The URL can be used to link to this page

Home My WebLink AboutBLD98-00977 Safeway Special Inspections - COM Inspections mm jS i Information MAILED /r Z TO Build On Z MR 0 0 A 15 1999 Engin"Ang • COinsuftV • r"dng s KANEDrvISlON,, '(50��3j'SN71 FAX"(509)535=1267 ��• SEATTLE DIVISION EASTSIDEDMSION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589.1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 Ct V V!I / /' _ RS� �14 Z DATE ,.% �� j 77 WORK ORDER Q XJ COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SO.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH CHECKED TEST LES. P.S.I. ox bg. ��. 9 3S 11 ?A YX lb, cz®.I 7-Zq tzo. -L�'9� VA8 C3 r o cl zo s� SLUMP DESIGN ASTM C-143 MIXING PLANT TRUCK#-"_TICKET# STRENGTH FC d�/ CEnM�ENNT 6:E&A60. FINE AGG. ADMM,IIX�� MIX#? PROPORTIONS ( 7 / 5 (�'S S � c�Slyc/--1�-� 5 BLS— l�— GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS 1�__ TIME&WEATHER �• '_ F��i( Gj�.� ASTM C-1064 ASTM C-1064 MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRIS OTHER IN ACCORDANCE WITH: FJASTMC780 ❑UBC 21-16 ASTM C1019 UBC 21-18 KASTM E-447 0 UBC 21-17 ❑ POUR LOCATION AND NOTES: � ) t EQUIPMENT IDENTIFICATION AND S/N#: ' f COPIES TO: MAILED: INSPECTOR: DATE j':'!` %/'/,•/,/ %i' OWNER CONTRACTOR a�PvP ' FIE ONTACT: DATE ' / 'i ENGINEER BUILDING DEPT. /CONRIGt/ ARCHITECT SUPPLIER i 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report by Professional Service Industries %' Data /�: S TS-98-1 N N;7 Information MR 0090 /rya To Build On SPO DIVISIONEngin"r*V , Consu V , T"dny (509)535-3571 FAX(509)53 5-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 �Ll£NT/ _ Z-7 DATE - --�i RESs 7 WORK ORDER %�j/i/ / ' f EC7`i/ Ftf3> COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT LB ULTIMATE STRENGTPHS I CHECKED TEST 12c+. '9 - Z35 l t 8x 7-Z`i f4l a SLUMP DESIGN ASTM C-143 MIXING PLANT - TRUCK#J&_TICKET# STRENGTH FC Gk/syt CEMENT S"SGAC�fr9. M� FINE AGG. ` •/ ADMIX MIX# PROPOR/T`IIAON_S ( 7 / SNP 'J �S rIAW [ Al Qyr pa GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONSAST TIME&WEATHER ` 1Li� b2 O MORTAR ASTM C-1064 MORTARR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRIS OTHER IN ACCORDANCE WITH: ASTM C780 UBC 21-16 ASTM C1019 UBC 21-18 'ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: 101, I EQUIPMENT IDENTIFICATION AND S/N#: J COPIES TO: MAILED: INSPECTOR: M' ' zE ! APPRqugcP4�s; r,; OWNER CONTRACTOR i/ FIE ONTACT: DATE / CgNFpiiMq�IG /,// ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _ _ Nt1N1i 3�lF"M "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF I ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 I !, 'j .%��' Irtforma�ion t �l,�, 5 1 � 0 0 1 LF W To Build On En8/nssr • COnlsufting • reefing J(ULSa 333.3371 FAX(509)533-1267 0MIT ASSJ5��Mrr SEATTLE DIVISION EASTSIDE DIVISION OMA DIV[S TAC ISlOtd' TER PENINSULA DIVISION /1C' (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297.8828 / PRGf, L jsf4'i eO Z.7 DATE —/— / �;/ O PAR. I�rt /� WORK ORDER 00 7 COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH TEST LBS. RS,I_ CHECKED 4114 �v ��f 17-o a ci is B�cdNG zo 7-Z- 3ce 3 Lco $x 0 Z Z8 34:, SLUMP DESIGN ASTM C-143 MIXING PLANT TRUCK#a 17 TICKET# 7�I0sDo�7'J STRENGTH FC C40Z� GROUT CEMENT �f C'SE AGG. / FINE AGG. ADMIX MIX# PROPORTIONS CD 0 S 1�4�4*f /J 3 0 ;5-7k.10 d GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS '/'/�' -ASTM C-1064 ASTM C-1064 TIME&WEATHER ! ' 9G`�jv1 µpq�TEMP —GROUT TEMP., DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 UBC 21-16 ASTM C 10 19 UBC 21-18 ASTM E-447 E3 UBC 21-17 POUR LOCATION AND NOTES: EQUIPMENT IDENTIFICATION AND S/N#: - S 3 COPIES TO: MAILED: INSPECTOR: DATE /�%';'i %/>; APP# 1lf�tYPi� j 'IT US4NIO OWNER CONTRACTOR ;/ >, i///i/ FI D NTAC DATE �; ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Qp Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 r'�i In,formation 0 U /r To Build on R Engirwel*v • Conaulav • Tssun® SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)48546I 1 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CL#ENS;r RC3;1T gyp; �JO Z 7 DATE /_ py�WK i09 7 7 /WORK ORDER l+i�'QN ': '''" eV ee- COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SO.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH TEST LBS P.S.I. CHECKED 7—Z- �,c z8 SLUMP �� 7 �/ DESIGN ASTM C-143 MIXING PLANT TRUCK#R LTICKET# 70dS03yS` STRENGTH FC GROUT CEMENT v C'SE AGG. / FINE AGG. ADMIX MIX# PROPORTIONS GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS ASTM C-1064 TIME&WEATHER /V al02'3C' : E AST HEMP GROUTTEMP., DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 ❑UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: 6W 1121. y100, 0 Iq EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: I MAILED: INSPECTOR: DATE: / . 1T M5/INSPFf�`�E�% APPRONE[YP OWNER CONTRACTOR - �j/ ENGINEER BUILDING DEPT. FI D NTAC DATE �r, CLSNR /�; ARCHITECT SUPPLIER 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, QQ Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 Mmation�; Infor MR 0 2 dVA11_'-n iff To Build O J�_J�POI NE�IV a EnBlnae.,l►� • ConaLW&V • T..atip 345 ;7 (509)333-3571 F (509) 3-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION I'k, (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 Z DATE — D / .10 7 WORK ORDERCr Lw / ./ - �,/,, Az COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH CHECKED TEST LBS. P.S.I. Jt.lZ- o ai.144-2.00 3 �-� 2� 131 Z310 Z SLUMP 1 `` -- DESIGN ASTM C-143 MIXING PLANT OM S I-t� TRUCK# N//f TICKET# STRENGTH FC eR010Y L CEMENT G=SE.AGG. ,L/h1C FINE AGG. + ADMIX PROPORTIONS / 9/'9S4e-k p2s-mis d-.o SL,n�fpl 4Rflc V2 cK _3 A, Ole, GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS � ASTM C-1064 ASTM C-1064 TIME&WEATHER C9 V �1 MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM/ OTHER IN ACCORDANCE WITH: IASTM C780 UBC 21-16 ASTM C1019 UBC 21-18 ❑ASTM E-447 UBC 21-17 El POUR LOCATION AND NOTES: r r � r e � G EQUIPMENT IDENTIFICATION AND S/N#: lri s'03 COPIES TO: MAILED: INSPEC OR: DATE ITEMSMSP:E> `0 iKPPioFrtira�p / OWNE CONTRACTOR i / Ot1R/ / ONTACT: DATE � i- ENGINREER BUILDING DEPT. ARCHITECT SUPPLIER C, % N4fstF01�i4�� 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF I ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, U Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date /S TS-98-1 mmdoWInfonwition/r�� To Build On MR 0204' &8/flserArV • consu/ ""i ' Tesung '3 Qom" 5 SPOKANE DIVISION ` (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PENINSULA (2066)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254--84T 18 A7((503)2 2-5608 (360)29DIVISION 8 1 FAXD(1360)297.8828 CtNT�/ -61 PRC3,J �ff}r Z DATE %��DES; , �� - - �jj%i.`i p��/" /� ��// 7 7 WORK ORDER 9-0' COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH NN TEST LBS PSI CHECKED SLUMP I DESIGN ASTM C-143 MIXING PLANT �N S I TRUCK# N TICKET# STRENGTH F� �21 2 CEME'N/T GSEAAGG. ,LjPylC FINE AGG. f' ADMIX PROPORTIONS 9r $Ial� o2S'*'YS pW SIv_,ticcl 't4��c Afir—I�/1� _ 4 pjp GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS TIME&WEATHER V�oJ��M MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISh IN ACCORDANCE WITH: ( ASTM C1019 ASTM C780 ❑UBC 21-16 OTHER y� ❑ ❑UBC 21-18 ❑ASTM E-447 ❑UBC 21-17 ❑ POUR LOCATION AND NOTES: i r r , t G r EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPEC OR: DATE: /� ; _ t' A INSP.EETE /I r OWNER CONTRACTOR / APP1.RO ie6 P KN � ONTACT: DATE ENGINEER BUILDING DEPT. //COtstFaRlGtlly v' ARCHITECT SUPPLIER 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98.1 r MP+Aim 1 Information /rMC� To Build On c� 3 FR _ a Eng/needng • Consuilting • Testing \ \ SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION (206)282-0666 FAX(206)282-07 (425)485-4244 FAX(425)485-0611 PORTL D DIVISION PENINSULA DIVISION (253)589-1804 FAX(253)589-2136 (503)254 841tt X(503)252-5608 (360)197-8821 FAX(360)297-8828 PROJECT�+IQ Z DATE _ Ak7�3�iES5i'� .' PERMIT-NCf�' '- CITY Cs HIT9AML— Ct�j PRO.I'At3C�,71 1 FIELD REPORT S y r ;2 EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE. ITEMS,INSPECTED OWNER CONTRACTOR APPROVEaPaN �jRk, FIE D NTACT: ENGINEER BUILDING DEPT. DATE: CONFQRNIINC , ARCHITECT SUPPLIER NONCONFpRMING,I� "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-t rjAMA M ornwition DR �'� To Build On Engln"drig • ConsuftV • Tosdng (509)535OKANE-3571 DIVISION 35-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-06%FAX(206)282-0710 (425)4854241 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C. IEtT'% PROJECT N4 ATE f3DR1*SS SZ7� PERMIT NQ w 0 93 ,. , CITY ATTENTION 30-41 ARGHtTC'f CONTRA MR PROJ>=CT PR J ADDRES t . WORK DESCRIPTION Gcc-�oa� P s o-r✓ ' .Of G FG = P In i5 (si 2 INPLACE DENSITY TEST RESULTS TEST LOCATION WET DRY MOIST COMP SPEC DEPTH DEN. DEN. % * / w P F L Oe-j'r o I� ,2`bl, O 33 r S f ,eS3F l.t&L i 3 ! j'? Y 0,;2, 170 G L''L2 F /O 37. Z �r o2 (_1 'Tr 6 4ve, I, F o v. ,7 9.17 F(4 0 3"l. a 6.Z 9 EEG 1;1r1fi P, 315 fn� P, Irc, 0 76 '77 :�,- 963 95— P EQUIPMENT IDENTIFICATION AND SN# '1. SAMPLE I. / PROCTOR VAL E 7 GAUGE STANDARD: MSG DS 3a SAMPLE 1. - PROCTOR VA4ID r p, LABMETHOD: D1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) D2922(SOILS) p D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR,; DATE: ITEMS INSPECTED:TEY APPROVED PLANS-AQQE:'% OWNER CONTRACTOR "f I CONTACT: DATE: CONFORMINCx ENGINEER BUILDING DEPT. , ARCHITECT SUPPLIER ! NONCONFORMING:❑ , el "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT I . MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations Q made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS Q acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 jM t� i Information �g To Build' On Aq DR Engineering • Consulting • Testing SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0 0 (425)485-4244 FAX(425 4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 / PROJECT NO Z DATE ADDRESS PERMtT T(O ' ' W.O. TFENTt�?N< ARCHtT C'� ,`' P,4 tsfQ CONTRACTOR- � PROJECT PRf-J,'AQDRI�$ < WORK DESCRIPTION ' if 7 INPLACE DENSITY TEST RESULTS TEST LOCATION WET DRY MOIST COMP SPEC DEPTH DEN. DEN. P F ,1� * y, • eR r o,L a LS/% yb./ o.1 7 1 4�� 9 P 3 0 luP TJ 3�,3 2./ ss l 7 '1! R ✓ �.I / /�- r /V V r t ../ L D 4. a • ,�, !3� •0 7.9 Z 7 •S i.Dc., S 1 ,(o �. EQUIPMENT IDENTIFICATION AND SN# - 't. SAMPLE I.D.r /c! PROCTOR VALUElp� ?, GAUGE STANDARD: MS '� DS '2. SAMPLE I. 0 PROCTOR VAL yt LAB METHOD: K 1557 p D698 ❑Rice p OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE)Vb2922(SOILS) ❑D3017(MOISTURE) pD2950(ASPHALT) ❑D1556(SAND CONE) []OTHER COPIES TO: MAILED: INSPECT DATE. i ITEMS INSPECTS .10 APPROVED PLANS ARE:; OWNER CONTRACTOR FI D O TACT: ENGINEER BUILDING DEPT. DATE: CONFORMINCx ARCHITECT SUPPLIER NONCONFORMING . "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by ,� l Professional Service Industries /`'` j% Date TS-98-1 ~ wi Information �VIR U 2 U c1Ai _ E /� v . r o Build on JQL ((fi�nn Mv ead1g (509)535- .L 5,Ij)333'267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION ��' (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-46I I (253)589-1804 FAX(253)589-2I36 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 �IE / _DATE WORK ORDER /i If COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH TEST LBg PSI CHECKED Fo oO - 7 TTleS�3�tj p 6. -3- '7-30- 7G 'D 4 Zo SLUMP f� DESIGN ASTM C-143 �D MIXING PLANT TRUCK#:?STICKET# 0�7� I STRENGTH FC GROUT /CEMENT p C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS Cv�/►Q s �I� v8`1L J S Y_D3 `7 s GROUT CEMENT C'SE AGG. -� FINE AGG. ADMIX MIX# PROPORTIONS TIME&WEATHER d'1S D oASTM C-1064 ASTM C-1064 O MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 ❑UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 ❑UBC 21-17 POUR LOCATION AND NOTES: ai2i S A"► vw IV w ' f [J r e- r EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE % j, APfs# C1/ D Pr ; OWNER CONTRACTOR r D ONTACT DATE j>>~(ZZ ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 mmo i Information ; CRi, � /r1rwPAF To Build On JUt( Eng/neering • ConsuftV • Tesong ISP DII (509)535-3571 FAX 5-1267 SEATTLE DIVISION EASTSIDFOIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION 1C. (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C , PRAJE 'fdQ DATE AD ? iESS / PERMIT i�Cf. [3I W.O. ERlTIOI rye Af�CH)TErt� QbNTIgETQt! PftaJ,�kQ4R IS i COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH FRACTURE TESTED TEST LBS. P.S.I. CHECKED TYPE Vc — r -- 2 SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31' I C-143k� C-172k C-231� C-1064p( C-39 n C-1231E] TIME,TEMP.& � /D_4TE -?� MIXING DESIGN �J SAMPLE s WEATHER CAST PLANT STRENGTH FC c2C TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE ,vim f y ,/ 0 TY E OF CEMENT CONC.TEMP. 1� SLUMP � ins. AIR 6,v/� % QUANTITY c Cu.Yd. TRUCK TICKET# 'T� ✓ 0 Z/-.3 SUPER PLASTICIZED SLUMP � MIX# � POUR LOCATION AND NOTES: DATE RECEIVED: ,2 �L< 13 / S EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ITEMSRtt,SPt�L�%i'(�;%!: APPROVE� P 'A " OWNER CONTRACTOR , ,� Sf�// ENGINEER BUILDING DEPT. FI CONTA DATE ARCHITECT SUPPLIER n� NONCONFORMtN 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NA ON OFF $T OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc..is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries 14 L_ Date TS-98-1 mm�; Informai�ion � MR 0205 To Build 0" En8/nes • Co►uWdV • Tbadny (so91 s3sPo� FNE AX so9�s3s-1z67 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 ,LINT, AR3•#E '/: Q DATE %© �. l ' ! � j: WORK ORDER %�/' l If COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH CHECKED TEST LBS. P.S.I. c.> �-30- SLUMP I/ DESIGN ASTM C-143 IO MIXING PLANT 1 Q TRUCKf��TICKET#CfDaZRV STRENGTH FC Olt GROUT /CEM—E7NTp C'S(E�AGG. FINE AGG. ADMIX MIX# PROPORTIONS (v�/�0 V �I�3 �D S 3 ,� SV r, GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS r �— ASTM C-1064 ASTM C-1064 TIME&WEATHER 1 b'�v M ��D�SLi MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ❑ASTM C780 UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 I] POUR LOCATION AND NOTES: o i S > •,, , 1 LJ e.Q-1�6.j za f-o-k 4,la NA exmou EQUIPMENT IDENTIFICATION AND S/N#: G '• COPIES TO: MAILED: INSP CTO DATE ''/%!!��%'"/,• i%%_ice�%/% ITEM$-/1NSP.�C7`-1.117 -/ APf�#,01,tV PAN$,Ai OWNER CONTRACTOR D ONTACT �:CONFORIGtING ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF I ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 r�� N7 I� orination _ C R 2 j 5 Build On Engineering • COnsuf[fng • TesUng (so9)SSPOKANE35-3571 DIVISION 53s-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FA X(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254.8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CiiNTy PROD C '40. DATE ' �� 5'/% w.o. / PERMtT i�O / Q A E�ITi,C3N > ARCHITECT%%/' ANC#'//- �ONTaAETO ' COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. TYPE Z� SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31;R� C-1431� C-172;6 C-231K C-1064;� C-39❑ C-1231E] I] TIME,TEMP.&/ p D TE _ MIXING DESIGN SAMPLE WEATHER (U CAST �� PLANT STRENGTH FC TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE Zj TYPE OF CEME� CONC.TEMP. SLUMP ' ins. AIR 6,6 % QUANTITY Cu.Yd. TRUCK TICKET# �07/72 SUPER PLASTICIZED SLUMP C--;�/ MIX# POUR LOCATION AND NOTES: DATE RECEIVED: G / avl r S f Z - > !U or L L EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: I MAILED: I INSPECT R: DATE ITEMS IN,SPEGTt. THY APPaar��tx e�.�►�s'� E: OWNER CONTRACTOR FI CONTA DATE ENGINEER BUILDING DEPT. CQ�J�ORMIN. , ARCHITECT SUPPLIER ` �_n� � `[_` NONCONF�RMIN j "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NA ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc..is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 AP%w Information MR 0206 /r To Build On En8irloork I • cormu�+q/ • resting ( SPOKANE DIVISION I (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION FASTSIDEDIVISION TACOMADIVISION PORTLAND DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 F (425)485-i611 '+ PENINSULA DIVISION (_53)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C) N ; OA FRQ�JWOO DATE APOR. 0777 WORK ORDE C /� /%,/ I� I±cy ' 40 COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH TEST LBS P.S.I. CHECKED 30 SLUMP , DESIGN ASTM C-143 MIXING PLANT_DN �/ - TRUCK#_/At TICKET# STRENGTH FC CEMENT t:SC-4$tT'��%�i� FINE AGG. / ADMIX MIX# PROPORTIONS I �7 Sj�C� i�7S�=k .�' r4'�I ,� GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS f /� TIME&WEATHER ��/�� ASTM C-1064 ASTM C-1064 J �Y C�A44 �CC y MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 UBC 21-16 ❑ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: uCe Se S EQUIPMENT IDENTIFICATION AND S/N#: ��rp COPIES TO: MAILED: INSPECTOR: DATE �NES INS Pea. v ;'Cr' APPilE�P .trc OWNER CONTRACTOR ENGINEER BUILDING DEPT. ONTACT DATE j� ONpRIrA %%. ARCHITECT SUPPLIER 7,2A f� 9.�1>±9;�>� , "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME I ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.* Certified Report by Professional Service Industries Date TS-98-1 N�+i Infbmwtron MR U - mA To Build On �/.��. I! [ON iFl18a</1rN""i� �i0/1SUt1�1� TI&�1g UO5�)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION `'fin` PENINSULA'D.IVIS[MI, (206)282-0666 FAX(206)282-0710 (425)4854244 F (425)485-i611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297"E828 Ct :✓, j/.. GIO DATE - _c �3 5 :% i 1✓�%%W095 Dg77 WORK ORDE / jj�. jjjj�j COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH CHECKED TEST LBS. P.S.I. d eo d 3 -30 --1- ZG T Lb :X3 k(« 0 3. 30 SLUMP DESIGN ASTM C-143 �- MIXING PLANT TRUCK# TICKET# STRENGTH FC CEMENT 1:Sb,49'�,kmw_ FINE AGG. ` ADMIX 41- CEMENT MIX# PR�ONS // sak ,�L5v �A�� ,s�l I lLGROUT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS 51 I�,` ASTM C-1064 ASTM C-1064 TIME&WEATHER C��C�Cl�/ MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 ❑UBC 21-16 Cj ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 13 POUR LOCATION AND NOTES: S'7 V emv uC2 � Se s .C; c EQUIPMENT IDENTIFICATION AND S/N#: sp COPIES TO: MAILED: INSPECT R: 1,,7 DATE OWNER CONTRACTOR ONTACT' DATE ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual teat performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specrtication requirements.' Certified Report by J Professional Service Industries Date nr TS-98-1 IP'MP%r�i InformationFIR� To Build SPOKANE DIVISION Engineering • Consul&g • Tealing (5091 535.3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282.0666 FAX(206)282-07 (425)4854244 FAX(425)485.4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CC.IE7 , PRJi NO�'r:' L DATE Af��tf=SS, PERMIT' -,0977 w.o. -3-99 ij qE ,.: PA3 g, ICES FIELD REPORT 00, r r t r .moo ,rrD - EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECT lT MS INSPECTEA%TO' j 7 3 PPR�IIF�I�PLAAf1$ OWNER CONTRACTOR F19 NTACT: DATE %CONFOR1CAf111110 ENGINEER BUILDING DEPT. i . i, ARCHITECT SUPPLIER -� NONCONFQRIVFING�I "This report is provided for the information of the client only.The reproduction of this report,by any method.and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by ' o Professional Service Industries � %� Date /5 ci i TS-98-1 .os�; Information MR U U 9 /r To Build On Engin"rkV - 0ormuftir g - rearing SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 %� PT j 7 DATE ORDER j'�j j% lJlCf.� CM %/z, /i. 00 � yeye COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH CHECKED TEST LEIS. P.S.I. k.t � Sb - Z$ SLUMP /% ASTM C-143 MIXING PLANT �' TRUCK# a i TICKET# 6wg DESIGN GROUT /�EMENT + ��—STRENGTH F. //��4il I)Qr C'iSEEAGG. FINEIAGG'.� 1 ADMIX MIX# ^—�/�,., )� PROPORTIONS YrJ� j cX�`T� S -f� /�V U GROUT CEMENT C'SE AGG. FINE AGG._ ADMIX MIX# PROPORTIONS �— TIME&WEATHER / / O / rJ�Pl1 STMpgrEMp_ T ASTM C-1064 /_7 GROUT TEMP. DATE RECEIVED P. l�1 SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 E3 UBC 21-16 ❑ASTM C 10 19 ❑UBC 21-18 ASTM E-447 UBC 21-17 El POUR LOCATION AND NOTES: ZC(iWfA - '' •► v s ,e EQUIPMENT IDENTIFICATION AND S/N#: 1:�— �j 3 COPIES TO: MAILED: INSP CTOR DATE "% ' �% %r'/ i APPf3OV OWNER CONTRACTOR ENGINEER BUILDING DEPT. O ACT: DATE % �j tQ { -IN'_�[�✓ ARCHITECT SUPPLIER 'This report is provided for the information of the client only.The reproduction of this report,by any meth ,and its NAME ON OFF I ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, ZZ Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 lusi Information DR - N f To Build on 114 Englneering ConauftV • Tesdng SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-07 0 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-882 1 FAX(360)297-8828 C7. f,tENT , PROJECj NO 00� DATE 7 - A�ARESS C,C� PERMIT"WO � l W.O. CITY ATTENTION ARCHIf.-- P,4CONTRATOfl PR�CY:lECT � PROJ AI]pRES:� ' WORK DESCRIPTION c INPLACE DENSITY TEST RESULTS TEST LOCATION WET DRY MOIST COMP SPEC DEPTH P F DEN. DEN. % ` s%o ISF4 /3 .32 ?k,7 qg' P ,41 .' `l i/.6 3/r �i Z s i A 51© tyZL , 9�5- 6 11361 ; T 2 ' l f ,tii 4 r f,;' l-I 1i � f 10 y/:!� ! ,-'9 Ile? C r -513° 1 0 NJ-6 135 r7 EQUIPMENT IDENTIFICATION AND SN# 1. SAMPLE I.D. PROCTOR VALUE -7� Q GAUGE STANDARD: MY 7 D `2. SAMPLE I.D.A/� `?/�ROCTOR VALUE �.C1 LAB METHOD: D1557 ❑D698 p Rice ❑OTHER `3. SAMPLE I.D. � O PROCTOR VALUE 7 ASTM TEST METHOD(AS APPLICABLE 22922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: t 1 •; ITEMS INSPECT I % APPROiIED Ok.ANS:AR ;: OWNER CONTRACTOR ; FI ONTACT DATE: CONFORMING . ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORMING,O "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, G0 Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations .7 made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries 4 Date � 7 / TS-98-1 r't, Information 3 MR pJ ' /r To Build On Q 5 TJ 1999 �9�0•^•>r Co•�..•r.� • Tr��Ig KANE DIVISION -(509)5}5-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-071 425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 # / D Z7 DAT E '7-7-97 ,', WORK ORDER ,, COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH a TEST LBS. P.S.I. CHECKED .Z„[I ,a X •a$` /®- — Z6 �•81f O F)`.If% SLUMP __ _ i DESIGN ASTM C-143 f Z-S MIXING PLANT TRUCK#�TICKET# STRENGTH FCasit _ GROU Iee� CE ENT C'SE A/GG. FINE AGG.+ ADMIX MIX# PROPORTIONS �S7,V S GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS %-- �/� ASTM C-1064 a ASTM C-1064 TIME&WEATHER POPPY Ll//10� 14GR*14R-TEMP. GROUT TEMP. �— DATE RECEIVED SAMPLED AND TESTED MORTAR aecL�GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: s EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE 7- A MMO�f+ tyP C OWNER CONTRACTOR '' ! F tONTACT:ENGINEER BUILDING DEPT. DATE ARCHITECT SUPPLIER - "This report is provided for the information of the client only.The reproduction of this report,by any method,and its rE� ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' -This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements Certified Report by / Professional Service Industries i- �/� Date TS-98.1 r'�-A Information MR 0060 r To Build On Eri7k7eer*i/ - Consu + g ' ToadnD SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION 82-0666 FAX(206)282-071 425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 "CLIENT' O D Sl1Zl j! �7 DATE '7—7-97 WORK ORDER // P �O X� COMPRESSION TEST RESULTS ' SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SO.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH TEST LBS. P.S.I. CHECKED Lr'xIt.40 /'/l SLUMP ASTM C-143 a 1 LS MIXING PLANT aJ C� yCD� DESIGN T t�' TRUCK# TICKET# STRENGTHF� GROU1W 1��f�ENT lasif C'SEAGG. FINE AGG. ADMIX MIX# PROPORTIONS ��7s r� / J /l;1 S / JJ+•Sw S �Q�/U GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS TIME&WEATHER A' 10H 611 G//,?,o AST EMP (O� ASTM C-1064 GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 UBC 21-16 UVASTM C1019 UBC 21-18 Ej ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: zz i EQUIPMENT IDENTIFICATION AND S/N#: 9S-o3 COPIES TO: MAILED: INSPECTOR: DATE OWNER CONTRACTOR Ai?i77 iliyM �A ,; F5tTACT: ENGINEER BUILDING DEPT. DATE C"ONggq��,,✓ /j� ARCHITECT SUPPLIER 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES � transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, -4—e Inc.,is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 r IR W'iR00"m n ��,-�-3 CR 2 C' Aj o Build On S A DIVISION Engineering • rriOria�MVV • T9a>f1g �df r'cn';1�1X��y]�5-1267 SEATTLE DIVISION EASTSIDE I IIVISION TACOMADIVISION PORTLAND DIVISION -�� -.