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r <br />OTTO ROSENAU & ASSOCIATES, INC. <br />Geotechnical Engineering, Construction Inspection & Materials Testing <br />PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT <br />Job Number: 17-0489 Report Number: 351823 Permit Number: <br />Project: Boeing — Bldg. 40-56 Mold Die Racks Client: Boeing Shared Services Group <br />Address: Building 40-56, Col BB9, Everett Address: PO Box 3707 M/C 6X-AA, Seattle <br />Inspector: Terry Thoreson Date: 7/12/2017 <br />Description/Location: Inspected the epoxy grouted installation of (32) 7/8" diameter x 13" long all thread anchor bolts for (8) new die <br />mold racks in the 40-56 building located two new rows east of the existing mold racks. The inspected work <br />was found to be done as per approved project documents. <br />Intended Use: Anchor new mold racks Building Code & Year: IBC 2015 <br />❑ Reinforcing Steen <br />AI,I Thread_.-.', <br />Bar/Dowel Size & Quantity: <br />Anchor Size & Quantity: 7/8"x13" (32) <br />-Rebar Manufacturer: <br />Type of Steel (ASTM): ® A-36 ❑ F-1554 ❑ A-307 <br />Grade: ❑ 36 ❑ 50 ❑ 75 ❑ Other: <br />Rebar Grade: ❑ 40 ❑ 60 ❑ Other: <br />Type of Bar: ❑ A-615 ❑ A-706 ❑ A-775 ❑ Other: <br />Special Ductile Quality (SDQ): ❑ Yes ❑ No <br />Anchor Length: 13" Hole Depth: 8'/4" Required Embedment: 8" <br />Hole Diameter: 1" 1 Concrete Thickness: 12" 1 Concrete Strength: 4000 psi <br />Hole Orientation: ® Vertical Down ❑ Vertical Up ❑ Horizontal <br />Base Material: ® Normal Weight Concrete ❑ Light Weight Concrete ❑ CMU ❑ Brick ❑ Composite Deck <br />Hole Cleaning: ❑ Compressed Air ❑ Hand Pump ❑ Other: Compressed Air PSI: <br />Brushed: ❑ Yes ❑ No Hole Condition: ® Dry ❑ Damp ❑ Water Saturated ❑ Submerged <br />Drill Bit (ANSI B212.15): ❑ Yes ❑ No Approved Diamond Cored Hole: ❑ Yes ❑ No <br />Adhesive Type: Hilt! HY 20OR Expiration Date: 4/2018 ICC ESR #: 3187 <br />Weather: Indoors Ambient Temperature: 70° Substrate Temperature: 67' <br />Comments <br />Reference Standard(s) Used: <br />Copies to: <br />Conforms X Does Not Conform <br />Client Engineer Others <br />X Owner X Contractor Technical Responsibility: <br />Architect X Building Dept. Walfert Hansen, Project Manager <br />This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report, <br />except in full, without written permission from our firm is strictly prohibited. <br />6747 M.L. King Way S., Seattle, Washington 98118 - Phone (206) 725-4600 or 1-888-OTTO-4-US -- Fax (206) 723-2221 <br />Form No.: ADMIN-86-02 (Rev. 05113) <br />