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Report • SPECIAL INSPECTION ACS 7 e';ung. Inc • FINAL REPORT 7409 SW Tech Caner ►), Sujtc t45 'lipid, OR 97223 5r13443.J7V9 Phone, 503443-3799 FEN 503 -6 -2744 /Date: Dec 10, 2010 f ,1ob # 10-2872-030 / Permit # 11179 Mail To: // Project: — 6( , Paoto- OCL2 NORLIFTOF OREGON, INC AUT09 -01 • PO Box 68348 AUTOMOTIVE & INDUSTRIAL PORTLAND OR 97268 DISTRIBUTORS OF BILLINGS / � 16316 SW 72ND PORTLAND, OR 97224 J To Whom It May Concern: ACS Testing, Inc. attests that their inspectors performed special inspection(s) on a continuous and/ or periodic basis as required by the specific jurisdiction and /or IBC. Special inspection(s) were performed for the following: ❑ Structural Steel © Proprietary Anchors ❑ High Strength Bolts ❑ Structural Masonry ❑ Shotcrete ❑ Wood Nailing ❑ Reinforced Concrete Other: Based on personal observation, inspection and reports reviewed by me for the above project, 1 attest on behalf of ACS that work was performed to the best of my knowledge, in accordance with approved plans, specifications, and the applicable codes and standards for this jurisdiction. r' r Approved by: BOB Brown /President • BB/sa _