�f)�ENINSULA DIVISION (206)282-0666 FAX(206)282-0710 425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297- C 1~ /i / PROJECT f t0 ! DATE _ 251 /// C i S PERM NO%� O .0. IT X ; i�v��►�; =31aRCHIT,E>yT; , P+fY� COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. TYPE X Z a - 2 Z 38 2 i 2 5'=Z151b Z(::�30 3 — lo SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31j'� C-143X C-172 C-23)A C-10644 C-39 C-1231� El TIME,TEMP.& PP�� DATE MIXING 44ar,42 DESIGN r SAMPLE WEATHER �D ��CAST PLANT STRENGTH FC �/Q TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE,. YrADMIXTURE ADMIXTURE TYPE OF CEMENT CONC.TEMP. 6 7' SLUMP /' /5— ins. AIR �� /°O QUANTITY { Cu.Yd. 2al TRUC TICKET# �" SUPER PLASTICIZED SLUMP MIX# POUR LOCATION AND NOTES. DATE RECEIVED: rr - �v0 EQUIPMENT IDENTIFICATION AND S/N#: S COPIES TO: MAILED: INSPE O DATE ITEMS] - ApPRO FIB PC�j3 " OWNER CONTRACTOR FI CONTAC 9�FO r4 ENGINEER BUILDING DEPT. i ARCHITECT SUPPLIER NON66NFORMIN,R1 �• : "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, .QQ� Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by / Professional Service Industries Date TS-98-1 oioN�� CR ' To Build On Engineering • Consultlng • To&Mg (509)5SPOK 1 FAX NE DIVISION IVISI 1535-1267 SEATTLE DIVISION EASTSIDF.DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 425)4854244 FAX(425)485-4611 (253)589.1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8928 C I>rI�I'C'�% �;` / PRpJEDTNO 7 DATE A Rf SS PERMIT WO'.;/ D .o. TI<NTIAN ARCHI7E�T' ., / CONTRACT., ;A RESS , 1000, COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE TESTED TEST LES. PSI TYPE 6X17- a`Z SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31X C-143d C-172 X C-23Y!� C-10644 C-39 C-1231E] TIME,TEMP.& j� DATE MIXING . DESIGN �j� SAMPLE i WEATHER -�O (w CAST PLANT '4 STRENGTH FC O �J v� TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE„ xnADMIXTURE i ADMIXTURE TYPE OF CEMENT CONC.TEMP. l� / D SLUMP /' / ins. AIR �� t�/,QUANTITY _ Cu.Yd. TRUCK2al TICKET# SUPER PLASTICIZED SLUMP MIX# M O-Z,%;570 POUR LOCATION AND NOTES: DATE RECEIVED: r / r / 13 E 3 A/1 C�► - Gc 0 EQUIPMENT IDENTIFICATION AND S/N#: g�j COPIES TO: MAILED: INSPECTO DATE: ITEMS OWNER CONTRACTOR 6 ApPRC3 1 .�1N DATE / ;"� C I`ORICI#INCx,ENGINEER BUILDING DEPT. FI CONTAC ARCHITECT SUPPLIER (�Q NONCONFOR*INq' I "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited.- 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 pmmmii: �; Information 14-5 DR 1 ,- _ .1 To Build On Engineering • Consultlng • TeS Mg (509)535-3 N DIVISION 571 FAX(509)35-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PROJEC't"N4 DOZ DATE --7 <PDRESS , O ,SSn PERMJT N<? 9 W.O. i CITY ' �� ;; ENGiNEERf TFENTIpT+i ARCtiITET pp Ip s7 CpNTRATQR WORK DESCRIPTION fo 's t INPLACE DENSITY TEST RESULTS WET DRY TEST LOCATION DEPTH DEN. DEN. MOoST COMP SPEC P/F i VANy t v f,2gry 0 P Z Ca t. 4a-At:t 9 11-1,0tla 13Z.7 5�� 7. 3 G; i�7 1374 S'r 3 zTT,0 9 An n 13Zr EQUIPMENT IDENTIFICATION AND SN# 11. SAMPLE I.D. tr PROCTOR VALU��r GAUGE STANDARD: MS 5-7 DS 3 ZZ '2. SAMPLE 1.5 ll<bY PROCTOR VALUE/ J, -76 C LAB METHOD: 1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE)g42922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: ITEMS INSPECTED TkY 7-7 APPROVED PLANS ARE: OWNER CONTRACTOR FI CO TAC DATE: CONFCIRMING ' ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _ _(��► NONCONFORMING❑, , "This report is provided for the information of the client only.The reproduction of this report,by any method,an its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, 30 Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date9 �S TS-98-1 N i Information l 1Z FR � W To lJui/4.{• On SPOKANE DIVISION Engineering • Con,sumv • Tesung (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (4 5)4854244 FAX(425)485-4611 (253)589.1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 Pf�OJECT NIW O Z-7 DATE � PE 'MIT 461- 0`77 W.O. A��1F#ESS� 'O'' ' C � ;, FIELD REPORT ti r cC o •o / s EQUIPMENT IDENTIFICATION AND S/N#: i„ COPIES TO: MAILED: INSP C OR: DATE i ITEMS INSPETEa TO'% APPRC7VIE PLAN$ OWNER CONTRACTOR SAP DATE CONtrORMING i ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER �(� {q NONCONFQRMING NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc..is prohibited." L W4 CVO "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries / Date TS-98-1 1"To Z DR l o BuildOn SPOKANE DIVISION P Engineering • Consuf V • Tesd ng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 PAX(360)297-8828 CIE - PROJECTNO �? DATE - JDQRESS ' PER1V1)T NCt ; ' /tfD E�09 W.O. �'F1'EIVTION tr/ ' Ile p 4 NtI; RA CON / `Tr. P (3JECT PR . Ai]DRES WORK DESCRIPTION C✓ INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH I WET DRY DEN. DEN. MOoST COMP SP%EC P/F .! ' 8 yZ rL f r S G t" e S 434 i a. v 5" 2 �;,� e? 1 q3r /3;J9 G* S 'W 6/4' 1 t5+ R7_ca S' EQUIPMENT IDENTIFICATION AND SN# '1• SAMPLE 1.5 3 PROCTOR VALUE, pQ '2. SAMPLE I. i ! PROCTOR VALU' (( GAUGE STANDARD: MS � DS 3 LAB METHOD: )(D1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) 2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: ITEMS INSPECTIED TO """%;. APPROVED'PLANS Ai OWNER CONTRACTOR i FI CONTACT: DATE: CONFCIRMIN / ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER �"� (�C� NONCONFORMING N. 11 � "This report is provided for the information of the client only.The reproduction of this report,by any methl and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 OP "_i To '� DR ' 5 t, � To Build On � SPOKANE DIVISION Englneenng • Consulting • TesMg (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 . % PROJECT NO cJZ 7 DATE J�QRESS, PERhAJT NLtl1 W.O. c AFfENTiOI�t, ARGHI7E� �; >y4,NQ 7 COT 'TRAC'Tr r WORK DESCRIPTION F GEA40. INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY MOIST COMP SPEC P I F DEN. DEN. % % % A f P t✓� 9 - cot Y FL IS, l qd, Iwq Zr ;.4) EQUIPMENT IDENTIFICATION AND SN# �+. :� � !rF •1. SAMPLE I.D O PROCTOR VALUE, � / '2. SAMPLE I.D. 1 ROCTOR VALUE '7, GAUGE STANDARD: MS .3 g DS _3/�O LAB METHOD: 01557 ❑D698 ❑Rice p OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) 2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) []OTHER COPIES TO: MAILED: INSPE TOR: DATE: ITEMS INSPECTED s' APPROVED,PLANS ARE: OWNER CONTRACTOR r �' NTACT DATE: CONFORMINC1y ENGINEER BUILDING DEPT. r' r ARCHITECT SUPPLIER I1tt3NCONFORMINC el A NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its _ transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, 30 Inc.,is prohibited.- 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS 1 made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." 1 Certified Report by Date °t S Professional Service Industries _ TS-98-1 1p m i rinfj��/�/y�i^oyn V FR , - ,� 1 p, To f�µil On ,�1 SPOKANE DIVISION EnglneerIng • ConsuftV • Testing �VVJ�� (SMl 535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-071 (425) 854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PROJECT NO VO Z DATE 1}'PI'EN }0 C 93 ,♦(r %� CON"t• AO , PE?C3fPR ..,.. .. . ... .. 1000, FIELD REPORT r r EOUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTPR: DATE ITEM S"INSPEtTE*,Ta,j APPROVEC1 PX0 :IRE;% OWNER CONTRACTOR IE ON ACT: DATE CONFOR1GNNYx ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _ N0NCONFQI 'of "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by �^ Date Professional Service Industries TS-99-1 N�_i r�lnfjojr�n']t�a�i�oyn ��j CR v 2 1 1999 to j�µi(�{�{� On SPOKANE DIVISION En l�mg • CorMUNlnH • TssthH (509)535-3571 FAX(509)535J 267 r,1C. H SEATTLE DIVISION EASTSIDF DIVISION TACOMA DIVISION I'rAl PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-07 425)4854244 FAX 5)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-9821 FAX(360)297-8828 PRO DATE f ENT PERMIT i0 j O. E��pNF, ate-- ARC#i1TE�T, '/ GM COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRA PURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST P.S.I. (OXI� z .�. t - 6 .— ZS'- �;. „,_Is SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31K C-143& C-172d C-231X C-106Ad'r C-39❑ C-1231❑ ❑ TIME,TEMP.& DATE / r/ �Q MIXING DESIGN 5Z70 SAMPY;1� WEATHER '� CAST r 7 PLANT STRENGTH FC `�- `"` TYPE PROPORTIONS: CEMENT 411C'SE AGG. �NNKA( Y TER ADDED ADMIXTUREA2 A9M6XT RE-- AL1vhXfHRE �fGSts ol� s off — TYPE OF CEMENT,, CONC.TEMP. SLUMP 3 7 ins. AIR k '" QUANTITY/ .��J� �.Yd• TRUCK TICKET# �111� SUPER PLASTICIZED SLUMP ��MIX# JV -7- y POUR LOCATION AND NOTES: DATE RECEIVED: r(p J• r e i EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATEITIEM ' OWNER CONTRACTOR I ONTACT DATE ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER 1/� NONCONFOR�A1NCa X 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its MILES NAME ON OFF ST OT transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98.1 MP% ft J �/IynfRo�/r��wt iio�n �� C R �MW, 1 o Build On SPOKANE DIVISION Engineering • Consuffl q/ ' Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDEI)1VISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-07 425)485.4244 FAX 5)485-1611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8928 PRQJEP'�'fl0 ' Z- DATE Fi`SS i 7 PERMIT N6/-, o. CITYi. �//. ENGI�I��F�� AXTEN�Q �� ARCHITf~ Ti COiTFtgCT� I% p�tdJEC�' . .; PR,C)t Al79RE ; f 001 COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRA PU / RE SAMPLE I.D. SIZE AREA(SO.IN.) TESTED TEST — P.S.I. SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C 31 C-143{ C-1720�, C-231 C-1064N' C-39❑ C-1231❑ ❑ TIME,TEMP.& DATE / ��_� MIXING DESIGN SAMPLE o WEATHER CAST / PLANT STRENGTH FCOI`'- TYPE 44 PROPORTIONS: CEMENT �!C'SE AGG4 " NxE�G�I- Y TER ADDED ADMIXTUREA� != ACRE L` - -- TYPE OF CEMENT CONC.TEMP. &12 SLUMP Olr ins. AIR QUANTITY �o QUANTITYY�'� �•Yd• TRUCK TICKET# �Iu�J`^� Q� SUPER PLASTICIZED SLUMP C," � MIX# POUR LOCATION AND NOTES: DATE RECEIVED: c EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: -7:2DATE. i ITI-M9 t4,'SP CT-E0'/ )qI ApPR 1f tY PU IMS-4- OWNER CONTRACTOR I; ONTACT DATE �% RMIN /i QNEO ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER i1lOryCONFQR►y(IMi . � NAME ON OFF ST OT 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' MILES 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 122 ; rinf]o�rn1't/ay ti�omn ��j CR < 1999 To Buil MY SPOKANEDIVISION Engl ring • CiOryls4llOng • Tss�fg (509)535-3571 FAX(509)535-1267,tC SEAT-ME DIVISION �"'7/ EASTSIDE INVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-07 lip J425)485-4244 FAX 5)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 .Cut. PRQJ9C1(N / Z, DATE 77-22 Aq�iES: let s�O PERIUCIT O. J. '. ATTENT101 Gc�+ ARC1iiTEt�.T i T. CONTR/�COR i?R fit P�v i'A'ugRE f COMPRESSION TEST RESULTS �~ DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE SAMPLE I.D. SIZE AREA(SO.IN.) TESTED TEST P.S.I. �j CD a7Z "— Zg Z$ �s SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31,k C-143& C-172d C-231X C-1064,*r C-39❑ C-1231❑ ❑ TIME,TEMP.& DATE �Q MIXING DESIGN SAMPLE i WEATHER CAST 7 PLANT STRENGTH FC� TYPE PROPORTIONS: CEMENT 14 C'SE4� Nxe z TER ADDED ADMIXTURE�2 A&#AtX3lt3E_ ATrfattXT'dRE ,467945 oir s/ z� _ �''oz � J TYPE OF CEMENT - CONC.TEMP. C.��y SLUMP :9 6 ins. AIR ��5a QUANTITY q��J� u.Yd. TRUCK -SUPER PLASTICIZED SLUMP Cif� MIX POUR LOCATION AND NOTES: DATE RECEIVED: EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ITEMS;[NSF� CTEIY't J OWNER CONTRACTOR I ONTACT DATE �t �1�1�ORIII}IN(x / ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER -7^IZ NONCONFORMINEi1 LJi J I NAME ON OFF I ST OT MILES -This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 PMA i Infonwtion FIR ? To Build On SPOKANE DIVISION Englneadng - ConaluftV - Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-061 I (253)589-1804 FAX(253)589-2136 (503)254.8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-9828 t,1EIT PROJECT NO Z DATE • Z AI�Q iESS 8SZ�� PERMIT O w.0. %x� p , CITY:; Z. ENGINEER: l�RCHITECT% f caNTRf�GTQ FIELD REPORT Is /67 . t al. /Sa # � r EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE: %% ITEMS INSPECTED'TO -/Z APPRf}VEfYPLAMS AIDE: OWNER CONTRACTOR I O TACT: DATE - 4NFaRMINCr(�', j ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORMING Ca i "This report is provided for the information of the client only.The reproduction of this report,by any method, nd its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements" Certified Report by p17-11-9 Professional Service Industries Date TS-98-t M�+i n b"wtion .f FR s /r' 0 To Build On Englneering H DIVISION • Coneu/tlng • Teadng (509)535 335 INFAX(509))35-1267 SEATTLE DIVISION EASTSIDEDIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (25)485-4244 FAX 5)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 f! �� PRQJECTNO'' DD Z DATE C�f9RESS �O PERRACT N`CY�'i .O. ,.3la Z' i ol G1NE1~Ri ' r '�,ENjTQ,1�E� ARCH17 �%i . CIE PRU.f�IQC�RI: : , FIELD REPORT s a , � r � r Ta T� r TE) .S Q, C, ' EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ITEMS'INSPECTED T� APPRO�fE[YP�A►��■l,S OWNER CONTRACTOR ; I NT CT: DATE CONFt3F.IM.I ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _9 NONCONFORMING L� j i; / . /. "This report is provided for the information of the client only.The reproduction of this report,by any method.and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date //�7/f TS-98-1 iti In ormaion 3 - f 9-CR ; -5 55 /r To Build' On Eng/neering • Consulting • Testing (509)535-3 N DIVISION 571FAX(509)535-1267 SFATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (3601 297-8821 FAX(360)297-8828 PROJECT*,Q Z DATE Al �k`S /' O PERAAtT'N�O i/ 7 w.o. go 5 CFTY��, ARGkITE I o7T CONTRA taw ADF R� 3 COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE TESTED TEST LBS. P.S.I. TYPE 6X 1 Z 7 ,53 -Z-0 3 -/a F-/o ZVI, x z, SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 Of CCC-143g C-1721K C-231,< C-1064 K C-39❑ C-1231❑ ❑ DESIGN TIME,TEMP.&�� Q �u✓,/CAST / — PLANT0 DATE G STRENGTH FD��Jy__TYPE_ / PLE WEATHER ;/ (p(J r PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE ,� �` ` 1/9� r S'�s ems/ �t yL z-5�s fit—_ S,o ��d^z TYPE OF CEMENT � CONC.TEMP. 6 V 0 SLUMP �`J ins. AIR 67� % QUANTITY Cu.Yd. TRUCK �S TICKET# (�00 1 qzz► SUPER PLASTICIZED SLUMP MIX# POUR LOCATION AND NOTES: DATE RECEIVED: t G QA1 W EQUIPMENT 1 ENTIFICATION AND S/N#- •�-¢�l_ &1XUxy, w 'Ie7jCr,� COPIES TO: MAILED: INSPECTOR: DATE /%':%%�//�%%�j• S iTEMSM40,PECT APP/RO t3:PLAj S'1�1j %. OWNER CONTRACTOR ONTACT: DATE /-> FOR ENGINEER BUILDING DEPT. % / �" x ARCHITECT SUPPLIER NONCONFORMING LJ ; NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, G Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-se-1 ir+ ■ Inforrnation CR 2 5��iA!�..'� �, To/Build �J�{. it On IS1?VOK57 E VI Englneerin� ' (iOilYa�/ilat V ' Teadng (50l4I3532FAJ�(50 �67 SEATTLE DIVISION EASTSIDF.DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828RC. SN'C�� rROXCT 10 Z DATE p PERMIT NO;-// 0?77 w.o. z O/5 CITY—", 15 . doARCkITEC ; �T�IrN�tfJ�L� , `7/ CONTRACTCi pgsr- o'tR�s 3 COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE SAMPLE I.D. // SIZE AREA(SQ.IN.) TESTED TEST TYPE LBS. [C P.S.I. (Ox Z �� ~Z�o — aa. F-/a 8' d �9 — SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 X C-143;' C-172,N C-231,K C-10642k C-39❑ C-1231❑ ❑ P WEATHER '7'�3� ��w�✓?ICAST / /" _ PLANT., STRENGTH FC DESIGN SAMPLE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE ,o ac too 4/7;^'s 1960.10 IsCt/FIZZ-Ss N. _ S,6) $oz TYPE OF CEMENT .-!� CONC.TEMP. V SLUMP ,`� ins. AIR 6�� % QUANTITY Cu.Yd. TRUCK 01�S TICKET# CR[0 1 �3Z SUPER PLASTICIZED SLUMP ✓1 MIX# /� 2� POUR LOCATION AND NOTES: DATE RECEIVED: 0r"_'V' MAQ G e • W All EQUIPMENT IDENTIFICATION AND SIN#: •0-Q,¢A. &LM! h r ��`-C'c 9,1 r DATE COPIES TO: MAILED: INSPECTOR: ITEM!'[ OtOTEO/ l ApPRO X P." i. OWNER CONTRACTOR ONTACM DATE / 'CQ�JFARMINCx• �' ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER ^ C� t�ONCOIVORMINii t ,�!•% NAME ON OFF ST OT MILES ,This report is provided for the information of the client only.The reproduction of this report,by any method,and its G transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 IP�i Information 2� iVI p 1 1999 M-NN To Build On Ff?Sf/l�dAil>II1� , G0/fsuftkfv • TO♦ thg SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-071 (25)485-4244 FAX(42 4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8829 RQk Mf> / 00 L? DATE 2 -! - DS ! SZ�D pFr ✓ / 07 77 WORK ORDE ENTIP ,W COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT LBSLTIMATE STRENGTH.TEST S I CHECKED Et' 7- 7 qw.<qu 30 `hs kvA Z -lb 249 830 -(c) LLZ7 SLUMP /, �/ DESIGN /\ ASTM C-143 MIXING PLAN TT / / TRUCK#a3�TICKET#�7DQM09STRENGTH FC �DOU GROUT' L��C/E—MEN—T7S Q� C'S EA7G6.D3 FINE AGG. ADMIX MIX# (� PROPORTIONS LDS /' t/ S D G--7 fS is 3s-4 'FS GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS -2 ASTM C-1064 ASTM C-1064 G TIME&WEATHER C/O 2 30 5 a/MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRI OTHER IN ACCORDANCE WITH: ASTM C780 ❑UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: Gv71 S,S �- 0 .Z VD EQUIPME14T IDENTIFICATION AND S/N#: F g5a 3 COPIES TO: MAILED: INSPECTOR: DATE n- 0... ih AP M—CYNg OWNER CONTRACTOR FIELD O TAC DATE ENGINEER BUILDING DEPT. � ARCHITECT SUPPLIER - � ram_ "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, f Inc.,is prohibited." C 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations J made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 M AN i7 Information 2� Q 081 �/rN To Build On 3 M ` Englnr901kV uaMV• Co� • rowftg SPOKANE DIVISION �"�7/ ""y (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDEDMSION TACOMADMSION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-071 (25)485-4244 FAX(42 4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297.8828 CtENTi '. pRtfJ 3'/•/: Db L7 DATE -! - -S PF.AM}�'!4&✓X 9' 77 WORK ORDE �C COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH CHECKED TEST LBS. P.S.I. 7-ze 7 8-16 219 r SLUMP �� DESIGN ASTM C-143 2, MIXING PLANTS / /� TRUCK#c2 I TICKET# �DD gI�STRENGTH FC GROUT A(I CENT 7S C'SEAc�.�3 FINE AGG. ADMIX MIX# PROPORTIONS LaS /' 5'75 ` �ry pU, -7 /,�? ?S,4 �Q 8 GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS I---- ---- TIME&WEATHER 3 ASTM C-1064 ASTM C-1064 � S4 A9 MORTAR TEMP. -_ GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISI OTHER IN ACCORDANCE WITH: ASTM C780 ❑UBC 21-16 ASTM C1019 ❑UBC 21-18 ASTM E-447 UBC 21-17 El POUR LOCATION AND NOTES: Civ f-1 r� S SJcx t I jto 3 , EQUIPME T IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE TrItWINSPECT -L3avrP " OWNER CONTRACTOR �/; EL l/ / 1:✓ //� FID O TAC DATE '�;'CONF(�RIGt�(c,� ENGINEER BUILDING DEPT. j � -�/� ARCHITECT SUPPLIER q // 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, r Inc.,is prohibited." E— E] 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 P 1A i In ormation,fR r^(M FR - ' ? S P, To Bui& On l SPOKANE DIVISION Eng/noaring • Consulting • Teadng (5091 535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 060)297-8821 FAX(360)297-8828 CL.IE LT PROJECT NO '% 00 Z DATE �} �iv.0. r O Al��f�ESS PER�AtT I ( '' CQ �TT�F/NT�Off� . rl,�,� P:O� It , 7 CE3NTRI� T¢N; RiQ�)ECTLLj aAjPiCYf.AIF3E5, FIELD REPORT ✓LCr r ' e a-�-L E All 3 ' EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: IN DATE. ! ITEMS-INISPTEF TO' P 'Al OWNER CONTRACTOR FI LD ONTACT: DATE CONFOAMN O ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORMIN4f q i "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST I OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or- ----made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report /�% � Professional Service Industries �i'� 7 Date TS-98-t tpmnzgm i I/I7nfR��/i�/o-/_n DR - 7 �, To Build n SPOKANE DIVISION Engineering • Consu ing • TeaMg (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-84I8 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 �;tE PROJECT N9 d DATE - - DDRESSv PERMIT NQ 0977w.o. n2e5�0 � ., r /� e u¢ CITY / jam,/��. ENG1NEflRi, . ./,. .ATTENTION : ARHtTtC,T F, OV 4 NQ CE7NTRA>r'T4R ,' F'RO'J�CT PR4J ARDRi^S j � -- WORK DESCRIPTION x2z ' N 4 cad Q INPLACE DENSITY TEST RESULTS "Sti,6WET DRY ra TEST LOCATION DEPTH DEN. DEN, MOIST% * COMP SPEC p/F I tC, F C? I415T 37 S 6.O C.Z g ,$ L< <. h 8 1,0 7,q i. 3 r ,14s ;1, ca4� s b e 1354 a(edl 7,41 Z S', 9s P S,I�ez cv� E L- 137-6 130.3 , S•7 1 9Z-� 9 Cb ca � F4 I a. Gr 3 f 6 C, o(L Eo 'q L; FG1 t5 NqQ / S -7 4 g-jo �'t L. e �' 8 Mo. �0 79 14v.z 9 S 13s 1 s '7- 34 s� z I 95', s --f- - 7 /a ve 8 IWe. 3'. 9G3 5 EQUIPMENT IDENTIFICATION AND S �(� v `1. SAMPLE I.D� N# o PROCTOR VALUE,,, @ bx GAUGE STANDARD: MS G"� DS �g ( `2. SAMPLE I.�� PROCTOR VALU� ` 9 e Sr O LAB METHOD: AD1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D.`g 10 jSPROCTOR VALUF 351 �• i3 ASTM TEST METHOD(AS APPLICABLE)AD2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: ITEMS'INSPECTED Tf7 APPROVED:PLANS ARE.: OWNER CONTRACTOR FIE ONTACT: DATE: CONFORMIN ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORMING NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workaoility of the specification requirements" Certified Report by Professional Service Industries D Date TS-98-1 x N,r-ft_i I Build �� DR i r o guild On `SPOKANE DIVISION Englneertng • COnsuMV • Tesdng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-071111. (425)4854244 FAX(425)485.461 1 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PRO3ECJ'flo L7d z-7 DATE QQR>*SS PE W.O. �a CtTY ,z ' �}Tfl~/NTiOt�l ARCHIT . / Pt?.NQs, �J� C4�ITRAO'1'QR ; ADEIRES F'1R(3'J1rCT , :.... . . :.. :. . . WORK DESCRIPTION S ,( INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY MOIST COMP SPEC P i/F DEN. DEN. % # p ?, o 5- cv I cf, ,S S o 'z 77 9S ?� sa ; etz` ' r SIZZA .s ,f F T P c7 0 �, 3 7-� S EQUIPMENT IDENTIFICATION AND SN# `1. SAMPLE I. /� PROCTOR VALUE S �,2 GAUGE STANDARD: MS&p Z,DS `2. SAMPLE I.D. PROCTOR VALUE. 