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Miscellaneous Field Test & Inspection Report 2013-5-22 (4)
• a Professional Service Industries,Inc. �`^ Information Por l N.Cutter Circle,Suite 480 u u r` s u Portland,OR 97217 ^/ �7 ��� To Build On Phone:(503)289-1778 _/" ( O Engineering • Consulting• Testing Fax:(503)289-1918 Si Concrete Field Report Report No: FC:06s e No: 1 Issue No: 1 Client: WAL-MART STORES, INC. CC: BLAKE JOHNSON These test results apply only to the specific locations and materials noted and may not represent any other locations or elevations.This report may not be 2001 S E 10TH ST, MAIL STOP DAVID NICHOLS reproduced,except in full.without written permission by Professional Service 5570 ERIC EVENSON Industries,Inc.II a non-compliance appears on this report.to the extent that the reported non-compliance impacts the project.the resolution is outside the BENTONVILLE, AR 72716-5570 KATYRYN JERKOVICH PSI scope of engagement. ROBERT CASTILE Project: WM 4178-00 SPRINGFIELD OR TO WILSON HU SPRINGFIELD, OR Approved Signatory:Deborah Priest(Special Project Manager) Date of Issue: 5/28/2013 General Field Data Technician: Dale Russell . . Test Date: 5/22/2013 Weather: Sprinkling Test Results Set No. Specimens Ticket Time Time Cubic Slump(in) Air Content Air Temp. Concrete Unit Weight Made Batched Unloaded Yards (Ye) (°F) Temp.(°F) (Ib/ft') Placed 0654137-58-C1 5 3975747 08:45 I 09:33 I 6.5 4.50 I 4.80 44 56 1 143.2 Location & Remarks General Location: (2)Knee wall footings East of gridline Gil to 1.6 Set No. Location Remarks J 0654137-58-C1 Same as above I Mix design#7-RNE7E00 Mix Data Set No. Supplier Mix_ ___ _ _ Design Strength(psi) 0654137-58-C1 Knife River ,247RNE7E00 ;4000 • • • Notes Remarks Sampled from Revolving Drum Truck Mixer(ASTM C 172.5.2.3) Form No:15971,Report No:FG:0654137-56 ©2000-2011 OESTLab by SpecfraCESTcom Page 1 of 1