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HomeMy WebLinkAbout3532; DAVIS AVE WATER LINE REPLACEMENT; FIELD COMPACTION AND CONSTRUCTION MONITORING REPORTS 2000; 2000-07-24S *'• .. Testing Engineers - San Diego,lnc EstabIihcd 1946 FIELD COMPACTION AND CONSTRUCTION MONITORING REPORTS Date: July 24,'2000,.0 Job Number 1999-519G jLSBP') I Job Name Davis Avenue Water Line Address: Carlsbad, California •'. Report Number 1073 - Plan Number N/A Permit Number: N/A Accompanying this cover sheet 'are the field' compaction test results nd related . construction monitoring reports for the referenced project. These reports are for the following date(s) -- June 15, 2000 June 22,20Q0 June 16, 2000 June 26, 2000 June 19, 2000 S - The tests were performed in accordance with generally accepted standards and do not constitute engineering opinions or project control. It is the responsibility, of the ' contractor,to schedule retests orreinspectioiis of any areas that do not meet project specifications. This information does not relieve the contractor of his responsibility for constructing the project in accbdanàe with plaiis, specifications, and 'all applicable codes. We appreciate the opportunity to provide materials testing service on this project. Should -you have any questions regarding..the accompanying information, please contact 'our - office at (858) 715-5800. ' ' Respectfully submitted, Testing Engineers - San Diego, Inc - E :] . VicL arry lark, GE 219 - President, Engineering Total Pages Attached (9) - . .. - -., -.• , J % Testin g Testig Engineers San Diego, Inc.. 7895 Convoy Court,Suite 18 San Diego, CA.92 III J858] 715-5800 Fax [858] 71 5-5810 O Testing Engineers — San Diego, Inc. Page lot Co 7895 Convoy Ct., Suite 18 - c 112 - San Diego, CA 92111 INSPECTION REPORT Project Name 6cQ (2"--" 4" TESD Project # Address 1)4 General General I Subcontractor Building Permit # DSA# Plan File # [s11L!ZiI Government Contract # Other INSPECTION -Concrete Prestress Conc Masonry Struct Steel MAT'SAMPLING QTY I _______ Soil _______ Base Subgrade Asphalt Concrete ________ MATERIAL DESCRIPTION _______ Conc: Mix U/psi ________ Conc: Mix U/psi Conc: Mix U/psi _____________ -Rinf: Reber __________________ INSPECTION CHECKLIST Plans Specifications -Size Slump Fireproofing Concrete Cylinders _______ Rinf: W.W.F. _______________ -Air Content —Pile Driving Conc Flex Beams _______ _______ Rinf: Tendons Temperature Non-Destructive Reinf. Steel _______ -Grout: Mix #/psi -Unit Weight -Batch Plant -Tendon (PT Strands) ________ -Mortar: Type/psi ________ Consolidation Soils Technician _______ Mortar Samples -Units: Block -Electrode Storage Mechanical _______ Grout Samples _______ _______ Units: Block _______ Torque Applied Electrical Masonry Prisms _______ -Steel _______ Load (Pounds) _______ Bolt Pull-Out Masonry Block _______ H.S. Bolts Thickness Roofing Steel ________ ________ Metal Decking Waterproofing H.S. Bolts _______ -Electrodes DSA Fireproofing Fireproofing OSHPD Roofing ______Other____________________ Corective action required Specialty - —Other- ________ _____________________________ -corrections completed Remarks c i-k' i 4 C,ço 17 . /. c.-e /< &9 ,4' 4or7AtIj'odf fa /e-. ck-47/ 1i-fr Field Representative # CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. INSPECTOR'S NAME (Print Clearly) INSPECTOR'S SIGNATURE c'A~. CERT. NO. DATE Form 44003 0 REPORT OF / NUCLEAR DENSITY TESTS 0 SOIL (ASTM D2922 and D3017) 0 AC (ASTM D2950) / TEST RESULTS RESULTS RESULTS RES5(TS RESULTS RESULTS RESULTS Standard Count - Density Standard Count - Moisture Probe Depth & ". Moist. Content, % IC)9.7 Wet Density WET DENSITY Dry Density (MOIST. + 100) X 100 0 Maximum Density Optimum Moisture % % of Maximum Density % Density Required '7 ç Complies DOes Ot 1, C— Test Numbers ( Date Tested Tested .- I Sco MD Curve No. TEST LOCATIONS J Vç ' Iv 6' - If t ( COMMENTS GLADE MODEL GUAGESN - &v Cpv PROJECT WORK REQUESTED BY PROJECT NUMBER 1 TECHNICIAN NOTIFIED (SIGNATURE) DATE AT PROJECT SITE BY PHONE (:j__ THIS REPORT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES WHITE - Office CANARY - Field 1Technician PINK - Contractor Testing Engineers - San Diego, Inc. Page 1 o 7895 Convoy Ct., Suite 18 4 San Diego, CA 92111 INSPECTION REPORT Project Name -t' TESD Project # _____________________ Address General / Subcontractor . 