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D!t! 2-l 6-18 Tlm6 <br />TYPE OF <br />INSPECTION <br />REQUIRED <br />nforc€d Concrll. <br />Tantlon Concrata <br />ntorcod Molonry <br />Conalruction <br />Sbucturll Sb.l Aa.rtrbly <br />Fl.! ProoirE <br />Arphtll <br />I.8., CollirEr <br />Control <br />Poxy <br />RSI lnstallation <br />Job Addross: 3400 W. Garrey Ave.clty: Santa Ana <br />Job Nsms: Behr phase 2 Pormit No.: 10'1994526 lssued By: City of Santa Ana <br />-ryp.-"-I5Effi rc .5to ra G na c f s Architocl: <br />Matorial Description (type, grad€, soutco):Enginesr: <br />Powers Wedge-Bolt 1 12" x4"Contracior: RSI lnstallation <br />Subcoolraclor: <br />lnspeclors (s) Namo: Tracy Barr contact into: Greg Lopez / Mike 714-866-9430 <br />TEST PERFORMED <br />TYPE OF SAMPLE SLUMP QUANTITY IN SET ADOITIONAL REMARKS ON SAMPLES <br />INSPECTION SUMMARY .LOCTIO|r Of WORX I.APECTEO. IEST SAXPI.E6 T ,GX, V'Of,'( REJECTEO, JOA PiGLEUS, PROGRESS REIAR,(A, ETC, <br />lrcttDEa xFoRtaaTroll Aaour Araqrxr of narERt r PL cEo oR (rYoE( P€RfOn ED, t(UvAER. TYPE a D€XTlFlCATlOll <br />xcls OF IEAI 3 lPtEs TAlGr{: STRUCIUR T COLIECIIOIIS (l!/El3 ltAO€, H.9. aOtTS TOR(XrE) C}CCXEO. ETC. <br />Post-Testing: Torque FU lbs. <br />AMERISPEC INSPECTIONS <br />REGISTERED INSPECTOR'S REPORT <br />CERTIFICATE OF COIIPLIANCE <br />I HEREAY C€RTIFY THAT I HAVE INSPECTED TO THE EEST Of UY (NOWLEOGE <br />AII OF THE AAOVE REPORTEOIYORX UNLESS OTHERWISE NOTEO I }IAVE Trtl€ rN nrE OUT |\REC. Hor.ng OT SAMPLES <br />1 :00pm zl6om I \ a <br />Ba8€O ON A llo ovER a tl01,Ra-c-{.tou R <br />PTSI TXE I'@I' HOUR IYLIaoorltota, aNY <br />a€ A,l <br />Arpfovcd by <br />/L <br />Prol.cl Sug.rlntand.nl <br />FOU <br />ANO <br />ES Wi'TH THE APPROVED PLANS, SPECIFICATIONS <br />OF E GOVERNING SUILOIIIG LAWS <br />NATURE RIOI9TEREO IXAPECTOR <br />83,14099Reinforced Concrete rcc <br />SPECIALTY ACENCY <br />CONTINUED ON NEXT PAGE PAGE OF <br />I Job No. <br />V <br />E <br />I <br />I Observed the post-installation of anchor bolts for (4) rows of storage racks. <br />I Using Powers Wedge-Bolt 1t2"x4" Anchor @ 40 ft.-lbs torque. ICC ESR 2526 <br />I rotat 480 botts <br />I Location: Sheet A-1 Rows 20 & 21. <br />I er p.r approved plans, Hawthorne Lift Systems Sheets: A-1 & Details on Sht SCE 1 of 1. <br />I <br />I <br />r{o. <br />I