Report (70) '
/� 7
d/ 07 7409 SW Tech Center Dr.Ste. 145
Tigard,OR.97223
spur Ph:503-443-3799 Fax:503-620-2748
411="ONCREZE DAILY FIELD REPORT FOR PROPRIETARY ANCHORS
OILS
TESTING,INC
503.443.3799 Date: Apr 27, 2017 permit#: BUP2017-00077
ENGINEERED PRODUCTS a PAPE' CONSUMER CELLULAR
COMPANY Continuous 15605 SW 72ND AVE
9800 40TH AVE S. TIGARD, OR 97224
SEATTLE,WA 98118 Periodic / PO#82907
Inspector/Certification# Tom Snider Cert#OBOA 1075 ACS Job# 17-6956-03
Anchor Embedded in: Concrete Is this a re-inspection?: Yes No
Compressive Strength: EXISTING UNKNOWN Approved plans available?: ❑✓ Yes n No
HOLE DETAIL/CONDITION Work acceptable per approved Yes [ No
plans?:
AnchorEmbed
Size: 1/2" Hole 0: 1/2" 3-1/4" Installation complies with
Depth: manufacturer's evaluation report?: Z Yes No
Holes cleaned properly?: J Yes 0 No
LOCATION OF ANCHORS
Embedment per plans?: Yes D No
GRIDLINES
INSTALLATION GRIDLINES
ESR REPORT#
ESR-1917 TZ CARBON&STAINLESS in CONCRETE GRIDLINES
ANCHOR TYPE: DROP-IN ANCHOR
IS THERE AN RFI? El Yes Q No
EPDXY TYPE: N/A
RFI ATTACHED? Yes J No
EXP. DATE: N/A INSPECTION DETAILS:
Image Description:
ACS representative arrived at the job site to observe completed drop in
anchors,for storage racks located at the Westerly most double row of
racking and the single row of wracking at the South wall,as per Plan
View sheet 1 of 1,with no revisions noted.Anchor details per Note 5 of
page 1 from Engineered Products.
Anchors installed Hilti 17,5-1/2".
Work has been performed,the materials used and the installation
procedures conform to the MMII and the approved contract documents,
with the no exceptions.
Foreman notified of El Yes E No Q N/A
nonconformance items?
Foremans Name: Brian Ferrick,Engineered Products
Reviewed .ep/.� Date: cc:
1�(/� � 04-28-2017 Brian Ferrick
Bob Brown,President
BB/TS "u APR 2 8 20 7
ACS-1157 ACCREDITED