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OTTO ROSEA'AU& ASSOCIATES, INC. <br /> CONCRETE FIELD REPORT <br /> Job Number: 16-0175 Report Number: 367456 Permit Number: C1606-006 <br /> Project: Riverfront Simpson Client: Polygon Northwest <br /> Address: 4312 SE 30th Dr Everett,WA Address: 11624 SE 5th St Bellevue,WA <br /> Date: 4/9/18 Inspector Brian R. Robertson WABO S101181 ICC 0887908- <br /> : 49 Jonathon Moon <br /> ®//////% - % /, W / 'yam ''' /r"""i" 0;///O////////////////////////////////////O%%//% /7 <br /> Building Lots 154, and 157. Electrical UFRS and holdowns are in place. <br /> Resteel Verified: Yes Date/Checked By: BRR 4/9/18 Grade: 60 Manufacturer: Nucor <br /> Supplier: Iles Cement(lbs/type): I/II 410# <br /> Mix Number: 18350FP Fine Agg. (lbs): Sand 1,650# <br /> Slump Spec: 4" ± 1" Coarse Agg. (lbs/size): 3/4" 1,663# <br /> W/C Ratio 0.532 Coarse Agg. (lbs/size): 3/8"200# <br /> Spec: <br /> Air Spec: N/A Slag Cement(lbs): <br /> Total Yards: 49.5 Fly Ash (lbs): 60# <br /> Placed Via: Boom Pump Water(lbs or gal): 30ga1 <br /> Consolidated: ®Yes ❑ No Vibration Admixtures(specify): <br /> Required Strength(psi): 3as a <br /> arnpling and Testing Data °i t 2/ / /////® Y7 <br /> Total#of Samples �� Total#of Field Curing <br /> Cast: 4 % Cures: 0 Method/Location: <br /> Special Water C 143 C 231 C1064 <br /> Cast Break Tim //Cubic Added Air% Conc. Ambient Truck Ticket <br /> Samples Days Size Made ' X Ards to Load Slump Test Temp Temp No. No. <br /> 1-4 , 0 4X8 12:10pm '/' 0 Ogal 3" N/A 61° 59° C055 205111 <br /> Weather Clear Slump Range: 4"± 1" Air% Range: N/A <br /> „other ASTM Method(s) l � <br /> g r / •nforms X Does Not 'i <br /> ///i�/O%/aG/o' i///o/iii///'//////%11 %//,.? /%O'O%%' //// 7 ,A <br /> Start Time: 11:00am Is this a re-inspection? ❑Yes ® No <br /> Finish Time: 4:00pm Original inspection date: <br /> Inspected by: A--- / l : . " Reviewed by: <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 /> x <br /> r ��Form No.:INSP-62-04 LT(Rev 04/08) <br />