Vault inspection report.pdfSCADETESTING LABORATORY, INC.
TESTING & INSPECTION
12919 N.E. 126TH PLACE
KIRKLAND,WASHINGTON 98034 (425) 823-9800
EVERETT (425) 259.08 17
COMPRESSION REPORT
CLIENT:
ADDRESS:
CITY, STATE, ZIP:
ATTN:
. -1
SOURCE/SUPPLIER CEMENTTYPE:
SET ( OF I CLIBICYARDS PLACED OFF Sampled as per ASTM C-172
TRUCK#TICKET NO.
MIX NO.
TIME
I SLUMP
%AIR
UNITWT.,SF
YIELD
TEMPERATURE
Z-'3o
LJ iFf
I
I
I
I CONCAIR 7(11'
ASTM C-143 ASTMC-231ASTM C-130
ASTM C-138 ASTM C-1064
SET OF CUBICYARDS PLACEDOFSampled as per ASTM C-172
TRUCK# TICKET NO. MIX NO.
TIME
SLUMP
%AIR
UNITWT,SF
YIELD
TEMPERATURE
A'
I
I
BLDG. PERMIT NO.
OWNER
CO NC, AIR
SEE FIELD y REPORT
REPORT NO. Iris f ri NO.
DATEERT
q, - - 1 -5 -- �� I
NO.
C "-) -, V
-
PROJECT
C.AGG-
C.AGG.
L
1,1- e" VF I i ,-:.s1-4 I's
LOCATION
A'
2
ADMiX.2
BLDG. PERMIT NO.
OWNER
0 Y - r"--) j ---1
TOTAL
WEATHER
TEMP .A.M.
@
-Et 4GINEER
k-' r
ARCHITECT
CONTRACTOR
� Gt
ACTUALIBATCH ACTUALBATCH
WEIGHTS FOR GY WEIGHTS FOR - CY
CEMENT I�iSfCl CEMENT I
FLYASH
DATE
MADE
FLYASH
C.AGG-
C.AGG.
77r`"
ZO
C.AGG.
C.AGG.
FINEAGG.FINEAGG.
2
ADMiX.2
WATER
WATER
TOTAL
6,
TOTAL
ADMIX. I —L A
DATE
MADE
OZ.
ADMIX. I
SIZE
ADM X.2 141g A
L-(2
OZ.
ADMiX.2
ASTMC-143 ASTMC-231 ASIML-138 A]$M AS I M L- I Ubli
ADMIX.3
OZ. ADMIX. 3
OZ.
07 -
OZ.
SAMPLE
NUMBER
DATE
MADE
DATE
TESTED
AGE
DAYS
SIZE
AREA
SQ. IN.
TOTAL
LOAD
STRENGTH,
P.S.I.
TYPE
BREAK44
7
6,
CIL-63I casticure 71-C-617 sulfur cap QAC 1231 pad cap M --"'C-39 cylinder C1 - *C-42 cores 0 - *C-1019 cmu grout DCa 109 cubes
CascadeTesting Equipment Identification, Stump Cone CSLCOOO Z -Thermometer CCTHDOO �—Ajr Meter CCOA100 ro-�-CCOCOOO 0 - C (CDC0002
INITIAL CURE TEMP: HIGH —ILOW or DESIGN STRENGTH 3--l—JCf)
INITIAL CURINGTEMP, NOT RECORDED PER 10.1.2 4
PLACEMENTAREA & NOTES
7 1 J.') -/—
TEST RESULTS APPLY ONE TO THE ITEMS
HEREIN TE5TED.THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) I
BE REPRODUCED EXCEPT IN FULL.WITHOUT
THE WRITTEN APPROVAL OF CASCADE
TESTING LABORATORY, INC, INSPECTOR SIGNATURE
REVISED 12f07 I SIGNED BY
COPIES TO:
CASCADE TESTING LABORATORY, INC.
TESTING & INSPECTION
PREVIOUS
136217
12919 WE 126TH PLACE
REPORT No. Na.
KIRKLAND, WASHINGTON 98034 (425) 823-9800
(425) 259-0817
DATE CERT. NO.
EVERETT
G.
