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MY. <br />O APC4gE ,,.P.CO ,,, BOFATOSIm INC. <br />Tt BTINO C PVBPt CTICNV - lNOINttREf <br />14120 N.f. 21.1 STAEFT <br />BELLEVUE• WASHINGTON 99007 <br />PHONE 206 . S41 2/l3 <br />r <br />1 ` <br />TO _60: L/-_��A <br />� �i Jtiti lr v el <br />ATTFI �7�/ L�I_LI/L / ✓ <br />THE FOLLOWING WAS NOTED <br />FFIELD TEST DATA <br />NO. 02 y o <br />DATE <br />CEAT. <br />NO <br />`'t ' <br />/ <br />PROJECT <br />•.r.t ••..i <br />/O <br />�.r l <br />LOCATION <br />vo <br />SLOG. PERMIT NU. <br />OWNER <br />l <br />Wf ATHER <br />TEMP <br />AT <br />AM <br />AT <br />PM <br />ENGINEER <br />, <br />G SA <br />ARC ITECT <br />I <br />CONTRACTOR <br />c <br />J <br />TIME SLUMP <br />%AIR <br />UNIT <br />WEIGHT YEILO <br />CEMFNT TEMP <br />FACTnA CoNC AIR <br />-------- -- - <br />/ 7 <br />. /M N <br />- <br />--- - <br />--- — <br />CYLINDER DATE OAT[ <br />NUMBER MADE TESTED <br />AGF <br />GAYS 7 512E WEIGHT <br />TOTAL LOAD <br />STRENGTH PSI <br />TYPE RPFAR <br />Ik <br />oois <br />PRODUCERS, CONCRETE 74 S S�ClMINT_ Ot 8* CU. YARD{ PLACED J L <br />AEA ADMIX. <br />CACIS p�% Dlg�fl3ON STRlNOTM S <br />PLACEMENT AREA • NOTES Z.. -7(I At, _ ._ .f .:. _ A / o ) i, i <br />COPIES TG� <br />--_ _-_--_.—_ SIGNED, _��-��To X <br />