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C 14,40-1 .,I' �J <br /> 1767108 I A v( <br /> OTTO ROSL1vAU& ASSOCIATES, INC. <br /> I Z1 <br /> CONCRETE REPORT Ufa. 18 O 6 <br /> Job Number: (c_0 t-��— Permit Number: V) 1 c, <br /> -1111 <br /> Project: pmv Q C'C U^A �M` ( s Client: <br /> Address: E L tC L\\4-1 Address: <br /> Inspector/Date: -- Contractor: C`> <br /> DESCRIPTION/LOCATION <br /> tr-1 —j-•. .1- In �. <br /> n �/YL-. ---�-�'-}�,",��."t-"C_�. �.r` i <br /> f , Pr" \C) CSG" r•\ �a '\\ U1/4 1-\\S P1�� � t �fL� Scor ,!yrs LI <br /> (NJ `Gc\'\C � , 1Z `r:� ,\Z(o cr \C Us" 1' c4 12.. \NAc ( \( , c'c,t;, 1�Nr) . <br /> rr� hc,rv,k_. . 1 � , 11"1 , 1) c, > \7 1? c.1�C-1(009- 015 c 1 Z.(0 C 1 to0S - 013 e <br /> 17.12. C Z%= C t(,O1 -0Z c\ 12 C t o>ci-0-1)c) 4 )C,0(1- o w\ <br /> Resteel verified: „cif Date/Checked by: )10 -- G ,� �, r Grade:(9c:, Manufacturer: 0 c <br /> Placement Data Batch Weights per cu.yd. -Please circle Design,/ Actual <br /> Supplier: i\;,\ Cement(lbs/type): L 1 <br /> Mix Number: .a 3s0 - , Fine Agg. (lbs): <br /> Slump Spec: (0.,1 ` Coarse Agg. (lbs/size): n i/ Is- Go <br /> W/C Ratio Spec: �3 Coarse Agg. (lbs/size): <br /> Air Spec: r,;` - Slag Cement <br /> Total Yards: ( A Fly Ash (lbs): (j <br /> �r <br /> Placed via: _ Water(lbs or gal): <br /> ,�. IC`-. ; �0 cit <br /> Consolidated: ((yels, / no ) Admixtures (specify): <br /> '\ <br /> Required Strength (psi): (.\ f. <br /> Sampling and Testing Data(ASTM 0172,C31) <br /> Total#of Samples Cast: \ Total#of Field Cures: Curing Method/Location: <br /> Water C 143 C 231 C1064 <br /> Cast Samples Special • <br /> Time Cubic Added Air% Conc. Ambient Truck Ticket <br /> Break Days Size Made Yards to Load Slump Test Temp Temp No. No. <br /> \;�.� . A(� 1 eJ 1.r,. C131 <br /> Weather Slump Range Air%o Range:• (.. <br /> i Comments <br /> Other ASTM Methods Used: Conforms `w,, Does Not Conform <br /> Inspected by: ! '\ v\ 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) <br />