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lil NATIONAL INSPECTION & TESTING <br />P-O. Box 63304 <br />Los Angeles, CA 90063 <br />Tel: (800) 791-2136 <br />Fax: (888) 808-1317 <br />24 Hrs.: (310) 930-5515 <br />office@nationallab.us <br />SPECIAL/DEPUTY INSPECTION REPORT Date r2-201g Time <br />TYPE OF <br />INSPECTION <br />REOUIRED <br />Reinfoaced concrete <br />Post Tensioned Concrote <br />Structural Steel Assembly <br />High Strength Bolts <br />E Quality Control <br />Reinforced Ma Fire Proofin <br />Epoxy <br />Other <br />TESTS PERFORMED <br />TYPE OF SATIPLE SLUMP QUANTIW IN SET ADOITIONAL REMARKS ON SAMPLES <br />SIJMMARY . LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC <br />Work was done in accordance with specification. <br />IERMS: EILLINGAT 4 ANO 8 HOURS MINIMUMS, WITH 2 HOUR CHARGE FOR CANCELLATIONS, SI'IOULD NIT AE REQUIRED TO INSTITUTE LEGAL ACTION FOR THE COLLECTION OF <br />A OEBT INCURREO AS A RESUTT O' ACCEPTANCE OF THIS SERVICETICKET NITWITT BE ENTITLED IO ATTORNEYS FEESAND COST INCURREO IN SAIOSUITE. <br />THIS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND TESTING BY NATIONAL INSPECTION& TESTING PERSONNEL OR SUB-CONTRACTORS, OUR WORK OOES NOT <br />INCLUOE SUPERVISION OR DIRECTION OF THE ACTUAI WORK OF 1HE CONTRACTOR, HIS EMPLOYEES OR AGENIS,IHE CONTMCTOR IS INFORMEDTHAT NEITHERTHE <br />PRESENCE OFOUR FIELD REPRESENTATIVE NORTHE OBSERVATION AND TESTING BYOUR FIRM SHAIL EXCUSE TBE CONTRACTOR IN ANY WAY OF OEFECIS OISCOVERED IN IHE <br />CONTRACTORS WORX, IT IS UNDERSTCTOO THAT OUR FIRMwlLL NOT BE RESPONSIBLE FOR JO8 OR SITE SAFETY ONTHISPRO.IECT, <br />CONTINUED ON NEXT PAGE PAGE ,1 <br />OF <br />OF THE OTI]ERWISE NOTED.I HAVE FOL,NO THIS <br />SPECIFICATIONS, AND APPLICAB!€ <br />BU <br />RC 8012943 rcc <br />City of Santa Ana 1918 W. Glenwood PlBuildin9 Depanment <br />Addition/Remodel ferm,i <br />No On File <br />lnooress <br />Treeium, lnc leooress <br />l'"n'""'Su Econfaclor <br />[rcnrtect <br />lnspecto(s)Name Mario Cordero <br />TIME IN TIME OUT REG.HOURS O.T, HOURS TRAVEL TIME <br />4II II <br />SPECIALTY NO <br />INSPECTOR <br />AGENCY <br />All hspeclbns b6sed on a minimum ol4 houB and ov6r 4 hours - 8 hou6 <br />minimum. in addilio. any inspedion sxtending passed noonrllb€ an I hourminimum <br />Ovtnim€ billin!.1161 8- Houls and Saturday's at Time and a Half, Sundays oouble Timo. <br />Proper installation of (20) 5/8" dia threaded rods for anchor bolts at sill plate along shear <br />walls into existing concrete per detail and shear wall schedule. Holes were clean and filled <br />with Simpson Set XP epoxy ICC ESR 2508. <br />CERTIFICATION OF COMPLIANCE <br />I HEREBY CERTIFY THAT I HAVE INSPECIED TO THE BEST OF MY KNOWLEDGE ALL <br />Job No.