3 e LAB METHOD: D1557 ❑D698 ❑Rice ❑OTHER `3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) D2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECT DATE: / i%i ITEMS INSPECTED TO'�".. APPROVED,PLANS Aqg- OWNER CONTRACTOR FIEL TACT: DATE: CONFCIRMINCti( % � ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORMING , NAME ON OFF ST I OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method, nd its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries. Inc..is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by . �� Professional Service Industries Date TS-98-1 RAInfv�~rriail' on FR % ' i i ro Build � SPOKANE DIVISION Englneer/ng - roinsuiKing • Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)2824)666 FAX(206)2824)710 425)485.4244 FAX 425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CE.IE1 Tf,f; PROJECTNO ', U� DATE -/ 00ISSf; PERIUIIT NGt j7 W.O. /� �%i ��-- fal� CITY' r: i %��jj it d4 Pon 100, FIELD REPORT d 2 EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECT R: DATE �ii/ ITEMSINSPE T9JD 4 4-f7 APPFJOVE6 P A�4 ARE-;. OWNER CONTRACTOR IE ONTACT DATE COLNFOaM111 ENGINEER BUILDING DEPT. 7 / ARCHITECT SUPPLIER ' NONCONFORyfIN "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Service Industries Date 7 7`l-07 TS-98-1 NW; In00"M�ion ,��3 R FIR _ L To Budd On SPOKANE DIVISION Englneedng • Conau/tlng • Teadng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)4954611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CLIENT P10J9CT N0'% UD Z DATE AL1ipRESS f P it hiCf;':, W. / ZZ74 £�NTi 11},G�'1�.1►�, cow-14 r 'R�3JEC F PIG3.,�iIC1 �� 00.F FIELD REPORT -e . r w� U �c ICY EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECT O DATE iTEMS'INSP•IAf~TE,D;TO' �. '7-r� APPROV�C�P�.AN$,i�R�c' OWNER CONTRACTOR /„ %�; •/'� // LD 40T#CLj DATE:C©NFOR�IAIN �� ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCOIVF9RMINa�I, /,.j %4 NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any meellod,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date -ZS TS-98.1 i Information '`T. � -, YMW To Build On MR 8"fin �a�(� Engineering • Consulting • rooting / SPOKCANE DIVMOPI (509)535-3571 FAX(509)535-1267 SEATTI-E DIVISION EASTSmE DIVISION TACOMA DNISION P02TLAND DIVISION PENINSULA DIVISION !C. (2�066)282-0*!6W66 FAX(206)282 0 425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254.9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 /i DATE P '��s/� r Sal 7 WORK ORDER rnz // f� COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH CHECKED t / TEST LBS. P.S.I. � O .ao�u-eu 9 w �.o T—If o lfo,2 oa qb 3 7 Zc> �3 SLUMP DESIGN ASTM C-143 I MIXING PLANT TRUCK# TICKET# STRENGTH F kJ/ �✓-e, �+s �y,��c ^rL y p 3 GROUT ��►CEME�N(T 2 C'S AGG. FIN AGG. ADMIX MIX# PROPORTIONS //� J V J �0 5 ��/,,3 �, S_,Z_ GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS �-�— t-r� ASTM C-1064 ASTM C-1064 Q TIME&WEATHER jWk5 7e JK� MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ❑ASTM C780 ❑UBC 21-16 ASTM C1019 ❑UBC 21-18 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: W s r t r EQUIPMENT IDENTIFICATION AND S/N#: 9 COPIES TO: MAILED: INSPECTOR: DATE C'T�If1�tPECT'E � �% OWNER CONTRACTOR / F ENGINEER BUILDING DEPT. IELD N A DAT , /// ARCHITECT SUPPLIER /�j/' �j ,btFC3i�l - 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NA ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, �r� Z Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS 7i acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 .� , Informalion MR p 0 b 3 TO/Build On /ej � SPOKANH DIVISION corleu "y - Teathg (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-06&1 FAX(206)282-0 0 425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297.8828 CLiENT�, ,' PRxJJ��.�'T' ,j DATE p tESS .j: ®F.F� ' 1 ✓ ' 6, A:P!aJF7'7 WORK ORDER -�e . COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT LB ULTIMATE STRENGTH S I CHECKED TEST el K SLUMP DESIGN ASTM C-143 I MIXING PLANT TRUCK#-OU-5TICKET# STRENGTH F kil L✓,e,f/-+s rZ Y p 3 GROUT CEMENT z C'SE AGG. FINrAG/G. g ADMIX MIX#� PROPORTIONS C� / v J �� i C7 � t`T ! •J � GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS Q ASTM C-1064 ASTM C-1064 Q TIME&WEATHER � 7e MORTAR TEMP. GROUT TEMP. 69 DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: CASTMC780 UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 El POUR LOCATION AND NOTES: / r s i / r 1 EQUIPMENT IDENTIFICATION AND S/N#: 9 COPIES TO: MAILED: INSPECTOR: DATE tTEivff4SPEE tjj/0rAVA/j/zo j OWNER CONTRACTOR IELD N A DAT ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER 'This report is provided for the information of the client only.The reproduction of this r y NA ON OFF ST OT MILES po p y p sport,by an method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, 42r�L- Q IV Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS 7i acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 .'+i , Mnformation� ° CR 7 v 3 �N ipmMI To Build On Lp1� � �v.�v5Q Engln"dng • Coneulking • Teadng (509)535.O357 A7('(53W 267 SEATTLE DIVISION EASTSIDE01VISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION - (206)282-0666 FAX(206)282-071 (425)485-3244 FAX(425)485-i611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252.5608 (360)297-8821 FAX(360)297-8828 PROJECTN�4,, DATE C ENT ' , •`l PERIUIlT,10�/� /i% EN"Tlf- �.��!� aR�titrf✓��ri, . �ONTACTQ . 9,17 ., jOOF COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE f e2 zZ 4 c-) 76 26 0 CP�Ct2 SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31� C-143 W,,_ C-172 gj:r� C-231f!j_ C-106V� C-39❑ C-1231❑ ❑ TIME,TEMP.& O DATE �j� MIXING DESIGN SAMPLE WEATHER ..4`r/S /� CAST 7_ // �'�_PLANT STRENGTH FC o2 TYPE r PROPORTIONS:. CEMENT C'SE AG^�G. FINE AGOG.. WATER ADDED ADDMIIXTURE 41A ADMIXTURE ADMIXTURE �,¢ 3 771f3 S W r t� s I�Jyo r o 5 J V . +O�z�' TYPE OF C9MENT l CONC.TEMP. 6-fd SLUMP ins. AIR /ram % QUANTITY Cu.Yd. TRUCK- (R a TICKET# �46 SUPER PLASTICIZED SLUMP C� MIX#_"1-2 o POUR LOCATION AND NOTES: DATE RECEIVED: EQUIPMENT IDENTIFICATION AND S/N#: d COPIES TO: MAILED: INSPEC OR: DATE �%X%i'%/i!% ITEMS t��ylPE�TtYT // APPRO'rf� '1S1. OWNER CONTRACTOR IEL ONTA DATE CofJFOR :. MIAtcx ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER 46-9 ': NONCO(VFORIyIINra NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 r1k=�Inforti�o��n �°4 3 CR ? 7 5r `o Y"mil `O•� SPOKANE DIVISION En8lneprin8 • 0"Uning • Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDF.DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-071 k (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589.2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 PAX(360)297-8828 PR4JCTf10 ? DATE xt �ERNfIT N`C1� �' 77 w.o. Ai��ftESS ,;: �; /' fi %/� ram% 3 COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE CHECKED SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. TYPE X!Z Z�• �- Z24 v s� '- r SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31� C-143 C-172 TK, C-231.[!j, C-106)f� C-39❑ C-1231❑ ❑ TIME,TEMP.&n ` /� DATE MIXING DESIGN �y'� SAMPLE WEATHER sS`r J /6 _ _ CAST �- / PLANT STRENGTH FC a,52)"'� TYPE r PROPORTIONS:. CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE 4;A ADMIXTURE ADMIXTURE V — TYPE OF C9MENT l CONC.TEMP'. (Q d SLUMP -ins. AIR % QUANTITY _ Cu.Yd. TRUCK TICKET# `"-'" SUPER PLASTICIZED SLUMP MIX#_�� POUR LOCATION AND NOTES: DATE RECEIVED: Imo EQUIPMENT IDENTIFICATION AND S/N#: v DATE COPIES TO: MAILED: INSPEC OR: ITEM$%ITSPfrC�E �/'/j APPRO Eta PLAN OWNER CONTRACTOR i' IEL ONTA DATE C9rQ=0RMINCx �i ENGINEER BUILDING DEPT. f ARCHITECT SUPPLIER ^Z�� NOf+JCONFQR�A1N�Ca �; NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98.1 LF.-JENiTo 1; Information , 2' DR _ Build On SPOKANE DIVISION Engineering • Consuft 9 • T8adng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVIS ION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485.4244 FAX(42)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (3601297-8821 FAX(360)297.8828 i PROJECTNO DATE , QFs$ Mal PERMIT NCQ B eX772 W.O. Alf At- o ctTr ATTENTION ARt HITI f CEYNTRQ> TOR .; � pppJ AC�URES' ROJ>RCTnip- WORK DESCRIPTION r � 0 -- INPLACE DENSITY TEST RESULTS WET DRY MOIST COMP SPEC TEST LOCATION DEPTH DEN. DEN. % % P F S S �3Z• Grp t C,5" s 99 I ZZ-z S•� Z 73 S 0,S-' 2 /37-31 13 1,3 <o; Z I Wo6 13 f 1;7 1° ' '3 t 7=0 2 -7 r Z /, 9 2 57 A racy 8 13V 32t9 L3 �c •�:me EQUIPMENT IDENTIFICATION AND SN# 1. SAMPLE I.D. D PROCTOR VA r c GAUGE STANDARD: MS 80 DS 7� '2. SAMPLE I.D. PROCTOR VAL 3S, 7,3 LAB METHOD: Xb1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHO (AS APPLICABLE)Jff'D2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: ITEMS INSPECTED 14 APPROVEDPLANS AREA OWNER CONTRACTOR C- IE ONTACT: DATE: CONFORMIIN ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER l� NONCONFORMING NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Z77— Inc.,is prohibited." Ed "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workaoility of the specification requirements." Certified Report by Professional Service Industries y Date10, TS-98-1 a N TInfRormatiioon FR 2183 [ Build v•I SPOKANE DIVISION Englneering • Consu/tlng ' Tesdng (509)535.3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485.4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PROJECTf10'f 00 Z� DATE oXeD ` •� PERIUIPt f+�Q�'% Dlr' W.O. AL#QF#ES5 - 4 iO /f' ENT#Ot�I• ARCH#F'��T,� FIELD REPORT r lL' IS- r EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: I INSPECT R: DATE ' '-'+ ITEMS'IN�PETEa CO IxP�A S ARC APPROVE OWNER CONTRACTOR FIELD TACT: DATE CONf=Q(RMIN ENGINEER BUILDING DEPT. //•% 'j i i ARCHITECT SUPPLIER NONCONFORMr NAME ON OFF ST I OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its r transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Tw� �� Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by 17..rp_379 Professional Service Industries Date TS-98-1 I N i Information DR 15 To Build On SPOKANE DIVISION Engln"ring • 1ConeuftV • Teatlng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 PAX(360)297.8928 £C,1ENT��;f PRt),JECCNO , ODZ DATE - DR j PERM#T TIO W.O. S� ?, �C4�//, S CE7NTRACTQR -37 PR.tJJ AQURES £ WORK DESCRIPTION 1s QP/m � INPLACE DENSITY TEST RESULTS WET DRY TEST LOCATION DEPTH DEN. DEN. MOIST �IRCOMP SPEC P/F " f5- £ s-.S' EQUIPMENT IDENTIFICATION AND SN# y 602 3 '1. SAMPLE I,D D PROCTOR VALU-�/,`7 (� ,7 GAUGE STANDARD: MSAz DS '2. SAMPLE I.D. PROCTOR VALUE LAB METHOD: D1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) 2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR DATE: CwIS' ITEMS-INSPE4/,' APPROVED';PILA'NS ARE`: OWNER CONTRACTOR I L ONTACT DATE. CONFQRMIN /� ✓' ENGINEER BUILDING DEPT. "' ARCHITECT SUPPLIER NONCONFORMING _7 "This report is provided for the information of the client only.The reproduction of this report,by any meth d,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date ' �S"g�TS-98-1 �+ i IIynf��/i-�•�'o��n j DR ' `� r o Bui& O SPOF kNE DIVISION Eng/neering - Consulting - Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8419 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 Ct,iE1T" PROJECrN9 GYJ DATE a/ RESS i PERMITi�EQ i O. BSI ;IX� ,/i�•rj �j D CtT1l ,'; ' ' ' 1jTT1rNTifJi�E ARGHi'�� i� -71CONTRACTC►R ' WORK DESCRIPTION r OF 4 ! t INPLACE DENSITY TEST RESULTS WET DRY TEST LOCATION DEPTH EN. DEN. MOoST COMP SPEC P/F k, S 2 S•,s C, S 6I tS l• 13� -L y,S` P P1,wmheA,5 Ga E.`75- e4 0 13R3 6.3 7 Z W3 P EQUIPMENT IDENTIFICATION AND SN# 3 '1. SAMPLE I.D. PROCTOR VALUE / G,09 GAUGE STANDARD: MSjaff DS S '2. SAMPLE I.D PROCTOR PROCTOR VALUE! t Q LAB METHOD: AD1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE)M2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: ITEMS.INSPECTE Tom; ; APPROVED PLANS ARC; OWNER CONTRACTOR FIE O ACT: DATE: CON'0.61 ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER f (_Zl - NONCONFORMING , ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, 1100 i Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date -75-5'9 TS-98-1 �v[PAft�iIi I7nfRoJrmatiio/_n FR "'To/Y/ ui& v'- SPOKANE DIVISION Engineering " dona�I•wq - Teatillig (5091 5 35-357 1 FAX(5091535-1267 SEATTLE DIVISION FASTSIDEDIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-06M FAX(206)282-0710 (425)4954244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254.8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PROJECTMO '/ pOZ DATE 7r.� 406 PERMIT tyCf // W.O. %/; CITY —PLC SJS45921t ARCHITF,tJ"`i'�/, 6-7/ CONTRIT¢�/, ,,; PRO.f.ACkC�F3ES,, FIELD REPORT Adp 3 EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE / '< /-/ ITEMS/INSPECTEp TO',-/,", 7 APPROVtOPLANS ARE;; OWNER CONTRACTOR FIEL ONTACT: DATE :'CONFORMINCx ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER % NONCONFORMING t� / Td, �� ' / NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method.and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by -Z9-99 Professional Service Industries Date TS-98-1 AP% Information � z DR ; 5 ; /ram To Build On Engln"dng • C:onsuftV • Teadng (509)5355 IN DIVISION FAX(509)35-1267 SEATTLEDIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)28240666 FAX(206)282-07 (25)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C1C3• _ DATE 7-zZ - � T - PEM�T IQ;' OZZ7 W.O. %'j ENGINEER';" , ARttil'F`F� . �rrEff?I�N Pt?.N4J. ,�'J e4NTRA TqR,' loor WORK DESCRIPTION INPLACE DENSITY TEST RESULTS TEST LOCATION ,! DEPTH DENT. DEN. MOIST t �COMPWET DRY SPEC P/F EQUIPMENT IDENTIFICATION AND SN# lzzw *'a- L '1• SAMPLE I.D. PROCTOR VALUE , 0 GAUGE STANDARD: MS 693 DS a S 2. SAMPLE I.D. PROCTOR VALUE LAB METHOD: kD1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE)4!tD2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: i ITEMS INSPECTI;.I�TEY� X' 7�-Zz- APPRom'PLkNS,AF OWNER CONTRACTOR FIEL ONTACT: DATE: CONFOOMINC� �!� ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER TZ g Qj Nf1NCONFORiVIiNG NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its 7 transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." I i "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries �:s / Date `-g9 TS-98-1 � �/ N i Information FIR PM= � To Build On SPOKANE DIVISION Englnee!ing • COnsuffing • Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0 10 (425)4854244 FAX(425)485A611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-9821 FAX(360)297-8828 CC.IE1�lT; , PROJ9C'C;MA�'/ z, DATE ZZ AOpRESS PERM(T y, &13777w.o. if %%0, T-TENTIO P t3ECT�� PR�y 'At�tRl~S, FIELD REPORT F/ (7 ol EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPEC OR: DATE ' ITEMS;iN9PECTEW/TO!% 7 Z�' APP�O�/EI7P ► S'ARF'% OWNER CONTRACTOR �iZ �� ' I oNTACT: DATE CONFORIVF4NC ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER - _r� C� NONCONF( RMtNC Q / " NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any met id,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, W Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by o Professional Service Industries > Data 1-7y 49 TS-98-1 Rmp%om= Information DR To Build On SPOIVISION Elf8�IleeJ�v --cor 8eImv - Testing (509)535-3571NFAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C�,IEIT / PROJE�TNO L'C� Z 7 DATE - Z - li�R14SS SEY-1/ PERMIT 3�E0 ,� 79 0977 W.O. j CITY FfEIVTIOf�i t- �. ARCHITEC'� , ate• P,Cj NQ j CONTRACTOR ' iO�tECT PROD AQURES; 3 WORK DESCRIPTION INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY MOIST COMP SPEC P�F DEN. DEN. % i C �u -c� E,y ' t39>a 13Z" s7 I 933 �o P z V,S a' 137"7 /a2 5' 'L t go I� 00,u`t t o C 3 r 3 'lArnj S4 S 134,2 hPL ,1,8 l 1,.• o S' y ,�' S S C / So Sf dl 0 r' S(-n 9 137,2- d%' 5 1, ' G /10 £ �' 139,- 1,30, rb ,6 90 EQUIPMENT IDENTIFICATION AND SN# �y (� �� '1. SAMPLE LDF2 n PROCTOR VALUE /r GAUGE STANDARD: MS Z DS 3 '2. SAMPLE I.D. PROCTOR VALUE LAB METHOD: D1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) 2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: ITEMS INSPECTI R TO ;<%� APIAOVED PLANS AI��:: OWNER CONTRACTOR FIELD CONTA DATE. CONFQRMINCx �•,' ENGINEER BUILDING DEPT. 1--a ARCHITECT SUPPLIER Z _L ' �NONCONFORM;Nao. " "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by , Professional Service Industries TS-98-1 N i. Information DR j it mp � To Build On SPOKANE Engineering •ConsuftV • Tearing (509)535J5 1 DIVISION FAX(509)35-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-88'_1 FAX(360)297-8828 1. ' rr PRt)dECT;N4'f DATE — PERhAIt TICt /i' 77 W.O. jc DRESS"' /j/�,/� ., �_ Gl CtTI ' , ! ENGINE R ' r f •i% }'FfIANTIIr}N Af;CHIt�GT P CfrNttY �/ cOn1`CIAtoR,' WORK DESCRIPTION c.J INPLACE DENSITY TEST RESULTS WET I DRY TEST LOCATION DEPTH DEN. DEN. MOOST COMP SPEC P/F 2 t F 4 oe--ez-e i-o►t L L�rve c 3 t -e-j fle I —Lj 4 It i Is c5 /ZZ9 8,7 Z rZ g S F EQUIPMENT IDENTIFICATION AND SN# 77d '1. SAMPLE LD. �� PROCTOR VALUE L/. C 6 GAUGE STANDARD: MS DS a"7 5'7 '2. SAMPLE I.D. rt� PROCTOR VALUE!` /,G LAB METHOD: D1557 ❑D698 ❑Rice ❑OTHER •3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE 2922(SOILS) D3017(MOISTURE) ❑132950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR• DATE: ITEMS INSP.EC '�D tfY APPROVED PLANS AF OWNER CONTRACTOR FIELD ONTACT: DATE :CONFORM ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER �� _ NONCONFORMIN i Z g G- , "This report is provided for the information of the client only.The reproduction of this report,by any met od,and its1-1 NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, "Z— Uz fl�U Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries '%f Date TS-98-1 pmp%�i Information CR To Build On En8lneaiing • Cionsuftft9 • Tdpsdn9 1 SPOKANE DIVISION09)53 (509)5353571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDF.(VISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FA X(425)485-4611 (253)589.1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8921 FAX(360)297-8828 C ,tENlj,, hFiOJ ft(/:% DATE A ESS c / PERN[tT'1�4CX/�! W.O. V. / 'tplSl,f ARCIi1TEf11"7 CO COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE /7IT-7- K 17 �3 Z-3 '0 to k!- SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 16 C-1434 C-172q C-231`� C-1064� C-39I] C-1231 WEATHER TEMP.& DATE�a l,7•30 CAST -Q PLAN MIXING STRENGTH FC�J� 5i J. DESIGN SAMPLE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE c f TYPE OF CEMENT /COONNC.TEMP. SLUMP ins. AIR ,Z % QUANTITY — Cu.Yd. TRUCK L-��Z TICKET#��l(!�" SUPER PLASTICIZED SLUMP * MIX# POUR LOCATION AND NOTES: DATE RECEIVED: 0 Gs-Az a S: EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE. iTEMSv��Ec�� /q� %/♦ 7- 6 APPRVfPAN>Sfr% OWNER CONTRACTOR FIE CONTA T: DATE ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCOFRlylll�+6 / NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method.and its transmittal to a third party,by any means,except in full.without the full permission of Professional Service Industries. Inc..is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 L.�+�ii Information MR ' 2 3 4 m�• To Build OnSPOKANE DIVISION Englneering - Coneu/tlng - Tesdng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254.8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PRSJJ)±GT f> Z DATE 7 6, CLIENT : � ,: , �, " AQDMSS;� PERMIT-NM w.o. GITY ' ENGINE ' J. AR�1•�IT�CT.� , COMPRESSION TEST RESULTS kEAT ULTIMATE STRENGTH CHECKED SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SO.IN.) DATE TESTED LBS. P.S.I. F -23 DESIGN SLUMP MIXING PLANT OI1) oS/ TRUCK#TICKET# STRENGTH FC GRewr CEMENT aSGA66. FINE AGG. ADMIXbve PROPORTIONS MORTAR CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS �J el ASTM DATE RECEIVED C-1064 ASTM C-1064 �� TIME&WEATHER i/C Y © �/"�MORTAR TEMP. GROUT TEMP. SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE "ITEMS=INSP��T� ;'TCj%7- APpROV91 . .LA W Asti/: OWNER CONTRACTOR FIELD NTACT DATE Ck2NFRNNNG ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFQRMINGI / G NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 r+Ar-ft i Information MR 1284 �'10 AJ To Build On SPOKANE DIVISION gnilne9��1'19 • cormufat v • T08mg (509)535-3571 FAX(5091535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282 0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589.1804 FAX(253)589 2136j (¢03x 4 8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 POOJ . O Z DATE•7 76 � ./, , • r, r' 0977 W.O. F��r/,, PERI�II�T NQ r �jr: tfl�iTF�A�Tq, Pf�J✓ I71PR J,AD�DRE.S; COMPRESSION TEST RESULTS AGE AT ULTIMATE STRENGTH CHECKED SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED TEST LBS. P.S.I. DESIGN SLUMP*;9 MIXING PLANT O l TRUCK#�TICKET# S CEMENT FINE TRENGTH FC r.RBtiT QSGA66. AGG. f ADMIX `tffA t �JoA' R Y ,�j � Q.��i ou / G �� 5 LaLc2T T.�2Y O�yc P.ROPORTIONS MORTAR CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS ASTM C-1064 ASTM C-1064 TIME&WEATHER YO MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: PqASTM C780 ❑UBC 21-16 E3 ASTM C1019 O UBC 21-18 E]ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: A+- EQUIPMENT IDENTIFICATION AND S/N#: c So3 COPIES TO: MAILED: INSPECTOR: -[DATE. OWNER F7CONTRACTOR /�/// •// r FIELD NTACT DATE ENGINEER BUILDING DEPT. • �� NONCgNFQRMINCa ARCHITECT SUPPLIER NAME ON OFF ST I OT MILES -This report is provided for the information of the client only.The reproduction of this report,by any method,and its rd transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' - H 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Data Professional Service Industries TS-98-1 N�= y/I7nformati•�o�—n 6 �� DR 1 5 ' 9 JC LL7<'if v,�' SPOIL\NE DIVISION Engineering - Corm Iftng - Testing (509)535-3571 FAX(509)535-1267 SEAT-ME DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 i PR�}JECT a 9 QC3 DATE _ D46 TOO PERMJT,RCF �G �7°7 w.o 7 CtTY', GHIT�C�3 AR ` �..,, cOtaT�ACTO P,clla i' ;�tcYJECT �� PR,taJ A1�4RES WORK DESCRIPTION Sig = S b C INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY MOIST COMP SPEC°/- P/F DEN. DEN. % }-- o 0 SIPi3� SS 9S P S,3 9S- P EQUIPMENT IDENTIFICATION AND SN# ��Jn ' .1. SAMPLE I.D. / / ROCTOR VALUE �9( .7. GAUGE STANDARD: MS DS �' •2. SAMPLE I.D. / PROCTOR VALU 3 e 9 ! LAB METHOD: D1557 ❑D698 ❑Rice ❑OTHER 3. SAMPLE LD.L7� !ilt 03 PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) D2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556-(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR DATE: ITEMS tNSPCTED'CO '%. APPROVE4-LANS ARE.- OWNER CONTRACTOR FIEL ONTACT: DATE: CONFC]RMINCx ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NCNCONFQFiMING "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date 10�-/-5—9 S TS-98-1 1p='OPi Information FIR1 5- 7 ? R To Build On ' SPOKANE DIVISION Englneering • Cionaulling • Teadng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAR(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 f PROJEC�'ISI(9s'f DATE % PERMjt yQ: ./ del W.O. hAQ, �!WelllCITY %� !j iLA / EN G1NEEFU i%` FIELD REPORT r r r i 47 �iF✓ . 7 A EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ITEMS'INSPEl1►� CTE0, �o APPROVEI�Pk1$'A�RE: 00 OWNER CONTRACTOR IE ONTACT: DATE %CUNT=dRJGktNf . . ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NkPNCUNFCRMI[�11a NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Cenification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by y/� Professional Service Industries Dale 1:5 TS-98.1 tp.ftqvlw �AF �lInfRormacti^o-�n �'�,FjJB C R �0 Q) 9 TO JJ uZ MY V SPOKANE DIVISION Englneering • Corm I•w q ' TesUng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (4 5)485.4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PRpJE j�10„' d[� DATE ' PERMIT NO.`f W.O. ftlwSS/i; f , I'ENTI4}IY� ARCHITECT'j COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. I TYPE IF &X z o�30 2,7 G 'c9 3 & 17, SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31,e C-1434 C-172jg� C-231RI C-1064$ C-39❑ C-1231❑ ❑ TIME,TEMP.& ,(f Owl DATE yJ .'� �j 9 MIXING DESIGN ' SAMPLE WEATHER �' /'� CAST PLANT STRENGTH FC( [V v TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE TYPE OF CEMENT CONC.TEMP. CG SLUMP ' ins. AIR _ _ % QUANTITY t, Cu.Yd. TRUCK Ra 5 TICKET# t4CO`' 1_` `0 SUPER PLASTICIZED SLUMPS P� MIX# H �5D• j POUR LOCATION AND NOTES: DATE RECEIVED: -P e; i EQUIPMENT IDENTIFICATION AND S/N#. 9 So DATE COPIES TO: MAILED: INSPECTOR: ITEMS[N,SPEGTLt' !/` A 1p �®?� APPRC3V tx PLAN,S/ / OWNER CONTRACTOR FIELD ONTACT. DATE C600ORIKIN�K ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER q AIONCONFORMINfa iTli / NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, S Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed an observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 M�r+�i information DR B 9 T Bu ild uild On SPOKANE DIVISION Englneering • Consu tbg • Teadng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PEN INSU LA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425 485-4611 (253)589.1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 PAX(360)297-8828 ,I£ % PROJE No DATE r iigr r, PERMIT TQ B 7 W.O. X, TM/Z.� Tt�}lEE r ARDHIT�CT � .N4 /, / CoNTRacTO R PJ3OJEC�' �,: PRJ AgDRES j WORK DESCRIPTION dQ INPLACE DENSITY TEST RESULTS J-3 WET DAY MOIST COMP SPEC LOCATION DEPTH DEN. DEN. % P/F t S l30X /.30., S-S Z- 6' S r r S 1A214 �-3 9 T- �, / I b Z EQUIPMENT IDENTIFICATION AN SN# t6 3 '1. SAMPLE I.D, C PROCTOR VALUE !