The URL can be used to link to this page

Home My WebLink About1960 LA COSTA AVE; ; CB071965; Permit.. ~ ',' ' ' t_:i :1·,,~· ;· .'' t.,. City of Carlsbad 12-24-2008 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No: CB071965 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: 1960 LA COSTA AV CBAD COMMIND Syb Type: INDUST} . Parcel No: 2161242200 ·:ldt#: 0;.1 ,; ·.::-·.: Status: Valuation: $1,406,467.00 Construction Type: VN ·· ·:. ·: · Applied: Reference#: iJC.O~ ()Ct.)Z Entered By: Occupancy Group: Project Title: LEUCADIA WASTE-1 BUILDING Plan Approved: 12,938 SF OFFICE Issued: Applicant: LEUCADIA WATER DISTRICT PUBLIC AGENCY 00000 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD#2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee $3,902.88 $0.00 $2,536.87 $0.00 $0.00 $295.36 $0.00 $0.00 $b:OO : $0.00 $0.00 ·; $Cf.DO $0.QO $0:00 $27,115.00 T2 $0.00 $0.00 Inspect Area: Plan Check#: Owner: LEUCADIA WATER DISTRICT PUBLIC AGENCY 00000 Meter Size Ada'I Reel. Water Con. Fe~ Meter Fee SDCWAFee CFD Payoff Fee PFF (3105540) PFF (4305540) License Tax (3104193) License Tax (4304193) Traffi¢ Impact Fee (3105541) 1:tqffic· lfnpact ,Fee (4305541) PLUMBl~G T9TAL ELECTRICAL TOTAL 'MECHANICAL TOTAL Master Drainage Fee Sewer F,ee Redev Parking Fee Additional Fees HMP Fee TOTAL PERMIT FEES ISSUED 07/26/2007 RMA 04/11/2008 04/11/2008 MC PC 08-08 $0.00 $900.00 $23,358.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $707.00 $2,260.00 $266.50 $0.00 $0.00 $0.00 $488.00 $0.00 $61,829.61 Total Fees: $61,829.61 Total Payments To·'Date, $61:i829.61 Balance Due: $0.00 Inspector: {. , ,. ..... ~· ~ ,. FINAL APPROVAL Date: Clearance: _____ _ NOTICE: Please.take NOTICE that approval of your project includes.the "Imposition" of fees, cjedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issuetr,tci-prote~i 'iajpqsition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 669~0(a), and· filS"ihe-protest;~h'd any other required ·information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to iimely fbllciw,\h·at procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. · · · You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES.NOT APPLY to water and sewer connection fees and capacity changes,· nor planning, zoning, grading or other similar application processing or service fees in connection with this proJect. NOR DOES IT APPLY to any fees/exacti ns of which ou hav revi I be n iven a NOTI E simil r to this or as to which the statute of limitations has reviousl otherwise ex ired. -SEE MORE INSPECTIONS IN PC080008 Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 ,·,--- San Diego/Imperial County'· ' 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951. 653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: ZSio -1/Dt.J. Permit# __________ _ Report# __ PG_L DP--=2.=--- DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ DSA/LEA#: _________ _ Special Inspection f!eports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a,daily,basis. Each report shall be completed and signed by the special inspector conducting the inspection. PZJECT NAME M . £UC4b1A ~~ 5171: .z;,,1.1:;"'7':?evr DATE-;, / ~ /3 2,..QoZ-, ARCHITE/4' 111 .1 . TIME ARRIVED TIME pEPARTED /{pQO /'730 ENGINEER i) ~A .II ..J II Y 5.o.4 TRA\~fME LUN&l1ME CONTRACTOR ., SUB CONTRACTOR &. #l/AJ..$<1~ . ..:)..5 ' .57ec:""L INSPECTION ADD~ . . I z..s7i' 't!CJ.-1/.,jl/,u~ .& . LA"6~a~, CA- ADDRESS OF PROJECT ~ C4, ,. '</IC.,.; ·--..,.., r,' • ~ "'1,-'"~ "'J:"" , £! Q:.).:.9(1.;;.~:.£/;i(/,J.~~J. iili!hW,e, , ,, ~'-S::>/10 J CA TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE D WELDING D D BACK FILL d CONCRETE D SHOPWELD ~EFIELD DE SHOP D DSAiOSHPD/PROJECT: AVAILABLE: ~ SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS Y ND APPROVED SHOP DRAWING YD ND MATERIALS USED 8/)NTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): AC/92. A3L ~ ( 0¢ o-z l ~b? ) CONTRACTORS EQUIPMENT/ MANPOWliR USED: M,a12-\ / . £....ku;,0) ~ my A.«11/AL, -A ,, -- AREA, GRID LINES, PIECES INSPECTED~ . ~HJ!'-.;n§i) (.)l,,'7Y-,,lf.Sc,,A.)I <.. .J;;7.:sf'e.-e:77 o1l Cr tl.ntJ~-n£ L~1.,-1J M~.J · Dt,) ~1117JN(.I tl'V g(,,h"1;----S, t /E7l:t> {1 Wm/./ -5 IA ~72::.~ 4 ~~~ ~@I_ Cbwm ,,J , /4 b ~ .,. ,.~ I !)I, I 7)Mlc: ~,'2.., A-tJ LJ~~,, ,AJ /. C 7):::-t.r STRUCTUR.AL NOTES, DETAIL)J RFIS USEb: ~('Z, 77-/1..S ,r IT-,~, -,,_,:::;-. I REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WASf!fWAS NOTO Inspected· in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A ~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Cqntractor Building Department Owner , ,4..1/b 2A A'T °3"7'-i AA/Ile~ ,M/)) M...=.tsS. ·r u, ,4CC!r-::Jllr,,.::,;.1a:: Cf 1"1BZ1 A oi-41c ;(Jl.?l)~tS /.ri/ C W/.'J. r-7\ /.ks /J A llr::. z., ., , PERCENT PROJECT COMPLEJ : THE WORK INSPECTED MET~DID NOTMEETD THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:~M_c)_,,i£ _____ ----c,----------- Weather: C~n,r,.,. 1i P,7 _7~Z-~0_P_-______ _ ~ 1 Print Name ~ Certification~~ 2SlJ'id,:;</ t LJT ~-LL_ Verified by: ~ (2 ~~--S ( .~------~-----_---;---',-R'-=s. ~~ofiT OF -~LTRASONIC INSPECT_:10:_:N:__ __________ _ Ciient: Project:. L1:vCA ~IA w,~.SiB,J.A-7G:Y?.. .5 i le J:;hf'.,?.,r.,v&-7?(2)V l<f& o ·. t-A-U;,$;%1 F!vG:""· ~6M,C:4· D~te: 5-/13 l'UJ~ '? Project No.: -Z ':>l'D-AD4 /Jt;. 2,rf, .. ·2 - Test Method Stan.dard: · /h7GI--_u r-' a::::. I Length:3 it.''-S' I Ultrasonic\Jnit: 1< A u.<.~~5Xt:5 Accept?nce Standard: 1-kJ .$ .b I, I ( i.... o f..) 7lk3tc G,, z. I Thickp~: • S'bD " I Serial No . /()2,/.p'-/ Location: . SHOP: ·; ::>'::::~·---:-:-t--_ c:JP W~~ "CJ ... Decibels-Discontinuity C G) Cl) U),tlr,fiJLJ iT'-/ CD .c Cl Distance CJ) E C C ~ ~ ::, < Q) ~ :c /J tA,,t""c:.-'3 Q) z ... C 0 C "C ' Cl) 2! G) G) 8 C 0 iii E 0 "C C 0 0 !-::, ... '; 0) .g Q) 0 0 ::, ... i ::, ,5 ~Gi ~ g? c.S uC ,_ a, c .!/l 0 "CJ QI "CJ '5 a; .s 0 :s:;:; '6, ..s! g -g .c 0 ~f ~ E QI II) <i: cf .5 t}_ a.~ al Cll-.9 " .5 ...I 0:: ...I 5i.S!! ::, ~ ~ e liJ' C e::, "C j c,!/2 o II) ::, From From Weld Identification :e LL a.. z ..5 I-LL ...I b d •<O~ Oen X y a C {;/4.,,,.,,J / /4 r;./JP.;,;m Pl~ ~ [X I 1'1;) (/ S'i - {:O/vJIIN IA We:~ X I '7() ,1 S-1 /l;Jl,/J11.1V2.,,4 7;,'M,t Ff~c X { 17t>" sq Cs,/u;n;J 2-i Wet, ·y I 11(/ SC, \. \. < \. ' \ \. \ \ \ \ \ ,, WELD LOCATION AND IDENTIFICATION SKETCH Couplant: C-e-t.i..U~S.tF ~Pl Cafi~ion Blocks: SC.. ~ Frequencx;. /r::7el'L h;l.AwM/6-S --z. -Z....) frJ.)/2._ ..,--0 ,Srn.,JC/-,,,P...r(f, (._ ~ace Z/4nditi~ 5 tr ~-Ye: X-YMARKERS ..... * Use Leg I, II or Ill -llndicate X·Y Markinasl rect!nician: l/Ji t,,t-1LJ-v. Ll/1) n r Level: -11=" Jnteroreter: b.J. LU'oAI J Level: .J.t-... **Gain in Db I **Attenuation in Db redmician: , ·Level:· .,,. , a-b-c=d b-a-c=d ( ( ( Corporate: San Diego/Imperial County Inland Empire: 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 www.mtglinc.com TYPE OF WORK INSPECTION ADDRESS Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 INSPECTOR DSA / OSHPD REPORT TECHNICIAN PLAN FILE NO. 1 FOR WEEK ENDING ~,1 ... 0 REPORTNO I re,,~,~ AVAILABLE: SOIL REPORT ( ) (N) APPROV~D PLANS ('/(N} REPORTING REQUIREMENTS: REVIEW DSA/OSHPD APPROVED DOCUMENTS, PREVIOUS REPORTS AND LISTS Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 APPLICATION NO. PROJECT NO. .,f "~ ,.,o'I OF I APPROVED SHOP DRAWING {Y) {N) IF THERE IS NON-CONFORMING-WORK AT THE END OF THE WORK DAY, OR MISSING DSA/OSHPD APPROVED DOCUMENTS, RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S IS CORRECTED, NOTE ON THE REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS . . MATERIALS USED BY CONTRACTOR {INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): .ei. REMARKS, INCLUDING MEETINGS: · REWORK AS PERCENT OF ALL WORK TODAY: WEAT~ER: -t,0~c)t.,~.5r SAMPLES TAKEN: -6 _ · TEMPERATURE: SITE TIME START: ~s~-O~----- LUNCH PERIOD:-~------ .... --:'' J3,S a.r PERCENT PROJECT COMPLETION: WORK PERFORMED COMPLIES WITH DSA/OSHPD APPROVED DOCUMENTS ye. WORK PERFORMED DOES NOT COMPLY WITH DSA/OSHPD APPROVED DOCUMENTS . -~~~;;:.:1 \ This is to certify that the above reported inspections were made in accordance with the DSA/OSHPD approved documents a . es and-regulations of the Department of General Services (Title 24). I certify under penalty of perjury that I prepared these reports and that all of the abov~ stateme~t_s are true. ~~~~ . or 11.2 ~as ~--Signature Date of Inspection IC o Certific on ber ·· • -~~~J 7/t>o Bo:; 7~B7 DSA/0SHPD Certification Number i ~ \ L~ ,· L I~ ., Corporate; 2992 E. La Palma Ave, Ste. A Anaheim, CA 92806 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL Project:#: 25 /0 ,4 OJ/ . __ _ Permit# __________ _ Report# _L PG _J ___ OF_, .. ,, __ _ rel: 858,537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT / _..,' Inland Empire: i 4467 Meridian Pkwy., Bldg. 2wA Riverside, CA 92518 iel: 951 .653.4999 Fax: 951.653.4666 Dispatch: 800.491. 2990 DSAfCITYFite #-.----~---- DSA/OSHPO APPL#: __ -____ _ OSA/LEA#: __________ _ Special Inspection Reports must be distributed to tneparties listed below within 14 Clay$ of the inspection. Reports of ooo-oompliant conditions must be distributed immediately. Separate reports shall be prepared for eaon type of special Inspection, on a Clally basis. Each report shall be completed and signed by the special inspector conducting the inspection. · TYPE OF INSPECTION r : ENGINEERED FILL f" ; FOUNDATION rl BACKFILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS; D BATCH PLANT (7 PT CONCRETI: :;, SHOTCRETE CJ CONCRETE AVAILABLE: APPROVED PLANS Y ll1 N I 1 MAT6RIALS USED BY CONfflACTOf\ (INCLUDE RESEARCH RePORi NO. OR MATERIAL TEST REPORTS): CONTRACTORS EOUIPM~NT / MANPOWER USEC: ,, REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS1/ WAS NOT 17 Inspected in accordance with the requirements of the DSA/0S Hf'D/PROJECT approved documents. MATERIAi. SAMPLING WAS O WAS NOT I I NIA CJ Performed in accordance witn OSA/OSHPO/PROJ~Clapproved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District OA'fE ; : FIREPROOF-ING r1 ANCHOR/DOWEL r, NOE FIELD r I NDE SHOP SPECS: YIC NI I G CEILING WIRE o ____ _ o ___ _ Cl APPROVED SHOP ORAWING Y'1(f N CJ PERCENT PROJECT COMPLETE: Certification#: __ ,..,,r--"""i.1--s.-11111111-.. ... Verified by: ________ _ TYPE OF WORK J ( r Corporate: San Diego/Imperial County 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632;2999 · ·y Tel: 858.537.3999 .Fax: 714.632.2974 \ F~x: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 INSPECTOR .~.-c ...0 DSA / OSHPD REPORT TECHNICIAN PLAN FILE NO. FOR WEEK ENDING REPORTNO·L -t.v..c. -AVAILABLE: )>OIL REPORT APPROVED PLANS ('.if (N) REPORTING REQUIREMENTS:REVIEW DSA/OSHPD APPROVED DOCUMENTS, PREVIOUS REPORTS AND LISTS PG \ (N) Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 APPLICATION NO. OF SPECS ( (N) APPROVED SHOP DRAWING (Y) (N) IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING DSA/OSHPD APPROVED DOCUMENTS, RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR: A PREVIOUS INSPECTOR'S IS CORRECTED, NOTE ON THE REI' D SUB TA COPY WITH YOUR WEEK'S REPORTS. - MATERIALS USED BY CONTRACTOR-(INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): N~ '2- CONTRACTORS EQUIPMENT/ MANPOWER-USED, ' R MARKS, INCLUDING MEETINGS: - ~e._..,. ~-c...,....,,e.lc\.~ r.o.~.~<; REWORK AS PERCENT OF ALL WORK TODAY: .PERCENT PROJECT COMPLETION: WEATHER: SAMPLES TAKEN: WORK PERFORMED COMPLIES WITH DSA/OSHPD APPROVED DOCUMENTS TEMPERATURE: WORK PERFORMED DOES NOT COMPLY WITH DSA/OSHPD APPROVED DOCUMENTS SITE TIME STAR~ ___ S_t:J _____ _ LUNCH PERIOD:-----~-- SITE TIME FINISH\~Q--~_O _____ _ TRAVEL TIME: __ \~-~~~D~----VERIFIEDGAJd -This _is to certify that the above r_eporte? inspections _were made in accorda~ce-with the DSA/OSHPD approved documents and the rules and reW1fil;qns of tb..if ~~ \ !':rtmern of General Serv,ces (T rtle 24), I certify under,en&tyat peau~ that I prepared fuese reports and fuat all of theabrn,e statemen a~ {to J' 3' 4f{ ,,,J.o~ . 611,;r l(Jl. 1cJt s-,s s J>$ Signature _ Date of Inspection ICBO Certification Nu rt'~ 7 ~ !b.!fa; '1c! IA..~ DSA/OSHPD Certffimtinn :mbe, Corporate ( 2992 E La Palma Ave. ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL PROJECT#: 2510A04 Permit# ______ _ Report#_ Page 4 of l San Diego/Imperial County 7313 Carroll Rd., Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT ( .nland Empire 14467 Meridian Pkwy., Bldg 2A Riverside, CA 92518 Tei: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSNCITY File# ____ _ DSNOSHPD Appl.# __ _ DSNLEA # _____ _ Special inspection Reports must be distributed to the parties listed below Within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. S!)parate reports shal! be prepared for each-type of special inspection on a daily basls. Each report shall be completed and signed by the special inspector conducting the inspection. - PROJECT NAME:: Luca(!ia Waste Water Site Improvement Date: 5-29-08 ARCHITECT TIME ARRIVED 6:30am TIME DEPARTED 8:30 ENGINEER TRAVEL TIME .5 LUNCHTIMEO CONTRACTOR Jaynes SUB CONTRACTOR Concrete Building Systems INSPECTION ADDRESS same ADD.RESS OF PROJECT {7 f~1'.§~:o·ilia::~i{t,i~v~:::~~i;l.$P.ad TYPE OF INSPECTION 0 BATCH PLANT 0 MASbNRY ·---. --,, ___ -0 FIREPRG0FING 0 CEILING WIRE 0 ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING 0 ANCHOR/DOWEL 18) Reinforcina 0 FOUNDATION 0 SHOTCRETE 0WELDING 0 NDEFIELD D_ 0 BACKFILL 121 CONCRETE 0SHOPWELD 0 NDESHOP D DSNOSHPD PROJECT I AVAILABLE APPROVED I SOIL REPORT v 121 N D I SPECS: y 18! N D APPROVED DOCUMENTS PLANS Y [8] N D APPROVED SHOP DRAWING Y 121 N 0 fylATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): Simpson SET 22 and #6 A615 rebar ' . --CONTRACTORS EQUIPMENT/MANPOWER USED: / V V \ ~Uh o1lC,~? J AREA, GRID LINES, PIECES INSPECTED: C j•-/ ~log,-t002Basement'level cast in· place walls, footing to 1st floor · .....___,, STRUCTURAL NOTES, DETAIi,. OR RFIS USED: approved plans and details REMARKS, INCLUDING MEETINGS: Onsite to inspect the reinforcing steel at the above location per the approved plans and details. I checked the bar size placement lap cover and clearence. All required steel appears to be in place as .per plans. Recommend that clearence of rebar be checked after the outside forms are placed, prior to placement of concrete. · REWORK AS PERCENT O.F ALL WORK TODAY: I . PERCENT PROJECT COMPLETE: THE WORK WAS 1ZJ WAS NOT 0 Inspected in accordance with the requirements of the DSA/OSPHD Project approved documents. MATERIAL SAMPLING WAS O WAS NOTO N/A £8l Performed in accordance with DSA/OSPHD Project approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner THE WORK INSPECTED MET 1ZJ DID NOT MEET 0 The requirements of the DSA/OSPHD Project approved documents. Samples taken: Weather: -----------------Temp: Josh Cooper PrmtName Certification #:5269064-49 / SD# 1012 Verified b~Jdi}t I I~ ( Corporate: 11 · San Diego/Imperial Coumy 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888,844.5060 www.mtglinc.com DSA / OSHPD REPORT TYPE OF WORK INSPECTOR TECHNICIAN PLAN FILE NO. ul, k,J FOR WEEK ENDING REPORT NO -) REPORTING"REQUIREMENT.g~REVIEW-BSNGSHPD·APPROVEJ:>J)OCUMENTS, PREVIOUS REPORTS AND LISTS PG J (N) Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 APPLICATION NO. OF I ,SPECS (N) APPROVED SHOP DRAWING (Y) (N) IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING'DSNOSHPD APPROVED DOCUMENTS, RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S IS CORRECTED, NOTE ON THE REPORT AND SUBMIT A COPY WITH YOUR WEEK'S.REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIALTEST REPORTS): H t:-1. REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: WEATHER: Co.,,/ TEMPERATURE: 'q SAMPLES TAKEN: ( PERCENT PROJECT COMPLETION: WORK PERFORMED COMPLIES WITH DSA/OSHPD APPROVED DOCUMENTS WORK PERFORMED DOES NOT COMPLY WITH DSA/OSHPD APPROVED DOCUMENTS SITETIMESTART:.s::so lqt f<_o.,·,,, SITE TIME FINISH:_(_\-~------- LUNCH PERIOD: ________ _ TRAVEL TIME: ________ _ VERIFIED BY: _________ _ . This is to certify that the above reported.inspections were made in accordance with the DSA/OSHPD approved documents and the rules and regulations of the 0,. . artment of General Services (Title 24). I certify under·penalty of perjury that I prepared these reports and that all of the above statements are true. /!)$' 12,J I pt Date of Inspection DSA/OSHPD Certifica\ion Number I ( Inland Empire Corporate ) 2992 E La Palma Ave. ste. A Anaheim, CA 92806 San Diego/Imperial County 7313 Carroll Rd., Ste. G San Diego, CA92121 tel: 858.537.3999 14467 Meridian Pkwy., Bldg 2A Riverside, CA 92518 Tel: 714.632.2999 Fax, 714.632,2974 Dispatch: 800.491.2990 MTGL PROJECT#: 2510A04 Permit# ___ ~--- Report #_Page 1 of 1 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File# ____ _ DSA/OSHPD Appl.# __ _ DSA/LEA# _____ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspec!ion. Reports of non-compfiant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection on a daily basis. Each report shall be completed and signed by the special inspector conducting the insoection. PROJECT NAME: Lucadia Waste Water Site Improvement Date: 5-22-08 ARCHITECT TIME ARRIVED 7:00am TIME DEPARTED 11 :00 ENGINE}:R TRAVEL TIME.? LUNCHTIME0 CONTRACTOR Jaynes SUB CONTRACTOR Concrete Building Systems INSPECTION ADDRESS same ADDRESS OF PROJECT r -1'9.60"1lfa:clBsf~~:efba'r.l;iric1~:~~ TYPE OF INSPECTION 0 BATCH PLANT 0 MASONRY 0 FIREPROOFING 0 CEILING WIRE 0 ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH SOL TING 0 ANCHOR/DOWEL ~~ 0 FOUNDATION 0SHOTCRETE 0WELDING 0 NDEFIELD o_ 0 BACKFILL' 0CONCRETE 0SHOPWELD 0 NbESHOP D DSA/OSHPD PROJECT APPROVED DOCUMENTS 1· AVAILABLE APPROVED . PLANSY~ NO I SOIL REPORT y ~ ND I SPECS: y ~ ND APPROVED SHOP DRAWING Y ~ N 0 MATl;:RIALS USED BY CONTRACTOR (INCLUDE RESEARCH.REPORT NO. OR MATERIAL TEST REPORTS): Simpson SET 22 and #6 A615 rebar --/ V \ -CONTRACTORS sOUIPMENT/MANPOW~R USED: ~ ~6 0'1 l -'°7b ~ _/ ,.:ti,. ..... ----~-~ ., -,,,.,,-~ AREA, GRID LINES, PIECES INSPECTED: a/ -A Ay I I J @..t;!~!!!R::'.!.QQ::Elas·etu~p_tl~el Lines 1.3~3 ,, l/~f/'V--/ .., /' /) ., r , /I ii '-.. •. Y.,. I I fl)__,/ STRUCTURAL NOTES; DETAIL OR RFIS USED: RFI #87 and Engineer correction ~-,,- ... ' /?J A') REMARKS, INCLUDING MEETINGS: Onsite to inspect the epoxy instalation of ten (1 O) number six (#6) reinforcing bar \~ - . at the above location, per the above RFI and correction. I checked each hole to confirm an embed depth often inches (10") - was ·achieved and that the holes were· brushed and blown clean prior to instalation. All the rebar was long enough to provide .adequate lap length. after instalation. Th_e above epoxy was used for each hole REWORK AS PERCENT OF A(..t WORK TOOAY: . I PERCENT PROJECT COMPLETE: .. THE WORK WAS IZI WAS NOT U Inspected in accordance with the requirements of the DSA/OSPHD Project.approved documents. MATE;RIAL SAMPLING WAS O WAS NOTO N/Al:81 Performedin acc~rdance with. DSA/OSPHD Project approved documents. cc Pr9ject Architect Structural Engineer DSA Regional Office School District Contractor Building Department owner THE WORK INSPECTED MET 1:8] DID NOT MEET D The requirements of the DSA/OSPHD Project approved documents. Samples taken: Weather: -----------------Temp: Josh Cooper PnntName Certification #:5269064-49 / SD# 1012 I Li 1, r f --I 1 ----, ,... ,w,•• I .,, \. I N , _ __.. I I . r----1 I I t~ I 799 I l I ., ::· I I :! l I I I It I .. I Im I ~ ~ ._..,, r r ~ I :'·{ I I I f---dO=Nl1 -~ I I I I .. l I I I L ____ J I I I I ,,--, I I I \ I I \----4---..J I I ' I l N ....__.,, r------1-----..I I I ... I I ;.·~ . I I ... -I I l I I I l I I I ij; I I -!i I I .it I l I ~ I i I I I I I .. Epoxy rebar dowels to ( e) foundation per S0-001, however, -.I ~ increase embedm~mt in . table shown on S0-001 by 3-inches (#6 rebar embed a minimum 9 3/4") a, ~ Tamara Allen SE SDSE May 21, 2008 'l1 q ----999 --- .?:-,Is ...... ~ i i Corporate ( 2992 E La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL PROJECT#: 2510A04 Permit# ______ _ Report# ___ Page 1 of 1 San Diegonmperial County 7313 Carroll Rd., Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT ( i'nland Empire 14467 Meridian Pkwy., Bldg 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSNCITY File# ____ _ DSNOSHPD Appl.# __ _ DSNLEA# _____ _ Special Inspection Reports must be distributed to the parties·listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection on a daily basis. Each report shall be completed and signed by the special inspector conducting the insoection .. PROJECT NAME: Lucadia Waste Water Site Improvement Date: 5-21-08 ARCHITECT TIME ARRIVEDi1.;30pm TIME DEPARTEQ .. s~ ENGINEER TRAVEL TIME .5 LUNCHTIMEO CONTRACTOR Jaynes/ D4deck SUB CONTRACTOR · INSPECTION ADDRESS same "_e.oo~ESS OF PROJECT ·, ,J1sifol:a::~&~11t'8Ve·f::co TYPE OF INSPECTION 0 BATCH PLANT 0 MASONRY 0 FIREPROOFING 0 CEILING WIRE 0 ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH SOL TING 0 ANCHOR/DOWEL o_ 0 FOUNDATION 0SHOTCRETE 0WELDING 0 NOE FIELD o_ 0 BACKFILL 1:81 CONCRETE 0SHOPWELD 0 NDESHOP 0 DSNOSHPD PROJECT I AVAILABLE APPROVED I SOIL REPORT Y 1:81 NO I SPECS: Y 1:81 NO APPROVED DOCUMENTS . PLANS Y 1:81 N 0 APPROVED SHOP DRAWING Y 1:81 N 0 MATERIALS USED BY CONTRACTOR(INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): Superior 4000 Psi Mix 57p CONTRACTORS EQUIPMENT/MANPOWER USED: ~ -v-\ ( L..~ o---Z l-9 bl:) / AREA, GRID LINES, PIECES INSPECTED: i A-. p_ Type "F" Storm Drain Catch Basin - STRUCTURAL NOTES, DETAIL OR RFIS USED: Approved Plans and.Details, City Plans and details REMARKS, INCLUDING MEETINGS: Inspected the Reinforcing steel at the above location prior to todays pour. I checked bar size placement lap clearence and cover per approved city details. I observed the placement of the three (3) yards supplied by Superior'Ready mix. Varified.the bars maintained clearance and achieved proper cover during placement and vibratorY consolidation. Compression samples waived by David Goins, Project Quality Control·Mang. REWORK AS PERCENT OF ALL WORKTODAY: THE WORK WAS l8J WAS NOT LJ Inspected in accordance with the requirements of the DSA/OSPHD Project approved documents. MATERIAL SAMPLiNG WAS O WAS NOTO N/A 181 I PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET [8l DID NOT MEET U The requirements of the DSA/OSPHD Project approved documents. Samples taken: -----------------Weather: Temp: Performed in accordance with DSA/OSPHD Project approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner c~ Corporate: -__ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 · Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Di~patch: 800.491.2990 /fvoUttt$M~ -. San Diego/Imperial Count( ( 7313 Carroll Rd. Ste. G · San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 25/0,.,. ,dO<f. Permit# I:"et3J;;y~Zfllii:S::-=-::::.:::;, DAILY INSPECTION REPORT DSNCITY File #:_~_It_((}__,_ _____ _ DSNOSHPD APPL#: t-(t,tc} -------- D SA/ LEA#: __ tJ_'f.i_,(l\ _____ _ Report# __ PG __ DF __ ~_ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACK FILL DSA/OSHPD/PROJECT: D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: 00'/Uro TIME ARRIVED TIME D ARTED D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD SOIL REPORT YD ND "00 SPECS: YD ND D CEILING WIRE O ______ _ D ______ _ 0 _______ 11 APPROVED DOCUMENTS: APPROVED PLANS YD N D APPROVED SHOP DRAWING YD ND THE WORK WAS D WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATl;RIAL SAMPLING WAS D WAS NOT D N/A D Performed in accordance with DSNOSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District Print Nam Certffic~ :½O?:,\( !:,_Q_ Venf1ed b ·~--- Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 San Diego/Imperial Count~, 7313 C;:irroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( \ Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2-i:_i/0,-,&lf Permit# C:_/3t;µ.:1=-Jfl~~ DAILY INSP,ECTION REPORT DSA/CITY File #: N ('.,(Q --'------'------- D SA/OS HP D APPL#: f\l tJ'fq -~------ 0 SA/ LEA#: __ N_t_e_q'-------Report# __ PG __ OF ___ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION 0 ENGINEERED FILL 0 FOUNDATION q BACK FILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: 0 BATC PLANT D PT CONCRETE D SH0TCRETE 0 CONCRETE AVAILABLE: APPROVED PLANS YD ND REWORK AS PERCENT OF ALL WORK TODAY: · THEWORK WASO WASNOTD Inspected in accordance with the requirements of the DSA/0SHPD/PROJECT approved documents. MATERIAL SAMPLING WASD WAS NOTO N/AD Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District 02' -~2- D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD 0 NOE SHOP SPECS: YD ND D CEILING WIRE 0 _______ 11 0 _______ 11 0 _______ 11 APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: (' - \ Corporate: ~~ 2992 E. La Palma Ave. Ste. A :i....,.., Anaheim, CA 92806 I 111 i (~ Tel: 714.632.2999 if ML\% Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial Count(_-( 7313 Carroll Rd·. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: aS l C :f\ ~ 4 Permit# ~~:;f]Za~~s~x Report# _!d_ PG ___ l _ DF -2-_ . DAILY INSPECTION REPORT DSA/CITY File #:.__:_N---=..v_-t<l_c_ _______ _ DSA/OSHPD APPL #:_N_f/{q _____ _ DsA/LEA#: _.,_t--t_oe_q_.__ ___ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACK FILL DSA/OSHPD/PROJECT: D BATCH PLANT D PT CONCRETE D SHOTCRETE ~ CONCRETE AVAILABLE: TRAVEL TIME SUB CONTRACTOR i\ ADDRESS OF PROJECT D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDESHOP SPECS: Y ND D CEILING WIRE D ______ _ O ______ _ 0 _______ 11 APPROVED DOCUMENTS: APPROVED PLANS Y ~ N D SOIL REPORT Y' ND APPROVED SHOP DRAWING YD ND THE WORK WAS~ WAS NOTO Inspected in accordalice with the requirements of the DSA/OSHPD/PROJ~CT approved documents. MATERIAL SAMPLING WAS~ WAS NOT D N/A D Performed ih accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District S\--ID THE WORK INSPECTED MET THE requirements of the DSA/ Samples taken:._:lL..!,,~----"-'-~....£___!...=..=-.,,,.,---..~,:µ..L.!!=-=L..J.-- Weather:.:::,,::Si~,!,.11;~~-........ "7- Print Name Certification, ~ -~<{) Verified by: ,, .,../ ~ , Corporate 2992 E. La Palma ve: ;:,Le. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491 .2990 San Diego/Imperial Gou( .--- . 7313 Carroll Rd. Ste. G · · · San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DAILY INSPECTION REPORT CONTINUED i-(-PAGE "Z_OF '"Z-- Corporate: c·. 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 /,\ AL11i~ www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial Count( 7313 Carroll Rd. Ste. G San Oiego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: ~a_ s I o l\. a 4 111 ~ -~Q,.-1··°'~/l::·C!'.'.?. Permit# L..,~...::.;.;~;;.;:.L~;;;z; Report# .3 PG _1_ DF A DAILY INSPECTION REPORT DSA/CITY File#: N t·e,d _....;.__ ______ _ DSA/OSHPD APPL#: NV -Cd -..,.------- D SA I LEA #: ['\ f vd ---------- Special Inspection Reports must be distributed to the parties:listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shalLbe prepared for each type of spec1al inspection, on a daily basis. Each report.shall be completed and signed by the special inspector conducting the inspection. TRAVEL TIME LUNCHTIME SUB'CONTRACTOR D MASONRY D CEILING WIRE tJ HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD O ______ _ o ______ _ D SHOPWELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: APPROVED PLANS Y 9'-N D SOIL REPORT YVJ ND SPECS: Y~ NO APPROVED SHOP DRAWING Y gi ND APPROVED DOCUMENTS: STRUCTURAL-NOTES, DETAIL, OR RFIS USED: C:::. ~ <,J\....) ~\ THE WORK WAS~ WAS NOTO Inspected in accordJ;°ce witli the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS~ WAS NOT D N/A D Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District . Signature of Special Inspector a~\~~'lr Pr~~nti Ce~fic,J;onl XO~~ Verified by: --=~ 7 Corporate ( ; · - 2992 E. La Palma Ave. ;:,Le. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 ,.-- San Diego/Imperial Com{ 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 REPORT NO: ·3 Inland Empire 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 PAGE_LOF~ PROE~!~~\ °'-\.J~~~Ll) .. ~~ S1 ~-L\.\,f.),. ADf&f?s,, %~RO~~ fl""~ A.ue.,,. <2.a. ~1~bQ~ MTGL PRJ NO. f\ , y IPEC.~o.b( l q 4,.5' DSA/CITY FILE# IDSA/OSHPIYAPPL # ~SiO O> s. L\\1\.--e.., R / l c.lcS~ {<..\f\.~l,°D~ CA.:< -~ l(, ' CtV'\.P c{J/ \ ~\~Cl>. kf\~\...u'V"I & -~ (:)(>-\ S, L\"'~ A ~ ) I .3 ~ L--=--n, L l'\ C"J\l ~-i\ c:--.. ~ i L . -. ~~~c., ~1\ Q..; cs€\\ o-Y S GO\\C'.l-' ~ ~ ies 1 C,.\.ll '11 Ab..~f"Q, I .. -4' -A -~~4 Af$~/J f/, / ?1 ct:?' &t?':?dh.e:3-£ -/ Signature --Date of Report Certification Number > Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 £. www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial Coun(- 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: "2., ~ i O -A O 4 . DAILY INSPECTION REPORT DSA/CITY File #:~N-~_f_,c\'------- I -r.:::..t .. ~::_,iS.(b~,;z-, P. ·t # c..,:,o.-~--1-..,,\" ,, . .;:, erm1 i.. • . . ., DSA/OSHPD APPL #:_t")\-·_e,_e£~\ ___ _ Report# '2 PG _L DF '2_ DSA/LEA#: iJ ero(\ --~------- TIME DEPARTED s '. a('J) TRAVEL TIME LUNCH TIME SUB CONTRACTOR \ j _ (\ ADDRESS OF PROJECT ~OS'\. Sip°'-~ TYPE OF INSPECTION 0 ENGINEERED FILL D FOUNDATION D BACK FILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD AVAILABLE: SOIL REPORT Y'!i\ ND APPROVED PLANS Y~ ND STRUCTURAL NOTES, DETAIL, DR RFIS USED: .. . . SC,~ cc) -S , -(')~::2 . D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDESHOP SPECS: Y J<J ND APPROVED SHOP DRAWING Y'fJ REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WQRK WAS~ WAS NOT D D CEILING WIRE O ______ _ o ______ _ O _______ ,, NO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. THE WORK INSPECTED MET txJ THE requirements of the DSA/OSI Samples taken:_!_/~iif_,~1:L~:_cX;k'2f;!J.~~~U~Yi!.~~..} MATERIAL SAMPLING WAS (i WAS NOT D NIA D Weather:_.,,,'-'9~.?"l~-;,--.,, Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District Corporate ( \ 2992 E. La Palma Ave. \:,,c. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Cou(--- 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DAILY INSPECTION REPORT CONTINUED REPORT NO: ~ PAGE '2-OF '2-._ -~. 4 I ) /e,1 C)<g Signatur Date of Report Certification Number C\,,~\s-+~ • .-G,C\..ll ~>f) Print Name 1:2~ ,{;f1i1fit1'a Corporate: ( ... 2992 E. La Palma Ave. Ste. A .Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 /0, .. ,.,,,•..,;;_.., www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial Coun( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: ··c,. S I O f\ C 4 Permit#_C,_$-"·,~"'_.0:=·-d~: -~zn_ft_·:~~· ~~~~-__ Report#_l_ PG ___ I_ OF_~\ __ DAILY INSPECTION REPORT DSNCITY File #:---'-f'....o'(i_'(,....od,_____ ____ _ DSNOSHPD APPL#: flute\ -------- D SA /LEA#: \I\/ ed ---------- Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be complet~d and signed by the special inspector conducting the inspection. 4~ 1s-ci TIME DEPARTED / "'<._ ~ ~ LUNCHTIME SUB CONTRACTOR ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL D FOUNDATION D BATCH PLANT 0 PT CONCRETE 0 SHOTCRETE l1). CONCRETE D HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD 0 _______ 11 0 _______ 11 D BACK FILL D SHOPWELD D NOE SHOP O ______ _ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ND SPECS: Y.!} ND APPROVED SHOP DRAWING Y ~ N 0 APPROVED DOCUMENTS: APPROVED PLANS Y ll\ NO CONTRACTORS EQUIPMENT/ MANPOWER USED: ARE/I, GRID LINES, PIECES INSPECTED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: s O .__ THEWORK WAS~ WAS NOTO Inspected in accordance with the requirements of the-D£Ai'061 IP0/PROJECT approved documents. ' ·- MATERIAL SAMPLING WAS D WAS NOTO N/A D Performed in accordance with DSNOSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner THE WORK INSPECTED ME"U(i DID NOT MEET 0 THE requirements of the DSNOSHPD/PROJECT approved documents. Samples taken: N (:,De, Weather:-=O::...