SI ReportMAYES TESTING ENGINEERS
DAILY INSPECTION REPORT
Report Number:
Lynnwood, WA (425) 742-9360 A Irefracon COMPANY
Service Date: g�r3t/� 1
Tacoma, WA (253) 584-3720
Inspection Type:
Portland, WA (503) 281-7515
Client
Project
7e� 2cy- l -C)l 5-
Engineer:
Project Number:
Architect:
Permit Number: _
Contractor:
Weather:
COMMENTS
/
V ,/'
•�- �
^'
v�
%.►-c-L ii51>
.../moo
a m
-Z� (1"
LJ A S
'YI;Z-C'-f,vx-ft e-
C"i z,-tLC''0s
SUMMARY
To the best of our knowledge, all items inspected as noted above were in general *Yes ❑ Preliminary Observations
Conformance with the approved plans and specification. ❑ No ❑ Deficiency Corrected — Report No.
Arrival: I Departure: I Travel Time: I Total:
SAMPLES OBTAINED
�V/-4') �W)
TERRACON FIELD REPRESENTATIVE
REVIEWED BY
THIS REPORT IS CONSIDERED PRELIMINARY AND SUBJECT TO CHANGE PENDING REVIEW BY OUR PROJECT MANAGER.
FINALIZED FORM SHALL BE ISSUED WITH PROJECT MANAGER SIGNATURE.
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.
M 7_o IR, -931-17