� � 7 r GAUGE STANDARD: MS 6 747 DS d 7 '2. SAMPLE I.D PROCTOR VALUE �r LAB METHOD: 4k D1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.O. PROCTOR VALUE J ASTM TEST METHOD(AS APPLICABLE) 2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPEC R- .,42 DATE: 17EMS INSPECTE T4 <� APPROVED;PLANS A E; OWNER CONTRACTOR FI CONTACT: DATE: CONFQRMING ENGINEER BUILDING DEPT. i': ARCHITECT SUPPLIER NONCONFORMINGi ,-- -2t- NAME ON OFF ST OT MILES "This report is provided for the information of the client only_^The reproduction of this report,by any method,and its .t- transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, i J Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries '�� Date a rS 1"7 TS-98-1 i Information DR -1 5 7 Rap• i To Build v,�' SPOKANE DIVISION PE Englneedng • C-orlauifing • Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485.4244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-882 1 FAX(360)297-8828 PfROJE jf'T`NQ D Z DATE - QRI+SS ' PERMI'1•NO;' ' W.O. //// i f, ,. /� 1/i' VIT ENGIMdill I*�R„ ON% ARry"17, CE7NTRACTQR i, f.. ,; (iJECT PRJ'�kCIgRES: WORK DESCRIPTION �m Flip a' cam/ INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY DEN. DEN. MOIST COMP SPEC P/F . se EQUIPMENT IDENTIFICATION AND SN# 6 •t. SAMPLE I.D l PROCTOR VALU GAUGE STANDARD: MS DS •2. SAMPLE I.D. PROCTOR VALUE LAB METHOD: *01557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) 2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: ' f` -' ITEMS INSPEC0'EA T" APPROVED; LANS AtE` OWNER CONTRACTOR FIE ONTACT: DATE: -CONFORMING , ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER ) NONCONFOftMING C7 "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, i Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements" Certified Report by Professional Service Industries Date ~ ,f' TS-98.1 N�1 r Information /4 3 CR 2071 To Build On SPOKANE DIVISION Englneering • Congwft D • Te*Mg (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDF.DIVISION TACOMADIVISION 1 �PORTi:AT DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-07 0 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 ,A t �)_548418 AT (503)252-5608 (360)297-8821 FAX(360)297-8828 C,IEkt '/ PROfJ DATE PERfG�t, O'er' W.O. A�►Qf LESS,,�: ,'. r A'tTEIVTtOIt�' �,,� ARCNiTEf�T,,.r , COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH FRACTURE CHECKED TESTED TEST LBS. P.S.I. TYPE ` S lazzS -zs. aQ• tZt o o ItzscD Ts — 0�- SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31,& C-143 K C-17K C-23VE!5, C-10616., C-39 E] C-1231E] 11 TIME,TEMP.& DATE MIXING DESIGN Q SAMPLE WEATHER �� CAST , �„� PLAN STRENGTH FC TYPE PROP RTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE Cr! yd o TYPE OF CEMENT 'C)O�'t`NC.TEMP, SLUMP �-� 10 ins. AIR � % QUANTITY. - �7� lC..Yd. TRUCK_��_TICKET# ` 6O - I ST I SUPER PLASTICIZED SLUMP �Yla� MIX# /"!ASJV i I POUR LOCATION AND NOTES: DATE RECEIVED: i EQUIPMENT IDENTIFICATION AND S/N#: DATE: COPIES TO: MAILED: INSP CT ITI`MS%iNA.P f'TESAPP OWNER CONTRACTOR E C NTACT- DATE ENGINEER BUILDING DEPT. �� ARCHITECT SUPPLIER �3 1 ntorycoNFORyIIN� /` '� "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, -7 Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date -se-1 W �i InformationFR Build .. ; To `"- SPOKANE DIVISION Engln&&Mg • Conau/tlng • Teadng (5091535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 ' PR4JE N©� ODo? DATE 'J- �! P N JX �f#E s PERmi , �j 1 W.O. ':�i,' / CITY: //// , C ..... �kRCHIT9i, 1, �! 7� CE3IV 'R1� ,% FIELD REPORT allP' 2 1 ctiD a.tia� e - 7a A! G , ' EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE Aop / ITEMS,INSPECTE�iTO OWNER CONTRACTOR , ' EL NTACT: DATE C©NFt1RMINf /s , ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONF9RMIN . "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NA E ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements" Certified Report by Professional Service Industries 1 Date 4-' TS-98-1 P=41 i Information 5,A3 DR , -P A To Build On -3 Englneerfng • Consultlng • Teaddng (509)535-3571NFAX(5109))535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-071 (425)4853244 FAX 425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PROJECT NO DATE Df3RESS19 3Z10/ PERRAjT NQ,' 8 4t7-7 7 W.O. �.//� 1}T Ti ARCHtT ' P�iOJEaCT ' PRJ ARURES 3 1 WORK DESCRIPTION INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY DEN. DEN. MOIST COMP SPEC P/F ,3 r 5 S 7 I '31, 64 r a D. ,S -1y z.3 ,t. . ,7 119YO p 3 5B lgl(o 43s &-0 qS �r 5 /�I�ir / '.Z 6ry `S C 7 , S �? 5 yja 3 5 s - - 1 �?r8 s• r EQUIPMENT IDENTIFICATION AND SN# ?Cjg0 3Z 1. SAMPLE I.D.f PROCTOR VALUE�y�r. G Q GAUGE STANDARD: MS 7 7 DS 73 '2. SAMPLE I.DF t?I PROCTOR VALUE 3 if?-7 v LAB METHOD: Z�01557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE J ASTM TEST METHOD(AS APPLICABLE) D2922(SOILS) D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE. %i : ITEMS INSPECTED Td%�; APPROVED PLANS AI " OWNER CONTRACTOR FIELD CONTACT: DATE. CONFCIA, ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER �13�"t� l N�NCONF4RMING'LJ,` "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries - Date 1-16,- /�;--5'S .01 TS-98-1 ..5111.IIIti�i InfOrinat'ion `,� i� ,-� ; S �" 4� R - 1 To Build' On Engineering • CionsuftV • Testing NG a hl 1�� S-3571 FAX X(509DIVISION !' (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDF.DIVISION TACOMADIVISION PORT AN PENINSULA DIVISION (206)282-0666 FAX(206)282-07 0 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX 2S 13 8 ii08 Q601297-8821 PAX(3ii0)297-8828 CttEN7 ,'; DATE AQ�RES ' POPERMtT N4 yV,O" ENGINEEf ARCHITECT F'O N GfJ1tTRAETOR p00E /rJI PIROJ ADgRES. �t COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE Xa Z .j-- -7 ` S SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31A C-143I, C-17K C-23V!5, C-106jj!� C-39 0 C-1231❑ � TIME,TEMP.& D DATE MIXING DESIGN Q� SAMPLE WEATHER CAST ! tom_ PLAN —STRENGTH FC—+��TYPE Z PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE (/ ADMIXTURE ADMIXTURE Q.L�Y Gc/ VIP TYPE OF CEMENT f CONC.TEMP. r9 / SLUMP fJ 0 ins. AIR M, ,3% QUANTITY C..Yd. TI TRUCK CKET# // __-7y0 1'/5ylii SUPER PLASTICIZED SLUMP MIX it i ZO C) POUR LOCATION AND NOTES: DATE RECEIVED: i G.J d EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSP CT -. DATE: %%, ITEMS It4ISPECTEt�TO.'4 ; ''7 - APPROVE�t3 P��1NS'Asi % OWNER CONTRACTOR ENGINEER BUILDING DEPT. E C NTACT: DATE. GQl!JF'ORMINL-Yi ARCHITECT SUPPLIER NONCONFORIyH4 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, '7 (�QQ 3 Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date '-sa-1 N,fN i Infonwition FR Voli me l� BuildARF SPOKANE DIVISION Engineering • Consulting • Tssdng (509(535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C ,IENT , PROJECT NO.: DATE 7 3v ADDRESS ,mod PERMIT NQ W.O. i/jam r l CITY r' ENGINEER ATTENTI0I�IJ �� ARCHITECT PO:NCC S7/ CONTRACTOR PR4JEC� PROJ.AODRES FIELD REPORT JIV f r r w _C EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: JDATE. ITEMS INSPECTEDTO e APPROVED PLANS.ARE OWNER CONTRACTORJLL FIEL ONTACT: DATE: CONFORMIN ENGINEER BUILDING DEPT. ,. ARCHITECT SUPPLIER NONCONFORMING U "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 306 "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS J acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by _ Professional Service Industries r � Date /s TS-98.1 M f�i Information CR ? 2n7 % To/Build On Engi 190ring - Qr0/1Au�kV - Trsstiln8 (509)535N DI VISION 35-1267 SEATTLE DIVISION EASTSIDF DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282 425)485.4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CiJfrtTjr/ PR:OJ �fO DATE - ' PERMtT'NO�'; o. CITY; A'tTENT101 ARdkft p�tgJ>: RaJ ADQF3E COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE z8_ --7 7 SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-3 C-14JEJ C-17XIA C-23^ C-101&J- C-39❑ C-1231C] TIME,TEMP. r O DATE z _ MIXING ' DESIGN SAMPLE WEATHER 66 CAST ✓ PLANT —STRENGTH Fp� �, - LTYPE PROPORTION$: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE 1 &41� 3 �17�'�O�s t 5V(-7 & YD TYPE OF CEMENT CONC.TEMPP, C SLUMP 1 iins. AIRS % QUANTITY_C- Cu.Yd. TRUCK •2-Z 5' TICKET# 7w SUPER PLASTICIZED SLUMP �f" � MIX# POUR LOCATION AND NOTES: DATE RECEIVED: r r G EQUIPMENT IDENTIFICATION AND S/N#: ;::� 95a COPIES TO: MAILED: INSPECTOR: DATE j '?3(-9 APP t. OWNER CONTRACTOR PFIELFD&ONTiCT. DATE � f C ENGINEER BUILDING DEPT. != ��F / ARCHITECT SUPPLIER j NONCONFORMINC�� ,,. -�� 3 -mil' ��•i, %� i,�% ,. "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, �1 dp Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 ! Infvrma % f ! ! i CR 2 7 Iff To Build �.I !) r) -J SPOKANE DIVISION [;ngh"ring • Consuf fng • Testlnp A' 1•:i•.;_! (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION FAS VS)gIJ l TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282- 425)485-4 85 gQ` t r� -18 9.2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 DATE - ��E��t% � PERAAI jNO'.'�, /., NA -9P NIpN , AR (it� T `�►+0✓ �j�r: � CONTt��CTOR' P, COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. TYPE 28_ 72 _7 7 1 Z` 1 1 '_ -2yff7 Z Z Mao MA i i >. '•I �-�rJ 11Ci� SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-/j,Q C-14� C-17� C-23^ C-10� C-39❑ C-1231❑ ❑ TIME,TEMP. /�� DATE _� f � MIXING ' DESIGN , SAMPLE WEATHER r 0 66 CAST / PLANT STRENGTH F TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE 0jr o TYPE OF CEMENT � CONC.TEMP. SLUMP �ins. AIR ��— % QUANTITY 9 Cu.Yd. TRUCK �Z, 5�- TICKET# Ud 5 �7,;7- SUPER PLASTICIZED SLUMP _MIX# POUR LOCATION AND NOTES: DATE RECEIVED: r r G EQUIPMENT IDENTIFICATION AND S/N#: � COPIES TO: MAILED: INSPECTOR: DATE ftem!§ NI,PE T. jD,/T;V / '?3,( 7 APP13/0�t P".A�1S' . OWNER CONTRACTOR FIE L ONTI! DATE ENGINEER BUILDING DEPT. �. ARCHITECT SUPPLIER NONCONFQRMINCo1 ,� �: /is j NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, U Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report by Professional Service Industries Date TS-98-1 REPORT NUMBER DR 23708 A Division of[p `'• 6eoteehnicar PREVIOUS RPT. NO. Construction Con�uMlnp•Enyimerl•q•T sting I` I PACIFIC TESTL iG LABORATORIES PORTLAND CS DIVISION SPOKANE DIVISION (503)254-8418•FAX(503)252-5608 (509)535-3571•FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND FORENSICS DIVISION PENINSULA DIVISION (206)282-0666•.�FAX(206)282-0710 n (425)485-4244•FAX(425)485-4611 (253)589-1804•FAX(253)589-2136 (503)232-7852•FAX(503)232.7886 (360)297-88211-FAX(360)297-8828 f�)(LMAILINGc�� (-S v 3-7)L-cr7 J J BYPORTE DATE V ADDRESS -2 J < �r /V l � REVIEWED DATE PERMIT ICATE�t11_�73 NUMBER �Z d, S NUMBER .{ NUMBER ATTENTION: /r ARCHITECT PROJECT S�2 I,� ENGINEER LOCATION/� �/// �"" NUMBER ORD. CONTRACTOR 0"/C S`r^ WORK DESCRIPTION S Cl.LI TX �� ^F G.CJ el N az�� GOU/z zr INPLACE DENSITY TEST RESULTS WET DR TEST LOCATION DEN. DEN. MOIST COMP SPA C P/F - -5s e-1A oZ. Svc7,74 t �J 2/ye GAUGE STANDARD: MS DS .0 f� / 1 SAMPLE I.D. %C L PROCTOR VALUE LAB METHOD: ;><f557 D698 -Rice 2 SAMPLE I.D.1.7d 3 PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) MODIFIED -EYES NO EXPLAIN: /,�, EQUIPMENT IDENTIFICATION AND S/N(AS APPLICABLE)'Tj-eKe-�Z YYd t ).�D6 i S WORK CONFORMS YES NO-;_ 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmit- HOURS MILE- laI to a third party,by any means,except in full,without the written permission of Pacific Testing Laboratories,is prohibited" COST CODE ON OFF AGE "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made ST OT within the defined scope of the work.Certification shall not be construed to represent inspection,approval or acceptance of 1 other associated work or a warranty of design or workability o�fication requirements.,. Certified Report by Pacific Testing Laboratories d DAT o c, Contract Min. TOTAL HOURS FIELD CONTACT: �3 DATE Chargeable Hours �.• l�/ DR 93-2 N X i 7 Information DR 0 0 3 2' � TO Build On En��r*V • Cormuning • Teedng SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-3244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CLIEN. PROJEC't'"N^ 7 1/;?— DATE ' ADDRESS >h PERMIT O WORK ORDER ' Gel), I.✓AtGt1l+R ATTENTION ,�1,� c RCH�'>wT P O.N4� Ct7N`cRA T. 13; PR{}JECT ),571P`RC3J ?�iCtQRES WORK DESCRIPTION 7� L INPLACE DENSITY TEST RESULTS TEST LOCATION WET DRY MOIST COMP SPEC P F DEN. DEN. % ; % % 1 J - i3 1 93 i fS 1Ny.6 HH.z 3 r EQUIPMENT IDENTIFICATION AND SN# P •1. SAMPLE I.D. PROCTOR VALUE 1 YO36 r%ro ,e/ 5 GAUGE STANDARD: MS Ky DS Z •2. SAMPLE I.D. PROCTOR VALUE LAB METHOD: M41557 ❑D698 ❑Ries ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE)422922(SOILS) kV3097(MOISTURE) EjD2950(ASPHALT) D1556(SAND CONE) COPIES TO: I MAILED: I INSPECTOR: DATE: ITEMS 1NSPECTEb'I i-. OWNER CONTRACTOR �" APPRQVED PLANS AF ; FIELD CONTACT: DATE CONFORfA ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER , ONCONFORMIN ' U „ "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third paM,by any means,except in full.without the full permission of Professional Service Industries, Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be Construed to represent in i ction,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification re uirements." Certified Report by Professional Service Industrie Date 1 TS-90-1 ��z Z p"'w "IF Information CR �_ , To Build On SPOKANE DIVISION EnpIneeiirip • C 'nsuftfty • Tesd1'18 (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDEUIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-06156 FAX(206)282-0710 (425)485-4244 FAX(425)485.4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C ,iEH T 7'Y.2- - C C>Q eY,% aye N PER NCB/:i W.O. ;� ' ��p• o�c 8 0o CITY /1'..", M., 5G0f ARCHIT�Gt.;"/ 4 644, l c COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) CHECKED TYPE TESTED TEST LBS. P.S.I. 14 1 28 ZS a -7 3� -- i vy i 2 olt� SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 C-143 Q)/ C-172 a-' C-231[a," C-1064&/ C-39 C-1231 TIME,TEMP.& r DATE / �/ p MIXING DESIGN SAMPLE WEATHER 7j CAST O'�/ / PLANT ft'�j STRENGTH FC VV0 TYPE IV PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE �12 3 IT l 2,eTr? C3.5o y.5oz C-323 '`/ — — TYPE OF CEMENT ---IZ— CONC.TEMP. 77" SLUMP .3 ins. AIR L % QUANTITY 3 2 7 Cu.Yd. TRUCK TICKET# /©©� H 2_ SUPER PLASTICIZED SLUMP MIX# POUR LOCATION AND NOTES: A DAT RECEIVED: f/ L EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: I MAILED: INSPECTOR: DATE 'ii% � IT M 1, , Ct`)�1 OWNER CONTRACTOR FIELD CONTACT: DATE N�p ENGINEER BUILDING DEPT. �j ARCHITECT SUPPLIER NONCOIVFQRIINj. �. "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in ins ticn,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification re 'ements." Certified Report by p q Professional Service Industr' Date TS-98-1 Nei ,Informa�i U�WM-WRiToCR �� 'Build AUG 19"'1 SPOKANE DIVISION J•: En8/neerin8 • Cunaultln8 • TestlnB lbt`t'a`t��`�FAXif>s5 zS;6nc. SEATTLE DIVISION EASTSIDF. T DI PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FA 11 F ( (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C,IENT, 57L JE+� .fiD 7112- o DATE - / -FV 5 e �. 1--/th N ' PERMIT O; ;� W.O. 13e//.,,v x/A O - O %j,'r '�"fENI`1r31 /'/r S off ARCHJTf,Ti//y ' G � pU✓�+tCt.,' CUj�ITF�J4CT0�% Co t y C/,' e. Pf;4J wi4 jt Pf iQJ 1�kDgR '�; 3 R 4 G b 1`o G r COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH FRACTURE TESTED TEST LBS. P.S.I. CHECKED TYPE 28 zs lad 319 — � SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 gl-- C-143 0/ C-172 21" C-231[k"' C-1064[Q/ C-39❑ C-1231❑ ❑ TIME,TEMP.& DATE / O MIXING t� A DESIGN SAMPLE WEATHER � CAST P / PLANT /t'help STRENGTH FC ®® TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE y2-3 J.y� 12,eTc? 1350 `/Sor L3z3 f — TYPE OF CEMENT t ItC— CONC.TEMP. 77 SLUMP .3 ins. AIR 5— % QUANTITY 3 Z 7 Cu.Yd. TRUCK —TICKET# ©©y y SUPER PLASTICIZED SLUMP ' MIX# H;Z55O POUR LOCATION AND NOTES: , A p DRAT RECEIVED: 4elt f ;OL- ce e A 7� 5 lam -� g C.Al '411ee 15 Aq,,40e, Z EQUIPMENT IDENTIFICATION AND S/N#: C -25`0 COPIES TO: MAILED: INSPECTOR: DATE � /� %��/ � �/•" OWNER CONTRACTOR FIELD CONTACT: DATE / �f30HIGNNCx ��% ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER MONC0IVFOIR1yI1N } 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, :Pe .? Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in ins 'ion,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification re em.nl..' Certified Report by & _!y-p q Professional Service Industr' Date TS-98-1 ■r+11r],Informatiioo__/nDRr "o Build '- SPOKANE DIVISION EnI71n9ei►tng • Cormuning • Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(3 )297-8828 .Or:t�}1;', ¢�✓4,117 STOrX PROJECT NO D 7 DATE 61 /��R ;�S D• gay' D PERMIT NC1 / [Q W.O. , A'tT>ANTIQt�I r" /Z. �co ,Wf ARGHtTr . � � CaNTRA> TCR PR(3JECT 2 P) J ALIURES ,e- ,¢ WORK DESCRIPTION J coy r f0 INPLACE DENSITY TEST RESULTS WET DRY TEST LOCATION DEPTH DEN. DEN. MOIST COMP SP%C P F 11 "9 , qYD A T ii L I qR.0 S EQUIPMENT IDENTIFICATION AND SN# j;1j1q�J ,u S":� '1. SAMPLE I.D. n_ PROCTOR VALUE ,7�/ GAUGE STANDARD: MS DS 1 7 Q 9 •2. SAMPLE I.D.,L PROCTOR VALUE LAB METHOD: 1557 ❑D698 ❑Rice ❑OTHER •3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE)ZD2922(SOILS) D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: i Q ITEMS INSPECTED TO APPROVED PLANS OWNER CONTRACTOR FIELD CONTA I DATE: CONFORMINCx ' ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER d NONCONFORMING U NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its 7 transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by S Professional Service Industries 100, Date ZZ TS-98.1 IR i Information CR I To Build On SPOKANE DIVISION Fnglneerlin8 • iConalvlthV • Teadn8 (509)5.35-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE01VISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)28240666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (36M 297-8821 FAX( 60)297-8828 or PR,OJEC, - DATE / Bo 500 I PERMtT N0 j � 1 b l/ W.O. fMGt�1tt1.17,2 gT,Tit�+ tQt� 2 po.ter,' .> Pf3 � Res - /, N ' 00 COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SO.IN.) DATE AGE AT ULTIMATE STRENGTH FRACTURE TESTED TEST LBS. P.S.I. CHECKED TYPE A XIS Z 4.-Z3 7 100 10 SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 C-143[)k C-172 Q& C-231 C% CC-10641a C-39 U C-1231 P0 TIME,TEMP.& 1Jl' L�WdT DATE C3 MIXING � ` "'jX�DESIGN SI SAMPLE WEATHER. / CAST PLANT STRENGTH FC TYPE�lle PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED A��I TOURE ADMIXTURE ADMIXTURE 1 3 P � - (� y's/, o z: TYPE OF CEMENT QOI'�, CONC.TEMP. M SLUMP (, �L ins. AIR 7,/ % QUANTITY Cu.Yd. TRUCK �2- 2 TICKET# SUPER PLASTICIZED SLUMP ��+ MIX# POUR LOCATION AND NOTES: DATE RECEIVED: 17 F j / ) R-Le o Me,r �B 4o n L, ; r� Er EQUIPMENT IDENTIFICATION AND S/N#: 9� 3 COPIES TO: MAILED: INSPECTOR: DATE ITEMS:t00,1�ECTEI '•1' ��j ApPRf ' P1�1�`� OWNER CONTRACTOR FIELD CONTACT: ATE / CQSIEOR1GtiN / � ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER 1110NC0�(FQRI�IICa i Tf "/ 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAM ON OF T OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification re uirements." Certified Report by j 06� Professional Service Indu s oats TS-98-1 P �f .Information CR - 7 - 18 a . - ME AV To Build `" SPOKANE DIVISION Engineeifng • Consuf bg • Tesdng I]IcfE�6.IWAIS-3571TAJ(_(509)R-R7 m SEATME DIVISION EASTSIDFMVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX 060)297-8828�,� GC,iSNY ;:i 'W' w or PROJ>r O / - DATE / DPRE .;as; .' b. 130 5001 PERAA�T NCf Al h J1 W.O. /� �✓i¢- r /L ARCHtTETi�/� ,(� �y1 ta' t't�%% / C4NTti� T4�j COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE TESTED TEST LBS. P.S.I. TYPE Z -z 7 bo o z ZI SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 C-143 0L C-172I& C-231( J� C-1064fJ C-39 N C-1231 (] /yp C T DATE MIXING tk;'IX — " DESIGN SAMPLE TIME,TEMP.& D WEATHERis/ CAST PLANT Z I X STRENGTH FC 2:5"O0 '00f TYPE 24 PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED HPMS TTOURE ADMIXTURE ADMIXTURE TYPE OF CEMENT.00 A. T_TI CONC.TEMP._ SLUMP �L ins. AIR 7r/ % QUANTITyY� Cu.Yd. TRUCK d 2- 2 TICKET# !2012/ SUPER PLASTICIZED SLUMP MIX# POUR LOCATION AND NOTES: DATE RECEIVED: 17 7/ as � G !,f✓ t' /.�/S � el � m 11 4a 4, S,� a J22-r/nL; " 4 r< �cee lof.s�7e,z , sri r i EQUIPMENT IDENTIFICATION AND S/N#: 9� 3 COPIES TO: MAILED: INSPECTOR: DATE Q ITEMS[�+I�P�EY1Is%��' i OWNER CONTRACTOR �' FIELD CONTACT: ATE `/ >C�� OaIGI1M x j j ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCO(VFdRl1IN(a 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAM ON OF T OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification re uirements." ` Certified Report by5' Professional Service Indu s Date TS-98-1 mob Aeft i Infa cation DR --! IS To Build On r/ng • �'.onsuffing • Tea079 (5091535-3571NFAXI(5109)O MrA 35-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 PAX(360)297-8828 A 2�S /it/G PROJECT NO 2- mom. DATE - B- i. PERMIT N0 3 LD l g 0 W.O. Z-76 3 CITY % ,,, i F P T?�tr�L�JN WA 0D15'- 6 ENGINE�R�j' �3 F Gi/✓ �' S 71t1�;�'10hE Se-0 /✓ ARCHI F M rM;i; /f49 YK/� pa N4. '' CONTRA�TQR /3�tZ r> GoX/ i; f;OJECT wr�;GcJ 6 YC/ %6 7PRO) AQDRfrs :S 3 ! N �/ WORK DESCRIPTION INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH DEN. DEN,WET DRY MOIST COMP SPEC P/F ,Z . G O 'T' 13 .o /�q.$ Z, 1 1 S P EQUIPMENT IDENTIFICATION AND SN# 0 `1. SAMPLE I.D. /Q/S�ROCTOR VALUE/Z�. 7.3 0 GAUGE STANDARD: MS bS Z7—?_ *2. SAMPLE I.D. !!�, PROCTOR VALUED) LAB METHOD: D1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE D2922(SOILS) 3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) []OTHER COPIES TO: MAILED: INSPECTOR: DATE: ITEMS INSPECTED TO , G -18-fq APPROVED;P ANS ARE' OWNER CONTRACTOR FIELD CON T: DATE. CONFORMING ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORAIkM ' "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, 4 "bri Inc..is prohibited.* "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date Z TS-98-1 '0%"AFI Infbmwtion CR I " Q To Build On SPOKANE DIVISION Englnraeifiig • �ionsuftfng • Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE I DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485.4611 (253)589-1804 FAX(253)589.2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 i�/: _ ,t'/c . FROJE J 1�3�f Z- oo Z 7DATE !D R>rE f //Z W -171 Afk4lis .+�4- PERMIT 96,o 17 7w.o.z v.A30 8 S oo �I % ,i, /. ENGINk�F. ,;; ITT`[IrIV'�'I� S u/�4-mil ARCH1TErT, / ` ,U /✓ ' /'i t?Rf3J>=C�/ 41v. COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH FRACTURE TESTED TEST LBS. P.S.I. CHECKED TYPE Iz6-Z 1 -4• t o S 7 o T� — �Z -7- Flo SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31)d C-143;X C-172)% C-231 C-1064)6 C-39 0 C-1231C] TIME,TEMP.&TYLI 6l-07 DATE MIXING DESIGN v SAMPLE G�L� WEATHER v� 30 6c1 CAST PLANT �75 STRENGTH FC TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE TYPE OF CEMENT ltlb� Cll CONC.TEMP. �-7k2- SLUMP 3l� ins. AIR �a QUANTITY / .3� Cu.Yd. TRUCK z Z TICKET# �� / / SUPER PLASTICIZED SLUMP w MIX# Al POUR LOCATION AND NOTES: DATE RECEIVED: �/L !�/2/�` OD 4:5 2� mac' 1�cCit/ -�� ff W dYx---� 00g'l s'= EQUIPMENT IDENTIFICATION AND S/N#: So , i // i//% COPIES TO: MAILED: INSPECTOR: DATE %'/ i'i /� ITEMSi�I,SP G' >r4i, �r 6' B' APPROVFITPLA , OWNER CONTRA CTOR FIELD CONTACT DATE CONaNIIN ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONPgRryIII� "This report is provided for the information of the client only.The reproduction of this report,by any method,and its ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 1p�; ..I7nfRormat�/i'�/o/�n CR ; n ��1IIA1L. D `O yui • SPOKANE DIVISION dng • CbrMul kV • Teatln8 (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE(VISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION' L'� (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5609 (360)297-8821 FAX(360)297-8828 X/C.. PROJ91Cr,/j O190o 2-7 DATE W Tff sx A/F- PERMtT NO jf t 7 w.o.2- .o..450,K 6 S oo EN a'rro' Al sur.4-N aRciiTr�r � T270 j X i. X 2�O NC#ri%;` �O11TRgCTQR: <� l-s7'�>5 �5-7/ P# �, gR ,S! 3 GL/� owe L✓!/. COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. PSI CHECKED TYPE 4 /z ZA, t -Z 7 -4' (q 6 S-7-n o .l3 r3 Z8, 1 7- /462,8 o S _ Z 7- /6 .S^.a 3 0 �- `D SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31U_ C-143A C-172N C-231;C C-1064)6 C-39� C-1231 U ❑ TIME,TEMP.&TYL1 G1 0 DATE f 2 G�OI PLANT �� _STR NGTH FC MIXING DESIGN �f TYPESAM WEATHER a : �D " (p CAST(�S =J / ( PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE 2z�� TYPE OF CEMENT / !?/U/�91✓ CONC.TEMP. �2- SLUMP cJ 315f ins. AIR F 7 % QUANTITY / J Cu.Yd. TRUCK Z Z 5 TICKET# ` �r SUPER PLASTICIZED SLUMP MIX# Al Z 15 S90 POUR LOCATION AND NOTES: DATE RECEIVED: 4 14Y ,41 -- ON1 I- l To �f. j?/v- 0W�-, s ! Z /5151- 5-55�L D �rlwGlL,� t�5 0 EQUIPMENT IDENTIFICATION AND S/N#: G Sv COPIES TO: MAILED: INSPECTOR: DATE ITEMS;[�1��G`F �Y�% APPRFt Pt."AN 9E� OWNER CONTRACTOR FIELD CONTACT DATE / Q�J�QRICINh75�/� ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCOWFQRIyIINGL ;.'�• ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report by Professional Service Industries Date TS-98-1 .�AM i Information FIR 1 ? /r'�� To Build On Enganeering • Conauftlnp • resting SPOKANE DIVISION (509)335-3571 FAX(309)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIV[SION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828�JQ/1/ �/� PROJECTNa ' — DATE �t�flR �S;' . l�i PIrRMIT'I�Cf, is�L0 pfs— r/�w.o. .i FIELD REPORT S— cr e -j0'1jk-a.1W OAol A ,e v w� )A) r //G EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ' ! f� ITEMS"INSPEtEf7;C0'/ oo/ TL-/fie Z/ aPPROVE�tP ►�!$Al ' OWNER CONTRACTOR FIELD CONTACT: DATE CONFQRMIN ` ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER �- C-�- NONC16NF9 i, NAME ON OFF MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its OT transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date Z S TS-98-t mom N i Information CR 2 �J 12 /r To Build On /�/��. SPOKANE DIVISION En9fin s e ing • Ciormuft�y ' resting (509)535.3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION(206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (3601297-8821 FAX 60)297-8828AII/ I C IENT. r G. PROJF� 101,/ DATE RE PER SS b /i WIt'1'NCfr,; OH17 w.o. / /1 lleuwe �NTION A� nRcH1��CT..%, � COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. PS.(. CHECKED TYPE ZP, z -z8 c-> �s �-c SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-311 C-143[y C-172Iy C-231[Z C-1064(W C-39[ C-1231 R ❑ TIME,TEM &3;J6 b/ J DATE MIXING h� b" P. IDESIGN SAMPLE WEATHER �k �S r� T CAST 2/ PLANT �' '� STRENGTH FL ZSoo TYPE / `6 D G PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED AnU15TYJ ADMIXTURE ADMIXTURE �Lb ! 0 /vrL86 /'78 ((7yy �Z' TYPE OF C/}EMMENT %L Z„�_/CCONC..TCEjMP. g SLUMP _ins. AIR J % QUANTITY �_ Cu,Yd. TRUCK G L TICKET SUPER PLASTICIZED SLUMP MIX POUR LOCATION AND NOTES: DATE RECEIVED: 1,rhz. PS T C c / ce-,n, .� 75 Owl-. . r Z�ti T .eJ ale .a f O. O EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: �ATE. ITEMS tF�EC`�E�};T � r C / '' ApPat ► KAN3 9 OWNER CONTRACTOR FIELD CONTAC DATE �1�I�ORKI}ING, /�j ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER HoycO�iFORnrN C �P NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its L transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS f.s �• acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 1p�' Information CR 1 1lIAl!..~ lop Al To Build On SPOKANE DIVISION Englneerirlg • Consuflffng • Testing (509)535-3571 FAX(509)535-1267 £t�Fe35wn4i i l:c�in•�, ;es,Inc. SEATTLE DIVISION EASTSIDE I HVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION I (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)495.4611 (253)589.1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX 60)297-8828AJN/1 ' PRQJ>r 9 DATE CC,IE1rIT r ` ` •` �r PERMIT NC�%'% ^•D �I w.o. 0/ Cl i% jf Xx tNGIN R // Eiuii �,� Ai3ckt �5 %� 014,em pR4JCf �v G Plt3J,�kDgRt*$ COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH CHECKED F TMPURE TESTED TEST LBS, P.S.I. Z Z &.-Z c� �S 3 — 28 .Z '��t -So 660 3�tz� SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-311 C-143 N C-1721g C-231� C-1064 Q C-39 rR C-1231 TIME,TEMP.&,�;/S b/ v DATE MIXING h;l f�T DESIGN `OD SAMPLE L WEATHER 01AP1 6l�T CAST h/ PLANT � STRENGTH FC TYPE Gre G PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED AD�pI�Ty� ADMIXTURE ADMIXTURE U0 1 0 /�'z86 /'I6 ((,�Vv 'P-z- r TYPE OF CLEMENT /L Z;jam_CONC.TEMP. _ SLUMP _ _ins. AIR S % QUANTITY 3 Cu.Yd. TRUCK G 2 TICKET SUPER PLASTICIZED SLUMP_ MIX# �SSD POUR LOCATION AND NOTES: DATE RECEIVED: 2 Z sL CP�1� lr4ce•�.�e� C- J,S r liv / ,o!«e , Ah# < / ,( o. o YD `1 141 /e EQUIPMENT IDENTIFICATION AND S/N#: � S d 3 COPIES TO: MAILED: INSPECTOR: DATE ITEMS IN EC`� r C 2� APPR ►�/ P . NS� is OWNER CONTRACTOR ' i FIELD CONTAC DATE ORMW-'.r ��F ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER r �/�Aq NOICONFORI�AIN NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, I / O 1 .5 . 19 �• Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations S made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS ). acceptance of other associated work or a warranty of design or workability of the specification requirements." / Certified Report by Professional Service Industries Date J 21;j TS-9e-1 tp� �i Infornwtion CR _ R ?_ ? To `�� "''/"�/�� SPOKANE DIVISION Engln-wing Consume - Tesung (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDF.IHVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485.4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C: irNTi ,j, 570 - ( PROJECTf -!Jo O DATE - 2 Z - >�QRIrSj% I I Z/ _ r Z4 Tom' A U Ez M EPERMIT REO -69"7 W.O. GLt-v v o! -8 O �NGt�1�EWX A'CrtEldTipl , 2 S C-07 7 AR HiT�GT:: .�� , ,i' YICG PLC! P O'N4.ii' CdNTR+�CTdj!: G t C r o N LAI COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE TYP TESTED TEST LBS. P.S.I. 1 —29 7 Lt Z(:0 2,3, —" . -7- 2-0 SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31[q C-143 C-172�& C-231 t. C-1064�& C-39�& C-1231 TIME,TEMP.& ATE Q MIXING DESIGN SAMPLE C 7 t✓ WEATHER c�V 0`r G4 CAST G -ZZ- T C PLANT !75A P STRENGTH FC 2 S0C) TYPE 17^,)& 3'30 PROPORTIONS: CEMENT C'SE AGG. FINE AGG.3 S WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE S SK 7 cN SiTE C 3S0 41!2 H-7d Lr3 1 god J_,G L �t30 443 )OGAL o TYPE OF CEMENT 177_ CONC.TEMP. 16,8 SLUMP Lf I:/7, ins. AIR , 7 % QUANTITY G I G C..Yd. TRUCK ZO G TICKET# zf a �F g`?j SUPER PLASTICIZED SLUMP MIX# POUR LOCATION AND NOTES: & S/ 2 r{v7 7 _nU50ff V D: P T PC_4N 'jar QA-*e_1 C 4_ V/ T-0 F N v 14 2(3 � 2'" ' 7VZ IC EQUIPMENT IDENTIFICATION AND S/N#: „= `1'Sv 3 L6KF0RJv1 S COPIES TO: MAILED: INSPECTOR: rC30� C.�4rj0 DATE i� ITEMs ��lJ$Rea 9�`/Tp OWNER CONTRACTOR �' SGJA72 C- ZZ'' ApPR V. 0/?�AMp// /ft% FIELD CONTACT: DATECONi� / ENGINEER BUILDING DEPT. � ARCHITECT SUPPLIER '- MONCONFORIyIIN U/ .j> _-Z-L-qq NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and i s transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, -17— 5 Z:3 Co 0 L Inc.,is prohibited." i N(W7 f N C_ 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS r acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 1llAII-77D mot"_i Inf�t/i'/o�/��n C R ? 4 �� To Build O"' SI'OKANE DIVISION Engineering • 0ormuitng • Testlng =fG ($6417333-�S7F Fn>��Sd4Ss3392 SEATTLE DIVISION EASTSIDEIHVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-11666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (3601297-8821 FAX(360)297-8828 CC,t1=NT' , S7o - ( PR9J9C ;� - o O DATE - 2 Z - f it Ss' I 1 Z/ ^ ! L4 'rH t! PERMI r irf -4 9"1 W.O. ,... i%��. p CI'TY,,�/��% V U Ol -8 OIr(G1�1lEF��/, (Z A'I 1`ENTIQI5[ 2 S COT 2' ARCHITEC T%% Y/C6_^n PLC! O'Nth./ COJ+ITRCfip % ODD CWJS pi�?JC'Cj,f Ll Y 70 2 ! SS 7 I P� .t;gDtR S 2 �- C C r�o 14 LAI COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA ISQ.IN.) CHECKED TYPE TESTED TEST LBS. P.S.I. -29 7 44,Lt Zo Zia 3 — g 3 z v 3'i,\d 7- Z f D�Sce� SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 Ig C-143 N C-172rS] C-231 g C-1064 t. C-39�& C-1231 TIME,TEMP.& JDATE Q MIXING DESIGN SAMPLE G7 C. WEATHER( C0 0 0 y (:4 CAST ZZ� 7 PLANT 75A P STRENGTH FC 2 SC)2 TYPE /2 PROPORTIONS: CEMENT C'SE AGG. FINE AGG. S WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE 5 Ste- 'i oN SITE C `3S0 41/Z 14-76 L5 9 I go-5 j.,a Lt 3 o i_a /o GAL lc c,ac-�CLocaGO >�o oz fit, '/2- t, 1Z TYPE OF CEMENT �� CONC.TEMP. SLUMP fi / ins. AIRY, T. /-7 % QUANTITY Cu.Yd. TRUCK ZO G- TICKET# (-f CS C1 54!j SUPER PLASTICIZED SLUMP MIX# M 2 S'-.q n POUR LOCATION AND NOTES: 61 S! 2 P"e-G-M&LE D V !e Zz QAJ, V/ V f-S n PLge-aoz' T-o P S . Pc, . 1 5 7 T/Z-!G Iv v i-� z V � 2=2 rM..►e P A(2 EQUIPMENT IDENTIFICATION AND S/N#: �Sv 3 Lorci^Fo2lrlS COPIES TO: MAILED: INSPECTOR: (c30' 4'j4<30 DATE ITEMS'tN,P,ECEl �'#'q!j% rz SWAY2 C_ Z-Z, APP136V t P A 'A� 1 OWNER CONTRACTOR FIELD CONTACT: DATE / ;CQ��QR1Gk(Nr / / ENGINEER BUILDING DEPT. {•-��, � ARCHITECT SUPPLIER NONCONFORMING Lli ✓ NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and iils transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Z 5 Z O ry 0 L Inc..is prohibited-" /NCLU D I N C__ 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries y Date -Zs-49 TS-98-1 N Aft- i Infarrrration DR /r To Build On 0089 SPOKANE DIVISION r7gbeering • Co/u{/ibhD • Toodng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-1611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 E.IENT _ PROJFCT N�C}y ': (t 2- 0 o 2 DATE /KDDRESS %` f t TH PERMIT NCi - O Z 7 WORK ORDER27 CkTY: , G L. C5 _ NGiNIR> kTTENTIQIci ARGN47'iw4T Y A� pQ NQ` C01y`><'RAGTQR PR(YJECT S PR4J,A[]DR t2 C WORK DESCRIPTION N eni t ze ?a 'PGQ2 2n4. I&j PL.4 Cry- n"j!S I-7`/ T'C C?S t 1 c f..t C- A Pir.-t-n mL)Ct-r.-, l)"t <-an-r' r7rn A2 , a -rE-S7G%Q y- rLI -rY fZrr-f 1CH Ll tJ e �F-t jr� Pt P e L a P arm-r.J i;(r,&l LN S 7 (rN 7 A u n LEE. 1-1 2 0 ./�QQaQ n i--t�A�7 t',[� V i A Tu rrk P t a r, J A C IG PLA,t`i n (012(,2 A?41) '(ALA_71r CaHP�e7b�'L. M.47rn,a� ��,or ��2M A�.►� C�c!`/EIL� 1lJG- �S P(ACCO, INPLACE DENSITY TEST RESULTS WET DRY I TEST LOCATION EN. DEN. Mr%IST t CO s%c P/F P20 -sit % 1 I 3, Z07 '-f, EQUIPMENT IDENTIFICATION AND SN# ZG Z Z f 20 L '1. SAMPLE I.D.�2 t PROCTOR VALUE GAUGE STANDARD: MS( DS Z�Z `2. SAMPLE I.D. PROCTOR VALUE LAB METHOD: D1557 ❑D698 ❑Rice p OTHER - '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) D2922(SOILS) D3097(MOISTURE) D2950(ASPHALT) D1556(SAND CONE) COPIES TO: MAILED: INSPECTOR: (Cf3 o wA(3 a DATE: ITEMS" NSPE.CTEq..TES'' G Z3-S1 APPROVED PLANSAF kk' OWNER CONTRACTOR „� FIELD CONTACT: DATE CONFQRMfl�Iw '�j ENGINEER BUILDING ARCHITECT SUPPLIER O 5 t 7F NONCONFORMINCx:I "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, TL Ct2 �► Inc.,is prohibited." t "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report by Professional Service Industries i Data Z 3' TS-88-1 I�i Information C R .y 9413 \ O P �, To BuildOn SPOKANE DIVISION Engineering • Cormw hg • Teadng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDF.01VISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FA X(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 PAX(360)297-8828 41 ANT/!i/ ! PAOJFCO - 2 DATE G-2 - rr// t �!� A PER N f j 8 O W.O. ` 2 -Lw f - ENGIN Ei /,` 'If3N ; sczAwARHITT f �,7 //; CONTiACTDA' 5 <42- -q- C L COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE ( 2Ze.19 C,-3,to 8 sc7 coa -7- SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31'E� C-14t& C-172-B C-23113 C-1064 a C-39 Q C-1231 t& TIME,TEMP.& ti DATE MIXING DESIGN SAMPLE C-tiYt�, WEATHER C-L�-U01 G?3 CAST (o -Z 3—9 9 PLANT le-7 SA P STRENGTH FC_2-<--Q C2 TYPE T/M& 3" 3ss PROPORTIONS: CEMENT C'SE AGG.7 FINE AGG. 3S WATER A Z ED ADMIXTURE .gDMIXTURE ADMIXTURE :I TYPE OF CEMENT CONC.TEMP. C-9 SLUMP 5 _ins. AIR S• % QUANTITY 8 Or Cu.Yd. TRUCK Z I-? TICKET# SUPER PLASTICIZED SLUMP MIX# M 2S S© POUR LOCATION AND NOTES: �� EIVE L_ Z TLty F 4FEEZZU20 PLAIQ -2 MO-E P I w z0 1 t,2 EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: 1 CCU 0 I W IFISO DATE. ITEMSIN,SP, j `,,f,% S A 2-C C, 23-9 AP.PRC?./�t P . 0",#94 . OWNER CONTRACTOR j /�; FIELD CONTACT: DATE: '/ ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFI . gRIIING "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98.1 1PE �_i Infor�na�ion CR j Av�AILED � To Build n SPOKANE DIVISION Engineering • 0onauf v • Teadng p so�>0 3�Z l p�c�9Q9) 35 r 7 rct�s i CDJt llie u�"les, nc, SEATTLE DIVISION EASTSIDF.DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282.0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (3601297-8821 FAX(360)297-8929 C I~ftil't` J 1 PAO,lEC 'fIA�� - Z DATE - A N A PERMIT-- ,. ERMIT -,.r 8 o W.O. %; , S o o 1rz-- 3�/ ♦ r A'I f,El °IOIrE ARGIiIT� T � �` Ct7NTRgCT4H� COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SO.IN.) TESTED TEST LES. P.S.I. CHECKED IypE A 1 2 Ze.I — 0 8 G Sd coa SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-311&j C-14J'S C-172"S C-231 t3 C-1064 0 C-39 Eq C-1231 ❑ TIME,TEMP.& DATE MIXING DESIGN SAMPLE e—` _ WEATHER c.L.0 UD`f G 2l CAST L• Z 3-9 9 PLANT 1e"f 758 P STRENGTH FC 2 S1 (LTYPE PROPORTIONS: CEMENT C'SE AGG.7 FINE AGG. 3,S WATER ADDED ADMIXTURE DMIXTURE ADMIXTURE S`rG n no��ON C 0 �� 4fO oz TYPE OF CEMENT _ � CONC.TEMP.��2� SLUMP 31— ins. AIR S" % QUANTITY Cu.Yd. TRUCK 7- TICKET# SUPER PLASTICIZED SLUMP MIX# POUR LOCATION AND NOTES: Sj-7iZ PG.. E FIVE L T T I= v -2 &ccrt P w zd EOUIPMENT IDENTIFICATION AND S/N#: �Sc13 COPIES TO: MAILED: INSPECTOR: 1C(�)O WAi3O DATE �� '' ��'�♦ � %= ITEM SI�+Ip � lA; � 2 S A L - Z3-`� gPPRO EP�.�►NS♦q� i OWNER CONTRACTOR r % �!' %�'`♦r / FIELD CONTACT: DATE :C9�IaRN}INCr�'/ j. ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORMINCa�I NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its ,r transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, L ��- Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 ws AM Mr Informati CR ? �' g � o Build 2Tn U� SPOKANE DIVIS O r I N Engln"rin8 • Conau/W® • TeaJ ItJ L (509)535-3571 FAX(MM 535-1267 SEATTLEDIVISION EASTSIDE I HVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-06M FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 G 1Nt ar �/ DATES-Z AES, /P�ERMtT,Kd; W.O. E1VT10t j [J,rZ ARCHIT T. 'f fs ,, P.ONT1.77 f OR COMPRESSION TEST RESULTS j DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SO.IN.) TESTED TEST LBS. PSI CHECKED TYPE 1px IZ 6 ZZ — fAv 3�10 7—ZZ 7-2.2 o z SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31g C-143g C-1720L C-231 C-1064M C-39❑ C-1231❑ ❑ TIME,TEMP.& o DATE / MIXING DESIGN L SAMPLE WEATHER S��70 CAST l07='7GJ PLANT / STRENGTH FC �J-CC�) TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTUREC�"ADMIXTURE ADMIXTURE a TYPE OF CEMENT CONC.TEMP.1pB SLUMP 3- S ins. AIR % QUANTITY Cu.Yd. TRUCK - TICKET# aZ� � SUPER PLASTICIZED SLUMP CiY17� MIX#�( POUR LOCATION AND NOTES: DATE RECEIVED: Aq cc— �.� y� -D - Sz t S EQUIPMENT IDENTIFICATION AND S/N#: 5 p 3 COPIES TO: MAILED: INSPECTOR: DATE / /j// IT�MSf�+l pECTEl�;�` /� APPRC3 t P .�1 5 /. OWNER CONTRACTOR ;� / J FIE D ONTACT: DATE9��aRIG�INCr ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFQR1yIINrai "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST I OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, 5 Inc..is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 Information CR iAl LED LN Aft- N.We.'ri To Build On ' /�/�� SI'OKANE DIVISION Englneedng • ConzuM q/ ' Tea�Ig (509)535-3571 FAX(509)535-1267 Prefesslonal Service W101Ri�gg�� SEATTLE DIVISION EASTSIDF DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISle$ inc. 1 (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8829 C�I£t�lT` a L PRtDJ£ N�j/ DATES-Z AIQRESS /f .D. d PEaMj't'NO j/, w.o. %i !. Q .$7 A'CTENTIO COMPRESSION TEST RESULTS f DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE (ox iZ E3 ZZ- — (ov 390 Z( tfc� _ C) �T� SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-314 C-143K C-172A C-231 C-1064X C-39� C-1231� ❑ TIME,TEMP.& _ p DATE MIXING DESIGN SAMPLE WEATHER 7a CAST �� PLANT / _STRENGTH FC �50� TYPE i l PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE�-731545ADMIXTURE ADMIXTURE N TYPE OF CEMENT CONC.TEMP. 1!10460 SLUMP 3• S ins. AIR % QUANTITY Cu.Yd. TRUCK TICKET It �rY,1� �qq—` SUPER PLASTICIZED SLUMP L/Y2Z;7 MIX#_M POUR LOCATION AND NOTES: DATE RECEIVED: r r 7,� 1, Zn —D sz s ' EQUIPMENT IDENTIFICATION AND S/N#: J:7 I — ,gyp 3 COPIES TO: MAILED: INSPECTOR: DATE ttIEMS;i sl19.a' 9/00 %%. 04 OWNER CONTRACTOR FIE D ONTACT: DATE 'CPO ORIOUNC/ j ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NOycor�l=oRrNJ �%' NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries. 5 Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report by %' Professional Service Industries Date TS-98-1 rr i Information DR 3 MW1W� To Build On ' ~—�-, SPOKANE DIVISION Engki"jIng • ConauftV • Teadng + (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX OW))297-8828 %� o PROJECT NO Z" oD Z DATE - - A j?11�/�RES. ; D 1 PERMJT 1�0 -O w.o. f/� l LLe CtTY % ,, MAso o Goc►m ENGINEER` Epawlac ATTENTII`31�1' (L se-0 S W taN ARCHITECT Pp N4 - -A- IS71 0A157— PR(3dECT PROJ'A[]t1RE5; S4e3 WORK DESCRIPTION ' ago £j INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY MOIST COMP SPEC P F DEN. DEN. % % i s' a- 8S 8.8 1 94. Z- yy z, S �• •Z / S -Z.Z o l y .1 �. S 0•o Z ,1 1 - 9 I P l 0, S Z S 09 -- E'-5- ' 0.3 .- I Z ,! Z 97 30� .£ Q_ 9,6 �' O o o IJ 13- v d .� t r0 P EQUIPMENT IDENTIFICATION AND SN# '1. SAMPLE I. 74� O PROCTO LEI .� GAUGE STANDARD: MS L,I l IDSd '2. SAMPLE I._o /S-• PROCTO / . � LAB METHOD: D1557 ❑D698 p Rice p OTHER '3. SAMPLE I.D. PROCTOR VALUE (J ASTM TEST METHOD(AS APPLICABLE)42922(SOILS) p D3017(MOISTURE) pD2950(ASPHALT) p D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE. ITEMS INSPECTED TEYi ot uA I-W APPROVED PLANS:AR OWNER CONTRACTOR FIELD C TACT: DATE CONFCIRMING ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORMING L� "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.- "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries �l Dateg TS-98-1 j Inforination CR N. To Build On Englweer/ny • �i PneuItl v • Teadng (509)SSPOKAN35-3571 FAX SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589.1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C ,tEN`I , PRpJEC�'NO llJ Z7 DATE A�QRss , PERMIT O %' 0777w.o. CITY. e�44V OJ>` PAt?J.' a.`9Rs J �2A� �.th7- COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE TESTED TEST LBS, PSI TYPE 14 6x/Z 2 7-Z-g5 Z - -Z3- C D Z SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31r�L C-143 C-172 C-231 K C-10644 C-39 E] C-1231E] El TIME,TEMP.& I O DATE ��/� MIXING i DESIGN SAMPLE WEATHER CAST `-I PLANT STRENGTH FC _ ( TYPE-S PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURES 3-5DADMIXTURE ADMIXTURE TYPE OF CEMENT CONC.TIE�M] (�P. SLUMP 1--mains. AIR �� % QUANTITY _ Cu.Yd. TRUCK a-�� L� —TICKET `GO S 6 SUPER PLASTICIZED SLUMP MIX# POUR LOCATION AND NOTES: DATE RECEIVED: r /• .4:t~w .3•S..,env Ci�.3•8 �-•t 3,8 +l S 4/ s /3 QO EQUIPMENT IDENTIFICATION AND S/N#: QScr3 COPIES TO: MAILED: INSPECTOR: DATE. '''� j%, oo 01 ITEMS i1,SP CTEJ?;TQ Xj 1057 at?S� APPROV, I?�AIS'A� OWNER CONTRACTOR 4.RMIN �. ENGINEER BUILDING DEPT. FI NTAC DATE �Sj� /// ARCHITECT SUPPLIER u NO I�CON,OR#y41NG"t.l 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited.' jo -This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 .��i Information / Z CR 14 � '? AI! . D 0 / To Build On SPOKANE DIVISION Engln"ring - donA4llfing - Tesftng fees(509)lonal 535-3571 FAX(509)535-1267 pro s,Inc. SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C�,tEN't., ;�� PRAJE�'J'ft0�/; - LDZ7 DATE �?pfiE; � ! PERMtT,N �� 8 77w.o. :1}'I"C'EI�fTl01�[ , I , ,1E, 2VV 7ZJ COMPRESSION TEST RESULTS ,5c� DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE 6x/Z 2 7-Z--?5 z — 3 -Z3- 3 2 qc> - - 8 -35 2SIC) 3 0 b -z- SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 4 , C-143 K C-172 k C-231 K C-10644 C-39 p/ C-1231&? TIME,TEMP.& O DATE ��ry/� MIXING i DESIGN r SAMPLE WEATHER CAST `j"I PLANT STRENGTH FC 14 t TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURES I-1525ADMIXTURE ADMIXTURE TYPE OF CEMENT �C� LAONNCC..T`E(MR (�� SLUMP �• 1--� ins. AIR y1� % QUANTITY 9 Cu.Yd. TRUCK a-1S TICKET# L`mil IS 6— SUPER PLASTICIZED SLUMP_ MIX# POUR LOCATION AND NOTES: DATE RECEIVED: dR 4e Z� .,i!iYL YL.r t- E, t1.1. W 4,S- At S. a_&,t&- S EQUIPMENT IDENTIFICATION AND S/N#: nz S�3 COPIES TO: MAILED: INSPECT R: DATE ITEMS:I P CTt1 %,4 gPP,R+f3,rFP Pfr,A !]S' F% OWNER CONTRACTOR /. "FlEtD,061NTAC DATE ENGINEER BUILDING DEPT. p i/ ARCHITECT SUPPLIER Hoyc©NFORMrNG� 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries � Date ` 2%-Y9 TS-98-1 .ft am 1 Information DR 0296 To Build On Z SPOKANE DIVISION En9lneerkv • Cormuni fg • residing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CLIENT- PRDJECP. , IQro z-7 DATE ADDRESS Ur o D PtRW17 Np, -0' 7"7 WORK ORDER c�/ G✓ �� CkTY,/ o/cJ .> f E�tCtN�ER _ i A'fTEN'flONi /� Scoff SWi✓ Ai;iC,litTCT eiaK/ P;(J N<1, s' DCtRAT4R ;RD -r- PR!f}JECT S u a PROJ'ACIURES S WORK DESCRIPTION A - sal - , r (� 0)0 r L INPLACE DENSITY TEST RESULTS �� p TEST LOCATION WET DRY MOIST COMP SPEC P/F DEN. DEN. % ' % % .30 &k-s4 o " F. /353 I 5' r P n ;0-e- 1 -2r ?Q 98 9 s p a /y2, 0.9 0, z Gjel' S P S ( C' 3 1 F 1 .') 9 RS' 4D 1 F 8 D s t,C„ /,S 4, i'(/6-6 137.E I `�7, �s 11C,i •S @ A'4 s G 9 r - D 1 NHS 37,3 r0 T 6, 95- EQUIPMENT IDENTIFICATION AND SN# '1. SAMPLE I.D. PROCTOR UE @ GAUGE STANDARD: MS i> DS '2. SAMPLE l�� PROCTOR U 3 LAB METHOD: 1557 ❑D698 ❑Rice []OTHER '3. SAMPLE �II..D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE)21'62922(SOILS) D3097(MOISTURE) ❑D2950(ASPHALT) 0 D1556(SAND CONE) COPIES TO: MAILED: INSPECT R: DATE: 1TrMS INSPECTED'CO.... d104 APPROVED PLANS AR OWNER CONTRACTOR FIELD ONTACT: DATE CONFORMIf+I ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFORMING L / ' "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILESv transmittal to a third parry,by any means.except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS 3 acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by I Professional Service Industries DateZy r TS-98-1 0%AMA Information DR /r=V To Build On Engineering Con8u Teadn SPO 'DIVISION ' •w 7/ � (5(P)1 535-3571 71 I�AX(509)535.1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-461 I (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CIiEIT` PROJECT NO 9ooz7 DATE ADDRESS, Ste/ PERM}T NO —�77 W.O. AFfENT10N< � ARHITFCT a r P,4 Nq S7/ CON"TRAbx—CTQR00 P�i{3JECT, RRJ AQURES7. E WORK DESCRIPTION e'I� ao - . PD s INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY MOIST COMP SPEC P/F DEN. DEN. % / 3.q .3 9s �- ca F� 5' AI °Y .o l 7 /340 ,7 r !� /3(-. S"( Sr -3 .7S G. I3S SS ,o F 3 l�f 33.E < < ? q .sue F' �' P , /aZr0 6-0 V,0 D I r7—U-n-a cm— E ' /3410 5r,/ 7 ono ! 3 • ,( a- ,S:3 Z OV,7 2-S .3 aL .? 4?_iE7 c2.44�� i _��=►tee �. fi `'' 3� /aS'3 7�`f � `1 EQUIPMENT IDENTIFICATION AND SN# 3c �'9e 76� '1. SAMPLE I.D PROCTOR VALUE .d GAUGE STANDARD: MS DS CoU� '2. SAMPLE I. ory PROCTOR VALUE 3/• 4 -7 LAB METHOD: a557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. L PROCTOR VALUY_T G1 0,3 ASTM TEST METHOD(AS APPLICABLE) 1)2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE: ' �; ITEMS INSPECTED TO , 4-L(- APPROVED PLANS ARt-'., OWNER CONTRACTOR FI CONTACT DATE: CONFORMING ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER �-�i_ NONCONFORMING "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME G(� ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Q Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date 4 7 SrS' TS-98-1 M�i Information /rSPILITo Build OnC Ft � V E- ED DR Engineering • Conaul&W • Teadng SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 -1�( ((�� .