HomeMy WebLinkAboutBuilding Field Test & Inspection Report 2018-12-13Carlson Testing, Inc.
Bend Office(]€orcchnicrl Office
Eugene OIfice
Sal€m OlIice
Tigrrd O{fice
(541) 330-9155
(503) 601-8250(s,ll) 31s-0289
(s0J) 5E9-12s2(503) 681-3J60
Daily Report of Proprietary Anchors
C lient:oHCCS L],C
Project:
Address:1460 G ST _ SPR]NGFfEID OREGON J u risdiction:
R. ORCHARD OBOA 961
CTI Job #:E1501078.
$as on sitc lhis date Dec. 13, 2 018
Pennit 811-SPR2015 01229
to perform Special Inspection for:
DFS #(s)PO \umher:
Compan)'
2. Inspection was "lBC" I Continuous tr Periodic
PROPR]ETARYANCHORS
YesNoN/A
l. Revierved pre\ious inspection reports'l I
2. Reviewed evaluation report?x
Verified following items meet manufacturer's
published installation instructions.
3. Verified minimum embedment depth of the
anchors.
4.Verificd installaLion of the anchors )i
5. Verified anchor diameter.X
6. Verified steel gradc.x
7. Verified hole diameter I
8. Verilied type of drill bit used x
9- Verilied hole cleanino method.
10. Verified adhesive application
tl. Verified edge distance.1:
12. Verified spacing.I
13. Verified installation torque
Evaluation report number & date:
ICC ESR 19']7 REISSUED O5l2017
(16) T,', X 5" HTLTI KB_TZ EXPANSION
ANCHORS AT 3 5/8" NOMTNAI EMBEDMENT DEPTH,
TOROUE VERIEIED TO 40 FTILBS ON 2ND EIOOR DAY
SURGERY AREA INTO 3RD ELOOR PAN DECK EOR THE
PI-\CEMENT OF PATIENT LIFT SUPPORTS AND BRACING
: _ : :l .l :: l.ICC ESR 1917
AND I,]ANUFACTURER' S lNSTAT-],AT ION REQUTREMENTS
REPORT SUMMARY
1. Work inspected was Completed I In progress
2. Completed work inspected was in compliance with
I lpproved plans and specifications I Shop drawings
RI]I
...]:..::: : ]. :
HILT] KB-TZ EXPANSION ANCHOR
Location of proprietary anchors inspected [to include grid
lines, elevations (floors) and drawing detailsl:
OBSERVED AND fNSPECTED THE INSTAT,I,ATION OE (24)
l
Documcnt #(s)
Design change
SEE NOTES
Submittal N/A
Dated
3. Noncompliance item(s) were noted this date, details on
following page(s)Yes No N/A
4. Noncompliance item(s) \r'ere reinspected this date. details
on fbltowing page(s)Yes No N/A
Conform ! Remain in progress
Repot(s) findings were discussed and left with
CHRI S
of LAYTON CONSTRUCT ION
Name of product being installed
Batch Number r'/A
Expiration Date
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 dircct work of conractors or subcontractors.
N/A
Page 1 of 2! See additional repon page(s)Distribute attachments
CTI representative
SCOPE OF INSPECTION
l. Checked in with superintendent or client representative.
Name. DOUG
Daily Report of Proprietary Anchors
cTI Job #. E1s01078.
For: 72/73/2at9
MCKENZIE WIL],AMETTE MEDICAI CENTERProject:
Notes:
DOCUMENT {(S) : ],ARSEN ENGINEERING DRAWINGS DAIED 04/A5/I.7
In some cases more than one box may be checked for a given item on the front page.
Ourreports pertainto the material tested/inspected only.Information contained herein is not to be reproduced, except in full,
without prior authorization from this office. Underall circumstances, the information contained inthis report is provided
subject to alllerms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other
than those to whom CTI has distributedthis report shall be entitled to use orrely upon the information contained in this
document.
lfthere are any further questions regarding this matter, please do not hesitate to contact this office.
Respectlul ly subm itted,
CARLSONTESTING,INC.
Christian McDonald Reviewed By: Christian Mcdonald
Project Manager Review Date: 1211412018
RO/GK
CC:QHCCS 1,rC
ClTY OE SPRINGEIELD DEVEIOPMENT SERVICES.ROBERT CASTILE
LITTLEJOHN (S & ME COMPANY) ' CI1RIS AKERS
T,ITTLEJOHN (S & ME COMPANY) TODD WILSON
INVOICES ONLY
R'ASTILEGCI. SPRINGFIELD. OR.U5
CAKERSGSMEINC. COM
WIWI LSON@5M EI NC . COI,!
LAYTON CONSTRUCTION CO ROBERT MITCHELL DROP BOX upl oad. rnspect. pg7v/ghwsabGu. box. cor,r
Page 2 of 2
89970 HWY 99N, EUGENE OR
Carlson Testing, Inc.
Bend Office(Jeotechnical Officc
Lugene Office
Salem Office'l igard Office
(5tr )(s03)
(s,r1)
(s03)
(s03)
330-9lss
601-8250
3,{5-0289
589-1252
684-3{60
Daill' Report of Reinforced Concrete
Cl ie nt:QHCCS ],LC
Project:MCKENZIE WILI,AMETTE MEDICAL CENTER
Address: 1460 G ST - SPRINGFIET-D OREGON Jurisdiction SPRINGE]E],D
CTI representative C. MCDONAI-D OBOA 1OO3
CTI Job #: E 15010 7 8
was on site this date ADq. 29, 2A7A to pertbrm Special Inspection for
Permit 811-S PR2 015- 012 2 9
DIiS #(s)PO \umber:
SCOPE OF INSPECTIONl. Checkcd in with superintendent or client rcpresentative
\ame TRAVIS
Compan\:
1. Mix Design approved?Yes
CONCRETE
No N/A
2. Monitored loads arriving at job site for correct
Mir#
Slum p 4" TO 7"o/o Ai,r 0t To 38
3. Type of samples made?
2. Type of work:
3. Work included
Concrete
Sampling
Reinforcing
Inspection
X
4XBCONCRETECYLINDERS
4. lnspection was 'lBC'Continuous Numbcr of sets Samples per setXPcrioclic
5. Work performed In the field f] At precast shop 4. lnspected placing and consolidation of app
cubic yards of concrete.
rox. 1
REINFORC ING Yes NoN/A Location of concrete placement [to include grid lines, elevations
(floors) and drawing detailsl:
SAI4E AS RETNFORCTNG DESCR TP'TTON
Alier samples are tested, results willfollo$ on brcak report.
REPORT ST]M\trA.RY
l. Work inspected was
2. Completcd \\,ork iflspected r.vas in compliance rvith
Approved plans and specifications ! Shop drawings
Completed ! In progress
Submittal N/ARI]I Design change
SEE NOTES D ated
)i N/A
DocLrment #(s)
3. Noncompliance item(s) were noted this date, details onDescription of structure inspectcd [to include grid lines.
elevations (lloors) and drauing dctailsl:follorving page(s)Yes 1"_o
STAB ON GFADF AT GRTDT,TN s aal .to ac2 aT DD,
REFTIRIINCE SHEET S1. O1G, 1 a/s2 14- 11/S? 1A-
'1 /s2.14.8/S2.14 AND 5/S
4. Noncompliance item(s) were reinspected this date, details
on lbllowing page(s)Yes N/ANo
Conform ! nemain in progress
Report(s) findings were discussed and left with
CHRIS
l. Reviewed previous inspection reports?
2. Foms clear of debris?):
Type, grade, size, quantity. spacing and
condition confbrm?):
4. Verified forms will nominally result in
hardened concrete of the required
cross-sectional dimensions.
5. Verified location of reinforcing steel, pipes.
conduits and sleeves with respect to
mininrh .^h.rPt..^ver
6. Verified type and location of splices, length
of contact laps. and min. diameter of bends.x
7. Verified su
steel in the
pport & anchorage of reinforcing
forms-'L
8. Verified structural embedments in the forms
with regard to fabrication, quality and type.I
9. Verified structrual embedments in the forms
with regard to weld inspection. quantity. and
pemits issued.
I
10. Verified cast in place anchors
of LAYTON CONSTRUCTION
Based on the Code, approval is required from the Building Olficial before the SPECIAL INSPECTED items noted above can
be covered. Carlson Testing has no authority to direcl work of contractors or subcontmctors.
I See additional report page(s). ! oist ibut" attachments. Page 1 of 2
Daily Report of Reinforced Concrete
CTI Job #: E1s01078.
Pfoject: MCKENZTE iIILLAMETTE MnDTCAT, CENTER
For: A8/29/2a78
Notes:
DOCUMENT #(S): SHEET 51.01G REVISION 12 DATED A2/a'7/1'7
In some cases more than one box may be checked for a given item on the front page-
Our reports pertain to the material tested/inspected only. lnformation contained herein is not to be reproduced, except in full,
without prior authorization from this office. Under all circumstances, the information conlained inthis report is provided
subject to allterms and conditions of CTI's General Conditions in effect atthe time this report is prepared. No party other
than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this
document.
Ilthere are any further questions regardjng this matter, please do not hesitate to contact this office
Respectfu lly submitted,
CARLSONTESTING,INC.
