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I <br />CorporaL <br />2S2 E L! P.lrna AE. S1e. A <br />An.h.im. CA 92806 <br />T.l:714.632.298 <br />Fa,t:714.€tsz.2s74 <br />Oisp.tch: 600.,491.2S90 <br />lnl.nd EmFi.c <br />1 ,1467 Moriliar Pkvry. , BUg 2A <br />RiYorsilo , CA 9251 8 <br />Tol: +51.653.4)S <br />Far: 51.653.,1666 <br />Oispotch: 8m.491.2S90 <br />l.!db <br />iizlgl 7 Golt Cenb r P|firy.. Sle. I <br />l.ldio, CA 92201 <br />f d..7@.u2!6n <br />Flx:760.342.4525 <br />Disp.tch: q)0.it91.2S <br />S.n Oicgonnp.ri,el Cou. y <br />6295 Forris Square St6. C <br />Ssn Cli€go, CA 92121 <br />T.l:858.537.39$ <br />Fax: 856.537.3990 <br />ObFtcrr: 8aa.0{4.5060 <br />MrGL PRoJEcr*: 5 'r a3 A I I <br />r"nt lont722--l+509 <br />Report t:L Pagslor I <br />DAILY INSPECTION <br />REPORT <br />osA/ctTY Fih t _ <br />DSA,TOSHPO Appl. t <br />DSAJLEA I <br />Speoal lr6pedton ReoorE mul be d,shbdted b tre rBriEs lisEd b€to$, <br />Separate repoats $a{l be paEpared tu eadt type ol specat nsp€cton on <br />sthh I 4 days or $E rri€pecOon ReF.ts o, no. co.nphant 6d,tEB mu6t be dBlrDuted .m,iedEtely <br />a daly bagla Eadr aeport sholl tp completsd ard srlned by lhe speclal risp€do( cdnlIfuE th€ <br />MIG 1 <br />oale: O 8Z+ <br />TIME ARRIVED TIME DEPARTEO-{..oo P, <br />I <br />A <br />I Mor STore t6 lotPROJECT NAM <br />ARCHITECT:7...c <br />ENGINEER BPE ,\ssoci t\.5 TRAVEL TIME LUNCH NME. <br />CONTRACTOR Es 4Q-usrt StJB CONTRACTOR <br />INSPECTION ADDRESS ADORESS OF PROJECT 30 .r. $rtirol J <br />TYPE OF INSPECTION <br />O ENGINEERED FILL <br />E FoUNDATIoN <br />D BAoK F|LL <br />trtr <br />D SHOTCRETE <br />6coxcnere <br />SATCH PLANT <br />PT CONCRETE <br />trtro0 SHoPWELD <br />MA,SONRY <br />HIGI{ STRENGTH BOLTING <br />WELDING <br />D FIREPROOFING <br />E ANcHoR/DowEL <br />E NoE FIELD <br />E NoE sHoP <br />O C€ILING WRE <br />Dtrtr <br />APPROVED DOCUMENTS <br />osAJosHPo AVAILABLE APPROVED <br />PLANSYEND SOIL REPORT Y fI N EI <br />DRAWNGYENE <br />SPECS:YElNEI <br />APPROVED SHOP <br />EOEUIPUENT USED BY CONTRACTOR <br />VT,oR K AR EA <br />MATERIALS USED AY CONTRACTOR (NCLUDE RESEARCH REPORT NO. OR MA TERIAL TEST REPORTS): tlornatVt{eigm Concr6t6, Hi€ <br />Cl ifrccl"r fotbr.l rtl monu$,q[\sce tntTr<;cTiovl lor rn5fqllq'Iion <br />os Pcr ,4PPro'rtd f/ans ord CoJt" <br />Ho ntlqtl <br />d5T ;\cdf;(nJi,)lin (a'o-fi U tl^P.TE <br />Io lu <br />l:E ir- <br />tl49 <br />,^11TLTr <br />I (5r1,C'a,qIq nQE o qLroEeud IbhIooJ5rIlfl5ttPJ <br />n relrrlo5Ca Q.3 I IGre.I ,).SS.oo)(7&\\FF o onI"JY\ec e (\o t c-n Ir t-T B(,I bdd n g+3 ofeI('v 5otteb.d t I t Hodbfi,l n5d o5dICeoICe)l YI.jgI0q 5 <br />oa,mbqhctrtlt/^e5sCo I rf\,)e rh r (Ad EtclF ofrP )rJ <br />o ,(IUL\ClIlt oHtr.r4 LrPedR.5r I 2 I2ilrdIr '+J <br />q{, ur e ll Qs <br />Al/ a Lote <br />EsR -3r6a <br />rr.r e n( a,rc5 tiom P/cter-l <br />lla <br />RE\A/CRK AS PERCENT OF ALL WOR K TODAY: oon PERCENT PROJECT COMPLETE <br />THE WORK WAS WAS NOT <br />lnspec{ed in accorda nce with the requirements of the DSFJOSpHD/ <br />THE WORK INSPECTED MET DID NOT MEET <br />PROJECT a pproYed documents <br />MATERTAL sAMpLtNG wAs E wls tor E vl w6ather: <br />Perfonned in ac.ordanca with OSA,IOSPHD/PROJECT approved docurEnt3. <br />The requirements of the PR <br />Sampla6 taken: <br />T documents <br />Q)eor Temp: -+ tr E- o <br />Signature of S I lnspedor <br />me <br />Cenincalion f: <br />Prcjecl Ar$itect <br />Shudural Engineer <br />DSA Reoional Offce <br />Sdool Distrld <br />Contradoa <br />Euilding Depqrtment <br />Owner <br />cc <br />Verified <br />lct *rlqt+s