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swL <br />Specnl hspecrpru aruo <br />Geo Tecx SeRvrces <br />Serving all your special inspection needs <br />ln the Greater L.A. Basin <br />Job No Dale Time <br />TYPE OF <br />INSPECTION <br />REQUIRED <br />O Reinforced Conc.ete <br />O Posl Tensioned Concrete <br />O Struclural Steel Assembly <br />E Fire Proofing <br />fl Ouality Control <br />tr Epoxy <br />O o$ct0 Reinlo rced Masonry E) Asp halt <br />cny <br />Engrncer <br />Conlracloi <br />Inspcclo(3) N.rnc Subcontractot <br />OUALIIY CONTROL <br />CHECKL6T <br />O REVI€WED PREVIOT,,S REPORTS <br />O OaT^l,l€O APPROPRIAIE rlo. OE SATaPLES <br />2026 Andreo Avenue <br />Torrance, CA 90501 <br />Office/Mobile: 31 0. 489.91 76 <br />Email: swlstacylenz@sbcgtobat.net <br />Veteran Owned <br />REGISTERED INSPECTOR'S DAILY REPORT <br />CERTIFICA]TON OF COf PLIANCE <br />I HEREBY CERTIFY THAT I HAYE Ii|SPECTEO IO TIIE BE6T OF IIY XNOWL. <br />EDGE ALL OF IHE ABOVE RCPORTED WOf,K UNLESS OTHERWSE IIOTEO. <br />I HAVE FOUIOIHIS WORX TO COf,PLY wlTH THE APPiOVEDPLANS. SPECI. <br />FICATIOiIS, AND APPLICAALE SECNONS OF THE GOVERI{I G BUILOI}'G <br />LAWS. <br />COXTIT{UEO ON XEXT PAGE O PAG€ _ Of _ <br />SIGNATURE OF REGISTEREO t'ISPECTOR <br />AG€'{CY <br />TI}IE IN TIIE OUT REG. I{OURS o.t HouRs SAIPLES <br />All ln3p.cllgnt ba3.d on r minlmulrl or a houra .nd ova. a hourr - l hour <br />lrlinlmum. All lnapaction! .t .ling b.to.c 12:00 p.m. .lld rurnlng p.tt <br />t2:m p.ft. will b. ch..gcd I E hour minimul't. <br />Priit SoprrintroOart <br />IET--I <br />e <br />lssuad By <br />CaL <br />Job Addr6s <br />Typ€ ol gruclu.e <br />ltet€nel D6cnption (typ.. grede, sourc.) <br />L\ r q,O<zrr 5r1 :l v f <br />Wrz*-t< <br />INSPECTION SUI{HARY. LOCATIONS OF WORK INSPECTEO. TEST SAUPLES TAXEN, WORK REJECIEO, JOA PROALEMS. PROGRES. REMAF(S, ETC, <br />INCLUDES INFORI'ATON AIIOUT . AMOUNTS OF MATERIAI PLACEO OR WORK PERFORMEO. I.IIJMBER, TYPE & IDENT, NO'S <br />OF IEST SAMPLES TA(EN: SIRICI CONNECTIONS (wELo MAOE H I BOLTS TOROUEO) CHECKEO: ETC. <br />t I <br />LI+ <br />n-II <J <br />V Z <br />O€t ola-a .-. I a'fuA-' illrr,),t!-,.,'Lrn I e < <br />()t.1--1 <br />o cHEcxEo tll ri{T}r crTY o REvrEvtEoAPP Ptlx I sPEcs <br />O ON TIME IO JOA O ctGO(€D PERXII <br />o cruEo rN sAlrPLEs <br />o oTHER_ <br />-/\, <br />WHITE . OFFICE COPY CANARY . ACCOU NNG COPY PINK . INSPECTOR'S COPY