Christian McDonald
Project Manager
CM/GK
CC:
Reviewed By: Christian Mcdonald
Review Date: 09/04/20 I 8
upload. Insp€ct. p97&9hwsabcu. box. €on
QHCCS LrC
ClTY OF SPRINGFlELD DEVELOPMENT SERVICES-ROBERT CASTILE
I,ITTLEJOHN (S & ME COMPANY) - CT1RIS AKERS
LITTLEJOHN (S & ME COMPANY) . TODD WILSON
INVOICES ONLY
RCASTILE@CI. SPRINGFIELD.OR. US
CAKERS@SMEINC. Cot4
WTWI LSON@SM EIN' . COiI
Page 2 of 2
89970 I{WY 99N. EUGENI OR
Bend Olfice
Geotechnical Office
Eugenc Office
Srlem olficc'l'igard Omce
(s1r)
(s03)
(s11)
(s03)
(s03)
330-9155
601-8250
3Js-0289
589-1252
68,1-3460
Daily Report of Reinforced Concrete
Clien t:OHCC
Project:MCKENZIE WIILA}1ETTE MEDICAL CENTER
Address: 1460 G ST SPRINGFTEI-D OREGON .rurisdiction:
CTI Job #: E1s010 7 8
CTI representati\ c C. MCDONALD OBOA 1003
\\as on site this date 75, 2078 to perform Special Inspection for:
Permit 81I-s PR2 0 I 5- 01 2 2 9
DFS #(s)I'O \um ber:
SCOPE OF INSPECTIONl. Checked in with superintendent or client representative
\ame:TRAV]S
Company
l. Mix Design approved?Yes
(ro\(]{I.]t u
No N/A
I Concrete I Reinforcing
2. Monitored loads aniving at job site for correct
Mix#
Slump2. 11pc of rvork:
3. Work included
(4.511)% Air
v Sampling I n spect io n 3. 'l'ype of samples made?
Number of sets
r' Y P 'NN'AFTF4. lnspection u'as 'lBC'Continuous Pcriodic Samples per set -----L
x. 52 .55. Work performed In the field ! At precast shop 4. Inspected placing and consolidation of appro
cubic yards of concrete.
RNINFORCING Ycs NoN/A Location of concrete placement [to include grid lines, elevations(floors) and drawing detailsl:
qAMF Aq PFTNPAP'IN.: NFCl.D
After samples are tested, results will follow on break report.
RI.]POITT ST \I\TARY
l. Work inspected was:Completed ! In p.og."..I
Description of structure inspected [to include grid lines,
elevations (floors) and drawing detailsl:
SLAB ON GP.ADE AT GRIDLINES 4.1 TO AA.3 AT 101.8
TO 10 5.2 .
nFTA TT q 1n /q2 1 \/52 Aa 6/5? 14
p/q, 1a ttlq2 tn aNn q
1. Reviewed previous inspection reports?):
2. Forms clear of debris?
3. Type, grade. size, quantity, spacing and
condition conform?
4. Verified forms will nominally result in
hardefled concrete of the required
crcss-sectional dimensions.
x
5. Verified location of reinforcing steel, pipes,
conduits and sleeves with respect to
minimrrm cnncreJe cover
x
I
7. Verified support & anchorage of reinforcing
steel in the foms.l:
8. Verified sauctural embedments in the forms
with regard to fabrication, quality and type.
9. Verified strucbual embedments in thc forms
with regard to weld inspection, quantity, and
pemits issued.
10. Verified cast in place anchors
of T. GERDING
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). I oistribute attachments. page 1 of 2
Carlson Testing, Inc.
S PRINGFIELD
2. Completed work inspected was in compliance with
[ ,lpproved plans and specifications I Shop drawings
! nrl ! Design change ! Sub-ittut ! Nle
Document #(s) s1.01G REVrsroN 12 Dated: 02/al /2017
3. Noncompliance item(s) were noted this date, details on
following page(s). f ves E ao I Nle
4. Noncompliance item(s) were reinspected this date, details
on following page(s). ! ves E No I Nza
! Conform ! nemain in progress
Report(s) findings were discussed and left with
6. Verificd t-ype and location of splices. length
of contact laps. and min. diameter of bends.
I
Daily Report of Reinforced Concrete
cTI Job #: E1501078.
For: aB / 75 /2a18
Proj ect:
Notes:
MCKENZIE WILLAMETTE MED]CAL CENTER
In some cases more than one box may be checked for a given item on the ftont page-
Ourreports pertain to the material testedi inspected only. lnformation contained herein is not to be reproduced, except in ful1,
withoutpriorauthorization fromthis office. Underallcircumstances, the informationcontained inthis report is provided
subjectto allterms and conditions ofcTI's Ceneral Conditions in effect at the time this report is prepared. No party other
than those to whom CTI has distributed this report shall be entitled to use orrely upon the information contained in this
document.
I fthere are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfu lly submitted,
CARLSONTESTING,INC.
Christian McDonald
Project Manager
CM/GK
CC:
Reviewed By: Christian Mcdonald
Review Date: 08/1 7/201 8
upl oad. hspe€t - pg7wghwsamu. box. com
Qnccs Lrc
CITY OF SPRINGEIELD DE!'ELOPMENT SERVICES ROBERT CASTILE
LITTLEJOHN (S & ME COMPANY) CHRIS AKERS
L]TTLEJOHN (S & ME COMPANY) - TODD WILSON
INVOICES ONLY
RCASIILE@CI. SPRINGFIELO. OR.US
CAKERs@SMEINC- COM
WTWI LSONGSM EI NC . COI'
Page 2 of 2
It997O lIWY 99N. EUGENI., OII
Carlson Testing, Inc.
Bend Officc
Geotechnical Office
trugene 0flice
Salem Office
Tigard Omce
(s )(s03)
(s4l )(s03)
(s03)
310-9155
601-8250
3,15-0289
589-1252
68,1-3,160
Daily Report of Reinforced Concrete
CI ient: QHCCS ILC
Proj ect:MCKENZIE W]LLAMETTE MEDICAI, CENTER
Address: 1460 G ST SPRINGFIELD OREGON Jurisdiction:SPRiNGEIELD
CTI rcpresentative C. MCDONALD OBOA 1OO3
CTI Job #: 81501078.
u,as on site this date Auq. 15,2018 to perfom Special lnspection for
Permit 811-SPR2 015- 012 2 9
DFS #(s)P() \um ber:
SCOPE OF INSPECTIONl. Checked in uith superintendent or client reprcscntative.
Company 2. Monitored loads arriving at job sitc for corect
Mix#390s12
S Iump
CONCRII'TE
l. Mix Design approved?Yes ]\_o N/A
(5. s" 8.5")o/o Air (4C-rC)
3. 'Iype of samples made?
REINFORCING
Number of sets Samples per set
4. Inspected placing and consolidation of approx
cubic yards of concrete.
6.5
Yes NoN/A Location of concrete placement [to include grid lines, elevations
(floors) and drawing detailsl:
SAME AS REINEORCING DESCRTPTION.
After sarnples are tested, results will follow on break report.
REPORT SUMMARY
l. work inspected *^' f, Completed ! In prog.ess
2. Completed $ork inspected was in compliance rvith
[l ,approved plans and specifications ! Shop drawings
RFI ! Design change Submittal N/A
Description of structure inspected [to include grid lines,
elevations (floors) and drawing detailsl:
I)ocument #(s) s1.00G REVrsroN 12
3. Noncompliance item(s) were noted this date, details on
following page(s)-Yes No N/A
Dabdt a2 / a] /2071
ELEVATOR P]T AT GR]D]-]NE XFF TO XGG AT ]01 .8 TO
10s.2 -
4. Noncompliance item(s) *ere reinspected this date, details
on following page(s)Yes
Conform ! nemain in progress
Report(s) findings were discussed and left with
TRAVI S
E No [! Nra
1. Reviewed previous inspection reports?I
2. Forms clear of debris?
3. Type, grade, size, quantity, spacing and
condition conform?
4. Verificd forms will nominally result in
hardened concrete of thc required
cross-scctional dimensions.
I
5. Verified location of reinforcing steel, pipes,
co[duits and sleeves with respect to
minim"m concrete cover
6. Verified type and location ()1'splices, length
of contact laps, and min. diamctcr of bends.x
7. Verified support & anchorage of reinforcing
steel in the forms.x
8. Verified structural embedments in the forms
with regard to fabrication. qualirl and type.x
9. Verified structrual embedments in the forms
with regard to weld inspection, quantity, and
permits issued.
x
10. Verified cast in place anchors.
of T. GERDTNG
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 contractoN or subcontractoB.
! See additional repot page(s). ! oisribute attachments. Page 1 of 2
Name:
2. Type of work: I Concrete I Reinforcing
3. Work included: I Sampling [!] Inspection
4. lnspection rvas 'lBC' I Continuous I Periodic
5. Work performed: I In ttre field I At precast shop
Daily Rcport of Reinforced Concrete
cTI Job #: [15C10]8.
Project:
Notes:
For: A8 / t5 /2078
In some cases more than one box may be checked for a given item on the front page.
Ourreports pertainto the material tested./inspected only. Information contained herein is not to be reproduced, except in fulI,
withoutprior authorization from this office. Underall circumstances, the information contained inthis report is provided
subject to alJ terms and conditions ofCTI's General Conditions in effect at the time this report is prepared. No party other
than those to whom CTI has distributed this reportshallbe entitled to use orrely upon the information contained in this
document.
Ifthere are any further questions regarding this matter, please do not hesitate to contact this office.
Respectful ly submitted,
CARLSON TESTING, INC.
Christian McDonald
Project Manager
CM/GK
CC:
Reviewed By: Christian Mcdonald
Review Date: 08/171201 8
upl oad. Inspe.t. p9Trvghwsab@Lr. box. cori
QI]CCS LLC
CITY OE SPRINGEIEI,D DEVELOPMENT SERVICES ROBERT CASTILE
LITTIEJOI]N (S & ME COMPANY) - CHRIS AKERS
LITTLEJOHN (S & ME COMPANY) TODD WTLSON
INVOICES ONLY
RCASTILE@CI. SPRINGFIELD. OR. US
CAKERS@SMEINC- COM
viTh.t LsoN@sMEINc. cot!
