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swL <br />Specral hspecrroN aNo <br />Gto fecx Senvrces <br />Seruing all your special inspection needs <br />ln the Greater L.A. Basin <br />CERTIFIAAIOX OF COf, PLIATCE <br />I XSREBY C€RIIFY THAT I HAYE I},ISPECTEO IO IH€ BEA' OF IY K'IOfrL. <br />EOGE ALL Of THE BOYE REPORTEO WORX UXLESS OTHERWISE TOTEO. <br />I HAVE FOU'IO YHIS WONX ID COELY wlTH THE APPNOVEO PL }Is. SPECI. <br />FICAIIONS, AI{O APPLICAELE SECNOXS OF THE GOVERXI'{G EUILOITG <br />LAWS. <br />2026 Andreo Avenue <br />Torrance, CA 90501 <br />Office/Mobite: 3 t 0. 489.91 76 <br />Email: swlstacylenz@sbcglobal.net <br />Veteran Owneci <br />REGISTEREO INSPECTOR'S DAILY REPORT <br />C'ty <br />a lssucd 8y <br />Typ. or Sruchrc <br />tLtGnd O...rplioi (typ.. gr.dc. sourc!)I En9in.c, <br />Codracto.t <br />l.Ep.clo(a) N&rr. i Subcontraclor <br />INSPECTION SUIXARY. LOCATIO S OF !T,oRt( INSPECTEO. TEST SAT'PIES TAXEN. \^ORK REJECIEO, JO8 PROSLEUS, PROGR€S. REI'ARKS, ETC- <br />ITCLII)€S ITfORXATIoN AAOUT . ATTOUNTS OF },IATERIA! PI'CEO OR WOR( PERFORIIEO. NJTEER TYP€ E IT)€NT I{O'S <br />Of IEST SAMPLES TAI(EN: SIR]cf. COI{NECIONS twELO MAO€ H T ETOLTS TOROUEO) CH€CXEO: ETC <br />I <br />I <br />CIT,AUrY COI'TROL <br />CHECKLIST <br />O CIIECXEO lrl wfir CrTY O REVEI/VEDAPP PI I'I I SPECS <br />o ox nr,€ ro.Dg o clccr(ED PERTaI <br />o Ft€vt€tYEO tfiEvloirs REPonTso ooTAr€oAPPeOPilrrE rO Of SAra4rS <br />o cluEo n salft"Es <br />o oTliER_ <br />COXTINUEO OX }TEXT PAGE O PA6E OF <br />Srcr'l^ltrRf OF QEGTSTEnEO lxSPECTOfl <br />AG€'ICY <br />WHITE . OFFICE COPY CANARY . ACCOTJ ING COPY PINX . II{SPECTOR'S COPY <br />Job No Dale Ime <br />TYPE OF <br />INSPECTION <br />REOUIREO <br />O RcintorccO Comretc <br />O Pod T.n$omd Concrele <br />O Raaolo.crd Ma!9Ary <br />O SruciuEt Scct esscmuy <br />O Fire Proofng <br />Q &lnc[ <br />El Ouality Control <br />Cl Epoxy <br />O othcr <br />TflE H ]IIE OUT R€G. <br />"OURS <br />o.L HOt RS <br />All lrEpacttorE baaad on a hininum o, a hou.r and ovar a hourr . t horr <br />minlrnum. All ln.p.cli,ona rLdhg !.ror. t2:m t.ln. and .unnlng pa.r <br />l2:m p.tr. will b. chtrg.d . I hour itlnlmum. <br />Prcirt SuD.rinr.nd.nt <br />rI-I- <br />I L. <br />L,zr'L lt <br />s IPt.Es