcelfitmlors
<br />Oaaous of tamer Were added t7 prier to 0 alike
<br />...�-sargnns
<br />•Rarer to appmpriala ASTM for corresponding
<br />TI e.G /i► �
<br />All multi apply only to aqual lacadom rid materials two& KamuuN pmrecliou wclinos.11m,Mlic a,dwvslru, oft rcpanr me aubmn¢d as osa eonftaer�ialpmpeny nfcli..,c. and malorlrulon for auDllediannf6laleateaa, copcltWlons or oxltaees (vim ar mending our teppaai
<br />tesan'ed pendingom Walrun oppmval
<br />7771Chrysler Drive is Burlington, WA 98233 • Phone 360.755.1990 • Fax 360.755.1980
<br />1710 Midway Ceurt • Centralia, WA 98531 • Phone 360.330.7926 * Fax 360.330.7946
<br />2126 East Baker•view Road, Ste. 101 • Bellingham, WA 98226 is Phone 360.647.6061 • Fax 360.647.8111
<br />Website Address: Nvww.mlc-inc.net Rev. 2M
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