2 Building Permit # DSA # PlanFile # __________________________________OSHPD #_______________________________________ Government Contract # ___________________________Other INSPECTION -Concrete Prestress Conc Masonry Struct Steel MAT'L SAMPLING QTY _______ Soil Base Subgrade Asphalt Concrete _______ MATERIAL DESCRIPTION ' Conc: Mix #Ipsi -Conc: Mix #/psi Conc: Mix #/psi _______ Rinf: Reber INSPECTION CHECKLIST Plans Specifications Sizes Slump Fireproofing Concrete Cylinders Rinf: W.W.F. ________________ -Air Content Pile Driving Conc Flex Beams _______ _______ Rinf: Tendons Temperature Non-Destructive ________ Reinf. Steel ________ -Grout: Mix #/psi -Unit Weight Batch Plant -Tendon (PT Strands) _______ -Mortar: Type/psi -Consolidation 't2 Soils Technician -Mortar Samples -Units: Block _______ Electrode Storage Mechanical _______ Grout Samples _______ Units: Block -Torque Applied Electrical _______ Masonry Prisms _______ -Steel _______ Load (Pounds) Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts -Thickness Roofing Steel _______ -Metal Decking Waterproofing H.S. Bolts _______ _______ Electrodes DSA Fireproofing -Fireproofing OSHPD Roofing Other___________________ ______ Corrective action required Specialty Other ____________ ________ Corrections completed Remarks c'1 jo i'ci..7f S /rt /(,J C&o iCP9e'1 j4 ( crsqQ 114 77tP 7c)vu --- L 'd T47 S CL çA 2 iP / (ZC2 44 AkJ 7Lu -_ Ii'Representative #\ UOJ1._&___QJLQJJ - c7r CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. INSPECTOR'S NAME J'S 17ij7V Li.-t) (Print Clearly) INSPECTOR'S CERT. NO. DATE ? / Fona5003 Testing Engineers-San Diego, Inc. Established 1946 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 1,2 REPORT OF COMPACTION TEST DATA LS hJ& t , -_ Test Date _'( '/o &) Page __L 9 &th4' Test # Material Structure Test Location and Elevation or Depth relative to... ( 5 iv L 54s1 ,. Ihxv -e ) 5(5 0 __ 7 I741d'2 .3 S bti. itC' cVLi ' Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, 0 = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer,. U = Other. Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Test # Probe Depth (inches) 11 61, Wet Density (pcf) t 3 ,,Q, Dry Density (pcf) f)"Q.q ,J)'D, Moisture (%) 1.. MD Curve Number Maximum Density (pcf) Optimum Moisture (%) Relative Compaction, RC Relative Moisture, RM 0, L./ Specified RC Specified RM Conformance (Yes/No) .Yes )€4 )- 0 - Nuclear Gauge Model and Serial Number: 7774 c_??7( /.L7/( 5 't' 0 /jO/ This report does not relieve the contractor or their responsibility for performance in accordance with the plans, specification and appcable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report of description of work and observations TESD's Testing Technician: Name: /'6(\ 11L4gnature: - Client's or Contractor's Acknowledgement: Name: _X\,*._L 0 Signi&e: White- Office Yellow- Contractor Pink- Field Technician Testing Engineers-San Diego, Inc. Established 1946 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Project Name ?tV i4c,,A_ iik Project Number ________________________ Test Date Page of Client Q7) ca-2 &9 Test # Material Structure Test Location and Elevation or Depth relative to... 14L... /k4) C'31A / I iI? / . 23 /0' 14! ____ ____ ____ k1 c.•ki ç S t4L 1zA.-4J ccj. i1- ,4yu /Jr t4. & Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, 0 = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Test If Probe Depth (inches) ' Wet Density (pcf) /243 /''c. Dry Density (pcf) (20- Moisture (%) ) s- MD Curve Number Maximum Density (pcf) / . / ')IJ. . Optimum Moisture (%) Relative Compaction, RC Relative Moisture, RM (%) Specified RC Specified RM Conformance (Yes/No) Nuclear Gauge Model and Serial Number:' 7i(t't 1:3;-(/' - This report does not relieve the contractor or their responsibility for performance in accordance with the plans, specifications and ap p l i c a b l e codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report of description of work and observations TESD's Testing Technician: Name: Client's or Contractor's Acknowledgement: Name: Si gnatur Signature: White- Office Yellow- Contractor Pink- Field Technician - Testing Engineers - San Diego, Inc. C Page 1 o 7895 Convoy Ct., Suite 18 San Diego, CA 92111 INSPECTION REPORT Project Name 1/a(j13 1Cm' U'O4P I/fri Y TESD Project # - Address ALIZ~5 jo~-_ General / Subcontractor tt Building Permit # DSA # Plan File # OSHPD # Government Contract # Other INSPECTION MAT'L SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST Concrete Soil — —Conc: Mix #/psi —Plans Prestress Conc Base ________ Conc: Mix #/psi -----Specifications Masonry Subgrade Conc: Mix #/psi Sizes Struct Steel Asphalt Concrete ________ Rint: Rebar Slump Fireproofing Concrete Cylinders — —Rinf: W.W.F. ________________ -Air Content --Pile Driving Conc Flex Beams _______ Rint: Tendons Temperature Won-Destructive ________ Reint. Steel ________ Grout: Mix #/psi Unit Weight -Batch Plant -Tendon (PT Strands) _______ -Mortar: Type/psi Consolidation ,-'Soils Technician -Mortar Samples _______ -Units: Block _______ Electrode Storage Mechanical _______ Grout Samples _______ Units: Block -Torque Applied Electrical Masonry Prisms Steel Load (Pounds) -Bolt Pull-Out Masonry Block _______ H.S. Bolts Thickness Rooting Steel _______ -Metal Decking Waterproofing H.S. Bolts _______ Electrodes DSA ________ Fireproofing Fireproofing OSI-IPD Rooting _______Other____________________ Corrective action required Specialty Other _____________________________ -Corrections completed Remarks ZA., Field Representative # CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable Code. INSPECTOR'S NAME /Cht*t~ I rint Clearly) INSPECTOR'S SIG NATU RE4!