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ENGINEERING <br />& TESTING, INC. <br />KOURY ENGINEERING <br />14280 EUCLID AVENUE <br />cHlNo, cA 91710 <br />(24 Houo Cell: (310) 713-4005 <br />Oflice: (909) 606-6111 <br />Fax: (909) 606-6555 <br />REGISTERED INSPECTOR'S DAILY REPORT <br />Forffi <br />5oo W- Warner Ave. <br />Crtv <br />Santa Ana <br />Voluntary Seismic Strengtheninq 10199744 Santa Ana <br />Tenant lmprovement <br />Firle alDesaiiDllo.Ttpe. qrade. source elc.) <br />MHP <br />eoniracloi <br />Premier <br />Jack Sparacio SPS <br />TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES <br />Location: Wall Ledger at Purlins & Pillasters <br />- Observed epoxy 5/8" rods per details 1,2,12lS3.0 <br />Location grid A,/28-42 ernbed 4112" & 42lA-R embed 51/2". <br />Holes clean, embed depths observed, & set in Hilti Hit RE 500 V3 epoxy. Exp.3/2020 <br />OUALIIY CONTROL <br />CIIECKLIST <br />tr c.creDNwirHc,r <br />tr snwmJos <br />tr CHECKEDPERMtr <br />tr REMtuoemovEDPW <br />tr REMEwmsPEcFcanoNs <br />! REvEWEDREvousEPmrs <br />tr TESTPERToRMEoP€RsPEcs <br />tr coRFEc,NooFsA,{6s <br />EI sdPrEs srGED saFErY <br />tr CALED NSAMPLESFORPIC(UP <br />tr aLEFrcrENoEsNorED <br />! -*", <br />CERTIFICATION OF COMPLIANCE <br />ALL WORK LISTEOASOVE WAS INSPECTEOAS REOUIRED AY <br />TIEAPPROVEO PLAN. SPECIFICATIONS, AND GOVERNING CODE <br />CONT NUED ON NEXT PAGE n <br />r $"#.93A',8'JEi,yl',^li, <br />WORK DOES NOT COMPLY <br />TIME IN TIME OUT REG, HOURS o T HOURS SAMPLES <br />7:30 am .l :30 am 8.0 <br />All inso€ctions ba$d on , minimum ol 4 houE and we. 4 houB - I holE oinimum ll <br />ihe insEclor rs c.lled io 6 oroiecl and no m* E Nriom6d a Mo nour ornrmum <br />chaEe wll be apdied B$s6 vqit O c. Ch€hisl. <br />Btc 5261928 ICC <br />Daro 5^ 5/19 <br />"'o'""t*o 19-0554 <br />TYPE OF <br />INSPECTION <br />REQUIRED <br />E Reanforced concreie <br />I P@slross6d concrote <br />! Reinfo.ced Masonry <br />E slrucrulal sreel <br />E Firs Proo,rno <br />E shotcrels <br />fl Qualitv conlrol <br />E Dnlbd ln AochorsIother Eooxv <br />TESTS PERFORMED <br />cC: Architec1. Emlner. Buildmq ofr.ial <br />AGENCY <br />www,kouryengineering.com FORM FR,20003 07/01/2015 <br />INSPECTION SUM]'ARY- LOCATIONS OF WORK INSPECTEO, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROALEMS PROGRESS. REMARKS. <br />EIC, INCLUDE INFORMATION ABOUTAMOUNTS OF MATERIAL PTACED OR WORK PERFORMED, NUMBER & TYPE OF <br />TEST SAMPLES TAKEN, STRUCTURAL CONNECTIONS (WELDS MADE BOLTS TOROUEO) CHECKEO, ETC,