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ilIIG I <br />Corporetc <br />2S2 E La PalnE Aw. Ste. A <br />Aneheim, CA 928Oo <br />T6l: 714.8 2.2999 <br />F ar'. 714.€ts2.297 1 <br />Disp.t€i: 8&.491.2990 <br />lhdio <br />/t49t 7 Golt Conb, Pt(wy. , Slo.1 <br />lndio. CA 92m1 <br />feli 7gJ342.6n <br />Frx:760.3,12..1525 <br />Oitpaur: 800.491-2990 <br />San Dlaoorlrnpcai.l County <br />6295 Fenis S{u.re Ste. C <br />San Clcgo, CA 92t21 <br />Tel: 456.537.3999 <br />F.x:858.537.3SO <br />Disp.tch: a8O-0,14.50@ <br />lnland EmpirG <br />,,ta67 M.ridbn Pkrv, , Stdg 2A <br />RryeBid., CA 92514 <br />Tel: 051 .653.499S <br />F.x: 95'1.653.4866 <br />Dbp.tch: 60.491.2990 <br />MroL PRoJEcTt: 5403A19 <br />P€rnit t I 01 91 322-1 751)9 <br />Report I 2 Pago 1ot1 <br />Sp€oal lll6pectoo Regoat6 mu6t be (M&rH <br />DAILY INSPECTION <br />REPORT <br />to ir€ Frt€s l&d beto./ wfim l4 de'€ oathe rlsp6don Reports ot <br />OSA/C|TY Filo a _ <br />DSATOSHPO Appt. t <br />DsA/LEA ' <br />norFcornptiant @{itEns mud be oEutbuted mmedEtelySeparab le ons $alt be gE ared b eadt tloe d speoal nspedo.l on a dally b€6l6 Edl rcpo.l .hall be compl€bd art gg.ed by the 6p.osl 'rsp€dd <br />THE WORK WAS WAS NOT THE WORK INSPECTED MET DID NOT MEETlnspecled ln accordance with the roquirements of the OSA./OSpHO/ <br />PROJECT approved documents. <br />MATERIAL SAMPLING wAs f] wAsNoTE N/AE VVE.IhET: <br />Performed in accordance with DSA,/OSPHDPROJECT appmved documenb. <br />TIlo rEqui.gmonts olthe PROJECT doqrm6nt6 <br />Ssmples laken: <br />Clear remp: 86 f <br />Project Architcct <br />Structural ErEineer <br />DSA Regionel Oficr <br />School Di$nd <br />Contractor <br />Building Departn€,i <br />Sqnature of Speoal lnspedor <br />Maged Saad <br />PROJECT NAME: Aldi M or Store # 34 oate: 08/31/2017 <br />ARCHITECT APD TIME ARRIVEo 8:OO AM TIME DEPARTED: 3:30 PM <br />ENGINEER: B&B Associates TRAVEL TIME LUNCH TIME] - <br />coNTRACToR: ED GRUSH SUB CONTRACTOR <br />INSPECNON ADDRE.SS AODRESS OF PROJECT:2830 S. Bristol St, Santa Ana, CA <br />oFt <br />BACK FILL <br />E €NGINEERED FILL <br />O FoUNDATIoN O sHorcRETE <br />D coNcRErE <br />BATCH PLAXT <br />PT CONCRETE <br />MASOiI <br />HIGH STRENGTH BOLTING <br />vtELor{G <br />SHOP WELO <br />FIREPROOFITIG <br />ANCHOR/Ootl1/EL <br />NDE FIELD <br />NOE SHOP <br />RECEILING <br />EPOXY <br />APPROVED DOCUMENTS <br />D <br />N <br />AVAILABLE <br />PLANS Y <br />EPORT YsorL <br />N <br />SPECS: Y <br />APPROVED SI]OP ORAVYI NGY <br />EQEUIPtIENT USE0 By CONTRACTOR <br />v\roRK AREA Foundation Floor <br />NO RIAL EPORTS): NormlWeig ht Concrete. H Srade Mix <br />MATER IALS USEO BY (tN LUDE RESEARCH R <br />Concrete rilmp for freezer, loading dock refriterator ramp and loading dock outside slab (canopy <br />demolish). <br />observed holes dia. & depth and observed cleaning of all holes with a wire brush and compressed air priorto placing Epory. <br />Epory Set-XP was used expire date LOl2Oi:g. <br />contractor followed the manufacture instruction for instafiation as wefl as ESR-250g <br />All above work was completed as per approved plans "detair 82 on sheet # s-301,, and code. <br />ectio exist <br />lowi s: <br />bse erved fo r n sta a oftionpoxy oH oftz tan d owe fos r c no n n ebetwe n cCon Srete ab dnnB <br />ne co n retc rae m n ht foleps olocati n <br />ODAYE\AICRR K CENTPER ALLOF TWORK o%PLETE:RCEPE PRNT OJ EC cT OM <br />cc <br />Certifcation #: <br />Name