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HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2013-6-12 IC Professional Service Industries,Inc. / rC� p Information 6032 N.Cutter Circle,Suite 180 / Portland,OR 97217 CCB No. 176269 7L! �a To Build On Phone:(503)289-1778 Engineering • Consulting • Testing Fax:(503)289-1918 �� ...2- 7.0 1 Slab on Grade Observation Report Report No: SGI:065Iss Issue No:eNo: 1 1 Client: WAL-MART STORES, INC. CC: These test results apply only to the specific locations and materials noted are may Rat represent any other locations or elevations.This report may not be reproduced,except 2001 S E 10TH ST BLAKE JOHNSON, DALE in full,tmmavt m,inen pemmssion by Pmtesslnal Service Imasmes.roc,u a con MAIL STOP 5570 compliance appears on this twin.to me extent that the repelled non-compliance RUSSELL,DAVID NICHOLS, impacts the project.the resolution is outside the PSi scope of engagement. BENTONVILLE, AR 72716-5570 ERIC EVENSON,KATYRYN CASTILE,WILSON SON ROBERT 0:—Lg CASTILE,WILSON HU Project: WM 4178-00 SPRINGFIELD OR TO SPRINGFIELD, OR Approved Signatory: Deborah Pnest(Special Protect Manager) Date of Issue: 6/17/2013 General Details Date: 6/12/2013 Technician: Dale Russell Weather: Cloudy Location: Walmart Neighborhood Market#4178 Plans Used: 0 Contract Drawings ❑Approved Shop Drawings Current Date and Revision/Submittal No. on Drawings: 11/02/12 Rev#1 dated 2/06/13 Rev#2 dated 2/21/13 Drawing (page) and Detail Nos.: S1. S2/4 and 7. S2.1/15 Formwork Formwork, if required, appears to conform to contract document requirements. YES Forms appear to be plumb. YES Dimensions appear to be correct. YES Orientation appears to be correct. YES Debris appears to have been removed from formed areas. YES Forms appear to be lubricated for removal, if applicable. 'YES Forms do not appear to be excessively deformed or damaged. YES Forms appear to be properly constructed. YES Reinforcement Longitudinal and transverse reinforcing steel appears to be of the correct size and spacing. YES Longitudinal and transverse reinforcement bars appear to have correct lap length. YES Hooks provided appear to be as detailed. YES Reinforcing appears to have proper concrete cover. YES Embedment plates appear to be correct size and have proper stud count and size. N/A Embedment plates appear to be located properly. N/A Remarks 34 yds of Knife River Mix ID# 081- 7RNE7E00 were placed by Dynasty Concrete Co., reference daily concrete report C-2 for specific placement details. "R/I"indicates Re-Inspection is needed. • • ©2000-2013 QESTLab by SpecIraQEST.com Page 1 of 1