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OTTO ROSEA-AU& ASSOCIATES, INC.
<br /> CONCRETE REPORT :274794
<br /> Job Number: (c (3\--1J Permit Number:
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<br /> .. "�.�,��"'�"�' Client:
<br /> Project: q,,.10c,, , vr,A :•_, ,(1-.ii i.,,,.
<br /> Address: Address:
<br /> hr or.
<br /> Inspector/Date: '°-" \ Contract ) C
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<br /> fc L`L V4. 3\-1 1 C'',.L;lr �,I7. t 11OL\—C. c7) ` Lc, -2..(c0 LI L.111 I\ c;‘,4 c: ,S .L. A C 11 %_.
<br /> Resteel verified: .. Date/Checked by '"'y \c \-) .. c`, (l',,Q,r, Grade: Lici Manufacturer: .., y am
<br /> Supplier: (n.,\ Cement(lbs/type): L\\0
<br /> Mix Number: \r; -_ c`ci, v Fine Agg. (lbs): \`)2.0
<br /> Slump Spec: f+.k _ ` Coarse Agg. (lbs/size): \c.,, ,U
<br /> W/C Ratio Spec: J3 Coarse Agg. (lbs/size):^wC`.s
<br /> Air Spec: V`, , Slag Cement(lbs): \
<br /> Total Yards:CAL Fly Ash(lbs): (.z()
<br /> Placed via: Water(lbs or gal): c) _.
<br /> \gin - (.,\ V
<br /> Consolidated: (i ye / no ) Admixtures(specify):
<br /> Required Strength (psi): 10 }
<br /> Total#of Samples Cast: 1 Total#of Field Cures: ^l i:\
<br /> 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.
<br /> 1
<br /> ,5 N 1, i \\ \ 10 \0 MN ' 6c
<br /> . gillIENIIMIIIM
<br /> Weather: c. Slump Range C 12 (A \, Air% Range:
<br /> x,:
<br /> A
<br /> y i1.,h
<br /> Inspected by: 20,r-*
<br /> , I y \Cn 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.
<br /> Page of
<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-62-04(Rev 09/06)
<br />
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