\>,.,..,,,"'-'-~~~-...,.. · Sig ure of Special Inspector c..h\"\s::t~ h~ Ckl\uf Print Name Certification#: 0~t0~"2... '3 ... ~~ Verified g ~ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg,2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: need NEED 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE 1960 LA COSTA A VE Client: DUDEK & ASSOCIATES A Set No.: 8-01024 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/30/2008 6X 12 28.27 7 4/30/2008 6X 12 28.27 28 5/'.Zl/2008 6X 12 28.27 28 5/21/2008 6X12 ~8.27 28H 5/21/2008 6X12 28.27 - Specified Strength:--5;~SI Sampled By: JESSE RANDOLPH Location: PILElf@GRID LINE 4.6, WEST OF GRID LINE B Concrete Supplier: PALO MAR TRANSIT MIX , Mix No.: 355017 Ticket No.: 259298 Water added at Site: ___ CeJ!!ell_t Type: II Remarks: gal. By Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. _ 7240PSI CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 163,680 5,790 Cone 156,350 5,530 Shear 104,940 7,250 Shear 204,100 7,220 Shear ASTM Cl 72 Date Sampled: 4/23/2008 Date Received: 4/24/2008 Concrete Temp: 76 Ambient Temp: 72 °๮F ASTM C1064 °๮F ASTM C1064 Slump: 6.00 in. ASTM C143 Tested at: San Diego . Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: (_ .. ~·. 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999. Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Count( 7313 Carroll Rd. Ste. G Sari Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: Zt;/IJ-./4 lf Permit# (~&7¥tJ!lQ£.9:i.T Report# __ PG __ DF __ -~-- DAILY INSPECTION REPORT DSA/CITY File#: N 6f.Q -~------- TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACK FILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: D BATC PLANT D PT CONCRETE D SHOTCRETF D CONCRETE AVAILABLE: APPROVED PLANS YD ND D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD SOIL REPORT YD ND D SA/OS HP D APPL#: l",.l eJfd ---,------- D SA/ LEA#: __ N_t_e-'q _____ _ D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDE SHOP SPECS: YD ND APPROVED SHOP DRAWING YD D CEILING WIRE o ______ _ 0 _______ 11 D ______ _ ND REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS D WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A D Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department bSA Regional Office Owner School District (- Corporate: _ -. 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 San Diego/Imperial Count( ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DAILY INSPECTION REPORT DSA/CITY File #:--=....N_t,.,,_{,ct--"----,------ DSA/OSHPD APPL #:_N_OCcl _____ _ DSA/ LEA#: ___,_N_f/vq_...,__ _____ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TRAVEL TIME SUB CONTRACTOR ADDRESS OF PROJECT TYPE OF INSPECTION 0 BATCH PLANT D MASONRY D FIREPROOFING D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D FOUNDATION -0 SHOTCRETE D WELDING D NDE FIELD D BACK fill ~ CONCRETE D SHOPWELD D NDESHOP DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y llj:l ND SPECS: Y NO APPROVED DOCUMENTS: APPROVED PLANS Y ~ ND APPROVED SHOP DRAWING YD THE WORK WAS~ WAS NOT D . Inspected in accordaice with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS~ WAS NOTO N/A D Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District S\-lD Print Name Certification# ~r.. -~<b Venf,ed by: , -/ D CEILING WIRE D D D NO r: .. ·-Corporate 2992 E. La Palma ve\,te. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Cou( _,.,.-- . 7313 Carroll Rd. Ste. G · · San Diego, CA 92121 Tel: 858;537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: .714.632.297 4 ~ www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial CountC ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: ~~ S I O I\ D 4 Permit# t'(!t~;Gr~::r:rir:-6:§: Report# ..3 PG_{_ DF A DAILY INSPECTION REPORT DSA/CITY File#: N e_,e,d --------- D SA/OS HP D APPL#: N V -Cd -~------ D SA I LEA #: [\,\ 0 vd ---------- Special Inspection Reports must be.distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TRAVEL TIME LUNCH TIME SUB CONTRACTOR D MASONRY D CEILING WIRE D BATCH PLANT D PT CONCRETE D SHOTCRETE D HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D ______ _ D ______ _ CONCRETE D SHOPWELD D NDESHOP D ______ _ DSA/OSHPD/PROJECT: AVAILABLE: APPROVED PLANS Y ~ N D SOIL REPORT ~ ND SPECS: Y.®] ND APPROVED SHOP DRAWING Y ~ ND APPROVED DOCUMENTS: STRUCTURA~ NOTES, DETAIL, OR RFIS USED: SC THE WORK WAS~ WAS NOTO Inspected in accordalice with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS~ WAS NOT D N/A D Performed in accordance with D~A/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District §;\i Signature of Special Inspector c..bi\S ~QI' Pr~~l\ ~ Certification# 0$~~')r Verified by:_~,4~'-::.-11'='-~~'""'~"V--'--~-----------.l Corporate r· ~ .. 2992 E. La Palma Ave.''0ce. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Cou(. 7313 Carroll Rd. Ste. G · San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DAILY INSPECTION REPORT CONTINUED REPORT NO: ·3 PAGE LoF~ PROECTNAME -~-:1 lJ ~ ,~ S'1~ 1 ilh!'.'\. .e.u t:!n. i..'\ 0..... ~ e., -~ , • " ADfc~{1s,.ogRor:~ (lf'\~ t\.iJ<Q...,. Q.c.~\-:::;ba_~ MTGL PRJ NO. f\ 4 IPERM~O. Qi. \ DSA/CITY FILE# IDSA/OSHPIYAPPL # ?-SiO · 0:>. lli b:l t .. -(;p-~ -~' -. ~ ''.,;. ,_,,.. -_,,;, ... _._..._ s. L\""~ R / l oJ."<S~ {<...11\.~cD~ CA.~ ~ l(, ~ c\11'.P r{_,/ \ a....\~t:)) K 1\. ~ '-')Y\ & _9 C>~ s:, L\'V\,e, A '"-s; J I .3 °" t~c",. L-n ~q.)1\ ~:':'( I {_ . -. \'1'\~~ ~1\ Q_., cs.di o\! 5 00"0~<rl'Q..., -tes 1 o.ul ', ""~~1f"Q, I ... d" A - ~~~4,J~/X/; ~/?1cJ? &?'?~6'Z:5-£/7 --/ Signature -/ Date of Report Certification Number Corporate: (. :· 2992 E. La Palma Ave. Ste~A Anaheim, CA 92806 San Diego/Imperial Coun( 7313 Carroll Rd. Ste. G ( Inland Empire: Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 MTGL Project#: "2,.. "5 j O -A O 4 ~,··r.::,,~'"' . ..-s-/4~1,c.· ,.-:-,~ "'I. Permit# i;:::.l'l.::>'""E)-t~ ~"·\ Q::1-~- Report #· _'2-PG _L OF '2,_ San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #:~N_e_eg_,__ ____ _ DSA/OSHPD APPL #:_t,l._·_e/_{(~l ___ _ DSA I LEA#: \J t--vQ --~------- Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL D BATCH PLANT D PT CONCRETE D SHOTCRETE ~ CONCRETE AVAILABLE: SUB CONTRACTOR C:.cs' l sbQ..&_ ADDRESS OF PROJECT D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD 'f\Tir: D FIREPROOFING D ANCHOR/DOWEL 0 NDE FIELD D NDE SHOP TIME DEPARTED 5 ', r:::f:J:> LUNCHTIME D CEILING WIRE D ______ _ 0 _______ 11 D _______ II DSA/OSHPD/PROJECT: AP.PROVED DOCUMENTS: APPROVED PLANS Y~ N D SOIL REPORT Y'!j:l ND SPECS: Y}(J ND APPROVED SHOP DRAWING Y'Jl ND STRUCTURAL NOTES, DETAIL, OR RFIS USED: sc~cc) -s ~e,~";2. Ri:;WORK AS PERCENT OF ALL WORK TODAY: THEWORK WAS~ WASNQTD Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS (l WAS NOT D NIA D Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ THE requirements of the DSA/cfSI Samples take,l]_;n:_!_/~'f--_&,:r__::z_::__t~'/DJ_~~~'bl~'if.!.L{fj~J Weather:__._.~~.p<,;f----=--,/ Corporate ( · t 2992 E. La Palma Ave:cnt:J. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.63·2.2974 Dispatch: 800.491.2990 San Diego/Imperial Cou(·- 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DAILY INSPECTION REPORT CONTINUED REPORT NO: ~ PAGE a_ OF '2._ AODafSJ, OF PROJECT .. \ '-\.LP. (:;) '\_. DSA/CITY Fl LE # OSA/OSH D APPL# e.' 4 I l &1 Dg Signatur Date of Report Certification Number C\---i"\s+•~.-G,~( l <-<fl Print Name Corporate: C. 2992 E. La Palma Ave. Ste. A Anaheim, GA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial Count( 7313 Carroll Rd. Ste. G San Diego, GA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, GA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 'Z.. S I O f\ D 4 Permit# (S$;;;t)q;-pClt?''$ Report#~ PG _I_ DF _ _,\ __ DAILY INSPECTION REPORT DSA/CITY File #:.~f'_,'{J'-'(,-'d'-------- DSA/OSHPD APPL#: f\ i/(,c\ -------- 0 SA /LEA #: fl ered ____c_ _ __c ______ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED I "<.. ~ eC) LUNCH TIME SUB CONTRACTOR ADDRESS OF PROJECT D MASONRY 0 FIREPROOFING O CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL 0 FOUNDATION 0 BATCH PLANT 0 PT CONCRETE 0 SHOTCRETE i.& CONCRETE 0 HIGH STRENGTH BOLTING 0 WELDING 0 ANCHOR/DOWEL O _______ 11 0 NOE FIELD D _______ 11 D BACK FILL 0 SHOPWELD 0 NOE SHOP O ______ _ DSA/OSHPD/PROJECT: AVAILABLE: APPROVED PLANS Y ~ NO . SOIL REPORT Y ~ N 0 SPECS: Y jJ N 0 APPROVED SHOP DRAWING Y ~ N 0 APPROYED· DOCUMENTS: 'CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: 'S O ..., REWORK AS PERCENT OF ALL: WOR THE WORK WAS t)1l WAS NOT 0 Inspected in accordance with the requirements of the 9£Ar8SI lf'0/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOTO N/A 0 Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner THE WORK INSPECTED MEi:i(I DID NOT MEETO THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: N e:.oe Weather: . ....:C:::..\l=~=~~-= Sig ure of Special Inspector Cb.~ \s:!~ h-a,y 04J\\A:f Print Name Certification#: 0~t0~ "2.. 3 ... ~~ VerifiedQ ~,d Corporate: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCREIBASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: need Permit No.: NEED Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA W ASIBWATER DIST. SIIB IMPROVE ' ~--~-~~-~ Client: DUDEK & ASSOCIAIBS A · · · Set No.: 8-02060 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 5/23/2008 6X 12 28.27 14 5/30/2008 6X12 28.27 28 6/13/2008 6_X12 28.27 28 6/13/2008 6X 12 28.27 28H 6/13/2008 6X12 28.27 Specified Strength: 4,500 PSI SaQJ.pled By: SCOTT VA WSER Location: ELEV ATOR PIT SLAB/GRADE BEAM BUILDING 100 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 55445 Water added at Site: gal. By Cement Type: MixTime: 35 Remarks: Distribution: DUDEK & ASSOCIAIBS CITYOF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 5080PSI c, -~'19.601:'%:GQS~.E=:1 CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 99,270 3,510 Shear 111,380 3,940 Shear 142,540 5,040 Shear 144,440 5,110 Shear ASTM C172 Date Sampled: 5/16/2008 Date Received: 5/19/2008 Concrete Temp: 80 Ambient Temp: °๩F ASTM C1064 °๩F ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A (_ ~-_ Corporate: , 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial Countr · ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 25'/0 ".r/1)'-f Permit# f'{;;B"'((;f+~t~/;p_:J:>_~l DAILY INSPECTION REPORT DSA/CITY File#: ~!t(Q --~------ D SA/OS HP D APPL#: N:C,t'.(} -------- D SA/ LEA#: __ t.J_'fJ_,(l\ _____ _ Report# __ PG __ OF ___ _ Special Inspection Reports must be distributed to the parties listed below within 14 day~ of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL tJ FOUNDATION D BACKFILL DSA/OSHPD/PROJECT: D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: DATE E_f '7 2. D,·~.70 TIME ARRIVED TIME D ARTED D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD SOIL REPORT YD ND D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NOE SHOP SPECS: YO ND oo D CEILING WIRE o ______ _ o ______ _ 0 _______ 11 APPROVED DOCUMENTS: APPROVED PLANS YD ND APPROVED SHOP DRAWING YO ND THE WORK WAS.D WAS NOTq Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. (VIATERIAL SAMPLING WAS D WAS NOT D N/A 0 Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner Print Nam c,rtm~ :!lb~'< $ .D. Venf1ed b ·~-- Corporate C 2992 E La. Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL PROJECT#: 2510A04 Pennit# ______ _ Report#_ Page 1 of l San Diegonmperial County 7313 Carroll Rd., Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch, 888.844.5060 DAILY INSPECTION REPORT ( inland Empire 14467 Meridian Pkwy., Bldg 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File# \~ 4\. DSA/OSHPD Appl. # N ( (\ DSA/LEA # ~l{t; Special Inspection Reports must be distributed to the parties listed below within 14 days·of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special Inspection on a dally ~Is. Each report sh.all be completed and signed by the special inspector conducting the insnection. PROJECT NAME: Lucadia Waste Water SitEl Improvement Date: 6-13-08 ARCHITECT TIME ARRIVED c:!f; 3 O TIME DEPARTED /'...JO ENGINEER TRAVEL TIME .5 LUNCHTIME0 CONTRACTOR Jaynes SUB CONTRACTOR Concrete Building Systems INSPECTION ADDRESS same ADDR~-~~ rF.i:>RQ~l;:CT a, "."l. J 960·la/Gosta\:Av.e)1Carlsoad, TYPEOF INSPECTION 0 BATCH PLANT OMASONRY .. 0 FIREPROOFING 0 CEILING WIRE D ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING 0 ANCHOR/DOWEL o_ 0 FOUNDATION 0SHOTCRETE 0WELDING 0 NDEFIELD o_ 0 BACKFILL 181 CONCRETE 0SHOPWELD 0 NDESHOP D DSA/QSHPD PROJECT APPROVED DOCUMENTS I AVAILABLE APPROVED PLANS Y 181 N 0 I SOIL REPORT Y 181 N O I SPECS: Y 181 N O APPROVED SHOP DRAWING Y 181 N 0 MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIALTEST REPORTS): Superior 4500 PSI mix #8375P -~.,,,--....__ --CONTRACTORS EQUIPMENT/MANPOWER USED: f -y \ ( ~ 0"1 ( 9f> S / AREA, GRID LINES; .PIECES INSPECTED: '-\.. .A... .A B'Qilcliiig"f00;-Elevator pit slab expansion and pit walls ·.">. l STRUCTURAL NOTES, DETAIL OR RFIS USED: approved plans and details and RFI # 101 REMARKS, INCLUDING MEETINGS: Onsite to observe the placement and vibratory consolidation of todays concrete pour at the above location.Prior to the pour varified rebar cleacence and cover. Superior sup lied 3.5yards of the above 4500 PSI mix truck# 219.ticket #11867 4, slump of 3-1/4". placed by three Jaynes laborers. David Goins, Project Quality Control Mang. waived the collection of compression samples from todays pour. REWORK AS PERCENT OF ALL WORK TODAY, I PERCENT PROJECT COMPLETE: THE WORK WAS 12S1 WAS NOT LJ Inspected. in accordance with the requirements of the DSA/OSPHD Project approved documents. MATERIAL SAMPLING WAS O WAS NOTO NIA 181 Performed in accordance with DSA/OSPHD Project approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Builqing Department Owner THE WORK INSPECTED MET 181 DID NOT MEET LJ The requirements of the DSA/OSPHD Project approved documents. Samples taken: Weather: ----------------Temp: Signature of Special Inspector Josh Cooper Prmt Name Certification #:5~9 / SD# 1012 Verified~~. Corporate C 2992 E La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL PROJECT#: 2510A04 Permit# ______ _ Report#_ Page 1 of 1 San-.Diegollmperial County 7313 Carroll Rd., Ste. G San piego, CA 92121 Tel; 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT ( Inland Empire 14467 Meridian Pkwy., Bldg 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File# N/f DSA/OSHPD Appl.# N:(J\. DSA/LEA # Mt{\. Special Inspection Reports must be distributed to the parties fisted below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separaje reports shall be prepared for each type of special inspection on a-daily basis. Each report shall be completed and signed by the special inspector conducting the insnection. PROJECT NAME: Lucadia Waste Water Site Improvement Date: r-S" , 10, o ARCHITECT TIME ARRIVED 1 :30 TIME DEPARTED 3:30 ENGINEER TRAVEL TIME .5 LUNCHTIME0 CONTRACTOR Jaynes SUB CONTRACTOR Concrete Building Systems . INSPECTION ADDRESS same ADDRESS OF PROJECT .. : :"Hte:oit*:c.o:sifAye:~e'ia'ri(Bad TYPE OF INSPECTION D BATCH PLANT OMASONRY 0 FIREPROOFING 0 CEILING WIRE 0 ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING 0 ANCHOR/DOWEL 181~ 0 FOUNDATION 0SHOTCRETE 0WELDING 0 NDEFIELD o_ . 0 BACKFILL 0CONCRETE 0 SHOP WELD 0 NDESHOP D DSA/OSHPD PROJECT I AVAILABLEAPPROVED I SOIL REPORT Y 181 N D I SPECS: Y 181 N D APPROVED DOCUMENTS PLANS Y 181 N 0 APPROVED SHOP DRAWING Y 181 N 0 MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): Simoson SET 22 eooxv exo. 01/2010 CONTRACTORS EQUIPMENT/MANPOWER USED: ~~ I £-6 0"1 l '1b'S°"' ) AREA, GRID LINES, PIECES INSPECTED: I ______., I ,. A (§.i1ilamg::mo;~Ele.itator pit slab expansion - STRUCTURAL NOTES, DETAIL OR RFIS USED: approved plans and details and RFI # 101 REMARKS, INCLUDING MEETINGS: Obseived the epoxy instalation of (14) 5/8" bolts at the above mentioned location for the repair to the elevator pit slab as per RFI #101.1 inspected the holes to confirm they all were drilled with a 3/4" bit to a minimum embedment of6'. All the holes were brushed and blown clean prior to installing the 5/8"X12" headed bolts. The above epoxy'was used for the instalation. REWORK AS PERCENT OF ALL WORK TODAY: I PERCENT PROJECT COMPLETE: THE WORK WAS 181 WAS NOT U Inspected in accordance with the requirements of the DSA/OSPHD Project approved dQcuments. MATERIAL SAMPLING WAS O WAS NOTO N/A 181 Performed in accordance with DSA/OSPHD Project approved documents. cc Project.Architect Structural Engineer DSA Regional Office School District Contractor E3uilding Department owner -THE WORK INSPECTED MET 12S1 DID NOT Ml;ET 0 The requirements of the OSA/OSPHD Project approved documents. Samples taken: ----------------We a the r: Temp: Signature of Special Inspector Josh Cooper Pnnt Name CertificQ269064-49 / SDJ 1012 Verified~,2l ~ . ·-,,, L?f :~ I 1~lii., www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Coun( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2S 10 -Ao:4 _ Permit# __________ _ DAILY INSPECTION REPORT DSA/CITY File #: \'J { 'f-----'--'-------- DSA/OSHPD APPL#: \\-1 (t ---'---'------- DSA I LEA#: ---'-{'\_\ ,_,_l-f\ ______ _ Report# __ PG __ OF ___ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. DATE ARCHITECT TIME ARRIVED 0·:00 TIME DEPARTED ;s :oo f'. iV\ • ENGINEER TRAVEL TIME . ' ,0 LUNCH TIME SUB CONTRACTOR D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD 0 _______ 11 0 _______ 11 D BACK FILL q SHOP WELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD ND MATERIALS USED BY CONTRACTOR (INCLU~ RESEARCH REPQRT NO. OR MATERIAL TEST REPORTS): 1-/l\X --D<:::"'! \G-N ~ 7~ -:$DD 'Rs" CONTRACTORS EQUIPMENT/ MANPOWER USED: 13'b1> \/ g STRUCTURAL NOTES, DETAIL, OR RFIS USED: 1 S -10 THE WORK WAS0 WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS~ WAS NOT D N/A D Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND 1¼1V PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET /2( DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:--,----------,-------- Weather: S _ _,J_\~a-~f _____ _ Print Name CertifiQa 1 Verified by.~ =J.d Corporate: r-,, ( i 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 (' San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 62. 5/fJ.AtJ -f Permit # C6 0 7-f{f!i;5 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report#___ PG __ DF ___ _ DSA/LEA#: _________ _ Special Inspection Reports mustbe distributed·to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. ENGINEER TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL DSA/OSHPD/PROJECT: . APPROVED DOCUMENTS: REMARKS, INCLUDING MEETINGS:- D BATCH PLANT 0 PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLANS Y~ D REWORK AS PERCENT OF ALL WORK TODAY: DATE SUB CONTRACTOR ADDRESS OF PROJECT ft&MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOP WELD SOIL REPORT YD ND -C',..,.;s; . fj o) D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDESHOP SPECS: YD ND APPROVED SHOP DRAWING YD PERCENT PROJECT COMPLETE: D CEILING WIRE D ______ _ D ______ _ o ______ _ ND THE WORK WASft(WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PR0JECT approved documents. MATERIAL SAMPLING. WASl( WAS NOT D N/A D Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner Signature of ecial Inspector A{k"t:4L kl cv'k( · ~ !;rint Name Certification#: __,~="-r--'-"""~'""'r&""------------- Verified by: __________________ _ ' ' Jaynes Request for Information #453 Leucadia Wastewater g_istrictSite Improvement ~~·~~osm:~-.:-:::J Carlsoad, CA 92009 Project# SGOS-017 Tel: (760)635~8664 Jaynes Corporation of California Fax: (760) 635-5964 RFI #: 453 mportance: orma Date Created: 03/30/2009 DUDEK Engineering & Environmental Eric Honour-Construction Man~g 1645 S. Rancho Santa Fe Road Fax: (760) 744-4570 Suite 201 · San Marcos, C,A 92078 ;Author Conipariy _ Lawrie & Company, Inc. 9520 Candida Street San Diego, CA 92126-4540 · .· . A~ttioJ'!~)3y, Bob Ordway Fax: (858) 578-0753 ;stibjei:T _--·. , . .,·· .. ·-... :··· -_ ··---=~~--~~-= .. --~-~ DISciptiii'e ·--~-:~--. ·_---~ ·. ~---C~teQofr . Ceiling framing at rotunda Architectural Field Condition .. -.. _....._Contact t{,me-: · _ ___ _ Copies ~-. -.... ----- Fax: LC\'!!Sti!>!': .. ~-==---· _______ :__,, . ., ····----~~-·---· ----~---···-··------, ----=-:-=~ _ . : _, ---'bjit~~Requlr,e_d~~-04j06/2Q!)9_:, At the rotunda ceiling we installed 20 ga. 3.5" studs for ceiling framing in lieu of the 7/8" hat channel shown on 15, AD-202. Is this acceptable? Yes, this is acceptable so long as no .studs are spaced further than 16" on center. Prolog Manager Printed on: 3/30/2009 Jaynes_Corporation 03-30-09 Joe Mansfield RNT Architects Page1 ' Jaynes Request for Information #452 Leucadia Wastewater District Site Improvement 1960 La Costa Ave. Project # $G08-017 Tel: (760) 635-8664 Jaynes Corporation of California Fax: (760) 635-5964 Carlsbad, CA 92009 RFI #: 452 mportance: orma Date Created: 03/30/2009 Dudek & Associates Fax: Team-C Construction, Inc. 1208 N. 2nd Street El Cajon, CA 92021 : Author RFI Number 1---···---··--· .. " ...... •'• .. _ ..... _Authtir8-c! ~Y. Alan Sehlhorst Fax: 619-579-6592 !'§.li~le.c.t__, ______ ..... -.. ~~~-.. ·:.~ .. ~-... ~-~~ "·· _-l;)!~cJetine __ --"' _-· --~---:· ·. categ~ry> Rebar at the equipment pad. Civil Drawing Clarification Lqc: Company)'~me .. .-... ~--, ..... ~ ..... Conta¢tNan_:ie •• :-........ ~c-~pies ... Fax: Please c<;>rifirm that the rebar in the equipment pad slab is #3's at 18" both ways. r' ,...,., . .,,----·-----~---r:A.rt.swei: ', ' ·--'.. . . . . ..... . -~ . . ... ' --···· --··-'---~--' --.... __ ·-- Confirmed. Paving at this area is defined by the general site paving designation referencing detail 20/AS-401. Note that incorporated into these areas are the equipment pads for the HVAC equipmerit which are be reinforced per 12/S0-003. PrologManager Printed on: 3/3CJIZ009 Jayiles_Corporalion 03-30-09 Joe Mansfield RNT Architects Page1 www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 257r.J-A:Oi/ ----···-~\ Permit #Cc..M::-;-l?G:<:··,-' DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#:. _______ _ Report # __ PG _L_ l'JF..,.-,,2=----DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be· prepared for each type of special: rnspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. SUB CONTRACTOR H. ~-c_ ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDING D SHOPWELD D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NDESHOP o ______ _ O _______ ., 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y}l§ N D APPROVED DOCUMENTS: APPROVED PLANS Y~ ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS'fjf;WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIALSAMPLING WAS D WAS NOT D N/A cyt° Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED ME~ DID NOTMEETD THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: ....Vo;1LE Weather: ~ Temp:~A/t'~=CG=~~------ ~-= ~ Signature ~spector Ip A-,,,.,! a C-/&, 1'26,,t2.c:Jo Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 ( (- San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2QO --+ ef Permit#C-C/~t,?d;, ~9 Report# __ PG __2_ ;DF_:}_ ___ _ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports_ shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED LUNCHTIME D MASONRY D CEILING WIRE D HIGH STRENGTH BOLTING 15i.1WELDING D FIREPROOFING D ANCHOR/DOWEL 0 NDE FIELD D ______ _ D ______ _ Ll SHOP WELD D NDESHOP 0 _______ 11 SOIL REPORT YD ND SPECS: Y~ ND REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A ~ Performed in accordance with DSA/OSHPD/PROJEC1 approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET j5r DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:---""A'--"~""":.-v.~'E=--------------- Weather: Cl~ Temp:_A..17 __ ~=·=-------- ~ -~ / Sig atureofSpecia1 Inspector f/4-r...J Cer~-do Print Name Certific~ -l/.o.212:zf_EJC,'$'/ Verified~ti;:;J:p,,9-V//~.r:. 4 www.mtglino.oom Corporate: 2992 E. la Palma Ave. ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491 ;2990 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537 .3990 Dispatch: 888.844.5080 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: 2.£11/1 -df:i!?'i Permit# ~-i,'/c-..r.:-:1 DAILY INSPECTION REPORT DSA/CliYFile #:_~------- DSA/OSHPD APPL#:, ______ _ Report# __ PG_L__ DF _ _.I __ DSA/LEAII: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. ~eparate reports shall be pre~red for each type of special inspection, on a daily basis. !:ach report shall ne completed and signed by tne special i('lspector conducting the inspection. PROJECT NAM~ . Ut:te;; t; MASONRY D CfJLINGWIRE TYPEOF INSPECTION Cl ENGINEERED FILL 0 FOUNDATION 0 BATCH PLANT LJ PT CONCRETE D SH0TCRETE 0 CONCRETE r::J HIGH STRENGTH BOLTING ~WELDING 0 FIREPROOFING D ANCHOR/DOWEL D NOE FIELD 0------~H n _______ n D BACKFILL tJ SHOPWELD 0 NDESH0P 0 QSNOSHPD/PROJECT; APPROVED DOCUMENTS: AVAILABLE: SOIL F\EPORT YO ND SPECS: YJI NO APPROVED PLANS Y rJ' N 0 REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS'tJ WAS NOTO . · Inspected in accordance with the reQufrements of the OSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOTO N/A)t Performed in aooordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Enaineer Buildino Department 0SA Regional Office Owner School District APPROVED SHOP DRAWING Y n N r::J ,. Pl:RCENT PROJECT COMPLETE: THE WORK.INSPECTED METiZJ: DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:_..~=a..a;.;:::=...-------------- Weather: t:16-M Temp:__...M"""'~ .... <;;.,,.;4.., ... _____ _ ~=~ · SilYlrat~ec:ial Inspector IV A-:& C4'&::J'A-}26-:> Print ame Cerafica~/1:=2~~ Verified~ ~1;1ndlJ6-o-~. www.mtglinc.com Corporate; 2992 E. La Palma Ave, Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax; 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858,537.3990 Dispatch: 888.844.5060 Inland Empire; 14467 Meridian Pkwy,, Bldg. 2·A Riverside, CA 92518 Tel: 951.653.4999 Fax; 951.653.4666 Dispatch: 800.491 .2990 MTGL Project#: 2f'/Q """6d'1, Permit# {l;!:f1.fiFZ.i-f4.·~-J Report# __ PG _j_ 9F -· / DAILY INSPECTION REPORT DSA/ClTY File#: ________ _ DSA/OSHPD APPL#:. ______ _ DSAnEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall ·be prepared for each type of special inspection, on a daily basis, Each report shall be completed and signed by the special inspector conducting the inspection. D MASONRY 0 CEILING WIRE TYP{: OF INSPECTION D ENGINEERED Fill D FOUNDATION 0 BATCH PLANT D PT CONCRETE CJ SHOTCRETE 0 CONCRETE 0 HIGH STRENGTH BOLTING ~WELDING D FIREPROOFING D ANCH0R/00WEL 0 NDEFIELD o _____ _ o _______ 11 0 BACKFILL C SHOPWELD 0 NOE SHOP 0 DSA/OSHPD/PR.DJECT: AVAILABLE:· SOIL REPORT Y C:i N 0 SPECS: YB, NO APPROVED DOCUMENTS; APPROVED PLANS Y ~; N LJ R~WORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS f!' WAS NOT 0 1n$pei;ted in accordance with the requirements of the DSA/0$HPD/PROJECT approved documents. MATERIALSAMPLl~G WASr:::i WASNOTO N/A~ Performed in accordance with DSN0SHPD/PR0JECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET.. DID NOT MEET 0 THE requirements of the 0$A/OSHPD/PROJECT approved documents. Samples taken:.~~:Jl<~E' ______________ _ Weather: ~ Temp:,..:::A.l='""'e,.g: ______ _ . ~ Sign~ial Inspector Print Name Gertifi Verifie~J:;,i:E,v:./ AJtful'dC . www.mtglinc.com Corporate; 2992 E. La Palma Ave. Ste. A Anaheim, CA 92808 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: soo.491.2990 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax; 858.537.3990 Dispatcn; 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951 .653.4666 Dispatch; 800.491.2990 DAILY INSPECTION REPORT DSNCl1Y File#: _______ _ DSA/OSHPD APPL#; ______ _ DSA/LEA#: ________ _ Sp8cial Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliarit conditions must be distributed immediately. S~parate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. CJ MASONRY '.:J f'IREPROOFING n CEILING WIRE 0 HIGH STRENGTH BOLTING tJ ANCHOR/DOWEL D ______ 11 ~ WELDING D NOE FIELD D _____ _ 11-----~------------~-o_s_HO_P_W_E_LD ______ o_NDESH;O~P--=----~D:..=:==========~I AVAILABLE: SOIL REPORT YD NO SPECS: Y ND APPROVED PLANS Y~ NO APPR.OV D SHOP DRAWING YD NC , REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS'r,f WAS NOT 0 Inspected in acoordance with the requiremer1ts of the DSA/OSHPD/PROJECT approved documents. MATERIAI..SAMPLlNG WASO WAS NOTO N!A1'i" Performed in accordance .with DSN0SHP0/PR0JECT approved documents. oc ProjactArohit~ct Contractor Structural Engineer Building Department DSA Regional Office 0.wner School otstrlot PERCENT PROJECT COMPLETE: THE WORK INSPECTED ME~ DID NOT MEET D THE requirements of the DSAIOSHPD/PROJECT approved documents. Samples taken: .....,.,,....., a£ _ . Weather: ,at/!atf4. Temp:,......:M:.=~C:-='•=------- 4tature ~ector / '• corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch; 800.491.2990 ,,.--,,, San Oiego/lmperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537 .3990 Dispatch: 888.844.5060 , ( Inland Em111re: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951 .653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 1$7£? ,.,.;1""/c it.f r-7:&>--~,,,,;;;--·, Permit ~~re ... f.-7 r--J Report# ·-PG~ Pf_2_ __ _ DAILY INSPECTION REPORT DSNCITY File#: _______ _ DSNOSHPD APPL#: ______ _ OSA/LEA#: ________ _ Special Inspection Reports must-be distributed to ttle pa.rties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall bo prepared for each type of special-inspection, on a dally basis,.Each report shall be completed and signed oy tne special Inspector conducting the inspection. l'IM6 DEPARTED LUNCH TIM~ TYPE OF INSPECTION D BATCH PLANT O MASONRY O FIREPROOFING O CEILING WIRE O ENGINEERED FILL fJ PT CONCRETE d HIGH STRENGTH BOLTING CJ ANCHOR/DOWEL O ______ 11 D FOUNDATION O SHOTCRETE Oil-WELDING D NDE FIELD n ______ 11 CJ BACKFILL D CONCRETE tl SHOP WELD O NOE SHOP O lt-D-S_N_OS-H-PD_/P_R..,...OJ-EC,,...T-; ---AV-Al,....LABLE; ·.:_ ____ _;:S;,01;:.L ;RE;.,,.PO;R;;T::,.Y=o=--::-:N~o=-----_:;s;.P;;EC::;S:..:;Y:,:,;.-:-N:-:0:----~-=-============tl APPROVED DOCUMENTS: APPR,OVED PLANS Y pt N CJ APPROVED SHOP DRAWING YO N n MATeRIALS USED ·ev CONTRACTOR (INCLUDE f\F,SF.ARCH Fi~PORT NO. OR MA.TERI AL TEST R~PORTS): • REMARKS. /JiCLUDING IIIEETING/1: REWORK AS PERCENT OF ALL WORK TOOAY: THE WORK WAS"fiJ WAS NOT 0 Inspected in accordance with the requirernents of the DSA/OSHPO/PROJECT approved documents. MATERIAL SAMPLINS WAS O WAS NOTO N/A15l' Performed in accordance with DSA/OSHPD/PROJECf approved documents. cc Project Arctiitect Contractor Strvi::turial Engineer Building Department DSA Regional-Office Owner s011001 01str1ct PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET ,tsr DID NOT MEET 0 THE reQolraments of the DSAIOSHPD/PR.OJECT approved documents. Samplestaken:.-~~=a.~"'--------------- Weather: {!,L ~ Temp:--',t,..1,-=-='/--"«f=,:...· _____ _ / ,ii!'.$1g~al Inspector Print Name ::~~~- www.mtglinc.com er Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 C San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 9212:1 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#:. _______ _ Report# __ PG_/_ g__,_/ __ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. D MASONRY D CEILING WIRE TYPEDFi'iiiPectforr· -- D ENGINEERED FILL D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING D FIREPROOFING D ANCHOR/DOWEL 0 NOE FIELD O ______ _ D FOUNDATION !'jlWELDING -0 _______ 11 D BACK FILL D SHOPWELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Yl)i' ND APPROVED DOCUMENTS: APPROVED PLANS Y ~· ND REWORK .AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WASD WAS NOTO N/A~ Performed in-accordance with DSA/OSHPD/PR0JEC1' approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEETD THE requirements of the DSA/6SHPD/PROJECT approved documents. Samples taken: .JA@11.?6' Weather: (]..Li!E:,44 Temp:--=,v=· 4'l""C_..i'~------;J; __ c4> / ~Special Inspector I ///4U CcrMA1212a Print Name certifi"1i~£h// ./1:& 2.o~.:;!Q S' I Verified b~-~~=-......::::::....