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Report (697) Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 • Tigard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 C arlson T Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU Project: STRUVITE RECOVERY FACILITY CTIJob #: T0808617. Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD CTI representative A. FIELDING OBOA 815 was on site this date Nov. 26, 2008 to perform Special Inspection for: Permit BUP2008 -00290 DFS #(s) PO Number: PROJECT NO. 6340 SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. PER PLAN DETAIL #7 REBAR DOWELS INTO EXISTING Name: MATT CONCRETE MID LEVEL FLOOR INFILL PADS. Company: STETTLER 5 PADS, 9" EMBEDMENT, 6X5, (44) DOWELS EACH. 2. Inspection was "IBC" © Continuous 1=1 Periodic (220) DOWELS TOTAL, HOLES APPEAR TO MEET REQUIRED EDGE DISTANCE AND SPACING. PROPRIETARY ANCHORS *ALL BATCH NUMBERS END IN L3* Yes NoN /A 1. Reviewed previous inspection reports? 2. Reviewed evaluation report? X Verified following items meet manufacturer's REPORT SUMMARY published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: © Completed In progress anchors. X 4.Verified installation of the anchors. 2. Completed work inspected was in compliance with X © Approved plans and specifications El Shop drawings 5. Verified anchor diameter. x 6. Verified steel grade. X RFI © Design change D Submittal 0 N/A 7. Verified hole diameter. X Document #(s) Dated: 8. Verified type of drill bit used. X 9. Verified hole cleaning method. X 3. Noncompliance item(s) were noted this date, details on 10. Verified adhesive application. X following page(s). fl Yes ❑ No © N/A 11. Verified edge distance. X 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. X on following page(s). 0 Yes ❑ No ® N/A 13. Verified installation torque. X 0 Conform Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ER 2322 11/2007 RON of STETTLER Name of product being installed HILTI RE 500 SD Batch Number 0708080524 0708080525 0708080526 0109080016 0109080017 0109080018 0109080019 Expiration Date 8/2009 8/2009 8/2009 9/2009 9/2009 9/2009 9/2009 Based on the Code. approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. See additional report page(s). 1=1 Distribute attachments. Page 1 of 1 Daily Report of Proprietary Anchors For: 11/26/2008 CTI Job #: T0808617. Project: STRUVITE RECOVERY FACILITY Notes: In some cases more than one box may be checked for a given item on the front page. 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 TESTING, INC. Reviewed By: Keith Gauvin Review Date: 12/08/2008 AMF /AF2 CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH Construction Inspections & Related Tests C arlson Testing, Inc. Geotechnical Consulting Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard. Oregon 97281 Salem, Oregon 97301 Bend. Oregon 97708 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 12/02/2008 Job Number: T0808617. Permit #: BUP2008 -00290 Client: CLEAN WATER SERVICES (DURHAM) — TIM RONDEAU Project: STRUVITE RECOVERY FACILITY Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD Contractor: STETTLER SUPPLY COMPANY — MATT RASCH Subcontractor: SPRING HILL CONSTRUCTION Cast By: A. LEWIS Concrete Supplier: ROSS ISLAND SAND & GRAVEL Truck #: 82 Load #: 1 Ticket#: A-497204 Weather: CLEAR Test Time: 10:30 AM Air Temp. at Sampling Time: 55 Cylinders were cast for the following locations: INFILLS IN "INFLUENT PUMP STATION' BUILDING Total Concrete Placement Location: (5) INFILLS IN "INFLUENT PUMP STATION" BUILDING. Strength Requirement: 4000 psi Pc @ 28 Days Slump: 6.000" % Air: 1.00 Mix Number: 5 011 B Conc. Temp: 62 Cement Type: I / I I Max Agg: 3 /4 Admix/Amt: Cubic Yards: 13 Register Number: 0088687 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 3 12/03/2008 12/05/2008 35000 12.56 2790 2 RH2 7 12/03/2008 12/09/2008 28 12/03/2008 12/30/2008 28 12/03/2008 12/30/2008 28 12/03/2008 12/30/2008 0 Distribute attachments. Average f c@ 28 days Please see reverse side for additional information. Job Number: T0808617. Register Number: 0088687 Date