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OTTO ROS I U& ASSOCIATES, INC. <br /> CONCRETE FIELD REPORT <br /> Job Number: 16-0175 Report Number: 375493 Permit Number: Various <br /> Project: Riverfront Simpson Client: <br /> Address: 4312 30th Dr.SE, Everett Address: <br /> Date: 7/25/2018 inspector Ethan Olson <br /> Dessriptlon/Location <br /> On site for reinforcing steel and concrete placement inspection of stem walls on lot nurribet0111241 282. Reinforcing steel was <br /> checked for size,type,spacing,grade,lap splice, manufacturers and clearances.All elements conform to the approved project <br /> documents. <br /> Resteel Verified: Yes Date/Checked By: Ethan O. 7/25#4 Grade: 60 Manufacturer: Cascade <br /> Placement.Data Batch Weights X Design; ❑:Actual <br /> Supplier: Miles Cement(lbs/type): 410Ibs Type I/II <br /> Mix Number: 18350FP Fine Agg. (lbs): 1570Ibs <br /> Slump Spec: 4"+/- 1" Coarse Agg. (lbs/size): 1650Ibs 7/8" <br /> W/C Ratio .45 Coarse Agg. (lbs/size): 200Ibs. PEA <br /> Spec: <br /> Air Spec: N/A Slag Cement(lbs): — <br /> Total Yards: 30 Fly Ash(lbs): 60Ibs <br /> Placed Via: Pump Water(lbs or gal): 250Ibs <br /> Consolidated: X Yes 0 No Admixtures(specify): <br /> Required Strength(psi): 3004 @ 28 days <br /> Sampling and-Testing Data:(ASTM 0172,0331) <br /> Total#of Samples 4 Total#of Field0 Curing On site <br /> Cast: Cures: Method/Location: <br /> Special Water C 143 C 231 C1064 <br /> Cast Break Time Cubic Added Air% Conc. Ambient Truck Ticket <br /> Samples Days Size Made Yards to Load Slump Test Temp Temp No. No. <br /> 1-4 28 4x8 9:00 10 10gal 5" N/A 77° 71° C142 209936 <br /> Weather Clear Skies Slump Range: N/A Air%Range: N/A <br /> Comments. <br /> `mer 4iSTM lethad(s) <br /> forms X Does Not Conform <br /> s�tl <br /> v., <br /> Start Time: � s this a re-ins.- i• ? IDYes ❑ No <br /> Finish Time: Original inspect-.• •ate: <br /> Inspecte• • / �� -eviewed <br /> Th -port 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 e6 <br /> Form No.:INSP-62-04 LT(Rev 04/08) ( B <br />