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Home My WebLink AboutCOM2007-00122 - COM Engineering / Geo-Tech Reports - 12/20/2007 Krazan & Associates, Inc. 20714 State Hwy. 305 N.E. Suite 3C, Poulsbo, WA 98370 (360)-598-2126 Project No. 106-07228 Cyl. Code P13591 Pour Date 12-13-2007 Report No. 28157 weather OVERCAST Jurisdiction MASON COUNTY Permit No. Project MASON COUNTY MAINT FAC. Engineer Location SHELTON, WA Architect client MASON COUNTY PW Contractor MT BAKER SILO Field Data Site Mix Reported Batch Data Supplier MILES Plant No. 208 Cement Type I & I I Concrete X Mortar Grout Flex Beams Design Actual X Prisms Grouted Ungrouted Other Mix No. 15 LCD2 Conc. Air Cam.lbs. 537 Temp. Temp. Unit F.Ash lbs. 101 Time Truck# Ticket# %Air Slump (F) (F) wt. 1:35 M079 135442 4.7 6 66 40 - C.agg.lbs. - C.agg.lbs.2 1415 C.agg.lbs.3 431 Sand lbs. 456 - _ _ Water 22 Place_ment Area Admixture 26 Footings Walls Columns Grade Beams Other 30 Slab/Deck Slab Pilings Other Air Ent.(oz/cwt.) .43 Grids 2ND 5' LIFT OF 30' DIAM RESERVOIR. INSPECTED RESTEEL, PLACEMENT, CONSOLIDATION Water Added on Job(gals.) 0 Field Test Methods Remarks SAMPLED @ 7 OF 14 YARDS PLACED 5-7.5 ASTM C1064 ® ASTM C173 ❑ ASTM C31 ® Other --- Items Inspected Inspector JONATHAN BAAS Reviewed B0, Conforming Non-Conforming Laboratory Data DesiXgn Strength 3000 Date Specimens Redd. 12-14-2007 Cyl. Test Dia Length Max. Comp. Tested Break Lab Test Method Code Date Age Dim. Area Load Str.(psi) Set# By Type ASTM C39 4A P13591- 12/20/07 7 4X8 12.57 71280 5,670 TBH 2 ASTM C109 ❑ P13591- 01/10/08 28 4X8 12.54 89245 7,120 JS 1 ASTM C617 0 ASTM C1231 'n P13591- 01/10/08 28 4X8 12.54 90720 7,180 JS 5 ASTM C1019 ❑ P13591- 01/10/08 28 4X8 12.54 89983 7,160 JS 5 Other P13591- Compressive P13591- Flexural P13591- P13591- Test Results Remarks FR 91714 � Conforming Non-Conforming Results Reviewed By �) Date Reviewed Codes for Break Types: 1.Cone 2. Cone&Split 3. Cone&Shear 4. Shear 5. Columnar(Split) Xrazan & Associates, Inc. 20714 State Hwy. 305 N.E. Suite 3C, Poulsbo, WA 98370 (360)-598-2126 Project No. 106-07228 Cyl.Code P13554 Pour Date 12-10-2007 Report No. 28718 Weather OVERCAST Jurisdiction MASON COUNTY Permit No. COM 2007-0122 Project MASON COUNTY PUBLIC WORKS Engineer Location SHELTON, WA Architect Client MASON COUNTY PW Contractor MT BAKER SILO Field Data Site Mix Reported Batch Data Supplier MILES S & G Plant No. 208 Cement Type I & I I Concrete X Mortar Grout Flex Beams Design Actual X Prisms Grouted Ungrouted Other Mix No. 0265A Conc. Air Cem.lbs. 608 Temp. Temp. Unit F.Ash lbs. - Time Truck# Ticket# %Air Slump (F) (F) Wt. 2:25 M024 24062 4.7 4.25 56 40 - C.agg.lbs. - C.agg.lbs.2 1818 C.agg.lbs.3 - Sand lbs. 1270 I Water 27.5 placement Area Admixture 17.6 Footings Walls Columns Grade Beams Other - Slab/Deck Slab Pilings Other Air Ent.