HomeMy WebLinkAboutPermit Field Test & Inspection Report 2008-5-12
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o R8-lnspectlon
o Stand!JI' Time
PROJECT t..JUMBER
'PROJECT NAME
DAILY CONCRETE FIELD REPORT
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Miles
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GENERAL CONTRACTOR
T1fDE OF INSPECTIOI\' PERFORMED
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ID,L,TE
'BU/WINe. PERMIT NO
JPROJECT ADDRESS
/VVU THER
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REINFORCING STEEL
REINFORCED CONCRETE
CONCRETE FORMS
OTHER
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SPECIFIC PLACEMENT LOCATION (S)
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jSUPPLlER
MIX NUMBER
SLUMP
AIR CONTENT
AMBIENT TEMPERA TURE
IMATERIAL TEMPERATURE'
JTIME PLACED
'NUMBER OF SAMPLES
DESIGN STRENGTH (PSf).
TOTAL YARDS PLACED.
SET #3
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o latest reVISions dated
o other
(see our repori 722
)
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Performed vlsua/m5.. ectlon dUring placement of concrete In the IDeatiOns listed above
Concrete was placed "bv a/ "'" p
Cast -2... set (s) of
and
,,-17 't C-( <- consolidated
l/ )' X ) concrete test cylinders
if
~ Contractor was asked to notify our office when additional services arE' needed
.ftJ To the besl of our knowledge the work Irlspected auove was Irl acc.ordance wIth the bLJJJdlng depanment approved d8slgn
drawings spe:::/flcatlons and appllc.alJle workmanship prOVISions of the International BUilding Code except as noted
o Non-Compliance 0
I~pector (prrr~ t.
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ReqUlreE: Engineers Acceotance (RFl)
ICC#
.0 RE--I~spectJon Required
Reviewed 8y
Jobslte RepresentativE Signature