HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2013-5-23 InfoY/ylClllon Professional Service Industries,Inc.
C/(, Q 6032 N.Cutter Circle.Suite 480
C.S.- Portland,OR 97217
/�/V�7�Q CCB No.176269
L To Build On Phone:(503)289-1778 5/2_._ y L 2 70
Engineering • Consulting • Testing Fax:(503)289-1918
•Special Inspection Daily Field Report Report No: SIDF:06IssueN : 1
Issue No: 1
Client: WAL-MART STORES, INC. CC: These lest results apply only to be specific locations and materials noted and may not
represent any outer locations or elevations.This report may not be reproduced.except
2001 S E 10TH ST BLAKE JOHNSON, DAVID in lull.without written permission by Professional Service Industries.Inc.II a non-
compliance appears on this report.to the extent trial the reported noncompliance
MAIL STOP 5570 NICHOLS, ERIC EVENSON, Impacts the project.the resolution is outside the PSI scope of engagement.
BENTONVILLE, AR 72716-5570 KATYRYN JERKOVICH,
ROBERT CASTILE,WILSON
HU
Project: WM 4178-00 SPRINGFIELD OR TO
SPRINGFIELD, OR Approved Signatory: Deborah Priest(Special Protect Manager)
Date of Issue: 5/28/2013
•
General Details
Date: 5/23/2013 General Contractor: S.D.Deacon
Permits: 811-SPR2012-02370 • Weather: Interior S.O.G
Type of Inspection Performed
MI Reinforced Concrete ❑Structural Masonry ❑ High Strength Bolting ❑ Fireproofing
Reinforcing Steel ❑ Soils ❑Welding El Other
New Inspection Re-Inspection
Standby Time:
Field Observations & Comments
❑ Special Inspection IS Continuous L5I Periodic
Location(s)/Item(s):
Repairs to 4" freezer sub slab including 6"curb.
(50) epoxied #4 hooked dowels @ 12" o.c. w/verified min 4 embedment.
(30) 3/4" x 10" smooth dowels w/6" embedment @ 24" o.c., dowels have grease on existing slab side.
#4's CONT with corner bars (3)within 4" sub slab and (2)within 6"curb.
Outside perimeter, 3 sides, (2) 2x12 PT with required 10 mil polyethylene vapor retarder.on outside face and bottom.
Please note: this excludes area along grid line B, (CMU Wall) being 4, 2x12 PT with vapor retarder that remained from
Reference Details/Drawings:
S1. S2.1/1,14 and 16
RFI #41, Dated 5-21-13
Remarks:
The 5/8" drilled holes within existing sub slab were verified to be a minimum of 4" in depth, the drilled holes were then
cleaned using compressed air and a bottle brush, prior to the epoxy being placed.
Epoxy used: Hilti HIT-HY 150 MAX, ICC ES 1967/2262
experation date 10/13
To the best of PSI's knowledge, the work inspected to the approved construction documents are:
IN Conforming ❑ Non-Conforming
Inspector: Dale Russell Inspector Cert No.: ICC # 8005920
Jobsite Representative: Bob Garrison
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