�.AA�`7 SEATTLE DIVISIONFAX(206)2 EASTSIDE DIVISION TACOIOfAILSt(7N 19 PORTLANDDIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 PAX(360)297-8828 RC GV- Z�ATE6—Z_$2ALIi ,` �T filc�9 --O`t77 W.O. DRE�S ;k ctrf A'I'TENTiOI�t ARCHI'�E�T comTRACtCR PROJECT PR�J /IQP13 S WORK DESCRIPTION INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY MOIST COMP SPEC P F H DEN.y� DEN. % # % 1 15' v l .3 1 '-RRa 10 b Z 4 P .2 1Lae 5 0' e Vd" 3';XA 14 7F4 i 1"34' .37,7 lacH 6,7 1S 3 r 'YO'e.Is4- ' rrdrrr r/4 ago 131•z 70 16 line. /o'E/9s4- o-FC a2' A4 l• 131 ?• '-`- , [• J 190-0 , 1,$ (.,ClP 6P 11^e- "7s' .44 cPc' • 4 •' s% lqo I v 3/,zA -7• X ; ma' s of G 2o. G ' oe NO 130,Z 7• 9s:8 P 8 i ne- i4,si I L4 I• l31-7 7. Zlo-e 0•3 1,30,1 ?Z 1 1963 v'-A2*.-1 G 130F) 6.3 :Y,• a— .i7e 10 : 8 1,1'94 7Z 1, 95• S p (3 1 4;oe. = e Q. 1ST ' k o,3eq- (' , D d,(o 131.7 6,7 p91 1 lu ls•Sbt� 1Y\ U 1 f'5,ze- �T�`T�' 10 13Q7• l� 6.611 (s'�o !s EQUIPMENT IDENTIFICATION AND SN# M.Ck 3qt{p '1. SAMPLE I.D Q l PROCTOR VA U Q q•3�d GAUGE STANDARD: MS DS v •2. SAMPLE I.D. PROCTOR VALUE t LAB METHOD: JkD1557 ❑D698 p Rice p OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) 2922(SOILS) 0 D3017(MOISTURE) pD2950(ASPHALT) p D1556(SAND CONE) p OTHER COPIES TO: MAILED: INSPECTOR: DATE: ITEMS INSPECTED TO' OWNER CONTRACTOR C APPRO.VEDpL/61NS AR FIELD CO ACT" ENGINEER BUILDING DEPT. DATE: CONFQRMINCa i ARCHITECT SUPPLIER �r NONCONFORMING "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, L&- Q Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 anti %flt+i InformfaiY`on C R { ��, To Build - SPOKANE DIVISION Englneefr/ng • Conau/Hng • resting (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDF DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)2824)666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C�,tEtdT,r PR.WEC - eZ-7 DATE ADgRESS d S'Lb/ PERMIT NO/� f31D �?w.o. r CITY;/ ENdj ;41 kTTENTIpN ARC IT�C�T!,% a' o cT r Pt v.I,a�ac PT - COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS, PSI TYPE G D x t,L SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM / �C-�31 X may. C-�14(33� GEC-172 K C-231,4 C-1064K C-39� C-1231� 0 DATE DESIGN WEATHER TEMP.&Lp� QtJ ��®CAST _y`'CJ-� t PLAN MIXING , I STRENGTH F�� TYPE I PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTUREeD-CADMIXTURE ADMIXTURE r,A-Pbe / a TYPE OF CEMENT CONNC,.TEMP. (otg SLUMP r d ins. AIR ✓ '25 % QUANTITY J�_ Cu.Yd. TRUCK ?9L TICKET# OJZ�O / SUPER PLASTICIZED SLUMP L---*-7Q MIX# Y"J POUR LOCATION AND NOTES: DATE RECEIVED: G- - GLO c ( z, t/ IF S sr� o►S3 EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR; DATE /'r /i'/%j;/ 'i;� ITEMS [N,'�PEP.r /- OWNER CONTRACTOR , 1 L CONTAC DATE %GQ��pRMC'� %/ ENGINEER BUILDING DEPT. , ARCHITECT SUPPLIER NONCONF. tyFIN ,� "This report is provided for the information of the client only.The rapt of This report,by any method,and its NAME ON OFF I ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, f7 Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 NEft-ElTo nformation CR11A1 L 'Build On 2 0 /nn/ 111999 v �SP OiCAlYPDIWSION En8lneering • (QOnAUftbg • T®swg (509)535-3571 FAX(509)535-1267 1 nc. SEATTLE DIVISION EASTSIDE MVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 ' 71, PROJ� OZ'7 DATE C �aESa% d Sr-b/ PER, t�14�,�j f31 D ''1 w.o. arrE�vr�o� aRctitTt�;,�; COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE Z,3 - (b 7--6 a71 ze, 15 T4 - C- 2 33 — G Zg, -z3 G-: :Zt d — D 2a -z �-z� z8 Gl� �4 0 33$o — SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 C-143 5� C-172 C-23114 C-1064K C-39 C-1231� Cl WEATHER P& DATE C10 �0L1+PA"CA®CAST �a' /—� t PLAN MIXING , STRENGTH NGTH FC��vv L_ DESIGN SAMPLE TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE aDFCADMIXTI IRE ADMIXTURE Q y ?o?,Z, 9/ o?a ma`s / � 8C&- .ado ----- TYPE OF CEMENT IZ CONC.TEMP. eo'O4Q2 SLUMP U d ins. AIR ✓ " —% QUANTITY q _ Cu.Yd. TRUCK_,�ga-TICKET# �yO✓`-' / SUPER PLASTICIZED SLUMP C-2—' J ZA MIX# Y`1;�j POUR LOCATION AND NOTES: DATE RECEIVED:01 G 3• 4V &3, 3,8 '0 One EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR; DATE ITEMS [�+I,SF �CT�D�T OWNER CONTRACTOR i L CONTAC DATE pFtIGkINCx ENGINEER BUILDING DEPT. �� ARCHITECT SUPPLIER MONCONFORMINGJJ NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The repr of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Al2'r Date 17-2f fl9 TS-98-1 P �i Information `s DR AP%�A To Build On 1 SPOKANE DIVISION Englneerfng - Consufty - Tead ng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608_ (360)297-8821 FAX(360)297-8828 PROJECT"NO; 7H oOt'l DATE -Zq- AODFES� PE M1T NQ, .- iD I —0 7 7 w.o. 9a ATT ARdt CHYF�CT P,4 NQ , S•, I CONTRACTQIR ' PROJECT. > l' PROJ AQDRES WORK DESCRIPTION W G INPLACE DENSITY TEST RESULTS TEST LOCATION WET DRY MOIST COMP SPEC P F DEPTH DEN. DEN. % * % f7 ,C;n we S�- of .� /�' S A101 3Z •S 575- p 2 *woe rl !� 3o'E s�- of E 8 !- •s" 3/S •3 1 %13 55- P 3 s iij, , Lc vw_ W. F.S' 11" -PaOM F6, /39,y !30•g r / 63 9 S' P `/ N3'pe L' L' � /' �� /c38,� ld�iR �, / 95 4 P 5 Ns%ck. �• to F ! ' ¢A 4 8 /3 3 - S- /J � 1"i (S F-S t OLt -F /,39.3 i Zy S,3 ! s;o� & @ S I� 1!34r8 S� 9S ri 5-; Li w 3.Z 13 k,7 60 02 9S.1 S 9 n Si De -7 L-' n.,-- C F6, 139.Z !3/•� • 1 -1" P /o ns• -7 e- e 30' �- e f @ /3141 130,6 &-Z- ! %./ 9S a.; -S ' 8 t 6, ! 9G, 9 p M F 4 t Z, 7, Ld 3 I i/7e- S 3' kow !r 13q r 130, / F$ ILI EQUIPMENT IDENTIFICATION AND SN# -1. SAMPLE .D PROCTOR VAL , GAUGE STANDARD: MS DS -2. SAMPL090 f�07 PROCTOR VALUE?/ LAB METHOD: bQ1557 ❑D698 ❑Rice ❑OTHER -3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE) 2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: MAILED: INSPECTOR: DATE:IM j ITEMS INSPECTED T4'>: ] APPROVED PLANS AAE; OWNER CONTRACTOR r i FIEL CONTACT DATE. CONFORMING ENGINEER BUILDING DEPT. r; ARCHITECT SUPPLIER i Aq NONCONFORMING C7 "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME "l l ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 N i Information a C R 210 ,19 To Build On DIVISION Engln"ring - Conau/tlng - TesUng (509)535--33571NFAX(509)535-1267 SEATTLE DIVISION FASTSIDF.IHVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-06M FAX(206)282-0710 (425)4854244 FAX(425)495.4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5609 (360)297-8821 FAX(360)297-8828 �INT�jFi PRQJECfiq.. Z-7 DATE - 9 PERMIfi NO j., ' I --09 W.O. ARCHIT�>yT" 0' y CONTA� T�R' COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. PSI CHECKED TYPE LoX IZ "1-I•-9 16 7 0�7 q (0 I Z SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31k C-143 0( C-172 C-231Cg C-1064 N C-39� C-1231� � TIME,TEMP.& D DATE r* �}G� MIXING —` DESIGN SAMPLE WEATHER ��_ CAST gr� ` --L t PLANT _STRENGTH FC TYPE PROPORTIONS: CEMENTg7;2 7 C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE ►III ('. igti+s ��I�a 1�3l �l 5- 0z — ,4wt peR Y9 0 TYPE OF CEMENT CONC.TEMP. SLUMP ins. AIR r 0 % QUANTITY y�� Cu.Yd. TRUCK � t L TICKET# 4100�11 SUPER PLASTICIZED SLUMPSiYu� MIX# POUR LOCATION AND NOTES: DATE RECEIVED: aadk AF " odolo 1S' Ty,S EQUIPMENT IDENTIFICATION AND S/N#: i COPIES TO: MAILED: INSPECTOR: DATE ITEMS INS1t&e rM`AIaPRt3'1ffPL�ANS i OWNER CONTRACTOR FIELD CONTA T: DATE Cl(*FORICIf(NG ��j ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER ` '1 NONCONPORM, -( 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries. _ Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 3r i Information 'a CR , 4A11;E 1 To BuZ V��"': 2,1I V 16499 Engineering - 0onaMTling - Te&Mg (5091 5 35-357 1 FAX(509)535-1267 nc. SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 > N�;fj i,: PROJE f10 - L-7 DATE - 9 -: C> I+'ss PERMIT Nor/j W.O. Q t s CITY % ri/, EN1�31 ARCHITECT i COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE 2-9 _Z 7 a7-9 W27 too S 3SC�o 2� _Z3 7 v27 — n D CSC- SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31k C-143 0< CCU-172� C-231[� C-1064 0 C-39 C-1231 WEATHER TEMP.&(p0 O DATE r%CAST �� 1 —-1 t PLANT —` STRENGTH FC MIXING DESIGN SAMPLE PROPORTIONS: CEMENTg7;2 Z C'SE AGG. # FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE A11 c,.��a►,+� _ , 10 1(-131 ,1 S�4 oz — — A K--e P&R Yq —7 0 TYPE OF CEMENT /COLNCC..TTEMP. / SLUMP ins. AIR 510 % QUANTITY Cu.Yd. TRUCK l L yTICKET# `��/`��1' SUPER PLASTICIZED SLUMP MIX# Il'\0?%55�6 POUR LOCATION AND NOTES: DATE RECEIVED: r ' `1 o�.r0 G• �'�S rS S'y 15 EQUIPMENT IDENTIFICATION AND S/N#: 9 5 0? COPIES TO: MAILED: INSPECTOR: DATE //. ITEMS VV IR E[}T /,: APPRQ �t�p�.gNS;gg OWNER CONTRACTOR FIELD CONTA -I IDATE = / l / ENGINEER BUILDING DEPT. C�'N ARCHITECT SUPPLIER ` ? "1 NONCONFORI�IINCa U, _ "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries. Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by p Professional Service Industries Dale TS-98-1 Lmp%OF Information MR U 2 0 a ft ro Build on S��&d"Igg Ene�� • Con.:,WW . rrlssang .(509)53$-3571 FAX(509)535-I267 SEATTLE DIVISION FASTSIDE 66 DIVISION TACOMADIVISION pORT1.ANDDIVISION PENINSULA DIVISION (206)282436 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 / ipPR PT "% Z Gb Z DATE - , � tFFsu� � PR� (,lC�:%�% WORK ORDE ` �j COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH TEST LBS, P.S.I. CHECKED a x �,", 3 f a ' l4 b O SLUMP J DESIGN ASTM C-143 MIXING PLANTOI SJ�TRUCK# TICKET#�jl/ STRENGTH FC CEMENT e'SE7iC>;.�i�ye FINE AGG. _ ADMIX -tn}yt O RT OI�NS B" 3 5 GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS TIME&WEATHER r36p ur j ASTM C-1064 ASTM C-1064 f —'-i V MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ('ASTM C780 UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: i i fps ,gut EQUIPMENT IDENTIFICATION AND S/N#: r._- COPIES TO: MAILED: i %%ii j OXij./ j INSPEC O DATE -� � i � o yP OWNER CONTRACTOR �04 Vt ;A AP , 7lECDoo6ORTAC / "to NF*R ENGINEER BUILDING DEPT. DATE , < ARCHITECT SUPPLIER G f fy01+jC0lsIFOBMtI �i/ eit "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by r Professional Service Industries i Date �s TS-98-1 MR r I Information .MR 0203 / To Build On rFllBr�f Iesrf JhD (io/suftV • Tesung SPOKANE DIVISION (509)535.3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297.8828 �L1ENx/j ROJE� j Z G1�Z DATE R - MR. "7%. WORK ORDE X. I / LS _ y; �- COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SQ.IN.) DATE TESTED AGE AT ULTIMATE STRENGTH TEST LBS. P.S.I. CHECKED ax t _ !f a SLUMP DESIGN ASTM C-143 A84MIXING PLANT00 L S�T- TRUCK#TICKET# STRENGTH FC CEMENT E'SEIMG.4 i Me FINE AGG. ADMIX .-Wdxr � LL 1 VYe P o ORTi�Ns #�Si+UC r 'S o � \� j/1 c'�y a2� �t T clt 3' 5 GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS .36 TIME&WEATHER /�( �/ j ASTM C-1064 ASTM C-1064Io (- MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ('ASTM C780 UBC 21-16 ASTM C1019 UBC 21-18 ASTM E-447 UBC 21-17 El POUR LOCATION AND NOTES: i ' W fps r/ t EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPEC O DATE tTEWINSPECTE. M OWNER CONTRACTOR APf�VVr;D4 FIELD ONTAC DATE / 0, / ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER f q2 ;l�bf�CO�IFORIyNIj// 'his report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 'his certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 r��; Infolrmation DR J e To Build On Englneerfng • ConsuKJng • Testdng SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)48-461 l (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 C[,IENT % i PROJECT`NO' p Z7 DATE - p Al�jaRESS PERMIT NQ, ; o. ATTENTION ARCHIT 'T ., Lj CONTRA0T4R PR( JPCT PRCJ 4 Q9i3ES. WORK DESCRIPTION p,o 'S t,-)l &mzin i INPLACE DENSITY TEST RESULTS TEST LOCATION WET DRY MOIST COMP SPEC DEPTH P F DEN. DEN. % # % �= o Z Y4217. ZJZ. F4 / J / as r-6 l 6 X-26r 7L Z 9G z -�5-1 /_ 'r'0 as-" -W r6 �. 7A '7.3 Z ys P �? 1 -4� F D o, 7/ 9 v r i, /z.s ,,7`r 1-171 9s ' Q 1� (pt �r� rq LEE 10 A10 1124416at -L11 r EQUIPMENT IDENTIFICATION AND SN# d `1. SAMPLE I.D.�n /8l 5-PROCTOR VALU ', 7 GAUGE STANDARD: MS DS 3 Z `2. SAMPLE I.D ')t7.� \ v PROCTOR VALUE i pr LAB METHOD: ZD1557 ❑D698 ❑Rice ❑OTHER `3. SAMPLE I.D. PROCTOR VALUE OO ASTM TEST METHOD(AS APPLICABLE)4D2922(SOILS) ❑D3017(MOISTURE) ❑D2950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER COPIES TO: I MAILED: INSPECTO DATE: ITEMS JINSPECTED t 6— APPROVED P kNS ARE;; OWNER CONTRACTOR F NTA ENGINEER BUILDING DEPT. DATE: `CONFORMING ARCHITECT SUPPLIER � ^q9 NONCONFORMING❑ ' -10 "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME l / ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations -T El made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 N Inf ora ion FR ?�� i a ?ToBuildOn Enp/neering • 0onsu/dn8 • romftg (509)5SPOK�1 FAX NE DIVISION 5-15-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-461 I (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828-77 Ci 1ENT P Tr.� PROJECT N 2- 00 DATE ADpRSs; ,r o o I W.O. .j ./////ry�/K;.[,.� El�iGtNEEfjiell F'14IA7-,erll� /� ACHItO7'. •/ 10ONTR1 3 FIELD REPORT o u ` aCe r s Ale AST EQUIPMENT IDENTIFICATION AND S/N#: S /YJ lS69 98 COPIES TO: MAILED: INSPECTOR: DATE ITEMS 1N' P CTEt7 TO'%! AFTRO�Iirt OWNER CONTRACTOR FIELD CONTAC f r��'` � ENGINEER BUILDING DEPT. DATE .. C:4NFOlIAt ARCHITECT SUPPLIER _ %NONCONF9RMINIa �% 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, r 7, 1 rr Q Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS ,3 acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by �7 Professional Service Industries J/ Date �f TS-98-1 o � 70 22 N \ c0 CIS,, 9 / 4'YoNFFcT 219 LP 15' g GPEP 0.507. \` �pT/. I;nI'I !�� nn �� Io- 4 �4+_i 8�49 4*-- D� Col Z r i I C �a mac`► Ce . 1, 50 Yp i e cp£p I 8" B DS OLLAR B S� °I,0? C 3,_O" I--tI GH SI('�1C. �Oqd/ O 15"_0- O.G. e �O NC --I T CP£pC/ p � \�. 98� • D 3 �l / /£: MAIN 2if 10-e �b / c ENTRANCE e 1 a 70 £P /M. I04 o O rio£ 3O s CG a. 83- � � 6 0 I � S /Z'K. 10 Trp o C�I0 41�0 £/ z i � c / 4HdNF£cT� (-8, /N o0T/�1'� 0 4 OT N Aaft i7 Information X.ES To Build On FIR ? 1 Ein Meg�M^ COAaU/�� SPOKANE DIVISION 9 •N•b "�'� • Te8mg (5091 535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 u �� -AlfV' PROJECT NO Ni - DATE - -q D�.1pESS� PERMIT NO 0 �'7 W.O. / JA ,. TT ;?J4*/�NCx' C9TR1� 7�! e te FRgW J :e f. a) At FIELD REPORT !C r GG (v or I• OiS Kr ! e S To 034 ,S re2 — z S 9 EQUIPMENT IDENTIFICATION AND S/N#: —',47 .- 9 COPIES TO: MAILED: INSPECTOR: DATE ITEMS INSPECTE-0,, OWNER CONTRACTOR ��"� APPROVEI 'P",'p ARF j FIELD CONTACT: " '�� ENGINEER BUILDING DEPT. DATE `C:ONFatPtO ARCHITECT SUPPLIER NONC.ONF913M "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to-the accuracy of the results obtained from the actual test performed and/or observations y,, made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or r�T� � M/�, TOTAL HOURS S acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries `—:� � Date Q9 TS-98-t MP%W ii Information FIR 2 /�I� 918 To/By�uild On E»g/neering - consV•W q/ - Tsaung SPOKANE DIVISION (5091 535-3571 FAX(509)535-1267 SEATTLE DIVISION FASTSIDE DIVISION TACOMA DIVISION(206)282-06 PORTLAND DIVISION PENINSULA DIVISION 66 FAX(206)282-07I0 (425)485-4244 FAX(425)485-i611 (253)589-1804 FAX(253)589-2136 (303)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)Z97.8828 � l P OJECT NO!% - - DATE -q AO/PRE S� PERMIT %'''% '7 w.o. ENGtNEElt /; IF P� % � PRCY.f�i9Ct2ga �� w jo ri f. FIELD REPORT t SVIAL' 10jCHQ r oG ex u )j'A reco) -T . 4 s7 Pill 9.D P4 e v r �:P PA � rr- EQUIPMENT IDENTIFICATION AND Sii COPIES TO: MAILED: INSPECTOR: DATE % ' %�% , ITEMS'INS`PEeT'Elt�,/ OWNER CONTRACTOR ld`U' APPRC /ED P FIELD CONTACT: ENGINEER BUILDING DEPT. DATE CAN�dR1GFtKC� / ARCHITECT SUPPLIER NONCONF ' 'This report is provided for the information of the client only.The reproduction of this report.by any method.and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industnes. fJ 0O s Inc.,i9 prohibited.' i 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations mace within the defined Scope of the work.Certification shall not be construed to represent in inspection,approval or jr'GI;II M/A;, TOTAL HOURS S acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by 7? 6(6, /�— PW = 0 . T�� 3,q ��,os2�2? 53 �•� 6, Y PPN G6 x ysy �p9�y .3 a-6 �._ goo) pp 66•s x �sy 3�1g1 ��Ca.6s�>�aY�d� — �� /•�' = �- q � kph 66 x y �996Y 66x �sy ? 67' s 3ot Cq,0,5,?��Oyooc) ?�Q IN, MASON COUNTY Special. Inspection Authorization Building Inspection Dana Herron Permit Assistance Center Building Official 426 W.Cedar/P.O.Box 186 Shelton,WA 98584 Ph.:(360)427-9670 Fax:(360)427-7798 I. PROJECT INFORMATION t ' " ` 1 L) Permit #: B4 7,1 98-Cr 5'-? i Address: A ,,F 2 199 I _y�G- J_A S 2 Project Name: c,AF Alf ;5-1 t Owner's Name: nAF r w Ay II. TYPE OF WORK. Items checked below require Special Inspections complying with 1994 Uniform Building Code Section 1701. See Section 1701.5 for exceptions. All inspection reports must be submitted and approved by the building official prior to issuance of a certificate of occupancy. �1. CONCRETE: During the taking of test specimens and placing of reinforced concrete. See item 12 for shotcrete. ❑ 2. BOLTS INSTALLED IN CONCRETE: Prior to and during the placement of concrete around bolts when stress increases permitted by footnote 5 of Table 19-E or Section 1925 are utilized. ❑ 3. SPECIAL MOMENT-RESISTING CONCRETE FRAME: As required by Section 1921.9. /4. REINFORCING STEEL&PRESTRESSING STEEL TENDONS: 4.1. During all stressing and grouting of tendons in prestressed concrete. 4.2. During placing of reinforcing steel and prestressing tendons for all concrete required to have special inspection by Item 1. 5. STRUCTURAL WELDING©.1 GENERAL. During the welding of any member or connection which is designed to resist loads and forces required by this code. 5.2. SPECIAL MOMENT RESISTING STEEL FRAMES. During the welding of special moment-resisting steel frames. I ddition to Item 5.1 requirements above, nondestructive testing as required by Section 1703 6. WELDING OF REINFORCED STEEL. During the welding of reinforcing steel. ❑* 6. HIGH-STRENGTH BOLTING. As required by Chapter 22, Division IV. Such inspections may be performed on a periodic basis in accordance with the requirements of Section 1701.6. V/7. STRUCTURAL MASONRY: 7.1. During preparation and taking of any required prisms or test specimens, placing of all masonry units, placement of reinforcement, inspection of grout space, immediately prior to closing of cleanouts,and during all grouting operations. 7.2. See code for requirements on fully grouted open-end hollow-unit masonry. ❑ 8. REINFORCED GYPSUM CONCRETE: When cast-in-place Class B gypsum concrete is being mixed and placed. ❑ 9. INSULATING CONCRETE FILL: During the application of insulating concrete fill when used as part of a structural system. ❑ 10. SPRAY-APPLIED FIREPROOFING:As required by UBC Standard 7-6. ❑ 11. PILING DRILLED PIERS AND CAISSONS: During driving and testing of piles and construction of cast-in place drilled piles or caissons. See Items 1 and 4 for concrete and reinforcing steel inspection. ❑ 12. SHOTCRETE: During the taking of test specimens and placing of all shotcrete and as required by Sections 1922.10 and1922.11. ❑ 13. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork excavations, grading and filling operations inspection to satisfy requirements of Chapter 18 and Appendix Chapter 33. f � ❑ 14. SMOKE-CONTROL SYSTEM: 14.1. During erection of duct work and prior to concealment for the purposes of leakage testing and recording of device location. 14.2. Prior to occupancy and after sufficient completion for the purposes of pressure difference testing,flow measurements and detection and control verification. ❑- 15. SPECIAL CASES. Work which, in the opinion of the building official, involves unusual hazards or conditions. III. SPECIAL INSPECTOR SELECTION: The Special Inspection Agency and Inspector shall be registered by the Washington Association of Building Officials(WABO)for the particular type of construction or operation requiring special inspection. Such inspector(s)shall be selected by the owners agent and approved by the Building Official prior-to issuance of the building permit. The OWNER'S AGENT shall not be acting as or employed by the special inspection agency or contractor for this project Name of Inspector or Agency Type of Inspection Registration# a) b) 0- DUTIES AND RESPONSIBILITIES OF THE SPECIAL INSPECTOR: The special inspector shall observe the assigned work for conformance with the approved design drawings and specifications. The special inspector shall furnish inspection reports to the building official,the engineer or architect of record, and other designated persons. All discrepancies shall be brought to the immediate attention of the contractor for correction,then, if uncorrected,to the proper design authority and to the building official. The special inspector shall submit a final signed report stating whether the work requiring special inspection was,to the best of the inspector's knowledge, in conformance with the approved plans and specifications and the applicable workmanship provisions of the Uniform Building Code as adopted by Mason County. DUTIES AND RESPONSIBILITY OF THE CONTRACTOR: The contractor's duties include responsibility for notifying the special inspector or agency regarding individual inspections required by the building department Adequate notice shall be provided so that the special inspector with access to approved plans at the job site and be responsible for retaining at the job site all special inspection records submitted by the special inspector, and providing these records for review by the building department's inspector upon request. Completion of this special inspection form does not relieve the contractors responsibility to schedule inspections by a Mason County building inspector before concealing any work DUTIES AND RESPONSIBILITIES OF'THE ENGINEER OR ARCHITECT OF RECORD: The.engineer or architect of record has many duties*and responsibilities related to special inspection activities. They include identifying which special inspections are needed, developing a schedule, and assisting in the selection of the special inspector. DUTIES AND RESPONSIBILITIES OF THE PROJECT OWNE R: The project owner or the engineer or architect of record acting as the owner's agent is responsible for funding special inspection services per Section 1701.1. IV. AUTHORIZATION: I hereby state I am the legal owner(or owner's agent)of this property and agree to comply with the requirements listed herein. _ Signature Name ❑Owner ❑Agent Date spinspfrm98.doc 1997 UNIFORM BUILDING CODE EXCERPTS FROM CHAPTER 17 Chapter 17 is printed in its entirety in Volume 2 of the Uniform Building Code. Excerpts from Chapter 17 are reprinted herein. Excerpts from Chapter 17 STRUCTURAL TESTS AND INSPECTIONS. S ON 1701 -SPECIAL INSPECTIONS 2.For foundation concrete,other than cast-in-place drilled piles or caissons,where the structural design is based on an f e no greater than 1701.1 General. In addition to the inspections required by Sec- 2,500 pounds per square inch(psi)(17.2 MPa). tion 108,the owner or the engineer or architect of record acting as 3. Nonstructural slabs on grade, including prestressed slabs on the owner's agent shall employ one or more special inspectors grade when effective prestress in concrete is less than 150 psi(1.03 who shall provide inspections during construction on the types of MPa). work listed under Section 1701.5. 4.Site work concrete fully supported on earth and concrete where no special hazard exists. EXCEPTION: The building official may waiv equirement for the employment of a special ins a construction is of a 2. Bolts installed in concrete.Prior to and during the place- ment of concrete around bolts when stress increases permitted by Footnote 5 of Table 19-D or Section 1923 are utilized. 