(oz/cwt.) 2.1 Grids 30'X 20' TANK SOG REINFORCEMENT#5 @ 12" BOTTOM MAT, #6 @ 11.5 TOP MAT#6 VERTS AND WATER STOP SET. Water Added on Job(gals.) 20 SAMPLED IN NORTH QUADRANT. Field Test Methods Remarks 45.5 YARDS PLACED BY PUMP, CONSOLIDATED ASTM C143 ®. ASTM C138 ❑ BY MECH. VIBRATION. W/C=0.40 ASTM C1064 ® ASTM C173 ❑. ASTM C31 ® Other Items Inspected Inspector PENN SEELY Reviewed By Conforming Non-Conforming Laboratory Data Design Strength 3000 Date Specimens Rec'd. 12-11-2007 Cyl. Test Dia Length Max. Comp. Tested Break Lab Test Method Code Date Age Dim. Area Load Str. (psi) Set# By Type ASTM C39 P13554- 12/17/07 7 4X8 12.61 54300 4,310 TBH 2 ASTM C109 0 P13554- 01/07/08 28 4X8 12.58 74825 5,950 TBH 1 ASTM C617 ❑ ASTM C1231 a P13554- 01/07/08 28 4X8 12.58 79230 6,300 TBH 1 ASTM C1019 0 P13554- 01/07/08 28 4X8 12.58 77030 6,120 TBH 1 Other P13554- x Compressive P13554- Flexural P13554- P13554- Test Results Conforming Remarks FR 95192 Non-Conforming Results Reviewed By '�; Date Reviewed Codes for Break Types: 1. ConeF1 2. Cone&Split2 3. Cone&Shear 4. Shear 5. Columnar(Split) Krazan & Associates, Inc. 20714 State Hwy. 305 N.E. Suite 3C, Poulsbo, WA 98370 (360)-598-2126 Project No. 106-07228 Cyl. Code P13585 Pour Date 12-12-2007 Report No. 28720 weather OVERCAST Jurisdiction MASON COUNTY Permit No. COM 2007-0122 Project MASON COUNTY WATER TANK Engineer Location SHELTON, WA Architect Client MASON COUNTY PW Contractor MT BAKER SILO ---- Field Data Site Mix Reported Batch Data Cement Type I & I I Supplier MILES S & G Plant No. 208 Design Actual X Concrete X Mortar Grout Flex Beams Prisms Grouted Ungrouted Other Mix No. 15LCD2 i Conc. Air Cem.lbs. 538 Temp. Temp. Unit F.Ash lbs. 99 Time Truck# Ticket# %Air Slump (F) (F) Wt. 11.25 M027 24104 6.5 5.5 61 39 - C.agg.lbs.C.agg.lbs.2 1432 C.agg.lbs.3 431 Sand lbs. 1222 Water 23.3 Placement Area _ 38.6 Admixture Footings Walls Columns Grade Beams 25.6 Other Slab/Deck Slab Pilings Other Air Ent.(oz/cwt.) .9 Grids FIRST S WALL LIFT. SAMPLED FIRST LIFT OF THIS SECTION. REINFORCEMENT (19) HORIZ #6 @ 3.25" Water Added on Job(gals.) 10 (182) #6 VERTS, APPROX 6" OC Field Test Methods Remarks 14 YARDS OF CONCRETE PLACED ASTM C143 ® ASTM C138 p. ASTM C1064 ® ASTM C173 p. MECHANICALLY VIBRATED. W/C=0.32 ASTM C31 ® Other ---- - -- - - - Items Inspected Inspector PENN SEELY Reviewed By