LAYTON CONSTRUCTION CO _ ROBERT MITCHELL DROP BOX
Page 2 of 2
89970 HWY 99N. ETJGENE OR
Carlson Testing, Inc.
Bend OIfice
Geotcchnical Omce
Eugene Office
Salem OIfice'l igard OIfice
330-9155
601-8250
3,15-0289
589-1252
68,1-3460
(s{l)
(soJ)
(s,ll )(s03)
(s03)
Rf,PORT OF 4X8 CONCRETE CYLINDRICAL TESTSPECIMENS
Test Methods;ASTM CJ q /.-1 ) /c1 a64 /C.11 / e1 A1/ c)"1 /c1 2 ?,1
Date Received:0B/76/2AlB
Permit #: 811-SPR2 015 - 012 2 9
Client: oHCCS LLC
Project: MCKENZIE WILLAI'{ETTE MEDICAL CENTER
dddlgss;14 60 G sT JuTisdiction: SPRINGE]ELD
Contractor: LAYTON CONSTRUCTION CO - ERIC CARLSON
Subcontractor:Cast Bv:
Concrete Supplier:
f mgl( fl; 5 602 31
EUGENE SAND & GRAVEL INC
Weather: CLEAR Test Time: 6 : 35 AM
Total Concrete Placement Location:
SLAB ON GRADE AT GRIDLINES 4.1 TO AA.3 AT 101.8 TO 105.2
Lord #: 2
Psi fc@ 28 DaYs SlumP:
Concrete Temp: ?5
Ticket#: 60006131
Air Temp. at Sampling'I'ime: 61
Strength Requirement:
plil friu6[s1; 3905 62
3500 5.50""/" Air:
3/4"
1.13
Max Agg:
Admix/Amt: PoLY 997 (168 az . )
Ilegister Number:0000s332 LahLocation:EUGENE
Cubic Yards: 2i of 52.5
Curing: High 8 o
Low
Set
No.
Test @Days
Test
Da te
Total
Load
Avg
Diameter Area UnitPSI Tl pe Of
Fracture
Cap
TYoe
Tested
By
I aB/2A/201,8 59245 4.00 L2 .56 4124 PAD 60 Rf
1 aB/22/2A78
2B a9/),2/201,8
2B 09 / 1,2 / 2A1B
Distribute attachments
Please see reyerse side for additional information.
Date Molded: AB / t5 / 2A1B Job Number: [,15010?8.
C. MCDONALD
Cylinders were cast for the following locations:
SOUTH END OE SLAB ON GRADE AT 4.1 TO AA.3 AT 101.8 TO 105.2.
Average fc @ 2B days
28 | ogttzt zofil
I
Job Number: E1501078. Register Number: 00005332
Project: MCKENZIE i{ILLAMETTE MEDICAL CENTER
< I in.125 mml
Date Molded: 06 / 1,5 / 2A1 B
Type I
Reasonable wellformed
cones on both ends, less
than I h. [25 mm] of
cracking tlfough caps
Type 'lDiagonal fracture with
no cracking through
ends: tap with hammer to
distinguish lrom T,pe 1
Type 2
Well-Formedconeonone
end, vertical cracks running
through caps, no well-defined
cone on otherend
Type 3
Colurnnarvertical cracking
through both ends, no
well-formedcones
Type 6
Similar to Type 5 but
end ofcylinder ispointed
J
Type 5
Side ftacturcs at top or
bottom (occur commonly
with unbonded caps)
Remarks:
CC:QHCCS 1,1,C
CITY OE SPRINGEIELD DEVELOPMENT SERVICES-ROBERT CASTILE
LITTLEJOHN (S & ME COMPANY) - CHRIS AKERS
L]TTLEJOIIN (S E ME COMPANY) - TODD WILSON
INVOICES ONLY
RCAsTII.E@CI. SPRINGFIELO. OR. US
.AKERSCSMEINC. COiI
WTWI LSONOSM EINC . COt,!
LAYTON CONSTRUCTION CO - ROBERT MITCHELL DROP BOX
Project Manager: christian M'Dona l 'l
upl oad. rnspect. p9Tw9hwsab-au. box. com
Reviewed By: Project Manager on 08/21/2al1
Our reports pertain to the material tested,/inspectcd only. Information contained hercin is not to be reproduced, except in full,without prior authoriation from this office. Under all circumstances, the information contained in this reporl is provided
subject to all terms and conditions of CTI'S General Conditions in effect at the time this report is prepared. No parry other than
those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document.
89970 HWY 99N- EUCENE OR
Carlson Testing, Inc.
Bend Offic€
Geotechnical OIfice
Eugcne Office
S5l€m Office
Tigard 0lfice
(s{l)
(s03)
(5,r l )(s03)
(s03)
rJ0-9155
601-8250
J,t5-0289
s89-12s2
68{-3{60
Daily Report of Structural Steel
C lien t:oHCCS L],C
I'roject:MCKENZIE WILLAMETTE MEDTCAT, CENTER
Address:14 60 G ST ' SPRINGFIELD OREGON Jurisdiction:S PRTNGFI ELD
CTI representative C. MCDONALD OBOA 1OO3
CTI Job #:E1501078.
was on site this date 24, 2A7A to perform Special Inspection for
811-S PR2 015- 012 2 9
DFS #(s)PO Number:
LAYTON CONSTRUCTION
2. Inspection was "lBC" I Continuous
SCOPE OF INSPECTION
l. Checked in with superintendent. client or shop rep
Name
Company
REPORT SUMMARY
l. work inspected was: I Completed ! In progress
2. Completed work inspected *as in compliance with
Approved plans and specifications I Shop drawings
Rtjt Design change
SEE NOTESDocument #(s)
3. Noncompliance item(s) were noted this date, details on
follou,ing page(s). I Yes 1\to
Periodic . srNGTFr pASs Frr,LF,T !{nT DMF,NTs EoR rr" pLATE To
li NCE (ET D 07 2A 1 XDD. 8
AT 101.8.
. SINGIE PASS EII,IET WELDMENTS EOR 5 X 5 X t" TO
EX]STING W14 X 22, AND C8 X 11.5, CC.1 TO CC.5 AT
3. Work performed In the field ! at ruu shop
4. If shop inspection do they have fabrication and QC
procedures?Yes No NiA
INSPECTION
x
Yes NoN/A
DD. 1 TO DD. 2
STRUCKMAN DATED 08/10/18, CC.i AND CC.2 AT DD.2.
PROCESS: FCAW/E71T-8 1/ 16
D1.1
Welders Name
WELDER INFOR.I\{ATION
.,]AMF,S.TACKS
Ycs No N/A on following page(s)Yes
Conform Remain in progress
Submittal i\-/A
Dated SEE NOTES
N/A
No ,1 N/A
Certification #I714
4. Noncompliance item(s) \!ere rcinspected this date, details
Verifi ed the contractor's Welding Procedure
Specifications are in conformance with
AWS requirements.
:.:
2. Verified the essential variables outlined in the
Welding Procedure Specifi cations were
employed du ng execution ofthe work.X
3. Verifiedthe weldability of reinforcing steel
other than ASTM A706.I
Report(s) findings were discussed and left with
CHRISof levrorl coNsrRUCTToN
Based on the Code, approval is rcquircd from lhe Building oflicial before the
SPLICIAL INSPECTfiD ilems noted above can be covered. Carlson Testing
has no authority to direct work ofcontmctors or subcontractors
Page 1 of 2
x
x
L Reviewed previous inspection reports?l:
2. Verified steel materials are in complianceby reviewing
random samples ofthe mill test reports, steel lD
markings or other documentation.
3- Verifi ed weld llllermaterials confbrm
4. Checked steel memb€rsto see they were fabricated and
erected in accordance witl the workmanship and
tolerances required.
5. Checked welded studs and structural connections were
installed as required.x
6. verifi€dhigh strengthbolts and fastene$ conform.x
?. Verifiedthe quality ofwelds prodLlced by welders,
welding op€rators, and tackers conform.x
8. Verified stee I framejoint details for bracing, stiffening,
member locations, and application ofjoint details at cach
connectionare in compliance by random sampling.
! See additional repon page(s). tr Distribute attachments.
Permit
Location of steel inspection [to include grid lines, elevations
(floors) and drawing detailsl:
AS REOUESTED CAR],SON TESTING, ]NC. REPRESENTATIVE
WAS ONSITE EOR WEIDING INSPECTION IN SECTOR G.
. SOUARE GROOVE WELDMENTS FOR 5 X 5 X !." TO 5 X 5
X K" ANG],E PER EMAI]- EROM JOE CONNOR TO CHRIS
1.
Daily Report of Structural Steel
cTI Job #: E1s010?8.
For: 08/24/2078
Project: MCKENZIE llILLAMETTE MEDICAL CENTER
Notes:
DOCUMENT +(S); STRUCTURAL'S REVISION 12 DATED 02/01/11 .
In some cases more than one box may be checked for a given item on the liont page.
Ourreports pertain to the materialtested/inspected only. Information containedherein is not to be reproduced, except in full,
w ithout prior authorization from th is office. Underall circumstances, the informationcontained inthis report is provided
subject to allterms and conditions ofcTl's General Conditions in effect at the time this report is prepa.red. No party other
thanthose to whom CTI has distributedthis reportshallbe entitled touse orrely uponthe information contained inthis
document.