1701.2 Special Inspector. The special inspector shall be a quali- fied person who shall demonstrate competence,to the satisfaction 3. Special moment-resisting concrete frame. For moment of the building official,for inspection of the particular type of con- frames resisting design seismic load in structures within Seismic struction or operation requiring special inspection. Zones 3 and 4, the special inspector shall provide reports to the person responsible for the structural design and shall provide con- 1701.3 Duties and Responsibilities of the Special Inspec- tinuous inspection of the placement of the reinforcement and con- tor. The special inspector shall observe the work assigned for crete. conformance to the approved design drawings and specifications. 4. Reinforcing steel and prestressing steel tendons. The special inspector shall furnish inspection reports to the 4.1 During all stressing and grouting of tendons in pre- building official,the engineer or architect of record,and other des- stressed concrete. ignated persons.All discrepancies shall be brought to the immedi- ate attention of the contractor for correction,then,if uncorrected, 4.2 During placing of reinforcing steel and prestressing ten- to the proper design authority and to the building official. dons for all concrete required to have special inspection The special inspector shall submit a final signed report stating by Item 1. EXCEPTION:The special inspector need not be resent continu- whether the work requiring special inspection was,to the best of Pe P P the inspector's knowledge,in conformance to the approved plans ously during placing of reinforcing steel and prestressing tendons,pro- and specifications and the applicable workmanship provisions of vided the special inspector has inspected for conformance to the approved plans prior to the closing of forms or the delivery of concrete this code. to the jobsite. 1701.4 Standards of Quality. The standards listed below la- 5. Structural welding. beled a"UBC Standard"are also listed in Chapter 35,Part II,and 5.1 General.During the welding of any member or connec- are part of this code.The other standards listed below are recog- tion that is designed to resist loads and forces required nized standards.(See Sections 3503 and 3504.) by this code. 1.Concrete. EXCEPTIONS:1.Welding done in an approved fabricator's shop ASTM C 94,Ready-mixed Concrete in accordance with Section 1701.7. 2.The special inspector need not be continuously present during 2.Connections. welding of the following items,provided the materials,qualifications Specification for Structural Joints Using ASTM A 325 or A 490 of welding procedures and welders are verified prior to the start of Bolts-Load and Resistance Factor Design, Research Council of work;periodic inspections are made of work in progress;and a visual Structural Connections,Section 1701.5,Item 6. inspection of all welds is made prior to completion or prior to shipment of shop welding: Specification for Structural Joints Using ASTM A 325 or A 490 2.1 Single-pass fillet welds not exceeding 5/16 inch(7.9 mm)in Bolts-Allowable Stress Design, Research Council of Structural size. Connections, Section 1701.5,Item 6. 2.2 Floor and roof deck welding. 3.Spray-applied Fire-resistive Materials. 2.3 Welded studs when used for structural diaphragm or com- posite systems. UBC Standard 7-6,Thickness and Density Determination for 2.4 Welded sheet steel for cold-formed steel framing members Spray-applied Fire-resistive Materials such as studs and joists. 2.5 Welding of stairs and railing systems. 1701.5 Types of Work. Except as provided in Section 1701.1, 5.2 Special moment-resisting steel frames. During the the types of work listed below shall be inspected by a special in- welding of special moment-resisting steel frames. In Spector. addition to Item 5.1 requirements,nondestructive test- a.Concrete.During the taking of test specimens and placing of ing as required by Section 1703 of this code. reinforced concrete. See Item 12 for shotcrete. 5.3 Welding of reinforcing steel. During the welding of EXCEPTIONS:1.Concrete for foundations conforming to mini- reinforcing steel. mum requirements of Table 18-I-C or for Group R,Division 3 or Group U,Division 1 Occupancies,provided the building official finds that a EXCEPTION: The special inspector need not be continuously special hazard does not exist. present during the welding of ASTM A 706 reinforcing steel not larger 1-165 07/20/1999 13:15 253-804-0651 JERRY HARRIS PAGE 01/01 Fax To: Kelly Mayo Fax No. 360-427-7798 Mason County From., Jerry Harris Date: July 20, 1999 Project: Safeway Store#1571,Belfsir Project No. BLD98-0977 No. of sheets Including this page: 1 Originals: will not be sent will be sent 13 Subject: Two comments from Mason County Plumbing Inspector Remarks: Comment 1: The runningtrap for the Trash Compactor is not acceptable. aP P � This trap is located inward of the foundation wall at the compactor and its ! function is to receive waste water from the compactor. A trap outside the wail would be subject to damage and require freeze protection. Comment 2: Fixture P-66 indicates a concrete depression with 4" deep sump and floor drain which is not acceptable. This drain and sump are for emptying the floor scrubber machine which is placed over the sump, then drained. The sump is intended to prevent splashing. Copies to: Mathews & Harris Engineering (253) 804 0737 Fax 804 0651 2 Auburn Wa N Suite 209 Auburn, Washington 98002 i 01/21/1999 08:37 425-349-7554 DYKEMAN ARCHITECTS FADE 01 FAX COVER / LETTER a 3A t -41 -©,Co i D Project: 50, ti �zt-�ai Job Number: � Date- 12 1.61A TO: V,411,) IU4/41p zr AT: M6111-7011 �D. �- A455r71 Gh� FAX#.`'tpo 4r'L-7--n1b WE ARE SENDING PAGE(S) (INCLUDING THIS) IF YOU DO NOT R CEI E ALL PAGES, OR EXPEAIENCE TRANSMISSION DIFFICULTIES, PLEASE CALL US.IF YOU RECEIVE THIS TRANSMISSION IN ERROR, PLEASE CALL US REGARDING ITS DISPOSITION IS Tor your Information/use ❑ URGENT r ❑ Originals will be mailed ❑As you requested ❑ Please call when you receive ❑ Originals will not be mailed w ❑ For your approval ❑ Per our conversation ❑ More to follow by mail ❑ Please review and comment ❑ Please make a note of this ❑ Fax/mail copy sent to: ❑ We await-your direction ❑ ❑ ❑ ❑ MESSAGE: 1 �ru►�ut� .jOowi S-pyc Y- MnA z eVeucL�� WN Op e&h F6YM . Our WMAa tj- 6- Ak wa- m l wh d wit J ,�o p"vi of i►v� 4JA¢r15, 'VVJV . LkG t� �I)Y)b SOY . J �Jem� FROM: g:lofflce9Tfax r.doc Fite: Cd Route: 0 f The Dykeman Architects P.S. Inc. (425) 259-3161 Fax (425) 349-7554 1716 West Marine View Drive, 2nd Floor Everett, WA 98201-2098 �E1LitisT 1_ it 4 8-io q aAlFEWAY LESASrL, WA_ l57I Pro�e� 938n. 83 RE-XuEN tom- S- 98 13uitacV- I -C7U,,;�- Yin EL1NSv,r c31 -7��r 1 c[.--ro 5O. F'Ve_ vtv,lc..-j Zl 4 o.4Z I.2.1ZC--C— 6 3 - ST XI E FEE 41.sc-) /O P76 . 6-7 Th.S is o?S Close z�s 1 ear, o �E. . �t•eases C'��-��i- v�nc �'� [�]c� h�r� C1cJal.''�.•c�,,,�1 C�[,t�r-trc�,�S . � G ( !s 7 soMASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 Ext.273 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION November 5, 1999 TO: Aaron Espy, Assistant Chief FD 2 FROM: Dave Salzer RE: Safeway Store On Friday,November 5, I completed my inspection of the fire protection system;t the Safeway Store. There are several outstanding issues that I would like FD 2 to address for me on Monday. I. Confirm that all of the red curb striping includes the reference to: FARE LANE NO PARKING TOW AWAY ZONE. 2. Provide a 2"pipe guard around the sprinkler riser. 3. Relocate the manual pull station in the LUNCHROOM to the North side of the exit door. 4. The general contractor advised me that FD 2 had requested that the hydrant near the access off of HWY 3 be positioned so that the steamer port faces the building. I see a problem with this position in that the steamer port faces a parking stall and would be blocked by a vehicle parked at that location. 1 see two options: a. Rotate the hydrant so that the steamer port faces the access road,or b. Stripe out the parking stall as: FIRE LANE NO PARKING Please confirm your preference with the general contractor. you If have an questions,please contact me. �, Y any PERMIT NO.: BLD 1116 MASON COUNTY '07 • '�" BUILDING PERMIT APPLICATION 426 W.CedadP.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfairf 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name i11G-.l�l�/\lb' klti�_ Mailing Address Mailing Address City T20JE'.-V1IC, State_VqA, Zip Code t City State Zip Code Phone( - �ther Ph.( Ph.( Other Ph.0 Lien/Title Holder - Contractor Reg. # Address Ih e - Expiration SEPTICfWATER SYSTEM INFORMATION-Connect to New Septic__V Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System / Gam: I ( 1f'1 ttV) 00010 PARCEL INFORMATION-12 digit Tax Parcel No. 12,157�1 / 41 /. Fire District Legal Description C_-,f(', A4A(110�', Site Address(Please include street name, street number and city) 4�AAAf a,-t ) 1 IAkie Directions to site o v4' ` (- -z: { Will timber be cut and sold in parcel preparation? (Yes/No) �,� Is your property within 200' of the following: Body of Water (Name) t'y,6 16 V,415 W 1�1 Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New_Add Alt Repair Other Use of Building Describe Work q.3 Z(.S No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floo 2nd Floor 3rd Floor Loft Basement Deck Other � sq. ft. Garacte Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without apnr6val.. first obtaining approval. Dat X Date FOR OFFICIA�USE BEYOND THIS POINT Accepted by Date YSubmittal Amount Due �✓ Receipt No. DEPt�1RTAltfwNT RVlE11V APPRf?VIw DENIED C0IVpITil G+tdfm Building Department l—zG-99. Occ Grou Type Const Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ Building Permit Fee Site Inspection Plan Review Fee SO 83 UFC Plan Review Fee Plumbing & Base Fee Q3a _ Public Works Review Fee Mechanical & Base Fee _ Other Wood/Gas/Pellet Stove Fee Other T Violation Fee Pre-Paid at Submittal ( ) }f:•i:;:, ;wifi.+,,+•:l is \ •fi•'•rr'•;•:+,•'t• 'kwc.'i'q:wj•�''h:+:ti«.. .}. fi;:%idtr,':f', . ''••••>:•,••:; a:f•::: TOTAL FEES MON L PERMIT NO.: BLD / D ,O 17 l MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cerdar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner h t.i , Contractor Name Mailing Address Mailing Address City ;f;_ State Zip Code } City State Zip Code Phone( ; Other Ph.( ) Ph.( Other Ph.( Lien/Title Holder_ j Contractor Reg. # Address _; Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System 000110 PARCEL INFORMATION-12 digit Tax Parcel No / ;'` /-- — Fire District Legal Description t Site Address(Please include street name, street number and city) _; { Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) F i Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New -� Add Alt Repair Other Use of Building i € Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor,_ 2nd Floor 3rd Floor Loft Basement Deck Other — sq. ft. ge._Gara _ Attached Detached Carport -Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. i X ; Date 's X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Duel_ ' Receipt No. t / . DPRTMENT VII„:IN AaPRQVIwp DMiD cOivpITIU[ e+ a5 Building Department Occ Group Type Constr. Planning Department Environmental Health Department G'f OOO Public Works Department I Fire Marshal Valuation $ ...... .. FE> 5 Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other V Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) :.:�.;�;�,. ..•� L FEES .:�:•�.s... .•.,�:�rwar.�:�::x:..�::::.::::::::<:>:: ::::::>:<:: TOTA :..::•.... .... .. r...:a:3•xw:,,.:•Y.S+ac••.•.r......<.u:.+rt:....:...t.:.:.:,..t...sr:.....,,,.,�:::::::.:;so;•,,t':::c�? PERMIT NO.: BLD MASON COUNTY * BUILDING PERMIT APPLICATION )07 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner :_ AEA AY, I hl(, (r Contractor Name +„j ,%' { v Mailing Address ##f_.i #'s. t Jy '. i`a= . � Mailing Address City '#€'. t, State Zip Code`, City State Zip Code Phone;, % ") i" Other Ph.( ) Ph.( Other Ph.0 Lien/Title Holder "' Q`r,.:# '..� 4 Contractor Reg. # Address,1,4.A-, ti! lit- 6 Expiration / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic;` Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System I' ) PARCEL INFORMATION-12 digit Tax Parcel No. 12 '"I / / Fire District ,Vegal Description Site Address(Please include street name, street number and city)_ '� � it �� '�`lL((v(- , 3 Directions to site z: s, i ! k F� � ' I. i� y�� „ ,, t_ir• � � � i ""��' i i Ii i f It' � � #�i� Will timber be cut and sold in parcel preparation? (Yes/No) ';, Is your property within 200' of the following: Body of Water (Name) # , V i w,w 41 I Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TOF JOB New,Add Alt Repair Other Use of Building_`t,; #, ;,1 be Work o. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floo _2nd Floor rd Floor Loft Basement Deck Other • i t• sq. ft. ar Gage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. 1 - NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-]certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-[certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without apprbval , f first obtaining approval. f }3 i iJ Date "?/ X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by t Date4� Submittal Amount Due -� Receipt No. 'Y t�EPF1RTMN VI!"y1f APPROVE[i .QNIEp C(3fVDITlC)NC7p 'S. Building Department ► Occ Group Type Constr. Planning Department Z Environmental Health Department (Alloo- Public Works Department Fire Marshal Valuation $ ,:. Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) £>`'r.2t::t`•'.:;+.:;:i:'.•.: .:..',f.,:;,,,.,.;. :?!':`ti}{,..•+m.'v.`':t3:L:`•: :i'i::•`::t'•:+i...'a::24x:!r::+:'.i: «;��t:Y.>xa•.::: w,�, w.. : ><r ':: gI TOTAL FEES i .C:>..t.r,iz.xR:.:.::.>.uu:x ',er.•>'.`T cht,a':'. c,f:#`.•.+..e.rtw.:,'<x<" �;:•.'•::.:•:.o'i:.•:.::: A ' FORM MUST BE COMPLETED IN INK PERMIT Nd.: 26'0q 77 PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 2764467 Elma 360 482-6269 Seattle 1206)464.6969 APPLICANT INFORMATION �a9_ q CONTRACTOR INFORMATION Owner `Afr' wAlj =Ajc Contractor Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone( Other Ph.( Ph.( Other Ph.( Lien/Title Holder Contractor Reg.# Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New__Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor X.2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric TVDe of Fixture No. of Fixtures Fees LPG Natural Gas,_Heatpump Toilets 4 4R� 8 • 54.oo Twe of Unit No. of Units Fees Akidb Basins _ 91 G Furnace Bath Tubs 0 Heatpumps Showers •_ gam Vent Fans Water Heater � 2,.oc> Propane Tank Laundry Wsher 0r Gas Outlets ��"-+u = _30•oo Sinks QR"a° Wood/Gas/Pellet Stove Dishwasher _'L e 4 Direct Vent? Other F Q 00 Other Other •_10s.*0 Other I.W.aeceplr $4 vi- Base-Fee 7g` Base Fee —Z—7 7ba TOTAL PLUMBING 9�3n_— TOTAL MECHANICAL -- A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and Inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. ; <>« >> > .... . ... .......... ...... ........... Building Department Occ Grou Type Constr. Planning Department Other Other :::::......:::•::•::•:::.::.:..:.:::•::::::::.::.:::•..................................................................................... .........:..................................................................................................................................:. Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES r' LM L+ 1nfomwtion � DR 1 l r r0 2 T R +�BZ�Zi� O•�' SPOKANE DIVISION 07gineorkV • rionsuIMV • Toodng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PEN INSULA DIVISION (206)282-0666 FAX(206)282-0 0 (425)4854244 FAX(425)485.4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-882 1 FAX(360)297-8828 PRC}JECJ AIq !JO Z�- DATF7-7-99 '777 PI;RMI' NO ' w d CkTY ip i % kNkr#R, 45 �ry/�4�. ARCHI'F •.. . P�t(3�JEC'I',,j PR�J Ak�gRI,:S WORK DESCRIPTION INPLACE DENSITY TEST RESULTS TEST LOCATION DEPTH WET DRY DEN. DEN. MOIST COMP SPEC P/F O,i 132 Z, l 819 S- EQUIPMENT IDENTIFICATION AND SN# SAMPLE I.D. PROCTOR VALU, S-, e .7 GAUGE STANDARD: MS DS '2. SAMPLE 1. . PROCTOR VALUE LAB METHOD: 4XD1557 ❑D698 ❑Rice ❑OTHER '3. SAMPLE I.D. PROCTOR VALUE ASTM TEST METHOD(AS APPLICABLE D2922(SOILS) ❑D3017(MOISTURE) ❑02950(ASPHALT) ❑D1556(SAND CONE) ❑OTHER DATE: COPIES TO: MAILED: INSP C OR: ' 'i ITEMS INSPECT!;D�'�Er ,'i APPROVEDPLANS�. OWNER CONTRACTORIFIEIfQ, ONTACT. DATE CONFQRMIN ENGINEER BUILDING DEPT. i�j� `:', ;• ARCHITECT SUPPLIER NONCONF0RMING4 NAME ON OFF I ST OT MILES 'This report is provided for the information of the Client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, /rG Inc.,is prohibitWd e, ' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other assocodblaWork or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries ! Date TS-98-1 Am"i Information FIR 2327 Sw� To Build On En8ttn9et�n� • Coneuft ng • Tearbhg (509)535-335171 DIVISIONNE FAX(509)35-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-9828 PROJEm— j Z- DATE -z AII PERM 1AESS�f IT N�C�j i /�// P:4wC �r; 7NTRAt.,T�3�i tW Ailf- PR�J.f,�AD FtES ' FIELD REPORT ' �2 i _C EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ' ' %� /i ITEMS fNSPE T9P Z APPROV CYP C ot" OWNER CONTRACTOR FIEL ONTACT: DATE �CQNFOF311IFi�L / ; ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _ NONCONF9RMIN , 'This report is provided for the information of the client only.The reproduction of this report,by any method.and its NA ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report by Professional Service Industries Date �s TS-98-t N"1, Infbmw ion 3 CR 2 2 0 a rO Build SPOKANE DIVISION ,Engineering • Consu/tlnp • Tesdng (509)535-3571 FAX OW 535-1267 SEATTLE DIVISION EASTSIDF.DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-84 F X(503)252.5608 (360)297-8821 FAX(360)297-8828 L 7DATE E/,5 `�: t� PERMtT,NQ�• W.O, ARCHITECT,0 CO 1TRi�GTOR ' , I?RCJ,�ADRRES; f COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST TyE�ST LBS. P.S.I. TYPE jig c v � j V ✓ . - O U 2 S_5G5 11T, I Za_ 79Zo Des SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 C-143 C-172 i] C-231 C-1064 C-39 0 C-1231 TIME,TEMP.& p DATE _ MIXING DESIGN r SAMPLE WEATHER �d'� �� CAST - � PLANT STRENGTH F_ J TYPE IF PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE TYPE OF CEMENT CONC.TEMMP. SLUMP I7,0 ins. AIR _ 0 % QUANTITY *Cu.Yd. TRUCK TICKET# ` SUPER PLASTICIZED SLUMP te MIX# POUR LOCATION AND NOTES: DATE RECEIVED: a O�G2. c � EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECT PR: DATE ITEMS[N,SP CTEI, 3' APPROVEMPLAN OWNER CONTRACTOR i�/ ONTACT: DATE O1IFORMIMG ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER g _3 ^ NONCONFQR tN : /; "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries. 'f Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS Z acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 IPMA ; Information �43 CR 2208 TO Build On SPOKANE DIVISION Englnds9/!ng • CiOnaNl�ing • T040h9 (509)535-3571 FAX(509)535.1267 SEATTLE DIVISION EASTSIDF.I DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-OW FAX(206)282- 10 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589.2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 ' � , PROJECTNp �Z DATE C�,IEtv'tj /r - ,/ k�� # SS P>*RMlT,NO / W"O �;, r ram/ i� .• „ r, ./�%%,: PONTA 71 A'tTEN 'tpl� ARCHtTE Ti, r, r , i Pt30J, 4DpR c` COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH: CHECKED FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. 61.", PSI TYPE ITS Z o8 �- 2 .3 Z l,=� Ss < SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM/ ASTM ASTM ASTM ASTM C-3V C-143A C-1724 C-23.14< C-106404 C-39 Cj C-1231 El TIME,TEMP,8Q p DATE MIXING i DESIGN r SAMPLE WEATHER J'whuw (�3 CAST �- � PLANT STRENGTH FC s/ TYPE -99 PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE arm 4 5 �7W,�- _ / �k TYPE OF CEMENT CONC.TEMPP, SLUMP 7Y ins. AIR % QUANTITY de /Sd¢Cu.Yd. TRUCK TICKET# "!610 O 2-`p SUPER PLASTICIZED SLUMP c-V"ILO MIX# f� ` POUR LOCATION AND NOTES: DATE RECEIVED: 1N EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: I MAILED: INSPECTOR DATE X, % OWNER CONTRACTOR IEL ONTACT DATE �i ENGINEER BUILDING DEPT. � RIGtIIM ARCHITECT SUPPLIER _ NONCONFQRM1N. L,Ji "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries. Z Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 P.��; Information FR 2 3 2 5 T_o''/B.�uild On En9lneer/n� • COn"f kv • reemg SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-06M FAX(206)282-0 ( 5)485-0244 FAX(4 485-0611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 CE.IET '' iPROJE�'CAi0j/ DATE Aktt)iESS� ' /ice PERMIT AF>r1�ij10H%` ARCHtT7' FIELD REPORT 011 r A L, t r L r e EQUIPMENT IDENTIFICATION AND SIN#: COPIES TO: MAILED: INSPECW DATE %j _ ITEMS IIVPF � O OWNER CONTRACTOR APPROVECY PfJ� 1S RE' DATE �wFaRMI>+r ��/ ENGINEER BUILDING DEP CO ARCHITECT SUPPLIER - Z_q q NONCONF,t3RMt1� /; 'This report is provided for the information of the client only.The reproduction of this report.by any method.and its N ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shag rot be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date � ok S TS-98-f In omw tion R 20PS•i ZA � 1 iffToBuildOn AUG 2319r,l S POKANE DIVISIONErrkm W • ConsuMV • roadnB (509)535.3571 FAX(509)535-1267 SEATTLEDMSION EASTSIDEDIVISION TACO PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-I 9.2 I8 -5608 (360)297-8821 FAX(360)297-8828 CC.IEN '� PROJECT, Z DATE App"rzss Vo i RERMtT NO W.O. tr EIVGI EER�,/j/, , R'O'�O�i '% OaNTRA1rT9R% PR. J�iAD9RES; • COMPRESSION TEST RESULTS 01 SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE TESTED TEST LBS. P.S.I. TYPE 14 1 Z8 2 - 1(3 17 . o9 (n 2��d t 1 2-8 i L SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NED CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31[] C-143 C-172 C-231E] C-1064(—] C-39❑ C-1231E] TIME,TEMP.& ,� p DATE C� MIXING ' DESIGN , SAMPLE WEATHER rjo'v to CAST � / PLANT STRENGTH FC f TYPE IF PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE 1r'10 i 0 Z�s — _ _ TYPE OF CEMENT CONC.TEMMP�.9�`� SLUMP 1510 ins. AIR �_ % QUANTITY ,/A � *Cu.Yd. TRUCK.—AR/ TICKET# vv�` O v�' SUPER PLASTICIZED SLUMP ts/2.E�� MIX#/,l,?= POUR LOCATION AND NOTES: DATE RECEIVED: g ! >/ C�" ' tact r 1 EQUIPMENT IDENTIFICATION AND SIN#: COPIES TO: MAILED: INSPECT DR: DATE %ii%i%: 1`CEMS- ¢lSPjS0T9.p;` '13' APPRO �FI�pL NS E OWNER CONTRACTOR I ONTACT: DATE ;C �J�CR�<H('�✓ i ENGINEER BUILDING DEPT. f i ;/ ARCHITECT SUPPLIER C ,� n NONCONFQF'i�IIING -This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, �,' Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS IP Z acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 1.p% Information 2�3 CR 0209 fiW%-PffTo Build On Engineering - 0onsufting - Te&Mg SPOKANE DIVISION (509)535-3571 FAX(509)535-1267 SEATTLE DMSION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282 10 (425)485.4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PROJECftA'% Uo Z DATE -3- �CDI)tar ! PERMIT 1"O w.o A'�TEN�'10N%;; ARCFi1T�ty'Tj%/ P 7 CIONTRACT Rom; r COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) TESTED TEST LBS. P.S.I. CHECKED TYPE --3 SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR f TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTMS ASTM ASTM ASTM ASTM C-3Nr C-143,A C-1724 C-231�' C-106401 C-39[3 C-1231❑ � TIME,TEMP.�Q ,c�� p DATE Cuff MIXING t DESIGN ) r SAMPLE WEATHER J'�'"�if�i ��3 CAST 0 PLANT ✓� STRENGTH FC ./'-� S% TYPE PROPORTIONS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE v � � TYPE OF CEMENT CONC.TEMP.