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a <br />BDJ Consulting, lnc. <br />A California Corporation <br />1062 Campanile <br />Newport Beach <br />cA 92660 <br />Cell (714) 853-9180 <br />btsog22@tmail.com <br />HJ F-J <br />CONSULTING, INC. <br />Observation Report and Observation Agreement <br />Cily <br />MatenalDescnption Engineer <br />Observer Conlractor <br />Samples:X Quantity= <br />Description of Work Observed: <br />Certification of Compliance <br />ll/e r6eby .6r y u.€1. ar lh? tnB ol this ob€n.rs se h3v6 obc€dod all ol lh. above <br />icpo.led *sr( unlors drh*,* nored. To tho b6r ol dr kwLdgE arn bdl. , m h.6 ldrl6 <br />m6 wo.k lo clnrfly sln E .pprovld drs. srecn{dor$ a/d lpdebl6 sld'(31 ot lrE <br />un M Blidng code. a aml@bl€ ro the locrlrry *1...r thls pro|&l is l@al€d. Ir'Ls cpon <br />6.rc1 be constru€d to be . lE@r6ldild ol wdt ol ary natue lo b6 psrdnt d. TIE <br />p..harce ol w obsdvaln si5 6 sq6l ro fc lqtu .nd cddn6 6 d*nb€d 6 <br />dE l6veB sd6 ol lhls Ob6oryal6 n pon. Th€ O{nfi or a succ66s m 6tGl shall hold <br />hadr 6 8DJ CsEdr.g, rrc tm d/y rB .l r€92l plr€.d,t$ ol a.y mlm *rElsas, lhar <br />6 da.d io th6 0b6at&.rrrc8 D.DvtH, <br />Srgnature ol Registered Observer <br />Specialty No <br />DATE: <br />f..., L <br />fl TI <br />! dr' <br />:i.:: <br />,'-a <br />" <br />By this signature on the this 0bservation Heport. I acknowledge <br />that BDJ Consulting lnc. performed the above observation. <br />Proiecl Suporinto.denl - Foeman - Olher <br />Approved by <br />i"i <br />i..c.. r.... ?.x.i.j <br />'i,.'.rr. j,i'.'',:i.r' <br />1:ii j ',. 'tr '..i .'/::ij i.ir,r:r:-r'..i, <br />-. .r:.!:.' :l-"... <br />:.,1-:'::.t .r:r'l <br />ri <br />itI,ii;i: <br />!/VHIIE-OFFICE COPY, CANANY-ACCOUI{TING COPY, PINX.OBSERVERS COPY, BOTTOM WHIIE-'JOBSIIE COPY <br />Agency