Conforming Non-Conforming Laboratory Data Design Strength 3000 Date Specimens Rec'd. 12-13-2007 Cyl. Test Dia Length Max. Comp. Tested Break Lab Test Method Code Date Age Dim. Area Load Str. (psi) Set# By Type ASTM C39 P13585- 12/19/07 7 4X8 12.57 59600 4,740 TBH 2 ASTM C109 O P13585- 01/09/08 28 4X8 12.47 79750 6,400 TBH 1 ASTM C617 O ASTM C1231 P13585- 01/09/08 28 4X8 12.47 78905 6,330 TBH 2 ASTM C1019 O P13585- 01/09/08 2)8 4X8 12.47 79330 6,360 TBH 2 Other P13585- X Compressive P13585- Flexural P13585- J Test Results P13585- ,� Conforming Remarks FIR 95194 Non-Conforming Results Reviewed By f,, Date Reviewed Codes for Break Types: 1. Cone V 2. Cone& Split 3. Cone&Shear 4.Shear a 5. Columnar(Split) 1 I .. Krazan & Associates, Inc. 20714 State Hwy. 305 N.E. Suite 3C, Poulsbo, WA 98370 (360)-598-2126 Project No. 106-07228 Cyl.Code P13610 Pour Date 12-17-2007 Report No. 28722 weather OVERCAST Jurisdiction MASON COUNTY Permit No. COM2007-0122 Project MASON COUNTY PW MAINT FAC Engineer Location SHELTON, WA Architect Client MASON COUNTY PW Contractor ROGNLIN/MT BAKER SILO Field Data Site Mix Reported Batch Data Supplier MILES S & G Plant No. 208 Cement Type I & I I Concrete X Mortar Grout Flex Beams Design Actual Prisms Grouted Ungrouted Other Mix No. 15LCD2 Conc. Air Cem.lbs. 536 Temp. Temp. Unit F.Ash lbs. 96 Time Truck# Ticket# %Air Slump (F) (F) Wt. 12:45 M027 24182 6 5.5 61 44 - C.agg.lbs. - C.agg.lbs.2 1443 C.agg.lbs.3 445 Sand lbs. 1187 _ Water 20 Placement Area 38.3 Admixture Footings Walls Columns Grade Beams Other 25.4 Slab/Deck Slab Pilings Other Air Ent.(ozlcwt.) .4 Grids 3RD 6 SECTION OF TANK WALL. REINFORCEMENT PER DIBBLE ENGINEERING DRAWING: #5 AT 11.5", HORZ SPLICES Water Added on Job(gals.) 10 STAGGERED. SAMPLED AT FIRST LIFT. Field Test Methods Remarks 14 YARDS PLACED BY WINCH & BUCKET, (ASTM C143 ® ASTM C138 p. CONSOLIDATION BY MECHANICAL VIBRATION. !ASTM C ®. ASTM C173 ❑. ASTM C31 ® Other W/C=0.28 --- Items Inspected inspector PENN SEELY Reviewed By Conforming Non-Conforming Laboratory Data Design Strength 3000 Date Specimens Rec'd. 12-18-2007 Cyl. Test Dia Length Max. Comp. Tested Break Lab Test Method Code Date Age Dim. Area Load Str. (psi) Set# By Type ASTM C39 P13610- 12/24/07 7 4X8 12.57 68570 5,460 TBH 2 ASTM C109 ❑ P13610- 01/14/08 28 4X8 12.56 87450 6,960 JS 5 ASTM C617 ❑ ASTM C 1231 P13610- 01/14/08 28 4X8 12.56 87350 6,950 JS 5 ASTM C1019 ❑ P13610- 01/14/08 28 4X8 12.56 87400 6,960 JS 5 Other P13610- x Compressive P13610- Flexural P13610- P13610- Test Results A Conforming Remarks FR 95196 Non-Conforming Results Reviewed Byq Date Reviewed �� Codes for Break Types: 1. ConeF1 2. Cone&Split M 3. Cone&Shear R 4. Shear 5. Columnar(Split) Krazan.