SI report for concrete slab pourOTTO ROSENAU & ASSOCIATES, INC.
Geotechnical Engineering, Construction Inspection & Materials Testing
CONCRETE REPORT
Job Number: 22-0366 Report Number: RC416072 Permit Number: BLD2021-1482
Project: Sunset Ave N Residence Client: American West Coast Construction
Address: 332 Sunset Ave N, Edmonds Date: 02/17/2023
Inspector(s): Jonathan Andrews
Description/Location: Slab on metal deck, 2nd floor West building, interior, per S3.2; and supplemental reinforcing steel plan with all
additional (optional) reinforcing steel installed. Inspected to approved plans, approved mix design, and project
documents.
Rebar Verified: Yes 2/17/2023 Jonathan Andrews (Grade 60) Mfg: Cascade, Nucor
Placement Data
Design ❑d
Actual ❑
Batch Weights/Cubic Yard
Supplier:
Miles
Cement (Ibs/type):
517#
Type: I-L
Mix Number:
07450GF
Fine Agg. (Ibs):
1570#
Slump Spec:
7" max
Coarse Agg. (Ibs/size):
1610# 3/8"
Slag (Ibs):
W/C Ratio Spec:
0.44
Coarse Agg. (Ibs/size):
Air Spec:
NA
Coarse Agg. (Ibs/size):
Total Yards:
34
Fly Ash (Ibs):
Placed Via:
Pump
Water (Ibs or gal):
270#
Consolidated:
Yes
Admixtures (specify):
1.0 oz per cwt. MSETAC534, 1.35 oz per cwt. GLENIUM 7500, 128
Required Strength:
4000 psi @ 28 days
oz. MASTER
LIFE
Sampling and Testing Data Time
Cubic Water Slump
Air %
Conc.Temp Ambient Truck Ticket
ASTM C 172, C 31 Made
Yards Added C 143
C 231
C 1064 Temp No. No.
Cast Samples: 1-4
8:30 am
10.50 15 gal. 6.25"
NA%
59°F 40°F 1160 1010051
Weather: Light Rain Slump Range: 6.25" Air % Range: NA
Date Samples Picked Up: 2/20/2023 Initial Curing Method: ASTM C31, Exclude C31-12.1.5 Initial Curing Tmp: ASTM C31, Exclude C31-10.1.2
Comments
Admixture: 1 bag - Fiberforce 150/1-oad.
Placed per ACI criteria.
REINFORCING/PLACEMENT: Conforms: ❑� Does Not Conform: ❑
COMPRESSIVE TEST RESULTS Fracture Type
Specimen Test Field Age Size Daily Average Weight Max Load Strength (other
Number Date Cure (Days) (in.) Area (Sq.ln.) Diam. (In.) (Lbs.) (Lbs.) (psi) than cone)
1 02/24/2023 7 4 x 8 12.62 4.01 8.5 45,520 3610 5
= Discarded
Tested in general accordance to: ASTMC39 W ASTMC617 ❑ ASTMC1231 ❑
Copies to: �/ v�, Date: 2023.02.28
❑./ Client ❑d Engineer El Others f��G
El Owner ❑d Contractor Technical Responsibility: 08:13:50 -08�00�
❑ Architect 0 Building Dept Isaac Ruoff, Project Manager
This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this
report except in full, without written permission from our firm is strictly prohibited.
6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 — Fax (206) 723-2221
Form No.: ADMIN-62-04 (Rev 09/06) Page 1 of 1