~,-70, CERT. NO. r' DATE c, —gn Form#00 Testing Engineers-San Diego, Inc. if 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Al Established 1946 Project Name ii 1/ i (A1t7I"/ L'M ' Project Number 9 9 - 579 — Test Date - Page 42... of Client iiX tt d'/oI Test # Material Structure Test Location and Elevation or Depth relative to... / 5 Wz 15 Tove Dc - / '& Da l 3 5 '' e7Q c3c- —i F6 V vi, /6% / 6/i V ,&, e j '5 5~1 £V1- Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, 0 = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backf ill, SC = Sidewalk, Curb/Gutter, 0 = Other Test # I 3 Probe Depth (inches) Wet Density (pcf) Dry Density (pcf) 1/L4 ,/q,7 ,pi,g 12.o Moisture (%) 49.3 .4 /3./ Y, 5- 1 MD Curve Number Maximum Density (pcf) — _- - Optimum Moisture (%) Relative Compaction, RC (%) £7 ?5 7 17-:5- Relative Moisture, RM (%) -''7 .34 j- ( -), Specified RC (%) q 5 .___ .- - - Specified RM (%) 1-z /'-2 t-z , - t-2 Conformance (Yes/No) It Nuclear Gauge Model and Serial Number: 121 ,1Te - This report does not relieve the contractor or their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report of description of work and observations TESD's Testing Technician: Name: fi //fJA Signature Client's or Contractor's Acknowledgement: Name: Signature: White- Office Yellow- Contractor Pink- Field Tecfician Testing Engineers - San Diego, Inc. t Page 1 o 7895 Convoy Ct., Suite 18 San Diego, CA 92111 INSPECTION REPORT Project Name live & TESD Project # Address General / Subcontractor Building Permit # DSA # PlanFile # _________________________________OSHPD #_____________________________________ Government Contract # _____________________________Other INSPECTION MAT'L SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST concrete Soil - -conc: Mix #Ipsi Plans Prestress Conc Base _______ Conc: Mix If/psi Specifications Masonry )tgrade - -Conc: Mix if/psi-Sizes Struct Steel Asphalt concrete _______ -Rini: Reber _________________ Slump Fireproofing 0 _______ Concrete Cylinders -Rini: W.W.F. ________________ -Air Content -Pile Driving Conc Flex Beams _______ -Rini: Tendons ______________ Temperature -Non-Destructive _______ Reinf. Steel _______ -Grout: Mix If/psi _____________ -Unit Weight __,4ch Plant _______ Tendon (PT Strands) _______ -Mortar: Type/psi -Consolidation Soils Technician _______ Mortar Samples _______ -Units: Block _______ Electrode Storage Mechanical -Grout Samples _______ Units: Block -Torque Applied Electrical -Masonry Prisms _______ -Steel ______________________ _______ Load (Pounds) -Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts _______ Thickness Roofing SteSt _______ -Metal Decking Waterproofing -H.S. Bolts _______ -Electrodes DSA Fireproofing Fireproofing OSHPD Roofing Other__________________ Corrective action required Specialty Other ____________ ________ _____________________________ ________ Corrections completed Remarks q7 f 1p(&O A9 i 2147 T- (2 Field Representative # CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. -, INSPECTOR'S NAME (Jeke 5'"' (Print CIer1y) INSPECTOR'S SIGNATURE CERT. NO. DATE Form#003 0 SOIL (ASTM D2922 and D3017) 0 AC (ASTM D2950) REPORT OF NUCLEAR DENSITY TESTS TEST RESULTS RESULTS RESULTS RESULTS RESULTS RESULTS RESULTS Standard Count - Density Standard Count - Moisture Probe Depth . . Moist. Content % Wet Density . ((( 2 ('3 2 z- /30, WET DENSITY . Dry Density. (MOIST. -~ 100) X 100 f2.10 -z_ /Z/r 7...//' /2_c 7 Maximum Density Optimum Moisture % % of Maximum Density q.7 % Density Required IEhEIIIIIi Does m Test Numbers 3 Date Tested MD Curve No. TEST LOCATIONS 5 G— If 'p 1' eA . fz (t 'C r i Zf'O COMMENTS GUAGE MODEL . I GUAGESIN S I . PROJECT 1... WORI< REQUESTED BY PROJECT NUMBER , q g- ..79 '- TECHNICIAN I NOTIFIED (SIGNATURE) DATE AT PROJECT SITE BY PHONE . El El THIS REPbRT DOES NOT RELIEVE THE CONTRACTOR OF HIS RESPONSIBILITY TO BUILD PER THE PLANS, SPECIFICATIONS AND ALL APPLICABLE CODES WHITE - Office CANARY- Field Technician PINK - Contractor , CX -, - TestingEngineeis - SanDiego,Inc Established 1946 FIELD COMPACTION AND CONSTRUCTION MONITORING REPORTS Date: July 10, 2000 Job Number: 1999-519G Job Name: Davis Avenue Waterline Address: Davis Avenue Carlsbad, CA Report Number: 1040 Plan Number: N/A Pen-nit Number: N/A Accompanying this cover sheet are the field compaction test results and related construction monitoring reports for the referenced project. These reports are for the following date(s): June 27, 2000 June 28, 2000 The tests were performed in accordance with generally accepted standards and do not constitute engineering opinions or project control. It is the responsibility of the contractor to schedule retests or reinspections of any areas that do not meet project specifications. This information does not relieve the contractor of his responsibility for constructing the project in accordance with plans, specifications, and all applicable codes. We appreciate the opportunity to provide materials testing service on this project. Should you have any questions regarding the accompanying information, please contact our office at (858) 715-5800. Respectfully submitted, Testing Engineers - San Diego, Inc Larry lark, GE 219 Vic President, Engineering Total Pages Attached (4) Testing Engineers - San Diego, Inc.. 7895 Convoy Court, Suite 18 San Diego. CA. 921 1I [858) 715-5800 Fax [858] 7 15-58 10 Testing Engineers - San Diego, Inc. j ... 