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OTTO ROS 1.A U& ASSOCIATES, INC. <br /> CONCRETE REPORT ` 2 <br /> Job Number: /,-0/ )f Permit Number: <br /> ar ^ o ms's <br /> Project: 44(✓ t c� S Client: <br /> Address: l <br /> '�/f� i�E"� rc(SA�CC�v�� E'd£'✓r/}` <br /> Inspector/Date: �.. SrG,�� ///a'/ 3. Contractor: <br /> DEScRRPTIONJ.LOCATiOlrl, <br /> 177< r z i„a 1►� 'f„c r ,f- 143. 4146 r>'"' deo 71 2••••9 <br /> ;l nit Lot �--r S0 Pr! t e ' '�'-s . 9�' - ail. • <br /> `j.rrrr1� Sr c ' e_ , L.G�S��'« , S/�c.c�#5 Csn.r� -/6 6r-er, rac:4 <br /> /of 1406 and Lo .2‘f3- _So e--A I e; re r- art • <br /> /nS.:f � n � <br /> � � ire e:r���2� a� � �Yz_� � �P �r X � �o r~�(i�'/ <br /> P <br /> S O $/4? /}'�. �y�l�.t .�Seo.47, f''j"1 .3'f'0"0 f'' /1 c.t GP...1 L i-& /4,.Q, ci � <br /> Resteel verified: _ Date/Checked by: Grade: Manufacturer: '_ <br /> t ... ,arc.`., �... ..e st+' ',.. t,.r „,Rfi2Y`:r � ..,moi i. <br /> .,,,, <br /> T <br /> Supplier: , `Les Cement(lbs/type): •T �' 0 <br /> Mix Number: I g 3$.O Fp Fine Agg. (lbs): ,s <br /> Slump Spec: ± , Coarse-Agg. (lbs/size): .F'4 :et s..7 /S- <br /> W/C Ratio Spec: y1 Coarse Agg. (lbs/size):/otrA # <br /> 3vo <br /> Air Spec: N /1, Slag Cement(lbs): <br /> Total Yards: �� Fly ,()bs): t<o <br /> Placed via: PO WI Water(lbs or o <br /> 3d <br /> Consolidated: ( / no ) Admixtures (specify): <br /> Required Strength (psi): •M,,est € atecia ys <br /> Sampling arWirte Data,FASTmc .ady ;' <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 /> /- >0 /07.0 -1 1JJA 6 9F 50°F- cosy „$93Z <br /> T <br /> • <br /> Weather: Cr • Slump Range: ,f.4 _„f„ Air%Range: d <br /> MEM )44 <br /> Inspected by: 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 J 3 <br /> Form No.:INSP-62-05(Rev 05/13) � <br />