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Report (59)svxacr ` """ fiNC1PE IT opts rr;,rrra�c. t.��c 503.443.3799 QCD 7319 Kable Lane Tigard, OR 97223 7S/ 5 Scv K�(;I/r- C -i7 7409 SW Tech Center Dr. Ste. 145 Tigard, OR. 97223 Ph: 503-443-3799 Fax: 503-620-2748 DAILY FIELD REPORT FOR PROPRIETARY ANCHORS R(Atf Date: 2017-10-31 Permit ##:. SeP2017-00261 Continuous ❑ Periodic 0✓ Inspector/Certification # Shane Blackwell Cert# OBOA 127 Anchor Embedded in: Concrete Compressive Strength: 3000PSI HOLE DETAIL/CONDITION Anchor Embed Size: 3/4" Hole PJ: 3/4" Depth: 4 3/4" Holes cleaned properly?: Q Yes F-] No Embedment per plans?: Q Yes No INSTALLATION ESR REPORT# ESR -1917 TZ CARBON & STAINLESS in CONCRETE ANCHOR TYPE: WEDGE ANCHOR EPDXY TYPE: N/A EXP. DATE: NA Foreman notified of nonconformance items? Foremans Name: image uescnpuon: Seismic anchors for generator. ❑ Yes ❑ No Q✓ N/A Reviewed �� Date: Bob Brown, President 4( 5, BB/ Vanosdel Construction ACS Job # 17-7545 Is this a re -inspection?: [] Yes [-&-/] No Approved plans available?: 0 Yes F—] No Work acceptable per approved plans?: Q Yes No Installation complies with manufacturer's evaluation report?: Q Yes No LOCATION OF ANCHORS GRIDLINES Generator Seismic Anchors GRIDLINES GRIDLINES IS THERE AN RFI? F� Yes Q No RFI ATTACHED? F� Yes Q No INSPECTION DETAILS: Arrived onsite to inspect installation of seismic anchors for generator per detail 2/S1 dated 8-3-17 no revisions. All tested anchors reached required 110 ft lbs of installation torque. No exceptions taken. cc: ACCREDITED