7895 Convoy Ct., Suite 18 Page lof San Diego, CA 92111 -, INSPECTION REPORT . '' ,,- , .. /, / ,•_ -., .. - Project Name / TESD Project # 7 ./ Address /- A'4 7 General / Subcontractor . J Building Permit # DSA# Plan File # OSHPD # Government Contract # Other INSPECTION MAT'L SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST concrete _______ Soil _______ Conc: Mix #/psi Plans Prestress Cone Base ________Cone: Mix ft/psi Specifications Masonry Subgrade '. _______ _______ Conc: Mix ft/psi _____________ -Sizes Struct Steel Asphalt concrete _______ _______ Rinf: Rebar ________________ Slump Fireproofing Concrete Cylinders Rinf: W.W.F. _________________ -Air Content —Pile Driving Cone Flex Beams _______ _______ Rinf.- Tendons ______________ -Temperature Non-Destructive _______ Reinf. Steel _______ . -Grout: Mix ft/psi _____________ -Unit Weight Batch Plant _______ Tendon (PT Strands) _______ Mortar: Type/psi -Consolidation "Soils Teóhnician _______ Mortar Samples _______ _______ Units: Block ________________ -Electrode Storage Mechanical _______ Grout Samples . _______ -Units: Block -Torque Applied Electrical . . -Masonry Prisms _______ _______ Steel ..4. Load (Pounds) Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts _______ Thickness Roofing Steel . _______ Metal Decking Waterproofing H.S. Bolts Electrodes DSA Fireproofing .. Fireproofing _______OSHPD . Roofing . ;.,._.. Other___________________ ______ColTedive acton required Specialty . _______ Other ___________ . .—. '::. ___________________________ -Corrections completed Remarks 2;-5 /' 5/,.. •:$ c:57; : - 1_/•, Field Representative # CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. ;;;7 .' ._, ,• .- INSPECTORS NAME (Pnhi Clearly)' -7 // •7_ INSPECTOR'S SIGNATURE . CERT. NO. DATE - Form#003 Testing Engineers-San Diego, Inc. 7895 Convoy Court, Suite 18, San Diego, CA. 92111 (858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Established 1946 Project Name L4Z'2'5 74/6 7Z/ Project Number /999 6/96 Test Date Page _L. of / Client Test # Material Structure Test Location and Elevation or Depth relative to... Z /i /? .e . .c~ 3'• ____ ____ ____ Material S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, 0 = Other Structure P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Test# / Probe Depth (inches) ZZ4Qd ._-... Wet Density (pcf) 24 /i Dry Density (pcf) Moisture (%) MD Curve Number Maximum Density (pcf) lo Optimum Moisture (%) Relative Compaction, RC (%) 5' 95 95 97 974Y4V1 9:7 Relative Moisture, RM (%) Specified AC (%) _- Specified AM Conformance (Yes/No) Nuclear Gauge Model and Serial Number: This report does not relieve the contractor or their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report of description of work and observations TESD's Testing Technician: Name: Client's or Contractor's Acknowledgement: Name: , Signature White- Office Yellow- Contractor Pink- Field Technician Testing Engineers - San Diego, Inc. ' 7895 Convoy Ct., Suite 18 Page lof San Diego, CA 92111 INSPECTION REPORT Project Name 4"ë ''' TESD Project # Address "tf c'2 rd-ci, General I Subcontractor Building Permit # DSA # Plan File # OSHPD #_____________________________________ Government Contract # Other INSPECTION MAT'L SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST _______ Concrete Soil -Conc: Mix #/psi Plans ________ Prestress Conc ________ Base ________ -Conc: Mix #/psi Specifications Masonry Subgrade -Conc: Mix It/psi Sizes _______ Struct Steel Asphalt Concrete _______ _______ Rinf: Rebar Slump Fireproofing _______ Concrete Cylinders _______ Rinf: W.W.F. -Air Content -Pile Driving Conc Flex Beams _______ _______ Rinf: Tendons ______________ -Temperature Non-Destructive _______ Reinf. Steel _______ -Grout: Mix #/psi _______ Unit Weight -Batch Plant Tendon (PT Strands) -Mortar: Type/psi -Consolidation LSoils Technician _______ Mortar Samples -Units: Block -Electrode Storage Mechanical Grout Samples Units: Block -Torque Applied Electrical Masonry Prisms -Steel Load (Pounds) Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts Thickness Roofing Steel _______ _______ Metal Decking Waterproofing H.S. Bolts _______ -Electrodes DSA Fireproofing Fireproofing OSHPD Roofing -Other _______ Corrective action required Specialty Other ____________ ________ _____________________________ -corrections completed Remarks /C'é 2V' cc- 9'25- 72A( -1 z5O' F1 - 969 Field Representative # CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. INSPECTOR'S NAME !f.1 Clearly) INSPECTOR'S SI G NATU R ______________________________ CERT. NO. DATEC7 - Form F0_03 Testing Engineers-San Diego, Inc. 