Molded: 12/02/2008 Project: STRUVITE RECOVERY FACILITY <1 in. [25 mm] Ti,- )\\. Type 1 Type 2 Type 3 Reasonable well - formed Well- Formed cone on one Columnar vertical cracking cones on both ends, less end. vertical cracks running through both ends, no than 1 in. [25 mm] of through caps, no well - defined well- formed cones cracking through caps cone on other end \ . Type 4 Type 5 Type 6 Diagonal fracture with Side fractures at top or Similar to Type 5 but no cracking through bottom (occur commonly end of cylinder is pointed ends; tap with hammer to with unbonded caps) distinguish from Type 1 Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH Project Manager: K. GAUVIN Reviewed By: Ty Toller On 12/08/2008 Our report pertains to the material tested only. 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. 'Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard. Oregon 97281 Salem, Oregon 97301 Bend. Oregon 97708 Carlson Testing, hone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 iH ' Inc. 6. Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Reinforced Concrete Client: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU Project: STRUVITE RECOVERY FACILITY CTI Job #: T0808617. Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD CTI representative A. LEWIS OBOA 750 /WABO SI 01737 was on site this date Dec. 02, 2008 to perform Special Inspection for: Permit BUP2008 -00290 DES #(s) PO Number: PROJECT NO. 6340 SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? © Yes 0 No 0 N/A Name: MATT y Com an STETTLER SUPPLY 2. Monitored loads arriving at job site for correct: Company: Mix #: 5011 B 2. Type of work: © Concrete © Reinforcing Slump 6 . 0 % Air 1. 0 3. Work included: ® Sampling © Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' ® Continuous D Periodic Number of sets 1 Samples per set 5 5. Work performed: © In the field ❑ At precast shop 4. Inspected placing and consolidation of approx. 13 cubic yards of concrete. REINFORCING Yes No N/A Location of concrete placement [to include grid lines, elevations (floors) and drawing details]: 1. Reviewed previous inspection reports? x 2. Forms clear of debris? SAME AS REINFORCING. x 3. Type, grade, size, quantity, spacing and x condition conform? (5) CYLINDERS CAST AT ENGINEER REQUEST FOR 3 -DAY 4. Verified forms will nominally result in BREAK. hardened concrete of the required x cross - sectional dimensions. 5. Verified location of reinforcing steel, pipes, conduits and sleeves with respect to minimum concrete cover. 6. Verified type and location of splices, length After samples are tested, results will follow on break report. of contact laps, and min. diameter of bends. x 7. Verified support & anchorage of reinforcing REPORT SUMMARY steel in the forms. x 1. Work inspected was: © Completed ❑ In progress 8. Verified structural embedments in the forms x 2. Completed work inspected was in compliance with with regard to fabrication, quality and type. Approved plans and specifications 0 Shop drawings 9. Verified structrual embedments in the forms with regard to weld inspection, quantity, and x ❑ RFI D Design change 0 Submittal ❑ N/A permits issued. 10. Verified cast in place anchors. X Document #(s) SEE REINFORCING Dated: Description of structure inspected [to include grid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: following page(s). El Yes © No D N/A (5) INFILLS AT "INFLUENT PUMP STATION" BUILDING. 4. Noncompliance item(s) were reinspected this date, details REFERENCE CH2MHILL DRAWING DATED 9/22/2008. on following page(s). ❑ Yes ® No 0 N/A VERIFIED PROPER PLACEMENT OF DOUBLE MAT OF #7 Conform Remain in progress BARS 12" ON CENTER. Report(s) findings were discussed and left with MATT of STETTLER SUPPLY Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. D See additional report page(s). Distribute attachments. Page 1 of 1 Daily Report of Reinforced Concrete For: 12/02/2008 CTI Job #: T0808617. Project: STRUVITE RECOVERY FACILITY Notes: In some cases more than one box may be checked for a given item on the front page. 