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PITTSBL .GH TESTING LABO. ATORY Forw rs�-„ <br /> � .....,...�e ,.., <br /> 7�00•]RG AVENUE S,SEATTIE.WA 9e10! <br /> •� A MYtY�L MOTiCT10N M CLI�M��. �M� �Y�LIC 1M0 OVII/[lYtl. I�IL 11[�0��{ <br /> ��i �u�nni� �� m[ew�e�wn�� ��e�a��� e� cuien. �we �ue�enx.new ORDER NO: SEA 4358 <br /> �u�wn¢��w�w�M'tr�wt�,eew<wneM�e� ia��.c��r�er o�����eiw¢ <br /> su� �trwr� u uui�r�s ��weiwa ew a�ncw ���eer.�. ' . <br /> � CONCRETE�/GROUTD/M1ISONRYO FIELD INSPECTION <br /> (X-Box) <br /> p���Tt Sdmonds C.C. 11001. Tech. Trainina Cntr � ADDRESS�_233� 50atiraV B1Vd.. EV2rett WA <br /> INSPECTORo C. DOR•�17dR5 DATEe 4/21/86 PERNIT �i REPORT ii 19 - � <br /> . MsetMr:_Li4ht Mist. FaT Mbl�nt Air T�np: 48�F <br /> A) Approved Plena on B) Inapec.tion Report of: C) Items inapecteds (X-Boxes) <br /> Site: (%-Box) (X-Boxes) � <br /> � YES �Cvncreta ❑Rnateel ❑Footinga �Slab-on-deck <br /> ❑ tiasonry � Grout ❑Auger Cast P:lea ❑Columna <br /> � NO ❑ Othec ❑Slab-on-Grade ❑ Walls <br /> 0 Othez <br /> D) Locetion: (Be Complete) Roof between lines 1 and 4 from lines A to B <br /> S) Concrata - City lfix 0 Y) Test Specimans Cest: Number of Sampin� 4 <br /> Design Mix / <br /> Cemant Content� 1 part -- x prisms. Set no(s)i#9 A,B,C,D <br /> Hax. �5lze Aggregatei 6 parts Vex7nf lite 3" x 6" cylindera. <br /> Supplieri Job mix Hy Volwne Required Strength 125 �pei . <br /> SlumpeFluid � Airt�_ Specified Age . 28 days <br /> Conerete Tamp. ( •F)� 54 F <br /> PTL Betch Ticket RaceiveA: Q�antity of Meterial Placed: 40 cu. yds. <br /> YES O NO� <br /> G) Reinforcing Steel: H) Morter� Type N�SQN�O❑ I) Grout: <br /> Grads Specified• (7C-Boxea) Cement: aacka <br /> Grade Usede Cement parts Job Mix ❑ Ready Mix ❑ <br /> Sizea Used� _ Lime pacta High Lift❑ Low�Li�t ❑ <br /> Rebar ManuFacturer. Send pa=is Cleenouts Inspected: <br /> Mortez Temp. ( 'F): YES � NO ❑ <br /> � Grout Tamp. (•F)= <br /> Jj All items inspected ere in conformance with approved plana and specifications: YES � NO� <br /> If not, explain, in deteils � <br /> 1 ///) <br /> Nota Action(s) takan regarding itema of non-compliance: i � i <br /> K) REMARKSi <br /> P� �"- 1�'�rks L^ct <br /> cc: (1) EDMONDS C.C. pTL�INSP�CI`ORATE INC. <br /> (1) McKinley Arch. , Attne B. Thomas . <br /> (1) KPFF, Attn: A. Carson <br /> (1) City of Everatt, Attn: L. Callahan �J <br /> (1) The Roll Co. , Attni D. Olsen . �/�'�'� ��. <br /> (1) John Fluke, Attn, C. Buah �� Saattle District Manager <br /> C65/ets-9/25/85 David S. Haley, P.E <br />