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HomeMy WebLinkAboutReport (2) 7409 SW Tech Center Dr.Ste. 145 Tigard,OR.97223 6—ALr Ph:503-443-3799 Fax:503-620-2748 ase DAILY FIELD REPORT FOR PROPRIETARY ANCHORS �,sTESUNG,:..INC Ir ✓ '7; 503.443.3799 Date: ' ° P t� Permit#: �..y4_ ��i�t`'����" �� �,".',�� ,,. G^•„�.� �'i�-.,j��.,,�,.1''-...,.,..� ��X4Y--l:..4 1�,'°..d�3 `:''6�v..lt..a.�?''-, I.�:_,•� a Continuous ❑ Periodic Inspector/Certification # P,:� ,0 ACS Job # Anchor Embedded in: Is this a re-inspection?: ❑ Yes []` No Compressive Strength:' Approved plans available?: ® Yes ❑ No HOLE DETAIUCONDITION Work acceptable per approved Yes ❑ No plans?: Anchor Embed ,� Hole 0: ; /,f Installation complies with Size: � Depth: ` - manufacturer's evaluation report?: Yes ❑ No Holes cleaned properly?: E� Yes ❑ No LOCATION OF ANCHORS Embedment per plans?: y Yes ❑ No G+49L�ras r r : INSTALLATION ESR REPORT# GRIDLINES rLlt_• G�l,x � �;? -r ✓? /9i 7 GRIDLINES LdJ�=' k Sr��' ,�# �1t:f•�",i�� TYPE OF ANCHOR: IS THERE AN RFI? ❑ Yes ❑ No EPDXY TYPE: - j L1A RFI ATTACHED? ❑ Yes []' No EXP. DATE: INSPECTION DETAILS: > g 2 "7 jt� `..� ✓t'..1 .� t 1 ';,`i ,i'a ✓;i.:..'/a$. 0 i Foreman notified of ❑ Yes ❑ No ❑ N/A nonconformance items? Foremans Name: 3J r..� L tom•, �« ReviewedDate: cc: Bob Brown, President Alas VM BB/ ACCREDITED