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REPORT OF EPOXY ANCHOR INSPECTION
or 30 :5 2 ~ c{ PL S
TESTED FOR
HA YDEN HOMES
3258 PINYON
SPRINGFIELD, OR 97478
A TTN ALICIA WOBBE
PROJECT
HA YDEN GARDENS
SPRINGFIELD
DATE
MARCH 12, 1999
REPORT NO
722-90044-1
AS REQUESTED, PSI REPRESENTATIVE RALPH TURNER WAS ON SITE THIS DATE FOR THE PURPOSE OF VISUALL Y INSPECTING
ANCHORS AS FOLLOWS
USE OF ANCHORS (SELECT ONE)
1) IS REQUIRED BY DRAWINGS'
DRAWING NO/S)
DATED ,STAMPED APPROVED BY
2) IS REQUIRED BY APPROVED CHANGE ORDER
APPROVED CHANGE ORDER ATTATCHED
3) HAS NOT BEEN APPROVED IN WRITING BY PROJECT DESIGNER AS OF THIS INSPECTION X
'\
EPOXY DESCRIPTION
REQUIRED
SIMPSON STRONG-TIE
CONNECTORS
5/8" ALL THREAD 10"
I
I DRIED BLOWN
1%"
18Y2" - 9"
ACTUAL
SIMPSON STRONG-TIE
CONNECTORS
5/8" ALL THREAD
ANCHOR DESCRIPTION
(DIAMETER, LENGTH, TYPE)
HOLE CLEANING METHOD
(I E , DRIED, BRUSHED, BLOWN)
HOLE DIAMETER
(INCHES)
MINIMUM ANCHOR EMBEDMENT
DEPTH (INCHES)
DRIED BLOWN
%"
8 Y2" - 9"
LOCATIONS AND QUANTITY INSPECTED.
HOUSE AT 930 32nd PLACE. THE CONTRACTOR DID NOT MIX THE EPOXY
ACCORDING TO MANUFACTURERS RECOMMENDATIONS UNTIL PSI
REPRESENTATIVE READ THE MIXING INSTRUCTIONS AND BROUGHT IT TO HIS
ATTENTION
REMARKS THE ANCHORS WERE PULLED OUT AND THE EPOXY WAS MIXED PROPERLY AND REPLACED.
RESPECTFULL Y SUBMITTED,
PROFESSIONAL SERVICE INDUSTRIES, INC
CC CITY OF SPRINGFIELD - BOB BARNHART
Professional Service Industnes, Inc' 2710 West 5th Avenue' Eugene, OR 97402' Phone 541/484-9212' Fax 541/344-2735