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OTTO RNAU& ASSOCIATES, INC. <br /> CONCRETE REPORT )06=+�; <br /> Job Number: 1c - Permit Number: H _ 8 <br /> Project: , `° ( AClient: <br /> Address: Address: <br /> f rn• .G: .��LJ 71), e.1 <br /> c,/4 (.‘,4 <br /> f(/(-f{ <br /> inspector/Date: _.-- r Contractor. ,,• <br /> IMS ' , 7`(�N i..t. a.-., ".. r1:77.7 ` ..v:= 3 f11.-;;77ry r�.J 1s � .--- <br /> L'5:, o < ') .7- 7 : :k -iii Afir f rS <br /> r . <br /> ( z 2 , ) Coo) a0a a2. -z..) <br /> Resteel verified: j,- Date/Checked by: t, /', 0,3 w.� Grade: 60 Manufacturer: LI 6 6 ti;/ <br /> Supplier: 4 1_ ;J Cement(lbs/type): <br /> Mix Number: cg Fine Agg. (lbs): <br /> Slump Spec: Gr a r- ! 1 Coarse Agg. (lbs/size): ; ,.� f, ; It/ _ • i i -, <br /> W/C Ratio Spec: ,ars, , r5 � ) Coarse Agg. (lbs/size): <br /> Air Spec: Slag Cement(lbs): <br /> Total Yards: 2 Fly Ash(lbs): f <br /> - :7 7i <br /> Placed via: p✓,i Water(lbs or gal): <br /> Consolidated: (:( ye_s_)/ no ) Admixtures(specify): , /LI <br /> Required Strength (psi): ') 5f,C"LiitEk-M-0111 Z5-0E71115,' <br /> J <br /> Total#of Samples Cast: y, , Total#of Field Cures: �i�! 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 Tern. Tern. No. No. <br /> >, 6 " FilffirANIMI /(J ' 14'c6ts <br /> Weather: 7,4_ Slump Range: (1/..L /1 .3- Air% Range: ituria7Fjifj <br /> . "- ° € _ems y_._. .._ <br /> '47 <br /> .773.17atin7,7771771MM41 -11. ° 2,2 s e LI71 ASNI <br /> Inspected by: 024.-t7.7,—;„„ <br /> . � { f,4. .-1.,,a. Reviewed by: <br /> • (Signature) <br /> Start Time: A)-q5,,r ,(1 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. <br /> Page of ili <br /> 6747 M.L.King Way S.,Seattle,Washington 98118-Phone(206)725-4600 or 1-888-OTTO-4-US-Fax(206)723-2221 ° ly� <br /> 'F <br /> Form No.:/NSP-62-05(Rev 05/13) r` <br />