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OTTO ROSLNAU& ASSOCIATES, INC.
<br /> CONCRETE REPORT 3 5 3 99 1
<br /> Job Number: k ;!.`.•;1 -0� Permit Number:
<br /> ? „ ., _
<br /> 117,
<br /> Project: rS \�, "rr.zS Client:
<br /> Address: s. 1,. 4r. _ 'ti',.�'��-3..W Address:
<br /> Inspector/Date:`: i FINE Contractor:
<br /> ti
<br /> ', r \.r-, .-,,•n..,. t"„ ., f'.k rw', �.. -E.. I, ,,,, -:‘,14.. +.C'✓Z, 1,.A.. 4.. ,C' ,--.\-�
<br /> t ,rile �
<br /> I C g4a( '7'.,..,
<br /> ...t., . e .- . i� '7 7 G"+ ,, 4:1 4 .. - • ".'514:' n..e., `ate c"‘ '-...
<br /> �` i
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<br /> mossionememainimisimum
<br /> t ,. e ‘,.)A-0.). :ie., )) 7L.T
<br /> y .`Yr, &i/ e i e. L".".C'- ,••'• a. -2:41 'Z'T'.24) J i.. •, PI
<br /> Resteel verified: ` • e. Date/Checked by: i;? Grade:i';. ,�• Manufacturer:
<br /> i'rc. :a u
<br /> Supplier: u, Cement(lbs/type): 1 f I t,I,) l 6
<br /> Mix Number: I t.." '(••, [ Fine Agg. (lbs): •', t,(.:' e',, ;, ti' ,,
<br /> Slump Spec: �-t 1 Coarse Agg. (lbs/size): 71e.
<br /> W/C Ratio Spec: ' ' 7 Coarse Agg. (lbs/size): ', .; r ,•,,,
<br /> Air Spec: , Slag Cement(lbs):
<br /> Total Yards: Fly Ash (lbs): (pt-)
<br /> Placed via: t'` N.. Water(lbs or gal): i'71j d
<br /> •
<br /> Consolidated: (;,yes.'/ no ) Admixtures (specify):
<br /> Required Strength (psi): 4.- .;(-r- )
<br /> Total#of Samples Cast: (-; Total#of Field Cures: d----• Curing Method/Location: J.)
<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 /> IIIIWIEEt'Qw, `,'"".,L�M1," ,.uvu3 „kww K. , .. ,:t, .P. n.,ir ,z, ). a<L„, :,,,,,,-:,7„....,::-s.. -__-
<br /> Weather: ` � SlluumppRange: Air°A Range: -
<br /> ,.
<br /> Inspected by: / t-". . i"L-1t i/_i --'' Reviewed by:
<br /> Nf....^-0-,- �'4' (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 /> S'
<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-62-05(Rev 05/13)
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