FIELD REPORT
PROJECT
Lel
LOCATION
5 —l/ ,!a 6
TO:
,r-) 4,
BLDG. PERMIT NO. OWNER
_2
WEATHER TEMP. AM
All
PM
ENGINEER
<1 -v -
ARCHITECT
ATTN:
CONTRACTOR
"-'e v , Ci cam'
-:�- ('i
(2)
I
(3)
INSPECTION PERFORMED — LATERAL WOOD
ITEMS INSPECTED FOUNDATIONS
RESTEEL/CONCRETE __W_,..RESTEEL ONLY
FOOTINGS —SLAB
RESTEEUMASONRY — STR.STIWELDING
AUGER CAST PILES COLUMNS
EPDXY — STR,ST/BOLTING
DRILLED PIERS WALLS
OTHER
BEAMS
(4)
LOCATION (AREAS) �6r-441) rp
1,,)" C-4 L
56NCSETFJMASONRY MIX NO. r 31V
DESIGN STRENGTH (f'c)
SUPPLIER r"'e,'Yl ' V t /c, 'o
TOTAL CU. YD, PLACED
SPECIMENS CAST
SLUMP (INCHES)
AIR CONTENT
CYLINDER REPORT NO.
ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS
YES NO
TEST RESULTS APPLY ONLY TOTHEITEMS I
HEREIN TESTED, THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) PRINTED.!
BE REPRODUCED EXCEPT IN FULL, WITH-
OUT THE WRITTEN APPROVAL OF CASCADE
TESTING LABORATORY, INC. INSPECTOR SIGNATURE
REVISED 3109 1 SIGNED BY
COPIES TO:
TO:
ATTN:
CASCADE TESTING LABORATORY, INC..
TESTING & INSPECTION
12919 N.E. 126TH PLACE
KIRKLAND, WASHINGTON 96034 (425) 823-9$00
EVERETT (425) 2.59-0917
I V
(2)
INSPECTION PERFORMED
RESTEEUCONCRETE
RESTEEUMASONRY
EPDXY
OTHER
(LOCATION (AREAS) -" F -r '
CONCRETEIMASONRY
SUPPLIER
SLUMP (INCHES)
AIR CONTENT I%)
LATERAL WOOD
RESTEEL ONLY
_ STR.ST/WELDING
— STR.STIBOLTING
MIX NO.
PREVIOUS No. 3 r67 0 :�
REPORT No.
DATE GERT. NO.
PROJECT
ER
2"A/ e4 _>00 9 z
WEATHER TEMP. AM
� 2 .-s
CONTRACTOR
S L' p 0
(8)
ITEMS INSPECTED
FOOTINGS
AUGER CAST PILES
DRILLED PIERS
.— FOUNDATIONS
SLAB
_ COLUMNS
WALLS
BEAMS
DESIGN STRENGTH (i'c) it:) to C,-)
TOTAL CU. YD. PLACED 7
SPECIMENS CAST 4 .... R
CYLINDER REPORT NO. 6"g s
ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS YES [3-' NO ❑ I
REMARKS:
r
r
� m
1 r• c - 1 c "1 -r e T L F--/' Gv , i ;7 ,
m-. Tc "r F t:., mom. r',� e & f % " ' A-`
TEST RESULTS APPLY ONLY TOTHE ITEMS
HEREIN TESTED.. THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) PRINTED
BE REPRODUCED EXCEPT IN FULL, WITH-
OUT THE WRITTEN APPROVAL OF CASCADE
TESTING LABORATORY, INC. I INSPECTOR SIGNATURE
REVISED 2/09
r()PIFS Tn,
SIGNED BY
m
11 O
'1512 -3
SENEQF1111.4re " I I o6 .11 ON I Lei M I ON
ING & INSPECTION
12919 N.E. 126TH PLACE
KIRKLANDNVASHINGTON 98034 (425) 823-9E100
-0817
wwamdl] RE17 (425) 259
COMPRESSION REPORT
CLIENT:
ADDRESS:
CITY, STATE, ZI P:
ATTN:
SOURCE/SUPPLIER �� Z 14r CEMENT TYPE; 3L--' —
SET OF CUBIC YARDS PLACED —7 OF -7 Sampled as per ASTM C-172
TRUCK #78-7Z'TICKET NO, 28 8 48 ;- MIX NO. 1115 -
TIME 'I SLUMP %AIR I UNITWT-SF I YIELD TEMPERATURE
CONC. AIR
ASTM C-143 ASTM C-231 ASTM C•138 ASTM C-138 ASTM C-1064
SET OF CUBIC YARDS PLACEDOFSampled as per ASTM C-172
TRUCK ;V TICKET NO. MIX NO.