[Z..,._'---=-------------- www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial County- 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999· Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: 2SJIJ-=4,Q'/ Permit tr-C:'9v:7Etf"{;;{? Report# __ PG_l_ llr_~l __ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/LEA#: ~~-------- Special Inspection Reports must be distributed to the parties listed below within 14 days of the.inspection. Reports otnon-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTiON D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE ~ WELDING D NOE FIELD D D BACK FILL D CONCRETE SHOP WELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Yr ND APPROVED DOCUMENTS: APPROVED PLANS Y"jC N D REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOTO Inspected in accordance with the requirements o'fthe DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A ~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA-Regional Office Owner School District APPROVE SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET)!!! DID NOT MEETD THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: Pt?PE Weather: U&!J4 Temp:_~;t:..,,;~~~46=~~----- k ~ · ~pecial Inspector /vA,:,v 6q.£rAR£>v r Print Name Certlfloatlo~,#:,::,, 3_ ,z~a::> SI Venf1ed by:~ www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 (- San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: U/0-=AO r· Permit#Cclp~ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# __ PG___L_ l'JF_~--DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties·listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall·be prepared for each type of special inspection, on a daily basis. Each report shall .be completed and signed by the special inspector conducting the inspection. D MASONRY D CEILING WIRE D HIGH STRENGTH BOLTING SWELDING D SHOPWELD 0 FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NDESHOP 0 _______ 11 o _______ ,, O ______ _ DSA/DSHPD/PROJECT: AVAILABLE: SOIL REPORT YD N tJ SPECS: YJl ND APPROVED DOCUMENTS: APPROVED PLANS Y'§il N D MATERIALS USED BY PONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORT$): ' ? ' REWORK A$ PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/Ar,( Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED ME~ DID NOT MEET D THE requirements of the DSAIOSHPD/PROJECT approved documents. Samples taken:_,~=----=~e=------------------ Weather: CL ~ Temp:___.,t-/;'-'-_t.e=--=~~------~ ~ Sig tJreOfSpecial Inspector I viA-:,J &-?-ut~ Print Name c,mficationffe.~~,.t 02~0 '7 Vertfted by: 12)..,,,~ ar&o.r_L___L r www.riltglinc.com ~orporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: ~/P-A-i!?'f Permit# (C11.ll7..2~:'lzs---.-~-::_, , - Report#_._ PG _j_ OF~1. __ _ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days ofthe inspection. Reports of non-compliant conditions must be distributed immediately. Separ;,ite reports shall be prepared for each type of special inspection, on a daily basis .. Each report·shall be completed and signed by the special inspector conducting the inspection. PROJl;,CT NAME TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING 0 CEILING WIRE 0 ENGINEERED FILL 0 PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D 0 FOUNDATION D SHOTCRETE ~WELDING 0 NOE FIELD D 0 BACKFILL D CONCRETE 0 SHOPWELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD NO SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YO N 0 HEWORK AS PERCENT OF ALL WOR~ TODAY: THE WORK WAS'fi-WAS NOTO Inspected in accoraance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A ~ Performed in accordance with DSA/OSHPD/PBOJECf approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET D DID NOT MEET D THE requirements of the DSA/0SHPD/PR0JECT approved documents. Samples taken:~44...,...,,,,.?,,q=G,.__ _____________ _ Weather: C/. ~ Temp:__,/2-'=-..... l=C:.""·6-------Z LP . ;.:''°"!ii, S~eclal Inspector Print Name Certifi~Sb.J~'Jc,~';3'/ Verified~()/ P1Hrt'4 &J-/4,/A/) • .. Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.832.2999 1 Fax: 714.632.2974 www.mtgllnc.com Dispatch: 800.491.2990 ,·-· ( San Dh:g0/1,nperlal County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch; 888.$44.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch; 800.491.2990 MTGL Project#: 2s7o ... A{ill:/ _,r-r.11---· ~1,t!!Jt-r~ Permit#~l2 2,.·u,;,,>-< Report#__,. PG___:i_/'Jf-. :l. DAILY INSPECTION REPORT DSNCllY File#: ____ ~---- DSA/0S HPD APPL#: ______ _ OSA/LEA#: ________ _ Special I nspectlon Reports must be distributed to the parties listed below within 14 days of 'the inspection. Reports.of non-compliant conditions must ba distributed immediately. Separate reports shall :be prep~red for each type of special inspection, on a daily basis. Each report shall ·be completed and signed by th~,special inspector conducting the inspection. TIME OEPAR.TEO TRAVEL TIME LUNCHTIME TYPE OF INSPECTION 0 ENGIN~ERED FILL 0 BATCH PL.ANT O MASONRY :J HREPROOFING D CEILING WIRE 0 PT CONCRETE ,, 0 HIGH STRENGTH BOLTING D ANCHOR/DOWEL O _· ______ 11 :J SHOTCRETE ijl WELDING C NOE FIELD D -----P F.OUNDATION 0 BACKFILL 0 CONCRETE ,CJ SHOP WELD D NDE SHOP D AVAILABLE: . :_ __ : SOIL RE;PO~R:;T ;Y-::::O~N o=--___.:~SP,,'.;l:C~S:_:: Y;'.;D~N-:-::C,::,-· __ ___:~:'....===::::=::=:==fl DSA/OSHPD/PROJECT: APPR.OVED DOCUMENTS: APPROVED PLANS YO ND APPROVED SHOP DRAWING Y ;--, N n MATERIALG USCO 9Y CONTRACTOR (INCLUDE FIESEA!\CM REPORT NO. OR MA'rel'IIAL TEST REPORTS): CONTRACTORS EQUIPME~T / MA.NPOWER USEO: I' C ,.. Al'IEA, GRID Ll~ES, PIECES INSPECTED: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT CJ Inspected in ac~cmfance with the requirements of the DS.A/OSHPD/PROJECT approved documents. MATERIALSA.MPLING WASO WAS NOTO N/A~ · Performed in accordance with DSA/OSHPD/PAOJECT approved doouments. cc Project Architect Contractor · Structural Engineer Building Department DSA Regional Office owner School District PERCENT PROJECT COMPLETE: THE WORK INSPECTED METO 010 NOT MEE:1'~ THE requirements of the DSA/0S HPD/PROJECT approved documents. Samples taken: ~t!::' Weather: Cttad,,tl Temp:_,e:~~'l....:~,..;,6"..._ _____ _ ~ure~~, 4 Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2$'-/d'. r.,._,'4ei'/ r-e:;o-~-,a,;; ~-..____ Permit#,.-dfyLu,v: ---::; DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#:. _______ _ Report# __ . PG_/ __ OF __ /,,_· __ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. 0 MASONRY 0 CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL 0 FOUNDATION 0 BATCH PLANT D PT CONCRETE 0 SHOTCRETE 0 CONCRETE 0 HIGH STRENGTH BOLTING JX'WELDING 0 SHOPWELD 0 FIREPROOFING 0 ANCHOR/DOWEL 0 NOE FIELD 0 NOE SHOP 0 _______ 11 0 _______ 11 0 _______ 11 0 BACKFILL DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD N 0 SPECS: Yli( ND APPROVED DOCUMENTS: APPROVED PLANS Y ~ N 0 MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST-REPORTS): Et-22. ' REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS'tJ WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOT D N/A'Pf Performed in accordance with DSA/OSHPD/PR0JECT approved documimts. cc Project Architect Structural Engineer DSA Regionai Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YO N D PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET18 DID NOT MEETO THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:_,,kPtA=-=:....::..:~=-=---------------- Weather: CLtfAA Temp:~M~'/-C;=~~------~ ~ Print Name Certlflca~~/ ~ 2,ef?;[&05J'/ Verified~ _.bd_1,,1rtJ tJ6-o-;N). www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( (- San Diego/Imperial County 7313 Carroll Rd. Ste. G San. Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2SJO '-A-c'l':i ----....... Permit# tC73,p:::;z:p;z'j;;(c: ~-.) Report# __ PG __ j_. DF_,_/ __ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a d1:1ily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACK.FILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLANS Y ~ ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~-WAS NOT D SUB CONTRACTOR M. ADDRESS OF PROJECT D MASONRY D HIGH STRENGTH BOLTING ~WELDING D SHOPWELD SOIL REPORT YD ND D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NDESHOP SPECS: Y~ ND D CEILING WIRE o ______ _ D ______ _ 0 _______ /1 APPROVED SHOP DRAWING YD ND .PERCENT PROJECT COMPLETE: THE'WORK INSPECTED METJ;I DID NOT MEETD Inspected in accordance with the.requirements of the DSA/OSHPD/PROJECT approved documents. THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:.""'M~~=:..:c.=-'---------------- MATERIAL SAMPLING WAS D WAS NOT D N/A txi' Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner Weather: ~ Temp: A..lteC Sign ~ial Inspector hAA-:,tJ /2q,+~ Print Name Certtt1~5=;;:: Verified by:, 4M~ Corporate: Branch, Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-MORTAR ASTM C270 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Client: DUDEK & ASSOCIATES Set No.: 8-02866 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 9/18/2008 2X4 3.14 28 10/9/2008 2X4 3.14 28 10/9/2008 2X4 3.14 28H 10/9/2908 2X4 3.14 Specified Strength: 1,500 PSI Sampled By: MATTMCVAY Location: BUILDING 100 -GRID LINE C / 3.7 Concrete Supplier: Mix No.: Ticket No.: Water added at Site: gal. By CJlP.IJl~t '.fype: . Mix Time:_.. _m_i11 •. Rell)arks: TYPE S MORTOR Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** Load (lbs.) 4,720 o:2:[0:.LA • .COS'.f.A-A:V-E.....J CARLSBAD, CA ~?/ ~~ _Otl_ ~bG )v 0 Strength Type of (psi) Fracture 1,500 NIA ASTM C172 Date Sampled: 9/11/2008 Date Received: 9/15/2008 Concrete Temp: 78 Ambient Temp: 76 °ᆺF ASTM C1064 °ᆺF ASTM C1064 Slump: in. ASTM C143 Tested at: San.Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A Corporate: Branch:' Branch: 2992 E. La Palma A ven"Qe, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: SEEREMARKS Project.No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Client: DUJ)EK & ASSOCIATES " S~t No.: 8-02989 Age Date Nominal (Days) Tested Size 7 10/14/2008 6X 12 7 10/14/2008 6X 12 28 11/4/2008 6XP 28 11/4/2008 6X 12 28H 11/4/2008 6 :Xl2 Actual Area (Sq. Inch) 28.:27 28.27 28.27 28.27 28.27 lJ:26.0XKGUS.T.D.-YE::::1 CARLSBAD, CA t..1c, 0-i t ', ~.t; Load Strength Obs.) (psi) 91,600 3,240 93,340 C:3/Xoo:..-:=7 Type of Fracture Shear Shear Specified Strengt~2.Q_QJ PSI Sampled By: MATT MCVAY ASTM Cl 72 Date Sampled: 10/7/2008 Date Received: 10/8/2008 Location: CAST IN PLACE WALL -SOUTH SIDE, WESTERN MOST CORNER Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6154319 Water added at Site: gal. By Cement Type: Mix Time: Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. Concrete Temp: 79 Ambient Temp: 78 °ᆹF ASTM C1064 °ᆹF ASTM C1064 Slump: 6.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. " Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-GROUT ASTM C1019 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE c1960-J::"A".'~,QSJ:A""."A¥E '7 Client: DUDEK & ASSOCIATES A Set No.: 8-02921 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 1 9130/2008 3X3X6 9.80 28 10121/2008 3X3X6 9.98 28 10121/2008 3X3X6 9.95 28H 10121/2008 3X3X6 9.00 Specified Strength: 2,000 PSI Sampled By: MATTMCVAY Location: BUILDING 100 -3RD LIFT Concrete Supplier: HANSON AGGREGATES Mix No.: 2011501 Ticket No.: Water added at'Site: gal. By Cement Type: Mix Time: Distribution: DUDEK & ASSOCIATES .. m.in. CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** 2530PSI CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 19,260 1,970 NIA 26,500 2,650 NIA . 24,030 2,410 NIA ASTM C172 Date Sampled: 9123/2008 Date Received: 9/24/2008 Concrete Temp: 78 Ambient Temp: 80 °๓F ASTM C1064 °๓F ASTM C1064 Slump: 8.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No,: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADJ~ WASTEWATER DIST. SITE IMPROVE ~A COSTA A.V,E.J Client: DUDEK & ASSOCIATES -. -----I\ --------- Set No.: 8-03083 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 10/28/2008 6X 12 28.27 7 10/28/2008 6X 12 28.27 28 11/18/2008 6X 12 28.27 28H _11/18/2008 6X 12 28.27 28H 11/18/2008 6X12 28.27 Specified Strength: 3,000 PSI Sampled By: JESSE RANDOLPH Location: SITE WALL FOOTING Concrete Supplier: ROBERTSON'S READY MIX Mix No.: RS300T31 Ticket No.: 6356423 Water added at Site: gal. By Ce~ent '1:'ype: II_IV_ MixTime: 79 Remarks: l)istribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. I\ ~ o• -. > F ~ + ~ CARLSBAD, CA V?> t;:l ·u.~;J---- --Load Strength Type of (lbs.) (psi) Fracture 94,440 3,340 Shear 97,990 3,470 Shear ASTM Cl72 Date Sampled: 10/21/2008 Date Received: 10/23/2008 Concrete Temp: 78 Ambient Temp: 59 °ᆺF ASTM C1064 °ᆺF ASTM C1064 Slump: 3.75 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. Corporate: Branch: Branch: 2992 E. La Palma A, venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSNE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Pennit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE @'60...l..A-CGS:rA~A:v.fil Client: DUDEK & .ASSOCIATES I\ Set No.: 8-03103 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 10/30/2008 6X 12 28.27 7 10/30/2008 6X12 2_8.27 28 11/20/2008 6X 12 28.27 28 11/20/2008 6:X 12 28.27 28H 11/20/2008 6X 12 28.27 Specified StrengthfI.5.()(L) PSI Sampled By: JESSE RANDOLPH Location: BUILDING 1 -SLAB ON DECK, GRID LINE 4.75 / A.5 Concrete Supplier: SUPERIOR READY MIX Mix No.: P-750 Ticl{et No.: 1317 64 Water added at Site: 3.00 gal. By C.B.S Ceroe~t Type: II/V MixTune; 54 Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** mi_n. ---CARLSBAD, CA I\ Load Strength Type of Obs.) ; (psi) Fracture 89,250 3,160 Shear 92,310 3,260 Shear ASTM C172 Date Sampled: 10/23/2008 Date Received: 10/24/2008 Concrete Temp: 78 Ambient Temp: 68 °ᇵF ASTM C1064 °ᇵF ASTM C1064 Slump: 4.75 in. ASTM Cl43 Tested.at:.BruiDiego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. Cmporate: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWAJ:ER DIST. SITE IMPROVE 0§60.LAGOSTkA VE"'_./ Client: DUDEK & ASSOCIATES A Set No.: 8-03104 Age Date Nominal Actual Area (Days) Tested Size (Sq. Incli) 7 10/30/2008 6X 12 28.27 7 10/30/2008 6 X 12 28.27 28 IV20/2008 6X 12 28.27 28 11/20/2008 6X12 28.27 28H 11/20/2008 6 X 1;2 28.27 Specified Streng~~ PSI Sampled By: JESSE RANDOLPH Location: BUIDING 1 -SLAB ON DECK, GRID LINE 2.5 / A.5 Concrete Supplier: SUPERIOR READY MIX MixNo.: P-750 TicketNo.: 131819 Water added at Site: 5.00 Cement Type: Il/V gal. By C.B.S MixTime: 45 Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min.. CARLSBAD, CA A Load Strength Type of (lbs.) (psi) · Fracture 94,520 3,340 Cone & Shear 96,080 3,400 Shear ASTM C172 Date Sampled: 10/23/2008 Date Received: 10/24/2008 Concrete Temp: 79 Ambient Temp: 74 °ᆹF ASTM Cl064 °ᆹF ASTM C1064 Slump: 4.75 in. ASTM C143 Tested-at: San-Diego-- Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, S11ite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: PennitNo.: Project No.: SEEREMARKS 2510A04 Date Printed: 4/21/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Client: DUDEK&, ASSOCIATES A Set No.: 9-00438 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/16/2009 6X12 28.27 28 5/7/2009 6X 12 28.27 28 5/7/2009 6X12 28.27 28H 5/7/2009 6 .X 12 28.27 Specified Strength: 3,500 PSI Sampled By: JESSE RANDOLPH Location: PAVING WEST OF BUILDING 400 -SLAB ON GRADE Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6582977 Water added at Site: gal. By Cement Type: II/V Mix Tillie: 53 Remarks: Distribution: DUDEK & ASSOCIATES CI'I'Y OFCARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. {J§KQ~LA-CQS'.tA-A:V.R.J CARLSBAD CA rO& 0'1JI ;,~ Load Strength Type of (lbs.) (psi) Fracture 82,150 2,910 Shear ASTM Cl 72 Date Sampled: 4/9/2009 Date Received: 4/10/2009 Concrete Temp: 71 Ambient Temp: 56 °๗F ASTM Cl064 °๗F ASTM Cl064 Slump: 5.00 in. ASTM Cl43 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 925 I 8 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 GolfCenterParkway#l, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 Date Printed: 4/21/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE U9.60.LA-GOS'.f.A-AY.E) Client: DUDEK & ASSOCIATES /1. Set No.: 9-00439 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/16/2009 6X 12 28.27 28 5/7/2009 6X 12 28,27 28 5/7/2009 6X 12 28.27 28H 5/7/2009 6X 12 28.27 Specified Strength: 3,500 PSI Sampled :Uy: JESSE RANDOLPH Location: RETAINING FOOTING BETWEEN BUILDINGS 200 & 300 Concrete Suppiier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6582988 Water added at Site: gal. By Cement Type: II/V MixTime: 51 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. CARLSBAD, CA ~ o-1t l "'7) ,~ -- Load Strength Type of (lbs.) (psi) Fracture 87,700. 3,100 Shear ASTM C172 Date.Sampled: 4/9/2009 Date Received: 4/10/2009 Concrete Temp: 74 Ambient Temp: 62 °ᇸF ASTM C1064 °ᇸF ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. /1. Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951)653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 Date Printed: 4/21/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE £9:6.0..LA..C0.$5.t\ .. hYE.J ,CA Client: DUDEK & ASSOCIATES l ~"'=' /1. Set No.: 9-00440 - Age Date Nominal Actual Area Load Strength Type of Fracture (Days) Tested Size (Sq. Inch) (lbs.) (psi) ------------11-------""-------------i----7 4/16/2009 6X 12 1-----------1-----t-------+-----2_8_. 2_7 __ +-_1_0 __ 2,'-4"-50 __ -f-__ 3...:;,_62_0_--li----s_h_e ar __ ---l 28 5/7/2009 6X 12 28.27 28 5/7/2009 6X 12 28.27 28H 5/7/2009 6X 12 28.27 Specified Strength: 3,500 PSI Sampled By: JESSE RANDOLPH Location: OPENING GATE MASONRY FOOTING Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6595271 Water added at Site: 5.00 Cement Type: 11/V Remarks: gal. By TEAM C MixTime: 44 Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSP;ECTION DEPT. **LAB COPY** min. ASTM C172 Date Sampled: 4/9/2009 Date Received: 4/10/2009 Concrete Temp: 73 Ambient Temp: 67 °๬F ASTM C1064 °๬F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested-at: San Diego-~ Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. /1. C Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 C San, Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA92121 Tel: 858.537.3999 Fax: 858:537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951 .653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: z~ IO r Az;'f; .A-n-n....,.7-crr:.,.-.,-·) Permit #:::"vts?-V::t:---,-v-v----. DAILY INSPECTION REPO'RT . DSA/CITY File#: ________ _ DSA/OSHPD APPL#:, _______ _ Report# __ . PG __ DF_--''---DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below-within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for.each·type of special inspection, on,a daily basis. Each report shall be completed.and signed,by the special inspector conducting the inspection. SUB CONTRACTOR Tl£ D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT 0 PT CONCRETE D SHOTCRETE D CONCRETE D HIGH, STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD o ______ _ D ______ _ D BACK FILL D SHOPWEl::D D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD ND ,fv)ATERIALS USED BY CONTRACTOR (*U~E RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): F. 6:, J:2.CS~ 7 A,REA, GRID LINES, PIECES INSPECTED: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS r;{:wAs NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS r)KWAS NOT D N/A D Performed in accordance with DSA/0SHPD/PROJECT approved documents. cc Project Architect , Contractor Structural Engineer Building Dep[!rtment DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED METl[' DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:,---i'...,.1--..,,,5!<..!~"'-• ...L..>"--\,,-=="'""-<,----------- Weather Wf\71,;-y CUVJ-l> ... -7 0' Certification#: nl?~O/C....-4:7 7/q.-?J-: S:. 0. Verified bl' vvt:\: {J/'16/A \ % www.mtglinc.com ( Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 c- San Diego/Imperial County 7313 Carroll Rd. Ste. G San Oiego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatchi 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2 S-I O A D ¥ Permit# rz...-lS,(;.?~4:£'-----I Report# __ PG_(,_, _ DF ___ _ DAILY INSPECTION REPORT DSNCITY File#: ________ _ DSN0SHPD APPL#: _______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. OATE -,.,1 13.-_.2_) -V TIME ARRIVED 7t;;,,:::, AM TRAVEL TIME - INSPECTION 1DDRESS .~ _ j_ S: I r,E__ r,.e i1 0 Ja.lJ,O vi D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE j(I CONCRETE D HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD 0 _______ 11 O ______ _ D BACK FILL D SHOPWELD D NOE SHOP O ______ _ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD N 0 SPECS: YO NO APPROVED DOCUMENTS: APPROVED PLANS Y /!1 ND ST UCTURAL NOTES, DETAIL, OR RFIS USED: S 2..0 S REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT D Inspected in accordance with the requirements of the DSNOSHPD/PR0JECT approved documents. MATERIAL SAMPLING WAS~ WAS NOT D N/A D Performed in accordance with DSN0SHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building D~partment DSA Regional Office Owner School District APPROVED SHOP DRAWING Y !!a' ND :Z.D C .. PERCENT PROJECT COMPLETE: THE WORK INSPECTED METD DID NOT MEETD THE requirement~ of the SN HPD/PROJECT a1wrove~cu ents. Samples taken: .S .,, · .,,. e.r 5 Weather: · -Temp:.~-~-------~£~ Priname Certlflc,tioa~'5.,.C..-;I~ 8'-f1 /sS, lfK Verified by: ~ ~ Corporate·: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 RePQrt of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 4/2/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Cf960'I:"'A-COSTA AVE :J Client: DUDEK & ASSOCIATES " Set No.: 9-00415 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/1/2009 6X 12 28.27 28 4/22/2009 6X 12 28.27 28 4/22/2009 6X 12 28.27 28H 4/22/2009 6X12 28.27 Specified Strength: 4,500 PSI Sampled By: RAMZI JAMMA Location: ADA PEDESTRIAN RAMP WALLS Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6542563 Water added at Site: gal. By Mix Time: 80 _ min. __ _ Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** CARLSBAD, CA ~~ c,1,i~ bi; Load Strength Type of (lbs.) (psi) Fracture 137,810 4,870 Cone& Shear ASTM Cl 72 Date Sampled: 3/25/2009 Date Received: 3/26/2009 Concrete Temp: 65 Ambient Temp: °ᆺF ASTM C1064 °ᆺF ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: -San Diego -- Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. " 0::-":_>>·-~.;....,.,.., .~--, ·.:/,,;"''-"V:,t~_:_-.._,.v',,.. ..._~......_~..,_...~»-.r--:--v • ~--• •• • Corporate: '" -·· · San Diego/Imperial County'· 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim; CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 www.mtglinc.com Dispatch: 800.491.2990 Dispatch: 888.844.5060 Inland Empire: . 14467 Meridian .Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 . u5ICJ -A-o '-/ MTG~c:Jct#:__ // 1 _· , DAJLY INSPECTION DSNCITY File#: ________ _ Permit# Bl<¾ ( 07:> (' /3 ff/9 b::JC,.J _, 'REPORT DSNOSHPD APPL#: _______ _ Report# ____ PG __ OF ___ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14.-days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for.each type of specialinspection, on a.daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. DATE 9· (Y 3 . 0] TIME ARRIVED TIME DEPARTED ENGINEER LUNCHTIME -SUB CONTRACTPR TYPE OF INSPECTION D BATCH PLANT 0 MASONRY 0 FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE 0 HIGH STRENGTH BOLTING 0 ANCHOR/DOWEL D D FOUNDATION 0 SHOTCRETE 0 WELDING 0 NOE FIELD D D BACKFILL ~ONCRETE .D SHOPWELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Yd NO SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS ~ 0 STRUCTLJ!Yi-.!:.!:!9TES, DETAIL, OR RFIS USED: /T <::, -L-f__ C REMARKS, INCLUDING MEETINGS: THE WORK',, WAS/Jg'WAS NOT D Inspected in accorda~with the requirements of the DSNOSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/~ Performed in accordance with DSNOSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND ) THE WORK INSPECTED MEW DID NOT MEETD THE requirements of the DSNOsFl?D/PROJECT approved documents. Samples taken: ~ WMfue~ ~::, ;: ""i -.,:;;.._,a...,.-~· ... ......:..:-:. ~,,.::..,.:.:;J"""~~ ........ -:"...:..:,,.,,~,~ ...... ~~..;_..~.;.;.~,;_..~:':'.:.-:;·..-.J -' -·----;· -' ... .,.,,, ·--- j• Corporate: •••• . , . . , ·2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch:· $00.491.2990 \_ •• , . San Diego/Imperial County .. · 7313 Carroll Rd. Ste, G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060. Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: o!. 5 / (j M 7-f Permit# B [~ l ov-c.,,b Or !9 rr.5 DAILY INSPECTION --'.·REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# ____ PG __ DF ___ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14:ciays of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. ENGINEER TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION. D BACK FILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: ._,_. AREA, GRID LINES, PIECES INSPECTED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: ---~~- D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLANS YND REWORK AS PERCENT OF ALL WORK TODAY: DATE 9: CX, 3 . cy. TIME ARRIVED (!jr.J.-.--r-"' TRAVEL TIME SUB CONTRACTOR C Jf RESS OF PROJECT ~ASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD SOIL REPORT YD ND D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDESHOP SPECS: YO NO TIME DEPARTED LUNCHTIME APPROVED SHOP DRAWING YD PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ NOT MEET D D CEILING WIRE 0 _______ 11 0 _______ 11 0 _______ 11 ND THE WORK . WAs-jz:JNAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:-=------.r---r-'-'.------------ MATERIAL SAM~LING WAS D WAS NOT D N/~ Performed in accordance with DSA/OSHPD/PROJECT approved documehts. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner Weather::_Ae:,:,, ~:.'.'..::~~-::::....t.L--J Signature of M 1di ;I). M c /4 'r Corporate: Branch: Branch: 2992 E. La Palma Avenue, ·Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CJ'.rY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE r-196Ti:-t;~.:(Q0~1~.&vEJ ~~-----~ CARLSBAD, CA Client: DUDEK & ASSOCIATES I\ Set No.: 8-02682 Age Date Nominal Actual Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 8/21/2008 6X 12 28.27 94,540 3,340 Shear 14 8/28/2008 6X 12 28.27 134,920 4,770 Cone & Shear 28 9/11/2008 6X 12 28.27 28 9/11/2008 6X 12 28.27 28H 9/11/2008 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: SCOTT VA WSER ASTM Cl 72 Date Sampled: 8/14/2008 Date Received: 8/15/2008 Location: HEADQUARTERS BUILDING 100 -FIRST FLOOR SLAB, GRID LINE 3.8 / A.5 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 59481 Water added at Site: 5.00 Cement Type: gal. By DRIVER MixTime: 30 Remarks: PER~1JT·#"CB071965:J 1-.. ........... _k.,,..-. __ :,..,.:....-> Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. Concrete Temp: 81 Ambient Temp: °༌F ASTM C1064 °༌F ASTM Cl064 Slump: 6.00 in. ASTM Cl43 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE -1·9o0Jr1X"@0S1:'.A·~v:E',""J ~ ... CARLSBAD, CA Client: DUDEK & ASSOCIATES I\ SetNo.: 8-02681 Age Date Nominal Actual Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 8/21/2008 6X 12 28.27 94,170 3,330 Shear 14 8/28/2008 6X 12 28.27 135,810 4,800 Cone &Shear 28 9/11/2008 6X12 28.27 28 9/11/2008 6X 12 28.27 28H 9/11/2008 6X 12 28.27 SpecifiedStrength: 4,500 PSI SampledBy:SCOTTVAWSER ASTMC172 DateSampled: 8/14/2008 DateReceived: 8/15/2008 Location: HEADQUARTERS BUILDING 100 -FIRST FLOOR SLAB, GRID LINE 1.8 / A.8 Concrete Supplier:: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 59473 Water added at Site: 5.00 Cement Type: gal. By DRIVER MixTime: 30 Remarks: PERMITij CBOiJ"i~ i,;._: ____ - Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. Concrete Temp: 83 Ambient Temp: °ᆰF ASTM C1064 °ᆰF ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPEOfION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE ~~itI,fa3s?ti:i¥¥~r Client: DUDEK & ASSOCIATES A Set No.: 8-02680 Age Date Nominal Actual Area Load (Days) Tested Size (Sq.Inch) (lbs.) 7 8/21/2008 6X 12 28.27 96,760 14 8/28/2008 6X12 28.27 116,230 28 9/11/2008 6X 12 28.27 28 9/11/2008 6X 12 28.27 28H 9/11/2008 6X 12 28.27 Specified Strengt~SI Sampled By: SCOTT VAWSER ASTM C172 Location: HEADQUARTERS BUILDING 100 -FIRST FLOOR SLAB, GRID LINE 1.5 I A.2 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 59466 Water added at Site: gal. By C1lme11t 'fy~: _ ~Tn,ie: 40 Remarks: PERMIT #~1f7'1'?'?2.::J ~~~, -- Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** mjn. CARLSBAD, CA Strength Type of (psi) Fracture 3,420 Shear <"'"4,110 • ) Cone& Shear '-\ } I \. Date Sampled: 8/14/2008 Date Received: 8/15/2008 Concrete Temp: 81 Ambient Temp: °๩F ASTM C1064 °๩F ASTM C1064 Slump: 3.50 in. ASTM C143 _ Tested at: Sau Piego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 PARADA Y AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE -.1,!J6QW:'A~efilSWx:7iVt:~i.ll Client: DUDEK & ASSOCIATES /\ Set No;: 8-02780 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 9/4/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 14 9/11/4008 6X 12 28.27 28H 9/25/2008 6X 12 28.27 Specified Strength: .4,500 PSI Sampled By: MATT MCVAY Location: BETWEEN GRID LINE A & B + 4. 7 -5 Concrete Supplier: ·SUPERIOR READY MIX Mix No.: 8375P Ticket No.: Water added at Site: gal. By Cement Type:--Mix Time:--min. Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** ~_.~l;):__, ..... CARLSBAD, CA c:>1 ( ~b-s Load Strength Type of (lbs.) (psi) Fracture 115,630 4,090 Shear ASTM C172 Date Sampled: 8/28/2008 Date Received: 8/29/2008 Concrete Temp: 80 Ambient Temp: 78 °ஶF ASTM Cl064 °ஶF ASTM Cl064 Slump: 5.00 in. ASTM Cl43 · -Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. /\ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No,: Project No.: SEEREMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE @illiik.e@s1AA'."ZA'°¥i1 Client: DUDEK & ASSOCIATES I\ Set No.: 8-02778 Age Date Nominal Actual Area (Days) Tested Size (Sq.Inch) 7 9/4/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 J4 9/11/2008 6X 12 28.27 28H 9/25/200~. 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: MATI MCVAY Location: GRID LINE 4. 7 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 60046 Water added at Site: gal. By Cement Type: Mix Time: Remarks: PLAN PAGE Sl.102 Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. e~~~ Load Strength Type of (lbs.) (psi) Fracture 122,560 4,330 Shear ASTM Cl72 Date Sampled: 8/28/2008 Date Received: 8/29/2008 Concrete Temp: 80 Ambient Temp: 76 °ᆰF ASTM C1064 °ᆰF ASTM Cl064 Slump: 5.00 in. ASTM Cl43 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite·G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: PennitNo.: Project No.: SEE REMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE l 96'ifiii~t\t,, .. • ~tl-ir-. Client: DUDEK & ASSOCIATES I\ Set No.: 8-02779 Age Date Nominal" Actual Area (Days) Tested Size (Sq. ln~h) 7 9/4/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 28H 9/25/2008 6X12 28.27 Specified Strength: 4,500 PSI Sampled By: MATT MCVAY Location: GRID LINE 5 NEAR 1.9 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P TicketNo.: 60064 Water added at Site: __ C~m.ent Ty~: Remarks: gal. By Distribution: DUDEK & ASSOCIATES Mix Time: CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. , ,{ ' ' ,1-~ -~ \:'' .:-it-: ",j!;~ CARLSBAD, t.e, b1l9,b? Load Strength Type of (lbs.) (psi) Fracture 117,620 4,160 Shear ASTM C172 Date Sampled: 8/28/2008 Date Received: 8/29/2008 Concrete Temp: 81 Ambient Temp: 77 °໽F ASTM C1064 °໽F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian.Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRE1E ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE CARLSBAD, CA 92008 Client: DUDEK& ASSOCIATES A Set No.: 8-02434 Age Date Nominal Actual Area Load Strength Type of .(Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 7/23/2008 6X J2 28.27 105,320 3,720 Shear 14 7/30/2008 6X 12 28.27 133,840 4,730 Shear 28 8/13/2008 6X12 28.27 28 8/13/2008 6X 12 28.27 28H 8/13/2008 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: ORAN MARKSBURY ASTM Cl 72 Date Sampled: 7/16/2008 Date Received: 7/17/2008 Location: BUILDING 100 -GRADE BEAM ONB LINE @ APPROX 3.9 LINE Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 58212 Water added at Site: gal. By Cement '1.'ype: 11/V MixTime: 50 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. Concrete Temp: 88 Ambient Temp: 79 °ໞF ASTM C1064 °ໞF ASTM C1064 Slump: 4.75 in. ASTM C143 . T_ested at:)l_an pif:g()_ Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A ">1--11 ~ -~----ROCKWELll ~s~, 1~. DAILY INSPECTION REPORT PROJECT NAME: LWD Adimin Building OWNER:LWD IOWNER PROJ#: DATE: 8/7/08 IDAY OF WEEK: Thursday WEATHER: Partly cloudy and warm CONTRACTOR: Rice Electric I FOREMAN: Greg Santos WORK PERFORMED TODAY: Rock received phone call from Dave G. requesting underslab conduit inspection. I arrived onsite at 11 :30 and met with the Rice Electric Foreman Greg Santos. I observed the conduit installation underslab in the main Admin building. The conduits consist mainly of homerun$ to panels and a few misc. FA, and branch conduits. I asked Greg if he had matched up all required conduits with all info shown on the plans in order to catch any additional conduits that may have been omitted from the drawings or for location deviations. He said he had and he has a few location issues for the south area of the building that will be poured at a later date. I passed the installation with the following comments: 1) Use 10 Mil tape to cover all GRS/PVC transitions where the rigid steel is exiting the womens locker room wall. The tape is to run 311 past the PVC female adaptor. 2) Remove all PVC pipe that is sunburnt and replace with new. 3) Make sure all conduits have the required separation. In the two out buildings poured to date, Rice Electric has exited the slab with PVC conduit with the intent of transitioning to steel in a pout~d curb above the slab. I ok'd this for the two building that have been poured but have asked that for all future stubs the transition be made with-in the slab per the spec. I gave Greg my card and asked him to call with .any questions prior to performing the work to avoid rework. Total Time= 2.5 Hrs NON-COMPLIANT WORK/ SPECIAL DIRECTION GIVEN TO CONTRACTOR: PROBLEMS/ DELAYS: ' -SIGNATURE:~~ NAI\/IE: ._:,J \ M \-l..~,-\. CLIENT APPROVAL: SIGNATURE: Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian P¥kway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE 1960 LA COSTA AVE Client: DUDEK & ASSOCIATES A SetNo.: 8-03160 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 11/10/2008 6X 12 28.27 7 11/10/2008 6X 12 28.27 28 12/1/2008 6Xl2 28.27 28 12/1/2008 6X12 28.27 28H l~/1/2008 6X 12 28.27 Specified Strengtl!_:....1,50<[) PSI Sampled By: JESSE RANDOLPH Location: SITEWALL-EASTOFGRIDLINE A/2-3.7 Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6197655 Water added at Site: · Cen.1.e__nt T)l,pe: .WY_ Remarks: 1ST LIFT gal. By Distribution: DUDEK & ASSOCIATES Mix Time:. 55 CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min .. CARLSBAD, CA . ~ Otl ~~':> Load Strength Type of (lbs.) (psi) Fracture 106,280 3,760 Shear 109,310 \.: . .. J -,3,870~,.r Shear ASTM Cl 72 Date Sampled: 11/3/2008 Date Received: 11/4/2008 Concrete Temp: 79 Ambient Temp: 61 °ᇊF ASTM C1064 °ᇊF ASTM C1064 Slump: 6.75 in. ASTM C143 Tested.at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A : a·,·· i ./ I I .1 ?/ ~A·-t'?f t.~y.i ;-:1 B«-. ~: i :A., .. ,1 JI(_-. t,11:;jfJ,;;lt..•1'._, ; • T .... •J ,,. .... ,A-~ _.t'' ,S , wA, .,,·-,,·)1 .,,., "'·ti!.."-'~·)' , '"-I,,..,, , ~f'\-.~,.J!'.;. I' •'1 i / ... ~. ' ,. {-,""l. ... oK .. -7 1,js/c-&' L ~ b0 L-t.1.. Lo s-r.A-AV l.-~ c:t1l 19 <o5 -,. ,;c.·.,1,,,:-., I .r Jt:7/A--7 _;.·., ,"';, 1.-t. ,,1:.: _A'/.;..,. / , 1-p• ,.-1 r ,r,:;:, r-1 ,;., • ..:.i,....; J. c:. -1'.,f . ; .... -<-f. ,_ ., VA 1Z y;,;; .... t· ' ·1 ., .r'lJ.· :;, ~: .r ~ '"-'/. -·~, A .,,-'j ," /) ....... -,,,r_,;t;· ~ti ··r ,. t, • \ l ~ : i· it ;jl5LDG ;e;;o A~..flcH Li_<i- r r, \ l i.i H 9). ! t : :' ' ' 1 I ;! : r l ~ l ~ '. I '' , r '; 'j '' l. I . ' r i re:-8£? TT?:{,,'t-, t:f cA,µ-"'t rL,.·'fYI/G e .A ·1 L.;:;'/&:J A/t.?c?F .AT G/'R.iitJ.:f 8 /.-vc.v:l.rH &;;· I ,J C./,ve.WT/-1 ef/F I / c./ ;. 2 A-/,_j,61 C/3' ... "l<i.· ; !J 1) M1.SS/,,,l6 C/iAA..l/4/cL. 4T C:,i:;-z,"J £c.or· /YE:R/:.r.,,..,///2.~.,,<?~ "'/c:pd/T1~1 .. ;·, o~ I l?Tti,...,W 4 .. ..;;--r 8 ;L'i/f;/ef2~ 1 . ' I : -I ;,t}};J£t:.></A.-16 L-4;A../,d.5. t?/41 rf/&,f.f fLt:.tTc OM::?.R ,(f'£.,1H Ai L~b..,;, A'e:~~ ' : .t ' i lAL€lA.J6 ( .. ',4,tJ i? 6'TwA..J. J+-3 ~9,j ,4-l .. c;:,,.J~, ;J.,.::-g;-;v.,,v 3.,.,5·-f-7.,, 7 ~ , ; t '' l i !;r3) Sct.75 ,;;r G/J.IJJ )1.t,/ /.,:;(' LtkJ £c,;:,?F LcvG:.L ,Rc=a.u.1.R..£ $4qr.._uJl,I( I ,! I : I il . ; I ~ \' I 1 -. ; ! ' j l l 1 iBLub, .1 q t:.'J A:iNcf/ L, s r I~ , 1 j' i l /6'l S'/Jf!IJ11,11/,,t:3;,f! 5 /77 -l-kvtJ,.-;..v-&..5 lsTw'-1/ e,.,:Af 1£1,5, 2·1-:3 .4T 5}-;;+/£S: •t j : ' ;/#&r ;t~ ,tle.T,4/L.:/ II ./--/2./~6,, /., M;.5.5/A.J& Sj-;,,c,i='L;/1./.6~' .. /r-?VL} i ~,!,'1.!,.,1-T.€5 .A-'T i?lf~-5 ,At;;;:! S r;:1. I MC,.6-2 .5· 70 u& d C-1/v TO -. i ; i '. '. 'I j/6) uA,,wA-c~mSL£ ~z.,1c.L-tJ.s· ,,1r c.7c,J,/4,/,t1,.J,C(::;p,::;;,,t/ a-1~ c:;,~10 .A .. 3 J.3 '' ( 1/. ; ! 2 ~-e rLc?c.~ #c;A!;)-/ 5://.)£ tt:lr 8c:.,,.f7-,1 ,4-:T .Sj-;,4/d.5·~ : 1 ' 'I ~ ! ; >7 J l)e:.)( ' 1 j '/ i!.2J-3 Al~ ii i I ~5'"J'/fo:4T /v/.! L-4v£!/,.v& .-1-T S;.;::;.i/',f_f 8Ttv,:;,J ~~//JS' 2 ..,..,::f' • ..r-t..r::-'c:-4 ~u-A,,lc; .1,/t:-~TH Si.tJ£ t£r L/..v-d3. 3 ,/vc:,r ?£7V£7/.-t,P~~ /.2r1~ ;!1.g) W.,,UA.,1L::Cl70/U L"L/,/J.:f/ ,tiff LP&-J RP'or' .?fr &/!.llJS' t../Qr!/B,,.5- i i,f,;v4 s-/c.. wclfc u1e.u1ez:; ,/it£ 7c::;: /f/.5.1-b&1..,)Lz:f &.e::T /;1-cJL.E-S', 'i : j_,.t'iS!/d/»6 £;:::;" d Ii it l; H ; I l i I l t ¼ :1 Ii H H i-i : ; 'I il i_i i I 'I if I I l { ; : C Corporate: 2992 E. La Palma.Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 C San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.506.0 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: '2£""/(l ~AJ:?4 Permit# rc9&7--L'16 .. r· -1 Report# __ PG __ i_ 4?!= __ -2...._ __ DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#: ______ _ DSA/ LEA#: _________ _ Special Inspection Reports must·be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. D MASONRY D CEILING WIRE TYPE OF iNSPECTION D ENGINEERED FILL D FOUNDATION 0 BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDIN(l D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD O _______ ,, 0 _______ 11 D BACK FILL D SH0PWELD D NDESHOP O _______ ,, DSA/OSHPD/PROJECT: AVAILABLE: SOILREPORT YO NO SPECS: yg NO APPROVED-DOCUMENTS: APPROVED PLANS Y ~ N D STRUCTURAL NOTES, DETAIL, OR RFIS USED: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~' WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPllNG WASD WAS NOTO N/A~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Proje·ct Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROV~D SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~' DID NOT MEETD THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: . ..,41:lN=---=· ,.,,£.,__ _____________ _ Weather: C~ Temp:.__:_....V..:c..:.'l..:::C.=YE=------- ~ ~ / Signature of Special Inspector / v-A?v cdw4r~c:> ( Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.rntglinc.com Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riversipe, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2, .. 5 .... / V = 40 Cf Permit# C./?c/7/96:.S::: Report# __ PG~~~:2-.. ~- DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL D BATCH PLA t D PT CONCRETE D SH0TCRETE D CONCRETE D HIGH STRENGTH BOLTING ::g'WELDING D SHOPWELD D FIREPROOFING D ANCHOR/DOWEL D NOE FIEl:.D D NOE SHOP O _______ ,, 0 _______ 11 O _______ ,, DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YO ND SPECS: Yllf ND APPROVED DOCUMENTS: APPROVED PLANS Y ~ NO MATERIALS USED BY CONTRACTa°R (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): E - CONTRACTORS EQUIPMENT/ MANPOWER USED: THEWORK WAS!l{ WAS NOTO Inspected in accor6ance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD NO 21-3 PERCENT PROJECT COMPLETE: THE WORK INSPECTED METD DID NOT MEE:i;g THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: ~£ Weather: t'I 64,t( Temp:,~/41~1/',_':L::~/"~------- ~ ~ Signatuiftt. Special Inspector IV'~ t:,k..fr~a Print Name c,~~~D.Le:?~~I Veri~~,/ JJ fuiN..f', Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: ').,.S: Jo -Ao'-/ Permit# t:.. go 7i1£,C Report# __ PG-/--IF~'~-- DAILY IN.SPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special lnspection·Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D ______ _ D ______ _ D BACKFILL D SHOPWELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD N D THE WORK WAS~· WAS NOT D Inspected .in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A i;B: Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD N D THE WORK INSPECTED MET~ DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:_M~~ .... W-G~------------- Weather: C-Le!MZ, Temp:._A .... L..r..lC:-... ~ ... £ ______ _ Z, ~ Sig re ofSpecial Inspector ~ &u&rA-RDa Print Name www.mtglinc.com c· Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 c· San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 921 ?1 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: '2..Qt?-At2# Permit# C8o7/96S: DAILY INSPECTION REPORT DSA/Cl1Y File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# __ PG _L Df= ___ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type-~f special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION _O ENGINEERED FILL D FOUNDATION D BACKFILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: STRUCTURAL NOTES, DETAIL, OR RFIS USED: D BATCH PLANT D PT CONCRETE D SHOTCRETE [J CONCRETE AVAILABLE: APPROVED PLANS Y j!J ND REWORK AS PERCENT OF ALL WORK TODAY: -- THE WORK WAS.Jaj WAS NOT D ·- D MASONRY D HIGH STRENGTH BOLTING ~WELDING D SHOPWELD SOIL REPORT YD ND D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NOE SHOP SPECS: YJ(l ND D CEILING WIRE D ______ _ D ______ _ D ______ _ APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEETD Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. THE requirements of the DSA/6SHPD/PROJECT approved documents. Samples taken: ,,,,,(/£;.;t/,t! MATERIAL SAMPLING WAS D WAS NOT D N/A~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Weather: CL6.M. Temp:._.A,/.=-'L...,c.'"':.e.___ ______ _ ~ Structural Engineer Building Department DSA Regional Office Owner School District TYPE OF INSPECTION · D ENGINEERED FILL CJ FOUNDATION 0 BACKFILL Corpora ti: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 fax: 714,832.2974 Dispatch: 800.491.2990 r:7 BATCH PLANT C PT CONCRETE r. SHOTCRETE 0 CONCRETE . .-... , 810 Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858:537.3999 Fax; 858.537.3990 Dispatch: aaa:844.5060 0 FIREPROOFING :::J ANCHOR/DOWEL :J NOE FIELD CifNDE SHOP Inland Empire: 14467 Meridian Pl<wy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 C CEILING WIRE Ill" ut 0 0-------11 DSA/OSHPD/PROJECT: APPftOVEO DOCUMENTS: AVAILABLE: SOIL REPORT YO N Or' SPECS: Ylt N :~: APPROVED PLANS Yjfj N C' I MAT~RIALS useo av CONTRACTOR (INCLUDE RESEARCH IIEPOAT NO. OR MATERIAi. ~ST REPORTS): . STRUCTURAL NOTES, DETAIL, CA RFIS useo: R~MARKS, INCLUDING IIIEE11NGSi REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS'1( WAS NOT U Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMl»LING WAS f"'. WAS NOT r..J NJA'lf Performed in accordance with OSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor StnJctl.lral Engineer Building Department DSA RJ!glonal Office Owner School District APPROVED SHOP DRAWi NG Y ii N D PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEET 0 THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: ________________ _ Weather: $.v,.rA'"/ Tem~ Re~~ Signature of Special Inspector Bo'bed ~ Print Name Certifioatlon I: L eyeJ :::u;:. Verified by: _________________ _ l ~ ~ .L-A -C.e>~ap.. ~V ~ o"Jl<)b~ REPORT OF ULTRASONIC INSPECTION ProJect: L.ewc.1!\d,'CA WOl.6¼e w~ !)ate: ll·'-1 .. c,i P,ofeet No.: lC JO AO LJ rest Mettiod $tandal'd: AW~ -.01., I l.englh: --.1~1" -I Uttrasonlc UM: u<..Nf2C' l\coeptance Standard: AW-' Yb.I/_.? I Thictqies&: -ul-1-: I Serial No. II ?_GI~(' ..ocatlon: SHOP - i ... Declbal•"* DI.continuity j t ~ Diatance i~ C -§ .S t I ii ~ h I 1 I (J j I] II ,, '8, i,J I ti l •ca .! _! C foj From Fr0r1 Wald ldentfflcatton _ . :!! if o..z F -5 • b C d ~ c~ X y t": 1.. ............ ,.,, IMJI ~-"Jii Sq 1r>A !)it. 70 Sq 1..l.:A ~ 71'1 !r'f.\ HA -'f -,o CG wao L~~ flQN AND ID£NTD "-A110N SICETOH Couplant: ec},mll'I .. J 26 Catlbnmon.r: ::-c::1 J w = Freq1191'1,;:y: \ : 2,..2&" *H"'> Surface CorldltlQns: I.Cd----l'l1Pc.J. Lt 1, ,. vV X·Y MAFll(ERS .. • Uee Leg 1, u or m ... X·YM_ fechnician: -U~-J.L ~--·"· Level: -'TT lntemmtr: c. •. lltllill Level; '71' •• Gain In Ob I ·• Atttnuatlon In DI rechri1c1an: , Lewi:. •·b-<:=d b-a~c•d =IEMARKS: www.mtglinc.com ( Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 7"14.632.2999 Fax: 7i 4.632.2974 Dispatch: 800.49i .2990 ( San Diego/Imperial County 73i3 Carroll Rd. Ste. G San Diego, CA 92i 2i Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: i4467 Meridian Pkwy., Bldg. 2-A Riverside, CA 925i 8 Tel: 95i .653.4999 Fax: 95i .653.4666 Dispatch: 800.49i .2990 MTGL Project#: 25ZO--,lto4- Permit# (J/b(;-)"7 / qJ-, t;:" DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#:, ______ _ Report#_·_ PG __ DF ___ _ TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACK FILL , DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: D BATCH PLANT 0 PT CONCRETE D SH0TCRETE D CONCRETE AVAILABLE: APPROVED PLANS YD ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS fi WAS NOT D . D MASONRY D HIGH STRENGTH BOLTING D WELDING D SH0PWELD SOIL REPORT YD ND DSA/ LEA#: _________ _ D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDESHOP SPECS: YD ND LUNCHTIME D CEILING WIRE 0 _______ 11 O ______ _ O ______ _ APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: Inspected in accorcJ6nce with the requirements of the DSA/OSf-\PD/PR0JECT approved documents. MATERIAL SAMPLING WAS ),I WAS NOT D N/A 0 Performed in accordance with OSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner Scfiool District Print Name ./:f _ Certilic~-4-1 /0;!:/1, Verified by: : · ~,r/4 ,....A../S www.mtglinc.com ( Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: ·JS/t::J-Ao4; Permit# C.Bt17lef~,C DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#: _______ _ Report# __ PG __ ,_ eF _ __,_/ __ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLANS Yfi" ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOTO D MASONRY D HIGH STRENGTH BOLTING J!'§WELDING D SHOPWELD. SOIL REPORT YD N 0 D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NDESHOP SPECS: Y~ ND APPROVED SHOP DRAWING YD PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEETD D CEILING WIRE o ______ _ D ______ _ o ______ _ ND lm;pected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taRen:._,'-1"-""~"-=--· C:._ _____________ _ MATERIAL SAMPLING WAS O WAS NOTO N/A~ Performed in-accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner Weather: /JM'TL.y t:La«<ly Temp:.-=A.loc...,.1 ... f'...L::, ....... ~-: ______ _ ~~ Signafirreofspecia1 Inspector //M-µ &u,4,T--4-R Do Print Name :::~(:;rt!::r::r:;,~~ ( Corporate: \ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial Counr ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: '-.S-it? -AP'-i Permit# C. /5,:J 7 /96S: Report# __ PG _j_ OF_~'~-- DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#: _______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed·by the special inspector conducting the inspection. SUB CONTRACTOR /'1. C. ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL 0 FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE 0 CONCRETE 0 HIGH STRENGTH BOLTING f'J'WELDING D FIREPROOFING 0 ANCHOR/QOWEL D NDE FIELD o _______ ,, 0 _______ 11 D BACKFILL D SHOPWELD D NDE SHOP O _______ ,, DSA/OSHPD/PROJECT: . AVAILABLE: SOIL REPORT YD ND SPECS: Y9(' NO APPROVED DOCUMENTS: APPROVED PLANS Y & ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS Ii!,? WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOTO N/A [)( Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD N 0 PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEET 0 THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: ~e Weather: C-i-£4.(2 Temp:._..,,.,u'.=--1'-"L.,,,£=------- 'b-, 9'§ Signature of Special Inspector I 1//b(.,l c4AT/42.4t:J Print Name www.mtglinc.com r Corporate: \_ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 . r· r- san Diego/Imperial Cpunty ~ 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tef: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2,QO -.40'f Permit# C{so 71"76.C Report# __ PG _L J:JF_..1=---- DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Sepc!rate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATGH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING }l'WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD o ______ _ D ______ _ D BACKFILL D SHOP WELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y,.Kl ND APPROVED DOCUMENTS: APPROVED PLANS Yj!J N D REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~· WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A'~ Performed in accordance with DSA/OSHPD/PROJECT approved documents·. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: .... ,t,.__,~=v~E ______________ _ Weather: {Y 644 Temp: IIVIC..G' L~ Signature of ~ctor . /J /vA,r,v l.? ?IA,TA:.12.do Print Name cemfioattaaffe.fi;:;j~,:~ Verified~ -4.J /,/JS~ Corporate: ( 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 (( San Diego/Imperial Co.unty· · 7313 Carroll Rd. Ste. G San Diego, CA 921·21 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2S70 -AtJt./ Permit# CEa7/tJlf Report# __ PG _2.__ lif-__.2.__, __ DAILY INSPECTION REPORT DSNCITY File#:. ________ _ DSNOSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME SUB CONTRACTOR h 'C- ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING l)l!WELDING D FIREPROOFING D ANCHOR/DOWEL 0 NOE FIELD D ______ _ 0 _______ 11 D BACK FILL D SHOPWELD D NDESHOP D _______ ,1 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD N..2(' APPROVED DOCUMENTS: APPROVED PLANS YD ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST BEPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WASD WAS NOTO N/AOIC Performed in accordance with DSNOSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED METD DID NOT MEET)8' THE requirements of the DSNOSHPD/PROJECT approved documents. Samples taken: A./Q,i.;rf: Weather: ~ Temp:._,::,A.1.""-Lz,...('~ ...... .-~----- ~e~nspector www.mtglinc.com ( Corporate: \ 2992 E. La Palma· Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 r-- San Diego/Imperial County ( 7313 Carroll Rd. Ste. G San Diego, ·CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: 200-At,y Permit# C8t2 71 '!6£ Report# __ PG _/_.l}f _ __,,___ DAILY INSPECTION .REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be. prepared for each type of specialinspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED 3~da _ TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D rOUNDATION D SHOTCRETE ,l!J WELDING D NOE FIELD D D BACKFILL D CONCRETE D SHOPWELD D NDESHOP D DSA/OSHPD/PROJECT; AVAl~ABLE: SOIL REPORT YD ND SPECS: ~-ND . APPROVED DOCUMENTS: APPROVED PLANS Y ~ ND THE WORK WAS'flt WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A~' Performed in accordance with DSA/OSHPD/PROJEC'r approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROV D SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~DID NOT MEETD THE requirements of the DSA/OSHPD/PROJECT approved documents. Samplestaken:--'-.,.:/4~_ -~~~=--------------- Weather: t!.L.£4,( Temp:.~A.l!~·v~eJ,lfif=· ~------ ~o~pector Print Name Certifioatio~ ~ l!:l).p<;;c;O 'Z/ Verified by~~ bdVrJ 4)Gc,.;;(/;_,· c- Corporate: ' ((· San Diego/Imperial County· ·· Inland Empire: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 MTGL Project#: )$;/o-Aoi../, Permit# C.81? 719{:.S: Report# __ PG_I_· _ 6F_...,;2, __ _ Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT 14467 Meridian Pkwy., Bldg. 2-A Riverside, GA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File#: ________ _ DSA/0SHPD APPL#: _______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be.completed and signed by the special inspector conducting the inspection. D MASONRY TIME DEPARTED · /.oo D CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE -~ HIGH STRENGTH BOLTING ~ WELDING D FIREPROOFING 0 ANCHOR/DOWEL D NOE FIELD O ______ _ O ______ _ 0 BACK FILL D SHOP WELD D NDESHOP o ______ _ DSA/OSHPD/PRQJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y ,IXL N D . APPROVED DOCUMENTS: APPROVED PLANS Y ~ N 0 MATERIALS USED BY CONTRACTOR (INPLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): c -oa REWORK AS PERCENT OP ALL WORK TODAY: THE WORK WASjj WAS NOTO Inspected in accordance with the requirements of the DSA/0SHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOTO N/A~' Performed in accordance with DSA/0SHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD N D PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:--"-~=~=..~=-------------- Weather: CL.t;:,,4,( Temp:._IV_'MH=~· ~----- ~ Signature of Special Inspector /vArt,.,l &aA;r:A-RDo Print Name °'"~~= #_§¼&5?p0m Verifi~ ~ LJAZVtc:,/ ~/~ www.mtglinc.com (' - Corporate: ' 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 (-. San Diego/Imperial County ( 7313,Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2,0CI ..-ACJ4 Permit# CBo7196~C Report# __ PG-2_ OF_'""'2,.___ DAILY INSPECTION REPORT DSNCITY File#: ________ _ DSNOSHPD APPL#: ______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each·report shall be completed-and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME TYPE OF INSPECTION D BATCH PLANT D MASONRY , D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE ~-WELDING D NOE FIELD D 0 BACKFILL D CONCRETE D SHOPWELD D NDESHOP D DSA/OSHPD/PRDJECT: AVAILABLE: SOIL REPORT YD N D SPECS: Y:;&l ND APPROVED DOCUMENTS: APPROVED PLANS Y fjiJ N D MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: . REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY:. THE WORK WASfj-WAS NOT D Inspected in accordance with the requirements of the DSNOSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/AJ!{ Performed in accordance with DSNOSHPD/PROJEC1 approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET D DID NOT MEET~, THE requirements of the DSNOSHPD/PROJECT approved documents. Samples taken:.___::M-=-=.1?..=.cW.::....='G:=----------------- Weather: cdM Temp: __ tvt._~=-=,.,_.,'-+----- k---: ~ Signature oSpeciallnspector !IIAN GuAJAgDo Print Name Certificatio~_j22.0~~Z_/__ Verified by:~djy~/c/lJ fi.e..~J~. (- Corporate: . \ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 rr- san Diego/Imperial County ~- 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: .Uio-A a 4 Permit# Cl$t/17J 96½C Report# __ PG_l_ ~ __ 1 __ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ ·DSA/OSHPD APPL#:. __ ~----- DSA/ LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. SUB CONTRAC,:OR h ~G ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD O ______ _ O ______ _ D BACKFILL D SHOPWELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y LK' ND APPROVED DOCUMENTS: APPROVED PLANS Y'g5 ND MATERIALS USED BY CONTRACTOR (INCtUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): --; ,A-S-~d. CONTRACTORS EQUIPMENT/ MANPOWER USED: 3 /' . w.lft..DG REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS 2$ WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOT D N/A~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:~M-~_~_£ ______________ _ Weather:~ Temp:.~.A/.~1-C=' <=--~----- Z-_ ~ Signature of Special Inspector Iv~ c;qA-:rAR..w r·- Corporate: -' 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 7"14.632.2974 www.mtglinc.com DispatclJ: 800.491.2990 San Diego/Imperial Count~ ( 7!313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 7,...~1f2-AtJ'f Permit# C8tJ7/96.<-DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#: _______ _ Report # __ PG ___2_ IJF _ _,,,_1,,.____ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME . TYPE OF INSPECTION 0 BATCH PLANT 0 MASONRY 0 FIREPROOFING 0 CEILING WIRE 0 ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING 0 ANCHOR/DOWEL 0 D FOUNDATION 0 SHOTCRETE i,l:WELDING 0 NDE FIELD 0 0 BACKFILL 0 CONCRETE 0 SHOPWELD 0 NDESHOP 0 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD N 0 SPECS: Y_p,il NO APPROVED DOCUMENTS: APPROVED PLANS Y ~ N 0 MATERIALS USED BY CONTRACTDR-(INClUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT 0 Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. IVJATEfllAL SAMPLING WAS O WAS NOTO N/A~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING Y 0 NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET O DID NOT MEET 0 THE requirements of the DSA/0SHPD/PR0JECT approved documents. Samples taken:.__,Mc.::·:..::~::..::W...:::..-=e:-=--------------- Weather: ~ Temp:.--=M=~::..!.L=--'------- ~ ~ , SignatureofSpecial Inspector IP /1"71.) bw..ef/41(.tflo · Print Name Certificat~~~/ ~~~"$ I Verified by~;/L1~/lif <£.e,-/4S, (' ( -- Inland Empire: Corporate: · ( 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 San Diego/Imperial County \. 7313 Carroll Rd. Ste. G San Diego, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT TYPE·OF WORK JllNSPECTOR 0 TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS ~'{N) APPROVED PLANS (N) APPROVED SHOP DRAWING (Y) (N) 'CHITECT FOR WEEK.ENDING PROJECT. NO. Nt µle? ~-417 ENGINEER s REPORT NO. PG t OF 2. PLAN FILE NO. PROJECT NAME Uue-. ADDRESS Of.PROJECT r l&e"/ REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL-REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR {INCLUDE RESEARCH REPORT ND. OR MATERIAL TEST REPORTS): C7/T-~, A36'1 ASPa 49:c-r2 . r r T, WEATHER: e,.~ TEMPERATURE: ,C:., ;~ SITE TIME START: b: 30 /4v, LUNCH PERIOD: _ _,½'-' 1""--"M'-'L..C"'--~-- SAMPLES TAKEN: ~ £ TESTS REQUIRED: VI Sa,.ft.. SITE TIME FINISH: ,3 :oo ,lie, . . TRAVEL TIME: ________ _ I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE D~FICIENCY REPORT L ~Lr'j Signatur~~c.--------------- /.O 12.2. lo'$ Date of Report Av.5/61.11 #: e:i 2t2-ffcofl I 1 ICBO Certification Number . / Jl'A.tv CuA,,ARDo Print Name City / County Certification Number Rev: 7/97 r-San Diego/Imperial County \ Inland Empire: Corporate: C (' 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 7313 Carroll Rd. Ste. G - San Diego, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 TYPE OF WORK Nct-/j; A.16 ENGINEER .S/:--LJ Tel: 714.632.2999 Tel: 858.537'.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT [RlNSPECTOR D TECHNICIAN AVAILABLE: APPROVED-PLANS FOR WEEK ENDING REPORT NO. PLAN FILE NO. _ PROJECT-NAME L151A£.,. -ADOR_ESS OF PROJECT SOIL REPORT (Y) (N) (N) Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 SPECS J>tP(N) APPROVED SHOP DRAWING (Y) (N) PROJECT. NO. '2S";~-c::,iL' PG '2.. OF 2 PERMIT NO. .REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL-REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED ev·coNTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: STRUCTURAL NOTES, DETAIL. OR RFIS user,: /JGv,tj//v~ £.A Ek,( LYA-1#- REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: WEATHER: ,t;~ TEMPERATURE:Ni~ PERCENT PROJECT COMPLETION· SAMPLES TAKEN: ,/1..,());!VG TESTS REQUIRED: /// f µ.,..,..L SITE TIME START:---~---- LUNCH PERIOD:-~------ SITE TIME FINISH; _______ _ TRAVEL TIME:-------'----- I 00 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT /C) I 2-2.. I e,g' Date of Report Print Name A·#lSL ~t .t ~2.c'1[42c:Jf1/ ICBO Certification Number City / County Certification Number Rev: 7/97 Corporate: ( ( r-San Diego/Imperial Count}\. Inland Empire: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 7313 Carroll Rd. Ste. G San Diego, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT TYPE OF WORK 4). 1J INSPECTOR 0 TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N)· APPROVED PLANS,' (N) SPECSJ{J(N) APPROVED SHOP DRAWING (Y) (N) FOR WEEK ENDING REPORT NO. PG OF I 2. . PLAN FILE NO. ,REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL-REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY"CONTRACTOR. (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): J!7i r-?f, A.?6, AS!?t2, A99:2 , As2.c · 1 Y I I .BEWbRK AS PERCENT OF ALL WORK TODAY; PERCENT PROJECT COMPLETION; WEATHER: ~ TEMPERATUREi,f(,1/ e& . SITETIME START:_b~;..,_3.,.._L:'~AM~..,._ __ LUNCH PERIOD: -~½~;2"--JW1_~M~-- SAMPLES TAKEN: .A-1f)Nt;: TESTS REQUIRED: /// Si{..,f/._ SITE TIME FINISH: 3~ · c?PA~ , TRAVEL TIME:----~---- I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED.ABOVE AND TH.AT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ~s;~, #o20B'c;.cBt ICBC Certification Number L~ ____________ ...,_,,,___ Signature lr&v /0 I 2.f IM Date of Report Print Name City I County Certification Number Rev: 7/97 r -- San Diego/Imperial Countr \ Inland Empire: Corporate: ( (' 2992 E. La Palma Ave. Sle. A Anaheim, CA 92806 7313 Carroll Rd. Ste. G -- San Diego, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.39~0 Fax: 951.653.4666 Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT TYPE OF WORK D TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS W(N) APPROVED PLANS (X' (Ni APPROVED SHOP DRAWING (Y) (NJ FOR WEEK ENDING REPORT NO. PG PLAN FILE NO. ADDRESS OF PROJECT REPORTING REQUIREMENTS: -ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL-REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOT.I;: ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): E21 r-,g, CONTRACTORS EQUIPMENT./ MANPOWER USED: STRUCTURAL NOTES, DETAIL, OR RFIS user,: ~-M«M4e IR,e~ - REWORK AS· PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: C.L~A.J/C;c TEMPERATURE: A.,// C;G SITE TIME START: _______ _ LUNCH PERIOD: _______ _ SAMP[ES TAKEN: ,A.,,e'7,vif= TEsTs REau1REo: v I t·u-4-L SITE TIME FINISH:_,---"---~--- TRAVEL TIME:------~-- I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK.LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, ANO/ OR THE APPROVED PLANS, SPECIFICATIONS ANO APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT /c:J I 2/ 1~7£ Aws/c~1H~2471Q'oo~ Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 r Corporate: --{ r-San Diego/Imperial Count\'\ Inland Empire: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 7313 Carroll Rd. Ste. G - San Diego, CA 9212.1 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT OTECHNICIAN AVAILABLE: SOIL REPORT (Y) (NJ SPECSp,.f(NJ APPROVED PLANS '(NJ APPROVED SHOP DRAWING (VJ (NJ AR)iHITECT t<AJ·- FOR WEEK ENDING PROJECT. NO. '2£~-AP'-I ENGINEER .A ~ +-L.J REPORT NO. PG I OF PLAN FILE NO. REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL-REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-CONFORMING WORK AT THE END OF THE WOR~ DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIAL$ USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): E 711?-~ A-3~>' ,-1-S2'.!4 A 99 .21 . ...( 72 C CONTRACTORS EQUIPMENT/ MANPOWER USED: I./ M4?1./ {/.A64..) ·-vt.'ELJ?E?!!.S~ Cc:drS //~//960 REMARKS, INCLUDING MEETINGS: I. /!L4,Jt;lf!6" f'/5tl MT 11 SZ I ALC',,{)t; 1 WEATHER:~ TEMPERATURE: ,A// et; SITETIMESTART:~~~;~3,~(?~Ar,~-~-- LUNCH PERIOD: ~,_½_"-. _,//,(=-=,.