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OTTO ROSLNAU& ASSOCIATES, INC.
<br /> CONCRETE REPORT 3 5 3 9 91
<br /> Job Number: t '? ,---Ot Permit Number:
<br /> Project: P *. _
<br /> ,... ,el NS A. s•,j,•, .,S Client:
<br /> Address: . i.:.' c•, , l' ',,,......4...„-k....... Address:
<br /> Inspector/Date:'_-'j s L. .p„.,., ,.,_,,', ( CR IFIEFAVERI Contractor:
<br /> tea'
<br /> I c.-! • -ort .71-444) Z. :2."7
<br /> 2 }7 ,,T.s„. e^4 ..L e.r-� . .„r..., .- -y
<br /> iiiiiiiiiiiigiONEEMEMEEZIE
<br /> .+.^
<br /> .. ,.,c et f''.>t.�^.- �l=a'.:....+F,:. .1 ,,,,.' gym. " �;.a.;....� .. .. . ..r sE°--�v :,.
<br /> p L `+'�v �..^�a M+' �
<br /> � d.��i L.,n�-.�W�L 1 ■'',/"y x rC S .•,a r+. Cj. "... -,?'147.-
<br /> r �" L. !a.,'} , `..,::-N=4-.
<br /> Resteel verified: f Date/Checked by: '2 '_ Grade:r,. ,"-)g Manufacturer:
<br /> Supplier: ,iv,,, r, Cement(lbs/type): ii I !1; ) ,(,
<br /> Mix Number: 7,:- r) Fine Agg. (lbs): ( -
<br /> Slump Spec: `-.. I Coarse Agg. (lbs/size): 7/. ,
<br /> W/C Ratio Spec: 7 Coarse Agg. (lbs/size): , ,��.
<br /> Air Spec: Slag Cement(lbs):
<br /> Total Yards: — Fly Ash (lbs): ;•,!:-�)
<br /> Placed via: c,•-1,-- Water(lbs or gal):
<br /> Consolidated: ( yes '/ no ) Admixtures(specify):
<br /> Required Strength (psi): x"- .{-•c 7-33
<br /> Total#of Samples Cast: t•• Total#of Field Cures: -•-•• Curing Method/Location: 7) t
<br /> Water C 143 C 231 C1064
<br /> Cast Samples Special Time Cubic Added Air% Conc. Ambient Truck Ticket
<br /> Break Da s Size Made Yards to Load Slump Test Tem. Tern. No. No.
<br /> i ,
<br /> Slump Range:
<br /> _.,
<br /> Weather: AirRange:::: ;
<br /> � •.m � g %
<br /> Inspected by: • ,,, „,r- - .-'r :+^ 1....--e-0-Z...---' Reviewed by:
<br /> �,0,;...-"7 Ai (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 /> ti
<br /> Page of /i\
<br /> 6747 M.L.King Way S.,Seattle,Washington 98118-Phone(206)725-4600 or 1-888-OTTO-4-US-Fax(206)723-2221 S
<br /> Form No.:INSP-62-05(Rev 05/13)
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