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� OTTO ROSENA U�ASSOCIATES, INC.
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<br /> CONCRETE REPORT .`,'< < ;; �di ;,��;.�
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<br /> Job Number Permit Number: E r � t �� r} � 3 v � I
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<br /> Project: r`; ''.: ', � � � .,� ., �I.e�it .,c J; �
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<br /> Address: ;,e:, ,.� � o r:• P`-✓Fv,�,,'�.�„ Ad ress: '
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<br /> Inspector/Date: t��� ;,a;? ,,+', ,� � _ _ j �,, Contractor:
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<br /> D SCRIPTION/LOGATION
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<br /> �i,�t �t�,;•, ' ? �� '� ? _t, 7 7 : �? C`' s:%+ .+ :'! ':,�. 7, C f�. '% !
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<br /> Resteel verified: � , Date/Checked by: �� r _. d,.1r,�^ 3 . Grade: � Manufacturer: ' n
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<br /> Ptacement Data Batch We hts r cu. d.-Please drete : es / Actual
<br /> Supplier. �^ ;? Cement(Ibs/type): k �.
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<br /> Mix Number: ^ � � Fine Agg. (Ibs): ��
<br /> Slump Spec: r' �� n'a Coarse Agg. (ibs/size): � �
<br /> W/C Ratio Spec: �'� � Coarse Agg. (Ibs/size): �c��•� �+ � �
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<br /> Air Spec: , � Slag Cement(Ibs):
<br /> Total Yards: ' Fly Ash (Ibs): ,,,
<br /> Placed via: Water(Ibs or a): -�
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<br /> Consolidated: ( / no :��� Admixtures (specify):
<br /> Required Strength (psi): � �,���
<br /> Sam Iln and Test Data AS7�c��2,C31
<br /> Total#of Samples Cast: ' Totai#of Field Cures: Curing Method/Location:
<br /> Water C 143 C 231 C1064
<br /> Cast Samples Special Time Cubic Added Air% Conc. Ambient Truck Ticket
<br /> Break Da s Size Made Yards to Load Slump Test Tem Tem No. No.
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<br /> Weather: �. �,�,_ Slump Range: e'� ' Air% Range:�,
<br /> _ Cori�tnents . � _.
<br /> Other ASTM Mettlods Used: Confom3s ` i _ Does Mot Confom�t
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<br /> Inspected by: /����- �''.'�"�� Reviewed by:
<br /> (Signature)
<br /> Start Time: Finish Time:
<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.
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<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.:INSP-62-05(Rev 05/13) �
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