__--~ PERCENI PROJECT COMPLETION: SAMPLES TAKEN: A,/ p,,V £= TESTS REQUIRED: V / .S ~A-l. TRAVEL TIME: ________ _ I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, ANO/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ~c~ Signat~-------------- / vkk/ &?tAS'A:R..D lo Date of Report Mt~, #: CJ 2 CJ~CO ti I IBO CertificatiQn Number City / County Certification Number Rev: 7/97 :(' - Corporate: , __ ( San Diego/Imperial CounC~ -Inland Empire: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 7313 Carroll Rd. Ste. G - San Diego, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.297 4 Fax: 858.537.3990 Fax: 951.653.4666 Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT TYPE OF WORK • INSPECTOR 0 TECHNICIAN AVAILABLE: SOIL REPORT (Y),(N) SPECS f" (N) APPROVED PLANS (N) APPROVED SHOP_ DRAWING (Y) (N) FOR WEEK ENDiNG PROJECt NO. ~b·-~ REPORT NO. PG I REPORTiNG REQUIREMENTS; ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL-REVIEW PREVIOUS REPORTS AND LISTS IF THERE rs NON-CONFORMING WORK AT THE END OF THE WORK DAY,-OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S, IS'CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT;\; <:::OPYWITHYOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): e7 I P-6j E 2'0I~ A--36/ ~ ~2/ ,&-Cfl!!? , WEATHER:~ TEMPERATURE: A.,)Jc£ SITETIMESTART: ·,5 ;_;) ~ LUNCH PERIOD: ½. Jl.d.., SAMPLES TAKEN: .A,.,O,r.1£ TESTS REQUIRED: 1/J~U,,t/--e. /µ~ec-17~ SITE TIME FINISH:-5~,-'-r""'Q'-'CJ~Jl""~e:::+--.. TRAVEL TIME: ________ _ I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THISWORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ~ ~~-----Signatur.:? /0 li7 lt!J?{ Date of Report ~-NI #o2el'CJ:?8'/ icaoertification Number Ir~ bfvt'hTA-t~w Print Name City / County Certification Number Rev: 7/97 r- Corporate: '·-· 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 c- San Diego/Imperial County ( 7313 Carroll Rd. Ste. G · San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatqh: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2.r-JJZ ·-ACJ"( Permit# C8{2 7196, S: Report# __ PG_/_. 401'_'2 __ _ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shaJI be completed and signed by the special inspector conducting the inspection. - TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE _gWELDING 0 NDE FIELD D D BACKFILL 0 CONCRETE D SHOPWELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD N D SPECS: Y ~-ND APPROVED DOCUMENTS: APPROVED PLANS Y NO CONTRACTORS EQUIPMENT I MANPOWER USED: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS f)l WAS NOT D Inspected in aqcordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL.SAMPLING WAS D WAS NOT D N/A~ Performed in accordance with DSA/0SHPD/PROJECT apprpved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEET D THE requirements of the DSAl6SHPD/PROJECT approved documents. Samples taken: ,,t/t:/!Vc Weather: -~ Temp:~A./~/~C=·c:.=,,..~-----L~ Signartfr'eotspecia1 Inspector /vA,,u Cd<,:1:rA12w Print Name Certifi~ Verifie~Lei[i>,;;.,c1kJ~&!S, Corporate: Inland Empire: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 San Diegonmperial Coun~~ - 7313 Carroll Rd. Ste. G San Diego, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537:3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT TYPE OF WORK 0 TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS }xJ (N) . APPROVED PLANS (N) APPROVED SHOP DRAWING (Y) (N) FOR.WEEK ENDING REPORT NO. .PG PLAN FILE NO. REPORTING REQUIREMENTS: ICBC FIELD INSPECTION MANUAIJMTGL SOIL MANUAL -REVIEW PREVIQUS REPORTS AND LISTS IF THERE IS NON-CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS JNSPECTOR'S, IS CORRECTED, SO NOTE.ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION· WEATHER: SAMPLES TAKEN: TEMPERATURE: TESTS REQUIRED: SITE TIME START; _______ _ SITE TIME FINISH: _______ _ .LUNCH l"ERIOD: -----~--TRAVEL TIME: ________ _ I 00 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVf AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE; UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ~y0 Signa'fu'te --------------- JO I /6. tb9{ Date o(Report /4!_¢.fvt JtFcJ.J&fea~I ICBO Certification Number /ptt'k,,l ~YAcTA£4o Print Name City I County Certification Number Rev: 7/97 Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 S~q Diego/Imperial Countr ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858,537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: "lS7tJ-Ao'f Permit# C807/96: C. DAILY INSPECTION REPORT DSA/CITY File#: ___ ____, ____ _ DSA/OSHPD APPL#: _______ _ Report# __ PG___j_ IJ1F_._2 __ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION 0 BATCH PLANT 0 MASONRY 0 FIREPROOFING 0 CEILING WIRE 0 ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING D ANCHOR/DOWEL 0 D FOUNDATION D SHOTCRETE ~WELDING D NDE FIELD D D BACKFILL D CONCRETE SHOP WELD D NDE SHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y% NO APPROVED DOCUMENTS: APPROVEDPLANS Y~ NO Mf\TERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR·MATERIAL TEST REPORTS): ~-t7 STRUCTURAL NOTES, DETAIL, OR RFIS USED: REWORK AS PERCENT OF ALL WORK TODAY: THEWORK WAS~ WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOTO N/A~ Performed in accordance with DSA/OSHPD/PROJEGT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING Y 0 NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEETO THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: ,A./<::7A.I G Weather: ~ Temp:-J:.M~'IC..,'/4'""-"-------- k__ ~ Signatur~nspector f rbtl &uATA-RDo Print Name Certificatio~&t.)/ /j;. P~oS"J Verified by~~ j);,;;;c//.J huJS:., (- Corporate: \ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Countr ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858:537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: )..("/o --Adi/ Permit# C-[50 Ji '/6S- Report# __ PG--2.._ l!f-_-=-2.-"---- DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD o ______ _ D ______ _ D BACKFILL D SHOPWELD D NDE SHOP D ______ _ DSA/OSHPD/PROJECT: AVAIi.ABLE: SOIL REPORT YD ND SPECS: Y ND APPROVED DOCUMENTS: APPROVED PLANS Y ~ ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):, CONT REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS'fj! WAS NOT D Inspected in-accoraance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOT D N/A·~· Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET]&r DID NOT MEET D THE requirements of the DSA/6SHPD/PROJECT approved documents. Samples taken:, _________________ _ Weather:. ________ Temp: _________ _ ~~ Signature Speciallnspector /P'Ad ~qA:]21gJ)O ( Corporate: '- 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 ( (- San Diego/Imperial County ~ 7313 Carroll Rd. Ste. ·G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#:2,Q& ""A()i./ Permit# Cl?o 71 f{S: DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#:. _______ _ Report# __ PG_J_ Df-2---DSA/LEA#: _________ _ Special Inspection Reports mµst be distributed to the parties listed below within 14 days of the inspection. Reports of mm-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type-of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. SUB CONTRACTOR /'18SC- AooREss OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~ WELDING D SHOPWELD D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NDESHOP [] ______ _ D _______ II D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y fl!; N D APPROVED DOCUMENTS: APPROVED PLANS YJ§. ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): c7/ -. e ~ .'.h REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS l2!Ji WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A i;8l Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET.)&1 DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: ,(/r,?11,1&= Weather: ~ Temp:.---"'~=--· ,_.IC ... /4""·~: _____ _ ~~ Si~ecial Inspector ;t.-kl CM,+sT/44.l:k? Print Name c~~i~d·catio ~~34flr~u~$/ ~ - Venf1e ._.d:._ ~-L[Cn::u•vr-~ ' www;mtglinc.com (· Corporate: ' 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/imperial Counf ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 20o=:t'fo£i ; . Permit# 48P7il/6".C Report# __ PG-1-Df----'2'-"---- DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be _prepared for each type-of special inspection, on a daily basis. Each report shaU-be completed .and signed by the special inspector conducting the inspection. PROJECT NAME £GU TIME DEPARTED TRAVEL TIME LUNCHTIME D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING lli( WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D ______ _ D ______ _ D BACKFILL b SHOPWELD D NDESHOP 0 _______ 11 DSAJOSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y~ ND APPROVED DOCUMENTS: APPROVED PLANS Y, ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, JNCLUDJNG·MEETJNGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WASfl1 WAS NOT D Inspected in accordance wit(l the requirements of the DSA/OSHPD/PROJECT approved doc(Jments. MATERIAL SAMPLING WAS D WAS NOT D N/A]i} Performed in accordance with DSA/OSHPD/PROJECt approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~' DID NOT MEET D THE requirements of the DSA/6SHPD/PROJECT approved documents. Samples taken:, _________________ _ Weather: ________ Temp: _________ _ ~-~ / Signafflfeotspecia1 Inspector I //'ML &y&,TAA.4o ( Corporate: \ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 ( c- San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: ls/0-AtJ'{ Permit# CB07196S: Report#_·_ PG_j_'6f_2 __ _ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. ECT D MASONRY D CEILING WIRE TYPE OF INSPECTION d ENGINEERED FILL D FOUNDATION D BACKFILL D BATCH PLANT D PT CONCRETE D SH0TCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDING D SHOP WELD D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDESHOP 0 _______ 11 O ______ _ D ______ _ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YPJ; ND APPROVED DOCUMENTS: APPROVED PLANS Y~ ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): ,... REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS/f. WAS NOTO Inspected in accoroance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/AJ)a' Performed in accordance with DSA/OSHPD/PROJECf approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET fg' DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:_,,M'-'--"'t?.-'-~--=~-------------- Weather: CL-tE:A.4. Temp:~a~-'/~Cc.=· ~------_ z___ ~ I ~f Special Inspector 1//'A-a.l 0?-1A-IAR.,D-o Print Name ''rtMl~~UifJftP2e~a'L Ver1f1ed~a/~,,,;t..2::,.. C Corporate: ' 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 c--- San Diego/Imperial County ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2 (7(2 -4t:rif: Permit# CBa719'6..S: Report#_._. PG~ l'F __ 2 __ _ DAILY INSPECTION REPORT DSA/CITY File#:, ________ _ DSA/OSHPD APPL#:, _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of _special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SH0TCRETE R'.S, WELDING D NDE FIELD D , D BACK FILL D CONCRETE D SHOPWELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: VJ& ND APPROVED DOCUMENTS: APPROVED PLANS Y~ ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS}iJ WAS NOTO Inspected in accordance with the requirements of the DSA/0SHPD/PROJECJ approved documents. MATERIAL SAMPLING WAS tJ WAS NOT D N/A~ Performed in accordance with DSA/0SHPD/PR0JECT approved documents. · cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED'SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET D DID NOT MEET t)i:' THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:. _________________ _ Weather .. · ________ Temp: _________ _ ~~ Slfnatureoi Special Inspector lf/'A-rtv &c.-tAJ""'A,&/O Print Name Certificatif3J!(J:~~rt_ Venf1ed by: · ~ ~.LJ _ .. ( Corporate: \ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 Cr San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2£1,t) .,. M'/: Permit·# CRo 7 /f~S: Report# __ PG-2_ ._ ... 1..,_ __ _ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below-within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each-type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME SUB CONTRACTOR ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDING 0 FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D ______ _ D ______ _ D BACKFILL D SHOPWELD D NDESHOP D ______ _ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD N D MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS}: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT D Inspected in accord'ance with the requirements of the DSA/OSHPD/PROJECJ approved.documents. MATERIAL SAMPLING WAS D WAS NOT D N/A ~ Performed in accordance with DSA/QSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED METD DID NOT MEETJI THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: _________________ _ Weather: ________ Temp: _________ _ ~~ Signature of Special Inspector 1//2,IJ,,ltl c~A,CT,1-/2./)a Print Name Certlfl= Verified by: = =s ,. Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 Cr San Diego/Imperial County · 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2.frft?-t'/:<!21/ Permit# C..Bt:r1 Z/9'.C: Report# __ PG~ /)F_2 __ _ DAILY INSPECTION REPORT DSNCITY File#:. ________ _ DSNOSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SH0TCRETE D NDE FIELD D D BACK FILL D CONCRETE }!(WELDING D SHOPWELD D NDE SHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y~ND APPROVED DOCUMENTS: APPROVED PLANS YliJ' ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS j:X WAS NOTO Inspected in accordance with the requirements of the DSNOSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A r$ Performed in accordance with DSNOSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED METl8' DID NOT MEETD THE requirements of the DSNOSHPD/PROJECT approved documents. · Samples taken:_,M=--=~=~=C:=--------------- Weather:/,+,gTL7 ~r Temp:----'P'---'l--=t:.,"-'G=-------- ~gna~al Inspector Print Name ~rtmc~~"-! ~(lf{Pp$1. . Verified by:~ __ffe,/~ A/~/#~, www.mtglinc.com C Corporate: \ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Countr C 7313 Carroll Rd. Ste. G San Diego·, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2$7P-A~~. Permit# CBo Z /9~.S- Report#_. _ PG_L o=~J~-- DAILY INSPECTI.ON REPORT ·DSA/GITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed·below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. SUB CONTRACTOR h S'C. AODRESS·OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDING D FIREPROOFING D ANCHOR/DOWEL D NDEFIELD 0 _______ 11 0 _______ 11 D BACKFILL D SHOPWELD D NDESHOP 0 _______ 11 DSA/OSHPDiPROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Yf,tND APPROVED DOCUMENTS: APPROVED PLANS Y ~ ND • ,4LL tvo. REWORK AS PERCENT OF All WORK TODAY: THE WORK WAS~ WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PRO~ECT approved documents. MATERIAL SAMPLING, WA&J{ WAS NOT D N/A'ln Performed in accordance with DSA/OSHPD/PROJEcfr approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEETD THE requirements of the DSA/OSHPD/PROJEGT approved documents. Samples taken: AJpAJ&JtlE Weather: S't:,p,uv / Temp: w 4-A-M z__~ SignatureofSpeciallnspector /v A-N &ct,4-5,+gpo c--. Corporate: ·· ', 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 (" San Diego/imperial County· ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Di&patch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2,.5/ 0 -A-&1 £/ Permit# C.8tJ 71 9 ,S- Report# __ PG_l_ llf _..2"""-__ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separ11te reports shall be prepared for each type of special inspection, on.a daily basis. Each.report shall be completed and signed by the special inspector conducting the inspection. TRAVEL TIME SUB CONTRACTOR M., ADDRESS OF PROJECT .TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH·STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE ~WELDING D NOE FIELD D D BACK FILL D CONCRETE D SHOPWELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD N D SPECS: v;g N D APPROVED DOCUMENTS: APPROVED PLANS Y~ ND REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WASJiij' WAS NOT D Inspected in accorcfance with the requirements of the-DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A ()it Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET _M DID NOT MEE~ THE requirements of the DSA/OSHPD/PROJECT aJ)proved documents. Samplestaken:._,~==~=,£=---------------- Weather: ~ Temp:_4..1.~~~~~----- Z ~ Sign ure of Special Inspector /vAN C:&cA;r.-4RJ20 Print Name certi~~2.o@~ Verifi~~~~: www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 · Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Counf ( 7313Carro11Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: U/0 -At:J4 Permit# L8eJ 719€,S: Report# ___ PG__g_ ltf-~2._~-- DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#:. _______ _ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate rep_orts shall be prepared for each type of special inspecUon, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME SUB CONTRACTOR /11. c.. ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE . D HIGH STRENGTH-BOLTING ~WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D _______ II D _______ II D BACK.FILL D SHOPWELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y'f§ ND APPROVED DOCUMENTS: APPROVED PLANS Y')Zt ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A ~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET D DID NOT MEET gf' THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:~,lf/p,----=~w.~'E~------------- Weather: . Temp: _________ _ 4 signa~ial Inspector Corporate: ( San Diego/Imperial County ( ( Inland Empire: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 7313 Carroll .Rd. Ste. G San Diego, CA 92121 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 MTGL Project#: 2.S-/ CJ -At:? o/ Permit# C8tP?lfK Report# __ PG_/_ OF _ _._/~-- Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File#:. ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be pn;pared for each type of special inspection, on a daily basis. Each report shall-be.completed and signed by the special inspector conducting the inspection. SUB CONTRACTOR M ~ ADORES$ OF PROJECT D MASONRY D CEILING WIRE D BATCH PLANT D PT CONCRETE D SH0TCRETE . D CONCRETE D HIGH STRENGTH BOLTING KWELDiNG D FIREPROOFING 0 ANCHOR/DOWEL D NOE FIELD 0 _______ 11 0 _______ 11 D SHOPWELD D NDESHOP O ______ _ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y)/J ND APPROVED DOCUMENTS: APPROVED PLANS YJ' ND REWORK AS PERCENT OF ALL WORK TODAY: . . THE WORK WAS~ WAS NOT D · Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A [)it Performed in accordance with DSA/0SHPD/PROJECl' approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET ,M DID NOT MEET D THE requirements of the DSA/6SHPD/PR0JECT approved documents. Samples taken: A,la,vE Weather:~ Temp:._,&/,""-=.,_,'/e~/£=--------f Sigoa~,pector C ,-- \_ Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 • Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 ( ( San Diego/Imperial County -. 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: 2..r/0 -AO'/. Permit# C8.t:J 7 / 9'6"S: DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#:. _______ _ Report# __ PG_LdF_11-/ __ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PRO.JfCTNAME . LGU64, - TYPE OF INSPECTION 0 BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGiNEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING D ANCHOR/DOWEL 0 0 FOUNDATION D SHOTCRETE )(WELDING 0 NDE FIELD 0 0 BACK FILL 0 CONCRETE 0 SHOPWELD 0 NOE SHOP 0 DSA/OSHPD/PijOJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y~NO APPROVED DOCUMENTS: APPROVED PLANS Y ~ N 0 . REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS l)cWAS NOT 0 Inspected in a:ccordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOTO N/A'f)/' Performei:I in accordance·with.DSA/OSHPD/PROJECf approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING Y 0 ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MEl)!i!' DID NOT MEET 0 THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: ,,(/(JD t= Weather Ct 6M Temp:~M~t-'4:E=------· z ~. / Sig~al I.nspector {J/Akl6iq&~ Print Name . Certificat~ -,Ii:, t!:J2P~'3'l. Verified b~;jz~e/ M./ ~;-1".S. Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtgliric.com Dispatch: 800.491.2990 Cr San Diego/Imperial County · · 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2S-/e, --Ae, 'i Permit# LBo 7 I fh.S-DAILY INSPECT.ION REPORT DSNCITY File#: ________ _ DSNOSHPD APPL#: _______ _ Report# __ PG __ /_. OF_..._/ __ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be pr_epared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME L&u ENGINEER. S' 0 MASONRY D CEILING WIRE TYPE OFINSPECTION 0 ENGINEERED"FILL 0 FOUNDATION 0 BATCH PLANT 0 PT CONCRETE 0 SHOTCRETE 0 CONCRETE 0 HIGH STRENGTH BOLTING KWELDING 0 FIREPROOFING 0 ·ANCHOR/DOWEL 0 NOE FIELD 0 _______ 11 0 _______ 11 0 BACK FILL 0 SHOPWELD 0 NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD N 0 SPECS: Yjl N ti APPROVED DOCUMENTS: APPROVED PLANS Y ~ N 0 REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS 6l' WAS NOT 0 Inspected in accorcf'ance with the requirements of the DSN0SHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOTO N/A 0(. Performed in accordance with DSNO$HPD/PROJEC1' approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YO N 0 PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET )2t DID NOT MEET 0 THE requirements of the DSNOSHPD/PROJECT approved documents. Samples taken: Al~G Weather: c.L.1:M Temp:.~P~'~,C:=e~------ . L ~ · lgnatureof Special Inspector /vtf:,f) t:e,_Av-+/MO www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/imperial Countf ( 7313 Carroll· Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatc;:h: 800.491.2990 MTGL Project#: 2.S'lt? -A t'J '/ Permit# C./3tP 7J 9£.S: DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#: _______ _ Report# __ PG_/_ '1!=_/ __ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACK FILL D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE !HIGH STRENGTH BOLTING WELDING SHOP WELD 0 FIREPROOFING D ANCHOR/DOWEL ti NOE FIELD D NDESHOP 0 _______ 11 0 _______ 11 D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y~ NO APPROVED DOCUMENTS: APPROVED PLANS Y ~ ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS t,t WAS NOT D Inspected in accordance with the requirements of the DSA/0SHPD/PROJECT approved documents. MATERIALSAMPLING WASO WASNOTD N/A~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED MEry;h DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:_,..~a~"",£"-------------,--~---- Weatlier: t:..1-ifAA._ Temp:. _ _;Mc.::.~='-L------ ~ -~ /2 -~oofSpee;,1 Inspector ~ ~ Print Name Certific~~'$'-J Verified ~z i>~~ D--f!>&J£, Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 (" San Diego/Imperial County -( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: Z-/Q. -A,o ¥ Permit# CB&71 fhS-: DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ Report#_. _· -PG_L_ ~--'--DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each· report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE 0 ENGINEERED FILL D PT CONCRETE iHIGHSTRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE WELDING D NDE FIELD D D BACKFILL [J CONCRETE q SHOP WELD [J NDE SHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y~ ND APPROVED DOCUMENTS: APPROVED PLANS Y ~ N D MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): 0 REWORK AS PERC~NT OF ALL WORK TODAY: THE WORK WAS i;iJ WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL $AMPLING WAS D WAS NOTO N/A 1'P Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: pP,,Ve Weather: ~ Temp:~~=-c.~=--,r-------z__ ~fSpecial Inspector Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#:2DP -A&q Permit# c.Ba 7/9(':,C DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# __ PG _L_ 4ffl=__,I'----DSA/LEA#: ________ _ D MASONRY D CEILING WIRE . TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE % HIGH STRENGTH BOLTING )(I' WELDI NC3 D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD 0 _______ 11 0 _______ 11 D BACK FILL D SHOPWE~D D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE:. SOIL REPORT YD ND SPECS: Y%'ND APPROVED DOCUMENTS: APPROVED PLANS Y ~ N D CONTRACTORS EQUIPMENT/ MANPOWER USED: SM. w. REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOTO Inspected in accordance with the requirements of theDSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOTO N/A [}e Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET$l DID NOT MEETO THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: Ni=?.A'/&" Weather: C.."-.1!:~ Temp:.---"M-"-'"l-=¢£=' ..._ _____ _ ~ ~ Sicifffture of Special Inspector I vA-,J a,A-;r...,,.,;UJo Print Name www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Countr ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2~/0_ -At'!?q Permit# CB07/?6.S: DAILY INSPECTION REPORT DSA/CITY File#:, ________ _ DSA/OSHPD APPL#:, _______ _ Report# __ PG_/_ cf'F_..c../ __ _ DSA/ LEA#: _________ _ TIME RIVED II::.3o -SUB CONTRACTOR .M. SC ADDRESS OF PROJECT D MASONRY TYPE OF INSPECTION D ENGINEERED FILL D .FOUNDATION 0 BATCH PLANT D PT CONCRETE 0 SHOTCRETE D CONCRETE 0 HIGH STRENGTH BOLTING ,&'W~LDING D FIREPROOFING 0 ANCHOR/DOWEL D NDE FIELD 0 CEILING WIRE 0-------11 0 _______ 11 D BACKFILi:. 0 SHOPWELD D NDESHOP O _______ ,, DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: Y g" ND APPROVED DOCUMENTS: APPROVED PLANS ¥fl. ND MATERIAlS us'Eb BY CONTRACTOR (INCLUDE RESEARCH REP.ORT NO. OR MATERIAL TEST REPORTS}: ~ -0~~ . CONTRACTORS EQUIPMENT/ MANPOWER USED: REWORK AS PERCENT OF ALL WORK TODAY: ~ -' " - THE WORK WAS JrJ WAS NOT D . Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOTO N/A '()I=, Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor SlructuraL Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORKINSPECTED METJ)!!: DID NOT MEETD THE requirements of the DSA/6SHPD/PROJECT approved documents. Samples taken: /4/ac.;E Weather:ft4lrLi!: c.+R~ Temp:,---=.#_:_.::_,l c.£""""'"------- 4h=-~ JgnatureofSpecial Inspector /J,,,4-ti-1 &~a Print Name Certffica~~dzo~/ Verified~ ~~d ~µ.S-. .. ( Corporate: \__ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92~06 Tel: 714.632.2999 Fax: 714.632.2974 www:intglihc.com Dispatch: 800.491.2990 San Diego/Imperial Counr ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: 2.5/(2·-A&'f Permit# ,e;;ge;::;z.79~5 Report# __ PG__)_ ,PF_/~-- DAILY INSPECTION REPORT DSNCITY File#: ________ _ DSNOSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed oelow within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall.be prepared for each type of special inspection, on a daily basis. Each report·shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACK FILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLANS Y~ N Cl REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT 0 SUB CONTRACTOR ME· ADDRESS OF PROJECT D MASONRY D HIGH STRENGTH BOLTING ~WELDING D SHOPWELD SOIL REPORT YD ND D FIREPROOFING D ANCHOR/DOWEL 0 NOE FIELD D NDESHOP SPECS: Y J/?f ND 0 CEILING WIRE 0 _______ 11 D _______ II 0 _______ 11 APPROVED SHOP DRAWING YD N D PERC~NT PROJECT COMPLETE: THE WORK INSPECTED MET,&!) DID NOT MEET D Inspected in accordance with the requirements of the DSNOSHPD/PROJECT approved documents. THE requirements of the DSNOSHPD/PROJECT approved documents. Samples taken:___,,_M"""~""'--"--'~~-------------- weather: (!..I..~ Temp:--"-,;u=-"-,;CL:£==--------MATERIAL SAMPLING WAS D WAS NOT D N/A ~ Performed in accordance with DSNOSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner k--· ~ Signattfre of Special Inspector /v.+v &wA:.JA;,,,e4o Print Name School District ( ( /At;1; I ., , . . ' ,,, /54lJ&.~ /t?O lt:J/31 It? g A.AAJe-1-f Lisr Sru!JJ.c-.~ ~:z:Ec~ A-Nd, ~u 4iJ.l&f.C:_ . ·-- I )_t1tM&-..c!..cc.l!..t.L1:Uc 41(!b:JJ__ J&IA..Jt ~l'T,..«I.!!.. ,A-'1-Lu.dv.t=,(}_~Ltd.$..,_ }J-$5' A::[_St1c...{:fJ:t-5uJL t0£ C.OLU#-1,4/______t:::_A._.[Jj_ L/ .. b/--,1_ .. 2 .. 3/B" 1, aM ?}~.&,.cyq TABLE. N.£id:JJe2.LA-1_7 Et~-. .-tt Ciifi...Jt..t;L')__f X 1'L /-I SS · ~--":tli US"____A.f--1..l4!..£ C. ALvN&,__9-..,,s:;. VA.t!y1A.J& G.A~ SiZcs1. ~" c//et1__ ~b " Lou.1 HAt·. ·---vL~c:..£ ~E. Lt= Vt£/.. .. /_ ____ i, 3) iJ.NAall.i&S..(-c£_ /1 :r.LLfr..._ff_ss ~'t ~&J'~_£,_LCE 4.,1/,(<;¾?E ~JI Sl/a:.ILP J1£e C1'!.tl.1 ~€b WES·-o ·-C:.----.A r_ L ~ -£ -l-~--eJ:._a~-~aa.- . 't)d,s~___d~ $"g_eJ;tl~ At:.. eoLo,~"1:A.U. G£.1.d 'I~ ·7.µJ, 7 k:,.,C ~~t!i-1. s-) lW./t_~rA-JlL G' lt.Jtft.$ ,A.I U,__t}_L~l/2 AT "8-~.c€.Jb,--z ~ /2.a?E.. ro 2 ff,~ f~L..-~-Ar tt.3/B "~ " £(2MvcC Ua.A.J ,;t?t-,4-r,£_~ ~tf,,t_J___Ar-L::J~ WALL Bfe;t,.l q I-l/ .. :Z. A''-L2,4.7G /1.S-- b) 6;,_,upE C-'lJ~_&AT.E .,vo r:__w~_ALJ}_fA..~B~~& r i.&k .£e7aE .d:r .5'0 i4. T Ji kl~sr_cttJA&!~o..£-60.LL~u.1& ~of~r_~ ~g_Jj_; tt_S_ , 5:t:1uT.}f. ~E LIP£ s-A./6.S.~ L./A.1~ C..o A-r &JLw'-111 L b~E_#;. 36 /1_ ?)_ 11 ISSI ,i,J G i.t.SS 6K2 11 VIE.4.T. £~-S9A.!J.£ RL4'2.c_ &J :? .. i_A~&Jl."- ~111-s s 1,1(.fa tJ La Kl 2-A:L.Y!JV-itZoE G_d,;tJ_ $, t-/-L a _Jt,4,t) ~~ .Au,J/C--&V--1 JI:. C>2t::J~&lJ'77/ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD0BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Q960LA..COSXA.A:V.E--..J Client: DUDEK & ASSOCIATES A SetNo.: 8-03114 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 10/31/2008 6X 12 28.27 7 10/31/2008 6X12 28.27 .28 11/21/2008 6X12 28.27 28 11/21/2008 6X 12 78,27 28H .11/21/2008 6:X 12 28.27 Specified Strength: 4,50QJ PSI Sampled By: JESSE RANDOLPH Location: SITE WALL -NORTH OF OVERFLOW STATION Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6281440 Water added at Site: gal. By Cement Type: -II/V MixTime: 80 Remarks: 1ST LIFT Distrjbution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** ifiin. CARLSBAD, CA G-'3> o-1t~6~ A Load Strength Type of (lbs.) (psi) Fracture 97,130 3,440 Shear 99,670 c_3.,s3o_} Shear ASTM C172 Date Sampled: 10/24/2008 Date Received: 10/27/2008 Concrete Temp: 79 Ambient Temp: 60 °F ASTM C1064 °F ASTM C1064 Slump: 7.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. Corporate: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite 0, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: PennitNo.: Project No.: SEEREMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE ~COSTA.AW Client: DUDEK & ASSOCIATES Set No.: 8-02989 Age Date (])ays) Tested 7 lQ/14/2008 T 10/14/2008 28 11/4/2008 28 11/4/2008 28H 11/4/2008 Nominal Actual Area Size (Sq. Inch) 6X 12 28.27 6X12 28.P 6X 12 28.27 6X 12 28.27 6X12 28.27 CARLSBAD, CA ~ e>--? l, 6~ Load Strength Type of (lbs.) (psi) Fracture 91,600 3,240 Shear 93,340 3,300 Shear 139,990 4,950 Shear 138,780 c:=:::4:9ao= :::; Shear Specified Strength.!J75:0([=-=isI Sampled By: MATT MCVAY ASTM Cl 72 Date Sampled: 10/7/2008 Date Received: 10/8/2008 Location: CAST IN PLACE WALL -SOUTH SIDE, WESTERN MOST CORNER Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6154319 Water added at Site: gal. By Cement Type: Mix Time: Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min, 4930PSI Concrete Temp: 79 Ambient Temp: 78 °໹F ASTM C1064 °໹F ASTM C1064 Slump: 6.50 in. ASTM C143 ·· ---Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Oct. 27. 2008 2:51PM .~. ( No,9429 p. 3 corporate; San Diego/Imperial County · Inland Empire: 2992 E. La Palma Ave, S\e. A. Anaheim, CA 92806 7313 Carroll R.d. Sta. Q San Diego, CA 92121 Tel: 714.632;2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 MTGL. Project#'. ROP -.AP't r--R . _..,__") Permit#1,, _'C.BQ.Z./lll,".C, _,--, Report#~ PG___:l_llf __ 2_-__ Tel: 858;537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT 14467 Meridian Pkwy., Bldg. 2MA Riverside, CA 92518 Tel: 951,653.4999 ·Fax: 951.653.4666 Dispatch: 800.491.2990 0SAICtTY File#: _______ _ DSA/0SHPD APPL II: ______ _ 0SA/LEA#: ________ _ Special-Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. ~eports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report soall be completed and signed by the special Inspector conducting the inspection. TIME DEPAF\TED TRAVEL TIME LUNC!i TIME 0 MASONRY D CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL Cl FOUNDATION t::l BATCH PLANT D PT CON.CRETE D SH0TCRETE D CONCRETE D HIGH STRENGTH BOl.Tll'JG ~·wet.,DING 0 FIREPROOFING 0 ANCHOR/DOWEL, 0 NDEFIELD C) ______ II o ______ ll 0 BACKFILL D SHOP WELD D NOE SHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YO ND SPECS; YJI N 0 APPROVED DOCUMENTS: APPROVED PLANS Yr,t N 0 MATERIALS IJSEO 8Y CONTRACTOR (INCLUDE R~e£A.RCf! REPORT NO. OR MATERIAL T~~T RliPORTS); . CONTRACTOR$ EQUIPMENT/ M,ANPOWfR USED: STRUCTUIIA.L NOTES, DETAIL; OR RF!