�f SLUMP 0 ins. AIR _ % QUANTITY �^ Cu.Yd. TRUCK % TICKET# 0 Z`o SUPER PLASTICIZED SLUMP 4-50'<AD MIX#%/ POUR LOCATION AND NOTES: DATE RECEIVED: AZ ' < q < 7CJ�J r ga EQUIPMENT IDENTIFICATION AND S/N#: — - COPIES TO: MAILED: INSPECTOR• DATE %'�%/%��` U S�[N,'�T' C'T .o ��,3- APP,R�V4J0P OWNER CONTRACTOR j ;�, IEL ONTACT DATE ENGINEER BUILDING DEPT. 9l� OR / ARCHITECT SUPPLIER MIN NONCONfiORN "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, `L Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 P �r Information MR 1322 To Build On SPOKANE DIVISION Engfn"rfng • COniuftfng • r"dng (509)535-3571 FAX(509)535-1267 SEAT-ME DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 Z. PROJECT f IC>r DATE lCLIEN,T% 'jam: PERMIT NQ<'%/, W.O. CIT1f%� %/j,/�% EN .tN ARCHjT Pf�.IEC'F /%: PROF a DRES . COMPRESSION TEST RESULTS AGE AT ULTIMATE STRENGTH SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SO.IN.) DATE TESTED TEST LBS. P.S.I. CHECKED Z 4 &-16 3I, ISv Ltd o P=iy VeS2-C,s0 svle - —1 ' PrCfes.lorla'DESION - SLUMP MIXING PLANT TRUCK# TICKET# STRENGTH FO GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS MORTAR CEMENT Rs&^eG.LAA p, FINE AGG. ADMIX PROPORTIONS R " b�c, hot Deyb6-k. 3#'s TUe ASTM C-1064 ASTM C-1064 TIME&WEATHER MORTAR TEMP. GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: ASTM C780 i]UBC 21-16 ❑ASTM C1019 UBC 21-18 0 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: Q EQUIPMENT IDENTIFICATION AND SM#: COPIES TO: MAILED: INSPECTOR- DATE - ' '% %%� �%% ��i % ITEM$INS�PL:ifte%f'L aPPRt)V�D', i1�5�f��j OWNER CONTRACTOR /AEU NTA DATE " ENGINEER BUILDING DEPT. r'' 'J`�Q}/ a/f � ARCHITECT SUPPLIER NONc9�CF9R�nrNC�' /,: NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its J transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98-1 1 7J Information FR ? 3/Mm To Build On SPOKANE DIVISION En8/neeirM9 • CanA8hldng • Teadn8 (509)5353571 FAX(509)535.1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-07 0 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-9821 FAX(360)297-8828 Ci;IE % ' PROJECT NO/-, QO Z DATE771 - At�RESS; Pli_RM�T O .o. A T/EW101 �` lCHITE Py4;Nth ''!%: / CQNTRA��1►��!' ` RC3JECT`�', : PRe3.f,�AR4R FIELD REPORT dze U NJ s c Y11.14 EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPE TOR: DATE ITEMS fNSPECTEQ/TO !; APPRn!�/ED PF i� S,/ R : OWNER CONTRACTOR IELD ONTACT DATE ', QNFQR1V4mJ ,/ ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _q C? ,NONCONFgRMtI%%i "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries }% Date is S TS-98.1 i Information MR 1322 2 To BuildOn RAP%120 inee Conanfthg Teedn S-3571 FAX DIVISION Engineering� ' � � 8 (509)5353571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282 710 (425)485.4244 FAX(425)485-4611 (253)589.1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 �LIENT � PRQJ)CTIlil,O!// DATE fD�RESS%� PkflM}7 �/� W.O. %/ en16 xz. ENGI/N_E -A�4'�NTIO�F;! %lifT,�CT j X. NTj,ACT,Ctt "PROJECT,/,� PR�J,Ak3DRES, COMPRESSION TEST RESULTS SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SCL IN.) DATE TESTED TEST AGE AT LBSLTIMATE STRENGTPS I CHECKED j + SIB 15wtsd plfaSA, Ve S —� DESIGN SLUMP MIXING PLANT TRUCK# TICKET# STRENGTH FC GROUT CEMENT C'SE AGG. FINE AGG. ADMIX MIX# PROPORTIONS MORTAR CEMENT WfiC—>oe6GLA*4.R, FINE AGG. ADMIX PROPORTIONS ASTM C-1064 ASTM C-1064 TIME&WEATHER MORTAR TEMPP, GROUT TEMP. DATE RECEIVED SAMPLED AND TESTED MORTAR GROUT PRISM OTHER IN ACCORDANCE WITH: []ASTM C780 UBC 21-16 ASTM C1019 UBC 21-18 0 ASTM E-447 UBC 21-17 POUR LOCATION AND NOTES: ore,d EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: I MAILED: I INSPEC OR: DATE ITEMS-iNP `�` At�PRt7i1/ � ; c�s�i� OWNER CONTRACTOR IEL NTA DATE /: ! QQR ?�,_j`T�Q�'/, ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER C ,>NoNC`4MFgR1�1 ` 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 ridInformationFIR�, To Build SPOKANF DIVISION En ring • Consulting • Testing (5091535-3571 FAX(509)5 3 5-1 267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)2824666 FAX(206)282-07 0 (425)485-4244 FAX(425)485�611 (253)589-1863 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 i3601 297-8821 FAX(360)297-88'_8 Cu ' PROJECT NO DATE •�• O �a0 PERMIT NO &AV ff&77'7W.O. �plEss, / CITE A'#TNJ iOf!" �kRGHI�' C 1 J 7/ CONTRACTQFi PR0.1 ADP'RES� FIELD REPORT 62 r< W cam. IYV., O � r t t t EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSP TOR: DATE: ITEMS INSPECTED TO OWNER CONTRACTOR S_ APPROVED'PLANS ARE:` IE D ON ACT: DATE: CONFORMING ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _ l� NONCONFORMING❑ 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report by Professional Service Industries Date TS-98-1 i infRorm1/a]ti'/o_/_Ln FR Z3 ? 9 [j4W% 10, To Bui v'— SPOKANII DIVISION Eng/needng • Coineuf V • Teadng (5091535.3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (4 )485-4244 FAX(425)4 -4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PROJECT NO:,.. .-, D DATE ESS`%r PIrHMC1"NCX/ : O. FIELD REPORT 7 . 2 EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: r INSPECTOR DATE j% TSMS'INSPE&TE"dM APPRO�fEt3P�Af1 OWNER CONTRACTOR ''%! I ONTACT: DATE CQNFQRMIN ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONFQRMIN. '-r ' "This report is provided for the information of the client only.The reproduction of this report,by any method.and its NAME ON OFF I ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries — _ Date fl- TS-98-1 �+ r Information FIR 2 /r PA To Build On SPOKANE DIVISION Engineering • CionAulMg • T9athig (509)535-3571 FAX(509)535.1267 SEATTLEDIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-07 0 425)4854244 FAX(425)4854611 (253)589.1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 E EISIrt'%;i _ PROJECT,NO l> Z� DATE - AD�# Ess% l PERAI't Nth / 77W.O. 0 0=4 /4 X" FIELD REPORT I-I'lalwid 01 ell lop, 00 r 3 c , S EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTO DATE ITEMS INSP,SCITEpx! �7-9 APPRO�/�D'P)~A►NS'. F Ir . OWNER CONTRACTOR CONTAC DATE C©NFdRNi1N �,�� ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER Q Q N0NCONF9RMING 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements' Certified Report by Professional Service Industries Date TS-98-1 RM InformationFR 353 To Build On SPOKANE DIVISION En8lneer/rV • 0onsuiting • Tefsdng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282.06M FAX(206)282-07 1& V25)4854244 FAX(425)485-4611 (253)589-1904 FAX(253)589-2136 (503)254.8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 %,X; PROJECT NO CJ Z 7 DATE — 7 O .O. �p} ARCftIt Ct; . //j FIELD REPORT Aga I I r 3 r EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPE TOR: DATE ''��i ITEM, "IN APPRO�VfIP �15'Al�f:! OWNER CONTRACTOR FIE t NTACT: DATE '` ENGINEER BUILDING DEPT. 4NFRIIAIN ,j ARCHITECT SUPPLIER �' p� q_(� NONCONF9R1ySIN CrY' "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries 2 5t�A� Date IsIr—115--; '7 TS-98-1 t,�+ F Infi�/µ�rra�ion FR 2 3 5 �� To B" i& On SPOKANE DIVISION Englneer�ng • ConstuftV • Tosffng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589.2136 (503)254-8418 FAX(503)252.5608 (360)297-8821 FAX(360)297.8828 CLIETVTj��%%_ PRgJ>^ NO DATE --/ Aa�RESs�'; PEF3MjT It `�' W.O. X. '4"d FIELD REPORT OR dQ 4 0- r EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE !TENS.INS`PE�TEt3%TI�';!�: �, APPF30V�Cy'P�A1fl$'�R� OWNER CONTRACTOR FIELD C A DATE CONFdRMItYCxr, ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER `NONCONFQRMIN j.: 6- 62 I ."This report is provided for the information of the client only.The reproduction of this report,by any meth d,and its NAM ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries 'i1 Date B"S=lf TS-98-1 f MM tom+fi Information FIR 2355 2P, To;.Build On SPOKANE DIVISION Engineering • Consiow g • Testilg (5091535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252.5608 (360)297.8821 FAX(360)297.8828 T/ / PROJECJrN / DATE — i J ��#ES�% PERMtt Na O. 9 M / % ENGiNEE6i/ / p f CHIT , i FIELD REPORT w EQUIPMENT IDENTIFICATION AND SIN#: COPIES TO: MAILED: INSPECTOR: DATE ITEMS'IC+ISP,EtE3/CO' �-1 APPROVPEE 'P OWNER CONTRACTOR EL NTACT: DATE CpNF(3RM1N1�C ENGINEER BUILDING DEPT. ij i, i�✓; ARCHITECT SUPPLIER (� l NONCONFORMING l .;� ,,,��,i % /ter, •'i; NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The repr ion of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries 2�Date TS-98-1 jS Air ornwt'ion f FIR 2 �453 �� To Build On Engineering - Conmifting - Testing (50915SPOKANE 1 FAX DIVISION 5.75-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 425)485-0244 FAX( 5)485-0611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 Ck t kfii� PROJECT NO DATE - �� ES ' PkRi�IIT NCY, W.O. HN Mr CH1TF,fyT/ 0111, FIELD REPORT r f EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ITEMS IIVSPECTEWT' OWNER CONTRACTOR APPROVEIf.I.A {$r4t " IE ONTA T: DATE ' CONFQRMIN ENGINEER BUILDING DEPT. / ARCHITECT SUPPLIER NONCONF9RMtt9t�� ( l 'his report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries .. late —/f TS-98-1 RL �r Information FR 2 � ? 7 To Build On Englneering • Cionsu/�bg • T&&Mg (509)53535 1 FAX(5NE 1090 35-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 T _ PROJECT':W." - 2-9802 DATE • ' 7 AtfQRE`S�y,' t !Z 1 t T� V - PER�dJ'1"IYC ;' W.O. ar i3Of+l/ SG T3CHITf-,/CI7' G y '.iN �t�NT1iA/C.yT�R q fz- S PRY.lrA4C�RE 2 C L N FIELD REPORT T .?'0I C c.v xj N _ - M !U PLAN , /V 5P ? N e-4C 7 _ri P a _ .4 t L 4 L - U i-t rL G Z3 L4-r Tb P C L N (:;�- 23 G-2. Z 70 Elr- Ou'Aic- cryN Q(2- C--77 tZc SCk Q MyrztLs 0 2- oo L4 O EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: I( f3C) W•4 r30 DATE ITEMS.'INIq ECTEf3i11 . -( - APPRC3V�E1P1S OWNER CONTRACTOR FIELD CONTAC DATE ;CpNFfYRJVkIN ;�! ENGINEER BUILDING DEPT. '•i/�/�/ ; ;/i/. ARCHITECT SUPPLIER '�,q NONCOIVF9RMINf`1C,� <; 'This report is provided for the information of the client only.The reproduction of this report,by any method.and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, JZ Crj ACC 2-,a o Q O (+ b Inc.,is prohibited." - "This certific.:`.in attests to the accuracy of the results obtained from the actual test performed and/or observations made within-.defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries �- Date TS-98-1 I � 1"I Inforrria�ion FR 2428 l To Build On SPOKANE DIVISION kifgirmering • COnsuf V • resting (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)485.4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)2525608 (360)297-8821 FAX(360)297-8828 Cht N C PROJ>~�T.[�D'�: - 2 DATE AkpRES�� I t 07 2 v PEFt�A)T 1Cf ' W.O. ` '7 u _ _ 7 I~t�IER/ 2 Ax EN 10 y A jC�H1T /�r; -� A N rr, f ., r// /, P Cj�t f/ C41T1:# t FIELD REPORT el m S ( /4 O F .r Aq ry 6, ME Z N I IV c A P9 V&0 QC.A NQ c S E,10 URC-1 #'J A CJ p!' c- Y G o . R.C--F .-2 (L 2 ?- A7 (� .4JO EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: I MAILED: INSPECTOR: Cho Q�O DATE �i ITEMS INMPE TEfYi 0. <i (6-`l aPPRO AR OWNER CONTRACTOR FIELD CONTACT: DATE CfiNFaRhlllilff,, ' r: ENGINEER BUILDING DEPT. /r ARCHITECT SUPPLIER p_�,qq NONCONF(�RNfING Q/ j "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST I OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, S.Ciia'y (r Zr Q L•1(D O Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries �� Date lotrr��J TS-98-1 ili Information CR P�, To Build On SPOKANE DIVISION Engineering • C onstlMng • TesUng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDFUIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-06M FAX(206)2824 710 (425)4854244 FAX(425)4854611 (253)589.1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 ENTj, PROJECT f10, D�7 DATE PERMIT NO z" / CZr CITYI�� i EISIT'10l�f t ARCHITETf; f✓ #r % ' -7/ CONTRACTOR COMPRESSION TEST RESULTS DATE AGE AT ULTIMATE STRENGTH FRACTURE SAMPLE I.D. SIZE AREA(SQ.IN.) CHECKED TYPE TEST TEST LBS. P.S.I. OCrl� DC SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31 C-143e� C-17?e( C-231 g< C-10644jr C-390 C-1231 TIME,TEMP.& DATE MIXING DESIGN /�(� SAMPLE WEATHER S CAST / PLANT STRENGTH FC�0�JJ TYPE r !V PROPORTIQNS: CEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE TYPE OF CEMENT CONC.TEMP. LsJG,!- SLUMP Lr• ins. AIR % QUANTITY �J �C C/u.Yd. yJ (QIG ✓/��r TRUCK TICKET# SUPER PLASTICIZED SLUMP MIX POUR LOCATION AND NOTES: DATE RECEIVED: r r r 7 I 1 EQ IPMENT IDENTIFICA N AND S/N#: C PIES TO: MAILED: INSPEC OR: DATE %% IT E M&1100,,ECTEtY;TQ,/4, d APPR0Vgt�PL¢NS� ; OWNER CONTRACTOR �-/ ; ; zriff I D ONTAC DATE ' . " i::•%:CO�I�ORIyiNCx ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER IyONCONFORMIN L�t Q / .•X i 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF I ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, J34j' Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries ,; Date TS-98-1 N,; Information FIR L A G 0 To Build On SPOKANE DIVISION Eng/n99/InB • Consuft n8 • resang (5091 5 35-357 1 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-071 (425 485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254.9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 ��,�E f PROJ �T N4 ! DATE DORESS'' P hAIT ICJ; ,% O. IT1t i H 101 ON% RCHIT .��', / ZZ FIELD REPORT 100, OAK= a-z==Y�Z�4 I 06 31 �.- �„ EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE 1TEMS;tr+fS1PETEt '`EO APPR �/F�U�P NS ARE % OWNER CONTRACTOR LD NTAC JDATE. f F (3NFORN411JCY ENGINEER BUILDING DEPT. j (+ ARCHITECT SUPPLIER "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited." 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries '�1 Date -3D�P TS-98.1 ,ra Am Info nation �11a1 CR 2 2' 1 'JWAro Build On � _ ^/rA SPOKANE DIVISION Engineering • Cionsuft llg • restinglFP (509)535-3571 FAX(5091535-1267 • SEATTLE DIVISION EASTSIDF.INVISION TACO4? � \O 1999PORTLANDDIVISION PENINSULA DIVISION (206)282-06M FAX(206)282.0710 (425)485-4244 FAX(425)485.4611 (253)589-1804 FAX(253)58��C d�(C@/;��,(rjQ3)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 Ems,, LAPROJfO,w: CD Z7 DATE PERIUItT N(? O / W.O. " E CFTY, ENGIO1rEt#irrr i ARCHITECT. r ` � /r COMPRESSION TEST RESULTS SAMPLE I.D. SIZE AREA(SQ.IN.) DATE AGE AT ULTIMATE STRENGTH CHECKED FRACTURE TEST TEST LBS. P.S.I. c 2 - SAMPLE AND TESTED FIELD SPECIMENS SLUMP SAMPLING AIR TEMP BREAK NEO CAP OTHER IN ACCORDANCE WITH: ASTM ASTM ASTM ASTM ASTM ASTM ASTM ASTM C-31& C-143e!� C-17?lie( C-231� C-10644jr C-39❑ C-1231❑ ❑ TIME,TEMP.& DATE Q C� MIXING DESIGN (%'j SAMPLE WEATHER V7� S CAST J 17� / PLANT STRENGTH FC w� -T TYPE PRO ORT SCEMENT C'SE AGG. FINE AGG. WATER ADDED ADMIXTURE ADMIXTURE ADMIXTURE Y a �s TYPE OF CEMENT CONC.TEMP. SLUMP 6• 0 ins. AIRR, "� % QUANTITY ,� Cu.Yd. TRUCK- TICKET# +�"'7 � SUPER PLASTICIZED SLUMP T/18 MIX# #R4RS:50' POUR LOCATION AND NOTES: DATE RECEIVED: dz or i f t 1 t E!! PMENT IDENTIFICA N AND S/N#: C PIES TO: MAILED: INSPECTOR: DATE ITEMS`tN��E��,CYi�C�%/, ;r AP1.PROt P .Aj�1S,� r. OWNER CONTRACTOR i '/ � %r I D ONTAC DATE ��1�QFIMIN,t /i. ENGINEER BUILDING DEPT. ,r X j ARCHITECT SUPPLIER r I�_ NorvcoWFot3�rr�o ] /j NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, 544j- Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-90-1 [P= .�+_i /IynfRornwti�/o_�-n FIR .L o Build 0 �' SPOKANE DIVISION Engirmorli/g • Consuilthg • Tesdng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)28240666 FAX(206)282-07 (4 5)485-4244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 f PROJECT NO ', Z DATE %/ - ., A ESS " PEHIfAtT IQ:,;, 22w.o. CITY' %j/i FIELD REPORT YOA 3, O� EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ITEMS•t1V PECTE�i,T i/ 1-4 APPRC31fECrPA►�1S'At OWNER CONTRACTOR FIELD NTACT: DATE C4NFORtihINC� ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _ NAME ON OFF ST OT MILES q NONCdNF(�3MtN iTt ij "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98.1 1AL am i Information FIR �? 1 iA To Build On /�y�� SPOKANE DIVISION Engineering - Conaub... g - Tearing (509)5353571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-07 (425)4854244 FAX(425)485.4611 (253)589-1804 FAX(253)589.2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 Pf�OJEj`f10�'. Z DATE f�? W, � PERMtt1Ct;y ' 7 W.O. -71 1 Alm Ak ,. FIELD REPORT Of r r EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSP C R: DATE ITEMS:"IN PETED',T0' APPRC3VEEP � ffF�% OWNER CONTRACTOR FIEL ONTACT: DATE COWFQR1Vll _,; ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONGONFQiiIyIINC? g -Z3 NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method.and its transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements."" /Certified Report by Date'e— Professional Service Industries TS-98-t PRE ; InfR/��ion FR ? t� q if To ild On SPOKANE DIVISION ng Bu f1ng • �'ionsufti 1g • TOstlng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282 0 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 PROJECT talc j DATE �? ErSS/ r PE�tiN11T �i / QMW.O. ENCatNl* f 4ttTR/� T / FIELD REPORT bo r i EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECT R: DATE il, ITEMS'INSPEC`�E�'Y,T� APPROVf�C7;P�:�CIS OWNER CONTRACTOR L NTA T: DAT , CQNFQRM ' �! ENGINEER BUILDING DEPT. ARCHITECT MSUPPLIER �_2� NONCONPgRMIt�G "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAM ON OFF ST OT MILES transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements" Certified Report by — f Professional Service Industries Date TS-98-1 M i 7fInfRor�matiomn FIR ' 5 3 6 Jfi, To Budd On SPOKANE DIVISION gng!neering • Cvanwufthg • T"Ung (5091535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 ,. PROJE Ma's DATE -25- /� i .. ' 01 �' '" W.O. APP LJ 1 < /ice z 1?141- %� ENCstNEEf % l p , f�CH17CY DY co j# C3.lE '/, F'R©f,AGMtt3iS [..! FIELD REPORT 1T 2 01-37 p F 2le P Gxz T N N y� u o cat C r-% L, A C G�p on f� 0 C—+4Z Tc F U R Ci-r A 7 r""4 1 77M F EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: it Ct3o lc j.03 a DATE '/�'i��i/, ITEMS IN, Pe(-TEDi'C�'!i� n ?- Z'5-59 aPPR�V I P 'AC 15'ARE OWNER CONTRACTOR FIELD CONTA DATE .CCsrwFOR IIY /./i. ENGINEER BUILDING DEPT. 'i%j� „ ARCHITECT SUPPLIER ^�f'(; NONCONF3MI1�1;`j•I�I �% "This report is provided for the information of the client only.The reproduction of this report,by any method.and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, s(„�/Q O Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 f IPW�: In orn��/ay t.^oy-n FR 2 3 TO//B�� uil On SPOKANE DIVISION ,;;gw ;;;r ng - COnsuld i/ - Tesung (509)535-3571 FAX(509)575-1267 SEATTLEDIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485.4611 (253)589-1804 FAX(253)589-2136 (503)254.8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 G ;IE PROJ.�C�NO '>> 2- a DATE - !i. '. PERMIT NO* 17 R- W.O. _ r. r ' jj%j/'� ENIC�IN�EFi Z' phi� e -7 S ,�1 ►.l $CHtT7',//,�/ , ... pR 57 o p�Of,� CRE C -ra ru L FIELD REPORT ioi -7 To laianra Cn m n — t ,i -t CONF0 -r <-o _ _-V ( O V opotq 7 'T C O N 4-Z EQUIPMENT IDENTIFICATION AND S/N#: ", ii ;'�X COPIES TO: MAILED: INSPECTOR: i C(2 OI W A O(3 DATE i; ITEMS INSPETEpiCC�' , y i=c g- 2-7 - APPRa►VOO PLA OWNER CONTRACTOR FIELD CONTACfh IDATE CC3NFORMINC� ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER _.�� NONCONFgRMIN NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method.and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, r V . Inc.,is prohibited." "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS 4. made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries Date TS-98.1 .�+ A. Information I . 3',_ , �/y MR 13 U 2 _ �• To//Build On SPOKANE DIVISION - Engineering• Consulting • Testing ��yJ (509)535-3571 FAX(509VI)535-1267 SEATTLEDIVISION EASTSIDE DIVISION TACOMADIVM/qyISION `I°B� E PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)4854244 FAX(425)4854611 (253)589-1804 F 253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 LINT DATE - - 57 DDtS j a y — /av� Professior:al IT7PERK NQ ; 6ld g8 i33R/ W. is ' fe�vL O CITY,,- ; ? ENdiN r �.: Ftdt�CT�'` l p PROf A[YDRES a Li/B S 4 COMPRESSION TEST RESULTS AGE AT ULTIMATE STRENGTH CHECKED SAMPLE I.D. TYPE GROUTED SIZE(L,W,D) AREA(SO.IN.) DATE TESTED TEST LBS, P.S.I. 7 3-7 oc 2 3 1 R 7 (p s 38 DESIG ,( ! !( [STRUCK# TICKET# 5.3(� STRENGTH EN �� SLUMP MIXING PLANT C GROUT CEMENT C'SE AGG..�,� FINE AGG. ADMIX MIX# PROPORTIONS 37ZJC r �— vO `-OZ- MORTAR CEMENT C'SE AGG. FINE AGG. ADS PROPORTIONS ASTM C-1064 ASTM C-1064 TIME&WEATHER MORTAR TEMP. GROUT TEMP. (DATEEGV SAMPLED AND TESTED MORTAR GROUT PRISM _PT IN ACCORDANCE WITH: i�ASTM C780 ❑UBC 21-16 ❑ASTM C1019 UBC 21-18 0AWSM P POUR LOCATION AND NOTES: v o EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: �' DATE %' " �/ ��' ITEMS N,�aPIE—t'SI"TCY, APPRVt7 Pt[ SC j OWNER CONTRACTOR FIELD CO ACT: JDATE. ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER Pj �� NONCgNFRMIN NAME ON OFF ST OT MILES 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its `SO transmittal to a third party,by any means,except in full,without the full permission of Professional Service Industries, -Tatb Inc.,is prohibited' "This certification attests to.the accuracy of the results obtained from the actual test performed and/or observations TOTAL HOURS made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by '.�1.� Professional Service Industries Date TS-9B-1 ru Z_i Mf OW To l'n FR r'- 8 IMAJ "o Build O'_-/_ SPOKANE DIVISION Engineering • Consullting • Testing (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMA DIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)4854611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5609 (360)297-8821 FAX(360)297.8828 CC fEW ,; C PROJECT,NO '< DATE r r' AE�?fiESs; PERMIt HO - W.O. ARCHITECT r FIELD REPORT ka Ap y .s � v i ✓ � EQUIPMENT IDENTIFICATION AND SIN#: COPIES TO: MAILED: INSPECTOR: jar DATE ITEMS INSPECtE %�O j ` 3o APPROVEI�P�A,NE'AR� OWNER CONTRACTOR "r%�� ' i >' FI CO ACT: DATE CONFrORMIt �"t' rr ! ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER -3o NtONCONF9RIV(tl� NAME ON OFF ST OT MILES "This report is provided for the information of the client only.The reproduction of this report,by any method,and its transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, jet (�c SQ Inc.,is prohibited' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries ., Date �c id TS-98-1 N�; Inf `�•omwtiion FIR ' 5 9 5 To Build �_I SPOKANE DIVISION Englneeaing • Consuftli lg • Tsstt)g (5091535-3571 FAX(509)535-1267 SEATTLE DIVISION FASTSIDEDIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-0244 FAX(425)485.4611 (253)589-1804 FAX(253)589-2136 (503)254-9418 FAX(503)252.560E (360)'297-8821 FAX(360)297-8828 i/� NO',' J DATE PI - REIS �! ?RM�T/I CYjr/. C .O. Z- j��j�j��, //,/cif ENG! t�E�r� PRR3.�/ t]rgF; FIELD REPORT 10 U - iv EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: MAILED: INSPECTOR: DATE ITEMS IN PE TE,a/ i 09, k APPROVED P �'1 /AI E.% OWNER CONTRACTOR O CT: ONFOR DATE: //, / ENGINEER BUILDING DEPT. % //,j//,j/� /X ; ARCHITECT SUPPLIER NONEONF9RM ,x 'This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Professional Service Industries Date TS-98-1 M im i7 � Information FR � � , 5 Vmm , R To Build On SPOKANE DIVISION Engineering • Coinsultlng • TooUng (509)535-3571 FAX(509)535-1267 SEATTLE DIVISION EASTSIDE DIVISION TACOMADIVISION PORTLAND DIVISION PENINSULA DIVISION (206)282-0666 FAX(206)282-0710 (425)485-4244 FAX(425)485-4611 (253)589-1804 FAX(253)589-2136 (503)254-8418 FAX(503)252-5608 (360)297-8821 FAX(360)297-8828 �,1ENT PROJEC3'NO 7 DATE - - AiQRESS, �Z�Z� l PEFtI4Al'�1�fCt C O. Z 16 i� rr Af 'HIT p E11, �i CONTI�AG 'Q�i ...... . .. .. .. . FIELD REPORT l3 ' f f EQUIPMENT IDENTIFICATION AND S/N#: COPIES TO: I MAILED: INSPECTOR: DATE ITEMS 1NSPEG'TEd' 10" OWNER CONTRACTOR O CT: fDATE- CONF�RMIN ENGINEER BUILDING DEPT. ARCHITECT SUPPLIER NONCONF9FiMtNG , "This report is provided for the information of the client only.The reproduction of this report,by any method,and its NAME ON OFF I ST OT MILES transmittal to a third parry,by any means,except in full,without the full permission of Professional Service Industries, -311 Inc.,is prohibited.' "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the defined scope of the work.Certification shall not be construed to represent in inspection,approval or TOTAL HOURS acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by Professional Service Industries /•� i�S _Date /D TS-98-1