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA 4e2<'cc Test Date_ Page of Arm Established 1946 Test # Material Structure Test Location and Elevation or Depth relative to... / 4 /7 2521 sA4' 4'c 'f 3 .4z- /2 253C) 4 Ile, 1 /7 Z557 ,'Ile Material: S = Soil, AC = Asphalt Concrete,'ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, 0 = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Test# Probe Depth Wet Density (pcf) Dry Density (pcf) Moisture (%) MD Curve Number Maximum Density (pcf) .4'Z Optimum Moisture (%) . . Relative Compaction, RC Relative Moisture, RM Specified RC Specified RM Conformance (Yes/No) Nuclear Gauge Model and Serial Number: This report does not relieve the contractor or their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report of description of work and observations TESD's Testing Technician: Client's or Contractor's Acknowledgement Name: White- Office Yellow- Contractor . Pink- Field Technician Testing Engineers - San Diego, Inc. Established 1946 FIELD COMPACTION AND CONSTRUCTION MONITORING REPORTS Date: June 23, 2000 Job Number: 1999-519G Job Name: Davis Avenue Water Line Address: Carlsbad, California Report Number: 1353 Plan Number: N/A Permit Number: N/A Accompanying this cover sheet are the field compaction test results and related construction monitoring reports for the referenced project. These reports are for the following date(s): June 12, 2000 The tests were performed in accordance with generally accepted standards and do not constitute engineering opinions or project control. It is the responsibility of the contractor to schedule retests or reinspections of any areas that do not meet project specifications. This information does not relieve the contractor of his responsibility for constructing the project in accordance with plans, specifications, and all applicable codes. We appreciate the opportunity to providematerials testing service on this project. Should you have any questions regarding the accompanying information, please contact our office at (858) 715-5800. Respectfully submitted, Testing Engineers - San Diego, Inc 7ce la rk,GE 219 esident, Engineering Total Pages Attached (1) Testing Engineers - San Diego, Inc.. 7895 Convoy Court, Suite 18 San Diego, CA. 921 1I [858] 7 15-5800 Fax [858] 7 15-58 10 Testing Engineers - San Diego, Inc. (3 ' Page j_of_ 7895 Convoy Ct., Suite 18 San Diego, CA 92111 INSPECTION REPORT Project Name 1?" TESD Project # cLSfc1 6 Address 4\'1e / -/ /h - General / Subcontractor t1 1-'1S Building Permit # DSA# Plan File # OSHPD # Government Contract # Other f- 1— INSPECTION MATL SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST concrete _______ Soil conc: Mix ft/psi Plans Prestress Conc Base ________ ________ Conc: Mix ft/psi Specifications Masonry Subgrade Conc: Mix ft/psi Sizes Struct Steel Asphalt concrete _______ _______ Rint: Rebar Slump Fireproofing Concrete Cylinders _______ Rint: W.W.F. ________________ -Air Content Pile Driving Conc Flex Beams _______ _______ Rint: Tendons ______________ Temperature Non-Destructive _______ Reint. Steel _______ -Grout: Mix ft/psi _____________ -Unit Weight -Batch Plant -Tendon (PT Strands) -Mortar: Type/psi _____________ -Consolidation Soils Technician Mortar Samples _______ Units: Block -Electrode Storage Mechanical -Grout Samples -Units: Block -Torque Applied Electrical _______ Masonry Prisms _______ _______ Steel _______ Load (Pounds) Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts _______Thickness Rooting Steel _______ _______ Metal Decking Waterproofing H.S. Bolts ________ -Electrodes DSA Fireproofing Fireproofing OSHPD Roofing ______Other___________________ Corrective action required Specialty Other ____________ ________ _____________________________ -Corrections completed Remarks C-i -Wr')t VCA, ?"e 7-F "p iç7" I'D tiLF 'On y viA 1 Field Representative # CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. INSPECTOR'S NAME /'f. /?'7-/4) CERT. NO. (Print Clearly) Form#003 INSPECTOR'S SIGNATURE tJ - DATE Testing Engineers- San Diego, Inc. Established 1946 FIELD COMPACTION AND CONSTRUCTION MONITORING REPORTS Date: June 15, 2000 Job Number: 1999-519G Job Name: Davis Avenue Water Line Address: Carlsbad, California Report Number: 1287 Plan Number: N/A Permit Number: N/A Accompanying this cover sheet are the field compaction test results and related construction monitoring reports for the referenced project. These reports are for the following date(s): June 5, 2000 June 6, 2000 June 7, 2000 The tests were performed in accordance with generally accepted standards and do not constitute engineering opinions or project control. It