Report JUN -25 -2010 FRI 03:22 PM CARLSON TESTING INC. FAX NO. 5036840954 P. 02
6LP2o /1) /Z
6bG, SIHdIN Way !load CON
Carlson Testing Inc. BJ 04s1, / /weAo �u6nllutlalv,Ne 63 p;iPPkllovftlull
11204s1, Oil
0.116 4- InlYm, fill I S1, lknd 01(YY1W
' Wiwa: (ItU16HJ -3�G6 Mane 00J) 361 plwna; (Sin 111114
For: 1103l #1,44-0 ,14 Fu1. 13031500 -1309 FIN 1SJ112204163
Construction Materials testing & Inspection
Special Inspection
FINAL SUMMARY LETTER
June 25, 2010
T1001824
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Veris Industries — N2 Tank Slab
16640 SW 72 Avenue — Tigard, OR
Permit: BUP2010 -00012
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only;
Reinforced Concrete
Installation of Adhesive Anchors
All inspections and tests were performed and reported according to the requirements of Project Documents and, to the
best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineers
design changes, approvals and verbal instructions.
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. Under all circumstances, 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.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
1)e 7 h /6
Project Manager
SWL/cn
cc: Veris Industries Inc — Bryan Johnson Fax: 503 620 -5678
City of Tigard Building Division
Parkin Engineering Inc — Mike Daubenberger Fax: 360 694 -3376
Pacific Construction Services Fax: 360 882 -9439
I