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For� /SE�dl <br /> PITTSBI. _GH TESTING LABO. ..ATORY <br /> "'[] .....�,...e ,..� <br /> C7�00•7RD AVENUE S.SEATTLE.WA 9810! <br /> n � ruw�� ��e�[tnow �O Clldt�. TM[ IV�LIC �wo evonr[�. ui �tro�n ORDER NO: <br /> ��� w�r�nie �� twt eew�oi��u� r�erun er cu�wi�. �wo �wwmrn�now SEA 4358 <br /> •ow�unrcqww er qer[rtw��.cewcwuews o� [«e.n��eor o� �[cumr�c <br /> OYA A�r011T� 1� 11[�[11Y[O rLMO1MC OYI� Wllltt[1� �rM0�11. <br /> � CONCRETE❑/GHOUT�/tM50NRY❑ FIELD INSPECTION <br /> (X-Box) <br /> PROJECT:_ Edmonds C.0 Anol Tech Traininq Cntr ADDRESS: 2333 Seawav Blvd., Everett, hA <br /> INSPECTOR: p_ Evana Dt�TE:_ 1/28/P6 �ERMIT �e REPORT �: 1 <br /> Meather: Foae:�__ Ambient Afr Temp;_ 40'F <br /> A) Approved Clens on B) Inspection Report of: C) ILems inspected: (X-Boxas) <br /> Site: (X-Box) (X-Boxes) <br /> � YES Q}Concrete [a Resteel �Footings �j51ab-on-deek <br /> ❑ Masonry ❑ Grout ❑Auger Cast Piles ❑Columns <br /> � NO ❑ Other ❑Slab-on-Grade ❑ Walls <br /> ❑Other <br /> D) Location: (Be Complete) Runnin� footinos on line 0.4. 0.5 6 1 from lines A to E Line A <br /> from 0.4 to 2 line. line E. from 0.5 to 2. Column foot:r.55 on l::�e 1, at lines A through E. <br /> Line 0.5. at lines D.B 6 C.9. Line A, at 0.4 . Line 2 at A B C E Line 3 at B <br /> E) Concrete - CSYy Mix ❑ 4000 6 sl F) Test Specimena Cast: Number of Semples 3 <br /> Design Mix � eauivalen <br /> Cement Content: 4.8 sk — x _ prisms. Set no(s): 1 A-C <br /> Max. Size Aggregate: 3/4• 6' x 12• cylinders. <br /> Supplier: Associated S 6 G Required Strength �000 ps; <br /> Slump: 3' t Air: Specified Age 28 days <br /> Concrete Temp. ( •FJ: 54 � <br /> PTL flatch Ticket Received: Ouantity of Material Placed: 7Zs, cubic verds <br /> YES ❑ NO�C <br /> G) Reinforcing S:eel: H) Mortar: Type M�SON�O❑ I) Groui: <br /> Grade Specified• 60 (X-Boxes) Cement: sacks <br /> Grade Used: 60 Cement Parts Job Mix ❑ Ready Mix ❑ <br /> Sizes Used: various Lime Pares High Lift❑ Low Lift ❑ <br /> Rebar Manufactuzer: Sand par2s Cleanouts InspectPd: <br /> N•W• Mortar Tem <br /> p. ( 'F) : YES ❑ NO ❑ <br /> . Grout Temp. ('F) : <br /> J) All items inspected are in conformance with approved plans and specifications: YES gj NO� <br /> Zf not, explaiu, i�z detail: <br /> Note Action(s) taken regarding i�nms of non-compliance: , ��_ <br /> f '-J . <br /> K) REMARKS: <br /> r.iTY OF EVERETi' <br /> pct:ic �h'arks Dec:. <br /> cc: ( 1) EDMONDS C.C. PITTSBURGH TESTING LABORATORY <br /> (1) McKinley Arch. , Attn: B. Thomas <br /> (1) KPFF, Attn: A. Carson <br /> (1) City of Everet[, Attn: L. Callahan .� / <br /> (1) The Koll Co. , Attn: D. Olsen . � ��j[if.L <br /> (1) John Fluke, Attn: C. Bush '� Seattle District Manager <br /> DE/js <br />