Ifthere are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSONTESTING.INC
Christian McDonald
Project Manager
CMlGK
CC:
Reviewed By: Christian Mcdonald
Revierv Date: 08/221201 8
upl oad. rnspect. pgTwghwsab@u. box. conr
QIICCS LLC
CITY OT SPRINGFIELD DEVE]-OPMENT SERVICES-ROBERT CASTlLE
I-ITTT-EJOIIN (S & ME COMPANY) - CI1RIS AKERS
LITTIEJOHN (S & ME COMPANY) TODD WILSON
INVOICES OI.ILY
RCASTILE@'I. SPRINGFIELO. OR. US
CAKERS@sMEINC. COM
WTWI LSONOSM EI NC . COIi
LAYTON CONSTRUCTION CO - RCBERT MITCHELI D3,OP BOX
Page 2 of 2
89970I IWY 99N. EUCENE OR
Carlson Testingo Inc.
Bend Office
Geotechnical Omce
Eugene OIfice
Salem OIfice
Tigard OIIice
(5{1)
(s03)
(s.ll )(s03)
(s03)
330-9155
601-8250
3,15-0289
589-1252
681-3160
Daily Report of Structural Steel
(llient:
Project:
Address : 1460 G ST - SPRINGEIELD OREGON .Iu risdiction:
CTI Job #:El5a10l8.
was on site this date Auq. 10, 2 018 to perform Special lnspection for
l'cmlil B 11-SPR2 015- 012 2 9
DFS #(s)PO Number:
Company
2. Inspection was "lBC" ! Continuous
3. Work performed In the iield ! at rub st'np
4. lf shop inspection do the,v' have fabrication and QC
procedures?Yes \o N/A
INSPECTION
SCOPE OF INSPECTION
L Checked in with superintendent. client or shop rep
COREY
Welders Name
WELDER INFORI\{ATION
COREY STEPHENS
Certification #ON FILE
Location of steel inspection [to include grid lines, elevations
(floors) and drawing detailsl:
_ 3T" PUDDLE WELDS EOR 18 GAUGE 1I" METAL DECK TO
xGG AT X103 TO 101.8 REFERENCE DETAIL 1/S4.09
Periodic REVrsroN 1 DATED a3/23/16-
Yes NoN/A EOR HSS 6X4 TO HSS 5X3 L4X4X\1 TO HSS 6X4 AND HSS
5X3 AT GRID],INES CC.3 AT DD.2 TO DD.4 GROUND
ELOOR AND DD.2 AT CC.3 TO CC.5 GROUND FT,OOR
REEERENCE DETA]LS 12l52 a8, 13/52.14.
l:
REPORT SUMMARY
l. work inspected was: f Completed f In progress
2. Complcted work inspected was in compliance with
Approved plans and specifications ! Shop drawings
RFI Design change
SEE NOTES
Submittal N/A
Document #(s)
3. Noncompliance item(s) r'ere noted this date, details on
following page(s). !Yes E ,n I Nr.r.
4. Noncompliance item(s) were rcinspected this date, details
Ycs NoN/A on follorving page(s)N/AYesx
| . Verifiedthe contractor's Welding Procedure
S pec ifications are inconformancc with
AWS requtements.
t{
2. Verifi edthe essential variablesoutlined inthe
Welding Procedure Specifi cations were
employed during execution ofthe work.
3. Verifiedthe weldability ofreinforcing steel
other than ASTM A706.li
No
Conform ! nemain in progress
Report(s) findings were discussed and left with
COREYof wrst stos rnor,I
Based on lhe Code, approval is required fiom the Building Official before the
sPtClAI INSPECILIJ rlems noredabo\ecanbecovered Carlson Te5ring
has no aulhofl$ to dlrecl $ork of contra(loA or subcontractors.
Page 1 of 2
-l:
l. Reviewed previous inspection reports?
2. Verifi ed steelmaterials are in compliance by rcviewing
random samples ofthe mill test reports, steellD
markings or other documentation.
X
3. Veri{led weld fillermaterials conform
4. Checked steelmembers to see they were fabdcated and
erected in accordance with the workmanship and
tolerances required.
5. Checked weldedsfuds and structuml connections were
installed as required..J:
6. Verifiedhigh strength bolts and fasteners confom.x
x
8. Verified steel framej o int details lor bracing, stiffedng,
member locations, and application ofjoint details at each
connection are in compliance by random sampling.
I
l-] See additional reporl paSe(s). I li.t.ibrt" attachments
OHCCS ILC
CTI reoresentative
Name:
_ +10 SELF-TAPP]NG SCREWS EOR SIDELAP CONNECTION
OE 18 GAUGE 1!" METAI DECK AT GRIDLINES AA.3 TO
XGG AT X1O3 TO 101.8 AT LEVE], 2. REFERENCE DETAI1
1/S4.09 REVTSTON 7.
Dated:-9!L]!.(=[.E.1_
7. Verified the quality ofwelds produced by welders,
welding operators. and lackers conlorm.
Daily Report of Structural Steel
cTI Job #: E1s010r8.
Project: MCKENZIE wTI,T,AMETTE MEDTCAT, CF,NTER
ALL WELDMENTS VISUALLY APPEAR ACCEPTABLE PER AIIS D1.1.
DoCUMENT #(S) : STRUCTURALS REVISION 12 DATED 02/0'7/20\'7
Ifthere are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfu 1ly submitted,
In some cases more than one box may be checked for a given item on the front page.
Ourreports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full,
withoutpriorauthorizationfromthis office. Underall circumstances, the informationcontained in this report is provided
subject to all terms and conditions ofCTI's General Conditions in effect at the time this report is prepared. No party other
than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this
docurnent.
For: 08/1A/2078
Notes:
LOCATION OF STEEI, INSPECTION CONTINUED: - VERII'IED 9T X 2" AND 1/A X 2I4T A325 H]GH STRENGTH BOLTS
FOR BEAM TO BEAM AND BEAM TO COLUMN CONNECTIONS AT 1EVEL 2 GRIDL]NES AA.3 TO XGG AT X1O3 TO 101.8.
AI,I I,EJUENE BOI,TS INSPECTED THIS DATE ARE EUIIY PRE-TENSIONED, RXFERENCE DETAII-S ON SHEET 54.
REVISIoN 12, EXCEPTIoN: BEAM TO BEAM CONNECTION AT IEVEL 2 GRIDIINES DD.2 A? xDD.7 TO XCC.6
COMP],ETED.
a4IS
WEID PROCESS: ECAii, SMAW
ETILER METAL: CORESHIELD I l/16", 86a22 1/8"
OT
CARLSON TESTING, INC
Christian McDonald
Project Manager
CMlGK
CC:
Reviewed By: Christian Mcdonald
Review Date: 08/l 5/201 8
upl oad. rnspect. pg7wghwsabGu. box..om
QHCCS LLC
CITY OE SPRINGFIELD DE!-ELOPMENT SERVICES-ROBERT CASTILE
LITTLEJOHN (S 6. ME COMPANY) _ CHRIS AKERS
LITTLEJOHN (S & ME COMPANY) TODD WILSON
R'ASTILEGCI. SPRIN6FIELD.OR. U5
CAKE R505M EI NC . COt\4
I,VTWI LSON@SM EIN C , COM
Page 2 of 2
89970 HWY 99N. EUGENE OR
Carlson Testing, Inc.
Bend Orfice
Geotechnical Oflice
Eugcne OIfice
SNlem Office'l'igard Office
(s{r)
(s03)
(s4l)
(503)
(s03)
330,9!55
601-E250
34s-0289
589-r252
681-3460
IIEPORT OF 4X8 CONCRETE CYL]NDRICAL TESTSPECIMENS
Test Methods:ASrt'4 c39 / c7'12 / C1A641C31, / C1,43 /C23),/ Cr237
Date Molded: aa /29/2at9
Permit #: 8 11-SPR2015-01229
Date Received:aB/3A/2A18 Job Number:81501078.
Client: QHCCS LLC
Project: MCKENZ]E WILLAMETTE MEDICAL CENTER
ddd1s55;1460 G ST - SPRINGFIELD OREGON Jurisdiction: s PRTNGET ELII
Contractor: LAYTON CONSTRUCT,ON CO ERIC CARLSON
Subcontractor:Cast By:
Concrete Supplier. EUGENE SAND & GRAVEL INC
Truck #:
Weather:Test Time: B : 17 AM
Cylinders were cast for the following locations:
SOUTH END OE SLAB ON GRADE AT CC1 TO CC2 AT DD2
Total Concrete Placement Location:
SLAB ON GRADE AT CC1 TO CC2 AT DD2
Load #: 1
psi fc@ .r 112t5 SlumP:
Concrclc Temp:
Ticket#: 60006130
Air Temp. at Sampling Time: s 9
319
CLEAR
Strength Requirement:
Mix Number: 390552
3s00 7.00""/o Air: 1.BE
3/4"Max Agg:
Admix/Amt: PaLY99'7 t't 32 az . )10 0F 10Cubic Yards:
Register Number:00005343 l.ab Locati0n:Curing: High 1 4
Low
Average fc @ 2B days
Set
No.
Test @
Days
Test
Date
Total
Load
Ang
Diameter Area Unit
PSI
'I vpe 0f
l"racture
cap
Type
T cs ted
BY
1 41245 4.00 L2.s6 3164 2 PAD 60 RT
28 a9/26/2AtB
28 a9/26/2A18
2B a9/26/2AtB
HOLD
Please see reverse side for additional information.
as/05/2ofi1
I I
I
I
E Distribute attachments.
