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MfGr <br />Corporste <br />2992 E La Palma Ave., Suite A <br />Anaheim, CA 92806 <br />Teli 714.632.2999 <br />F ar 714 .632.?971 <br />Oispatch: 800.491.2990 <br />San Oiegorl mporill County: <br />6295 Fems Square, Sude C <br />San Deqo, CA 92121 <br />Tel: 858.537.3999 <br />Fax: 858.537.3990 <br />Dispatch: 888.844.5060 <br />lnland Empirq: <br />14.167 tJendian Pkwy., Bldg 2A <br />Riversrde. CA 92518 <br />Tel: 951.653.4999 <br />Fax: 951.653.4666 <br />Dispadr: 800.491.2990 <br />MTGL PROJECT#| 5403AI9 DAILY INSPECTION <br />REPORT <br />DSA,/CITY File # <br />Permil * <br />Report * <br />10191322-17509 <br />Page 1 o, I <br />DSL/OSHPD Appl. * <br />OSA/LEA <br />' <br />s.p5/r16 ropo.rs $ail b. prlpdld ld.dt rrp6 o, $ed rnrpeo. d a drry brs! E.dr,6Fo.1.trdr bo co.rddod fid $9n64 b, ho sr.oal rn t cto. drdr(!.g lll€ <br />NOT DID TME <br />lnspecled in accordance with the requirements of the Projed <br />approved documents. <br />The requiremenls of the Project approved documents <br />Samples taken 1 Set of (4) 4 X I Test cyl ,- <br />Sunny Tem p 86 <br />MATERTAL sAMeLTNG wa€ wns Nor E nlnE <br />Performance in accordance with Projecl appoved doorments -*Yr,*, <br />Khlok <br />Cerlification *l <br />PROJECT NAME ALOI Store #34 Dale 8-10-17 <br />ARCHITECT APD Architecture, lnc TiME ARRTVED 12:3opm T|ME DEPARTED 3pm <br />ENGINEER B & B Associates IRAVEL TIME LUNCH TIME <br />CONTRACTOR ED Grush G€neral Contractor, lnc SUB CONTRACTOR Xpress Concrete, lnc. <br />INSPECTION ADDRESS <br />28i)0 S. Bristol St., Santa Ana. CA 92704 <br />ADDRESS OF PROJECT <br />2830 S. Eristol St., Santa Ana, CA 92704 <br />PE OF INSPE ON EATCH PLANT MASONRY <br />E ENGINEERED FILL <br />I rouruoarroru <br />n PT coNcRErE f] HrcH srnerucrn aorrmc <br />flwerorrucfl srorcnere <br />BACK FILL CONCRETE SHOP WELDING <br />trtr <br />FIRE PROOFING <br />ANCHOR/DOWEL <br />! ruoe rrero <br />l-l r,roe sxop <br />E CETLTNG WIRE <br />Epoxy <br />Pertormed OC, Observed th€ placement and consolidation ol approx. 10 cubic yards ol concrete into stem wall <br />Location:Along line 7 btw A.5/C.5 foundation lev€|. <br />Concrete supplied by Robortson, Mix Design 49894, 5000psi , 6 1/4" slump test results. <br />Concrete was placed via gravel pump & mechanical vibrator was used lor compaction. <br />Casted 1 set of (4) 4 X I tesl Cyl. <br />Status: Work is completed. <br />2. Observod Epoxy installataon ol #4 dowel into (E) CMU wall & (E) concrete slab W / Min of 2 3/8" €mbedment @ 15" OC per <br />detail 82, 83 / S3O1 locatad @ line F btw 5.8/6.1. All holss were properly cleanod and Simpson Sot-XP Epoxy was used. <br />Status: Complet€d.a <br />REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPLETE <br />Venfied by: <br />Chhivr <br />rcc 82962 <br />\ <br />t <br />a <br />/ <br />I <br />I.l <br />rl& <br />I <br />t 'l <br />Ia <br />It:t <br />B.-a'