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OTTO ROSENAU & ASSOCIATES, INC. <br /> Geotechnical Engineering,Construction Inspection&Materials Testing <br /> CONCRETE REPORT <br /> Job Number: 16-0804y Report Number: RC366508 Permit Number: C1604-038 <br /> Project: Eclipse Townhomes-Bldg. 11 Client: Polygon Northwest <br /> Address: 3411 31st Drive,Everett Address: 11624 SE 5th Street,Bellevue <br /> Inspector(s): John Fraser Date: 3/6/2018 <br /> Description/Location: Inspected reinforcing steel,holdoewn and concrete placement for Building 11 slab on grade. <br /> Hold-downs were verified to be tied to reinforcing steel. <br /> Installation of(7)UFER ground bars was verified. <br /> The inspected work was found to be done as per foundation plans and associated details. <br /> Rebar Verified: Yes 3/6/2018 John Fraser(Grade 60) Mfg: Nucor <br /> Placement Data Design Actual Batch Weights/Cubic Yard <br /> Supplier: Miles Cement(lbs/type): 564# Type: I/II <br /> Mix Number: 01600P Fine Agg.(lbs): 1400# <br /> Slump Spec: 3±1" Coarse Agg.(lbs/size): 1550 lbs.#57 Slag(lbs): <br /> W/C Ratio Spec: .395 Coarse Agg.(lbs/size):" 300 lbs.#8 <br /> Air Spec: N/A Coarse Agg.'(ibs/size): <br /> Total Yards: 173 Fly Ash(16s): <br /> Placed Via: Boom Pump Water(lbs or gal): 32.2 gal. <br /> Consolidated: Yes Admixtures(specify): 50.76 oz.NC 534 <br /> Required Strength: 3000 psi @ 28 days <br /> Sampling and Testing Data Time Cubic Water Slump Air% Conc:Temp Ambient . Truck Ticket <br /> ASTM C 172,C 31 Made Yards Added C 143 C 231 , C 1064 Temp No. No. <br /> Cast Samples: 1-4 7:15 am 10.00 10 gal. 4" N/A 64°F 37°F C116 65637 <br /> Cast Samples: 5-8 10:45 am 150.00 0 gall 4.5" N/A 61°F 41°F C186 102716 <br /> Weather: Clear Slump Range: 3"-5" Air%Range: N/A <br /> Date Samples Picked Up: 3/7/2018 Initial Curing Method: ASTM C31,Exclude C31-12.1.5 Initial Curing Temp: As7M c31,Exclude C31-10.1.2 <br /> Comments <br /> REINFORCING/PLACEMENT: Conforms: Does Not Conform:❑' <br /> See attached for additional test results <br /> Copies to: <br /> ❑ Owner U Contractor El Others Technical❑ Client ❑Q Engineer El Batch Plant <br /> Responsibility: ----- - <br /> ❑Architect I Building Dept -r Hansen,Project Manager <br /> This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates,Inc. Reproduction of this <br /> report except in full,without written permission from our firm is strictly prohibited. <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.:ADMIN-62c-04(Rev 09/06) /))jiff✓ Ike 1-of�_ <br />