TIME
SLUMP
%AIR
UNITW7.,SF
YIELD
I TEMPERATURE
LOCATION
I
BLDG. PERMIT NO.
OWNER
-L- I
CO NC. AIR
ASTM C-143 ASTM C-231 P61 M L.- I jtj A3 I III �-- I jo M31 ['1 �_ I VDAJ
SEE FIELD REPORT
REPORT NO.-, " NO. 664 85
DATE
CERT. NO.
-2- - 9,
-21
FLYASH
PROJECT
C.AGG. 4'4
LOCATION
C.AGG.
BLDG. PERMIT NO.
OWNER
-L- I
WATER
WEATHER
TEMP A.M.
@
r
RM.
ENGINEER S
ARCHITECT
CONTRACTOR
ACTUALBATCH -7
WEIGHTS FOR CY
CEMENT
-21
FLYASH
SIZE
C.AGG. 4'4
TOTAL
LOAD
C.AGG.
TYPE
BREAK*
FINEAGG.
WATER
f J S -
TOTAL
ACTUAL BATCH
WEIGHTS FOR CY
CEMENT
FLY ASH
C.AGG.
C.AGG.
FINE AGG.
WATER
TOTAL
ADM�X.1 OZ. ADMIX. I OZ.
ADM X.2OZ. ADMIX.2 OZ.
ADMIX. 3 OZ, ADMIX, I OZ.
SAMPLE
NUMBER
DATE
MADE
DATE
TESTED
AGE
DAYS
SIZE
AREA
SQ. IN.
TOTAL
LOAD
STRENGTH,
P, S. I.
TYPE
BREAK*
THE WRITTEN APPROVAL OF CASCADE
INSPECTOR SIGNATURE
TESTING LABORATORY, INC.
REVISED 12107
SIGNED BY
'g
CI -C-31 cast/cure 0 -C-617 sulfur cap 0 - C-1231 pad cap 0 -*C-39 cylinder J-"L-41.cares U -"L-IUIIJ cmu grout Lj"14-- IVV CuDes
Cascade Testing Equipment Identification: Stump Cone CSLC000-j-L Thermometer CCTHDOCI f Air Meter CCOA 1000 - CCOCOOO I Cl - CC000002
INITIAL CURE TEMP: HIGH LOW cr
DESIGN STRENGTH
INITIAL CURINGTEMP, NOT RECORDED PER 10.1.2
PLACEMENT AREA& NOTES 'IFT- A62 41IA7F72�-
TEST RESULTS APPLY ONE TO THE ITEMS
HEREIN TESTED.TH5 REPORT SHALL NOT
INSPECTOR(S), NAME(S) PRINTED
BE REPRODUCED EXCEPT IN FULLWITHOUT
THE WRITTEN APPROVAL OF CASCADE
INSPECTOR SIGNATURE
TESTING LABORATORY, INC.
REVISED 12107
SIGNED BY
COPIESTO:
CASCADE TESTING LABORATORY, INC.
TESTING & INSPECTION
12'.91.9 N.E. 128TH PLACE
PREVIOUS
REPORT N
No. 193
KIRKLAND, WASHINGTON 98034
EVERETT
(425) F723-Y80U'
(425) 259-0817
DATE
CERT. NO.
s �{{
ia
REQ"ORT
PROJECT
LOCATION
r
'
TO: ,,� 1 �r /J
1'7..
C
BLOC. PERMIT NO.