is the responsibility of the contractor to schedule retests or reinspections of any areas that do not meet project specifications; This information does not relieve the contractor of his responsibility for constructing the project in accordance with plans, specifications, and all applicable codes. We appreciate the opportunity to provide materials testing service on this project. Should you have any questions regarding the accompanying information, please contact our office at (858) 715-5800. Respectfully submitted, Testing Engin ers - S Diego, Inc -/,/,, LarryC1.ttrk,~t*219 Vice resident, Engineering Total Pages Attached (6) Testing Engineers - San Diego, Inc.. 7895 Convoy Court. Suite 18 San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 •. i7 - O Testing Engineers - San Diego, Inc. Page iof 7895 Convoy Ct., Suite 18 f San Diego, CA 92111 INSPECTION REPORT Project Name LZVLi t(?A- ft',e TESD Project # Address General / Subcontractor Building Permit # DSA # Plan File # _________________________________OSHPD #_____________________________________ Government Contract # _____________________________Other INSPECTION MAT'L SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST Concrete _______ Soil Conc: Mix #/psi Plans Prestress Conc ________ Base ________ ________ Conc: Mix #/psi Specifications Masonry Subgrade Conc: Mix #/psi Sizes Struct Steel Asphalt Concrete _______ _______ Rinf: Reber Slump Fireproofing Concrete Cylinders - -Rinf: W.W.F. _________________ -Air Content Pile Driving Conc Flex Beams _______ _______ Rinf: Tendons Temperature Non-Destructive ________ Reint. Steel ________ -Grout: Mix #/psi ______________ -Unit Weight Batch Plant _______ Tendon (PT Strands) -Mortar: Type/psi _____________ -Consolidation Soils Technician _______ Mortar Samples -Units: Block _________________ _______ Electrode Storage Mechanical -Grout Samples -Units: Block _______________ -Torque Applied Electrical -Masonry Prisms _______ -Steel Load (Pounds) Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts -Thickness Roofing Steel _______ -Metal Decking Waterproofing -H.S. Bolts _______ -Electrodes DSA Fireproofing Fireproofing OSHPD Roofing _______Other_____________________ _______Corredive action required Specialty Other ____________ ________ _____________________________ -Corrections completed Remarks cbt c C4c&feI q¼op C(Z,,-Ce(,-4I 14)/ ,? >/c ;;S~xh V. '"r 7 ' /1A c.eIc/i/ f/1eç k' S' Q 7& £7 4P41) L6k A I4 7t ACOy/ LI & G Ai 7& h ,,f' I- 12i1Jt yQ7' j a)te) /2-<'Lic • c ,pj , op CdLpf -kr'-, ir& /1 eld Representative ALL - w C/( - ______________ CERTIFICATION OF COMPLIANCEL11 ofthe obser work, unless otherwise stated, is in conformance with the approved plans and CERTIFICATION OF COMPLIANCE All of specifications and the workmanship provisions of the applicable code. INSPECTOR'S NAME CERT. NO. (Print Clearly) 61, rb INSPECTOR'S SIGNATURE DATE Fo#003 7 7895 Convoy Court, Suite 18, San Diego, CA. 92111 Q Testing Engineers-San Diego, Inc. Established 1946 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Project Name D'4 AV€. tAJA 1' i7 Project Number 9Q -t/9 G Test Date Page of Client Test # Material Structure Test Location and Elevation or Depth relative to... L Qj '7/ 6A t&I 0w,s Ave VE Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, 0 = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Test# Probe Depth (inches) er Wet Density (pcf) i,c'.c Dry Density (pcf) Moisture (%) MD Curve Number Maximum Density (pcf) Optimum Moisture (%) Relative Compaction, RC (%) _- Relative Moisture, RM (%) , Specified RC Specified RM Conformance (Yes/No) Nuclear Gauge Model and Serial Number: This report does not relieve the contractor or their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report of description of work and observations TESD's Testing Technician: Name: 't1FlA'1Signa Ze Client's or Contractor's Acknowledgement: Name: 'X )'vsigna: SWX,'-L, Sp,..LiZ White- Office Yellow- Contractor Pink- Field Technician Testing Engineers - San Diego, Inc. / Page 1 of 7895 Convoy Ct., Suite 18 - - San Diego, CA 92111 INSPECTION REPORT Project Name 4' c€ TESD Project # Address r General / Subcontractor 1*. Building Permit # Plan File # Government Contract # DSA# OSHPD # Other £iJc cvf L—QcItI- 77( INSPECTION Concrete Prestress Conc Masonry Struct Steel MAT'L SAMPLING QTY _______ Soil _______ Base Subgrade Asphalt Concrete _______ MATERIAL VESCPNION _______Conc: Mix#Ipsi —Conc: Mrx #/psi Conc: Mix U/psi _______ Rinf: Rebar INSPECTION CHECKLIST Plans Specifications Sizes Slump Fireproofing Concrete Cylinders. _______ Rinf: W.W.F. ________________ -Air Content —Pile Driving Conc Flex Beams _______ _______ Rint: Tendons _______________ Temperature Non-Destructive _______ Reinf. Steel _______ -Grout: Mix U/psi _____________ -Unit Weight Batch Plant -Tendon (PT Strands) -Mortar: Type/psi -Consolidation )Q Soils Technician _______ Mortar Samples -Units: Block -Electrode