& Associates, Inc. 20714 State Hwy. 305 N.E. Suite 3C, Poulsbo, WA 98370 (360)-598-2126 Project No. 106-07228 Cyl.Code P13624 Pour Date 12-20-2007 Report No. 28724 weather CLEAR .jurisdiction MASON COUNTY Permit No. COM 2007-0122 Project MASON COUNTY PW MAINT FAC Engineer Location SHELTON, WA Architect Client MASON COUNTY PW Contractor ROGNLIN/MT BAKER SILO Field Data Site Mix Reported Batch Data supplier MILES S & G Plant No. 208 Cement Type I & I I Concrete X Mortar Grout Flex Beams Design Actual X Prisms Grouted Ungrouted Other Mix No. 0165A Conc. Air Cem.lbs. 607 Temp. Temp. Unit F.Ash lbs. - Time Truck# Ticket# %Air Slump (F) (F) Wt. 11:10 M081 24219 5.3 5 59 44 - C.agg.lbs. - C.agg.lbs.2 1854 C.agg.lbs.3 - Sand lbs. 1253 Water 30.4 Placement Area Admixture - Footings Walls Columns Grade Beams Other - Slab/Deck Slab Pilings Other Air Ent.(oz/cwt.) 4.1 Grids LID, (TOP OF TANK) SAMPLED EAST QUADRANT. -- -- REINFORCEMENT: 5 @ 8.5" O.C. E.W. (2) ADDN #6 Water Added on Job(gals.) 10 EACH SIDE HATCH, (2) DIAG #6 AT HATCH. Field Test Methods Remarks 30 YARDS PLACED BY BOOM PUMP, VIBRATED. ASTM C143 O ASTM C138 O W/C—.43 ASTM C1064 O ASTM C173 O. ASTM C31 O Other J — Items Inspected Inspector PENN SEELY Reviewed By Conforming Non-Conforming Laboratory Data Design Strength 3000 Date Specimens Rec'd. 12-21-2007 Cyl. Test Dia Length Max. Comp. Tested Break Lab Test Method Code Date Age Dim. Area Load Str. (psi) Set# By Type ASTM C39 P13624- 12/27/07 7 4X8 12.57 47275 3,760 TBH 1 ASTM C109 O P13624- 01/17/08 28 4X8 12.54 66300 5,790 JS 4 ASTM C617 O ASTM C1231 4 P13624- 01/17/08 28 4X8 12.54 63700 5,080 JS 4 ASTM C1019 O P13624- 01/17/08 28 4X8 12.54 65000 5,180 JS 4 Other P13624- Compressive P13624- Flexural P13624- P13624- Test Results Remarks FR 95198 X Conforming _T jli7'�' Non-Conforming Results Reviewed By� Date Reviewed �2 Codes for Break Types: 1. Cone 2. Cone&Split 3. Cone&ShearF] 4. Shear 0 5. Columnar(Split) Krazan & Associates, Inc. 20714 State Hwy. 305 N.E. Suite 3C, Poulsbo, WA 98370 (360)-598-2126 Project No. 106-07228 Cyl. Code P13618 Pour Date 12-18-2007 Report No. 33315 weather OVERCAST Jurisdiction MASON COUNTY Permit No. COM 2007-00122 Project MASON COUNTY PW WATER TANK Engineer Location SHELTON, WA Architect client MASON COUNTY PW Contractor ROGLINS/MT BAKER SILO Field Data Site Mix Reported Batch Data Supplier MILES Plant No. Cement Type I & I I Concrete X Mortar Grout Flex Beams Design Actual X Prisms Grouted Ungrouted Other Mix No. 15LCD2 Conc. Air Cem.lbs. 535 Temp. Temp. Unit F.Ash lbs. 101 Time Truck# Ticket# %Air Slump (F) (F) wt. 1:30 M081 135502 2.8 5 53 41 C.agg.lbs. 1435 C.agg.lbs.2 - C.agg.lbs.3 - sand lbs. 1340 Water 21.6 Placement Area Admixture 25.7 Footings Walls Columns Grade Beams Other 37.7 Slab/Deck Slab Pilings Other Air Ent.