OWNER
WEATHER'
TEMP. AM
.mss^ e
PM
.ENG NEER s
k V_
<l r -
ARCHITECT
ATTN:
CONTRACTOR
(2)
(3)
INSPECTION PERFORMED
LATERAL WOOD
ITEMS INSPECTED
_ FOUNDATIONS
RESTEEIJCONCRETE
RESTEEL ONLY
_ FOOTINGS
rLABxP- ;tet F`°+ xl+
_ RESTEELIMASONRY
STR.STIWELDING
_ AUGER CAST PILES
COLUMNS
— EPDXY
STR.STIBOLTING
— DRILLED PIERS
WALLS
_ OTHER
_ BEAMS
4
LOCATION (AREAS)
to
(50NCR_ ASONRY
MIX NO. - �� ✓
DESIGN STRENGTH (f'c)_ti
f
SUPPLIER !✓ +-Y
_
TOTAL CU. YD. PLACED
r
m
SLUMP (INCHES)l
SPECIMENS CAST
AIR CONTENT (°/aj
CYLINDER REPORT NO. -2 257
"1
*YES —NO _ ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS
TEST RESULTS APPLY ONLY TO THE ITEMS
HEREIN TESTED. THIS REPORT SHALL NOT INSPECTOR(S), NAME(S)
BE REPRODUCED EXCEPT IN FULL, WITH-
OUT THE WRITTEN APPROVAL OF CASCADE
TESTING LABORATORY, INC. I INSPECTOR SIGNATURE
REVISED 12M7 I SIGNED BY
COPIES TO:
TO:
CASCADE TESTING LAaORATORY, INC.
TESTING & INSPECTION
12919 N.E. 126TH PLACE
KIRKLAND, WASHINGTON 98034 (4251 823-9800
EVERETT (4251259.0917
COMPRESSION REPORT
THE FOLLOWING WAS NOTED:
FIELD TEST DATA
FIELD
REPORT No. A5 o® 5 8 3 4 1,
DATECEF
RT. NO.
)
SLUMP
ASTM C-143
A
% AIR
UNIT
WEIGHT
ASTM C-138
LOCATION A
7,yd
BLDG. PERMIT NO.
OWNER
WEATHER
TEMP, AT AM
Al & it-_-nz 7
AT PM
EN.QtNEER
ARCHITECT
CONTRACTOR
-7
7
TRUCK SAMPLED' 7-1,4-k TRUCK TICKET NO. MIX NO.31-. ....
TIME
SLUMP
ASTM C-143
A
% AIR
UNIT
WEIGHT
ASTM C-138
YIELD
CEMENT
FACTOR
TEMP.
ASTM C-1064
CONC I AIR
C.A.
FINE AGG.
WATER
-7
TOTAL
I/
AIR TEST METHOD: []PRESSURE ASTM C-231 OR F1 VOLUME ASTM C-173
EQUIPMENT USED I.D. I
SLUMP GONE CSLCOO,5�_ _/ THERMOMETER CCOTHO'P I
AIRMETER CCOAI0_ OTHER -
TYPE OF BREAK: (A) Cone (C) Cone and Shear
(b) Cone and Split (d) Shear (o) Columnar COMPRESSIVE STRENGTH
WWI) DAM FOR
_CU.YD
DESIGN % ADJUSTED
WEIGHTS MOIST. WEIGHTS
CEMENT
AGE
DAYS
FLY ASH
AREA
(SO. IN)
C.A.
STRENGTH
PSI
C.A.
C.A.
FINE AGG.
WATER
-7
TOTAL
CYLINDER
NUMBER
DATE
MADE
DATE
TESTED
AGE
DAYS
SIZE
AREA
(SO. IN)
TOTAL
LOAD
STRENGTH
PSI
TYPE
BREAK
I/
Ile
CONCRETE COMPRESSION MACHINE LD4CC00000
SAMPLE PIU DATE - TEST METHOD
El ASTM C-1231 SAMPLING IN ACCORDANCE WITH
El ASTM C-617 APPLICABLE CODES & SPECS.
SUPPLIER-
CEMENTTYPE CU_YARDS PLACED
4 P.
j
✓ NGTHD—`��"�
AEA ADMIX. CAC12 % DESIGN STRE
PLACEMENT AREA & NOTES -
A
TEST RESULTS APPLY ONLY TO THE ITEMS vid—
HEREIN TESTED, THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) PRINTED
BE REPRODUCED EXCEPT IN FULL, WITH-
OUT THE WRITTEN APPROVAL OF CASCADE
TESTING LABORATORY, INC. INSPECTOR SIGNATURE
REVISED 8/04
COPIES TO.
SIGNED BY