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07120123 SI r TM SIGNET 2010 SIGNET TESTING LABS. INC Testing Labs,Inc. 3121 DIABLO AVENUE HAYWARD,CA 94545 PHONE(510)887-8484 FAX(510)783-4295 CONCRETE COMPRESSION TEST REPORT CC: CUPERTINO BLDG INSP DEPT PROJECT NO.: 46225654 PROJECT: VILLA SERRA APARTMENTS BLDG 79 10300 TORRE AVENUE LOCATION: 20800 HOMESTEAD ROAD CUPERTINO,CA 95014 CUPERTINO,CA 95014 PERMIT#: 07120123 �� APPL LU #: �^_l(}O o tomesk Ed '7� Ad l A� MIX DATA Lab Number 99979 Aggregate Size 0.75 Material Type 3111-CIP CONCRETE COMPRESSION TEST Cement factor 6.50 Supplier STAR Spec Strength 3000 psi at 28 Days Admixture Spec.Slump Mix number F6534WRP Spec.Air Content SAMPLE DATA(ASTM C31) Set number 1 of 1 Slump(ASTM C143) 4.25 Sample Date 03/17/2010 2:00 pm Ambient Temperature 70 Fld Inspector ROBERT BIGFORD Sample Temperature(ASTM C1064) 71 Ticket 208842 Air content(ASTM C173/C231) Truck 40 Unit Weight Fresh(ASTM C138) Placement Location: WATER HEATER CABINET FOUNDATION ON THE EAST SIDE OF BLDG.#79 Comments: TEST DATA(ASTM C39) SAMPLE TEST AGE DIMESIONS(in.) AREA LOAD CORR CURE FRACTURE TYPE COMPRESS NO DATE (sq in) (Ibs) FACT TYPE STR(psi) 1 03/24 07 6.00 x 12.00 28.27 122500 1.00 LAB 4-SHEAR 4,330 2 04/14 28 3 04/14 28 Average 28 day Compressive Strength: 4 H MATERIAL 0 WAS ❑WAS NOT SAMPLED IN ACCORDANCE WITH THE APPROVED PROJECT DOCUMENTS. TO: PROMETHEUS REAL ESTATE GROUP I CC: FILE COPY RESPECTFULLY SUBMITTED, SIGNET TESTING LABS, INC 03/25/10 Concrete Lab Manager Date ) SIGNET Cn FILE Testing Labs, Inc. DATE: IA /10 DSA FILE/APPL.NO. PROJECT N0' Z 5C.O,c;4. '5(,o ?Z4 3 OSHPD NO. PROJECT: V C 2P_A -qS F(,-DG-A PERMIT NO. n-717— OI Z- LOCATION: A WEATHER: CJ F4,r2 . TEMP: ❑ PROOF LOAD ❑ TORQUE WITNESSING ❑ Testing was performed on the following items. All tests were performed with the following calibrated equipment: RAM: GAGE: TORQUE WRENCH: RAM: GAGE: TORQUE WRENCH: N q A LOAD Ib ( ) ACC. REJ. RETEST LOCATION OF TEST TYPE/SIZE TESTED TOTAL L A Lbs GAGE PSI . 2u5 Type of grout used: ��t M PSGT ZZ Method of application cle, aning: p1 X12 epox Visual inspection was performed on -r-Hr-7 I N S-MLL 71 CN --;# a e WTTH �= I:..► EMSI jlMEN= Ihr —rq - TiltCT-'Jqr- CL=A � vc I ❑ Show up/Stand by time. Job Canceled/Delayed due to: ❑ All non-compliance items were brought to the attention of: at the job site. ❑ NON-COMPLIANCE REPORT ATTACHED ❑ ADDITIONAL TESTS ATTACHED NOTES: A n �/ II To the best of my knowledge, the abov/e W�j/WAS NOT performed in accordance with the approved/plans, sPecifica' tions','anl re"�gulatory requirements. Superintendent/Representative: V Inspector: /_ fi 1 3121 Diablo Avenue 4 74 1 Pell Drive#8 520 Mercantile Drive#A D 310 W 5th Street#203 Hayward CA 94545 Sacramento CA 95838 Cotati, CA 94931 Santa Ana CA 92701 JOB SITE COPY - FORM a 301 (REV 10/04) i SIGNET Testing Labs, Inc. March 25, 2010 COPY TO: D CUPERTINO BLDG INSP DEPT (� 10300 TORRE AVENUE L, CUPERTINO, CA 95014 MAR .3 0 2010 PROJECT: 46225654 VILLA SERRA APARTMENTS BLDG 79 �f By `2D HOMESTEAD ROAD CUPERTINO, CA 95014 PERMIT NO: 07120123 SUBJECT: WEEKLY SUMMARY OF SPECIAL INSPECTIONS Special inspections were performed for the above referenced project. The inspections were performed by our certified inspector(s)as described in the attached daily report(s)week ending 03/12/2010. The work completed or in progress for this report is in