(oz/cwt.) .4 Grids WATER TANK, FOURTH LIFT SAMPLED AT SAME BOTT LIFT. Water Added on Job(gals.) - Field Test Methods 7 Remarks 14 YARDS PLACED BY BUCKET MECH CONSOL. ASTM C143 15g. ASTM C138 p. ASTM C1064 ASTM C173 0. W/C=.30 ASTM C31 0 Other _. - -- ------- -- Items Inspected Inspector WILLIAM UGOLINI Reviewed By Q'C_ Conforming Non-Conforming Laboratory Data Design Strength 3000 Date Specimens Rec'd.'�12-19-2007 Cyl. Test Dia Length Max. Comp. Tested Break Lab Test Method Code Date Age Dim. Area Load Str.(psi) Set# By Type ASTM C39 ], P13618- 12/26/07 8 4X8 12.63 73325 5,810 TBH 2 ASTM C109 'p P13618- 01/15/08 28 4X8 12.57 94085 7,480 JS 5 ASTM C617 0 ASTM C1231 P13618- 01/15/08 28 4X8 12.57 90900 7,230 JS 5 ASTM C1019 P13618- 01/15/08 28 4X8 12.57 92490 7,360 JS 5 Other k -� P13618- `x Compressive P13618- Flexural P13618- P13618- Test Results X, Remarks FIR Conforming 92031 Results Reviewed By �/ , G Date Reviewed d n Non-Conforming Codes for Break Types: 1. Cone 17 2. Cone&Split 3.Cone&Shear 4. Shear 5. Columnar(Split) I F,_L_D REPORT NO: V*.XaZM & Associates , Inc . GEOTECHNICAL ENGINEERING ' ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: ld 62�L �'��7 CONTRACTOR: JUf i G O PROJECT#: l�� D�a � JURISDICTION- PROJECT: Esc -Gd< 1qV1,,!jc Ulm. 3o'x�c'r ivy PERMIT#: Comet. 2C 7 — LOCATION: S*_rCrP--a INSPECTOR:f . KRAZAN PROJECT MANAGER: �a WEATHER: TEMP: C�d ��l Sr7`F %�2 ;S'�i�ef•�. :..%+l�i��idnl o�= �jllrFd�c�y �od+'c��r,E 57 e)ems, Oea ;?y A5 C_ll�so n T.�s 7- Ent linment/Asset NLmber(s): To the best of my knowledge,the abov6q/WAS NOT performed in accordance with the approved plans,specifications,and regulatory requirements. Superintendent/Representative: Technician: L Serving the Western United States 1501 Field Report.doc Revision 1 Effective Date:SRS/OS The infnrmatinn nm,idrd on this rennrt is oreoared for the exclusive use of the client.This renort may not be reproduced m anv format without the written Derntission of the client and Krmui&Associates. F,_t_D REPORT NO: �j u 19 WraZM & Associates , Inc . GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERINGI CONSTRUCTION TESTING ANo INSPECTION DATE: I2 0,46 a20D7 CONTRACTOR: ��I�l�'�' JJtO//cOGNGI�Ys' PROJECT#: JURISDICTION: S�II CEO PROJECT:J /�St�h : f' .rc��'s�� 7-,9nK PERMIT#: e,4,t 2ev7 -ora �L_ LOCATION: S' /-��t'/ Lf�/g INSPECTOR: �.t/i� KRAZAN PROJECT MANAGER: T� WEATHER: O if S 7- TEMP: j? O/V _V/7f FDi2 ;25- (8.i� 40X4, A,9 &r*s ?