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� � �� '•.. „ Ri'��f1T NUMBER yt7 F 1. S. 1 �'
<br /> � �
<br /> - �`, PREVIOUS RP'T NO. �
<br /> PACIFIC TB�TIN I.ABORA ONIBS
<br /> � qqp�ppqqPN�C INSPECTION
<br /> ENOINEEHiN(1 CONSUITATION E%ECUIIVE OFFICES OEOLOdICAL SURVE�S
<br /> INSPE�TION SOIL TEST BORI�l09
<br /> MATEP.IPLTEEfINO ���D1'ITHAVE8EA1TlE?WASMNGTONBB�B61108�4BII�0888 SOILMECHANICS
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<br /> ' , \ilr� ��' 1 . . ' REPOH.TEO. � /�%;�.
<br /> MAILING � ,.. �� BV / �- .1� . OATE
<br /> ADORESS � - pERM1T � CERII�-ICAT�, ,-
<br /> � � � NUMBER ' Nl1MBER � � � '
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<br /> L , '�� �. ') , � J ARCHI7ECT �
<br /> � ENGINEER - ��—
<br /> PROJECT i- � � ' � _ � �
<br /> - PUNCH.ORD. CONTRACTOR � � �
<br /> LOCATION I� � � � � NUMBER
<br /> CONCRETEINtiPECTION R[SUlTS
<br /> G Size: � �� ' T�uck/Ticket No. Merk: ��,.,:�_
<br /> Number ot Cylinders C�st: •� --
<br /> TEMP.4 , MI%ING � . DESIGN ,/`.tq�? ���,
<br /> 'KEATNER ,'i
<br /> { PLANT STRENGTHI'c �
<br /> CEMENT ; � CSE ASiG.` FINE AGG. ADMI%.
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<br /> �� ' Pn Ss�k Pu ! � �
<br /> PROPORTIONS �Ln� 8�ck�/Cu. VA. KM. In.M��. lb�.
<br /> (Not Catlll�d BY P.T.LaFI
<br /> EST.
<br /> .-.(•. . � ! %OUANTITV � ' [u.va�.
<br /> :SLUMP ' r �^�. MEPS.AIR
<br /> ' TVPEOFCEMENT . .+-"' ' EMBEO�EOITEMSINGENERAL
<br /> SAMPLING IN ACCORDANC'2 W�TH �� COMPLIES WITH APPROVEDPLAN7 '�l �
<br /> qPPLICABLE CODE AND SPEC.7 � i� ALl DETECTED OISCRkMANCIES �
<br /> SAMPLING REPRESENIATIVE �� �
<br /> �, CORfiECT PRIOR TO PLACEMENT7
<br /> OF POUF PLACEMENT7 . �µ„
<br /> MI%PNOPORTIONSVERIFIED . WITHPFOJDECTAE�EREMENTSANDCONOT�IONSANC
<br /> 8V BATCHING SUP[NVIfI0N7 ,
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<br /> POUR LOC4TION d NpTES: - � ' ' � ' ' " � - �
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<br /> "This certilicetion ettests to the eccurecy of the results ohtained from the actuel test performed en.1/or ohservatians made within the scope
<br /> o�Bhwarrantyeoi design or workahility�ci t�he s�nlf iation requireme„jo rnpresent inspecnon, apP�a�pl or acceptance of other associated work
<br /> ��I' � ^ n�
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<br /> Certified Report by fllp,� .onTe �'/
<br /> Pacific Testing Laboratories rHea %PENSES
<br /> Con��+ HOUPS Mll�� �
<br /> ��' WST CODE ON OF T �pT �GE KIND P.b1UUNT
<br /> 1 l�ff,. 1 F.vcr�tt oild 3-:> :,) ��
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<br /> TIMEDVERIFIEDB�: �
<br /> REMANKS' 7pTALHOURS TOTAL
<br /> flILLF.�ON INVOIC[NO. � y
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