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Corpor.te <br />2992 E Le Prlna Ave. gto. A <br />An.h€im. CA 928Oo <br />T6l: 714.€i12.2999 <br />Fa\,711.63.2.2971 <br />OEpercfi: Em.491 .2990 <br />S.n U.gonrrp.ri.l County <br />6295 Ferris Squlre So. C <br />San Obgo, CA S2r2l <br />Tol:85a.$7.3990 <br />Fer: 858.537.3990 <br />Oispetch: 888.8,{4 5060 <br />lnlard Empire <br />1,1467 Merirbn Plwy., Bdg 2A <br />Riv.6id€, CA 925,8 <br />Tol: 95, .653.4999 <br />Fax: 951.653.,1666 <br />Oispatcfi : 80O.,agl -2990 <br />lrdi,o <br />44917 Golt C6nbr Phry.. S't.. ,l <br />lndb. CA 92?ol <br />fcl:7@.Y2.8n <br />F.i:760-3.|2.,1525 <br />tIsFEn: 600.,19'l.2gSO <br />MrGLPRoJEcrr: 5+O3 Alq <br />ecma*te1p_!!Lz - l+ 5o1 <br />nepod r t- caselor t <br />DAILY INSPECTION <br />REPORT <br />DSA/CITY Fil6 , _ <br />DSATOSHPO Arpl., <br />DS',/LEA ' <br />- <br />Reports mul be dr*rbuEd D he parn6 l,sl€d bebl/ r/Ithn 1 4 daFolrhe lnspedon Repods or Erd,lD.lS must De o6mDu6{ ,nmedEietySeparate €po.ls sarsll be p.ep6nd tor ea<fi tyf o{ 6poq5l nsa€dfir on a ctaily llaes Each relErt shatt b€co,npleEd ard sgned by th€ specBl nsp€doa €orEuctno tie <br />TTIIG 1 <br />t or orc <br />..oc AN ..1sbBSSeJ <br />t E \Oate <br />E NGINEE R <br />ARCHITECT: <br />CT NAME <br />TIME ARRIVEO <br />TRAVEL TIME <br />TIME DEPARTED <br />LUNCH TIME <br />o <br />CONTRACTOR US SU8 CONTRACTOR: <br />ST <br />CEILING WRE <br />N <br />tro <br />sTo\RD oESS OJR cET:28 lD E Ir5 <br />SPECS: Y N <br />INSPECTION ADDRESS <br />BATC T <br />PT CONCREIE <br />E sHorcRETE <br />CONCRETE <br />PLANS Y <br />RY <br />HiGH STRENGTH AOLTING <br />E wELotNG <br />SHOP WELD <br />SOIL REPORT Y <br />OF INSPECTION <br />BACK FILL <br />D PROJECT <br />APPROVEO MENTS <br />E NoE FTELD <br />NDE SHOP <br />N <br />APPROVEO SHOP DRAWNG Y <br />FIREPR@FING <br />ANCHOR/DOWELE ENGINEERED FILL <br />E FoUNDATToN <br />EOEUIPi'ENT USEO BY CONTRACTOR <br />TA,cR K AR EA <br />RES€ARCH RE TNO ORMA IAL TEST REPORTS): Nonnal y\telgtr Concrete, Hr€r.de Mix <br />MATERIALS USEO BY coNTRACTOR (t CLU <br />All .qfoor< uroy( r'Liqs Compl"kJ os fer {pprorcl phnE onJ eoAe. <br />REWORK AS P PERCENT PROJECT COMPLETEcENTALLOFKWORDATOY <br />tr P51 /o^r,lu cilr){.'r Co5r <br />"Te5 <br />zo U.M_tlrJ S,S,n,\o llo" <br />rf lo Cd\ <br />i9 UaT(hJ 4kvto\t ce <br />eYld dPe:lo (nrrae t foc fio o oojI ontPo \5ftJ.IAanIIIt,h trIde eFb \Ee raIz3oY (t5o sFI sro9aUfn0n()6 al hCo bl I d d <br />eSh d fu-U oedPP I$C u {II nIH 7re <,oJt(o 4 It tdInItV7rtrrItt\o cTIIaJ (L ro EfI Y t SScoo9nsmn4oDdcU5pedr@rm5nahCo(fl"5 tc Ifo(l qP\h c"ledfla5tleeda3fr)n trbr o rqrrrod ,llfi x Irt q ltP1qdr c If)Ind <br />an e rh.nQT1 ct (5h {d IPr Jlc(P blo3I aeS((J|zt6hac5hdclreq0n <br />WAS NOT THE WORK INSPECTEO MET DID NOT MEETac@nc9 with the requirements of the DSAs/OSPHO/Th€ requirements ofthe PROJECT documenb <br />Sampbs taken:PROJECT a pproved doqiments <br />weather C,lt O f romp: a2- f " <br />THE WORK <br />lnspected rn <br />MATERTAL SAMPL|NG wAs E wns ruor E tra 6. <br />Perlormed rn ac@rdance with DSATOSpHD/PROJECT aiprov ed documenls. <br />Proiecl Ar.hitect <br />SfucluralEngineer <br />OSA R€gional Ofrc€ <br />Schoot Distnd <br />Contraclor <br />EuildinO Oepartment <br />OlYner <br />4 <br />ignatu ot Special I <br />a <br />Certifcatio <br />Veriied by <br />Print Neme <br />nf: I c(- 6+5+r{?9