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<br /> OTTO ROSENAU&ASSOCIATES, INC.
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<br /> ° CONCRETE REPORT 3 2 6 9 9 2
<br /> Job Number: i 6-Q% 5 Permit Number: (t5.C:%O(,1--O\
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<br /> Project: CTtQti3-
<br /> 1IL&Lv4. t •Nt Client
<br /> Address: Address:.
<br /> Inspector/Date:"S-ac c 4 4 u t.\z„-.V(p Contractor: ¶) , . r tsL 0 4 '.1 �
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<br /> Resteel verified: V Date/Checked by: 1ZA(a -5%(`f\aon Grade: GC) Manufa carer: • „(t.„
<br /> °''�'• ',•Y`,c:Rr-: ;:;y..• - .:1*!eC"s4'er ,,'..e7.0:.:::::-:sit,` ,,,,iia .7741
<br /> ` t. ...7{: 77-:=74'
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<br /> Supplier: Cement(lbs/type) 35
<br /> �finc I
<br /> Mix Number: t 31-a_31$ Fine Agg.(lbs): 1Cj 1
<br /> Slump Spec: Lim i.,. vt Coarse Agg. (10s/size): ,(3
<br /> WIC Ratio Spec: 9 Coarse Agg.(lbs/size): 1,,,
<br /> Air Spec: 1,}1 k •'Slag Cement(lbs): AN
<br /> Total Yards: Fly Ash(lbs):
<br /> Placed via: ci.j6, IcimAk Water(lbs or gal): 244,Jk W
<br /> Consolidated: ((yes. 1 no ) Admixtures(specify): WaL q-1\,t
<br /> Required Strength(psi): , 3:035... AN)\i N1/4-5—`k A
<br /> 'a: 5`+:d,r;: ':r:. 'f;;3'.
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<br /> Total#of Samples Cast: � Total#of Field Cures: tJ 1,4, Curing Method/Location: Gy
<br /> q Water C 143 C 231 G1084
<br /> Gast Samples Special Time Cubic Added Air%p Conc. Ambient Truck Ticket
<br /> Break Das Size Made Yards to load Slump Test Temp Temp No. No.
<br /> �` q cl • 4 tos iO y:15 wIik toef licr 3503 —1%194
<br /> Weather..54. Slump Range: 1+ Air%Range:t;•
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<br /> Inspected by: ( • Reviewed by: "s/t e/t!i
<br /> (Signature) I
<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 ourfirm is strictly prohibited.
<br /> Page of
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<br /> 6747 M.L.King Way S.,Seattle,Washington 98118-Phone(206)7254600 or 1-888-OTTO-4-US Fax(206)723-2221
<br /> Form No.:INSP-62-05(Rev 05/13)
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