Job Number: 81501078 - Register Number: 00005343
Project: MCKENZIE IiTLLAMETTE MEDICAL CENTER
< I in. [25 mm]
'I ype 2
Well-Formedconeonone
enaL vertjcal cracks running
through caps, no well-defined
cone on other end
Date Molded: AB / 29 / 2at1
Type 3
Colunnarvertical cracking
through both ends. no
rl€1l-formed cones
Type I
Reasonable wcll-formed
cones on both ends. less
than i in. [25 mm] of
cmckingthroughcaps
Type 4
Diagonal liaclure $ith
no cracking through
endsr tap with hammer to
distinguish from T)pe 1
Type 5
Side fractures at top or
bottom (occur commonly
with unbonded caps)
Type 6
Similar to Type 5 but
end ofcylinder is pointed
Remarks:
CC:
LAYTON CONSTRUCTION CO - ROBERT MITCHELL DROP BOX upl oad. rnspe.t. p97w9hwsabGu. box. com
Project Manager: chrrstlan McDonald Reviewed By: Project Manager a^ 09/a] /2alg
Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced. except in full.$ithout prior authorization from this otfice. Under all circumstances, the information contained in this rcport is provided
subject to all terms and conditions of C'II'S General Conditions in effect at the time this report is preparcd. No parry- other thar
those to whom CTI has distributed this report shall be entitled to use or rely upon the inlbrmation contained in this document.
E9970 HWY 99N, EUGENE OR
QHCCS LLC
CITY OE SPRINGEIELD DEVELOPMENT SERVICES-ROBERT CASTILE
LITTIEJOHN (S & ME COMPANY) - CHRIS AKERS
LITTI,E.]OIIN (S & I"E COMPANY) _ TODD WILSON
INVOICES ONLY
RCASTILE@'T. SPRTNGFIEI D.OR. IIS
ciKERS@SMEtNC. CO
WTWILSONOSMEINC. COM
B
Carlson Testing, Inc.
Bend OIfice
Geotechni.al Office
Eugene Office
Salem OIficeTigrrd OIfice
(s{r)
(s03)
(54r)
(s03)
(s03)
330-9155
601-8250
3,ls-0289
589-1252
681-3460
Daily Report of Proprietary Anchors
C lie nt:HCCS LL
Project
1460 G ST SPR]NGE]al,! oREGor'l Jurisdiction:
CTI representative C. MCDONAID OBoA1 003
CTI Job #:
was on site this date
Pennit 811 S PR2 015- 012 2 9
28, 2A7B to perform Special lnspection for
DFS #(s)PO Number:
SCOPE OF INSPECTION
1. Checked in with superintendent or client reprcsentative.
Name TRAVIS
Company:
Location of proprietary anchoB inspected [to include grid
lines, elevations (floors) and drawing detailsl:
(38) #4 REBAR DoliELS INTO EXTSTTNG COIIqBETE
T. GERD]NG
2. lnspection was "lBC"Continuous Periodic
(STRENGTH UNKNOWN)WITH MINIMUM 5" EMBED DEPTH,
AND (24) #5 REBAR DOWELS INTO EXISTING CONCRETE
(STRENGTH UNKNOWN) !IITI] MfNfMUM 7,," EMBED DEPTH
AT 1ST F1OOR GRIDIINES CC1 TO CC2 AT DD2
REFERENCE SHEET S1O1G AND DETAI], 1OlS2.14 AND
i7/s2.74
PROPRIETARY ANCHORS
YesNoN/A
1. Revierved previous inspection reports?):
2. Reviewed evaluation report?x
Verified following items meet manufacturer's
published installation instructions.
3. Verified minimum embedment depth of the
anchors.7
4.Verified installation of the anchors ]:
5. Verified anchor diameter I
6. Verified steel srade.x
7. Verified hole diameter t{
8. Verified type of drill bit used.;{
9. Verified hole cleaning method.!a
10. Verified adhesive application.
ll. Verified edge distance
12. Verified spacing I
13. Verified installation torque x
Evaluation report number & date
ICC ESR 2 5OB
REPORT SUMMARY
l. work inspected *^, I Completed ! In p.ogr"tt
2. Completed work inspected was in compiiance with
f,] epproved plans and specifications ! Shop drawings
R|t Subm ittal N/A
Document #(s)
Design change
SEE NOTES
3. Noncompliance item(s) were noted this date, details on
following page(s)
Dated
Yes \o N/A
4. Noncompliance item(s) u'ere reinspected this date- detailsNo I Nleon follouing page(s)Yes
Conlbrm [] Remain in progress
ol-
Name of product being installed SIMPSON SET XP
Ilatch Numbq 2?5At22A
Expiration Date a5/20 19
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 qork of contractors or subconbactors.
Page 1 of 2! See additional report page(s)l)istribute attachmcnts
Add ress:
tr
Report(s) findings were discussed and left with
CHRIS
Daily Report of Proprietary Anchors
cTI Job #: E1s010r8.
For: 08/28/20L8
Project: MCKENZIE I'iILLAMETTE MEDICAL CENTER
Notes:
DOCUMENT +(S): SHEET S101G REVISION 12 DATED A2/A-1/2071
In some cases more than one box may be checked for a given item on the front page.
Ourreports pertain to the material tested/inspected only.lnformation containedherein is notto be reproduced, except in full,
withoutpriorauthorization from this office. Underall circumstances, the information contained inthis report is provided
subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other
than those 10 whom CTI has distributed this report shall be entitled to use orrely upon the information contained in this
document.
lfthere are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfu lly submitted,
CARLSONTESTING,INC.
Christian McDonald
Project Manager
CMlGK
CC:
Reviewed By: Christian Mcdonald
Review Date: 09/07/201 8
upl oad. rnspect. pgTwghwsab@u. box. com
QHCCS LLC
CITY OF SPRINGEIELD DEVELOPMENT SERVICES ROBERT CASTILE
],ITTLEJOHN (S & ME COMPANY) CHRIS AKERS
IITTLE.]OHN (S & ME COMPANY) - TODD WILSON
INVOICES ONLY
RCASTILEGCI. SPRINGFIELD. OR. U5
CAK ERSGSM EINC . COi,I
wrwlLsoN@sMFlNa. aot
Page 2 of 2
89970 IIWY 99N, EUGENE OR
Carlson Testing, Inc.
Bend Office
Ceot.chnical OIfice
Eugene Omce
Salem Oflice
Tigard offce
(s{r)
(s03)
(s41)
(s03)
(s03)
130-9r55
601-E250
3,15-0289
5E9-1252
68,t-3{60
Daily Report of Proprietary Anchors
C lien t:oHccs r-Lc
Project:MCKENZIE I^]ILLAMETTE MED]CAL CENTER
A d d ress:1460 G ST - SPRINGEIET,D OREGON Jurisdiction:S PR I NGE] ELD
CTI representative C. MCDONAI,D OBOA 1OO3
CTI Job #:81501078.
$as on site this date
Permit 811- S PR2 015-012 2 9
Auq.28,2018 to perlbrm Special lnspection for:
DFS #(s)PO \umber:
SCOPE OF INSPECTION
1. Checked in rvith superintendent or client representative
Name
Companl'
Location of proprietary anchors inspected [to include grid
Iines, elevations (floors) and drawing detailsl:
(38) #4 REBAR DOWELS ]NTO EXISTING CONCRETE
2. Inspection was "lBC"C ontinuo u s Periodic
YesNoN/A
1. Reviewed previous inspection reports?
2. Reviewed evaluation report?x
Verified following items meet manufacture/s
published installation instructions.
3. Verified minimum embedment depth of the
anchors.
4.Verified installation of the anchors
5. Verified anchor diameter t.:
I
7. Verified hole diameter.
x
9. Verified hole cleaning method.I
10. Verified adhesive application xll. Verilied edpe distance I
x
13. Verified installation torque x
Evaluation report number & date:
ICC ESR 2508
AND (24) +5 REBAR DOL'IELS TNTO EXISTING CONCRETE
(STRENGTH UNKNOWN) I,IITH MINIMUM 71," EMBED DEPTH
AT 1ST ELOOR GRIDLINES CC1 TO CC2 AT DD2
REEERENCE SHEET S]"01G AND DETATI 1OlS2.14 AND
77/52.74.
RT]PoIiT ST \I\IAR\'
Report(s) findings were discussed and left with
CHRlS
of I-\YTON CONSTRUCT ION
Name of product being installed SIMPSON SET XP
Batch Numbcr 225A5224
Expiration Date a5 / 2At9
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 aulhority to direct work of contractors or subcontractors.
Page 1 of 2I See additional report pag{s)Distrihute attachmenls
T. GERDING
PROPR]ETARYAIICHORS
6. Verified steel grade.
8. Verified type of driJl bit used.
12. verified spacing.
l. work inspected *^, I Completed ! In p.ogress
2. Completed work inspected rvas in compliance with
I Approred plans and specifications ! Shop drawings
I nrr ! Design change ! srb-iuut ! Nll
Document #(s) SEE NoTES Dated: SEE NOTES
3. Noncompliance item(s) were noted this date, details on
following page(s). f v". E No f Nze
4- Noncompliance item(s) were reinspected this date, details
on follorving page(s). ! v.r E No [! Nze
I Conform I Remain in progress
Daily Report of Proprietary Anchors
CTI Job #: E1s0i078.
For: 08/2A/2A78
Project: MCKENZIE WILLAMETTE MF,DTCAI- CENTER
Notes:
DOCUMENT +(S): SHEET S101G REVISIoN 12 DATED 02/A1/2Al'7
In some cases more than one box may be checked for a given item on the front page.
Our reports pertaintothe materialtested/inspected only. lnformation contained herein is not to be reproduced, except in full,
without prior authorization from this office. Under all circumstances, the informationcontained inthis reportisprovided
sub.ject to allterms and conditions ofCTI's General Conditions in effect at the time this report is prepared. No party other
thanthosetowhom CTI has distributed this reportshallbe entitled to use orrely uponthe information contained inthis
document.
