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Miscellaneous Field Test & Inspection Report 2013-8-24
Bend Office (541)330-9155 Geotechnical Office (503)601-8250 Carlson Testing, Inc. Salem Office (503)589-1252 Salem Office (503)589-1252 'J Tigard Office (503)684-3460 Daily Report of Reinforced Concrete Client: SPRINGFIELD PUBLIC SCHOOLS - JOHN SARACENO Project: JASPER-NATRON SCHOOL SITE IMPROVEMENTS CTI Job#: E1301438. Address: QUARTZ AVE & BOB STRAUB PKWY SPRINGFIELD Jurisdiction: SPRINGFIELD CTI representative C. MCDONALD OBOA 1003 was on site this date Aug. 24, 2013 to perform Special Inspection for: Permit 811-SPR2013-00624 BUILDING/2013-00012 LAND USE DFS#(s) PO Number: 42162 SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? © Yes n No N/A Name: DAVE Company: BIG J CONSTRUCTION 2. Monitored loads arriving at job site for correct: Mix#: 2440NE7100 2. Type of work: © Concrete in Reinforcing Slump 5" %Air 3-7'^ 3. Work included: © Sampling © Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was'IBC' © Continuous ❑ Periodic Number of sets 1 Samples per set 4 5. Work performed: ® In the field n At precast shop 4. Inspected placing and consolidation of approx. 80 cubic yards of concrete. REINFORCING Yes No N/A Location of concrete placement [to include grid lines,elevations (floors) and drawing details]: I. Reviewed previous inspection reports? X 2.Forms clear of debris? X SAME AS REINFORCING INSPECTION. 3. Type,grade, size,quantity, spacing and x condition conform? 4. Verified forms will nominally result in hardened concrete of the required x cross-sectional dimensions. 5. Verified location of reinforcing steel,pipes, conduits and sleeves with respect to X minimum concrete cover. 6. Verified type and location of splices, length After samples arc tested,results will follow on break report. of contact laps,and min. diameter of bends. X REPORT SUMMARY 7. Verified support&anchorage of reinforcing steel in the forms. X I. Work inspected was: ® Completed ❑ In progress 8. Verified structural embedments in the forms x 2. Completed work inspected was in compliance with with regard to fabrication,quality and type. 9. Verified structrual embedments in the forms ® Approved plans and specifications ❑ Shop drawings with regard to weld inspection,quantity, and x ❑ RFI ❑ Design change ❑ Submittal ❑ N/A permits issued. 10. Verified cast in place anchors. x Document#(s) SEE NOTES SECTION Dated: SEE NOTES Description of structure inspected [to include grid lines, 3. Noncompliance item(s)were noted this date,details on elevations(floors)and drawing details]: following page(s). ❑ Yes No © N/A SLAB ON GRADE - WEST END AND CENTER OF NORTH 4.Noncompliance item(s)were reinspected this date,details SIDE OF PLAYGROUND. REFERENCE DETAILS 1 AND 2 ON on following page(s). ❑ Yes ❑ No © N/A L7.1 Conform Remain in progress Report(s) findings were discussed and left with DAVE of BIG J CONSTRUCTION Based on the Code,approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. See additional report page(s). Distribute attachments. Page 1 of