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OTTO ROSENA U& ASSOCIA TES, 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 5t,St Bellevue,WA
<br /> 4/9/18 Inspector Brian 7. Robertson WABO SI01181 ICC 0887908-
<br /> Date: : 49 79athon Moon.r/ ///,, /,' ��.,..�
<br /> °/�/%/ ,i � �//// �,,,A'4,4/7 0 � - ' %may%i,,SV %� �///�% ' ' //112,,V, �///4/4(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 Grace ManufactNucor
<br /> '/. -',///� Placement Data 7/44//� / ,,,�� ,��A %iii �////,,;' %i u ": i�� J
<br /> Supplier: Iles Cement(lbs/type): I/11410# -4/1
<br /> Mix Number: 18350FP Fine Agg. (lbs): Sand 1,65.
<br /> Slump Spec: 4"± 1" Coarse Agg. (lbs/size): '/." 1,• 3#
<br /> W/C Ratio ��,
<br /> Spec: 0.532 "•°/ Coarse Agg. (lbs/size): 'A 20.
<br /> Air Spec: N/A Slag Cement(lbs).
<br /> Total Yards: 49.5 Fly Ash (lbs): 60#
<br /> Placed Via: Boom Pump / rt Water(lbs or gal): 30gal
<br /> Consolidated: /4®Yes ❑� o Vibration Admixturespecify)
<br /> Required Strength (psi):‘, 3
<br /> ji.�/. .� i���H� ��/O����4��� 6 ��a � J'-'',. ���.� On �
<br /> Total#of Samples 4 Total •-0 led 0 Curing
<br /> Cast: '/ / /tires: Method/Location:
<br /> m00%
<br /> Sp-A / Water C 143 C 231 01064
<br /> Cast Br-ak Tim /' Cubic Added Conc. Ambient Truck Ticket
<br /> Samples Days She Made • ;rds toad Slump Test Temp Temp No. No.
<br /> 1-4 , ! 4)(p, 12:10pm �- Ogal 3" 61° 59. C055 205111
<br /> (7,74, "if , ('
<br /> 47 %%O%%00///00"'' „„;,'//� % /�i 2 ” �//////iii
<br /> Weather Clear e��'/,„, Slump Range: 4”± 1" Air% Range: N/A
<br /> Other ASTM Methods) ° , 4
<br /> Used Xfres Not Conform.,%i/
<br /> Start Time: 11:00am Is this a re-inspection? ❑ Yes ❑ No
<br /> Finish Time: 4:00pm Original inspection date
<br /> Inspected by: �C- 64',,-'° 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 /> Form No.: INSP-62-04 LT(Rev 04/08) dr , '-'
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