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so cAL rrvsPEcTlojvs, rNc. <br />3783 Sierra Ave . Norco, CA 92860 <br />Phone (951) 2O3-97O1Fax (6261917-8739 <br />AWS/CWr- rCBO/rCC <br />ALL CITIES & JURISDICTIONS <br />INSPECTION & MATERIAL TESTING <br />REGISTEREO INSPECTOR'S DAILY REPORT <br />PAGE 1 oF 1 <br />CERTIFICATION OF COMPLIAN the best of my knowledge all of the reported work, <br />unless olheMise noted rs in ance with the approved plans, specificalions, and <br />ns of the <br />ICC Concrete: 5296764 <br />02t01t19 <br />TYPE OF <br />INSPECTION <br />REQUIRED <br />Reinforced Concrete <br />Post Tensioned Concrete <br />Structural Masonry <br />E Structural Steel Assembly <br />E Fireproofing <br />E Asphalt <br />E Quality Control <br />n Epoxy Anchorsn other <br />4518 Westminster Ave Santa Ana, CA <br />California Japanese Auto Service City Of Santa Ana <br />Auto Shop <br />Material O63cdplion (typ., gE.l6, eurco) <br />Hilti RD 200 Epoxy Seizmic Engineering <br />Airdraulics <br />Charles F. Ramsey lll <br />INSPECTION SUMMARY -LOCATIONS OFWORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEIVS. PROGRESS, <br />REMARKS. ETC, INCLUDES INFORMATION ABOUT AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED <br />NUMBER, TYPE AND IDENTIFICATION NUMBERS OF SAMPLES TAKEN STRUCTURAL CONNECTIONS (WELD <br />MADE H,T, BOLTS TORQUED) CHECKED. ETC, <br />Epoxy Anchors <br />Observed placement oI /o" all thread rods for new anchor bolts for (3) new car lifts in <br />Garage per detail 3. %" rods were installed with 15" minimum embedment into concrete <br />Footing. All holes were clean prior to placement of epoxy. Hilti RE500 Epoxy was used <br />Per plan <br />SAMPLES <br />CONCRETF MORTAR GROIIT BI OCK PRISMS DFNSITY <br />TIME IN T]ME OUT REG I]OURS oTl5X ar 2\ <br />1 1:00 4 <br />All msD€t ons based on a mrn mlm of 4 hours Over 4 hours = a hours m nrmum <br />Any rnsp€cl o.s enendng pasl noon w bo charged as an a hour mrn muh <br />PRO,lFCT SI IPFRINTFNOFNT <br />AY <br />ap ng building laws