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07120156 SI SIGNET Testing Labs, Inc. FILE DATE: 3/ 1-710 DSA FILE/APPL. NO. PROJECT NO. (o 2rj%,--5-<l' OSHPD NO. PROJECT:U LIA Si=�d_ /S Y t > . PERMIT NO. 0_� 17 OI LOCATION.g4,)Zj(y) � n fJ�.Cl1 n�rll WEATHER: CUFA-k• TEMP: REBAR ❑ TENDON ❑ TENDON STRESSING sr Inspected the placement of REINFORCING STEED/TENDONS/.—AB-"S/HD'S/TIE DOWNS for the following location: ❑ Observed post-tensioning operations, measured and recorded elongations of tendons for the following location: F-1-CONCRETE ©-clP ❑ PC ❑ PT ❑ SHOTCRETE ❑ NS GROUT ❑ Inspected the batch plant operations. Batch Plant/Location: �❑ Observed placement of-CONCRETE/SHOTCRETE/NON-SHRINK GROUT at the following location: AT-6 EG s' ❑ Cast set(s)of compressive strength samples. Mix# 1�• l��ri WO' Total cu. yds. placed Slump(s): %Air: Unit wt(s): ❑ Show up/Stand by time. Job Canceled/Delayed due to: ❑ All non-compliance items were brought to the�attention of: Aso at the job site. NOTES' Y Y-) 1� C�� I 1( 1LY 1� 11LT / 1 71� Aso 0*r:cF,N +-T-,yg Cn,-eo�-r= fig-Lz) 7-N AnVE (c QTJ I 1 h To the best of my knowledge, the above WAS\ WAS NOT performed in accordance with the approved plats, specificatil ns, and regulatory requirements. ❑ Except As Noted f I I I � Superintendent/Representative: Inspector/Technician {� 3121 Diablo Avenue 1417 No.Market Blvd. #1 520 Mercantile Drive #A 1320'8#rnpson Circle 580 etropolitan Dr. #205 Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anaheim, CA 92806 San Diego CA 92108 (510)887-8484 (916)568-5858 (707)665-3950 (714)399-1500 (619)682-3820 JOB SHE COPY FORM#304(REV 01/08)