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ED CASTRO <br />3364 PASEO HALCON <br />SAN CLEMENTE, C492672 <br />Cell (714) 328-0267 . Fax (949) 493-6447 <br />ed-sylviacastro@ cox. net <br />SPECIAL <br />INSPECTOR'S REPORT <br /><e&bo.JA*jgtj, <br />Dale ot nepffl <br />r r a-t- a 1t'1 aCL <br />S qnat0re o, Soec'a lnspeclor CEBT NUMEEF <br />COVEHING WORK PERFOFMED <br />WHICH REOUIBED APPFOVAL BY <br />THE SPECIAL INSPECTOR OF <br />tr REINFORCED CONCRETE <br />tr POST,TENSIONED CONCRETE <br />D REINFOFCED MASONRY <br />C STRUCI STEELASSEMBLY <br />E WELDING <br />tr HI,TEN BOLTING <br />D REINF STL! eeoxv'E OTHEP <br />J08 i!A(!E ALba- et-aLu,)ic BLDC PEfiMIT NO lott- lLttr"T <br />'o,oooiLot-)4. 6allc- €€. s.,fL erh-Soolct e.P.froctal <br />ANCHIIE'I 0Q,oror}+-P<6lg <br />SU8 CONTNACTOR <br />ENCINEEF ha//o,€(q'rtaL r'1s <br />LAS IESIING SAMPLES <br />CEBTIFtCATt0N 0F CoMPLIANCE All ol the reporled work. unless olherwise noled, complies with approved plans, specificalions and applicable <br />sections ot the unilorm burlding codes. This repon covers lhe localions ot the work rnspected only and does not constilule engineering opinion or <br />pro,ecl control <br />OTHER COOES NEOUIREO <br />NSPECIION DATE <br />l,otB <br />INSPECTED THE FOILOWING WORKS <br />sct*Lt IL t <br />r8 <br />lt <br />r-24\d- <br />o <br />1 Jr-uJ <br />) <.iyf. e<r z{o8 7u<n@(DSz 9t,no1a <br />I <br />I b b <br />oL I I <br />I +(t <br />I t <br />I a <br />MATERIAL INFORMATION: CONCRETE O GROUTU I,'IORTAR tr OTHER tr <br />SUPPLIER:t\,flx No <br />SPEC, PS,I YDS, PLACED: <br />Date Starl Re Hours e Address <br />8-il All inspections based <br />on a minimum of 4 <br />hours&over4hours <br />- 8 hour minimum. ln <br />addition, any inspec- <br />tion extending past <br />noon hour will be an <br />8 hour minimum. <br />OT Hours N1i B <br />Wlllt lo 0$c. YEILoW lo lnspeclo, Pr,i( ro Cmka.ro, <br />ADMIX:SAMPLES CAST: <br />TYPE:SLUMP: <br />r1r\4 <br />Approved by