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OTTO ROSENAU& ASSOCIATES, INC.
<br /> CONCRETE REPORT 3 5 4 4 6 1
<br /> Job Number: 1 as.•-. 0 f Permit Number: .y •t, ..S
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<br /> Project: 7, ::�ti �Y`T: l,-1"F \i,�,1,�J��r", Client: em`
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<br /> Address: t,1.-,, -,. 0(--,-C.• Address: s i G2. -.. .31.7- J ' S'
<br /> Inspector/Date: ;� Contractor: /
<br /> - ,A;u.•. B tPP(_.r- 7 OS 734‘V•y .- #L: E`7U1— ()DI
<br /> ., , \\ C, : 1 Ott2,) a 1 10 b- O!s
<br /> I 2,3D 1 (', t-10ED — Ds -I
<br /> zLAG C._1•-106 —r:.,v
<br /> Resteel verified: E Date/Checked by: t r .1.„4...) Grade: Manufacturer: ,
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<br /> Supplier: 1\1:A` 4
<br /> l Cement(lbs/type): l 1 0 /r l 1.:-
<br /> •-,
<br /> Mix Number: � 1. -- Fine Agg. (lbs): 'l —,
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<br /> Slump Spec: 4 4 1 Coarse Agg. (lbs/size): t;C - r13
<br /> W/C Ratio Spec: j c -2 Coarse Agg. (lbs/size): ,.; ...,7 f
<br /> Air Spec: �--,a� r � Slag Cement(lbs):
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<br /> Totai Yards: Fly Ash (lbs): 5-r
<br /> Placed via: `.> ��ck.°, Water(lbs or gal):
<br /> Consolidated: ir(fyes)/ no ) Admixtures(specify):
<br /> Required Strength(psi): •r -)
<br /> * F
<br /> Total#of Samples Cast: /4 Total#of Field Cures: Curing Method/Location:
<br /> Water C 143 C 231 C1064
<br /> Cast Samples Special Time Cubic Added Air% Conc. Ambient Truck Ticket
<br /> Break Days Size Made Yards to Load Slump Test Temp Temp No. No.
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<br /> __ LI
<br /> — c,‘;,f42 LK 10 -e-- L1 S (ii(;:: tr.`S`" n ,, ?, i•.7? 11
<br /> Weather: �r,. E • /7„. ; r... ` Slump Range: Air% Range:
<br /> 1 ''�� 4
<br /> t j r•\ r:+.,i}y,'I Q. 1 CA(.•1) ,,,:t7"S i,A�'f •3 4. ` 1%5 to t r 1. 4\\- r•y?\..(l t L,1 ti� ( C 11\('t. t.t 42 r I t (7,t i:'(t')t i •�
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<br /> C ii.t7 J'-' kv.,\l�. �!"en,,C.-k �tw V ( ,"d)� ( •tom 1\L r ( ...,71 c c- 1i Crc '\�\t . v
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<br /> Inspected by: /--
<br /> ,-- ...1 Reviewed by:
<br /> ignature)
<br /> Start Time: Finis ime:
<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-62-05(Rev 05/13) 7
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