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CITY OF SANTA ANA <br />BUILDING & SAFETY <br />SPECIAL INSPECTION REPORT <br />DATE: <br />PROIECT ADDRESS: <br />TYPE OF INSPECTION: <br />70/1.1.1t8 <br />VENTANA WALI( - PHASE 4 BTDG #S Lot f 34 PIan 4C <br />Concrete placement <br />WOR( DESCRIPTION: <br />Observed the prepaaation and placementof concrete repair. <br />Cylinder samples were taken fortestine. lab results willbe forwarded to the Building Dept. <br />Work on this job has been satisfactorily completd in conformance with approved plans and the <br />requirements of of Santa Ana <br />Signat!re <br />Print Name: S lGhaly # 850854 <br />(949)235-0552 <br />Project/Construction M a nager Approval/Signatu re <br />Project/Constarction lvlanaSer Name: Robert Ramiro <br />(s62) 241-1333