Ifthere are any further questions regarding this matter, please do not hesitate to contact this office
Respectfu 1ly submitted,
CARLSONTESTING,INC.
Christian McDonald
Project Manager
CMlGK
CC:
Reviewed By: Christian Mcdonald
Review Date: 09/07/201 8
upload. hspe.t. p97w9hwsabGu. box. com
OECCS I],C
CITY OE SPR]NGF]ELD DEVELOPMENT SERVICES-ROBERT CASTILE
LITTLEJOI]N (S & ME COMPANY) - CI1RIS AI(ERS
L]TTLEJOITN (S E }.1E COMPANY) _ TODD WIISON
INVOICES ONLY
RCASTILE@CI. SPRINGFIELD.OR. US
CAKERS@SMEINC. COi,l
WTWI LSON@SMEINC. COII
:r ::. -l:l: : l.-.1 l. : :'.: , 4: .44. -:'... :
Page 2 ol ;l
89970 HWY 99N EIJGENE OR
Bend Office
Geotechnical Office
Eugene Oflicc
Salem Officc
Tigard Officc
(s{1)
(s03)
(s4r)
(s03)
(s03)
3J0-9155
601-8250
3,15-0289
589-1252
684-3460
Report Of tn-Place Density Tests
a9/a1 / 2ALB
B 11-SPR2 015 - 0122 9
l)ate:.Ioh Numher:
I'ermit #:
(l I icn t:QHCCS LLC
I)roject:MCKENZIE WILLAMETTE MEDICAL CENTER
1460 G ST - SPRINGFIELD OREGON
3/4"_O CRUSHED ROCK (GW) WILDISH STANDARD PAVING CO.
T:roxf er 39526
Add ress:
Material Description:
Maximum Dry D"n.it-v, 132'4 lbs./cu. ft. Optimum Moistu r", 9'4 yo Required Compaction: 95 oZ
Standard Count for Gauge Serial #
N'lethod of Test:
Source of Value Dated I l/18/2015 is project specific.
-q32
Standard Counts - Densitv: -
ASTM D6938 /ASTM D1557 C
Moisture: i]1 s /08 /78Calibration Date:
Date Of
Test
'I est
No.Code Test
Location
Density
Count
Moist.
Cou nt l\{ode Depth Elev.
Ft
.h
Field
Moist.
Itr-Place Density
(lbs/cu. ft.)
Comp.Dry
09-06 BC CENTER OE EAST ADA PARKING STALLS AT ER 100
09-06 2 BC CURB AND GUTTER BETWEEN EAST AND WEST ADA PARKING
STALLS AT ER
99
BC CENTER OE IiEST ADA PARKING STALLS AT ER 100
09 06 BC CURB AND GUTTER WEST SIDE OF WEST ADA PARKING STALLS
AT ER
9l
Please see revcrse side for additional information.
Carlson Testing, Inc.
I 1o1o | 101 DT ERG 5.4 139.1 111.9
1095 I 8(FRG 4.01 136
09-06
1069 I r15 IDT FRG 6.5 136.8 728.4
I
I
IOistribute attachments.
Job Number: E 1s 01018 .Date Of Test: a9 / a6 /2a!B
Date Of
Tes t
'I'est
No.
Code 'l est
I-ocatioD
De n sity
Cou nt
Nl o ist.(lou nt
Mode Depth Field
Moist.
In-Place Density
(lbs/cu. ft.)
Comp.Wct D.y
Astcrisked (*) percenl compaction test results did notmeet listed acceptance criteria.
Our services were intended to provide compaction test rcsults only
Remarks:
FRG : EINISHED ROCK GRADE, TEST *1 THROUGH TEST #4
ALL SHOT LOCATIONS ARE APPROXIMATE.
cc: oHccs tLC
CITY OF SPRINGEIE!D DEVELOPMENT SERVICES-ROBERT CASTILE
LITTLEJOHN (S & ME COMPANY) - CHRIS AKERS
LITTLEJOHN (S & ME COMPANY) TODD WILSON
INVOICES ONLY
RCASTILE@'I, 5PRINGFIELD. OR, U5
CAKERS@SMElNC. COM
WTI'/I LSON@SM E I NC , COM
IAYTON CONSTRUCTION CO - ROBERT MITCHELL DROP BOX upload. rnspect. p97\^9hwsab@u. box. con
Reviewed By: Project Manaqer afl A9/13/2aLBTest By: c. MCDONAT,D
ProjectManager: Christian McDona I d
Test results were discussed and left with ssapl:or.r
of r,avrox coNqrRrrcr roN
Code t)escl.iptions
NC -No code (gencralfill areas and backfi ll/original ground./not fill)
SF - Structural fi ll (BuildingsNon-Residential)
LF- Residential lotengineeredfill
RF- Roadway engineered Iill (Soil Only)
PS - Pavement subgrade
BC - Base cours€ (Rock Or y)
RW - Retaining wall back fi I I
Wl - Water line trench
ST - Sanitary sewertrench
DT - Storm drain trench
ET- Electrical trench
GT - Gass line trench
C'l - Cable, phone trenches
Our reports pertainto the materialtested/inspected only. lnformation contained herein is not to be reproduced, except in IIll, withoutprior
authorization from this oIfice. Under all circumstances, the information contained in this report is provided subject to all terms and conditions
ofCTl's General Conditions in efect at the time this reporl is prepared. No party other than those 1o whom CTI has distributed this repo(
shall be entitled to use orrely upon the information contained io this document.
89970 HWY 99N FI]GFNF OR
Elev.Ft
I
Carlson Testing, Inc.
Bead Olfice
Geotechricil OIfice
Eugeue Oflice
Salem Omce
Tigard OIIice
(s4r) 330-91s5
(s03) 601-82s0
(s,r1) 345-028S
(s03) s89-12s2
(s03) 6E4.3460
Drte:to / 26 /20].8
Report of In-PIace Asphaltic Concrete Density Tests
Job Number:E1501078.
Permit #:811- SPR2 01s - 012 2 9
Client:OHCCS I,LC
Project:MCRENZIE WILI,AMETTE MEDICAI CENTER
Address:1460 G ST SPRINGFIELD OREGON
Descriptionl LEVEL 2. 1/2N DENSE ACP EUGEIiIE SAND & GRA1TEL
1-53 .7Rice Value:DIANTD:
Method of Test:ASTM D2950/ASTM D2041
Source of Value Dated 10/2412018 is project speci{ic.
Standard Count for Gauge Serial #:Trox. 26203-
Marshall Value : o% Required: -9-1--9-
Density: 171s Calibration Datet 0'7/ta
Date of
Test
Test
No.Test Location lVIode Density
Count
Lift
No.
Thick-
neSs
In Place
Density Comp.
1.0-24 1
I STREET AMBU],ANCE ENTRANCE, 2OI WEST OF
DRIVEWAY, 5' IiIDE TRENCH 43',7
1 2r 144.3
92.7L0-24
PARKING LOT ENTRANCE,
MOHAWK BOU],EVARD, 2I
G STREET AND
WEST OF CEN?ER
1
2r 1-42 .5
BS 445
1
23
SEE SHOT #5 ON ATTACHED REFERENCE DRAWN.IG
442
1
2 143.6 93.4t0-24 4
SEE SHOT *6 ON ATTACHED REFERENCE DRAIIING
1 2r 143 -4 93.31A -24
SEE SHOTST ON ATTACHED RXFERENCE DRAWING
BS 444
1 143.9 93 .6ta-24 6
SEE SHOT #8 ON ATTACHED REFERENCE DR.AWING
BS 435 1
2q 144.8 94.2L0 -24 '7
SEE SHOT +9 ON ATTACHED RNFERENCE DRAWING
BS 446
1
1-42 .98
SEE SHOT *10 ON ATTACHED REFERENCE DRAWING
t0 -24
428
1 145.0 95.0EEEJHOT *ff -X ;TTAGiED REFERENCE DRAWING
III
II
Distribute attach$ents,
Please see reverse side for additional information,
BS
BS 449
r0-24
L0-24 9
E
+ffiI
l=[
Job Number: 81s01078.
Our services were intended to provide compaction test results only
Remarks:
AIL TEST LOCATIONS ARE APPROXIMATE.
IAYTON CONSIRUCTION CO - ROBERT !.IITCIIELI DROP BOX
of PACIFIq IILC!\VAIIoN / lAYrON CONSTRUCTION
Drte ofTest: 7a /24/2or8
Asterisked (*) perc€nt compaction test results did nol deet listed accsptance criteria
oHccs Ll,c
CITY OE SPRINGTIELD DEVEI.OP},IENT SERVICES.ROBERT CASTII,X
LITTLE.JOIN (S & ME COI{PANY) - CIIRIS AKERS
LITTI,E.]OTN (S & ME COMPANY) . TODD WILSON
INVOICES OIILY
RCASTIL EOCI. 5 PRINGFIEL D. Oi . US
CATERS@SIIEINC, COM
!fI!{ILSONOSMEINC. Coll4
u p I oad . rn sDect . D9 7ng hrvsab0u . box. con
Drte of
Test
Test
No.Test f,ocation Mode Density
Count
Lift
No,
Thick-
ness
In Place
Density Comp.
Our reports perhiu to the naterial tEsted/inspected orly, hformation contained herein is not to be rcproduc€d, except in full,
without prior authorization from this offce. Urlder all circumstances, the informatiou cotrtained itr this report is proviiled
subject to all terms and conditions of CTI's General Conditions in effect at the rime this report is prepared. No party otier than
those to whom CTI has distributed this report shall be eotitled to use or rcly upon the informatioD contained in this documeDt.
