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KOURY ENGINEERING <br />14280 EUCLID AVENUE <br />cHrNo, cA 91710 <br />(24 Hour) Cell: (310) 7134005 <br />offrce: (909) 606611 1 <br />Fax: (909) 6066555 <br />ENGINEERING <br />A TESTING, INC. <br />REGISTERED INSPECTOR'S DAILY REPORT <br />oero o4-2g-lg <br />"-*'* 19-0365 <br />ryPE OF <br />INSPECTION <br />REQUIRED <br />E Reanforced Concrele <br />E Pestressed concrcle <br />E Reanforced Masonrv <br />f] Structu.alsleel <br />E Frr€ Proofins <br />f] stotcrete <br />E Oualiry Conlrol <br />I Drilled lnAnchors <br />I ottrer EDoxv <br />L44L V ll eWa an Ana <br />S&A sion - Pull Test and Core Com ssion Testi Pe nd in Santa Ana <br />Slab on qrade <br />IraFiGci <br />P. Petrov <br />Iia;;l:i1"-:!;il6io,1 ( tvou orede sou' erc ) <br />tl?" Dia. x 4718" Long Threaded Rod P Petrov <br />Epoxy Hilti HIT-HY 200-4 and Red Head G5+Walltopia <br />Alfy Mikhael <br />S! bcoiiii-ror <br />Walltopia <br />TYPE OF SAiIPLE SLU MP QUANTITY IN SET AODITIONAL REMARKS ON SAMPLES <br />INSPECTION SUIIII{ARY- LOCATIONS OF WORK INSPECTED. TEST SAMPLES TAKEN, WORK REJECTED. JO8 PROBLEMS PROGRESS. REMARKS, <br />ETC.INCLUOE INFORMATION ABOUT AMOUNTS OF MATERIALPLACED OR WORK PERFORMED. NUMBER &TYPE OF <br />TEST SAMPLES TAKEN STRUCTURAL CONNECTIONS &VELOS MADE, BOLTS TOROUED) CHECKED, ETC. <br />On site to observe placement of Epoxy at the existing slab on grade at the fun room to install <br />Ll2" Dia. x 4 7/8" Long Threaded Rod w/3 U8" Embedment for installation the base plate columns <br />for the climbing wall at the following grid line ( Axis ) <br />a) 37 , 38, 40 and 4L. ( 4 ) Threaded Rod per base plate column .( l-6 ) Total threaded rod <br />b) 36 , 38 , 42 and 43. ( 2 ) Threaded Rod per base plate column . ( 8 ) Total threaded rod <br />Epoxy Hilti HIT - HY 200 - A . <br />c) F.1", F.2, F.3 and F.4 . ( 4 ) Threaded Rod per base plate column . ( 16 ) Total threaded rod <br />Epoxy Red Head G5+ Medium - Duty Strength, Moderate Cur Time Long N4eet ICC - ES ESR - 4138 . <br />Referenced approved plan 5L14 , 1.2/5115, l-ls203 and 5202. <br />QUALITY CONTROL <br />CHECXLIST <br />tr <br />M <br />trt <br />trt <br />REMEI'€D APPROVED PTAN f] rEsr PERFoiMEo p€i sp€cs. <br />E comEcrNooFsal,.Es <br />tr sa/p,EssroiEosaFE,Y <br />E cAIlEo rN sllrP!'Es roR PrcrruP <br />E ^LL <br />oErrcreNd€s NorEo <br />M C'ECXEDPERII'tr REUE /ED PREv'ous REPoRrs tr -*- <br />CERNFlcAION OF CO{TIPLIAXCE <br />ALL V1/oRK LISTEDABOVE WAS INSPECTEOAS REQUIRED BY <br />THE APPROVED PL N, SPECIFICATIONS ANO GOVERNING COO€ <br />I v1,oRI. CoMPLIES VMIH E WOR^ DOES NO I COMPLY <br />- APPROVE D DOCUM ENTS <br />TI[,4E IN TIME OUT REG. I-]OURS O,T, HOURS SAI\4PLES <br />08:00 14:00 8.0 <br />Al mp€.1ons baed on a mirimlm ot 4 hours dtd over 4 ho{.3 - 8 toB dnidum ll <br />h€ rBp6.ror B cdk to a prqoct Bnd no wolt is pondrEd a two tEur minrnum <br />chars€ wdl be arplisd. Pleas. wril, O.C. ChodlEl. <br />Christian <br />CONTINUEOON NEXT PAGE PAoE _-L_ oF _-L <br />REGISTE <br />tcc <br />CC archn&t Emme6r. Burldrm Offcral <br />NO AGENCY <br />www.kouryengineering.com FORM FR-20003 02/18,8CO8 <br />Concrete 5264203 <br />TESTS PERFORMED