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Ph:503-443-3799 Fax:503-620-2748
503.44i3799 Special Inspection
Final Report
Date: 10-23-15 Job# 15-5930
Permit#BUP2015-00036
Mail To: Project:
KLEINFELDER COSTCO FUEL STATION-TIGARD
550 W C ST,STE 1200 7850 SW DARTMOUTH
SAN DIEGO,CA 92101 TIGARD,OR 97224
To Whom It May Concern:
ACS Testing, Inc.attests that their inspectors performed special inspection(s)on a continuous and/or
Periodic basis as required by the specific jurisdiction and/or IBC. Special inspection(s)were performed
For the following:
Reinforced Concrete
Steel Construction—High Strength Bolts
Based on personal observation, inspection and reports reviewed by me for the above project, I attest on behalf
of ACS that work was performed to the best of my knowledge, in accordance with approved plans,
specifications,and the applicable codes and standards for the jurisdiction.
-6'1\)(17:2It Approved b d
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Bob Brown/President
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..se, Proud to be Nationally Accredited by International Accrediting Service
ACCREDITED