Report ® J/n/n 0/11.. sale,,, Office Bend office
Carlson Testing Inc. 5J30.1tY /Im ker Non, (503)589-1252 NE 630250BRthyRd
7icnrrl, OR 9722
Salt, OR 97301 Rend OR 9770?
l'lvrir: (50 ?/ G�1J -3160 /'hone: (51131 SR9 -(254 Phone /5411330 -9155
Pur-(507168J-0014 h "nr /5031 7.7119 Pier /5411330 -9/63
Construction Materials Testing & Inspection
6 (Y6.
Special Inspection •
FINAL SUMMARY LETTER 000
June 16, 2009
T0909341
City of Tigard Building Division
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Clean Water Services — Secondary Train 1 Rehabilitation
16060 SW 85 Street — Durham, OR
Permit# BUP2009 -00035
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
Installation of Adhesive Anchors
All inspections and tests were performed and reported according -to the requirements of Project Documents and, to the
best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's
design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office. Under all circumstances, the information contained in this report is
provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No
party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information
contained in this document.
If there are .ny further questions regarding this matter, please do not hesitate to contact this office.
Respectf� fly submitted,
CARLS•N TESTING -, INC.
Jame-( ietpas
Pro/ Manager
'HH s
cc: Clean Water Services (Durham) — Randy Naef
West Yost & Associates — Corie Peterson
Stettler Supply Company — Randy Stebner