899]0 HWY 99N, EUGENE OR
Test By: L. KrNG Reviewed By:
ProjectMEnsger Christia4 McDonald
Test results were discussed and left with DOUG / BRAD
r I tt I rII
=
l
L I
I t1 +--ft-I
=
rr-LIi
r':.
@
@ @
l4c(."z;e N:{tan ++c /4"1:,-t GoQr
{tohawk blre '
@
.o,
\
n+
@ @
@
€-)@
@
@
l0-2,t-tt
ElsotozS
\
\
Carlson Testing, Inc.
Beod Oflice
G€otechnical Office
Eugere Offce
Salem Office
Tigrrd Ofllce
(541) 330-915s
(s03) 601{2s0(s1l) 34r0289
(503) 589-r2s2
(s03) 684-3460
Date:L0/26/20L8
Report of In-Place Asphaltic Concrete Density Tests
Job Number:815 010 7I
Permit #:811-SPR2 015 - 0122 9
Client:OHCCS L],C
Proj ect;MCKENZIE WI],LAI4ETTE MEDICAI CENTER
Address:1450GST-SPRINGFIELD OREGON
Description:IEIEL 2, 1/2N DENSE ACP EUGENE SAND & GRAVEI,
Rice Value:153.7 MAMD:
ASTM D295o/ASTM D2 04 r-
Source of Value D ated 7012412018 is project specilic.
Standard Count for Gauge Serial #:Tiox - 2620L
Marshall Value: 7o Require{; 92 . o
Density: ru rs Crlibration Date: -9fl1l
Dat€ of
Test
Test
No.Test Location Mode Density
Count
Lift
No.
Thick-
ness
In Place
Density Comp.
LA -24 1
I STREET AMBUI,ANCE ENTRANCB, CENTER OF
DRI\TEWA.Y, 5' WIDE TRENCH 440 2 143,9 93.5
70 -24 2
PARKING I,OT ENTRANCE,
MO}IAI'IK AOU],EVARD, 3'
G STREET AND
EAST OF CENTER BS 44!2
743 -'l 93.5
42910-24 3
SEE SHOT #12 ON ATTACHED REFERENCE DRAWING 2
1.45.8
BS10 -24 SEE SHOT #13 ON ATTACI{ED REFERENCE DRAWING 2
L4?.0 95.5
)-0 24
SEE SIIOT *14 ON ATTACHED REFERENCE DRAWING
435
2
94.L5
BS
2
146 .26
SEE SHOT #15 ON ATTACHED REFERENCE DRAI,iING
10-24 7
SEE SHOT #16 ON ATTACHED REFERENCE DRAWING
BS 435
2 144.6 94.1
LO -24 8
SEE SHOT #17 ON ATTACI{ED REFERENCE DRAI{ING
BS 443
2
L43 .4 93.3
431
2 145.51A -24 SED SHOT *18 ON ATTACHED RNFERENCE DRAWING
II
Distributa attachments
Please see reverse side for additional informetion,
Method of Test:
BS
4
BS L44 .6
95.1
9 tL LI+[t-r
tr
Job Number: E1501078
Asterisked (*) p€rcent cornpaction test lesults did not meet listed a.ceptance criteria.
Our services w€re intended to provide compaction test results ooly.
Remarks:
AI,I, TEST ],OCATIONS ARE APPROXIMATE.
cc:
I.A]rION CONSTRUCTION CO . ROBERT TIITCI]ELL DROP BOX
Test Bl': L- KrNG Reviewed By:
ProjectMantger christian McDoflald
Test results were discussed and left with DouG ,/ BRAD
Of PACIFIC EXCAVATION / LAYTON CQNSTBUETIQ}T
oHccs LLc
CII'Y OF SPRINS!'IELD DSVETPPUE}TA SERVICES-ROBERT CASTI],E
TITTLEJOEN (S & ME COMP}I{Y) - CI{RIS AXERS
lITTtiErlOHN (S & l'48 COMPANY) - 1PDD 9IILSON
INVOICEs ONIY
RCASTILEOCI . SPRII1GFI ELO . OR , US
CA(ER595i,lElN( . C(Iq
tiTl,ILSoal€sMEtNc. cor!
Dste ofTest: ta /24 / 2a).8
upload. Inspect. pgTwghwsab@u. box. co,r
Test
No.Test Location Mode Density
Count
Lift
No.
Thick-
ness
In Place
Density
o/o
Comp,
Dste of
Test
IT
Ir
r
I
I
rrr
rIIIIIITI
IIrIIIIIIIII
Our rcporls pertain to tho material testod/irEpected only. hformation contained hereir is not to b€ reproduced, except in firll,
without prior authorization from this off1ce. Under all circumstances, the hformatio[ cootsined in Oris report is provided
subject to al1 terrns and conditions of CTIs General Conditioos in effect at the tfule this repon is prepared. No party other than
thosc to whoD CTI has distribured this report shall be entitled to use or rely upon the informatioo contaitred in this docume[t.
89970 IIWY 99N. EUGENE OR
r r
l-[-T--T---T--l--
It-
I
I r--rL
FFr l]--
@
@
@ @
l0-t,t-r8
El50/ozg
{\ck"z'e til:{(aac*. A.l:.-t Qok
Nohauk blvd '
@
@
@
\
$
A+
o
@ @
s
@.
!@,
@
Carlson Testing, Inc.
Bend Omce
Geotcchnicrl OIfice
Eugene Office
Salcm Offic€
Tisard Office
(sJr )(s03)
(s{r )(s0.3)
(s03)
.r30-9155
601-8250
l{5-0289
5{t9-t 252
(rE.l-3,160
REPORT OF 4 X 8 CONCRETE CY:,] I.]I)II,CAI, TESTSPECIMENS
Test Nlethods:AsrM 139/C1:121C1,A64 / C37 / Ct43 / c237 / CL23t
Date Molded: AB / 15 / 2AtB
Permit #: B 11- sPR2 01s- 012 2 9
Date Received:o8 / ).6 /2078 Job Number:E15r'11078.
Client: QHCCS LLC
Proj ect: MCKENZIE T.]I],LAMETTE MEDICAL CENTER
ddfl1s55;14 60 G ST
Contractor: LAYTON CONSTRUCTION CO - ERIC CARLSON
JuTiSdiCtiOn: SPR]NGFIELD
Subcontractor:
Concrete Supp
Cast By:C. MCDONALD
lier. EUGENE SAND & GRAVEL INC
Truck #: s 6 0101
\[s2f[s1; CLEAR
Cylinders were cast for the following locations:
Load #: i Ticket#: 60006151
Test Time: 10 : 02 AM Air Temp. at Sampling Time: 6l
SLAB IN ELEVATOR PIT AT GRIDLINES XFF TO XGG AT 104.4 TO 105.2
Strength Requirement:
Nlll \um[91; 3905i2
Admix/Amt: sEE NOTES
Psi fc@ 28 DaYs SlumP:
Concrele Temp: 7 4
lYo Air: 6.oz
t/2"
3500 7.00"
Max Agg:
Register Number:Lab Location:00005331
CubicYards:6.s cF 6.5
Curing: High 8 o
Low 66
Average fc @ 2B days
Set
No.
Test @
Davs
Test
Date
Total
Load
Avg
Diameter .\rea UnitPSI Type Of
Fracture
Cap
Type
Tested
Bv
1 1 aB/22/2A78 58090 4.00 72 .56 PAD 6O RT
2t3 a9/t2/2018 6'7 645 4.00 t2 .56 s390 3 PAD 60
2A a9/12/2A78 619 65 4.00 L2 .56 5410 3 PAD 60 ME
2B 09/12/201,8 69135 4 - 00 L2.56 _l PAD 60 ME
28 5668s 4.00 5330 PAD 60
5410Dist bute aftachments
Please sec reverse side for additional information.
Total Concrete Placement Location:
SLAB IN ELEVATOR PIT AND SLAB ON METAL DECK AT 12' ABOVE SLAB ON GRADE AT
GRIDLINES XFF TO XGG AT 104.4 TO 105.2
ssoo I
loortzrzo:el I r:.se
I
I
ME
Job Number: 81501078. Register Number: 00005331
Project: MCKENZIE WILLAI"IETTE MUDICAL CENTER
< | in. [25 mm]
Type I
Ileasonable well-fonned
cones on both ends. Iess
than I in. [25 mm]of
crackingthrough caps
Type 4
Diagonal fractureuith
no cracking through
ends; lap with harnmer 1o
distinguish from'lype I
Type 2
Well-Formedconeon one
end. vertical cracksrunning
throughcaps, nowell-defi ned
cone on other end
Date Molded: aB / 75 / 2a7B
Type 3
Columnarvertical cracking
through both ends, no
nell-formedconcs
Type 6
Similar to Type 5 but
endofcylinder is pointed
J
Type 5
Side fraclures at top or
bottom (occurcommonl)
*ith unbonded caps)
ADMIXTURE(S) : MBAE90 (10 Oz), POLY 997 l3'72 OZ), vMA-358 (280 aZ), GLEN 3030(368 OZ) .
Remarks:
CC:QHCCS LLC
CTTY OE SPRINGFIELD DEVEIOPMENT SERV]CES ROBERT CASTILE
LITTLEJOIiN (S & ME COMPANY) - CHRIS AKERS
LITTLEJOI]N (S & ME COMPANY) TODD WILSON
INVOICES ONLY
RCASTILE@CI. SPRINGFIELO- OR. U5
CAKERS@SMEINC. CO]!I
WTWILSON@SMEINC. COM
LAYTON CONSTRUCTION CO _ ROBERT M1TCHEI,I, DROP BOX upload. Inspect. p97w9h$/sab@u. box. com
Project Manager chrrstian McDona ]d Reviewed By: Project Manager ot\ a9/21/2078
Our rcports pertain to thc material tested/inspected only. Inlbrmation containcd herein is not to be rcproduced, except in full,
u'ithout prior authorization from this ollice. Under all circumstances, the information containcd in this report is provided
subject to all terms and conditions of CTI'S Ceneral Conditions in effect at the time this report is prepared. No party other than
those to whom CTI has distributcd this report shall be entitled to use or rely upon the information contained in this document.
