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MTG 1 <br />Corporat. <br />2S2 E La Palma Avo. 516. A <br />Anah6im. CA 92805 <br />Tel: 714 632.29S <br />F ex: 71 1.A2 E7 1 <br />Oisp6tch: 8@.,t91.2990 <br />San Dicgofl np€aial County <br />6295 Ferris Squaro Ste. C <br />San Di€go. CA 92121 <br />Tel: 858.537.3999 <br />Fax: 858.537 $9O <br />Dispatch: 866.E44.56O <br />lnl.nd Emd.. <br />1,1467 Meridisn Pkwy., Bldg 2A <br />Rivelsade, CA 92518 <br />TGI: 951 653.4990 <br />Fax:951.853.{666 <br />Dispatch: 6@.491.2So <br />lndio <br />44917 Gol,Cant r Pkwy, Ste.1 <br />lndio, CA 92201 <br />ror 7@342ign <br />Fzx:l@ .342!525 <br />Disp6dr: 600./t9i .2990 <br />Speoal lnspectjon Repoals must be <br />SeDarEte reports stralt be prepared <br />dlshtuEd b the garues l6tsd beb, lvllnn '!4 .tays-ol the nsp€<lro.r R€lo(ls ot non comptlant condfto.ls mud bc ddrihrted mrnedBl€tyIor each lrpe of speoat rEpectir on a da'ty bas6 eaAr rcporr sU Ue &"p*o;;-";;;;;.F".r r*p.dcx co.du.tnp the <br />MrGL PRoJEcrt: 5403A19 <br />pemrt I 10191322-17509 <br />Reporlt{Pagelofl <br />THE WORK WAS WAS NOT <br />DAILY INSPECTION <br />REPORT <br />Inspecled in accordance w h the rBquirements ofthe DSA,/OSPHD/ <br />PROJECT approvcd doqrments <br />MATERIAL SAMPLING WASE WASNOTI] N/AEI \AbAIhET: <br />Performed in accordance y/ith DSA,/OSPHD/PROJECT apprcvod doclrnents. <br />THE WORK INSPECTED MET DID NOT MEET <br />TIE requirements ofthe PROJECT do.uments <br />Samples taken: <br />Clear temp: 77 I <br />of Speciai lnEpedor <br />Maged Saad <br />Prinl Name <br />Cenificatrcn #: ICC 79 <br />Vefllied <br />cc Project Archit.c,t <br />Strudural Engineer <br />DSA Regional Ottrce <br />School Dbtrict <br />Contractot <br />Building D€p€rtmern <br />Owner <br />PROJECT NAME:A|di Mor Store # 34 oate. 09/06/20 17 <br />ARCHITECI: APD Architectu16 IIME ARRIVED: 7;OO PM TIME DEPARTED: 3:OO PM <br />ENCTNEER: B&B Associates TRAVEL TIME LUNCH TIME: - <br />CONTRACTOR, ED GRUSH SU8 CONTRACTOR <br />ECIION ADDRESS]NSP OF PRoJEcTT 2830 S Bristol St, Santa Ana,AODRESS <br />EACK FILL <br />TYPE OF INSPECTION <br />O ENGINEERED FILL <br />E FoUNDATtoN <br />otr <br />AATCH PLANT <br />PT CONCRETE <br />SHOTCRETE <br />CONCRETE <br />MASONRY <br />El H|GH STRENGTH BoLT|NG <br />D wELorNG <br />E sHoP ! /ELo <br />FIR <br />NDE SHOP <br />E ANcHoR/DowEL <br />E NDE FrELo <br />CEILING wlRE <br />0sa/os HPO PROJECT <br />APPROVED DOCUMENTS PLANS Y <br />APPROVED <br />NE SOIL RE TY N <br />N <br />SPECS:Y N <br />APPROVED SHOP ORAWNG Y <br />EOEUIPMENT USED BY CONTRACTOR <br />l4roRK AREA First Floor <br />RES REPORT NO. OR MATERIAL T T REPORTS)r Nonral Weight Concrete, Hi6€de Mix <br />MATERiALS USEO BY CON (rNcL <br />concrete 4,000 PSI Ready mix # 52403 in the following locations: <br />5 & 5.5. <br />Shopping cart Curb on lines F, F.8 & 5.8. <br />All areas of concrete placement were clean of all deleterious materials. <br />Reinforcing steel was secured against displacement. <br />Concrete was mechanically vibrated. <br />All concrete placement inspected and detailed above has been completed as per approved plans and <br />code. <br />lnspected the placement of 10 Cubic yard <br />External ramp 4" thick slab between lines <br />EWOR KR AS P RE ENc oT ALLF KWOR DATOY 0o/o PERCENT PROJECT COMPLETE <br />OSATC|TY Filo t _ <br />DSA,/OSHPO Appl. t <br />DSATLEAt _