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Home My WebLink AboutPermit Field Test & Inspection Report 2004-9-10 Carlson Testing, Inc. Mam OffIce PO Box 23814 Tigard, Oregon 97281 Phone (503) 684-3460 FAX (503) 684-0954 Salem OffIce 4060 Hudson Ave, NE Salem. OR 97301 Phone (503) 589-1252 FAX (503) 589-1309 Bend OffIce PO Box 7918 Bend, OR 97708 Phone (541) 330-9155 FAX (541) 330-9163 September 10, 2004 S0403383 CTI Permit No COM2004-00523 FIELD INSPECTION REPORT DA TES COVERED September 3, 2004 PROJECT 50th & Main ADDRESS 4684 Main St - Sprrngfield, OR INSPECTOR P L Sanetra OBOA #447 As requested CTr representative was on site this date for reinforcing and concrete placement of caisson for antenna pole Reinforcing was set per city approved plans and notes Concrete was placed by pump and consolidated by mechanical Vibration 30 yards of Morse Brothers mix #40-1 K, 4000psl concrete was placed A set of (4) cylinders was cast dUring testing *** CHECK ONE BOX ONLY *** 1 This IS a preliminary Inspection only - OR - 2 The work Inspected conforms to acceptance cntena listed above If "No," the portions of the work that are non-conforming Items are clearly stated above and Will be added to the NCL Remaining portions of the work, which are not preliminary In nature, are to be considered as conforming YES NO o [8J 0 Our reports pertain to the material testedllnspected only Information contained herein IS not to be reproduced, except In full, without prror authorization from this office If there are any further questions regarding this matter, please do not heSitate to contact this office Respectfully submitted, CARLSON TESTING, INC ~~ Steven L Dugger Salem Branch Manager PLS/ld cc SSB Enterprises - Shawn Butler City of Springfield Paul J Ford & Company Gazley Plowman Architects - DaVid Lyman Carlson Testing, Inc. Mam OffIce PO Box 23814 Tigard, Oregon 97281 Phone (503) 684-3460 FAX (503) 684-0954 Salem OffIce 4060 Hudson Ave, NE Salem, OR 97301 Phone (503) 589-1252 FAX (503) 589-1309 Bend OffIce PO Box 7918 Bend, OR 97708 Phone (541) 330-9155 FAX (541) 330-9163 September 10, 2004 S0403383 CTI Permit No COM2004-00523 FIELD INSPECTION REPORT DATES COVERED September 3, 2004 PROJECT 50th & Main ADDRESS 4684 Main St - Springfield, OR INSPECTOR P L Sanetra OBOA #447 As requested CTI representative was on site this date for reinforcing and concrete placement of caisson for antenna pole Reinforcing was set per city approved plans and notes Concrete was placed by pump and consolidated by mechanical vlbraIlon 30 yards of Morse -Brothers mix #40-1 K, 4000psl concrete was placed A set of (4) cylinders was cast dUring testing *** CHECK ONE BOX ONLY *** 1 This IS a preliminary inspection only - OR - 2 The work Inspected conforms to acceptance cntena listed above If "No," the portions of the work that are non-conforming Items are clearly stated above and will be added to the NCL Remaining portions of the work, which are not preliminary In nature, are to be considered as conforming YES NO o rg] 0 Our reports pertain to the material tested/Inspected only Information contained herein IS not to qe reproduced, except In full, without prior authorization from this office If there are any further questions regarding this matter, please do not hesitate to contact this office Respectfully submitted, CARLSON TESTING, INC ~~ Steven L Dugger Salem Branch Manager PLS/ld cc SSB Enterprises - Shawn Butler City of Springfield Paul J Ford & Company Gazley Plowman Architects - DaVid Lyman Carlson Testing, Inc. /' REPORT OF 6X12 CONCRETE CYLINDERS Test Methods: ASTM C172/C1231/C39/C31/C1064/C143 Job Number: S0403383 Date Molded' 09/03/2004 Permit #: COM2004-00523 Client: SSB ENTERPRISES - SHAWN BUTLER ProJect: 50TH & MAIN Address: 4684 MAIN ST - SPRINGFIELD, OR Contractor: SSB ENTERPRISES - SHAWN BUTLER Subcontractor: Concrete Supplier: MORSE BROTHERS Truck #: 2181 Load #: 1 Test TIme: 12 53 Weather: PARTLY CLOUDY Cylinders were cast for the following locations: ASS ION Total Concrete Placement Location: CASSION FOR CELL ANTENNA Strength ReqUIrement: 3000 Mix Number: 40 -lK pSI @ 2 8 Conc. Temp: 80 Cement Type: I AdmIX/Amt. AEA RegIster Number: 7861 Set No. Mam Office POBox 23814 Tlgard, Oregon 97281 Phone (503) 684-3460 Fax (503) 684-0954 TEST SPECIMENS Construct/on InspectIOns & Related Tests qeo.techmcal Consultmg Salem Office 4060 Hudson Ave, NE Salem, Oregon 97301 Phone (503) 589-1252 Fax (503) 589-1309 . , -, Bend Office POBox 7918 Bend, Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 JurisdIctIon: SPRINGFILED Cast By: P L SANETRA Days Slump: 4 1/2" Ticket#. 1273432 Air Temp. at Sampling TIme: 72 Max Agg: % Air: 4 6 % CUbIC Yards: Test @ Date Test Total Area Unit Corrected Tested Days Rec'd Date Load PSI PSI By 7 09/04/2004 09/10/2004 113145 28 38 3990 SLD 28 09/04/2004 10/01/2004 28 09/04/2004 10/01/2004 09/04/2004 HOLD Lab LocatIon: SALEM Please see reverse sIde for additIOnal informatIon. Set No. Test @ Days Date Rec'd Test Date Total Load Area Unit PSI Corrected PSI Tested" By " Remarks. 7 DAY/SHEAR cc: CITY OF SPRINGFIELD PAUL J FORD & COMPANY GAZLEY PLOWMAN ARCHITECTS - DAVID LYMAN Reviewed By: ~ ~~ Our report pertams to the matenal tested only The mformatIOn contamed m thIS report IS proVIded subject to all terms and condItIOns of CTl's General CondItIons m effect at the tIme thIS report IS prepared No party other than those to whom cn has dIstnbuted thIs report shall be entItled to use or rely upon the mformatIon contamed m thIS document Project Manager: S DUGGER 'Carlson Testing, Inc. ",-- REPORT OF 6X12 CONCRETE CYLINDERS Test Methods. ASTM C172/C1231/C39/C31/C1064/C143 Job Number: S0403383 Date Molded: 09/03/2004 Permit #: COM2004 -00523 ClIent: SSB ENTERPRISES - SHAWN BUTLER ProJect: 50TH & MAIN Address: 4684 MAIN ST - SPRINGFIELD, OR Contractor: SSB ENTERPRISES - SHAWN BUTLER Subcontractor: Concrete SupplIer: MORSE BROTHERS Truck #: 2181 Load #: 1 Test Time: 12 53 Weather: PARTLY CLOUDY ""ylInders were cast for the followmg locations: ":ASSION Total Concrete Placement LocatIOn: CASSION FOR CELL ANTENNA Strength ReqUIrement: 3000 Mix Number: 40-1K psi @ 28 Conc. Temp: 80 Cement Type: I AdmIX/ Amt: AEA Register Number: 7861 Set No. Mam Office POBox 23814 Tlgard, Oregon 97281 Phone (503) 684-3460 Fax (503) 684-0954 TEST SPECIMENS ConstructIOn InspectIOns & Related Tests Geotechnzcal Consultmg Salem Office 4060 Hudson Ave, NE Salem, Oregon 97301 Phone (503) 589-1252 Fax (503) 589-1309 Bend Office POBox 7918 Bend, Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 JUrIsdiction: SPRINGFILED Cast By. P L SANETRA Tlcket#: 1273432 Air Temp. at SamplIng Time. 72 % Air: 4 6% Max Agg: Cubic Yards: Test @ Date Test Total Area Unit Corrected Tested Days Rec'd Date Load PSI PSI By 7 09/04/2004 09/10/2004 113145 28 38 3990 SLD 28 09/04/2004 10/01/2004 28 09/04/2004 10/01/2004 09/04/2004 Days Slump: 4 1/2" HOLD Lab Location: SALEM Please see reverse side for addltionalmformatIon. Set No. Test @ Days Date Rec'd Test Date Total Load Area Unit PSI Corrected Testeo PSI By I I - -- -- - I .- 1- ,~ I I I I I I I I Remarks: q DAY/SHEAR cc: CITY OF SPRINGFIELD PAUL J FORD & COMPANY GAZLEY PLOWMAN ARCHITECTS - DAVID LYMAN I I 1\ Project Manager: S DUGGER /L ~ III ~ i Reviewed By: ~ VJ1!ff/~ OUf report pertams to the matenal tested only The mformatlOn contamed m thIS report IS provIded subject to all terms and condItIons of CTI's General CondItIons m effect at the tIme thIS report IS prepared No party other than those to whom cn has dIstnbuted thIS report shall be entitled to use or rely upon the mformatIon contamed m thIS document