Storage Mechanical -Grout Samples _______ _______ Units: Block _______Torque Applied Electrical -Masonry Prisms _______ _______ Steel _______ Load (Pounds) -Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts Thickness Roofing Steel _______ _______ Metal Decking Waterproofing H.S. Bolts -Electrodes _______ OSA Fireproofing Fireproofing ______ OSHPD Roofing ______Other__________________ ______ Correiveaction required Specialty Other ____________ ________ _____________________________ ________ Corrections completed o f4Cfk/ ,,L Ct r?c0 '2 %sM' S 7 t4 c' c 7;j,- 'e7c (ijr 9c- 4 4 j ' Col. ç dq- i5J Av, ti ld entef - i CERTIF ATI"OFCOM IANCE: All of the observed work, unless otherwise stated, IS n conformance with the approved plans and specifications and the workmanship provisions of the applicable code. - INSPECTOR'S NAME 1 d27 £- ti-v' Prin Clearly) INSPECTOR'S SIGNATURE 7 CERT. NO. DATE Formli003 Testing Engineers-San Diego, Inc. Established 1946 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Project Name Project Number - -i/ 6 Test Date Page _IL of Client 7 h<.4 Test # Material Structure Test Location and Elevation or Depth relative to... ig Al Q /)/4 f / /LcAJ 1._ 112g' —J 3 S vL— 1O'.S --- 1;c'j - Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, 0 = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Test# 1 Probe Depth (inches) Wet Density (pcf) j,f' f/.:. Dry Density (pcf) fZ) Moisture(%) MD Curve Number Maximum Density (pcf) Optimum Moisture (%) Relative Compaction, RC (%) Relative 11:Y4 Moisture, AM (%) Specified AC Specified RM Conformance (Yes/No) AA I /1 I Nuclear Gauge Model and Serial Number: I 7T'1lC'7<. Z,s_1743 clW -Al P-7116-K5 This report does not relieve the contractor or theit responsibility for performance in accordance with the plans, specif1ations and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report of description of work and observations TESD's Testing Technician: Name: /24( Avb4 I Fztur Client's or Contractor's Acknowledgement: Name: ?1t1e"7' Signature: White- Office Yellow- Contractor Pink- Field Technician Testing Engineers - San Diego, Inc. 7895 Convoy Ct., Suite 18 San Diego, CA 92111 INSPECTION REPORT Page 1 o I Project Name TESD Project# Address xiA< /4c2tQ/ (jZ 6eeP General / Subcontractor Building Permit # DSA# Plan File # OSHPD #f Government Contract # Other . 1 CQ/ SS4f I - 14JZ A_ 77 A' INSPECTION MAT'L SAMPLING QTY MATERI,L D [N INSPECTION CHECKLIST Concrete _______ Soil -Conc: Mix #/psi Plans ________ Prestress Conc ________ Base ________ ________ Conc: Mix #/psi Specifications Masonry Subgrade Conc: Mix #Ipsi Sizes _______ Struct Steel Asphalt Concrete _______ _______ Rift: Reber Stump Fireproofing Concrete Cylinders _______ Rift: W.W.F. -Air Content Pile Driving Conc Flex Beams _______ _______ Rinf: Tendons Temperature Non-Destructive _______ Aeinf. Steel _______ -Grout: Mix #/psi -Unit Weight Batch Plant Tendon (PT Strands) _______ -Mortar: Type/psi -Consolidation - ' Soils Technician _______ Mortar Samples -Units: Block Electrode Storage Mechanical _______ Grout Samples _______ -Units: Block -Torque Applied Electrical Masonry Prisms Steel Load (Pounds) -Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts -Thickness Roofing Steel _______ _______ Metal Decking Waterproofing H.S. Bolts _______ _______ Electrodes _______ DSA Fireproofing Fireproofing ______ OSHPD Roofing ______Other____________________ ______ Conedive action required Specially Other ____________ ________ _____________________________ -corrections completed Remarks /rtQ- Q)'I hj 7 .Sr(p /1 i —c1 i-P frA< q'ø 4-7 i( ,t &-eje-- 9T ft 42jpI c9 ?(1L -cq'-- fl- U &2!&w o(4 . /-.-- ?7 41? 17L,4cP 6 Je A7 ReJative# CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. INSPECTOR'S NAME / (Print Clearly) CERT. NO. INSPECTOR'S SIGNATURE DATE____________________ Form#003 Testing Engineers-San Diego, Inc. Established 1946 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA -et)1S /+AQ Cc-A //'u' Project Name Project Number 9 Test Date /) /0D Page of Client 3 IV Test # Material Structure Test Location and Elevation or Depth relative to... L *- _3 S _r&w1j4e_S3o f-(& 12.e Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, 0 = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Test# I Probe Depth (inches) 8 51/ WetDensity (pcf) [33. /.?3.Cl DryDensity (pcf) I ;)q ..A Jjj .3 Moisture (%) 1t/L /7' MD Curve Number / I MaximumDensity(pcf) . /)* OptimumMoisture (%) Relative Compaction, RC Relative Moisture, RM (%)- 0.9 -I'8 Specified RC Specified RM Conformance(Yes/No) )'cz..c I ')f.A Nuclear Gauge Model and Serial Number: 7&X_C.ZT( _3'Y/(s_(_/Li j .