89970 ITWY 99N EI]CFNF OR
ffiB
Carlson Testing, Inc.
Bend OIfice
Geotechnical Office
I.lugene Office
Salem Officc'l igard OIfice
(5{l) 330-9155(soj) 601-82s0(5lr) 3,ts-0289
(503) s89-r2s2
(s03) 681-3160
RF'PORT OF 4XB CONCRETE CYLINDRTCAL TESTSPECIMENS
Test Methods:AS'.tM C39/C112/C1A64/C1,1 / a1 A1/ C) 11 /c6L't /cL231
Date Molded: 0B / 15 / 2a78
Permit #: B 11-SPR2 01s -012 2 9
.Iob Numbcr:E1501078.
Client: QHCCS LLC
I'roject: MCKENZIE WILI,AMETTE MEDICAL CENTER
JuTisdiction: S PRINGEI ELD
Subcontractor:
Concrete Supp
Cast By:C. MCDONALD
lier. EUGENE SAND & GRAVEL INC
Truck#: 560231 Load #: 2
Weather: CLEAR Test Time: 6 : 35 AM
Cylinders were cast for the following locations:
SOUTH END OF SLAB ON GRADE AT 4.1 TO AA.3 AT 101.8 TO 105.2
Total Concrete Placement Location:
SLAB ON GRADE AT GRIDLINES 4.1 TO AA.3 AT 101.8 TO 105.2.
Ticket#: 60006131
Air Temp. at Sampling Time: 64
Strength Requirement:
lllia f{16[sp; 390562
psi fc@ 28 Days Slump:
Concrele Temp: -J-L
3500 5.50"o/" Air: 1.1?
3/ 4"\lar Agg:
Admix/Amt: PoLY 9 97 \1 68 az . )
Register Numbe r:LabLocation:00005332 EUGENE
CubicYards: 2t aF s2 .5
Curing: High B o
Low 66
Set
No.
Test @
Davs
Test
Da te
Total
Load
Atg
Diameter Area UnitPSI Type Of
Fracture
Cap
Tvoe
Tested
Br-
I a8/2A/201,8 59245 4 - 00 72 .56 4t 2A 4 PAD 60 RT
2A a9/),2/2018 93615 4 .00 12 .56 7450 .J PAD 60 ME
2t3 a9/12/2078 Br65s 4.00 L2 .56 69BC l S ULEUR !tE
2B a9/12/201,8 81575 4 SUI'UF.
HOLD 2B 09/1,2/2078 81C?5 L2 .56 6690 ME
6900Average fc @ 2B daysDistribute attachments
Please see reverse side for additional information.
Date Received: AB /!6/2A78
Address:1460 G ST - SPRINGFIELD OREGON
Contractor: LAYTON CONSTRUCTION CO - ERIC CARLSON
I rz.sa I eaoo I
I
Job Number: 81501078. Register Number: 00005332
Project: MCKENZIE WILLAMETTE MEDICAL CENTER
< 1 in. [25 mm]
Type 2
Well-Formedconeonone
end. vertical cracks running
through caps, no well-defined
coneonothe(end
Date Molded: aB / 75 /2atB
Typ€ 3
Colurnnar vertical crackin g
through both ends, no
well-formed cones
r\
Typ. 6
Similar to Type 5 but
end ofcylinder is pointed
Type I
Reasonable rvell-formed
cones on both ends less
than I in. [25 mm] of
cracking through caps
Typ€ 4
Diagonalfracture with
nocrackingthrough
ends: tap with hammer to
distingujsh from T) pe 1
J
lype 5
Side fractures at top or
bottom (occurcommonly
with unbonded caps)
Renrarks:
ff; QHCCS LLC
ClTY OF SPRINGEIELD DE!'ELOPMENT SERVICES-ROBERT CASTILE
LITTLEJOIIN (S & ME COMPANY) . CHRIS AKERS
LITTLEJOHN (S & ME COMPANY) TODD WILSON
INVOICE5 ONLY
RCASTILEOCI. SPRINGFIELO, OR, IJ5
CAKERSGSMEINC. COM
wTwr LsoN@5MEINC. CClir
LAYTON CONSTRUCTION CO - ROBERT MITCHELL DROP BOX upl oad. rnspect. p9Tw9hwsab-au. box. com
Project Manager: Chrlstaan llcDonaid Reviewed By: Project Manager o). A9/21/2a7a
Our reports pertain to the material tested./inspected only. Inlormation contained hercin is not to be reproduced, except in l'ull.
$ithout prior authorization from this office. Under all circumstances. the information contained in this report is provided
subject to all terms and conditions of C1'l's General Conditions in effect at the time this report is prepared. No party other than
those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this documcnt.
89970 HWY 99N, EUGENE OR
V
(\ffi
Carlson Testing, Inc.
Bcnd Office(;eotechnical OIfic€
Iiugene Office
Salcm Office'l isard OIIice
(5.11)
(s0J)
(s{l )(s0.1)
(501)
330-9155
601-8250
315-0289
s89-r252
681-3r60
Test l\Iethods:
Date Molded: aA /29 /2A18
Permit #: B 11-sPR2 015-0122 9
I)ate llcr:eived:aB/3A/2A18 .lob Nurnber:E1501078.
Client: OHCC:j ILC
I'roj ssf; MCKENZiE WILLAI1aTTE MEDICAL CINTaR
dddlg5s;1460 G ST - SPRINGEIELD OREGON Jurisdiction: SPRTNGaTELD
Contractor: LAYTON CONSTRUCTION CO - ERIC CARLSON
Subcontractor:Cast By:C. MCDONALD
Concrete Supplier:
f1y6[ f; 379 Load #: ,
Weather: CLEAR Test '[ime: 8 : 1] .4,14
Cylinders were cast for the following locations:
SOUTH END OP SLAB ON GRADE AT CC1 TO CC2 AT DD2
Total Concrete Placement Location:
SLAB ON GRADE AT CC1 TO CC2 AT DD2
Strength Requirement: 3500 psi fc@ 28 Days Slump:
Mix Number: 390562 Concrete Temp: 73
Admix/Amt: PaLY991 \'7 32 aZ . j
Lab Location:
Ticket#: 60006730
Air Temp. at Sampling Time: s 9
EUGENE SAND & GRAVEL INC
"/" Air: 1' BE
3/4"Max Agg:
Cubic Yards:10 0E 10
Register Number:00005343 NI]GENI]Curing: High '7 4
Low 6o
Average fc @ 28 days
Set
No,
Test @
Davs
Tes t
Date
Total
Load
Avg
Diameter Area Tvpe Of
Fracture
cap
TYDe
Tested
By
1 I a9/05/20t8 41245 4.00 L2 .56 3'7 60 2 PAD 60 RT
28 09 /26 / 2atq 67830 5400 3 PAD 60
2B a9/26/2478 66644 4.00 72 .56 5 310 2 PAD 60 MI]
28 09/26/2At8 695 4A 4.00 1,2 .56 5540 PAD 60
HOLD 2B a9 / 26 / 2A1A 68670 4 .00 L2 .56 2 MII
5430f Dist.ibrt" attachmcnts
Plcase sce reverse side for additional information.
RFPORT OF 4X8 CONCRETE CYLINDRTCAL TESTSPECIMENS
UnitPSI
12 .56 |4.00 |
I
PAD 60 I5414
I
I II
Job Nurnber: 81501078. Register Number: 00005343
Project: MCKENZIE WILLAMETTE MEDTCAL CENTER
< I in. [25 mml
Type I
Reasonable well-formed
cones on both ends- less
than I in. [25 mm]of
crackingtfuough caps
Type 2
well-Folmcd coneonone
end, vertical cracks running
through caps. no w€ll-defi ned
cone on other€nd
Date Molded: aB / 29 / 2A78
Type 3
Colurnnarvcrtical cmcking
through both ends, no
$ell-formedcones
Type 6
Similar to lype 5 but
endof cylinder is pointed
J
lype 4
Diagonal lracfu re \a'ith
nocrackingduough
ends: tap with hammer 1()
distinguish from Tl pc I
T)'pe 5
Side fractures at top or
bottom (occur commonly
\rith unbonded caps)
Rcmarks:
CC:QHCCS LLC
C]TY OE SPRlNGFIELD DEVELOPMENT SERVICES-ROBERT CASTILE
I,ITTLE.]OHN (S & ME COMPANY) - CHRIS AKERS
LITTLEJOHN (S & ME COMPANY) ' TODD WILSON
INVOICEs ONLY
RCASTILE@CI. SPRINGFIELO.OR. U5
CAKERSGSMEINC. COM
wTwILSON@SMEINC. Cottl
LAYTON CONSTRUCTION CO ROBERT MITCHELL DROP BOX upload. rnspect. p9Twghwsab@u. box. com
Project Manager: christian McDonaf d Reviewed By: Project Manager an |A/A3/2A18
Our reports pertain to the material tested/inspected only. lnformation contained herein is not to be reproduced, cxcept in full.without prior authorization from this offlce. Under all circumstances, the information contained in this report is provided
subject to all terms and conditions of C'fl's Ceneral Conditions in efl'ect at thc time this report is prepared. No party other than
those to whom C'l l has distributed this rcport shall be entitlcd to use or rcly upon the information contained in this document.
89970 HWY 99N. EUGENE OR