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ED CASTRO <br />3364 PASEO HALCON <br />SAN CLEMENTE, C492672 <br />Cell 1714\ 328-0267 . Fax (949) 493-6447 <br />ed-sylviacastro@cox.net <br />SPECIAL <br />INSPECTOH'S BEPORT <br />tr FEINFONCEO CONCRETE <br />tr POST.TENSIONEDCONCFETE <br />tr REINFORCEO MASONRY <br />COVERING WORK PENFORMED <br />WHICH BEOUIFEO APPROVAL BY <br />THE SPECIAL INSPECTOR OF <br />BLOG PERMII NO loiqAbAL'il u-tla.z-, * A { /;l',bJ()8 NA[!E <br />CONTFACIOE A)L.s n.rlitiz.,,/, L.oui^e *r- s-.all{A)a.92vaLJO8 ADDFESSt6a9 <br />SU8 CONIFACIONs,( rn rqb <br />LAB TEST N6 SAMPLTSBc"l PD'ENG I,IEE6 <br />CERTtf|CATt0N 0F CoMPLIANCE: All of the reponed work, unless olheruse noted, complies wilh approved plans, specitications and applicable <br />sections ot the unalorm building codes. Thrs repon cove.s lhe locations 0t lhe work insp€cted only and does not constitute engineering opinion or <br />proiect control. <br />OTHER CODES REOUIf,ED: <br />lNPECTION DATE <br />-Xcrq INSPECTED THE FOLLOWING WORKS: <br />* <br />t4 <br />6,Ll v <br />O<z ,O\ <br />MATERIAL INFORMATION: CONCRETE tr GBOUTtr MORTARtr OTHERtr <br />SAi/PLES CASTADMIXSUPPLIERIVIX NO <br />YDS- PLACEDSLUMPTYPE:SPEC, PS,I <br />tA 2,ol ltz?a4 H. ICL <br />CEFT NUMBES <br />Dale Slan Stop Beg. Hours OT Hours Mileaqe Billing Address All inspections based <br />on a minimum ol 4 <br />hours&over4hours <br />- I hour minimum ln <br />addition, any inspec- <br />tion ext€nding pasl <br />noon hour will be an <br />8 hour minimum. <br />1'llo4a4 Am *n)+ <br />WHITI lo oil'o YELI0w lo lnspeclor Plt{x loConraclo, <br />Approved by <br />E] STRUCT STEELASSEMBLY <br />D WELDING <br />.I I.II.TEN BOLT NG <br />E] REINF STL <br />FEPOXYtr OTHEF