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<br /> OTTO ROSENAU& ASSOCIATES, INC.
<br /> 3 5 4 5 1 9
<br /> CONCRETE REPORT
<br /> Job Number: „.,r IA Permit Number: ;-
<br /> • , • :
<br /> Project: -, Client: 7, \
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<br /> 3 L. 7-+. CV1\\-\
<br /> Address: Address:
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<br /> Inspector/Date: -3 cp\cs r, C;127-17..Q\ Contractor:
<br /> ' ESCRiPTIONI LOCATION
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<br /> Resteel verified: / Date/Checked by: - Grade: Manufacturer:
<br /> Placement Data Batch Weights per cu.yd.-Please circle Design / Actual
<br /> Supplier: c\r), Vo c Cement(lbs/type): •-i
<br /> Mix Number. : \ ::::.)- c-: r,c) Fine Agg. (lbs):
<br /> Slump Spec: ,-- Coarse Agg. (lbs/size): 4 c•:-_-_ -: ç
<br /> ...,., _ .,
<br /> W/C Ratio Spec: Coarse Agg. (lbs/size): .".
<br /> ',.3(.• '
<br /> Air Spec: - Slag Cement(lbs):
<br /> Total Yards: Nr2:-. c . Fly Ash (lbs):
<br /> Placed via: --; Water(lbs or gal):
<br /> Consolidated: ( yes / no ) Admixtures(specify):
<br /> Required Strength (psi):
<br /> Sampling and Testing Data (ASTM C172,C31)
<br /> Total#of Samples Cast: Total#of Field Cures: Curing Method/Location:
<br /> Water C 143 C 231 C1064
<br /> Cast Samples Special Time Cubic Added Air% Conc. Ambient Truck Ticket
<br /> Break Days Size Made Yards to Load Slump Test Temp Temp No. No.
<br /> Weather: 7 ,, c\r, . Slump Range: Air% Range:
<br /> IF ' Comments
<br /> Other ASTM Methods Used: Conforms Does Not Conform
<br /> Inspected by: 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 1-88 -OTTO-4-US-Fax(206)723-2221
<br /> Form No.:INSP-62-05(Rev 05/13)
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