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KOURY ENGINEERING <br />14280 EUCLID AVENUE <br />CHINO, CA 91710 <br />(24 Hou0 Cell: (310) 713-4005 <br />Office: (909) 606-6111 <br />Fax: (909) 606-6555 <br />ENGINEERING <br />& TESTING, INC. <br />REGISTERED INSPECTOR'S DAILY REPORT <br />o"'" 'l9-06-03 Mon <br />Pro'ecr No. 19-0554 <br />TYPE OF <br />INSPECTION <br />REQUIRED <br />E Rsrnfo.ced Concrete <br />E Preslressed Concreta <br />! Reinfo.ced l,lasonrv <br />E Sructumlsreel <br />E Fks Proo,ino <br />fl shorcrcre <br />E Qualiiy Conlrol <br />orher B-l 1 07 <br />mb'W\l7i.*,.City <br />Santa Ana <br />Prorerr lrame <br />Voluntary Seasmic Stronghthening "I0'ibbz+q 'Sbiltuinn" <br />Y,fi".'13**." <br />oitlHp <br />lv ''sfffi"r <br />cpria"Hier <br />Desi gn Group <br />lliisFisSldtougnrin <br />TESTS PERFORMED <br />TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES <br />INSPECTION SUMMARY. LOCATIONS OF WORK INSPECTED. TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS PROGRESS- REMARKS <br />ETC. INCLUDE INFORI\,{ATION ABOUTAMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER E TYPE OF <br />TEST SAMPLES TAXEN, STRUCIURAL CONNECTIONS (WELDS MADE. BOLTS TOROUED] CHECKED- ETC, <br />Arrived at 0700 and met with James Mendez. I watched the beam & cable tightening to (6 KIPS ) Allwork done today <br />is consistant with specs and approved plans. The area completed today is 2842XH-P. <br />QUALITY CONTROL <br />CHECKLIST <br />tr cHEc{EorNWrHcrY tr <br />M <br />tr TESIPERFORMEDPEfl SP€CS <br />E coRR€clNoocsMPL€S <br />E sMPtEssroREosaFELY <br />tr c&cDNsAwLEsFoRacruP <br />E rLmFrcENcEsNorEoM <br />E tr REVEwEoPREVousREPoRrs tr orHER <br />CERTIFICATION OF COMPLIAI{CE <br />ALL WORK LISTEO AAOVE WAS INSPECTED AS REQIIREO BY <br />rF E APPROVEO PLAN. SPECIFICATIONS, ANO GOVERNING CODE <br />I woqi coveLrEs wI H E woRK DoEs NoY roMPr Y <br />APPROVEO DOCUMENTS <br />lfi'rl <br />TIME IN III\,IE OUT REG. HOURS O.T, HOURS SAMPLES <br />0730 1330 8 <br />A0 iNDeclio$ bas€d on a mBimum ol { iDUG and over 4 hou6 - a hou6 <br />the '^soecl,or 's cdled lo a D.oiect and <br />clraoe will be aDolled. Aea* vonly O <br />Jacob KuliSIGNAIUR€ OF REGISTER <br />B-l 5322075 <br />corrnueoor ruexr ence I <br />CC: richilecl, Enqrne€r BurdinQ Ofi.ial www.kouryengineering.com FORM FR,20003 03/1/2015