$ USED: REM,11111(5, fl#C£1,/J1fflq fllffTINSS: REWORK AS PERCENT OF ALL WORK TODAY: THE WO~K WAS, WAS NOT D Inspected in accordance with the requirements of the 0SAI0SHPD/PR0JE0T approved documents. MA'f'ERIAL SAMPLING WAS D WAS NOTO N/AJ/t Performed In accordance with DSA/0SHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Suilding Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET CJ DID NOT MEET~ THE requirements of tha DSAI0SHPD/f>R0JECT approved documents. Samples taken: Al,..v£ Weather: a..EM Temp:._~v. .... ~-==Y'-1-'------- ~;e ~n$peotor Print Narne Oertifioatio~~ Verified by:~~;.; J..it£,y~fr;: Oct,27, 2008 www.mtglinc.com 2:51PM Corporate: 2992 E. la Palma Ave. ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax; 714.632.2974 Dispatch: 800.491.2990 San-Diego/Imperial County 7813 Carroll Rd. Ste, G San Diego, CA 92121 Tel: 858.537 ,3999 Fax: 858.537 .3990 Dispatch: 888,844.5060 ( No.9429 P, 2 Inland Empife: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL. Project#: ;).S'/o-Ao '-I Permit# :,;C.Eo 719'. ~-DAILY INSPECTION REPORT DSNCl1Y File#:. _______ _ OSNOSHPD APPL#: ______ _ R.eport # ~ PG _L IIF___,_.,..l, __ _ i ,, •• DSA/LEA#: _______ _ Special Inspection Reports must be distributed to the parties nsted·below wlthin 14 days of the'inspection: Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared tor. each type of ~peclal Inspection, on a daily basis. Each report shall be completed and signed by the special inspeotot conducting the inspection. - D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL 0 FOUNDATION D BATCH PLANT 0 PT C0NCR.ETE [:.'.I SHOTCRETE 0 C0NCRElE • HIGH STRENGTH BOLTING .,g. WELDING 0 FIREPROOFING D ANCHOR/DOWEL. D NDEFIELD tl ______ ll o ______ u D 8ACKFM D SH0PWELD CJ NDESH0P CJ DSA/OSHPD/PROJECf: AVAILABLE: SOIL REPORT YO N Cl SPECS: Y~ NO APPROVED DOCUMENTS: APPROVED PLANS Y pt N 0 MATERIALS USED SY CONTRACTOR (INCLUDE RES~RCH REPORT NO, OR MAT£FIIAL TEST REPORTS); REWORK AS PERCENT OF ALL WORK TODAY: THEWORK WASe WASN0TO Inspected in accordance with the requirements of the DSA/0SHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOTO NIA~· Performed in accordance with.DSA/0SHPD/PROJEC1 approved documents. cc Project Architect Comractor Structural Engineer Building Department 0SA Regional Office owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET)q DID NOT MEET 0 THE requirements of the DSN0SHPD/PR0JECT approved documents. Samples taken:.--=~=~'fff=--------------- Weather: t:L.Rt!,( Temp:_"1.,i'---"A-,(H~"'-'------ i;at;~ Inspector Print Name Ce~~=~A?--*~' Verl~ ~-c./ t..rtnt/,d';r www.mtglinc.com ('- Corporate: "-~ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 ( ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project.#: U/p-,4tJ4-: DAILY INSPECTION REPORT DSA/CITY File#: ________ _ Permit# 013 /)7 / ql/5"-: DSA/OSHPD APPL#: _______ _ Report# __ PG __ DF ___ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shalrbe prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACK FILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLANS YD N D DI\TE 't'· ' D MASONRY 0 HIGH STRENGTH BOLTING D WELDING D SHOP WELD SOIL REPORT YD N D D FIREPROOFING 0 ANCHOR/DOWEL 0 NDE FIELD 0 NDE SHOP SPECS: YD ND APPROVED SHOP DRAWING YD REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS· WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS'tx_WAS NOTO N/AO Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District D CEILING WIRE D ______ _ O ______ _ D ______ _ ND www.mtglinc.com (- Corporate: · \_ 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( (- San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: .. kt;/ 0-AtJ1: Permit# C@D7/ Cf/.,£: Report# __ PG_±:_ DF '- DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#: _______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately . . Separate reports shall be prepared for each type of special inspection, oil a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME DEPARTED TRAVEL TIME LUNCHTIME TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE D WELDING D NOE FIELD D D BACK FILL D-CONCRETE D SHOP WELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD N D REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: SJg'rture of Special Ins ctor I ~ 1ZvnAbfpl, Print Name ~-, A/ fa.,/ s,,. ~A,tJJ -#-t 07 C'. (:, f'\. • Certification #: _-_.:;;,,~--='--'I0:::...1.,1-___ -,_.__..:..._ l _ __,c.=...~=-=-*'--.J---'-1-=--.l __ Verified by: _________________ _ (- Corporate: "--. 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 ( (' San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: Z'5/ 0-/2-D1= Permit# C807/C/&S Report# __ . PG __ /_ OF "2- DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#:. ______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. DSA/OSHPD/PROjECT: APPROVED DOCUMENTS: D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLAN~ YD ND D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD SOIL REPORT YD ND Tl7~PARTED Z..-°$0 LUNCHTIME D CEILING WIRE o _____ _ O _____ _ o _____ _ SPECS: YD ND APPROVED SHOP DRAWING YD ND MATERIAL TEST REPORTS): .. 39l!J '.1'1' " StM-#-7 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS)(_ WAS NOTO . Inspected in accordance with the requirements of. the DSA/OSHPD/PROJECT approved documents. · MATERIAL SAMPLING WAS~ WAS NOTO N/AD Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner Print Name School District Certlflcati~L,o,'S;,-1!~ 6. D, Verified bY,' CJ J f4 I {J&>pf.l Oct.27, 2008 2:51PM Corporate: C. 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 ' Tel: 714.632.2999 Fax: 714.632,2974 www.mtglinc.com Dispatch: 800.491.2990 San 01ego/lmperi11I counw -· C 7313 Carroll Rd. Ste. G San Diego, CA92121 Tel; 858.537.3999 Fax; 858.537.3990 Dispatch: 888.844.5060 No,9429 p' 4 Inland Empire: 14467 Meridian Pkwy,, Sldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#; WP --Ao 4 Permltt C.. IS tR7 I 'l.,..C: Report# __ PG.,._/_ IIF __ 2,.,___ DAILY INSPECTION REPORT DSNCliY File If._· _______ _ · DSNOSHPO APPL#: ______ _ 0SA / LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection, Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis, Each report shall be oompleted and signed by the special inspector cond1,1cting the Inspection. PROJECY NAME L'5uc Cl MASONRY SUB CONtRAl;TQf\ h C~ ADllf\ESS QF PROJECT 0 CEILING WIRE TYPE OF INSPECTION Cl ENGJNE~RED FILL 0 FOUNDATION 0 BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE Cl HIGH STReNGTH BOLTING ~WELDING ci FIREPROOFING D ANCHOIWOWEI., D NDEFIELO o ______ u o ______ " tJ BACK FILL CJ SHOPWELO 0 NDESHOP D DS.A/OSHPD,'PROJECT; APPROVED DOCUMENTS: AVAILABLE: APPROVED PLANS Y~ N 0 SOIL REPORT Yt.J NO SPECS: Ys;g' NO MATERIALS USEO BY CONTRACTOR (INCLUDE RESEARCli REPOR.T NO, OR MATERIAL mr REPORTS): . S-Pa. REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS 2$ WAS NOT CJ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIALSAMPLIHG WASD WASN0TO N/A~ Performed in accordance with DSNOSHPO/PROJECT approved documents. · cc Project Architect Contractor structural Engineer Built.lino Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YO NO PERCENT PROJECT COMPLETE: THE WORK INSPECTEO MET~ DID NOT MEET CJ THE reQuirements of the DSA/OSHPD/PROJECT approved documents. Sarnplestaken:..a,.M-~_~---'"==------------- Weather: ~ Temp:,_.:;..M__,_,1</.-~------ 4:-, ~ Signature of Special Inspector /vM-1 ~gAJ" AR.D;? Oct,27, 2008 www.mtglinc.com 2:52PM Corporate: 299~ E, La Palma A.ve. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/lmpefial County 7313 Carroll Rd. Ste. G San Diego, GA 92121 Tel: 858.537.3999 . Fax: 858.537.3990 Dispatch: 888,844.5060 ···( No.9429 P, 5 1n1and Empire: 14467 Merldi~n Pkwy., Bldg. :Z-A Riverside, GA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#;" -,,.C""J,2-A,e) 'f Permit# C./Yi7L94C DAILY INSPECTION OSA/CITY File#: _______ _ REPORT Report#_ PG_i,_ 1JF 1 DSA/LEA#: _______ _ 0SA/OSHPD APPL#: ______ _ Special Inspection Reports must be distributed to the parties listed below within 14 days Of the inspectio~. Reports ~f non•cornpliant conditions must be distributed immedlately. Separate reports shall be prepared for each type of special inspection, on a ctaily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TIME; DEPARTED TRAVEL TIME LUNCHTIME D MASONRY 0 CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL D FOUNDATION D 8ACKFILL 0 BATCH PLANT 0 PT CONCRETE 0 SHOTCRETE 0 CONCRETE r;:J HIGH·STRENGTH BOLTING I;i:WELOJNG 0 FIREPROOFING CJ ANCHOR/DOWEL. D NDE Fl~LD CJ ______ II o _____ _ D SHOPWELD D NOESHOP D DSA/OSHPD/PROJE(:T! APPROVED DOCUMENTS: AVAILABlE: SOIL REPORT Y Cl N 0 SPECS: Y J8 N CJ APPROVED PLANS Y S N 0 MATERIALS us~o 8Y CONTRACTOR (INCLUD~ RE;SEARCH REPORT NO, OR MA1'EIIIAL TEST R£1'0RTS): CONTAAGrOIIS EQUIPMENl' / MANPOWER USED: STRUCTURAL NOTE$, OETAIL, OR RFIS USED: F\6MAAK8, /NCI.UDJNQ IIEET/NaS: REWORK AS PERCENT PF ALL WORK TODAY: THE WORK WAS i,' WAS NOT D . Inspected in accordance with the requirements of the OSA/OSHP0/PR0JECi approved documents. MATERIAL. SAMPLING WAS O WAS NOTO N/AJ;lJ Perfo.rmed.in accordance wfth OSA/OSHPD/PROJEOT approve~ documents. cc Project Architect Contractor Structural Engineer Building Department OSA Regional Office Owner School District APPROVED SHOI' DRAWING YD N CJ PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET O DID NOT MEET CJ THE requirements of the OSA/OSHPD/PROJECT approved documents. Samplestaken:,..,~,.;...._ __ w._~=------------------ Weather: ~ Temp:.......:;l~=:;:;.:..c=-..!.------ k-~ 1 Signature of Spectal Inspector Ip hf.I tf:'t.tA:['Ai(J{?q f>rint Name Certificat~1l/_ Verifiedb~~~AJS: Oct. 27. 2008 2:52PM Corporate: C No,9429 P, 6 Inland Empire: 2992 E. La. Palma Ave. Ste. A Anaheim, CA 92806 San Diego/Imperial Coun'ty ( 7313 Carroll Rd. Ste. G San Di~go, CA 92121 14467 Merldian ?kw., Bldo. 2-A Riverside, CA 925HI Tel: 714.632.2999 Tel; 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 866,537.3~90 Fax: 951.653.4666 Oispatoh: 800.491.2990 Dispatcli: 868,844.5060 Dispatch: 800.491.2990 FIELD REPORT TVPEOFWOAK "11NSPECTOf'I 0 TECHNICIAN A\/Alt.ABLE: SOIL REPORT (Y) (N) SPECS ~N) APPRQVijl PLANS (N) APPROVED SHOP ORAWl~G (Y) (NJ ~ECT FOR Wea< tNOING PROJl:CT. NO, T' :U-1 a . ..-4-D ~!NEER. .REPORT NO. PB L OF 2. CONTRACTOR s ·l'LAN FllE NO, SUB·CO !!ACTOR PROJ~TNAf.lE ~BS', Uu~ ',, /pe, REPORTINO lUiQ!JIBEMSNTS; JCBO FIELD IN$~l:iCTlON MANUAUMTOL SOIL MANOAI.-REVlEW PREVIOUS REP0l\T$ AN.O LISTS IF THERE IS NON-CONFORMING WORK AT THE END OFfflE WO!tl(. DAY, OR MISSING MTRS, AND l(FlS, ETC .. FILL OUT AND ATTACH A DEFICIENCY REPORi WHEN A DEFICIENCY, YOURS OR A PREVJOlJS lNSl'ECTOR' S, IS CORRECTED, $0 NOTE ON ·THE ORIGINAL DEFtCU5NCY REl'OR.T AND . SUBMIT A COPY Wlffl 'YOUR W!EK'.S REPORTS. WEA.THEIi: e.~ TEMPEFIATUAt: IV /11,,C Sill: TIME START:.~ ;Je_ ~--- ~ ~ = LUNCH PllRIOO: _...,a,-=--.... ~--,=--- $AMPlES TAKEN: ~ i£ tESTS REQUIRED: VI $Uft.. SITETIMEFJNfSjj• .,; :t::10 ,(&"1 TRAVEL TIME: ____ · _____ _ I 00 CERTIFY iHAT I HAVE PERSONALLY OBSERVfiD ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. ANO/ OR THE APPROVED,PLANS, SPECIFICATIONS AND APPI.ICABLE SECTION OF THE 8UILDING·CODE, UNL~SS OTHERWISE NOTED IN THE OEACIENCV R~PORT ~-ocoo;::;,._______ lo 1 2.2-1 og' A,,vjht.,; /l:.tt>2p$.a;;"'ZI Sig~tu~ Oat~ of Report ;ICBOCertilicatlon Number I V:A4! CuA::]"ARIJL? Print Name Cny I County Certification Number ~v: 7197 Oct. 27. 2008 TYPE Of WORK N£M1 ,Al/4 7zcr ENOINEER 5..,..,,/J CONTRACTOR '-'JA-v;ve <' 2:52PM Cofpora.t.e: (- 2992 E. La Palma Ave. Ste. A Anaheim, CA 92606 Tel: 714.632.2999 Fax: 7i4.632.2974 Dispatch: 800.491.2990 San Diego/lmperial County (. 7313 Carroll Rd.Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858,537.3990 Dispatch: 888.844,5060 FIELD REPORT \lJl)liS/'ECTO!I OTEOHNICIAN AVA1l.A8LE: SOIL R£P0RT (Yl (N) APfll\0\/ED PLANS D4 {N)· FOR WEEK ENOING REPOl\l'NO. PLAN Fill: t-10, PG No,9429 P, 7 1nlantl Empire: 14467 Miiridian Pkw., l:llda, 2-A Riverside, CA 92518 Tel: 951.658.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 SPECS p¢(N) /\PPROVE:O SliOP Of!AWlfjG (Y) (N) rROJECT. NO. ?.S'"/c; -~'f- ".2... oi; 2. ,~go-o, , '9 b s 6rl0;rsc PROJ~TN.WE. /J......:-~· /2.~T: L.~tU" Mi= M -,. . INSPECTION AODIIESS ADDRESS OF PROJECT /IJ,t' t.A. . ~·rA AV/.!-R LtJ~ .. //.J~ rtePORT!NO REQUIREMENTS: IC9O FIELD lNSPECTl()N MA.o.'WAL/MTG~ SOil, MANUAL-RBVll:.W P!UiVlOUS REPOR.TS AND LISTS lf THERE IS I\ION,CON.E<O.RMINO WORK AT THE END OFTHB WORK DAY, OR MJSSJNO MTRS. AND RF!$, El'C,, /!'I.LL OUT Al'iD AITACH A DEFtC16NCY REPORT WHEN A. DEFICIENCY, YOURS ORA l'UVlOUS INSPECTOR'S, IS CORRQctEl), SO NOTE ON TRE ORIGINAL DEFlClENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S Rtll'ORTS, MATERIAU1 USED BV CONTAACTOI\ (INCLUDE RES~CH REPORT NO, OR tAA'T.ERtAL 'fESf f\El'OII~): CONYIIACTORS EOUIPM£NT / MANPOWER USl:O: .A .. ~ r~_..~ " k~A-14~ ,_ //~ ICA~ _,,,, •• .,, ~ 1 ·-..4.. "'· ~ Rt:>£ r< A'i ea,.~_,.,, AA-S'"ES AR~. GRID llNES, PIECES 08Sfll\l£0: ~ ~£ ~#'l.).A kA '1. ... ~IE /Jc,( dEL-l'i'2pt£ .rv&;J'E ,&vc./M -I , . k"-7:"f' w.,r:-AI;:--r-&16¥ -J#-t'T: -..-·-II> ' w -{:ot t.tHA,J.S' A--T ~ Q Le. .,h.;L) "I. "'I Le. STRUCT\JRAL NOTES, DETAIL, OR RFIS USQi: f I ~M4tY:d.V I /O'' T&:>£1 ' . :f/2fu?Z:: J'~b'N&;' v-, Ee,,,t ~15,dA-/A,,. IIEMAIIKS, IIICLUDllllf aETHIQI; BEWQBK AS eEBCENI QE !LL WCBK IllllAY; P.fBQf~I eBQJECT COME!LfIIC~· WEA111E!I! I,!~ SAMP\.ES TAl<EN: ,A.,'1;1V£ ~PE.RAT\IR~; Niee 'teats REQUIRED: t,,'/ f 1,1.-tf,'-. SITE TIME START: _______ _ SITETIME FINISH: ______ _ LUNCH Pl:RIOD: -------TRAVEL TIME:---------'-~~- I 00 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTEO A80VE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION R(COMMENDATIONS, AND/ OR THE APPROveo PLAHS, SPECIFICATIONS ANO APPLICABLE SECTION OF THE 8UILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 6-:.c¼.._~ __ _ Signalu~- l/cAb,,.) CGt&~ PrtntNama /0_ I 2.2.. I etf{ ·oart Of Report ,f,,4.'S/.c~, ff/t C2pf?Q.~:)'!!J/ ICBO Certification Numbtr City / County Certiflcallan Number ~v: 7197 ( Corporate: ', 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www;mtglinc.com Dispatch: 800.491.2990 ( San Diego/Imperial County · ( 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGLProject#: '2.f;/tJ-_lft?4 Permit# CB07l'lus'" DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSNOSHPD APPL#: ______ _ Report# __ PG __ OF ___ _ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be pr~pared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. DATE ltJ-Z/-{) TIM~ARRIVED v70tl TIME DEPABJED /ZV(l TRAVEL TIME LUNCHTIME OMASONRY D CEILING WIRE TYPE OF INSPECTION tJ ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE i:TCONCRETE .O HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD 0 _______ 11 0 _______ 11 D BACK FILL D SHOPWELD D NDESHOP O _____ _ DSA/OSHPD/PROJECT: AVAILABLE: SOILREPORTYD NO SPECS: YD ND i APPROVED DOCUMENTS: APPROVED PLANS YD ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS WAS NOT D Inspected in accori:lance with the requirements of the DSA/OSHPD/PROJEGT approved documents. MATERIAL SAMPLING WA~ WAS NOTO N/AD Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP D~AWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED ME DID NOT MEETO THE requirements of e DSA/OSHPD/PROJECT approved documents. Samples taken: W-S:- Weather p: (£0 "'._.. -n;- '"z-. ~gnature of ~ial Inspector , kS'¥k/4nJo~b • ~ Print Name-,¥ , . Certffication,f3Z-o~1f ( t,"3,i; S · D, Verified by~C~i)rJ ~ &-b/µC: 1 Oct. 27. 2008 2:52PM Corporate: c· ( No.9429 P. 8 Inland Empire: 2992 E. La Palma Ave. Ste, A Anaheim, CA 92806 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 14467 Meridian Pl<w., Bldg, 2-A Riverside, CA 92518 181: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714,632.2974 Fax: 858.537.3990 Fax: 951.653.4666 Dispa.tch: 800.491.2990 Oi$patch: 888,844.5060 Dispa.tcn: 800.491.2990 FIELD REPORT ~INSPECTOR CJ T£()tlNICIAN A.V.A.ILA8L&: SOIL REf'OIIT (V) (N) SPECS /<J {N) APPROVED PLANS {N) APPROV£0 SHOP DRAWl!iG {Y) (N) FOR WEEK ENDING PG I Ft6POR.TINO REQUIRI!MEITTS: !C.80 FrELtl IN$1'5CT!ON MANl)Al.JMT01, SOtL MANVAL-REVIEW PRoV!OUS REPORTS AND LISTS . IF THERE lS NON-CONPORMlNC WORK AT THE BND OF THE WORK VAY, OR MlSSlNO MTRS, AND RFI$, 5TC,, FILL OUT AND ATIACH A D.cflCIENCY R"EPO.RT WHEN A DEPIC.lENCY, YOURS OR.A PREVIOUS INSJ>llCl'oR'S, IS CORRSC'rEO, SO NOTE Oi,11 THE ORIOINAL DEflClENCY REPO.RT ANO SU.8MIT A COJ>Y WITH YOUR WEEK'S REPORTS. WE,\THER:~ TEMPSIATIJR€..cJ/G4:: SITE TIMe STAFfT';...,._;_3_p AM LUNCH.PERIOD;_...;½:..:.' """/M_,._;."'-"'--- SAMPm TAKEN: ~,t: mTSIIEOUIREO: I/J5i:l,.f,L SITE TIME FINISH;~04f:'4A:,,. __ -TRAVEL TIME:-------- I 00 CERTIFY THAT I HAVE PEA.SONAL\.Y OBSERVED All OF THE WORK l.lSTED ABOVE ANO THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND/ OR THE APPROVED PLAHS, SPECIFICATIONS AND APPLICABLE SECTJO~ OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN TH~ DEFICIENCY REPORT L. ~~c;..._.;.,,________ It? t.2.,f IM ~s.lc#VI../IF:~2(,iKDtQSJ Sigria1ure -Date of Report ¥ ~ceo Certification Number /r,4,v c~~A-;, Print N~e Cit'-// Co11111Y CertHlcalian Number Rev: 7197 Oct. 27. 2008 2:53PM No,9429 P. 9 Corporate: Inland Empire: 2992 e. La Palma Ave. Ste. A Anaheim, CA 92806 San Diego/Imperial Count-,( 7313 Carroll Rd. Ste. G Sarr Diego, CA 92121 14467 Merldlan Pkw., Bldo. 2-A Riverside, CA 925113 Tel: 714.632.2999 Tai; 858.537.3999 Tel: 951.653.4999 Fax: 714.832.2974 Fax: 858.5:37.3980 Fax: 951.653.4666 Dispatch: 800.491.2990 'Dispatch: 888,844.5060 Dispatch: 800A91.2990 FIELD REPORT 'l'YPE0FWORK 0 TE()J:!NICJAN AVAIi.ASL&: SOIL REPORT (Y) (N) ~~cs H<Nl Al'f'RQVED.PLAPiS {)(' (N) FOR WEEK £NOit.JG flEP0RT NO, Pl).NfllE NO. REPOR1'1NG REQVI&SMENTS; ICBP PIE:LD JNSPECTION MANVAL/Mro,, SOIL MANUAL-REVIEW PREVIOUS RE!'ORTS AND usrs . JF tHERE IS NON-CONFORMING WORK ATTH6 ENO OF THE WOR.K DAY, OR MISSING MrRS, ANO RPIS, ETC., FILL our AND AiTACl'I A DEPICIBNCY REPORT WHEN A DEFICIENCY, YO!JR.S OR A PREVLOUS lNSP.6C.,"TOJrs. 1S comcrso, SO NOTE ON 'rHE ORIGINAL DEflCJENCY RBPORT AND SUBMIT A COPY WlTHYOUR W56K'S RE!'ORTS. CONTRACTORS EOIJIPMElll' I MANPOWER U$ED: lS"Hl(l.,L.~...Q""~~-=-_::_.l(Q.~&Ql!'l-t.~tf&:~~~tL..~'.L.!2.-U'-4L-aLL-~?L:_-11 LE'v,:L f,;A, llt #:2.21 .wtt&J.£ Akiet 1vA< w12 Lf!R.AJr;,, BEWCBK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION· weATJ-IER: t:..l..l!M.jAJl(:,e TEMPEFIA'TUAE: A.// c£ SITE TIME START: ____ _ LUNCH PERIOD:--------~- ~STSRfOVJREil: VI f l,f.,,t/L SITE Tll,IE FINISH: ___ _ '!'RAVEL TIME: .... ·---------VERIFIE~(,,/ (i,,r,;¢ l 00 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPL.IES WITH THE SOIL JNVESTIG.ATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECl~ICATIONS AND APPI.ICABLE SECilON OF THE 8UILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ~s/w1 -It-,t;,.l ~'$'oo1EJ ICBO CertifioatioP Numbir /t::) I '2,./ tt:J'B" Dali of Report CiJy / County Certifk:alion Number Rev: 7/97 Oct, 27, 2008 ~~~:~ate: c· No,9429 P, 10 Inland Empire: 2992 E. La Palma Ave. St8. A Anahelrn, CA 92806 San Diego/Imperial Co~nty ( 7:31 :3 Carroll Rd. Ste. G $an Diego, CA 92121 '14467 Meridian Pkw., Btdg. 2-A Riverside, CA 9251 a Tel: 714.632.2999 T81: 858,537.3999 Tel: 951.653.4999 Fax; 714.632.297 4 Fax: 858,537.3990 Fax: 951.653.4666 Dililpatch: 800,491.2990 Dispatch: 888.844.5060 Oispatch: 800.491.2990 FIELD REPORT Cl TECHNICIAN AVAll>.BLE: &Olk Rel'Of'IT (Yl (Nj SP6CS J1,f (N) APPIIOVED PL~NS (N) APPI\OYeD SHOP OMWING (Y) (N) FOR Wl:l:K ENDING AEPORTNO, PG . Pl.AN file NO • .11.El'ORTlNG REQUIREMENTS: !CBO FIB1,,p l.NSP!C1ION MANUALIMTGL SOIL MANVAL -REVlEW PREVIOUS REPORTS ~ND LlSTS IF THERE IS NON-CONFORMING WORK AT THE BND Of !HE WORK OAY, OR MISSING MT~S. AND RFIS, ETC,, FILL OUT AND ATi·ACH A DEFICIENCY REPORT WHE1' A DEFlCIBNCY,YOURS OR A 1'REVIOUS INSPECTOR'S, !S CORRECTED, SO NOTE ON THE OJUCINAL DEFICIENCY REPORT AND SUBMIT A COPY WlTH"x'OUR WEEJ<'S IU~PORTS. MATl:FIIALS useo BY CONTRACTOR (lNCLUDE RESEAIICH FIEl'OIIT NO. OR MA'TeRIAJ. ltST FIEf'ORTS)! A9"1-2 . REWORK AS PERCENT OE ALL WORK TODAY: PERCENT PROJECT COMPLETION· WEATHER;~ l'EMPERATUR!i: p I 11,e SfTE 'l'IME START: · ' ; 31? ~ ... J.UNCH PERIOD: ½_ 1,/l · SAt.lPLES TAKEN: ..V~~ 'te$TS !IECUIR~D: V / .{t-(,,+L. TRAVB. TIME': ___ , ____ _ I 00 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE ANO THAT THIS WORK COMPLIES WliH THE SOIL INVESTIGATION AECOMMENDATIONS, AND/ OR THE APPROVED Pl.AAS, SPECIFICATIONS AND APPLICABLE SECTION OF THE SU!LOING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT & ~---------Sign at&' / V tb,.,I &«.A·J:6:&0 10 Date of Report f'rintNAme Clt'f, County Certifioation Number Rev: 7/97 ,r-.,, c: ·r Inland Empire: Corpor•te: 2992 E. L.a Palma Ave. Ste. A Anaheim, CA 92806 San Diego/Imperial County '· 7313 Carroll Rd. Ste. G San Diago, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside. CA 92518 Tel: 714.632.2999 Tel: 858.537.3999· Tel: 951,653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951,653.4666 Dispatch; 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT . NSPECTO!l 0 TECHNICIAN AVAl\,A8L£: SOIL REPORT (Y) (NJ SPECS !4lN) .t,PPROIIUI PLANS (N) "PPIIOVEO SHOP DRAWING {Y) (Nl FOR WEEK ENDING IIEPOII.T HO. PG REPORTING ~UIRE~: ICJ:10 mu:, lNSJ'ECTION MANUAL/MT01.SOU .. MANUAL-REV!EW PRS.Vl()US REPORTS ANO l.,ISTS IF fHERE IS NON-CONf'OiM:ING WC>RK. AT 'THE END Of THE WORK DAY, OR MISSING ~TR$, AND RFIS, ETC., RU. OtJT AND ATTACH A DEFICISNCY REPORT WHEN A OEFlC!ENCY, rOURS ORA PREVIOUS INSPECTOR'S, rs CORRECTED, so NOTIS ON THE ORIGINAL DEJ"lCJENCY REPORT AND StJ.BMIT A COPY WlTHYOUR WElaK'S REPORTS, STRUCTURAi. NOTES, DET.t,R.. OIi flfl& usm: . WEA'fl!ER: ~ SAMPLESTAKC1': .A,C...v£ TeM~IIATURE: ,AJ/(;;.e. TlSTti RtOUIK~I): VJ~'U.,"fr!'-/'#,¥~ Sl'n:TINESTAAT: ,5 .!.Jt2_4~ l,UNCH PERIOO: ½-lf4-, SITE TIME FINISH: 5 ~ 0'2_1..m. --,--TRAVEL TIME: _______ _ . ' I 00 CERTIFY THAT I HAIJE PERSONALLY OBSERVED ALL OF THE WORK LISTED A!lOVE ANO THAT THIS WORK COMP~IES WITH THE SOIL INVESTIGATION RE¢0MMENOATIONS, AND I OR THE APPROVED PLANS, SP£CIFIOATIONS AND APPLICABLE SECTION OF TH~ SUlLDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT £r~~~---------10o~~ZPort'~~ ~~N!~2t21rt2:2S1 / Ytbt! by,4:TA-12.lb Print Name City I County Cortlflcatian Numbar Rev: 7/97 www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632,2974 Dispatch: 800.491.2990 --.( San Diego/Imperial Counfy · 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537 .3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy,, Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax; 951.653.4666 Dispatch: 800.491.2990 MTGI.Project#: 20t? -AP'f Permit# C:.BP 7194,S: Report# __ PG_l_ llf_'.,.2 __ DAILY INSPECTION REPORT 0SA/CITYFile#: ________ _ DSA/0SHPDAPPL#: ______ _ DSA/LEA#: -------.....:.- Special .Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non·cqmpliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special in$pection, on a daily basis. Each repM shall be completed and siglled by the sp-,cial inspsctur c;unduuting the inspection, PRO ECT NA.ME DA.Tl! , . ~~· - O MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL 0 FOUNDATION D BATCH PLANT 0 PT CONCRETE n SH0'TCRETE 0 CONCRETE 0 HIGH STRENGTH BOLTING £WELDING 0 FIREPROOFING D ANCHOR/DOWEL 0 NDEFIELD 0 ______ 1 0 0 0 BACKFILL 'ti SH0PWELD 0 NOE SHOP D8AJOSHPD/PROJECT; .APPROVED DOCUMENTS: AVAILABLE: SOIL REPORT YO N 0 SPECS: Y~' NU APPROVED PLANS Y ND MATERIALS user, SY CONTRACTOR (INCLUDE R.ESEARCH Rf PORT NO. OR MATERIAL TEST REPORTS): E. · A?S REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WASa!f WAS NOTO tmipeoted In a.ocoraance with the requirement$ of the DSA/0SHP0/PR0JECT approved documents. MATERIAL SAMPLING WAS CJ WAS NOTO N/A.8/. Performed in accordance with DSNOSHPD/PROJECT approved aocuments. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner · School District APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORI( INSPECTED MET~ DID NOT MEET D THE reQuirementsof the DSA/OSHPD/f'R0JEOT approved documents. Samples taken: ~p Weather: . <'~ Tornp:.---!::M::t!!,1.(.::Gc~· ------~ ~ Signa~ Inspector /vM.J '1.;uA»4£D-:2~·~---PrlntName Certlfi~ V~rifie~~~I</~,<.~_ ·· .. -(- -Corporate: Inland Empire: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Sa.n Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 714.632,2999 Tel: 858~537.3999 Tel: 951.653.4999 Fax: 714.632,2974 Fax: 858.537 .3990 Fax: 951.653.4666 Dispatch! 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT '\'YPEOFWORK CJ TECIINICIAN AVAILA8lE: SOIL llmlflT ('r') {N) 4.J ~PPF\0Vt0 PLA.l!S (N) FOR-WEEIC ENDING . REP()I\TNO. PG PlAN Fil~ NO. REPORTING R,'SQUIREMOOS: IC80 FIELD INSl'ECTlON ~ANUAL/.MTO~ SOU.. .MANUAL:_ REVIEW PREVIOUS R.'El'OR!S ,t,ND US'l'::i lF THERP, TS NON-CONf'ORMINO WORK AT THE END OF T'HE WO!tl!: DAY, OR MISSlNCi MT~S. AND RFIS, Ere., !''ILL OUT AND ATIACB A DEFICIENCY REPOJi!.T WHBN A DEFICIENCY, YOIJRS ORA PREVlOIJ$ INSPECTOR'S, lS CORkECTED, SON~ 01'1 THB ORtGXNAJ... DllPICIENCY R~l'ORl' ANV SU~Ml'T A c:on WITH YOUR WfE}{'$ REPORTS, MATERIALS USEO tY CONTIIACTOII UNCLU!le RESEARCH llfl'OIIT llO, OR MATERIAL TES't l'IEl'OmS)! ~ Ai fwltld 3'.. ¥-f' r1 I l'A:LLe&e-L/ AJ,qUl/i, ~ ~s'Q~~~fQg..tll-'64..=..~~~ir.l....l~~~~~C:1....il.t2~~¾,4.~~~'.!J:;:L_L.J~~C:.....--I ,.-c-=~--~-------=l'.;:.:;...~ ~~7/&N~A-s /-'A.Ar: a£ ./4E:.4&,< &;it 8E-.&f£' rM-r A.J~ . ~ t vd,1'-14' d #1'2 ,.A,4:ayt':, ¼ -tdF _AA FIEMAlll(S. HICtU111111 Mffr1HI: B.EWORK AS PERCENT OF ALL WORK JOOAY; PEAQENI PROJECI CPMPLETJQN: Slll:TIMESTART:------ l.,UNCH PERIOO: ------------ T11$TS kEQUIIIEO: SITETIM£ ANls;t: _______ _ TRAVEL TIME:-···---~-- I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF Tl-IE WORK llSTEC ABOVE AND THAT Tt-llS WORK COMPLIES WlfH 'tHE SOil iNVESTiGATiON RECOMMENDATIONS, AND / OR THE APPROVEP PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHEAWISE NOTED IN THE DEFICIENCY Rf:PORT 67~na#'-------------I() 01{1 ::po,/ bg' -1'~4:t~t.e:~?;,;aag'/ I e,,,,v <(_~4-I.A.hJo = Print Name City I County Certification Number RtV: 7/97 Corporate: [ 2992 £, La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714,632.2999 Fax: 714.632.2974 www.mtgJlnc.com Dispatch: 800.491.2990 -( San Diego/Imperial County 7313 Carroll. Rd. 'Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: asa.537.3990 Dispatch: 888.844.5060 ~~-. .. ,., Inland Empire; '··-····~ 14467 Meridian Pkwy., Bldg. 2-A .... · Riverside, CA 92518 Tel: 951,653.4999 Fax: 951.653.4666 Dispalch: 800.491.2990 MTGL Project#: ;2SIP-Ao't'. Permit# CBo 7196-.S: Report # _,_ PG _J_ IF-2--.._ DAILY INSPECTION REPORT DSAIC!TY File#: _______ _ DSA/OSHPD APPL#;·~------ OSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below wit/lin 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily ba$IS. Eaoh report shall be completed and signed by tha special inspector conducting tne Inspection. P~JECTNAME - D MASONRY TYPE OF INSPECTION U l::NGINEERED FILL D FOUNDATION 0 BATCl1 PLANT D PT CONCRETE D SH0TCRETE 0 CONCRETE CJ HIGH STRENGTH BOLTING lXWELOING 0 FIREPROOFING 0 ANCHOR/DOWEL D NDE FIELD D CEILING WIRE t) . o _____ _ (J BACKFILL tJ SHOPWELO Cl NOE SHOP o _____ _ DSA/OSHPD/PROJECT; APPROVED DOCUMENTS: AVAILABLE: SOIL REPORT YU N U SPECS: Y~ NU APPROVED PLANS Y ,a N 0 MATERIALS USED BY CONTRAOTOR (INGLUDE RESelil'ICH fll:PORT NO. ·ofl MATI:fllAL 'tEST REPORTS): REWORK AS PERCENT OF ALL WORK TODAY: . THE WORK WAS~ WAS NOTO . Inspected in accordance with the requirements of the OSA/OSHPD/PROJECT approved documents. MATEH.IALSAMPLING WASO WAS NOTO N/A)r Performed in accordance with DSA/0SHPD/PR0JE0T' approved aoouments. cc Project Architect Contraotor Structural Enginm Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND PERCENT PROJ~OT COMPLETE: TtiE WORK INSPECTED MET ta: DID NOT MEET 0 THE requirements of the OSNOSHPD/PR.OJECT approved documents, Samples taken: A/<7N G weather: ¢Le;A..L Temp:_M~tJu.~""'~ .... ·=------ h,,= c:¥k Slanaturtii't Special Inspector / YAN CuA-J"A:R..:.<,,; .... D ....... o __ _ Print Name Certificatlo~/ #, ~&).ft)'t:r/_ Verifiedb~Af_ ~~c/~r . Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.~999 Fax: 714.632.2974 www.mtglioc:.com Dispatch: 800.491.2990 San Dieor>/lmperJal County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888,844.5060 ._ .. Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA ~2518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch; 800.491.2990 MTGL Project#: JQ,;, ... M'l Permit# C·'Bt2.:J.. i, f 6S- Report#_._ PG-1... ilF :2 DAILY INSPECTION REPORT DSA/CITYFile#: ________ _ DSA/OSHPD APPL#: ______ _ DSA/LEM: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of.the inspection. Reports of non-compliant conditions must be distributed immediately. Separa.te reports shall be prepared for each type of special inspection, on e. daily basis. Each report shall be con'lpleted and signed by the special inspector conducting the inspection. PROJ CTNAM~ TIME DEPAf\TC(l TRAVE~ TMf · LUNCH IIMt TYPE Of INSPECTION 13 BATCH PLANT O MASONRY 0 CEILING WIRE O ENGINEERE0'flLL D PT CONCRETE D HIGH STRENGTH BOLTING O FOUNDATION CJ SHOTCRETE )( WELDING D FIREPROOFING ::l ANCHOR/DOWEL D NDEFIELD o _____ _ O BACK FILL Ci CONCRETE CJ SHOP WELD 0 NDESH0P o_ .. D n---------------------'-DSA/OSHPD/PROJECT: AVAILABLe: SOIL, REPD.RT Y r:J N 0 SPECS: Y ND APPROYeD DOCUMENTS: APPROVED PLANS Y ~ N D MAT£RIALS USED BY t:ONfrlACTOR (INOLUQE IIESeAI\CH REPORT NO, OR. MATERIAL TEST REPORTS): REWORK AS PERCENT OF ALL WORK TODAY: TtlE WORK WAS'fjl WAS NOT 8 Inspected in accord'ance With the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLIMG WAS O WAS NOT D N/A'i6 . Performed in accordance with 0SA/0SHPD/PR0JECT approved documents. cc Project Architect Contractor Structural Engineer Buildtna Department DSA Reaional Office owner School District Af'PR0V SHOP DRAWING YO N 0 PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET. DID NOT M~ET Cl THE requirements of tha DSA/6SHPD/PR.0JECT approved documents. Samples taken:. ________________ _ Weather: _______ Temp: ________ _ k~ Signature psciallOspector /4,,,Jb,1.I ~q~:Pf.i.DP F'rint Name =----- c,rtn1~,on ~ ~e.,utl:m°!~ Verified~~~- Carp orate: 2992 E. La Palma Ave. Ste, A Anaheim, CA 92806 Tel; 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ,__( Sa11 Diego/Imperial County · 7313 Carroll Rd. Ste. G San 01ego, CA 92121 Tel: 858.537.3999 Fax: 858.537,3990 Dispatoh: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg, 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project 1;2s:Pz-At2L/ Psrmit # CR(:)71.. fa:. Report#_ PG_l_ llf__,..-2~-- DAILY INSPECTION REPORT 0SA/0ITY FIie#:,....._ ______ _ DSA/OSHPDAPPL#: ______ _ DSA/LEA#: -----~~-- Special Inspection Reports must be distributed to tha parti&S listed be/ow within 14 day~ otthe inspection. Reports of non-compliant conditions must be distributed immediately. separate reports sll~II De prepare!I tor each type ot speclal Inspection, 011 a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME SUB CONTRACTOR fl e.... ADllRESS OF PIIOJECT 0 MASONRY TYPE OF INSPECTION 0 ENGINEERED Fill CJ FOUNDATION CJ BATCH PLANT O PT CONCRETE D SH0TCRETE D CONCRETE 0 HIGH STRENGTH BOLTING Cl FIREPROOFING D ANCHOR/DOWEL 0 NOE FIELD 0 CEILINGWIRE 0 0------ D 13ACKFllL ~rJ6~~iLD 0 NDESH0P 0 DSA/OSHPD/PROJECT; APPROVED DOCUMENTS: AVAILABLE; SOIL REPORT YD N 0 SPECS: Y Pf N Li APPR0VE0 PlANS YJfl Nn APPROVED SHOP DRAWING YD ND REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WO!I.K WAS(! WAS NOT D Inspected in accordance with the requirements of the DSNOSHPO/PROJECT approved documents. MATERIAL SAMPLING WASD WAS NOTO N/Ai:,t Performed in accordance with DSA/OSHPD/PROJE0T approved documents. cc Project Arehlteot Contractor Structural ~nglneer Buildln9 Departmer'lt DSA Regional Office Owner School District THE WORK INSPECTED MET~ DID NOT MEET 0 THE requirements of the DSA/0SHPD/PR0JECT approved documents. Sarrtplestaken:~e Weather: ~ Temp: ... &,:c:;,.i'l~r:~~-------- k· M£;; si~ure of Special Inspector /Y,4-.,t/ G~+..TLJ:z1l~-Ll;1'-___ _ 'Print Name Ce~it~·cati #:«'~!L1:1#~~$/ . Verifie _ ~ ~-µ&;ou,J;r ~ , Corporate: 2992 E. La .Palma Ave. Ste. A Anaheim, CA 92806 Tel; 714.632.2999 Fax; 714.632.2974 www.mtgline.com Dispatch: 800.491.2990 .