M7201362.0002.1POST -INSTALLED ANCHORS REPORT
MAYES TESTING ENGINEERS
.irenaMn COM-
Report Number: M7201362.0002
Service Date: 06/29/20
Report Date: 06/29/20
20225 Cedar Valley Rd Ste 110
Lynnwood, WA 98036-6365
425-742-9360
Client Project
Mallory Paint Store Inc Mallory Paint Store Edmonds
Attn: Lisa Faulk 7711 244th St SW
145 NW Gilman Blvd 7711 Lake Ballinger Way NE
Issaquah, WA 98027 Edmonds, WA
Proiect No.: M7201362
Permit No.:
Samples: None
Inspectors/Hrs: A Ahmmed
Weather: Cloudy 50's
Item 1: Epoxy Grouted Anchors:
Observed installation of epoxy grouted anchors for shelving. Installed a total of (172) 3/8" x 4-3/8" HAS-E-55 with
a drill depth of 2.5". Holes were checked for correct drill depth and cleanliness prior to installation. Hilti HY-200-R
with expiration date of 04/2021 was used according to manufacturer's instructions.
To the best of our knowledge, the items inspected today are in conformance with approved plans and
specifications.
Services: Special Inspections / Materials Testing
Mayes/Terracon Rep.: Ahmmed Ahmmed
Reported to:
Contractor:
Report Distribution:
(1) City of Edmonds WA, Leif Bjorback
(1) Mallory Paint Store Inc, Joshua
Harrison
(1) Mayes Testing Engineers, Inc,
Kevin Graham
(1) Mallory Paint Store Inc, Jim Mallory
(1) Mallory Paint Store Inc, Juan Rios
(1) Mayes Testing Engineers, Inc,
Mvndi Kraft
Reviewed By:
Kevin Graham
Department Manager II
The tests were performed in general accordance with applicable ASTM, AASHTO, or DOT test methods. This report is exclusively for the use of the client
indicated above and shall not be reproduced except in full without the written consent of our company. Test results transmitted herein are only applicable to
the actual samples tested at the location(s) referenced and are not necessarily indicative of the properties of other apparently similar or identical materials.
CT0001, 10-16-13, Rev.10 Page 1 of 1