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052095-D19 <br />132 <br />KOURY ENGINEERING <br />14280 EUCLID AVENUE <br />cHtNo, cA 91710 <br />(24 Hour) Cell: (310) 7134005 <br />Offic€: (909) 60641 11 <br />Fax: (909) 606-6555 <br />ENGINEER <br />& TESTING <br />REGISTERED INSPECTOR'S DAILY REPORT <br />NGNC. <br />4t30t19 <br />"'"'** 19-0365 <br />TYPE OF <br />INSPECTION <br />REQUIRED <br />E Reinrorc€d Concrele <br />E Pr$tressed Concete <br />E Reinforced Masonry <br />E Structuralsteel <br />E Frrc Proolinq <br />E Sholcrete <br />E Oualiv conlrol <br />E Drilled ln Ancho.s <br />olher Pull test <br />1441 V eWa Santa Ana <br />N/AS&A Expansion - Pull Test and Core Compression Testine N/A <br />MAt€iames?rptrolt(tttt q[-e Cic.l <br />Pull test <br />Existinq Bickel Grou <br />Aurea <br />Joey lvlartinez Jr <br />TESTS PERFORMED <br />TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIOiIAL REiiARKS ON SAIIIPLES <br />CERTIFICA]1Or{ OF COf,IPLIAXCE <br />ALL I,1,lcRK LISTEOABOVE WAS INSPECTED AS REQUIREO BY <br />CONTINIJEDON NFXT PAGF <br />TII\,IE IN TIME OUT REG, HOURS O,T. HOURS SAI\4PLES <br />4.0 <br />All n3oelDm based on a <br />the rnspector 6 @lled Io <br />THE APPROVED PLAN. SPECIFICATIONS AND <br />I€S WTH <br />Concre <br />NINGCOOE <br />OOES NOI COMPLY <br />1320189 ACt <br />REVIEWED <br />By valerlem at 9:01 am, May 02, 2019 <br />Arrived on site at 6 AM as requested <br />Performed pull test on 4 5/8" all threads located in the slab with 4" embedment. <br />No failures. <br />Equipment used: G-023, R-102 <br />QUALITY CONTROL <br />CHECKLIST <br />[ *recxeo tx ramr ctrv <br />tr oNnHEroJos <br />I or:cxeo e*xn <br />E REuEr /EoAP?FovEo PLAI <br />E RMEri\ED sP€crt^no s <br />EJ R€\r€vrEo FnEvroirs R€Po.rs <br />E rEsr P€nrofurEo P€a srccs <br />D coiiEcY No. or srx4€s <br />E sarrPtEs srof,ED sarErY <br />tr carcD,NsaMAEsFoRP'c"uP <br />E aLLoEF'c'Ei'c,EsNoTED <br />tr orHER <br />S,,ECIALTY <br />MENTS <br />NO AGENCY <br />www.kouryengineedng.com FORM FR-2@03034/2015 <br />6r00 am 8:00 am <br />INSPECTION SUIIT{ARY. LocATIoNs oF \ DRK INSPECTED TEST SAMPLES TAKEN, woRK REJECTED, Jo8 PRoBLEMS. PRoGRESS, REMARKS, <br />ETC. INCLUDE INFORMATION ABOUTAMOUNTS OF MATERIAL PLACED OR WORK PERFORMED. NUMBER & TYPE OF <br />TEST SAMPLES TAKEN. STRUCTURAL CONNECTIONS IWELDS MAOE BOLTS TOROUED) CHECKED. ETC, <br />Pull value 7200 lbs corresponding to 2700 psi gauge reading.