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. :, <br />Con..�ucHon In�peetfon B Ralated Tuu <br />Carlson Construction Consultants, Inc. <br />P.O. BO% 20762 — LAKE CITY BTATION <br />ia�'OLLt BEATTLE� WABHiNOTON Y812� <br />PNor+e 120E1 964Y60O <br />REPORT bN TEST SPECIMENS 3C-2062 <br />19 Job. No. PERMIT NO. <br />Da�a Molded: <br />Alberteon'e Food Centere <br />CI i ent: <br />Alberteon'e Food Center <br />Project: <br />1015 NxY• 99 No�� �erett, Ila. <br />Addref�: <br />R61n1er �7nd $�b-Contraclor: <br />Contrador: T� �� <br />_ Cast by: <br />Concrets Supplier: <br />evnny 8,5 60 <br />Temp. hiph: �----Temp. low: <br />Weathar: <br />Second lift of xall on lin�e 6 from A to G. <br />Localion of Concreta Placement: <br />_----- <br />2000 28 �l�a <br />$trenpth Requiremenl: I <br />P51 @ day� Slump: <br />Cement Type: _ No, o( �acks: <br />Entrained Air '� <br />Admiz, Amount: Brand: <br />Admix, Amount: Brand: _----- �dg. <br />176tuT91 Fine App. Si:e: <br />Coaree ogg. �i:e:_ --TYPpO-------- — -- <br />To1ol ���o Unll Leod R�Vo•� <br />Sp�cim�n SMcim�n Tu� P R�Yl�br Dm� Da�� Leod P51 No. <br />Ne. TYV� DaY• N�m6o R�e'd. Tnud <br />G 2 A kx4x8 i <br />I 1�i0� 6/27 7�3 28�So� 6 eq�in 1�� 6 <br />G 2 B <br />28 I 1408 6/2i 7�24 �� <br />G 2 � <br />z8 I14c�9 6/2y 7�24 �� <br />D <br />E — <br />F <br />Remarks: <br />CCI L'weTOt,4. Hl(�. <br />an 6 ____ <br />form No 1 7�69 <br />— _— �C�Y . � "-'�^"„-r � _ _. - _ <br />— --- FRANK W. CARLSON <br />