accordance with the approved plans, specifications,and/or any approved change orders. This is a progress report of our special inspections. A final report will be issued upon request at the completion of the special inspection/testing requirements provided that all outstanding issues have been resolved and/or corrected. Respectfully submitted, Signet Testing Laboratories, Inc. Michael Everson Division Manager TO: PROMETHEUS REAL ESTATE GROUP I CC: CUPERTINO BLDG INSP DEPT CC: 'FILE COPY 3121 DIABLO AVENUE HAYWARD,CA 94545 MAIN:(510)887$484 FAX:(510)783-4295 SI GNE T (� FILE Testing Labs, Inc. DATE: _ AI DSA FILE/APPL.NO. PROJECT NO. / r fA OSHPD NO. PROJECT: ' w"r�� .)��R �j� ! 1Ll # 79 (10) PERMIT NO. LOCATION: � j !-�, C�( - ��'� WEATHER: �����_ TEMP: ❑ PROOF LOAD ❑ TORQUE a WITNESSING ❑ Testing was performed on the following items. All tests were performed with the following calibrated equipment: RAM: GAGE: TORQUE WRENCH: RAM: GAGE: TORQUE WRENCH: p %O A LOAD Ib ( LOCATION OF TEST TYPE/SIZE TESTED TOTAL or FI Lbs GAGE PSI) ACC. REJ. RETEST 1lX C7 �'46 Type of ep�oxJ/,grout used: r Method of application/.cle g: 7v�Pf2r.45ch AfQ. Visual inspection was performed on�' � � / a 1 (=-1'� t I . EMar WT6 TWE Ey',M ,6 �>L-AB AT I U ,ttr UN (_C'� 1z�p -1"E Nr'iA-) WATT L ttATr2 <iNNET POUN tVMOK Or—7-NE EST S IDC ❑ c�le / ee k�0ShXup/4taDb/_y ttme.' Job Cn : ❑ All non-compliance items were brought to the attention of: at the job site. ❑ NON-COMPLIANCE REPORT ATTACHED ❑ ADDITIONAL TESTS ATTACHED NOTES: To the best of my knowledge, the above WAS/WAS NOT performed in accordance with the approve] pl ns,specifications, and regulatory requirements. Superintendent/Representative: J Inspector: I I 3121 Diablo Avenue 4741 Pell Drive#8 520 Mercantile Street#A 310 W 5th Street#203 Hayward CA 94545 Sacramento CA 95838 Cotati, CA 94931 Santa Ana CA 92701 JOB SITE COPY FORM 301 SIGNET Testing Labs, Inc. DATE: l ( 6C) DSA FILE/APPL.NO. 0 0 0 0 0 0 0 1 +. PROJECT N0. 2 OSHPD NO. PROJECT: ,3 7 9G(_)) PERMIT NO. 12G Z LOCATION: jF �yP� T7NC� WEATHER: TEMP: ❑ PROOF LOAD ❑ TORQUE WITNESSING ❑ Testing was performed on the following items. All tests were performed with the following calibrated equipment: RAM: GAGE: TORQUE WRENCH: RAM: GAGE: TORQUE WRENCH: r %of LOAD Ib r r r LOCATION OF TEST TYPE/SIZE TESTED TOTAL or FI Lbs C3AOE(PSI) ACC. REJ. NETEST X - ��s+� Type o e oxy grout used: z Z Method of ap lication .cleanin Visual ins tion was erformed on T I $k u1 ► P P N�LLAIM& n F x�� F1LS �1 T (n' r1 j N . E_mpDHaTr jLm - ijta ExlS�rtc, SLAB Ar 16';w 6N CQMP `lam Mr-y, W MErL LkA TEA_ C,a8uN bon OA Ar 7i4F- EAgr S IDS LDC •-14 SLS. ❑ Show up/Stand by time. Job Canceled/Delayed due to: ❑ All non-compliance items were brought to the attention of: at the job site. ❑ NON-COMPLIANCE REPORT ATTACHED ❑ ADDITIONAL TESTS ATTACHED NOTES: To the best of my knowledge, the abo WAS WAS NOT performed In accordance with the apil rov a s eci Ic do s, and regulatory requirements. Superintendent/Representative: Inspector: 3121 Diablo Avenue 4741 Pell Drive#8 520 Mercantile Street#A 310 W 5th Street#203 Hayward CA 94545 Sacramento CA 95838 Cotatl, CA 94931 Santa Ana CA 92701 SIGNET Testing Labs, Inc. • 0 0 0 0 0 0 1 DATE: z Q DSA FILEIAPPL. NO. PROJECT N0. OSHPD NO. PROJECT: LL i♦ L �p� PERMIT N0. � Z 2 LOCATION: Q WEATHER: TEMP: �EBAR ❑ TENDON ❑ TENDON STRESSING . inspected the placement ofEI ORCING /TENDONS/AB'S/HD'S/TIE DOWN r the following location: VJ ❑ Observed post-tensioning operations, measured and recorded elongations of tendons for the following location: ❑ CONCRETE ❑ ciP ❑ 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: ❑ Cast—set(s)of compressive strength samples. Mix# 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: at the job site. NOTES: To the best of my knowledge, the abo a WA I WAS NOT performed in accordance with the approv d pl s ifi a ions, nd ulatory requirements. ❑ Except As Noted Superintendent/Representative: Inspector/Technicia 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive #A 1324S sd'W ti&4 7 etropolitan Dr. #205 Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anahei , CA 92806 San Diego CA 92108 (510)887-8484 (916)568-5858 (707) 665-3950 (714 399-1500 (619)682-3820 SIGNET Testing Labs, Inc. QA) MILE DATE: / Z /1Q DSA FILE/APPL. NO. PROJECT NOv �� OSHPD N0. PROJECT: � I � # ��� PERMIT NO. O Z LOCATION: U WEATHER: TEMP: "EBAR ❑ TENDON ❑ TENDON STRESSING Inspected the placement of "Elft C7NG-STE /TENDONS/AB'S/HD'S/TIE DOWNS for the following location: 1 --t- ❑ Observed post-tensioning operations, measured and recorded elongations of tendons for the following location: ❑ CONCRETE ❑ cip ❑ 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: ❑ Cast set(s)of compressive strength samples. Mix# 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: at the job site. NOTES: f/I I /' To the best of my knowledge, the abo/e W WAS NOT performed in accordance with the approved plat, sp cifichtlons, nd regulatory requirements. El Except As Noted } I 1' Superintendent/Representative: Inspector/Technician 1 r 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive#A 1320,Si II° 'so Cir 7 etropolitan Dr. #205 Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anahe' CA 92806 San Diego CA 92108 (510)887-8484 (916)568-5858 (707)665-3950 (714)399-1500 (619) 682-3820 JOB SITE COPY FORM#304(REV 01/08) SIGNET Testing Labs, Inc. F I L Fm DATE: 3HH/1 7A Q DSA FILE/APPL. NO. PROJECT NO. 'L �12,(-A OSHPD NO. PROJECT: 1c l U A t_Sr_pfl A-M _9r' tl,.4 / 9 PERMIT NO. �� 2 r�� Z� LOCATION7- cpAn 4om;=' <t rkl= WEATHER: C] #=Ar). TEMP: R--REBAR ❑ TENDON ❑ TENDON STRESSING Inspected the placement of REINF'ORCING`STEEL/TENDONS AB'S/ HD'S/TIE DOWNS for the following location: � K �RTG t? ",dx'r1=n ,4-u)N�r �� r. T-n�ti�l ❑ Observed post-tensioning operations, measured and recorded elongations of tendons for the following location: CONCRETE :4 c P ❑ Pc ❑ PT ❑ SHOTCRETE ❑ NS GROUT ❑ Inspected the batch plant operations. Batch Plant/Location: �l Observed placement of CONCRETE(SHOTCRETE/NON-SHRINK GROUT at the following location: Cast I seett(s i of compressive strength samples. Mix# � W�� Total cu. yds. placed Slump(s): A /A %Air: / Unit wt(s): El Show up/Stand by time., Job Canceled/Delayed due.to: ❑ All non-compliance items were brought to the attention of: at the job site. NOTES: / 1 To the best of my knowledge, the above WAS I WAS NOT performed in accordance with the approved/plans, sp cificat11 ions, an'd regulatory requirements. ❑ Except As Noted Superintendent/Representative: InspectorlTechnician:1 / 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive #A 1320 Simpson Circle U 7580 Metropolitan 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 SITE COPY FORM#304(REV 01/08)