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Report Carlson Testing, Inc Construction In & Related Tests 9 Geotechnical Cons P.O. Box 23814 JOB NO. 99-2026 Tigard, Oregon 97281 Au 27 1999 Phone (503) 684 -3460 REPORT OF IN -PLACE DENSITY TE FAX (503) 684 -0954 Client TODD CONSTRUCTION INC - GEOFF WENKER Permit No: BUP9900032 Project ALBERTSONS STORE *565 - REMODEL - JOB *9907 16200 SW PACIFIC HWY I- TIGARD OR Material Description 2 " -0 ROCK FROM TIGARD SAND & GRAVEL Max. Dry Density 125.8 lbs. /cu. ft. Optimum Moisture 13 % Method of Test AASHTO T -99 ASTM D2922 Standard Count Density: 2862 Moisture: 654 Seriar(.oxicr 19971 NUC 3 DATE OF TEST % ADJ. FIELD IN -PLACE DENSITY TEST NO TEST LOCATION DEPTH COARSE MAX. ELEV. MOISTURE (LBSJCU.FT.) PARTICLES DENS. FT. % WET DRY COMPACTION BC WATERLINE TIE -IN BASE 1 20' WEST OF EAST END 8 -23 10.1 135.6 123.2 98 BC WATERLINE TIE -IN BASE 2 15' SOUTH OF NORTH END i 8 -23 9.3 136.0 124.4 99 Remarks: Density & Moisture Counts 95% REQUIRED. BC 1 cc: CITY OF TIGARD BUILDING DEPT BC 2 ALBERTSONS INC — KATHERINE KIRK M LAWRENCE MUSIL ARCHITECT - RANDY DAVIS HARRISON ENGINEERING - REX HARRISON ALBERTSONS INC - MARK S I P I ORA Brian Leach Project Manager Tested by J HAf L /LRO_ Reviewed By CARLSON TESTING INC. r Q41�...1'k:PAntra.,.Poentm 7,.. «Q istiMr„�PAig 1 ;141 it IA ThtSiikentiValf Stei► izaQinni )(dm this office. Construction Inspection & Related Tests Carlson Testing, Inc. Geotechnical Consulting 3EPORT OF6X 12 CONCRETE TEST SPECIMENS P.O. Box 23814 Tigard, Oregon 97281 fest Methods: ASTM C172/C1231/C39/C31/C1064/C143 Phone (503) 684 -3460 FAX # 684 -0954 )ate Molded: 08/02 , 19 99 Job No. 99- Permit No: BUP9900032 :Bent: TODD CONSTRUCTION INC - GEOFF WENKER 'roject: ALBERTSONS *565 - TIGARD 4ddress: 16200 SW PACIFIC HWY 'L TIGARD OR Contractor: TODD CONSTRUCTION INC Sub Contractor: Concrete Supplier: MORSE BROTHERS INC - QUAL IT Truck No. 2177 Ticket No. 482659 Cast By: T T . KASTEL Cu. Yds. 2 OF 2 Load No' • CLEAR 80 65. Weather: Temp. High: Temp. Low: UTILITY ROOM FOOTINGS Location of Placement: Test Time: Concrete Temp: 94 3300 PSI @ 28 days Slum 5. Cement Type Strength Requirement: y p yp 33 -OE Mix NoJNo. Sacks Air Content Max. Aggregate Admix. Amount: Brand: Admix. Amount: Brand: Set Test® Register Date Date Total Area Unit Report Tested rea No. Days Number Rec'd Test Load PSI No. By I 7 8189 08/03 08/09 83,180 28.29 . 2940 BM 28 8189 08/03 08/30 111,100 28.27 3930 DM 28 8189 08/03 08/30 106,020 28.27 3750 DM Remarks: cc: ALBERTSONS INC = MARK SIPIORA CITY OF TIGARD BUILDING DEPT • < ‘4 4------ Reviewed by: . . . .. . .. .. _ .. _ _. . -.:__ - ....- :.._,. 