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OTTO ROSL •I U& ASSOCIATES, INC.
<br /> CONCRETE REPORT 526264.
<br /> Job Number: /6-00-1 Permit Number:
<br /> ,
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<br /> 4, der 1 `2.)� i e ,.ce)n S Client:
<br /> Project:
<br /> Address: 41 S/- ,,.tr�E^f f)40rcis �/aLh[]irlrShAArT5t"r' 24/,,e
<br /> V s�erA.
<br /> Inspector/Date: 1.--)e,‘,-- ,iii // /D//, j,- Contractor:
<br /> •, .; k� 1-.7 a /•.. •' 1ErrioN It ATION > . .N,LL
<br /> 0 1'77,-.t c 7.z i71 -{}-ice l r- -/),-- le, -74 .4f 4 C ' .Co 12�'S/ ?- /-4,7,-/z...r.y
<br /> ,.:i"d ;cot 9- V C h aC �_i- -4.1" -5.1 ,,-, ,, .,eiS i-791- a mss-. J
<br /> :r •�e.. . s'a ?G 9 ',`j r$, , � .e 5/2.-d.... to , Sp,,,e_t_e Gin, to 6rlt�l/,-ci OGS �'
<br /> /o/ 2 4'd cind �o 1 ..24f L Se) `"A.7eke77er €=..L e
<br /> c.,;? r'1.5l:%=r--47. n5 --/A e /2/4t rte? I Z. . ..-n ed. J'.z. ,�/ - ce ./ne, x , ? G
<br /> / p or'►C'sc�
<br /> I A;,e_ 6,n v e .17,e"/i 7eI}��� sS el C.�- -i,e,v-- •,/-, -r,.--rc.'rc_.1�el e e GtJ 1. t'-� ld,C'
<br /> Resteel verified: Date/Checked by: Grade: Manufacturer: l
<br /> SEs /��o/ // 3 ,/`'�P���,. �v � /CJv ,-
<br /> _:- .fit Data Batch ,.sn, i2
<br /> Supplier: � Weights t�':� �:�.= : ,,» �` '. .s
<br /> ii ,e5 Cement(lbs/type): 4-1 7://1.--
<br /> 0
<br /> Mix Number: / g 3S-0 FP Fine Agg. (lbs): /Sam
<br /> Slump Spec: ,p t Coars'Lit-'•Agg. (lbs/size): P,''4 #5-.7 /.S. O
<br /> W/C Ratio Spec: -0, ur Coarse Agg. (lbs/size):PerA, xi.T.
<br /> o °
<br /> Air Spec: NI 4 Slag Cement(lbs): 3
<br /> Total Yards: a Fly (!bs):
<br /> de4Placed via: Pr'JrV1 Water(lbs or a
<br /> Consolidated: ( ye / no ) Admixtures (specify): 3 b
<br /> Required Strength(psi): fzso &kilo. r--
<br /> Total#of Samples Cast: 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.
<br /> /- 4- "-like 3'36 ,,, lu /ojed l'' ivl. 69,E o°_ co X8'932
<br /> 7
<br /> $ hN . r�•5. R _ r?tr , , . ., Sir,.. 3 ��n7ry1" -i t�Weather: lc7c...1Slump Range: '4, _ � A
<br /> ir%Range: 4
<br /> '.00s^ i i 'rtitill
<br /> A'.
<br /> Inspected by: 5� Q,d S' 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-62-05(Rev 05/13)
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