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OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering,Construction Inspection&Materials Testing CONCRETE REPORT Job Number: 16-0175 Report Number: RC327858 Permit Number: Project: Riverfront Simpson Client: Polygon Northwest Address: 41st Street towards Snohomish River,Everett Address: 11624 SE 5th Street,Bellevue Inspector(s): Joey Moon Date: 11/1/2016 Description/Location: Stem walls and interior footing for lot 120.Perimeter footings with 2-20'upper electrical#4 ground bars per lot at lots 123 and tfrow, Lot 120 permit#C1609-019 Lot 123 permit#C1609-021 Resteel Verified: Yes 11/1/2016 Joey Moon(Grade 60) Mfg: Placement Data Design_Q Actual. Batch Weights/Cubic Yard Supplier: Miles Cement(lbs/type): 410# Type: I/II Mix Number: 18350FP Fine Agg.(lbs): 1520# Slump Spec: 4±1 Coarse Agg.(lbs/size): 1560# #57 Slag(lbs): W/C Ratio Spec: .53 Coarse Agg.(lbs/size): 300# #8 Air Spec: n/a Coarse Agg.(lbs/size): Total Yards: 35 Fly Ash(lbs): 60# Placed Via: Pump Water(lbs or gal): 30 gal. Consolidated: Yes Admixtures(specify): Required Strength: 3000 psi at 28 days. Time Cubic Water SlumpAir:% Conc.Tem Ambient Truck Ticket Sampling and Testing Data P ASTM C 172,C 3't Made Yards Added. C 143 C 231 =C 1064 Temp No No. Cast Samples: 1 1:45 pm 10.00 0 gal. 4" n/a 60°F 52°F C187 84219 Weather: Overcast Slump Range: 4" Air%Range: Date Samples Picked Up: 11/2/2016 Initial Curing Method: ASTM C31,Exclude C31-12.1.6 Initial Curing Temp: ASTM C31,Exclude C31-10.1.2 _. _ .. Comments � _ . .. . REINFORCING/PLACEMENT: Conforms:© Does Not Conform:❑ COMPRESSIVE TEST RESULTS Specimen Test Field Age Size Area Weight Max Load Strength Fracture Type Number Date Cure (Days) (in.) (S Jn.) (Lbs.) (Lbs.) (psi) (other than cone) (s 1 11/8/16 7 4x 8 12.69 8,9 35,130 2770 __ 2 .__ i — — — — .=Discarded P Tested in general accordance to: ASTMC39 Li ASTMC617❑ ASTMC1231 El r Copies to: Client ❑ Engineer ❑ Building Dept r El Owner ©Contractor ❑d Batch Plant Technical Responsibility: [l]Architect E]Others jia/fill nsen,Project Manager s i This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates,Inc. Reproduction of this report except in full,without written permission from our firm is strictly prohibited. 6747 M.L.King Way S.,Seattle,Washington 98118—Phone(206)725-4600 or 1-888-OTTO-4-US—Fax(206)723-2221 Form No.:ADMIN-62-04(Rev 09/06) Page f-l!