1.......;.. i....... r.. tie .nn.n.i. ovnont In full without odor authorization from this office. Main Office Branch Office P.O. Box 23814 4060 Hudson Ave., NE Tigard, Oregon 97281 Salem, OR 97301 Carlson Testing, Inc. Phone (503) 6843460 Phone (503) 589 -1252 FAX (503) 6840954 FAX (503) 589 -1309 August 27, 1999 99 -2026. CTI Permit No. BUP9900032 FIELD INSPECTION REPORT DATES COVERED: August 26, 1999 PROJECT: Albertsons Store #565 – Remodel – Job #990 . ADDRESS: 16200 SW Pacific Hwy – Tigard, OR "2— INSPECTOR: C. Stasch, COP#485 / WABO (STA 76 7001) 08- 26 -99: CTI representative was present onsite for a periodic rebar and concrete inspection. This inspector inspected reinforcing for lower deli freezer slab. Reinforcing was #4 at 16" on center. A 3500 psi concrete mix #3620 from Morse Brothers was placed in this area. One set of three 6x12 concrete test cylinders was made. 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. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTI G, INC. Ub4,420.4 Douglas ga NT P�_ - President CS:jp cc: Todd Construction Inc – Geoff Wenker City of Tigard Building Dept Albertsons Inc – Katherine Kirk M Lawrence Musili Architect – Randy Davison Harrison Engineering – Rex Harrison Albertons Inc – Mark Sipiora 99- 2026.fr Construction Inspection & Related Tests Carlson Testing, Inc. Geotechnical Consulting P.O. Box 23814 JOB NO. 99-2026 Aug 0, 1999 Tigard, Oregon 97281 9 Phone (503) 684 -3460 REPORT OF IN -PLACE ASPHALTIC CONCRETE DENSITY TESTS FAX # 684 -0954 Client TODD CONSTRUCTION INC - GEOFF WENKER BUP9900032 Project ALBERTSONS STORE #565 - REMODEL - JOB #9907 16200 SW PACIFIC HWY TIGARD OR ,� Description CLASS "C" ASPHALTIC CONCRETE FROM LAKESIDE - PORTLAND Rice Density 1 55 . 7 Marshall Value Method of Test ASTM D2950 Standard Count Density 2860 Serial# Troxler 19971 NUC DATE OF TEST Density TEST NO. TEST LOCATION Mode Count Lift No. In Place Density COMPACTION WATERLINE TIE -IN 15' WEST OF EAST END 1ST 8 -23 1 TEST TAKEN IN A.M. BS 626 146.0 93.8 WATERLINE TIE -IN 10' SOUTH OF NORTH END 1ST 8 -23 2 TEST TAKEN IN A.M. BS 631 144.9 93.1 WATERLINE TIE -IN 20' NORTH OF SOUTH END 1ST 8 -23 3 TEST TAKEN IN A.M. BS 648 143.2 92.0 WATERLINE TIE -IN 10' WEST OF EAST END 2ND 8 -23 4 TEST TAKEN IN P.M. BS 614 146.9 94.3 WATERLINE TIE -IN 15' SOUTH OF NORTH END 2ND 8 -23 5 TEST TAKEN IN P.M. BS 647 143.0 91.8 WATERLINE TIE -IN 20' NORTH OF SOUTH END 2ND 8 -23 6 TEST TAKEN IN P.M. .BS 624 145.7 93.6 • Remarks: 927. REQUIRED. cc: CITY OF TIGARD BUILDING DEPT ALBERTSONS INC — KATHERINE KIRK M LAWRENCE MUSIL ARCHITECT - RANDY DAVIS HARRISON ENGINEERING - REX HAR ALBERTSONS INC - f S-FP IOA Taltebfeports pertain to the material tested /inspected only. , ARLSONTESTINGINC. Information contained herein is not to be reproduced, except in full, without prior authorization fr , m this office.