-c1 This report does not relieve the contractor or their responsibility for performance in accordance with the plar'6, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report of description of work and observations TESD's Testing Technician: Client's or Contractor's Acknowledgement: Name: Name: -77i)L-J Signa -W. ________ Si nature: _________________ White- Office Yellow- Contractor Pink- Field Technician ATLANTIC CITY RAHWAY FT. LAUDERDALE ORLANDO SAN DIEGO Testing Engineers - San Diego, Inc. Established 1946 7895 Convoy Ct., Suite 18 (619) 715-5800 San Diego, CA 92111 (619) 715-5810 ri NOTIFICATION OF INSPECTION HOURS Date: Job Number: Job Name: L-ihS JJ4 41A Address: Type of Inspection: DATE START STOP REG.HOURS OT HOURS TESTING ENGINEERS - SAN DIEGO, INC. Inspector Name: For verification purposes only, does not necessarily imply responsibility for cost of inspection: Verified By: (Signature I Print Name) Company:Q 0~- , Form#004 Testing Engineers — San Diego, Inc. Established 1946 7895 Convoy Ct., Suite 18 (619) 715-5800 San Diego, CA 92111 (619) 715-5810 ATLANTIC CITY RAHWAY FT. LAUDERDALE ORLANDO SAN DIEGO NOTIFICATION OF INSPECTION HOURS Date: ___Job Number:___________________ Job Name: /& 1- Address: - Type of Inspection: "-e DATE START STOP REG. HOURS OT HOURS TESTING ENGINEERS - SAN DIEGO, INC. Inspector Name: For verification purposes only, does not necessarily imply responsibility for t of inspectior) Verified By: (Signature / Print Name) Company: Fom#004 ATLANTIC CITY RAH WAY FT. LAUDERDALE ORLANDO SAN DIEGO qF- IN it% Testing Engineers - San Diego, Inc. Established 1946 7895 Convoy Ct., Suite 18 (619) 715-5800 San Diego, CA 92111 (619) 715-5810 NOTIFICATION OF. INSPECTION HOURS Date: Job Number:_________________ Job Name: jVC Address: Type of Inspection: 1(-L. cbLe32 DATE START STOP R,GmOURS OT HOURS TESTING ENGINEERS - SAN DIEGO, INC. Inspector Name: _____________________________ For verification purposes only, does not necessarily imply responsibility for cost of inspection: Verified By: (Signature / Print Name) Company: Forrn#004 q —> LI I Testing Engineers - San Diego, Inc. Established 1946 FIELD COMPACTION AND CONSTRUCTION MONITORING REPORTS Date: June 12, 2000 Job Number: 1999-519G Job Name: Davis Avenue Water Line JUL 9 2000 Address: Carlsbad, California Report Number: 1254 Plan Number: N/A Permit Number: N/A Accompanying this cover sheet are the field compaction test results and related construction monitoring reports for the referenced project. These reports are for the following date(s): June 1, 2000 The tests were performed in accordance with generally accepted standards and do not constitute engineering opinions or project control. It is the responsibility of the contractor to schedule retests or reinspections of any areas that do not meet project specifications. This information does not relieve the contractor of his responsibility for constructing the project in accordance with plans, specifications, and all applicable codes. We appreciate the opportunity to provide materials testing service on this project. Should you have any questions regarding the accompanying information, please contact our office at (858) 715-5800. Respectfully submitted, Testing Engineers - San Diego, Inc 4LarryGE 219 t, Engineering Total Pages Attached (1) Testing Engineers - San Diego, Inc.. 7895 Convoy Court, Suite 18 San Diego, CA. 92111 [858] 715-5800 Fax (858) 715-5810 Testing Engineers - San Diego, Inc. 7895 Convoy Ct., Suite 18 Page 1 o San Diego, CA 92111 INSPECTION REPORT Project Name +Y 7 TESD Project # Address General / Subcontractor Building Permit # DSA# Plan File # OSHPD # Government Contract # Other INSPECTION MAT'L SAMPLING QTY MATERIAL DESCRIPTION INSPECTION CHECKLIST Concrete _______ Soil -Conc: Mix #/psi Plans ________ Prestress Conc ________ Base ________ -Conc: Mix #/psi Specifications Masonry Subgrade / _______ Conc: Mix #/psi Sizes ________ Struct Steel Asphalt Concrete ________ ________ Rinf: Reber Slump Fireproofing _______ Concrete Cylinders _______ Rinf: W.W.F. _______________ -Air Content -Pile Driving Conc Flex Beams _______ _______ Rinf: Tendons Temperature Non-Destructive _______ Reinf. Steel _______ -Grout: Mix #/psi -Unit Weight Batch Plant -Tendon (PT Strands) _______ -Mortar: Type/psi -Consolidation Q Soils Technician _______ Mortar Samples -Units: Block -Electrode Storage Mechanical -Grout Samples -Units: Block -Torque Applied Electrical Masonry Prisms _______ _______ Steel Load (Pounds) -Bolt Pull-Out Masonry Block _______ _______ H.S. Bolts -Thickness Roofing Steel _______ _______ Metal Decking _______ Waterproofing -H .S. Bolts _______ -Electrodes __________________ _______ DSA _______ Fireproofing Fireproofing OSHPD Roofing ______Other__________________ ______ Corrective action required Specialty Other ____________ ________ _____________________________ ________ Corrections completed Remarks 4-,-q>. 4, 2 1,3-e ,'7nl ,, ;/ , hf 7 &Cz.it C- b d 74JZf\QJ CAI1 i /7a?.all -17 i /tc by 9 )7 y A4 . 7Z t2n ç( ) D,/c/Q, CLC ( I . "J. Field Representative # CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. INSPECTOR'S NAME )'-/'v' (Print Clearly) INSPECTOR'S SIGNATURE CERT. NO. DATE Formll003