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OTTO ROSENAU&ASSOCIATES,INC. <br /> SUBSURFACE INTERFACE RADAR INVESTIGATION REPORT ! y. 2 2881 <br /> Job Number t — Permit Number. <br /> Project -, Client/Contact: <br /> Address: r cn F 117,1(' o f s �' 7"`r Number <br /> Phone <br /> Date: I ``3 O ! 201 Technicians int l `4;�, V � cif 5 <br /> Important Notice <br /> The operator has marked the approximate location of subsurface items detected by the equipment. The equipment may <br /> NOT detect some subsurface items. The client understands this fact and assumes full and complete responsibility for any_ <br /> subsurface items, detected or not, by the machine. This service is intended to provide information tothe client only. Otto <br /> Rosenau,&Associates, Inc. does not assume any responsibility for how the client interprets or utilizes this information. In <br /> the case of concrete slabs(slab on grade, structural and/or post-tensioned),walls, columns, Otto Rosenau&Associates, <br /> Inc.strongly recommends that the client does not core,drill, sawcut, bore, and/or excavate within 3"minimum of any <br /> marked locations by the operators of this equipment. <br /> 1. Representative to work with survey operator: - <br /> 2. Itemized areas cleared for survey: <br /> 3. Alternate areas available: <br /> Area and Purpose of Survey <br /> + t Ak� �, /���� C � ��. ��� I�.� �� C, �,-�� ���� �.�--) —,1›' <br /> '2 R(''e. 414..4 ', "rf <br /> \ A1; g e -013,1 E (7,— <br /> .. 13,1tC,4 5 1} 5.`,/ i-1.3 ( Fy21��t <br /> (4e-,:t< K t L 1,1 X 41 <br /> i Y, <br /> {@`? 90. _ .�' p d � > (p' of {� //� <br /> i �,ZA.b �. (mac FF F f q ...,..@A'1 G i a'.1�� y! Lt.. <br /> Nt� i_ P.^- fd� , ! _r__. ? 7 SCA <br /> ,��`. <br /> Authorized Signature Title <br /> CiCD � . <br /> `_ Company Name Date <br /> �., �" <br /> Tested by: . c> . F �° Reviewed by: <br /> Start Time: I Finish Tinie: <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. U~ <br /> Page i of <br /> 7� le <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 />