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1516 1%2 W Tenth St - Misc. Permit
II I I C, 16163 E. Queenside Dr. Covina, CA 91722 Office (626) 962-1983 Fax (626) 814-9351 Cell (626) A62-7795 ortizjcortiz@gmail.com REGISTERED INSPEC 'S DAILY REPORT TYPE OF SAMPLE SLUiIP OUANTITY SET ADDITIONAL REMARKS ON SAMPLES CERTIFICATE OF COIIPLIANCE Att vlonl( r 6It0 AScrvf rvAS NSPfcrtD N RtourREo 8y THt rpPSoVtD Pl,Ali. SPI0HCAIIoNS AliD CaVERN|NG C00t'fl vonx cor.reLrts E wonxs mts r{or coMpLv $rNI'l,Eyqf}r&v, zr--2'7' INTS &porlNo/ TYPE OF NSPTODN RTQUIRED &hbrced Coft.ata P.aslrasaad Co.rrela Rrinfo.cd Masonry Slrudural Stld Firc Prooing Shold.t Vhod Construdon Drilled Oher City Prc&(l l,lame ,ncrmirno.Io( lt:oIZ{Muq*J^ tL-,- 0*ner Engineer Mat riJ Dirdpliion (typ., grad..5our(c, e1(.)Engirrfl c.nail Contrado, lnspattor's ane Conlraclor e-mail t: III !II TESTS PERFORTIEO INSPECTION SUMTARY. LOCAIIO}Is Of TORX INSPEOEO TEST SA''IPIIS TAI(EN. IYOR( RAECTEO IOB PSOBItMS, PRoGfifSS mMnl(' EIC. rlrcu'Dt rNFoRMAlror,r l80uT Axo{Jr{rs 0r r.l TER|I Pt-Acto 0R rvoRK PERtoRr'rEo. tIUI.t8€R & TYP€ OF IESI SA}.IruS TAIGN. SMTTUNAL COflNEOIO}. T EDS I{ADE. BOLIS IORQIJED} CHI(XTO ET( 3*r&") vg-^'l flt r vt-S gcfts-., a-.t4lv-r- + o v"T'., (r'' >1 t-"1+: ,^,-t'1 f',.-{-5 s . 'r1 (t <,4 Ar t4 >l:2'1 k'f f L- LnA\'- "{ a[a,6].v'^c ,+ *r TIME III IIME OUI RF6 HOI]RS 0.r Houfls 0 A,,n-1o*I lil rEpadtotE b6at oo a mnlnum of 4 hcrrg ard oycr 4 hour.s - 8 hours minimum.I dl. ilEpldd b (.llcd to a p.oF(r aid no uork b pcdormad a iro hourg mininEm (henqaclbcaop$ad. Proi.d Superi erd.nl Approwd ry I- 5PE Z€GsrERro NO o AGENO COT.ITIIIUED ON NEXT M6E PAGE - OF Soeclal nsoeclion *'1 /tr l tq I ,1,^,'-,1- **y I srrrus