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(l CCONCRETE. � <br /> • &A s s o c i a t e s, I n c. REPORT NO.:, 16422CR122216-HM -1 <br /> Geotechnical Engineering.Environmental Engineering <br /> Construction Testing and Inspection <br /> DATE: 12/22/2016 CONTRACTOR: Newland Construction <br /> PROJECT#: 09616422 PERMIT#: <br /> PROJECT: Puget Sound Kidney INSPECTOR: Hossein Mansouri <br /> LOCATION: 1005 Pacific Ave. JURISDICTION: City of Everett <br /> KA P.M.: Jeff Mercer WEATHER: Cloudy TEMP: 42 ° <br /> Field Data <br /> Reported Batch DATA <br /> Concrete:I X I Other: I J <br /> Cement Type I I/II <br /> Supplier:) Miles ] Plant No.1 I Site Mix:I I Design Actual <br /> Slump Mix Air Unit Mix No. 0740AG3 <br /> ITime Truck# Ticket# %Air Inch Temp(F) Temp(F) Weight Cern.Lbs. 570 567 <br /> 12:00 I C013 I 186654 I - 1 5-1/4 I 66 ° I 42 ° I - <br /> F.Ash lbs. <br /> C.Agg.Lbs pea 1700 1702 <br /> C.Agg.Lbs <br /> C.Agg.Lbs <br /> Placement Area Sand lbs 1440 1440 <br /> Location: CMU, stem, and planter wall footings <br /> Water 258 238 <br /> Admixture glen 17 17 <br /> Admixture poly 34 34 <br /> Admixture <br /> Air Ent. 2 2 <br /> (Oz/cwt.) <br /> Water Added On Job Site <br /> Remarks: Concrete place by pump and consolidated mechanically. <br /> (Gals.) 21 <br /> Field Test <br /> Please Refer To Field Repot Number: 09616422DFR12222016HM ASTM Method <br /> C143 C138 [1 <br /> C1064il C173 <br /> Inspector:1 Hossein Mansouri I C31 <br /> Other <br /> Laboratory Data Design Strength:I 4000 @ 28 days I Date Specimens Recd:I 12/23/2017 <br /> Cyl. Test Field Wt. Max Comp. Set Tested Brk Test Method <br /> Code Date Cure Age Dim. Area # Load Strength # By Typ <br /> ASTM C39 <br /> 57199-1 12/29/16 7 4x8 12.56 -- 47820 3810 1 CM 3 ASTM 0109 _ <br /> 57199-2 1/19/17 28 4x8 1 ASTM 0617 <br /> 57199-3 1/19/17 28 4x8 1 ASTM C1231 7 <br /> 57199-4 1/19/17 28 4x8 1 ASTM C1019 <br /> 57199-5 H 4x8 1 OTHER — <br /> Test Results <br /> Remarks:I <br /> Results Reviewed By:I a 1 _ Date: /..... S — I -7 <br /> lI <br /> Codes for Break Types: /A L - �i L <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> Offices Serving The Western United States <br /> Concrete Report <br /> Lynnwood (425)485-5519 • Poulsbo(360) 598-2126 • Puyallup (253) 939-2500 <br /> The Information provided on this report is prepared for the exclusive use ohne client,and may not be reproduced In any format without the written permission of the diem and Krazan a Associates.TMs report indicates our inspectors observation and testing results based on site conditions <br /> and contractor actmiies.Thrrs information is subject to review prier to final suo,,,o,.By signing this report,our inspector does not accept responsibility for validAy of results The same information has been provided by otters on site. <br />