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 TESTING, INC. Reviewed By: Keith Gauvin Review Date: 12/08/2008 AFL /ARR CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH , • ,Main Office Salem Office Bend Office • P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 $ Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 c �1o�C ®711 Testffig ®1a 1i �® Phone (503) 684 3460 Phone (503) 589 -1252 Phone (541) 330 -9155 1 ►7 Y ' All g FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163 December 5, 2008 T0808617 Permit No. BUP2008 -00290 Project No. 6340 FIELD INSPECTION REPORT DATES COVERED: November 18, 2008 PROJECT: Struvite Recovery Facility ADDRESS: 16580 SW 85 Avenue — Tigard, OR INSPECTOR: G. Watson — COP #643, WABO #WAT233239, ICBO #0840973, OBOA #363 11- 18 -08: CTI representative on the way to the project when the contractor called and cancelled. This was a show -up only. 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 TESTING, INC. Keith Gauvin Project Manager GW /ja cc: Clean Water Services (Durham) — Tim Rondeau City of Tigard Building Division CH2M Hill (Portland) Stettler Supply Company — Matt Rasch 11 -1908 fr Construction Inspections & Related Tests Carlson Testing, Inc. Geotechnical Consulting Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Phone(503)684 -3460 Phone(503)589 -1252 Phone(541)330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 12/05/2008 Job Number: T0808617. Permit #: BUP2008 -00290 Client: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU Project: STRUVITE RECOVERY FACILITY Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD Contractor: STETTLER SUPPLY COMPANY - MATT RASCH Subcontractor: SPRING HILL CONST Cast By: A. LEWIS Concrete Supplier: ROSS ISLAND . SAND & GRAVEL Truck #: 83 Load #: 1 Ticket#: T-447362 Weather: CLEAR Test Time: 12:15 PM Air Temp. at Sampling Time: 4 8 Cylinders were cast for the following locations: ROUND INFILLS AND CONTAINMENT WALL Total Concrete Placement Location: SAME AS ABOVE Strength Requirement: 4000 psi f @ 28 Days Slump: 4.000" % Air: 1.00 Mix Number: 5 011 B Conc. Temp: 59 Cement Type: I / I 1 Max Agg: 3/ 4 Admix/Amt: 20N = 160 OZ Cubic Yards: 5. 5 Register Number: 0 088 7 8 6 Lab Location: T I GARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 3 12/08/2008 12/08/2008 27076 12.56 2160 4 LSD 7 12/08/2008 12/12/2008 54154 12.56 4310 4 RH2 28 12/08/2008 01/02/2009 28 12/08/2008 01/02/2009 28 12/08/2008 01/02/2009 0 Distribute attachments. Average fc @ 28 days Please see reverse side for additional information. Job Number: T0808617. Register Numrbert 00'88.786 Date Molded: 12/05/2008 Project: STRUVITE RECOVERY FACILITY <1 in. [25 mm] )\, g i i lli ... Type 1 Type 2 Type 3 Reasonable well - formed Well- Formed cone on one Columnar vertical cracking cones on both ends, Tess end. vertical cracks running through both ends, no than 1 in. [25 mm] of through caps, no well - defined well - formed cones cracking through caps cone on other end Type 4 Type 5 Type 6 Diagonal fracture with Side fractures at top or Similar to Type 5 but no cracking through bottom (occur commonly .,nd of cylinder is pointed ends: tap with hammer to with unbonded caps) distinguish from Type 1 Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU RONDEAUT @CLEANWATERSERVICES.OR TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH Project Manager: K. GAUVIN Reviewed By: Ty Toller On 12/15/2008 Our report pertains to the material tested only. 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. • Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 ss�� 9 Tigard. Oregon 97281 Salem, Oregon 97301 Bend. Oregon 97708 C arlson ' besting I ; ; ce Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Reinforced Concrete Client: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU Project: STRUVITE RECOVERY FACILITY CTI Job #: T0808617. Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD CTI representative K. THRALL OBOA 347 was on site this date Dec. 10, 2008 to perform Special Inspection for: Permit BUP2008 -00290 DFS #(s) PO Number: PROJECT NO. 6340 SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? © Yes ❑ No El N/A Name: SALVADOR • Company: SPRINGHILL CONST 2. Monitored loads arriving at job site for correct: Mix #: 4011 B 2. Type of work: ® Concrete ® Reinforcing Slump 3 . 5 % Air 1 • 3. Work included: ® Sampling © Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' © Continuous ❑ Periodic Number of sets 1 Samples per set 4 5. Work performed: ® In the field 0 At precast shop 4. Inspected placing and consolidation of approx. 11 cubic yards of concrete. REINFORCING Yes No N/A Location of concrete placement [to include grid lines, elevations (floors) and drawing details]: 1. Reviewed previous inspection reports? X SAME AS REINFORCING 2. Forms clear of debris? 3. Type, grade. size, quantity, spacing and X condition conform? 4. Verified forms will nominally result in hardened concrete of the required X cross - sectional dimensions. 5. Verified location of reinforcing steel, pipes, conduits and sleeves with respect to X minimum concrete cover. 6. Verified type and location of splices, length After samples are tested, results will follow on break report. of contact laps, and min. diameter of bends. X REPORT SUMMARY 7. Verified support & anchorage of reinforcing steel in the forms. X 1. Work inspected was: © Completed El In progress 8. Verified structural embedments in the forms 2. Completed work inspected was in compliance with with regard to fabrication, quality and type. x p p p © Approved plans and specifications ❑ Shop drawings 9. Verified structrual embedments in the forms with regard to weld inspection, quantity, and X ❑ RFI ❑ Design change ❑ Submittal ❑ N/A permits issued. 10. Verified cast in place anchors. x Document #(s) Dated: Description of structure inspected [to include grid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: following page(s). 0 Yes El No ® N/A CONTAINMENT CURBS AND SLAB 4. Noncompliance item(s) were reinspected this date, details on following page(s). 0 Yes ❑ No m N/A 0 Conform El Remain in progress Report(s) findings were discussed and left with MATT of STETTLER SUPPLY Based on the Code. approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. 0 See additional report page(s). El Distribute attachments. Page 1 of 1 Daily Report of Reinforced Concrete For: 12 /10/2008 CTI Job #: T0808617 . Project: STRUVITE RECOVERY FACILITY Notes: In some cases more than one box may be checked for a given item on the front page. 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 TESTING, INC. Reviewed By: Keith Gauvin Review Date: 12/12/2008 KRT /ARR CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU RONDEAUT @CLEANWATERSERVICES.OR TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH Main Office Salem Office Bend Office ' P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 s� �lson Testing, Inc. + Car c P (03) Oregon 97281 Phone 503) 589-1252 Bend. 541) 330-9155 0 -915 Phone (503)684 -3460 Phone (503)589 -1252 Phone (541)330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU Project: STRUVITE RECOVERY FACILITY CTI Job #: T0808617. Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD CTI representative A. NUNLEY OBOA 866 was on site this date Dec. 09, 2008 to perform Special Inspection for: Permit BUP2008 -00290 DFS #(s) PO Number: PROJECT NO. 6340 SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. OBSERVED THE INSTALLATION OF (48 VERTICAL) #4 Name: MATT DOWELS AT 12" CENTERED IN CURB 5/8" DIAMETER 6 Company: STETTLER SUPPLY 1/2" EMBEDMENT PER DETAIL 5/M -01 CONTAINMENT WALL DETAIL FOR 3RD FLOOR SOLID BUILDING. 2. Inspection was "IBC" ® Continuous El Periodic PROPRIETARY ANCHORS Yes No N/A 1. Reviewed previous inspection reports? x 2. Reviewed evaluation report? x Verified following items meet manufacturer's _ REPORT SUMMARY published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: © Completed 0 In progress anchors. x 4.Verified installation of the anchors. 