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HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2013-5-9 (4) Professional Service Industries,Inc. /'T�/✓� i Information ,/ 6032 N.Cutter Circle,Suite 480 1 ° To Build On D °�1O Portland, Phone:(503)289-1778 cl/2—� 7 a Engineering • Consulting • Testing Fax:(503)289-1918 A. Special Inspection Daily Field Report Report No: SIDF:065 Issue No: o: Client: WAL-MART STORES, INC. CC: 2001 S E 10TH ST BLAKE JOHNSON, DAVID MAIL STOP 5570 NICHOLS,ERIC EVENSON. BENTONVILLE, AR 72716-5570 KATYRYN JERKOVICH, ROBERT CASTILE,WILSON HU Project: WM 4178-00 SPRINGFIELD OR TO SPRINGFIELD, OR Approved Issue: Signatory: I Date of ssue- General Details Date: 5/9/2013 General Contractor: Dynasty Concrete Co. Permits: 811-SPR2012-02370 Weather: Clear Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing A Reinforcing Steel ❑ Soils ❑Welding ❑Other 51 New Inspection O Re-Inspection Standby Time: Field Observations & Comments Mil Special Inspection ❑ Continuous MI Periodic Location(s)/Item(s): Gridline A13.2 to 8 Horizontal # 5's @ 12" o.c. T&B (8)#4's cont T&B Vertical #5's @ 16" o.c. cont Reference Details/Drawings: 8/S2 9/S2 14/S2 L. Remarks: 3" clearance for sides and bottom , 2" clearance for top To the best of PSI's knowledge, the work inspected to the approved construction documents are: MI Conforming ❑ Non-Conforming . Inspector: Dale Russell Inspector Cert No.: ICC # 8005920 Jobsite Representative: Bob Garrison ©2000-2013 QESTLab by SpeclraQEST.cam Page 1 of 1