~ ( san Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.65:3.4999 Fax: 95~ .653.4666 Dispatch: 800.491.2990 MTGL Proi&ct #: 2012 ""M't Permit I . CBQ2,Jfl'.C R.eport# __ PG--l,_ l'lr____,2.~. __ DAILY INSPECTION REPORT DSA/CITYFlle #:, ________ _ DSA/OSHPO APPL#: ______ _ DSA/LEA#: _______ _ Special Inspection Reports must be distributed to the parties listed below within 14 days ot the inspection. Reports of non-compliant conditions must be distributed immediately, Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special Inspector conducting tne Inspection. TIM~OEPAR TIIA.VEL TIME LUNCHTIME TYPEOFINSPECTION O BATCH PLANT O MASONRY O FIREPROOFING O CEILING WIRE 0 ENGINEERED FILL O PT C0NCR,E!E O HIGH STRENGTH BOLTING O ANCHOR/DOWEL O _____ _ 0 FOUNDATION LJ SH0TCRETE !X'WELDING O NOE FIELD O -----~11 ll-:D=BA-::::C-:-;K~F'-ILL-:==:;:-;::::-----:O;-;;;-:CO-:-N::::C-:-RE_TE ___ -'--_--;;:tl-;;-;S,,.,.H::::O::P~W=EL:--:D=-:-:-:=--~--::-O:::N:'::'.D::-E-:-SH:-'.CO'.'."'.°P"7:-:::------0--=-:::--==:-----____ -----u . DSAIOSHPD/PROJECT: AVAILABL.E: SOIL REPORT YO N r.:J SPECS: Y §it ND APPROVF;D DOCUMENTS: APPROVED PLANS Y pf ND APPR0VEP SHOP DRAWING YO ND MATERIALS USED llY CDNTHA!)I OR (INCLUDE A.ESEARCH REPORT NO, OR MATERIAL TEST REPORTS): . STRUCTURAL NOTES; OETAIL, OR llflS USEO: REMARKS; INCLUD/"'(J Mf(TIIIGII REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT 0 Inspected In accoraance with the requirements otthe 0SAIDSHPD/PR0JECT approved documents. MATERIAL SAMPLING WASO WAS NOTO N/A~ Performed In aocllrdance with DSNOSHPD/PROJECt approved documents. cc Project Arct'litect Contractor Structu~I Engineer Building Department DSA Regional Office Owner School District PERCENT PROJECT COMPLETE; THE WORK INSPECTED METR' DID NOT MEET 0 THE requirements of the DSN6SHPD/PR0JECT approved documents. Samples taken:. ________________ _ Weather: Temp:.-· ________ _ Z-~ J Slgnaflfre ofjpeclal lnspeotor / V-4,,v 6x..t&T-4:£4r2 Corporat1; 2992 e, La Palma Ave. ste. A Anaheim, CA 92806 Tel: 714,632.2999 Fax; 714.632.2974 www.mtSlinc:com Dispatch: 800.491.2990 ~ r· San Diego/lmperlal County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel; 858,537.3999 fax; 858:537.3990 Dispatch; 888.844.5060 .. _ lnll!nd Empire: i4467 Meridian Pkwy,, Bldg. 2-A Riverside, GA 92518 Tel: 951.653.4999 Fax: 951,653.4666 Dispatch: 800.491.2990 MTGLPro)ecU: U/t.? -A~_':{ Permit# ..b:8(2 2( f4!.,S: Report#______. PG_/__ if ---""'2...__ __ DAILY INSPECTION REPORT DSA/CIT'{ File#: ______ ~-- DSA/OSHPD APPL#: ______ _ OSA/ LEA#'. Special Inspection Reports roust oe distributed to the parties listed btlow Within i 4 days of the inspection. Reports ot non-compliant conditions must be distributed immedlately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each.report shall ba completed and signed by the special inspector conducting the Inspection. DATE d TYPE OF INSPECTION D BATCH PLANT O MASONRY O FIREPROOFING D CEILING WIRE 0 ENGINEERED FILL D PT CONCRETE O HIGH STRENGTH BOLTING O ANCHOR/DOWEL O _____ _ 0 FOUNDATION O SHOTCRETE }!!. WELDING O NOE FIELD D ______ 11 lf.,.CJ..,,,..,,-BA_C":"'.".K:,C-Fl,,.,LL,,.....,..~:::----'""".o=C--ON.,..,C_RET_E ---,.---CJ~S--HO,,,,,,P __ W_E_Lo_. _______ o_N-=-D~E""."'.SH~O..,..P_~ ___ D ==========ll DSA/DSHPD/PROJECT; AVAILABLE: $OIL REPORT YO ND SPECS: Y ~ N C1 APP"OVED DOCUMENTS: APPROVED PLANS Y~ ND APPROVED SHOP DRAWING VO N 0 MATER.IA LS USED BY CONTIV,CTOR (INCLUO~ RESEARCH REPOflT NO. OR MATERIAL TEST REPORTS): THE WORK WAS 11( WAS NOT D Inspected in accoroance with the raauirements of the DSA/0SHPD/PR0JECT approved documents. · l'tf.ATERIALSAMPLING WASD WAS N0TLJ N/A'Jl Performed in accordance with DSA/OSHPD/PROJECt approved documents. cc Project Architect Contractof Structural Engineer Building Department OSA Regional Office Owner School-District PERCENT PROJECT COMPLETE: THE WOAK INSPECTED MET;K DID NOT MEET D THE requirements of the DSN0SHPD/PR0JECT approved documents, Samples taken: N~...,W.:-,'t=--------------- Weather: ~ T8mp:_.u:=..:;i-=¢=------z_,.._ ~ www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax; 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial County · 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch; 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A l:iiverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGl Project#: Ula -Atz't Permit# CBa7)9'~. ____ _ Report# __ PG~ I/IF_..a;2;;._ __ DAILY INSPECTION REPORT DSA/CllYFile #: ________ _ DSA/OSHPD APPL#: ______ _ DSA/LEA#: ________ _ Special Inspection Reparts must b& distributed to the parties listect below within 14 days of the inspection. Reports of,non-compliant conctitions must be distributed immediately, Separate reports shall be prepared for each type of special inspection, on a dally basis. Each report shall be completed ang signad by the special Inspector conducting the 1nspectloo. TNAME TIME DEPARTED TRAVE~ TIM LUNCH Tl TYPE OF _INSPfCTION O BATCH PLANT CJ MASONIW O FIREPROOFING 0 ENGINEERED FILL O PT CONCRETE :J HiGH STRENGTH BOLTING O ANCH0A/D0WEL D CEILING WIRE 0 FOUNUATI0N O SH0TCRETE )!g. WELDING O NOE FIEL0 D------n p 0------11 0 BACK Fill O CONCRETE CJ SHOP WELD O NOE SHOP 11----------------........----------------DSNOSHPDJPROJECT: AVAILABLE: SOIL REPORT YO NO .SPECS: Y'I!, ND APPROVED DOCUMENTS; APPROVED PLANS YJ;I N tJ APPROVED SHOP DRAWING YD ND MATtRIA_lS USED BY CO!iTl'I.ACTOR (INCLUDE flE~flCH AEPDRT NO. OR M.ATERl,\L TEST REPORTS): REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WASJJJ WAS NOT 0 Inspected ln accordance with the requ1rementii of the DSA/0SHPD/PR0JECT approved documents. MATERIAL SAMPLING WAS O WAS NOT CJ N/Ajia: Performed in accordance with DSA/0$HPD/PROJEGT approved documents. co Proiect Architect Contractor Structur.11 Engineer Building Department DSA Regional Office Owner SchOol Di$trtct PERCENT PROJECT COMPLETE: THI: WORK INSPECTED MET t:i DID NOT MEET~ THE requifements of the DSA/0SHPD/PR0JECT approved documents. Samples taken: ________________ _ weather: Temp:. ________ _ ~~ / ifnatureofspecial Inspector Jy,4--d,2 t;'q~ Print Name c,~,,m,~~a>$L Verified by~~ 4J_,. Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carron Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY A VENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, CA 92Q08 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE ~-COSTA AY.E-:J CARLSBAD, CA Client: DUDEK & ASSOCIATES I\ Set No.: 9-00265 Age Date Nominal Actual Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture - 7 2/19/2009 6X 12 28.27 89,260 ,-;3.:;:t:60=---I Shear -28 3/12/2009 6X 12 28.27 28 3/12/2009 6 X 1_2 28.27 28H 3/12/2009 6X12 28,i7 _ .............. , ' Specified Streqg!fil.:;t50Q_JSI Sampled By: JESSE RANDOLPH ASTM Cl 72 Date Sampled: 2/12/2009 Date Received: 2/13/2009 Location: 2ND FLOOR PATIO BETWEEN GRID LINE B & C NORTH OF GRID LINE 5 Concrete Supplier: SUPERIOR READY MIX Mix No.: P-750 Ticket No.: 140274 Water added at Site: 5.00 Cement 'fype: II Remarks: gal. By C.B.S Mix'f~e: Distribution: DlJPEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** Concrete Temp: Ambient Temp: °๓F ASTM C1064 °๓F ASTM C1064 Slump: in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,lnc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: Branch: 2992 E. La Pa4na Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 925 I 8 Tel: (951) 653-4999 Fax: (951) 653-4666 449 I 7 Golf Center Parkway #1, Indio, CA 9220 I Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 Date Printed: 3/16/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE c:0:9J>0::C&CITSTJ.\:"'A~ Client: DUDEK & ASSOCIATES I\ Set No.: 9-00265 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 2/19/2009 6X 12 28.27 28 3/12/2009 6X 12 28.27 28 3/12/2009 6X 12 28.27 28H 3/12/2009 6X 12 28.27 Specified Strength:Cf,50Ei=J PSI Sampled By: JESSE RANDOLPH Location: 2ND FLOOR PATIO -GRID LINE B -C / 5 Concrete Supplier: SUPERIOR READY MIX Mix No.: P-750 Ticket No.: 140274 Water added at Site: 5.00 Cement Type: II Remarks: gal. By C.B.S Mix Time: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 4820PSI Load Strength Type of (lbs.) (psi) Fracture 89,2p0 3,160 Shear 137,790 4,870 Cone 134,480 ~ . • l Cone & Split ASTM C172 Date Sampled: 2/12/2009 Date Received: 2/13/2009 Concrete Temp: Ambient Temp: °༂F ASTM C1064 °༂F ASTM Cl064 Slump: in. ASTM Cl43 . Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. I\ Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTII-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 Date Printed: 3/18/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE CI§60.LA.COS::C:AA.:V.EJ Client: DUDEK & ASSOCIATES A SetNo.: 9-00374 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 3/16/2009 6X 12 28.27 28 4/6/2009 6X 12 28.27 28 4/6/2009 6X 12 28.27 28H 4/6/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: JESSE RANDOLPH Location: RAMP FOR PEDESTRIANS Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 71531C Ticket No.: 6563052 Water added at Site: ____ Cement Type~. 11/V Remarks: gal. By Distribution: DUDEK & ASSOCIATES MixTime: 61 CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. CARLSBAD, CA t.-t; e1. L ~ '? Load Strength Type of (lbs.) (psi) Fracture 132,090 4,670 Cone & Split ASTM C172 Date Sampled: 3/9/2009 Date Received: 3/10/2009 Concrete Temp: 71 Ambient Temp: 58 °ஃF ASTM C1064 °ஃF ASTM C1064 Slump: 4.00 in. ASTM C143 Telltec;I at; S;.m J:)iegg Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A C Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, GA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 C San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, GA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, GA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2-{ilO-A-P~f Permit# rC,e;/1'-7-/.--~(p_£. } DAILY INSPECTION REPORT DSA/CITY File#:, ________ _ DSA/OSHPD APPL#:, ______ _ Report# __ PG __ DF ___ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME /.,P,t,,l?/h? l,4 /A.I, /1~·-r= ARCHITECT t>E.. 1..,1 j\J 6 Nff'"k.' · ENGINEER .::)· ~-. TYPE OF INSPECTION BATCH PLANT D MASONRY DATE t>3·0°J-O TIME ARRIVED o~~oo TRAVEL TIME SUB CONTRACTOR 1\:-AM-c.. ADDRESS OF PROJECT q(po ~ST/f-ki)r,;;. CA12-l$i3A1? _ D CEILING WIRE D ENGINEERED FILL D PT CONCRETE El FOUNDATION D SHOTCRETE D HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD 0 _______ 11 0 _______ 11 q BACK FILL d CONCRETE D SHOPWELD D NDE SHOP 0 _______ 11 O~NOSHPD/PROJecT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APP~OVED DOCUMENTS: APPROVED PLANS YD ND CONTRACTORS EQUIPMENT/ MANPOWER USED: "[\e.A1,. Ulv\.- REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WASJ)tWAS NOTO Inspected in accoraance with the requirements of the DSA/OSHP0/PROJECT approved documents. MATERIAL SAMPLING WA'f¼j WAS NOTO N/AD Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND PERCENT PROJECT COMPLETE: THE WORK INSPECTED METk DID NOT MEETD THE requirements of Jhe DSA/OSHPD/PROJECT approved documents. l '>t[T 1 ignatur of Special Inspector ~t;.§s.£~Dt:n£ if= Print Name Certification#: G2.-c,l,,<>lc;-~ Verified by~ ~ k - Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, $uite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4077 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCREIB ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: ARKS Project No.:. 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA,JYf.\S:fp:W.ATER DIST. SIIB IMPROVE ~-SI~~_j Client: DUDEK & ASSOCIAIBS _/\ Set No.: 9-00374 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 3/16/2009 6X 12 28.27 28 4/6/2009 6X 12 28.27 28 4/6/2009 6X 12 28.27 28H 4/6/2009 6X12 28.27 .---;-,::::) Specified Strength[_j,500· PSI Sampled By: JESSE RANDOLPH Location: RAMP FOR PEDESTRIANS Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 71531C Ticket No.: 6563052 Water added at Site: gal. By Cement Type: II/V MixTime: 61 Remarks: Distribution: DUDEK & ASSOCIAIBS CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 6120PSI CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 132,090 4,670 Cone & Split 173,140 6,120 Cone 173,390 Cii,130~ Cone ASTM Cl 72 Date Sampled: 3/9/2009 Date Received: 3/10/2009 Concrete Temp: 71 Ambient Temp: 58 °ᆳF ASTM C1064 °ᆳF ASTM C1064 Slump: 4.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. I\ Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San.Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: 2510A04 Date Printed: 4/8/2009 CARLSBAD, CA noos Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE (I§iJ_O_LA-COS::r:A-AV-E-J Client: DUDEK & ASSOCIATES A Set No.: 9-00423 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/7/2009 6X12 28.27 28 4/28/2009 6X 12 28.27 28 4/28/2009 6X 12 28.27 28H 4/2&/2009 6X 12 28.27 SpecifiecJ Strength: 3,.~QD,::~ =:PSI Sampled By: JESSE RANDOLPH Location: HV AC BROILER EQUIPMENT PAD Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6582773 Water added at Site: 5.00 . Cel!).e!}t 1'ype: II/V Remarks: gal. By TEAM-C M~ Tll!le: 70 Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** )!!in. CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture --. 73,270 (---1,,~ . I Shear ·I ASTM Cl 72 Date Sampled: 3/31/2009 Date Received: 4/1/2009 Concrete Temp: 76 Ambient Temp: 53 "F ASTM C1064 "F ASTM C1064 Slump: 5.00 in. ASTM C143 . Tested at: S.an Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 c· San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: "26zo-?ti?+ Permit~Ofao7/21'--Z:,-;: t..J ~·------------- DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#:. _______ _ Report# __ PG __ OF ___ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFIJ.L DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: AREA, GRID LINES, PIECES INSPECTED: I VA:2:-/31) / l,,f>?< D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLANS YD ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOT D . D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD SOIL REPORT YD ND D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NDESHOP SPECS: YD ND tfCEILING WIRE 0 -------11 D _______ ,, 0 _______ 11 APPROVED SHOP DRAWING YD N D O¼tCJ.f, PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET ltJ) DID NOT MEET D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. THE requirements of the DSA/OSHPD/PROJECT approved documents. b-T MATERIAL SAMPLING WAS~ WAS NOT D N/A D . Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District Print Name Certification#: ___,,,,~:-= __ ""-""'~-"~"""-_c...:,, ~:c:__-~· 1--=-------- Verified by:,~Y'--~0:~=----'~"""-~""°-'=-i1.c--=--------- Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 GolfCenterParkway#l, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-GROUT ASTM C1019 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 4/27/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Client: DUDEK & ASSOCIATES /\- Set No.: 9-00456 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/24/2009 3X3X6 9.67 28 5/15/2009 3X3X6 9.00 28 5/15/2009 3X3X6 9.00 28H 5/1_5/2009 3X3X6 9.00 Specified Strength: 2,000 PSI Sampled By: JESSE RANDOLPH Location: ENTRANCE WALL Concrete Supplier: HANSON AGGREGATE Mix No.: 2011501 Ticket No.: 307 Water added at Site: 12.00 gal. By MODERN MASONRY Cement Type: 11/V MixTime: 55 Remarks: 2ND LIFT Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. c;:I9-o07LA.CO'S~ CARLSBAD, CA ?-e, D--Z l ', b-'$" Load Strength Type of (lbs.) (psi) Fracture 24,140 2,500 NIA ASTM Cl 72 Date Sampled: 4/17/2009 Date Received: 4/20/2009 Concrete Temp: 74 Ambient Temp: 54 °๖F ASTM C1064 "F ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,lnc. Eduardo Dizon, R.C.E. /\ Corporate, Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714)632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENDE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 Date Printed: 4/24/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA W f.\SXEWATER DIST. SITE IMPROVE ~Ib-~~.JE Client: DUDEK & ASSOCIATES ·I\ SetNo.: 9-00415 -Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/1/2009 6X 12 2.8.27 2& 4/22/2009 6X 12 28:27 28 4/22/2009 6X 12 28.27 28H 4/22/2.009 6X12 28,27 Specified Strength: 4,500 PSI Sampled By: RAMZI JAMMA Location: ADA PEDESTRIAN RAMP WALLS Concrete Supplier: ROBERTSON'S READY MIX Mix-No.: Ticket No.: 6542563 Water added at Site: _Cement Type: Remarks: gal. By Distribution: DUDEK & ASSOCIATES Mix T~e: 80 CITYOF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** 6260PSI CARLSBAD, CA ~'-'> Load Strength Type of (lbs.) (psi) Fracture 137,810 4,870 Cone& Shear 174,640 6,180 Cone 179,120 6,340 Shear ASTM C172 Date Sampled: 3/25/2009 Date Received: 3/26/2009 Concrete Temp: 65 Ambient Temp: °༎F ASTM C1064 °༎F ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. I\ www.mtglinc.com C Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 r· San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2-€JP---.ltD4 Permit# r0'.!3c>IT~t5 ~----~· --~ --·---- DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report#_._ PG __ DF~.----DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the-inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports sh~II be prepared ,for each type of special inspection, on a daily basis, Each report shallbe completed and signed by the special inspector conducting the inspection. Tll~E DEPARTED 1Poo LUNCHTIME SUB CONTRACTOR . Mt>O~r!-N t.Jl-At:,t>~,Cr.R....., ADDRESS OF PROJECT 'q !,;;;,"D .})(l:)e C.tn?-i.b6kP TYPE OF INSPECTION 0 BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE d ENGINEERED FILL D PT CONCRETE 0 HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE D WELDING D NOE FIELD 0 D BACKFILL D CONCRETE d SH0PWELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND 'APPROVED DOCUMENTS: APPROVED PLANS YD ND REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WASD WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved ,documents. MATERIAL SAMPLING WAS tJ WAS NOT D N/AO Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office . Owner School District APPROVED SHOP DRAWING YD ND .PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET D DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. s-- tture ~I Inspector ~~ jc:':loJDbWtl- PrintName c,rtlficationffe. ~Of~~~ :"·D, Verified by: ~ <-\/~ www.mtglinc.com ( Corporate: 2992 E .. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: Z'!!i/o-A-ot./-. Permit# rCB7f7 /t:t;_u-~ I ~ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ Report# __ PG __ DF ___ _ DSA/LEA#: ________ _ Special Inspection Reports must be.distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report_shall be completed and signed by the special inspector conducting the inspection. \ .I. D MASONRY DATE o'-i-l&·O°' TIME ARRIVED . -'t)() TRAVEL TIME- C , ,_. lS 8,,;rD D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL 0 FOUNDATION D BATCH PLANT 0 PT CONCRETE D SHOTCRETE D CONCRETE 0 HIGH STRENGTH BOLTING D WELDING D ______ _ D--~----11 D BACKFILL D SHOPWELD 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD N D SPECS: YO ND .. APPROVED DOCUMENTS: APPROVED PLANS YD N D APPROVED SHOP DRAWING YD ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TESl' REPORTS): . G./JlEl'iDGiJ J: Ec.N1>C 7Yf'E" r, Mort7A.-.,A 7/Vl.Mt.:t.' e'-i/Z/l-OP-'-10 --li-5 · CONTRACTORS EQUIPMENT/ MANPOWER USED: . 2. S 3M ,,,n;,?~'i?°MI GJe. REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS fi WAS NOT D Inspected in accorcfance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEET D THE requirements of the DSA/OSRP OJECT approved documents. A-- Certification #: t;1,,i) 'lP O IS--f' 71 Verified by: P rfkld-z ~ _, www;mtglinc.com ( Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial Co(!nty 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch; 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside_, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: ZG"i C?--/2-04- Permit# rC.8i57Tt::ze,s:-1 _ Report# __ PG_/_ DF_z_ __ _ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection, Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each-type of special inspection, on a daily basis. ~ach report shall be completed and signed by the special inspector conducting the inspection. Tl~E DEPARTED /~3'0 LUNCHTIME 70 SUB CONTRACTOR M tJDe.,,/ZAI ADDRESS OF PROJECT /'1 &; o ~e as 'T/t ./ft/F c/h'2t. s B./.J-1:::J D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDESHOP D CEILING WIRE O ______ _ O ______ _ 0 _______ 11 AVAILABLE: SOIL REPORT YD ND SPECS: YO ND APPROVED PLANS YD N D APPROVED SHOP DRAWING YD N D MATERIALS USED BY CONTRACTOR {!NCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): -,- 5.J'/ 6 N ~ Z I ~OI .. -Z,000, f'S'l -lfA-/V<J''tJ,1v-.$'' , · REMARKS, INCLUDING MEETINGS: 0 S5-f:LV'f;.JQ TJf£ [r~MG-tv,T C·O/VS i)/,,j 0. f7Plu w.o /f/$C,o;,.Js:~ t--1 P.r177D1V or (,;-; REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS I}(' WAS. NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS~ WAS NOTO N/AO Performed in-accordance with DSA/OSHPD/PROJECTapproved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET~ DID NOT MEETO THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: SIS .f.,,.-c;_~~-4- Weather:Ct.-.8 -S W Print Name Certification #: b,µ,i:,,o,<e-~ Verifiedby:f ~ ~ ~ ( . -Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: '2-5i 0·-.Ap 1/:~ Permit# re:~Z9.7ZS:'' ~ 1 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/0SHPD APPL#:, _______ _ Report# __ PG~ DF~t.-__ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties,listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports,shall be prepared for each type of special inspection, on a daily basis, Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT-NAME l,,/?,ue,,At:>/.rl VI/ A--S17fovv.~ , ARCHITECT /eOESl.-iJJ~ , ENGINEER r.5'7E O MA-N · TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION · D BACKFILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE AVAILABLE: APPROVED PLANS YD ND TIME'ARRIVED & 00 TRAVEL TIME D MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD SOIL REPORT YD ND MATERIALS USED BY·CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIA!-TEST REPORTS): "G-aL-e. 'DI.Pe> SP5c .M · T t"e "&" ,1v1 /J t<.7.lf1<. CONTRACTORS EQUIPMENT/ MANPOWER USED: Tl:? ND$~ S . AREA, GRID LINES, PIECES iNSPECTED: ~ I+ 13/.J~l.-t>SuteF-~ L, : REMARKS, INCLUDING MEETINGS: tJ/3.S~V~I) 77-fe i-A- D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NOE SHOP SPECS: YO ND TIME DEPARTED <;;~ LUNCHTIME :30 D CEILING WIRE D _______ ,, D _______ II 0 _______ 11 APPROVED SHOP DRAWING YD N D REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS)J WAS NOTO . Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/AR§ Performed in accordance with DSA/OSHPD/PROJECT approved·documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District www.rntglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2,5"/ 0 -/ft:). 4 Permit# fC:,;,(p-o 7-f-C( lT!Li DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#.:~ ______ _ R_eport# __ PG __ DF~-___ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME DATE /,,Gu,.tA?o IA-tJ'1-t.f. () TIME ARRIVED 070t:J Tlfl,\E DEPARTED /{)0 TRAVEL TIME LUNCH TIME SUB CONTRACTOR /vi t )?;&eAJ Y!,f tJN/1-Je. V ADDRESS OF PROJECT o/(eitl t,,A--CeJST/f ~ CA-l(ZU8A-o 0 MASONRY 0 CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL D FOUNDATION 0 BATCH PLANT .D PT CONCRETE 0 SHQTCRETE tJ CONCRETE 0 HIGH STRENGTH BOLTING 0 FIREPROOFING 0 ANCHOR/DOWEL 0 NOE FIELD 0 _______ 11 0 WELDING . 0 _______ 11 D BACKFILL 0 SHOPWELD 0 NOE SHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YO N 0 SPECS: YD NO APPROVED DOCUMENTS: APPROVED PLANS YD N 0 STRUCTURAL NOTES, DETAIL, OR RFIS USED: ~oVE-l:> ;OL RE~~KS, INCLUDING MEETINGS: 01';5; etevGO 17173. THE WORK WAS7S, WAS NOTO Inspected in accor8ance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOT D N/~ Performed in accordance with DSA/OSHPD/PROJECT approved-documents. cc Project Architect Contractor Structural Engineer Building Department DSA-Regional Office Owner School District APPROVED SHOP DRAWING YO N 0 PERCENT PROJECT COMPLETE: Print Name -. djj. Certmcatlon#~Oj:ti; /J),P SLJ, Venf1ed by, K ~ 1/I · ---....., ,. ,, www.mtglinc.com ( Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858:537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: Z-bl /)--~ 'f" Permit(# (}fcJtfZT~ll,S~-~--J Report# __ PG_/_ DF_t,.,_-__ _ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: -------- D SA/ LEA#: _________ _ Special Inspection Reports must be di$tril;luted to the parties listed befow within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate. reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. DATE 4"-~IB·t;_ TIME ARRIVED TIME DEPARTED 700 ls-oo TRAVEL TIME LUNCHTIME 3o D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE. D HIGH STRENGTH BOLTING D WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D ______ _ D ______ _ D BACK FILL D SHOP WELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOil REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR M.ATERIAL TEST REPORTS): - /IST. .A-le1IS-: 6~ E ~ IJ: ._,.S ~NTRtfTORS EQUIPMENT/ MANPOWER USED: . ~4 ¢ DR..i<,.L-Bf A-1~\-l?>SE'.. W feF-BR- A , RID LINES, PIECES INSPECTED: -'/EX,I S77 JV 6'/ _G AITJe.. £ W/1"1-L.. THE WORK WAS WAS NOTO Inspected in accordance with the requirements of theOSA/0SHPD/PR0JECT approved documents. MATERIAL SAMPLING WASD WAS NOTO N/A)k' Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD N D PERCENT PROJECT COMPLETE: Si nature of Spe ia nspector U5Jtl'E RA1JD/JU?ff Print Name Certmoation '.~a~= '13/ ,j,'Af'.Jl,O Verified by;J"_~~~---.... f:-~~------------ www.mtglinc.com ( Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800A91.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: Zbl O-A1> 'f_. DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ Permit #(:{Jj?[t>JTq""[;ff:;=_ ~~ Report#__ PG~ bF---'-".'2-'---- DSA/OSHPD APPL#: _______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each·report shall be completed and signed by the special inspector conducting the inspection. TIME ARRIVED TIM~ DEPARTED .D7Do /5"1.)l!) TRAVEL TIME LUNCH TIME SUB CONTRACTOR 0 Ir 'AS 6 .N/1"1'2.. ADDRESS OF PROJECT /9-IPO t--.4 CLJ:ST.ff AV€ C~LS~IJ TYPE OF INSPECTION D BATCH PLANT D ENGINEERED FILL D PT CONCRETE D FOUNDATION D SHOTGRETE D BACK FILL D CONCRETE -DSA/OSHPD/PROJECT: AVAILABLE: APPROVED DOCUMENTS: APPROVED PLANS YO N 0 D MASONRY P Hl9R $TRENGT/-I BOLTING D WELDING D SHOPWELD SOIL REPORT YD ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): ' B· 'L, 0. I)( ,Yr'£ ,, ,; I) . t"7fle ,, . ,, cfxj>)e'/6" 0, . U. AREA, GRID LINES, PIECES INSPECTED: 1£ eX n;;-;vJ'/ DN -(.p C!c1A--,eSe:f1 D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NDESHOP SPECS: YO NO D CEILING WIRE o ______ _ o ______ _ 0 _______ 11 APPROVED SHOP DRAWING YD ND '/lNCF REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS~ WAS NOTO Inspected in-accordance with the requirements .of.the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WASR§ WAS NOTO N/AO Performed in accordance with DSAIOSHPD/PRClJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District Print Name Certlflcatlonffe._~&,~ ~b.?J> J: 0, Verified by:.~~-=::..._::,'---~--"""::::....:::,==------------- : Corporate: C 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www:mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial Count{ 7313 Carroll Rd. Ste. G · San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2,,~ /0-At)'/ Permit# {C28~/IJ_7C/1j[~7 DAILY INSPECTION REPORT DSNCITY File#: ________ _ DSNOSHPD APPL#: _______ _ Report#_-_ PG __ OF ___ _ DSA/ LEA#: _________ _ Special Jnspecti6n Reports must be distributed to the parties listed below within 14 days of the insp~ction. Reports of non-compliant conditions must be distributed immediately. · Separate reports shall be prepared for each type of special inspection, on a daily basis. Ea.ch report shall be completed and signed by the special inspector conducting the inspection. LUNCH TIME TYPE OF· INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE D WELDING D NOE FIELD D D BACK FILL D CONCRETE D SHOP WELD D NDESHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD ND APPROVED SHOP DRAWING YD ND bFZ1 ObN£ REWORK AS PERCENT OF ALL WORK TODAY~ PERCENT PROJECT COMPLETE: THE WORK WAS~ WAS NOT D THE WORK INSPECTED MET~ DID NOT MEETD Inspected in accordance with the requirements of the DSNOSHPD/PROJECT approved documents. THE requirements of the !SA/OSHPD/PROJECT approved documents. Samples taken: /\i &,4- . MATERIAL SAMPLING WAS D WAS NOT D N/A (l( Weather:fitR:ri.--Y C-l,,pt,,1,0';1, . -ID~ Performed in accordance with D$NOSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department Signature of Special Inspector Jt;:s>IS 1Zkr-4DtLEH: DSA Regional Office Owner School District , ,I C Corporate: 2992 I:. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 C San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858".537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2-'5 IO ---Av4 . I../J n -, . .a -1 ,,-Permit# czr-7(:)·-r/--~1& ::. DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# ___ PG __ DF ___ _ DSA /LEA#: _________ _ .Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. P~OJECT NAME 1-wtLAV A TJME DEPARTED 10:3 LUNCHTIME SUB 9QNTRACTO\ C, B. . IN PECTION ADDRESS t; o uc,,s-r; tJ MASONRY D FIREPROOFING D CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL 0 FOUNDATION 0 BATCH PLANT 0 PT CONCR~TE 0 SHOTCRETE 0 CONCRETE 0 HIGH STRENGTH BOLTING 0 WELDING 0 ANCHOR/DOWEL D _______ 11 0 NDE FIELD D _______ 11 0 BACKFILL D SHOP WELD D NDE SHOP D _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YO ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD N D APPROVED SHOP DRAWING YD ND STRUCTURA,LJ!.OTES, DETAIL;O!J..llFIS USED: . .J P1<ovr;-tJ rl.A7'1~ ~ sr/3"c.--t ric.A-71 o/J.& ------------- REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WASpg WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS~ WAS NOT D N/A D Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District PERCENT PROJECT COMPLETE: THE WORK INSPECTED MEJXI" DID NOT MEET 0 THE requirements of !he DSA/OSHPD/PROJEGT approved documents. Samples taken: _ _,__/.-"->.-="c'.c....,/ _____________ _ Weather:a-Dt..t.t.,'i".' mp:._51)~_,., _______ _ Sign ure of Special Inspector \ Jiu!£ /?/rN{)tJLfli Print Name certlftratl~O/ -'~ 49.A Verified b',L _ ~l.diJ;N t W ~ /'4.S, ( ( Indio: A Corporate: £}_\ 2992 E. La Palma Av~. Ste. A Lr·--;7;;· · Anaheim, CA 92806 San Diego/Imperial County 6295 Ferris Square, Suite C San Diego, CA 92121 Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 44917 Golf Center Pkwy, #1 Indio, CA 92201 ti Ill I[~ Tel: 714.632.2999 -----=--....... ~ Fax: 714.632.297 4 www.mtglinc.com DiSPA_t~h: 8 0.491.2990 MTGL Project#: ~5 lO f~Q_ Permit# cc::se-=J-f-1 - Report# ___ PG __ OF_~-- Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Tel: 760.342.4677 Fax: 760.342.4525 Dispatch: 800.491.2990 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distrib1,1ted immediately. Separate reports shall be prepared for each type of special inspection, on a-daily basis.-Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL ' D FOUNDATION D BACKFILL AREA, GRID LINES, PIECES 'INSPECTED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REWORK AS PER ·ENT OF ALL WORK TODAY: THE WORI< WAS Inspected in accor ance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS /4As NOT D N/A D Performed in accordq.nce wi%DSAJOSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner DATE -0 TIME DEPARTED PERCENT PROJECT COMPLETE: Certification#: ___..pm~J_,,___fil_,_,,..t Na~--f~~- Verified by: __ ~.,....,_=....;""--+¥~--"~=-..... ~oa:-..,.(})=-fL _ ___,~~""=--~=-;.,,.~·-s.:tz.a=--- · UNSCHEDULED BUILDIN-G INSPECTION .DATE. ·:?4.-~{a?(' -~~ PERMIT# ~ o1 l ',&'5 JOB ADDRESS· f -','=,o t....A U.6T4 Ave. INSPECTOR _..;;_~---- . .