2. Completed work inspected was in compliance with x © Approved plans and specifications ❑ Shop drawings 5. Verified anchor diameter. x 6. Verified steel grade. x RFI El Design change Submittal 0 N/A 7. Verified hole diameter. x Document #(s) Dated: 8. Verified type of drill bit used. x 9. Verified hole cleaning method. x 3. Noncompliance item(s) were noted this date, details on 10. Verified adhesive application. x following page(s). Yes No El N/A 11. Verified edge distance. x 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. x on following page(s). D Yes No ® N/A 13. Verified installation torque. x El Conform 0 Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ESR 2322 MATT 11/1/2007 of STETTLER SUPPLY Name of product being installed H I LT I RE 500 S D Batch Number 0109080023 L3 Expiration Date 9/2009 Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. ❑ See additional report page(s). Distribute attachments. Page 1 of 1 Daily Report of Proprietary Anchors For: 12/09/2008 CTI Job #: T0808617. Project: STRUVITE RECOVERY FACILITY Notes: In some cases more than one box may be checked for a given item on the front page. 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 TESTING, INC. Reviewed By: Keith Gauvin Review Date: 12/11/2008 ALN /AF2 CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU RONDEAUT @CLEANWATERSERVICES.OR TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH Construction Inspections & Related Tests Carlson Testing, Inc. Geotechnical Consulting Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard. Oregon 97281 Salem, Oregon 97301 Bend. Oregon 97708 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 12/02/2008 Job Number: T0808617. Permit #: BUP2008 -00290 Client: CLEAN WATER SERVICES (DURHAM) — TIM RONDEAU Project: STRUVITE RECOVERY FACILITY Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD Contractor: STETTLER SUPPLY COMPANY — MATT RASCH Subcontractor: SPRING HILL CONSTRUCTION Cast By: A. LEWIS Concrete Supplier: ROSS ISLAND SAND & GRAVEL Truck #: 82 Load #: 1 Ticket#: A-447204 Weather: CLEAR Test Time: 10:30 AM Air Temp. at Sampling Time: 55 Cylinders were cast for the following locations: INFILLS IN "INFLUENT PUMP STATION' BUILDING Total Concrete Placement Location: (5) INFILLS IN "INFLUENT PUMP STATION" BUILDING. Strength Requirement: 4000 psi fc @ 28 Days Slump: 6.000" % Air: 1.00% Mix Number: 5011 B Conc. Temp: 6 Cement Type: 1 /11 Max Agg: 3/4 Admix/Amt: Cubic Yards: 13 Register Number: 0088687 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 3 12/03/2008 12/05/2008 35000 12.56 2790 2 RH2 7 12/03/2008 12/09/2008 58127 12.62 4610 3 RH2 28 12/03/2008 12/30/2008 28 12/03/2008 12/30/2008 28 12/03/2008 12/30/2008 0 Distribute attachments. Average fc @ 28 days Please see reverse side for additional information. Job Number: T0808617. Register Number: 00'88687 Date Molded: 12/02/2008 Project: STRUVITE RECOVERY FACILITY --; < l in. [25 mm] "/)\\ I I Type 1 Type 2 Type 3 Reasonable well - formed Well- Formed cone on one Columnar vertical cracking cones on both ends, less end. vertical cracks running through both ends. no than 1 in. [25 mm] of through caps, no well- defined well - formed cones cracking through caps cone on other end \ 1 f i \\ Type 4 Type 5 Type 6 Diagonal fracture with Side fractures at top or Similar to Type 5 but no cracking through bottom (occur commonly :nd of cylinder is pointed ends: tap with hammer to with unbonded caps) distinguish from Type 1 Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH Project Manager: K. GAUVIN Reviewed By: Ty Toller On 12/10/2008 Our report pertains to the material tested only. 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. 'Main Office Salem Office Bend Office ' P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Carlson Testing, Inc. Tigard. Oregon Salem. Oregon 97301 Bend, Oregon 97708 CC.. Phone (503)03) 684 -346-346 0 Phone (503)589 -125125 589-1252 Phone (541)330 -915-915 330-9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541)330 -9163 Daily Report of Proprietary Anchors Client: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU Project: STRUVITE RECOVERY FACILITY CTI Job #: T0808617. Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD CTI representative G. WATSON OBOA 363 was on site this date Dec. 04, 2008 to perform Special Inspection for: Permit BUP2008 -00290 DFS #(s) PO Number: PROJECT NO. 6340 SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. sIx ROUND OPENING INFILLS AT MID LEVEL BEGGING Name: MATT AREA. 2 LAYER #7 DOWELS AT 12" ON CENTER EMBEDED Company: STETTLER 9" INTO CONCRETE. 2. Inspection was "IBC" © Continuous n Periodic CONTAINMENT WALL #4 DOWELS AT 12" ON CENTER EMBEDED 6" INTO CONCRETE DETAIL 5 /M -01 ON M -06 ROUND OPENING INFILLS PER CH2MHILL DETAIL DATED PROPRIETARY ANCHORS 7/22/08 Yes No N/A I. Reviewed previous inspection reports? x 2. Reviewed evaluation report? x Verified following items meet manufacturer's REPORT SUMMARY - published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: © Completed 0 In progress anchors. x 4.Verified installation of the anchors. 2. Completed work inspected was in compliance with x © Approved plans and specifications Shop drawings 5. Verified anchor diameter. x 6. Verified steel grade. x 0 RFI fl Design change 0 Submittal N/A 7. Verified hole diameter. X Document #(s) CH2MHILL DETAIL Dated: 7 8. Verified type of drill bit used. x 9. Verified hole cleaning method. x 3. Noncompliance item(s) were noted this date, details on 10. Verified adhesive application. x following page(s). 0 Yes El No © /A 1 I. Verified edge distance. x 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. x on following page(s). 0 Yes El No ® N/A 13. Verified installation torque. x 0 Conform 0 Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ICC -ES ESR 2322 MATT 1/1/2008 of STETTLER Name of product being installed HILTI RE 500 SD Batch Number 070808x11 0524L3 Expiration Date 8 Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. See additional report page(s). Distribute attachments. Page 1 of 1 For: 12 / 0 4 / 2 0 0 8 Daily Report of Proprietary Anchors CTI Job #: T0808617. Project: STRUVITE RECOVERY FACILITY Notes: In some cases more than one box may be checked for a given item on the front page. 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 TESTING, INC. Reviewed By: Keith Gauvin Review Date: 12/10/2008 GW /AF2 CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH Construction Inspections & Related Tests C arlson Testing, Inc. Geotechnical Consulting Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Tigard. Oregon 97281 Salem. Oregon 97301 Bend. Oregon 97708 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 12/05/2008 Job Number: T0808617 . Permit #: BUP2008 -00290 Client: CLEAN WATER SERVICES (DURHAM) — TIM RONDEAU Project: STRUVITE RECOVERY FACILITY Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD Contractor: STETTLER SUPPLY COMPANY — MATT RASCH Subcontractor: SPRING HILL CONST Cast By: A. LEWIS Concrete Supplier: ROSS ISLAND SAND & GRAVEL Truck #: 83 Load #: 1 Ticket#: T- 447362 Weather: CLEAR Test Time: 12:15 PM Air Temp. at Sampling Time: 48 Cylinders were cast for the following locations: ROUND INFILLS AND CONTAINMENT WALL Total Concrete Placement Location: SAME AS ABOVE Strength Requirement: 4000 psi f c@ 28 Days Slump: 4.000" % Air: 1.00% Mix Number: 5 011 B Conc. Temp: 59 Cement Type: 1 /11 Max Agg: 3/ 4 Admix/Amt: 20N = 160 OZ Cubic Yards: 5.5 Register Number: 0088786 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 3 12/08/2008 12/08/2008 27076 12.56 2160 4 LSD 7 12/08/2008 12/12/2008 28 12/08/2008 01/02/2009 28 12/08/2008 01/02/2009 28 12/08/2008 01/02/2009 ❑ Distribute attachments. Average f c @ 28 days Please see reverse side for additional information. Job Number: T0808617. Register Number:, 0 0 8 8 7 8 6 Date Molded: 12/05/2008 Project: STRUVITE RECOVERY FACILITY <1 in. [25 mm] )\\ 1 it Type 1 Type 2 Type 3 Reasonable well - formed Well- Formed cone on one Columnar vertical cracking cones on both ends, less end. vertical cracks running through both ends, no than 1 in. [25 mm] of through caps, no well- defined well - formed cones cracking through caps cone on other end / Type 4 Type 5 Type 6 Diagonal fracture with Side fractures at top or Similar to Type 5 but no cracking through bottom (occur commonly end of cylinder is pointed ends; tap with hammer to with unbonded caps) distinguish from Type 1 Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH Project Manager: K. GAUVIN Reviewed By: Ty Toiler On 12/09/2008 Our report pertains to the material tested only. 