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TIITG I <br />Co'llo.dc <br />29S2 E La PalnE Avo. Sto. A <br />Anahoim. CA 92806 <br />Tel: 714.632.2999 <br />Fa\:714.6322s74 <br />Dbpstch: 8@.,191 2Sq) <br />San Oiegonnpe.i.l Cou.lty <br />6295 Fenis Squ.r. $o. C <br />San Oiego. CA 92121 <br />T6l:858.537.4)S <br />Fax: 858.537.3990 <br />Oispetch: 888.E44.5060 <br />lnl.rxt EmdE <br />t 446/ Merabh Pkwy. . BHg 2A <br />Rivers,iro, CA 92518 <br />Tel: 951.853.4999 <br />Fax: 951.653.{686 <br />Diep.tch: 8m.491.2990 <br />lndlo <br />4491 7 Gof Conrer pktr/., Ste.1 <br />lndio. CA 92201rd 7@312Adn <br />F.xi7@.U2.45?5 <br />OBp.Br: EOO.49,.2990 <br />MrGL PRoJEcrt: 5403A19 <br />Pcrnitr 10191322-175O9 <br />RoponteP6ge 1ot t <br />Speaial lnspecto.l RepodB must tE dlstnb.Ifd to tle panE6 t|sled bekx wffxn 14 ar lhe nrpe<to.r Reports oa nor|compllam dt(ftirrs mrd be dEtnhjedSeparaE leports *lslt be prepared for ea.*r type of sFoat ns@lon on a (h[y basls Eodr report shall be corhpHEd and *Jn€d by lhe specral nspedor corE[Etmg the <br />lnspecled in accordance with thc requirements ot the OStuOSpHDi <br />PROJECT a pp.oved dodJmenb. <br />MATERIAL SAMPLING WAS E WAS NOT E N/A E VlI.AthCT <br />Performed in accordsocE witt DSA,/OSPHD/PROJECT approved docurnont6. <br />THE WORK WAS WAS NOT <br />Projec{ Arciitect <br />Strudurdl Ehgineer <br />DSA Regional Office <br />School Dist d <br />THE WORX INSPECTED MET DID NOT MEET <br />The .equirements ofthe PROJECT dooJments <br />S8mples taken: <br />Cloudy temp: 71 f <br />Contr"a{dor <br />Buildhg DeFrtment <br />Owner <br />Stlnature ol Special lnspe.tor <br />Maged Saad <br />print Nam6 <br />cerfl16lon f : |cct457479 <br />PROJECT NAME: AIdi Mor Store # 34 oate:0812512017 <br />ARCHITECI: APD lME ARRIVED: 08:00 AM IME DEPARTED: 3:OO PM <br />ENGINEER: BEB Associates TRAVEL TIME:LUNCH TIME . <br />coNTRACToR: ED GRUSH UB CONTRACTOR: <br />INSPECTION AOORESS AODRESS OF PROJEcT: 2830 S. Bristol St, Santa Ana,CA <br />BACK FILL <br />TYPE OF INSPECTION <br />E ENGINEERED FILL0 FouN DATToN D sHorcRErE <br />D coNcRErE <br />BATCH PLANT <br />PT CONCRETE <br />E <br />HIGH STRENGTH BOLTING <br />WELDING <br />MASONRY <br />SHOP WELO <br />EPROOFING <br />NDE SHOP <br />D ANCHoR/DowEL <br />0 r{oE F|ELD <br />CEILING l/\/lRE <br />otr <br />APPROVED OOCUMENTS <br />OSAr'OSHPD PROJECT OVED <br />N <br />AVAILABLE <br />PLANS Y <br />SOIL REPORT Y N <br />NAPPROVEO SHOP DRAWNG <br />SPECS:Y <br />EOEUTPMENT USED By CONTRACToR: Boom litt, Harness, Chipping hammers, wire brush and welding machines <br />'r,oRK AREA: First Floor <br />MATERIALS US EO BY CONTRACTOR ONCLUDE RESEARCH R EPORT NO, OR MATERIAL R EPORTS): NorrEl \.V6igm Con6ele , Hit3rads Mix <br />-Reinforcing joist between lines Q & ! and lines 5 and 6.2 to angel and Ll2" rod as per detail c2 on sheet ss-405 <br />Welds were inspected for size, length, location and free of visible defects. <br />All welding was performed as per approved plans and code. <br />Verified welders certificates as: Jeffery Rodgers license #PsF 046, christopher ponce license # po3:l27g <br />city of LA and Divan M ichell license # pSF 149. <br />All work detailed above is still in progress as per approved plans and code. <br />Completed weld s were visually inspected in the following locations: <br />AYREWORKPAScTENOFALLWORKTOD 0%EP CR ENT PROJECT MCO PLETE <br />by: <br />DAILYINSPECTION osAr'crryFir6r_ <br />REPORT DsA/osHpD Aper.. <br />osA./LEA r _