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Warranty Track <br />1. Notice of Award (NOA) ✓ <br />2. Acceptance of NOA (.4NOA) ✓ <br />3. Field Installation Report ✓ <br />4. Inspection for Warranty Report <br />5. Warranty <br />Project Name <br />(As it Appears on ANOA�: MeF�I�� CY22�( <br />Address: 7100 Hardeson Road <br />City: Everett <br />ROOFING INSPECTION <br />FOR WARRANTY REPORT �,�r�r�i�il �ur�nir�c r�usr <br />rations Base-Fuel Island Building-Date Corrected Date: Tuesday, October 19, 2016 <br />Project No.: 27821 <br />State: WA 98203 Region: West-North <br />Applicator: Wayne's Roofing, Inc. City/State: Sumner, Wa 98390 <br />Originallnspection?: �Yes ❑No—(DateofPreviouslnspections) <br />System: Adhered, G410-15, Reflective Gray, 5120 Sq. Ft., 20 Yr System. <br />Sikacoat Dry Mils Thickness (Note: 1 test per 3 squares): <br />General Punch List Items: <br />No Punchlist. <br />Sika Corporation Representative: Steve Shaver Applicator Representative: Chuck Richmond <br />Accepted For Warranty: <br />� Yes - Warranty start date will be today's date. <br />❑ No - Re-inspection required — Major punch list items. <br />Make corrections then call for re-inspection - Phone No.: <br />❑ Yes - With minor punch list items —See below. <br />Sign below and return to Sika Corporation Regional Office when punch list is complete - <br />Fax No.: <br />I CERTIFY THAT THE PUNCH LIST ITEMS SHOWN ABOVE HAVE BEEN CORRECTED AS REQUIRED BY SIKA SARNAFIL <br />�ate: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX (this will be the warranty start date) <br />Vame: Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Signature: <br />** A per diem charge plus expenses may be charged whenever inspections subsequent to the original are required. ** <br />�;� <br />( <br />IMPORTANT NOTE Sika Corporation Technical Service Representatives provide ins[ructions in the method of installation of Sika Corporation products, and inspection of the completed application to the extent that visual <br />examination of exposed surfares and probing of field seams are possible. The presence of a Sika Corporation Technical Representative on the jo6 does not indicate Sika Corporation approval of the installation methods of <br />products supplied by others and routine roofing practices. <br />Copy 1— Sika Corporation Regional Office Copy 2- Applicator Copy 3—Technical Service Representative <br />1/16v2.3 Page 1 of 1 <br />