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Field Daily <br />Oflsite?es floo Offsite Location: <br />TYPE OF WORK: (chc.k onc)Concrpte ltestsessed Concrete lUasorxy I W"tOing <br />Zlou."Torque Test <br />Description of Work:Provided a torque test set @ 40 foot lbs per ESR #1917 for the <br />plan approved HiltiKwikbolt 112 x 5 1 12" with plan min embedment al 3 1 14" embedment per <br />6/SED of 1 (4-25-19). 84 bolts were installed over 30% were tested without failure. <br />Locations were @ the following: 12-131G; 13/E; 12lD;1O/B-C approximately per A2-0. <br />" NoJe: prior to torque testing a visual inspection verified that 2 anchors were used per baseplate <br />per detail and notes. <br />Bon Athdnitis <br />Approved by: <br />All American lnspectionsProjcct #Airborne Systems <br />Job Name: <br />Job Addrcss:3100 W Segerstrom <br />Report Dale: 7-18-1 I <br />5269114 2020Exp Date: <br />Liceose Required for Inspcction:ICC R/C <br />InspectoI: <br />License # <br />Client: <br />Eric Blisser <br />Santa AnaJurisdiction <br />Contractql: <br />Contact al Site: <br />10 1 99945Perrnit # <br />DATE TASK #REGTJLAR o.T.TIME IN TIME OUT <br />7-18-19 4 10:00 '11 :30 <br />(Print Name) <br />Sergio Romo <br />Sigrnhue: <br />Ron Athanitis <br />Inspector Name: