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HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2013-6-11 Page 1 of 1 ®®TV i6TIeotechnical&ConstruonServices Daily Field Report N081NSPl{IION INC.INC. cb Client: Mr. Kirk Haskell Project: PeaceHealth Hospital Patient Date: 06-11-13 PeaceHealth Lift Installation— Labor& Delivery Project No.: 2137078 3377 Riverbend Dr. 3333 Riverbend Dr. Report No.: E-34105 Springfield, Oregon 97477 Springfield, Oregon Inspector: M. Meyer ID No.: 0877905-88 ICC Inspection of: Wedge Anchors Weather: Inside Continuous Inspection: ❑ Contractor: - Alpha Modalities BP No.: S13-00769 Periodic Inspection: D Performed continuous inspection during the installation of Hilti KB-TZ wedge anchors into the bottom of the 6` floor slab for connection of the patient lift brackets and supports as follows: room 5F37—fourteen (14) 1/2" x 5 1/2"; room 5C13—nine (9) 1/2" x 5 1/2" and two (2) 1/2" x 7". Prior to installation, the predrilled holes were cleaned with a vacuum. Verified minimum effective embedment depth of 3 1/4". Installation torque of 40 ft/lbs. was verified with a calibrated torque wrench. Kirk Haskell (PeaceHealth) was asked to notify our office when additional services are needed. To the best of our knowledge, the work inspected was in accordance with Alpha Modalities drawing S1.1 dated 06-05-13 and applicable workmanship provisions of the I.B.C., except if noted above. Reviewed By: • Michael L. Me r Technical Manager c: City of Springfield — Roberts Castile (email) • ML Mac This report and/or enclosed test data is the confidential property of the client to whom it is addressed and pertains to the specific process and/or material evaluated. As such,information contained herein shall not be reproduced in part or full and/or any part thereof be disclosed without FEI Testing&Inspection,Inc.'s written authorization. 750 MV Cornell Avenue Corvallis,Oregon 97330 phone(541)757-4698•fax(541)757-2991 29540 B Airport Road•Eugene,Oregon 97402•phone(541)684-3849•fax(541)684-3851 62979 NE Plateau Drive,Suite 3 Bend,Oregon 97701 •phone(541)382-4844•fax(541)382-4846 •