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' ` REPORT NUM ERCR 16 4 G" <br />'\W _� PREVIOUS RP'T. NOr & 40 1�5 <br />PACIFIC TESTING LA110ILWORIES <br />t NGINEERING CONSULTATION EXECUTIVE OFFICES RADIOGRAPHIC INSPECTION <br />CONSTRUCTION SUPERVISION 3220-17TH AVENUE WEST P.O. CALL BOX 1912512061282-0666 GEOLOGICAL SURVEYS <br />MATERIAL TESTING SEATTLE, WASHINGTON 98119 SOIL TEST 13ORINGS <br />SOIL MECHANICS _ <br />COMPRESSION TEST RESULTS <br />r <br />Rftr,tt�a e�Rc. �� �YY�MaN '� CtinEn <br />MAILING REPORTED <br />ADDRESS 'YI%4 i-)i.:TMC+� BY t'_ •O Mc-p-`CH DATE <br />PERMIT-sTY c* Ea'"'7T' CERTIFICATE <br />E\'ERlTT? lsJgSN NUMBER GL&I NUMBER '1RCR-IMro <br />L MY, ikoUtiT.T ARCHITECT bAytMpN $ fTIr,DFN <br />PROJECT CTMER. ^u`+TFICn� x �j 1'j ENGINEER C.CPNZI_kL , D. Vj%tEly E41E <br />kQN'„- PURCH.ORD. <br />LOCATION <br />T 1:_TLL>�N <br />)p NUMBtH <br />MARK <br />TRUCK N0. <br />TICKET NO. <br />SIZE <br />AREA ISO. IN.) <br />DATE CAST <br />DATE BROKEN <br />AGE AT <br />TEST <br />ULTIMATE <br />STRENGTH <br />LBS. <br />P.S.I. <br />2xv <br />9.2rvaa <br />/ 30-9-0 <br />'1 <br />3 <br />SI aQ <br />2585-0" <br />G <br />i <br />MIX <br />2 �D ICJ <br />is <br />TEMP.& <br />WEATHER Se Ut+Ny <br />MIXING DESIGN <br />PLANT ZW3 MlX STRENGTHf'c l`j50 <br />CEMENT <br />C'SE AGG. FINE AGG. ADMIX. <br />PROPORTIONS Lbs.'ASackei Lb-Yd. <br />Las. In. Me.. Lbs. 3 h�l� Per Sack Per <br />Not Certified By P.T. Lab) y, <br />2.1 %tlN.it;a <br />EST. <br />i <br />TYPE OF CEMENT .L <br />;SLUMP ins. MEAS. AIR """ 0.: QUANTITY Cu. Yds. <br />.AMPLING IN ACCORDANCE WITH <br />APPLICABLE CODE AND SPEC.? \E.i <br />EMBEDDED ITEMS IN GENERAL <br />COMPLIES WITH APPROVED PLAN? *�JES .. <br />;AMPLING REPRESENTATIVE <br />OF POUR PLACEMENT? `TES <br />ALL DETECTED DISCREPANCIES <br />CORRECT PRIOR TO PLACEMENT? lJONS <br />MIX PROPORTIONS VERIFIED <br />N <br />WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE <br />BY BATCHING SUPERVISION? ES <br />WITH PROJECT REQUIREMENTS AND CONDITIONS? <br />POUR LOCATION & NOTES: 1Ot'i V, <br />rnQR\- faR `S QMp:-£G F MM Tov "3 f^-t7.s-wL$ OF <br />v3A41 — V-tntc Sis 5-2" <br />- <br />? <br />AS P4R. pPR '19At13'hC'S <br />Certified Report by <br />Pacific Testing Laboratories <br />DATEI : : r." <br />1 Reininga <br />:spies <br />to: 1 Everett <br />JAN 3 1 1980 <br />.CITY c; <br />InspOu-ti,n <br />A Washington corporation furnishing engineering services by and under the supereGion of registered professional engineers. <br />