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. Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 ss�� 9 igard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 C arlson Testing Inc. Inc• Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax(503)684 -0954 Fax(503)589 -1309 Fax (541) 330 -9163 Daily Report of Reinforced Concrete Client: CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU Project: STRUVITE RECOVERY FACILITY CTl Job #: T0808617. Address: 16580 SW 85TH AVENUE TIGARD OR Jurisdiction: TIGARD CTI representative A. LEWIS OBOA 750 /WABO SI 01737 was on site this date Dec. 05, 2008 to perform Special Inspection for: Permit BUP2008 -00290 DFS #(s) PO Number: PROJECT NO. 6340 SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. I. Mix Design approved? © Yes E No E N/A Name: MATT Company: STETTLER SUPPLY 2. Monitored loads arriving at job site for correct: P Mix #: 5011 B 2. Type of work: ® Concrete IN Reinforcing Slump 4 . 0 % Air 1 .0 3. Work included: ® Sampling © Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' © Continuous 0 Periodic Number of sets 1 Samples per set 5 5. Work performed: © In the field D At precast shop 4. Inspected placing and consolidation of approx. 6 cubic yards of concrete. REINFORCING Yes No N/A Location of concrete placement [to include grid lines, elevations (floors) and drawing details]: 1. Reviewed previous inspection reports? x 2. Forms clear of debris? SAME AS REINFORCING X 3. Type, grade, size, quantity, spacing and x condition conform? (5) CYLINDERS CAST AND ENGINEERS REQUEST FOR A 3 4. Verified forms will nominally result in DAY BREAK. hardened concrete of the required X cross - sectional dimensions. 5. Verified location of reinforcing steel, pipes, conduits and sleeves with respect to X minimum concrete cover. 6. Verified type and location of splices, length X After samples are tested. results will follow on break report. of contact laps, and min. diameter of bends. REPORT SUMMARY 7. Verified support & anchorage of reinforcing steel in the forms. X I . Work inspected was: Completed 0 In progress 8. Verified structural embedments in the forms x 2. Completed work inspected was in compliance with with regard to fabrication, quality and type. 9. Verified structrual embedments in the forms © Approved plans and specifications fl Shop drawings with regard to weld inspection, quantity, and X RFI 0 Design change 0 Submittal E N/A permits issued. 10. Verified cast in place anchors. } Document #(s) SEE REINFORCING Dated: Description of structure inspected [to include grid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: following page(s). E Yes ® No 0 N/A (6) ROUND INFILLS AT "INFLUENT PUMP STATION" 4. Noncompliance item(s) were reinspected this date, details BUILDING. REFERENCE CH2MHILL, DRAWING DATED on following page(s). Yes © No 0 N/A 9/22/2008 AND DETAIL 5 /MO1 (CONTAINMENT WALL) . Conform 0 Remain in progress VERIFIED PROPER PLACEMENT OF #7 MATS TOP AND BOTTOM AT INFILLS AND #4 CONTINUOUS BARS AT Report(s) findings were discussed and left with CONTAINMENT WALL. EPDXY INSPECTION OCCURED MATT YESTERDAY AND NO NOTED DEFICIENCIES of STETTLER SUPPLY Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. 0 See additional report page(s). 0 Distribute attachments. Page 1 of Daily Report of Reinforced Concrete For: 12/05/2008 CTI Job #: T0808617. Project: STRUVITE RECOVERY FACILITY Notes: In some cases more than one box may be checked for a given item on the front page. 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 TESTING, INC. Reviewed By: Keith Gauvin Review Date: 12/10/2008 AFL /ARR CLEAN WATER SERVICES (DURHAM) - TIM RONDEAU TO: CITY OF TIGARD BUILDING DIVISION CH2M HILL (PORTLAND) STETTLER SUPPLY COMPANY - MATT RASCH