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SERI "TLE DIVISION
E_1 TACOMA DIVISION
j
PORTLAND DIVISION
14113 ��tl lt.`VE Vt'
1007 SO 3lAr OM,, Ni,.Y SUITE I-fi
6032NO
PAOUNILAKE 1Ehf AC A-, j8043
T,-C,(DrJA /'IA 9841jk3
PORFLAND OR 117217
f425, 248 2400' Pv x 425) 248-2401
2514) 589-1804 FAX 1253) b89-2130
( 031 289-177H ' FAX (r( ) 28il-191,3
CLIENT
PillChuck Contractors
PROJECT NO.
712-90103
DATE S�epternber 2, 2009
ADDRESS
P.O. Box 2579
PERMIT NO.
N/A
W.O.
Kirkland, WA 98083
MUNICIPALITY
City of Edr-nonds
ENGINEER
ATTENTION
Mr. Rick Bailey
ARCHITECT
P.O. NO.
238199
CONTRACTOR
PROJECT
21816 76th Place West
PROJECT ADDRESS
21816 76th Place West
n .t .i 111, 1 - , rn ITTtniIGFt'l [y`ny mfIhnI s'tl I tall Fdn,laIto ItI,raParty Iiy any
III ^rjl re ti nxtli,.s.Inc.,r,ni,it, d, NAME ON OFF 8T OT MILES
1116 !. � I neon altr is t( tlr nCL d ,y ,r Ilte Sull, )Nn N f1 the a[ Wdl tr SI (ietlo r r a , ttHor i 1 s, .dnin the
ent »n q„ >n. app -TI 11a,
TOTAL HOURS
Certified Report by
Professional Service Industries:
Is - 98-1
Ryan Hart ao—Date SePtember 301, 2009
PSI ON SI LE: 1-0 OBLAIN A MATERIAL SAMPLE FOR PROCTOR AND SIEVE ANALYSIS AT PSI LAB, SAMPLED MATERIAL IS 5/8" CRUSHED
AGGREC3AI E, COLLEC-PED FROM TEMPORARY MATERIAL STORAGE PILE LOCATED AT PROJECT SITE. SAMPLED MAI ERIAL COLLECTED AND
DELIVERED 10 SEA 1TLE PSI LAB 1-0 BE SUBJECT TO PROCTOR AND SIEVE ANALYSIS.
EQUIPIVIENT IDENTIFICATION AND S/N#:
COPIES TO: INSPECTOR: DATE:
STEVE HALLEE September 2, 2009
x CLIENT CONTRACTOR FIELD CONTACT: DATE:
ENGINEER BUILDING DEPT.
ARCHITECT SUPPLIER
ITEMS INSPECTED TO
APPROVED PLANS ARE:
CONFORMING rX
NONCONFORMING
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III ^rjl re ti nxtli,.s.Inc.,r,ni,it, d, NAME ON OFF 8T OT MILES
1116 !. � I neon altr is t( tlr nCL d ,y ,r Ilte Sull, )Nn N f1 the a[ Wdl tr SI (ietlo r r a , ttHor i 1 s, .dnin the
ent »n q„ >n. app -TI 11a,
TOTAL HOURS
Certified Report by
Professional Service Industries:
Is - 98-1
Ryan Hart ao—Date SePtember 301, 2009
7 -{
I12��w),auilt-1 On
SEATTLE DIVISION F-] TACOMA DIVISION
24113 56TH AVE W. 10025 SO. TACOMA WAY, SUITE H1
MOUNTLAKE TERRACE. `IVA 98043 TACOMA. WA 98499
(425) 248-2400 - FAX (425) 248-2401 (253) 589-1804' FAX (253) 589-2136
DR 52728
PORTLAND DIVISION
6032 NO. CUTTER CIR. SUITE 480
PORTLAND. OR 97217
(503)289-1778- FAX(503)289-1918
CLIENT
Pillchuck Contractors
PROJECTNO.
712-90103 DATE September 2. 2009
ADDRESS
P.O. Box 2579
PERMIT NO.
N/A W. 0.
PERFORMED TEST FOR COMPACTION OS SUB GRADE (BACKFILL) MATERIAL DID NOT MEET 95% COMPACTION.
Kirkland, WA 98083
MUNICIPALITY
City of Edmonds
CLIENT NOTIFIED OF FAILING TEST DAY OF
ENGINEER
ATTENTION
Mr. Rick Bailey
ARCHITECT
SPEC y. P/F
P.O. NO.
238199
CONTRACTOR
PROJECT
121816 76th Place West
IPROJECTADDRESS
121816 76th Place West
WORK DESCRIPTION
Certified Report by
Professional Service Industries:
TS - 95-1
��,. _� o:.�,�,t�.` •-. .� �: NAME ON OFF ST OT MILES
TOTAL HOURS
Hart
Date September 30, 2009
PSI ON SITE AS REQUESTED BY CONTRACTOR TO PERFORM FIELD DENSITY TESTING OF PIPELINE TRENCH BACKFILL, LOCATION DIRECTLY EAST
OF WALKWAY TO RESIDENCE 21824 76TH PLACE WEST, 6" EAST OF CURB, DIMENSIONS OF AREA TESTED APPROXIMATELY 2"X18"_ PROCTOR
VALUE FOR 5/8" BACKFILL MATERIAL PROVIDED BY PSI LAB. PERFORMED DENSITY TESTS EVERY 50' OF MATERIAL PLACED PER LIFT
PERFORMED TEST FOR COMPACTION OS SUB GRADE (BACKFILL) MATERIAL DID NOT MEET 95% COMPACTION.
CLIENT NOTIFIED OF FAILING TEST DAY OF
INPLACE DENSITY TEST RESULTS
TEST LOCATION DEPTH WET DEN DRY DEC t.IOIST -/_ * COMP /
SPEC y. P/F
A 1) DIRECTLY EAST OF 21824 RESIDENCE, 12" E. OF CURB 10" 127.0 123.4 2.9 1 90.1
95.0 F
EQUIPMENT IDENTIFICATION AND SIN# 3430/37343 .1. SAMPLE I.D. PROCTOR VALUE
137.0 @ 8
GAUGE STANDARD: MS 641 DS 2516 '2. SAMPLE I.D. PROCTOR VALUE
LAB METHOD_ R1 D1557 ❑ D698 ❑ RICE ❑OTHER '3. SAMPLE I.E. PROCTOR VALUE
ASTM TEST METHOD (AS APPLICABLE) E D2922 (SOILS) ❑✓ D3017 (MOISTURE) ❑ D295D (ASPHALT) D1556 (SAND CONE) ❑ OTHER
COPIES TO: INSPECTOR: DATE:
x CLIENT CONTRACTOR STEVE HALLEE September 2, 2009
ENGINEER BUILDING DEPT. FIELD CONTACT: DATE:
ARCHITECT PSUPPLIER
ITEMS INSPECTED TO
APPROVED PLANS ARE:
CONFORMING
NONCONFORMING
❑
IZI
Certified Report by
Professional Service Industries:
TS - 95-1
��,. _� o:.�,�,t�.` •-. .� �: NAME ON OFF ST OT MILES
TOTAL HOURS
Hart
Date September 30, 2009