HomeMy WebLinkAboutPermit Field Test & Inspection Report 2008-4-7
Carlson Testing, Inc.
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P.O, Box 23814
T1gard, Oregon 97281
Phone (503)684-3460
Fax (503) 61l4-O954
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4060 Hudson Ave" NE
Salem, OR 97301
Phone (503) 589,1252
Fax (503) 589,1309
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P.O, Box 7918
Bend, OR 97708
Phone (541) 33G-9155
Fax (541) 33Q.9163
Special. Inspeetion
DAILY li I Ii,' n .l:U9'V.KT
Project:p(p,SorPC/2.o Cpnr"?c1!::>/n- Date: LI/7/0B
JobAddress:25p<f j?1~;^J S;.-; - Spno--5 Fi....L.t'TI Job No, ~C>.3>o bn5'
PennitNo.: L.el""'-l 2-t:::>of5 -coP':;;," Type of Inspection: /-!PI
Field 0 or Fab Shop S ~~ Lp,p,4!!'"r- Weather:
Page_of_
Inspection Notes (include location, testing data, substitutions/deviations, materials and me1hods of construction, non-conforming items,
acceptance criteria, ...~...,;,.....:...J non-~nfonning items, etc.): ' . .
Crt tfC6-;P. ~6?;:? ./?Ji.'k' vi:;, 1~.,J? ~ ;,JJ.e>d""t.v1"'r;><,L".774
...
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2Jo'--'~. bv~'.lU5 pF4J.) $1/-~.',1.t -If?6?$"""]- R..'-F, '"77/"--7 c.pV~,k-r
f: E, ~"774-I"'h;;FbI? Jt.PT-P-1 L. A)9 ~ I p J /1 J '" '5 .
w6-t!..,,,lh;z c~'rS. )A..)P5 r:J. P-2, ({ C.~?75 p;z ~ o~ RI-(! ;;;;r-
77h :$ /J.~/P ,
'U?6--~/L:J( ~/v~,rit,H-7$ /..UI rr;/ ~G)5 d- d?('L),kL1 ( .
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*** CHECK ONE BOX ONLY ***
I. This is a preliminary Inspection only. - OR--
2. The work inspected conforms to acceptance criteria listed above. If UNo," 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 c.-..:t.....ing.
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Inspector:
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Certification No.:
72&
Use oflbe information con1llined in Ibis report con.<titutes .,....,.>.__: of all terms on the reverse oflbis limn and Carlson Testing, me.'s General Conditions.
Information COOIllined herein is Dol to be reproduced. except in ful~ without prior m.~._.:""":_.. from this .office,