�64Gr®� �i�J�F F�cz e e4 w'o"W J{2 `,�y.e1 o r- j -Ti9, e m r 7"� C a pn ;Z O 67.7 — d too&O, �iY�/>J-G°f"r D �QrJiyFDeca�/�L�6�T r�.vtD r�Nc�i� ,8v�7'3 �.+� h'1c�No��rfl�G fJV �y1u�/ 1d4 Vr�rs. ff,p Lis fN I,or.�e� ��°= sT2u� ,e�LSR s�AT .sTi�EL C KT r�r G"t2C-uLi1s Yd'2� �i�i47iN6 t5�S�/�/YJ'I ��(/!� T/�dJG�7/�L� ,d64A16-5 IJJ; A,`ti719AC S44 ;"/"w 1191-FA} /diQ JcO� it d�J9 o1c epvtc's T��T 5'T/r_`e, Equipment/Asset Number(s): To the best of my knowledge,the abov WAS WAS NOT performed in accordance with the approved plans,specifications,and regulatory requirements. ' Superintendent/Representative: Technician: �G Serving the Western United States 1501 Field Report.doc Revision I Effective Date:525/05 Th,infnrmarion n id A nn rhis mmrt is nrenared for the exclusive use of the client.This reoon may not he moroduced in anv format without the written oetmission of the client and Kr =&Associates. y -= FIELD REPORT NO: K.XaZan & Associates , Inc . GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: //,7 AKc6m,*W ap4 7 CONTRACTOR: �aGnra'v I t. ,;- PROJECT #: /O G- 07�o`Z8 JURISDICTION: yYJ�}t Ge PROJECT: /44'--1 CD• "--J. PERMIT#: C4A*7 AL707 - 0 / .2 2 LOCATION: Ste/-L4_06f I L.- A INSPECTOR: �j�n�i5� �5'��G� KRAZAN PROJECT MANAGER: �l l3 WEATHER: Qd'cg9'T TEMP: �/� ON S!7T/ /ER slur c/gC %vs�o�ra'/o!�/ o� Cwy u? r� !`�L/f G E /2t,E.v r ,g'T �R[� , S ' sEcT.o,./ of T.g•y,� wgGc , �cirvFo,zu�stir6Nr }�f,z 1�laocs_= /c.ftc,. 02�ru..ve.� #.r fio,c�Zon�>A� 097 y7s • O.C. SPUc STrieGE�e�D, ems' //,6.ei"ic�Ls Y4 0s of VX/[-!_; st e A""K /s'L. C D a LG000 Ar/ W11?7, G—z-e�* _ je}/7P/ 4l/�'S' PLrgGFy 8f-' W/NC✓� f1Nr7 kQuU�/_' L'd�!/G.QFy/� 41�j'S GDNSOG/,JRTi-1} B y rv1 FGhli4N/G/i'G /I!/�.ef}T/Dn� G'O�CIG/LETG� Gfl�S 7�,FS�i_<D fa�Z rF_�-K-/'. SLG[u�jJ, rf.v� f�i.� CaKT O!t/c �5'FT aF Fo�R �oyvrp2�ss/o.t� sgnrpcf s wF2� Gir s7: lP,��F_.Z�iyCF_ C f G ins aE� ,Fe-,Odi2T 2 8 '7 ?2 A-t TBs T oa?rr, Equipment/Asset Number(s): To the best of my knowledge,the abovd�o WAS NOT performed in accordance with the approved plans,specifications,and regulatory requirements. Superintendent/Representative: Technicia Serving the Western United States 1501 Field RrpnrrAnc. Revision I Effective Date:5/25M5 The information provided on this report is prepared for the exclusive use of the client.This report may not be reproduced in any format without the written permission of the client and Kraznn&Associates. r, _ FIELD REPORT NO: ..,,,.V%XaZal & Associates , Inc . GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: f z— / R �'� CONTRACTOR: IJ�GI �i��/ '0� S PROJECT#: JURISDICTION: Woq`7 Cj� PROJECT: /"& _3 'v 7W-`�A PERMIT#: Grp LOCATION: ��/a J�3" ( INSPECTOR: KRAZAN PROJECT MANAGER: tT"f��l WEATHER:_ TEMP: �� Lill) A ' �n d�,(aere- .411r"7; �'Lr�/�" /�? /<� G[��.9r.2�ram. C�/1�✓ c5% r+r'L -� 72VZ! `s I Z; } tj G�G L9 L;1J�7` i��'S�GfY� � '� � (fi ✓�'GlLf�fa� �\.� C11-7VAr/ 7 i ,fey P_16 Ze i�.vl:� � �'/•-,��, Equipment/Asset Number(s): To the best of my knowledge,the abov W /WAS NOT performed in accordance with the approved plans,specifications,and regulatory requirements. Superintendent/Representative: Technician• :_'�) Z `r Serving the Western United States Revision I 1501 Field Reporlak., Effective Date:5l25/05 thk renrn rs rrcnarxi for the exclusive use of the client.This report may not be reproduced in any formal without the written permission of the client and Kruan&Associates. FIELD REPORT NO: 1.-'-�KraZan & Associates , Inc . GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: Ro oZO&i7 CONTRACTOR: PROJECT#: lo 6- O 7 a a 8 JURISDICTION: �'1.4-Se►�t �O, PROJECT: M4S&-A 60- 1�• w,d!. 44*my Ac, YiWdy PERMIT#: O P -20o7 - o / 2_ LOCATION: INSPECTOR: 1Pis/VA1 KRAZAN PROJECT MANAGER: �l"-6 WEATHER: TEMP: t (3N fl Z-1- lD d 510i c/.9 c �/�iy sP�cTi o N- Q� Col�ce �i£ GAG/:1k rw7- 47- L1a� crop ox K:AYC-- F 30 is ad '7';#-Afl<: 07t Al- H4 rcly 7a f-14To H. 30 Y' -Aps oXI, 1ple FS S f G M/<. D/6 Sf! . �G• ssk .¢..e clt-�s �G•9 c%� �Y ,f?vp,n �K.�.-XJ_ �o.v se c/.y��d !�Y �'/�C/�A�/!c i3L �yAs cw5;r ZF 7Z Y Fa.c ��/N�oRGFltitily I.Y6,Ofc T dN Or SL4/3 gl �OdERc'!� O�[TAeoi2 57a.2irG�,. /3GDG 3, l/fiJl¢SONCo. COW o200 f"oOoGo /y Ar SKG/5G Ar,,e -DWG, �v�to�lrX/� �nori•�e Pf� 5l/s-0o. e1014 A., P!!rles .ok'e y/sa o i. C/P PaAUC f47 G'pyrsTit.cc.�'i�i1 7- C.91'r!c (,44/00 i9.PiC/off /.V G�-GEi Ca/VC+Z�rE G'D!/F!< oN lZ/�/N/�RL CH�1Fit/T IiH.O!�y/�ii iN!£D, Equipment/Asset Number(s): To the best of my knowledge,the ab90 WAS NOT performed in accordance with the approved plans,specifications,and regulatory requirements. i ian: Superintendent/Representative: Techni c Servingthe Western United States ^^II U4 1501 Field Repomdoc Revision I Effective Date:Y25A15 Tt,•;,,fr..,,,aK„��,,,,,;,L.I,.o ih;v.r..,,n;�n.�na.,d fi..thr•.rhwivr n<e.of thr rlirnt This math may nrx Fr.mnrnrhvrd in anv format without the written nermissinn of the client;md Kramn&Associates. rdc9s-sue �-t�rvT�.�►�c�Q�' d•� T�33►?•v(r �— T AlSe.J-)SSAM c — -A[',W-t,,6 /S_ o �� i /fie fir