-PLAN CHE.CK.# ----- DESCRIPTION __________________ __; CODE :PESCRIPTION . ll . ·ACT ·· · · COMMENTS ,PA· · 4 , ~t~so.Ji. 'fix,1t-thz s tf- ~t., e }lOll(l-{. tAe.r- fb~ Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial County 6295 Ferris Square, Suite C San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 C Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Indio: 44917 Golf Center Pkwy, #1 Indio, CA 92201 Tel: 760.342.4677 Fax: 760.342.4525 Dispatch: 800.491.2990 MTl,LProW ~s !~ Permit# ~0::::1--=-DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#:. _______ _ Report# __ PG ____ OF ___ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed lo the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special insP. ction, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. ARCHITECT ENGINEER INSPECTION ADDRESS JYPE OF INSPECTION D ENGINEERED FILL 0 FOUNDATION 0 BACKFILi:. \ 0 BATCH PLANT 0 PT CONCRETE D SHOTCRETE 0 CONCRETE ASONRY 0 HIGH STRENGTH BOLTING D WELDING D SHOPWELD SOIL REPORT Y.. ND D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NOE SHOe SPECS: NO TIME DEPARTED LUNCH TIME APPROVED SHOP DRAWING REWORK AS P RCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK W SD WAS NOTO _ Inspected in accordance with the requirements of the DSA/0SHPD/PR0JECT approved documents. MATERIAL SAMPLING WA/o WAS NOTO NIA D Performed in accordance with DSA/0SHPD/PR0JECT approved documents. cc Project Architect Contractor Structural Engineer Building Department D CEILING WIRE O ______ _ O ______ _ O ______ _ DSA Regional Office Owner School District ~ Print~e ~ Certification#: ~· Q / 0 / 5 .... 4 Verified by: -t:'o""-~~'t,,-~ Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-GROUT ASTM Cl019 Date Printed: 1012012009 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE CARLSBAD, CA 92008 Client: DUDEK&, ASSOCIATES I\ Set No.: 9~00760 Age Date Nominal (Days) Tested Size 7 9/2912009 3X3X6 28 10/2012009 3X3X:6 28 1012012009 3X3X6 28 1012012009 3X3X6 Actual Area (Sq. Inch) 9.61 9.92 9.46 9.52 Specified Strength: 2,000 PSI Sampled By: SCOTT VA WSER Location: SITE WALL -MAIN ENTRANCE Concrete Supplier: HANSON READY MIX Mix No.: 2011501 Ticket No.: 329744 Water added at Site: gal. By Cement Type: MixTime: 90 Remarks: 2ND LIFT Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 3750PSI File No.: Permit No.: SEEREMARKS Project No.: 2510A04 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE ~X:cnruivEI ~~~;~'? Load Strength Type of (lbs.) (psi) Fracture 25,330 2,640 NIA 36,340 3,660 NIA 35,930 3,800 NIA 36,050 3,790 NIA ASTM Cl72 Date Sampled: 9/2212009 Date Received: 9/24/2009 Concrete Temp: Ambient Temp: °໹F ASTM C1064 °໹F ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ 28-day compression test complies with the specified strength. Corporaie: Branch: Bran~h: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Metjdian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVESTRENGTH-GROUT ASTM C1019 Date Printed: 10/16/2009 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE CARLSBAD, CA 92008 Client: DUDEK & ASSOCIATES A Set No.: 9-00755 Age Date Nominal (Days) Tested Size 7 9/2512009 3X3X6 28 1011612009 3X3X6 28 1011612009 3X3X6 28 10116/2009 3X3X6 Actual Area (Sq. Inch) 10.23 9.30 9.77 9.46 Specified Strength: 2,000 PSI Sampled By: SCOTT VA WSER Location: SliE WALL -MAIN ENTRANCE Concrete Supplier: HANSON READY MIX Mix No.: 2011501 Ticket No.: 329486 Water added at Site: gal. By Cement Type: MixTime: 45 Remarks: 1ST -7TH COURSE Distributiop; DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 3700 PSI FileNo.: Permit No.: SEE REMARKS Project No.: 2510A04 . Project Name: LEUC@IA WASTEWATER DIST. SITE IMPROVEM iijro:I:A:tosTA A VE :J CARLSBAD, CA ~e,1(·%5 Load Strength Type of (lbs.) (psi) Fracture 29,370 2,870 NIA 34,260 3,680 NIA 35,950 3,680 NIA 35,440 3,750 NIA ASTM Cl72 Date Sampled: 9/18/2009 Date Received: 9/21/2009 Concrete Temp: 90 Ambient Temp: °ሇF ASTM C1064 °ሇF ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A 28-day compression test complies with the specified strength. Corporate: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVESTRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File:No.: Permit No.: SEEREMARKS Projt!ct No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE dJ).60"J;;"AC:-C()S~ Client: DUDEK & ASSOCIATES /\ Set No.: 8-03103 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 10/30/2008 6X 12 28.27 7 10/30/2Q08 6X 12 28.27 28 ll/20/2Q08 6Xl2 28.27 28 11/20/2008 6Xl2 28.27 28H 11/20/2008 6X 12 28.27 Specified Strength: 3,500 PSI Sampled By: JESSE RANDOLPH Location: BUILDING 1 -SLAB ON DECK, GRID LINE 4.75 / A.5 Concrete Supplier: SUPERIOR READY MIX MixNo.: P-750 Ticket No.: 1317 64 Water added at Site: 3.00 . Cement Type: Il/V gal. By C.B.S Mix Tlllle: 54 Remarks: PERMIT#~~:) Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 4140PSI CARLSBAD, CA A Load Strength Type of (lbs.) (psi) Fracture 89,250 3,160 Shear 92,310 3,260 Shear 114,430 4,050 Cone & Shear 119,560 4,230 Cone &Shear ASTM C172 Date Sampled: 10/23/2008 Date Received: 10/24/2008 Concrete Temp: 78 Ambient Temp: 68 °໸F ASTM C1064 °໸F ASTM C1064 Slump: 4.75 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. Corporate: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Client: DUDEK & ASSOCIATES A Set No.: 8-03104 Age Date (Days) Tested 7 10/30/2008 7 10/30/2008 28 11/20/2008 28 11/20/2008 28H 11/20/2008 Nominal Actual Area Size (Sq. Inch) 6X12 28.27 6X 12 28.27 6X 12 28.27 6X 12 28.27 6X 12 28.27 Specified Strength: 3,500 PSI Sampled By: JESSE RANDOLPH Location: BUIDING 1 -SLAB ON DECK, GRID LINE 2.5 / A.5 Concrete Supplier: SUPERIOR READY MIX MixNo.: P-750 TicketNo.: 131819 _Water added at Site: 5.00 Cement Trpe: 11/V. gal. By C.B.S Mix :rime: 45 Remarks: ·PER1fll'...#..:C:B.07-19-.6-5 ~-J Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 4780PSI GJ6ork~~~~~Y~::J CARLSBAD, CA I\ Load Strength Type of (lbs.) (psi) Fracture 94,520 3,340 Cone & Shear 96,080 3,400 Shear 133,030 4,700 Cone & Shear 137,400 4,860 Cone & Shear ASTM Cl72 Date Sampled: 10/23/2008 Date Received: 10/24/2008 Concrete Temp: 79 Ambient Temp: 74 °ᆰF ASTM Cl064 °ᆰF ASTM C1064 Slump: 4.75 in. ASTM Cl43 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635.FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, ·CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE tJ.2_@.I,~~C.Q~J:K"°b:JE:::::.1 Client: DUDEK & ASSOCIATES A Set No.: 8-03083 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 10/28/2008 6X 12 28.27 7 10/28/2008 6X 12 28.27 28 11/18/2008 6X 12 28.27 28 11/18/2008 6X 12 28.27 28H 11/18/2008 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By: JESSE RANDOLPH Location: SITE WALL FOOTING Concrete Supplier: ROBERTSON'S READY MIX Mix No.: RS300T3 l Ticket No.: 6356423 Water added at Site: gal. By Cement Type: 11/V MixTime: 79 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 4380PSI CARLSBAD, CA ~ e:>--?L'9t)? A Load Strength Type of (lbs.) (psi) Fracture 94,440 3,340 Shear 97,990 3,470 Shear 116,460 4,120 Shear 131,330 4,640 Shear ASTM C172 Date Sampled: 10/21i2008 Date Received: 10/23/2008 Concrete Temp: 78 Ambient Temp: 59 °໹F ASTM Cl064 °໹F ASTM Cl064 Slump: 3.75 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: PermitNo.: Project No.: SEE REMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE ct9.Ju1r,r.:c.asm-s.1c} CARLSBAD CA Client: I\ I\ fa ' . DUDEK & ASSOCIATES ---·--------~-----~-----·-6-zl c,~~-. Set No.: 8-03114 ' .... Age Date Nominal Actual Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 10/31/2008 6X 12 28.27 97,130 3,440 Shear 7 10/31/2008 6X 12 28.27 99,670 3,530 Shear '28 Jl/21/2008 6X 12 28.27 128,900 r-3:r@::J Cone& Shear 28 11/21/2008 6X 12 28.27 133,770 r-4-;:730---:-7 Cone & Shear 28H 11/21/2008 6X 12 28.27 Specified Strengt~_QQ~SI Sampled By: JESSE RANDOLPH Location: SITE WALL -NORTH OF OVERFLOW STATION ASTM C172 Date Sampled: 10/24/2008 Date Received: 10/27/2008 Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6281440 Concrete Temp: 79 Ambient Temp: 60 °ᆸF ASTM Cl064 °ᆸF ASTM 01064 Water added at Site: .... _ Cement Type: II/V gal. By Slump: 7.00 in. ASTM Cl43 _ _ ___ Mix.Time:_8.Q. Remarks: lSTLIFT Distribution: DUDEK & ASSOCIATES _ _.mlllillln~------·-~ --Tested-ab-San-Diego··- Respectfully Submitted, MTGL,Inc. CITY OF CARLSBAD-BLDG INSPECTiON DEPT. **LAB COPY** Eduardo Dizon, R.C.E. 4640PSI 28-day compression test complies with the specified strength. Corporate: San Diego/Imperial Counf ( Inland Empire: 29S2 E. La Palma Ave. Ste. A Anaheim, GA 92806 7313 Carroll Rd. Ste. G San Diego, GA 92121 Tel: 714.632.2999 Fax: 714.632.297 4 www.mtglinc.com Dispatch: 800.491.2990 MTGL Project#: 2l.:IP-At?q Permit fcBo-7·/96.S·=:; Report# __ PG_l_•F-~'--- Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT 14467 Meridian Pkwy., Bldg. 2-A Riverside, GA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall b.e prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. SUB CONTRACTOR . '~C.. ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OFINSPECTION D ENGINEERED FIL:L 0 FOUNDATION D BATCH PLANT, 0 PT CONCRETE D SHOTCRETE D HIGH STRENGTH BOLTING l,WWELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD 0 _______ 11 0 _______ 11 0 BACK FILL D CONCRETE D SH0PWELD D NDESHOP D ______ _ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD ND MATERIALS USED BY CONTRACTOR (INCtuDE RESEARCH REPORT NO. OR MATERIAL.TEST REPORTS): ~ 0 THE WORK WAS}l!l. WAS NOT D Inspected in accordance with the requirements of the DSA/0SHPD/PR0JECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D NIA')#. Performed in accordance with DSA/0SHPD/PR0JECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner APPROVED SHOP DRAWING YD ND THE WORK INSP.ECTED METD DID NOT MEET.)K' THE requirements of the DSA/0SHPD/PR0JECT approved documents. Samples taken:-=&i?c..o=~=.e::=-~-------------- Weather: c, c:rii( Temp:~&,l,~V<::l-":e:=· -~-______ _ 4----~ ~e of Special Inspector 1~ &?~-"'~ Print Name Certifi~C'w/,~0&$ / Verified~;JJ;wr/ ~,-rt.r r www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 c·r San Diego/Imperial County ' 7313 Carroll Rd. Ste. G San Diego; CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2,0"t?-Aoc.i Permit# c&fZ,"jj.. .. :C-:1 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# __ PG_l_ d8F---":2.'-1-_~ DSA /LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. SUB CONTRACTOR M'~c_ ADDRESS OF PROJECT 0 MASONRY D CEILING WIRE TYPE OF INSPECTION 0 ENGINEERED FILL 0 FOUNDATION 0 BACKFILL D BATCH PLANT 0 PT CONCRETE D SH0TCRETE 0 CONCRETE D HIGH STRENGTH BOLTING ~WELDING 0 FIREPROOFING D ANCHOR/DOWEL 0 NDE FIELD D ______ _ O ______ _ 0 SHOPWELD D NOE SHOP O ______ _ DSA/OS HPD/PROJECT: AVAILABLE: SOIL REPORT Y [l ND SPECS: Yp{J: NO APPROVED DOCUMENTS: APPROVED PLANS ~ N 0 MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST RERORTS): . .e:?,&? REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS pl WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOTO N/A~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structurai Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET,®' DID NOT MEETD THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken: ;Ual!!C Weather: CC.'!54,tf/ Temp:_,M~l'l,_,.(;-=-r ______ _ :r._~ inatureofspecial Inspector frYbv G«4.'P12. /)CJ Print Name Gertifica~P~S/ Verified~ ~4/V~,,J ~MI'S; r-( ( corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Te!: 714.632.2999 Fax: 714.632.297 4 www:mtglinc.com Dispatch: 800.491.2990 MTGL Project#: '2D 17 -417 '/. Permit # ¢:8~ Report# ___ PG_l_ trJF_~2~-- Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant Qonditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDING D SHOPWELD D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D NDESHOP 0 _______ 11 D _______ ,, 0 _______ 11 DSA/OSHPD/P8OJECT: ·APPROVED DOCUMENTS: AVAILABLE: SOIL REPORT YD ND SPECS: YJg ND APPROVED PLANS Y j8: ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH.REPORT NO. OR MATERIAL TEST REPORTS): . c .6. THEWORK WAS"j{J WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WASO WAS NOTO N/A~ Performed in accordance with DSA/0SHPD/PROJECT approved documents. cc Project Architect Contractor Structural.Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD ND THE WORK INSPECTED MET D DID NOT MEET,lK THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:.~N.~~~-_£~-------------- Weather: 11.MTLY "'1µ.Ay Temp:_,_,l'!-.""_4"--'o""· ... L~------ r 7:Z: ~ . . Sig atureofSpecial Inspector o-r/bJ 6'qA-:r,&£./Jo www.mtglinc.com (~ Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 7:14.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 (-( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2SIO "'"Ao o/: Permit # 6-&tz::.:Z-/-9,{;G\ Report# __ PG_/_· _ti,F_.c._2c=..., __ DAILY INSPECTION REPORT DSA/CITY File#:. ________ _ DSA/OSHPD APPL#: ______ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION O BATCH PLANT 0 MASONRY 0 CEILING WIRE 0 ENGINEERED FILL O PT CONCRETE D FOUNDATION D SHOTCRETE D HIGH STRENGTH BOLTING ~'WELDING 0 FIREPROOFING D ANCHOR/DOWEL 0 NOE FIELD 0 _______ 11 0 _______ 11 D BACK FILL D CONCRETE D SHOP WELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YO ND SPECS: 1.)a1 ND APPROVED DOCUMENTS: APPROVED PLANS Y}J§. ND COJIJTRACTORS EQUIPMENT/ MANPOWER USED: l va. STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: . THE WORK WASJ.K.' WAS NOTO Inspected in accoraance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS O WAS NOTO N/A~ Performed in accordance with DSA/OSHPD/PROJECt approved documents. cc Project Architect Structural, Engineer DSA Regional Office School District Contractor Building Department Owner APPROV{b SHOP DRAWING YD N D " PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET"~ DID NOT MEETO THE requirements of the DSA/OSHPD/PR0JECT approved documents. Samples taken: ~c! Weather: ~~ Temp:.~""",11/.-'-"~-=-c,""~::c...:: _____ _ ~~ Sign reofSpecial Inspector ; i/'kl c~.,,..,,,:r~ ' Print Name Certffica~ ~~~== Verified b~t,..)-67 ~~Jw~~j, Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632°2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FA.RADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 Date Printed: 6/29/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Client: DUDEK-& ASSOCIA'.J'ES_ - A Set No.: 9-00539 Age Date (Days) Tested 7 6/8/2009 7 6/8/2009 28 6/29/2009 78 6/29/2009 NoIDinal Actual Area Load Size (Sq. Inch) (lbs.) 6X 12 28.27 123,970 6X 12 28.27 126,420 6X 12 28.27 158,130 6X 12 28.27 160,240 ________ __,_ Specified Stf;ngth:-4,500---PSl_; Sampled By: SCOTT VAWSER ASTM C172 Location: FLAT WORK BEHIND LEUCADIA DISTRICT OFFICE BUILDING Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 71531C Ticket No.: 6647860 Water added at Site: 10.00 gal. By DRIVER ------<::einent-Type: -·Mix Time: 45 ---niin; --- Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTIONDEPT. **LAB COPY** 5630PSI Cl960·J:'KCOSTA7\"\?,E CARLSBAD, CA Strength (psi) 4,380 4,470 5,590 C:.5-;67-0--) Date Sampled: 6/1/2009 Concrete Temp: 78 Ambient Temp: Type of Fracture Shear Shear Shear Shear Date Received: 6/2/2009 °F ASTM C1064 °F ASTM Cl064 Slump: 5.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CiTY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 7/2/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE i:;!2.6_0.::b'"A:_@_C:>-S:T-A-A.Y.E---=.1 CARLSBAD CA · Client:· A ·~ ' DUQEK& ASSOCIA"fES ---· 6--1 i '9 b-S - Set No.: 9-00549 ~- Age Date Nominal Actual Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 6/11/2009 6X 12 28.27 109,800 3,880 Shear 7 6/11/2009 6X 12 28.27 102,950 3,640 Shear 28 7/2/2009 6X 12 28.27 146,620 5,190 Shear 28 7/2/2009 6X 12 28.27 149,050 5,270 Shear 28H 7/2/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: SCOTT V AWSER ASTM Cl 72 Date Sampled: 6/4/2009 Date Received: 6/5/2009 Location: CAST IN PLACE SITE WALL -FOUNTA~, NORTH OF BUIDING 100 Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 71531C Ticket No.: 6648112 Water added at Site: 5.00 --Cement-Type:-- Remarks: gal. By SUB-CONTRACTOR Mix'fime: 45 Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min.- 5230PSI Concrete Temp: 80 Ambient Temp: °๮F ASTM C1064 °๮F ASTM C1064 Slump: 4.50 in. ASTM C143 --Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714).632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OFCARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No,: 2510A04 Date Printed: 7/10/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE o:2Q_OJ::::KG_Q_ITA":A-YP....,:'t Client: DUDEK & ASSOCIATES /\ Set No.: 9-00565 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch)' 7 6/19/2009 6X12 28.27 7 6/19/2009 6X 12 28.27 28 7/10/2009 6X 12 28.27 28 7/10/2009 6X12 28.27 28H 7/10/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: SCOTI VAWSER Location: SLAB ON GRADE -MAIN ENTRANCE AT GATE Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 71531C Ticket No.: 6539896 Water added at Site: gaJ. By Cement Type: Mix.Time: 50 . ...min .. Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** 5780PSI CARLSBAD, CA .~ta> 01, l 9h? Load Strength Type of (lbs.) (psi) Fracture 130,890 4,630 Shear 127,670 4,520 Shear 161.,530 5,710 Shear 165,060 5,840 Shear ASTM Cl72 Date Sampled: 6/12/2009 Date Received: 6/15/2009 Concrete Temp: 78 Ambient Temp: °໙F ASTM C1064 °໙F ASTM C1064 Slump: 6.00 in. ASTM C143 ... Tested.at: .. San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. · A www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste, A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 ( San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2..r, 0 -Al!> 9 Permitf#W~Seffl~f,igd. db DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ Report# __ PG_l_ ·Of_,_/ __ _ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of specialinspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING ~WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D ______ _ O ______ _ D BACKFILL D SHOP WELD D NDE SHOP O ______ _ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: ~NO APPROVED DOCUMENTS: APPROVED PLANS Ypt ND MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT/ MANPOWER USED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS ff.' WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WASD WAS NOTO N/A~ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD NO PERCENT PROJECT COMPLETE: THE WORK INSPECTED METO DID NOT MEET(}( THE requirements of the DSA/OSHPD/PROJECT approved documents. Samplestaken:.--'~==-~------------- Weather: ¢..t ~ Temp:_,µ.....,,··.._; ... c.E..,,,."""'------fin~ra~OOr Print Name Certification#: ~Ca~{ ~CJ2_0~0g' / Verified by: ~ t> ~ C> t-<c 1-1. \-0'\ Corporate: Branch: Branch: 'Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917GolfCenterParkway#l, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-GROUT ASTM C1Q19 ** C1TY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 5/14/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE ~QSTA.ii1E-J Client: DUDEK & ASSOCIATES A Set No.: 9-00450 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 28 -5/B/2009 ~X3X6 10.46 28 5/13/2009 3X3X6 9.88 28 5113/2009 3X3X6 10.14 Specified Strength: 2,000 PSI Sampled By: JESSE RANDOLPH Location: ENTRANCE WALL Concrete Supplier: HANSON AGGREGATE Mix No.: 2011501 Ticket No.: 307290 gal. By MODERN MASONRY Water added at Site: 20.00 _ Ce~ent Trpe: II/V Mix Time: 59 mi11. Remarks: 1ST LIFT Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPeCTION DEPT. **LAB COPY** 3040PSI ~BAD,CA ~ o"1,t -9h5 ... ~ Load Strength Type of (lbs.) (psi) Fracture 32,260 3,080 NIA 29,960 3,030 NIA 30,580 3,020 NIA ASTM Cl72 Date Sampled: 4/15/2009 Date Received: 4/1712009 Concrete Temp: 74 Ambient Temp: 57 °໨F ASTM C1064 °໨F ASTM C1064 Slump: 8.00 in. ASTM C143 Teste<lat: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: Branch: 2992 E. La.Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 GolfCenterParkway#l, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-GROUT ASTM C1019 ** CITY OF CARLSBAD-BLDG INSPECTIONDEPT. 1635 FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 Date Printed: 511812009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE 1960 LA COSTA A VE Client: DUDEK & ASSOCIATES A Set No.: 9-00456 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 412412009 3X3X6 9.67 28 5/1512009 3X3X6 9.95 28 5/15/2009 3X3X6 9.83 28 5fl512009 3X3X6 9.77 Specified Strength: 2,000 PSI Sampled By: JESSE RANDOLPH Location: ENTRANCE WALL Concrete Supplier: HANSON AGGREGATE Mix No.: 2011501 Ticket No.: 307 Water added at Site: 12.00 gal. By MODERN MASONRY Cement Type: -II/V MixTime: 55 Remarks: 2ND LIFf Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB-COPY** min. 3360 PSI CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 24,140 2,500 NIA 33,160 3,330 NIA 32,580 3,320 NIA 33,410 3,420 NIA ASTM Cl 72 Date Sampled: 4/1712009 Date Received: 4120/2009 Concrete Temp: 74 Ambient Temp: 54 °༁F ASTM C1064 °༁F ASTM C1064 Slump: 9.00 in. ASTM C143 . Tested at: San.Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A ( D W Inspections/ MTGL 1335 Orange Grove Road EI C~jon California 92021 Contact# 619) .249--2087 ( MTGL, Inc. -San Diego Office 6295 Ferris Square, Suite C San Diego, CA 92121 Phone: (858) 537-3999 Fax: (858) 537-3990 Steel Inspection Field Report lYPEOFWORK [.D INSPECTOR LJTECHNICIAN AVAILABLE: SOIL REPORT (Y} (N) SPECS~} (N) Welding of Guardrails AS-205 APPROVED PLANS IYl (Nl APPROVED SHOP DRAWINGS IY'I /Nl ARCHITECT WEEK ENDING: I MTGL PROJECT NO: RNT 5/16/09 2510A04 ENGINEER REPORT NO. PG. OF SDSE 5122009 CONTRACTOR BUILDING PERMIT NO: I SAN DIEGO PROJECT NO: Jaynes CB080647 NIA SUB-CONTRACTORS PROJECT NAME: Minshew Steel Leucadia Wastewater Site Redevelopment Project INSPECTION ADDRESS: -.AE!IBESs_oe_eaoJECT.· . _ 12578 Vigilante Rd Jj§..0..lA.C.osta.Ave-Carlsbad_C.alifomia. :J Lakeside, CA 92040 t..f>o']l ~b":; - I arrived in Minshew Steel Shop for welding inspection of Guardrails AS-205. >"' No change of Welder of Record: Juan Ramos. };,, Welding process being used duel shield gas wire welding E71T-1 C .072 diameter wire. ~ Chipped wire brushed cleaned. >-Sizes of welds checked appear to be correct per details on approved submittals, contract documents, specifications. >"' Ambient temperature preheat is all that is required per AWS D1 .1 Section 3.2. >-Fabrication and welding on going. Completed the panels for this portion of the project on this date and will be sending out to be galvanized @ as soon as possible. Alf work & welding Appears to be been done visually acceptable Per AWS 01 .1 Section 6.0 & AISC to the best of my knowledge. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Clear SAMPLES TAKEN: TEMPERATURE: 65Degrees TESTS REQUIRED; No Exceptions noted On this date. SITE TIME START: 06:30 LUNCH PERIOD: NIA Time on site: 8.0 Hours David W Goins Wednesday. May 13. 2009 Date of Report SD City937/ CWI 04060471/ lCC 5214617-85 DAVID!//. Goms CW! 04060471 QCl EXP. 6i01/W ( D W Inspections/ MTGL 1335 Orange G:rove Road El Cajon California 92021 Contact# 619) 249 .. ~087 ( MTGL, Inc. -San Diego Office 6295 Ferris Square, Suite C San Diego, CA 92121 Phone: (858) 537-3999 Fax: (858) 537-3990 Steel Inspection Field Report TYPE OF WORK ~ INSPECTOR LJTECHNICIAN AVAILABLE: SOIL REPORT M (N) SPECS('() (N) Welding of Guardrails AS-205 APPROVED PLANS IYl !N\ APPROVED SHOP DRAWINGS (Y\ CNl ARCHITECT WEEK ENDING: I MTGL PROJECT NO: RNT 5/16/09 2510A04 ENGINEER REPORTNO. PG. OF SDSE 5122009 CONTRACTOR BUILDING PERMIT NO: l SAN DIEGO PROJECT NO. Jaynes CB080647 NIA SUB-CONTRACTORS PROJECT NAME: Minshew Steel Leuc~dia Wastewater Site Redevelopment Project INSPECTION ADDRESS: ADDRESS OF PROJECT; 12578 Vigilante Rd 1~-Costa Ave Carlsbad C..alifor:nia.7 Lakeside, CA 92040 ~~ o'1l ~~.$ I arrived in Minshew Steel Shop for welding inspection of GuardraHs AS-205. > No change of Welder of Record: Juan Ramos. ), Welding process being used duel shield gas wire welding E71T-1C .072 diameter wire. > Chipped wire brushed cleaned. },> Sizes of welds checked appear to be correct per details on approved submittals, contract documents, specifications. },> Ambient temperature preheat is all that is required per AWS D1 .1 Section 3.2. ), Fabrication and welding on going. AU work & weldingAppears to be being been done visually acceptable Per AWS D1.1 Section 6.0 & AISC to the best of my knowledae. REWORK AS PERCENT OF ALL WORK TODAY; PERCENT PROJECT COMPLETION: WEATHER: Clear SAMPLES TAKEN: TEMPERATURE: 65 Degrees TESTS REQUIRED: No Exceptions noted On this date. SITE TIME START: 06:30 LUNCH PERIOD: N/A Time on site: 8.0 Hours I DO CERTIFY THATl HA PERSON.Al.LY OBSERVED All. OF THE WORK LISTED ABOVE AND THAT THIS WORK ~OMPLIES WITH THE STRCUTRUAL, ANO / OR THE I/EDP. NS SPEC lCATIONS ANO APPLICABLE SECTION OF THE:BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. David W Goins Tuesday, May 12. 2009 Date of Report SD City 937/ CWI 04060471/ ICC 5214617-85 mwm ,v. Goms CWI 04060471 QC1 UP. ,:5/01i10 D W Inspeetions / MTGL 1335 Orange Grove Road El Cajon California 9.2021 Con-toot# 619) 249-2087 ( MTGL, Inc. -San Diego Office 6295 Ferris Square, Suite C San Diego, CA 92121 Phone: (858) 537-3999 Fax: (858) 537-3990 Steel Inspection Field Report TYPE OF WORK ~. INSPECTOR LJ TECHNICIAN AVAILABLE; SOIL REPORT (Y) (NJ SPECS (Y.) (N) Welding of Guardrails AS-205 APPROVED PLANS lYl INl APPROVED SHOP DRAWINGS (Y) (N) ARCHITECT WEEK ENDING: I MTGL PROJECT NO: RNT 5/16/09 ENGINEER REPORT NO. PG. OF SDSE 5112009 CONTRACTOR BUILDING PERMIT NO: I SAN DIEGO PROJECT NO: Jaynes CB080647 2510A04 SUB-CONTRACTORS PROJECT NAME: Minshew Steel Leucadia Wastewater Site Redevelopment Project INSPECTION ADDRESS: ADDRESS~QF PROJECT; 12578 Vigilante Rd ~JA.Cos.1.a. Ave CarrsbacrCalif~ Lakeside CA 92040 ~t ,,<-- I arrived in Minshew Steel Shop for welding inspection of Guardrails AS-205. ), Welder of Record: Juan Ramos ), Check welder certifications, appear to be current and up-to date and pertain to the process being used. ), I did received WPS's and appear to pertain to process being used. ), I did receive mill certification and appear to match heat numbers on the steel being used for fabrication. )> Welding process being used duel shield gas wire welding E71T-1C .072 diameter wire. ), Chipped wire brushed cleaned. > Sizes of welds checked appear to be correct per details on approved submittals, contract documents, specifications. )> Check preheats of the steel before welding. )> Ambient temperature preheat is all that is required per AWS 01.1 Section 3.2. ), Fabrication and welding on going. All work & welding Appears to be being been done visually acceptable Per AWS D1 .1 Section 6.0 & AISC to the best of mv knowledge. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: · WEATHER: Clear SAMPLE~ TAKEN: TEMPERATURE: 65 Degrees TESTS REQUIRED: No Exceptions noted On this date. SITE TIME START: 06:30 LUNCH PERIOD: N/A Time on site: 8.0 Hours Project lnspv; : Tom Klskadden. VERIFIED ~ BY: • fl I DO CERTIFY THAT I HAVE P RSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THATTHIS WORK COMPLIES WITH THE STRCUTRUAL, AND 1 OR THE . D PLAN SPECIFlC ONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. David W Goins Monday, May 11, 2009 Date of Report SD City 937/ CWI 04060471/ ICC 5214617-85 DAVIOW.GOms Cl.'/! OJ96LU?1 . ~ ' ,. www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 (' San Diego/Imperial County· 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: ~5"I CJ-At>'f Permit# r?hBV/i![~&---·_·_ ., DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ Report#_._ PG __ OF~.----DSA /LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. DATE ~-ll-01 TIME ARRIVED 01(;)() TIME DEPARTED /Bao TRAVEL TIME LUNCH TIME TYPE OF INSPECTION D BATCH PLANT D MASONRY D FIREPROOFING D CEILING WIRE D ENGINEERED FILL D PT CONCRETE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL D D FOUNDATION D SHOTCRETE b WELDING D NOE FIELD D D BACKFILL D CONCRETE D SHOP WELD D NOE SHOP D DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD NO SPECS: YO ND APPROVED DOCUMENTS: APPROVED PLANS YD ND APPROVED SHOP DRAWING YD NO MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): t?S'IG!N'-11-JS.3 IC.. G;"Z>o S i?0/3G: ' s AREA, GRID LINES, PIECES INSPECTED: At>,+ rl. Mr' 11JPP/ J · SLA-1!!:, ~ t:>~ °"'1!'J1>NS REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS~ WAS NOTO Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS#J WAS NOTO N/AO Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District J. PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET DID NOT MEET D THE requirements of the DSA/OSHPD/PR JECT approved documents. alR Weather::n~~ij~~~~~;-~~--~i--~~.:::~2::~~~-=-=-=-=-=-=-== Sig re of Special Inspector Ji ~,re-tf?d,Jno tct?t-r Print Name Certification#: -~__.,.,lr'-"'l.e~~~_l~~~,._.,__,,_____,,-#~"/i~()~3~f-~f.~. tO--'-<---- Verified by.,....· .v-,__ ____ ~~-----~t)~_..-,,..._-~f>~}--~t:: __ _ .A- Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCREIB ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 5/21/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE ~_.S,IA.AY.E--~J Client: DUDEK & ASSOCIATES I\ Set No.: 9-00485 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) ' 7 5/18/2009 6X12 28.:27 28 6/8/2009 6X12 28.27 28 6/8/2009 6X 12 28.27 28H 6/8/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: JESSE RANDOLPH Location: FOUNTAIN FOOTINGS Concrete Supplier: ROBERTSON'S READY MIX MixNo.: 71531C Ticket No.: 6648838 Water added at Site: g~l. By Ceme~t Type: Ill\' MixTime: 52 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. Load (lbs.) 134,750 ASTMC172 CARLSBAD, CA ~('CJ~~ Strength Type of (psi) Fracture 4,770 Cone &Split Date Sampled: 5/11/2009 Date Received: 5/12/2009 Concrete Temp: 79 Ambient Temp: 65 °ᆰF ASTM C1064 °ᆰF ASTM C1064 Slump: 4.25 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 GolfCenterParkway#l, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRE1E ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: PennitNo.: SEEREMARKS Project No.: 2510A04 Date Printed: 5/21/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WAS1EWA1ER DIST. SI1E IMPROVE Client: DUDEK & ASSOCIA1ES I\ Set No.: 9-00484 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 5/18/2009 6X 12 28.27 28 6/8/2009 6X 12 28.27 28 6/8/2009 6X 12 28.27 28H 6/8/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: JESSE RANDOLPH Location: ADA RAMP -TOPPING SLAB Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 71531C Ticket No.: 6648804 Water added at Site: 10.00 gal. By 1EAM C Cement '.fype: II/V Mix Time: 57 Remarks: Distribution: DUD:EK & ASSOCIA1ES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** (2:6-0,LA.COS'.I:A.AY.B J (EEic-9,~ Load Strength Type of (lbs.) (psi) Fracture 132,150 4,670 Cone - ASTM Cl 72 Date Sampled: 5/11/2009 Date Received: 5/12/2009 Concrete Temp: 78 Ambient Temp: 61 °ሔF ASTM C1064 °ሔF ASTM C1064 Slump: 6.00 in. ASTM C143 .Testedat:. S.anDiego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: Branch: 2992 E. La Patina A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 6/8/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE W6Q-&A~e0S'.:fAAY-E-I Client: DUDEK & ASSOCIATES I\ Set No.: 9-00485 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 5/18/2009 6X12 28.27 28 6/8/2009 6X12 28.27 28 6/8/2009 6X12 28.27 28H 6/8/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: JESSE RANDOLPH Location: FOUNTAIN FOOTINGS Concrete Supplier: ROBERTSON'S READY MIX MixNo.: 71531C Ticket No.: 6648838 Water added at Site: gal. By Cement Type: IIN MixTime: 52 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 6120 PSI CARLSBAD, CA ~o'1l~b'5' Load Strength Type of (lbs.) (psi) Fracture 134,750 4,770 Cone & Split 178,930 6,330 Shear 167,030 5,910 Shear ASTM Cl 72 Date Sampled: 5/11/2009 Date Received: 5/12/2009 Concrete Temp: 79 Ambient Temp: 65 °୿F ASTM C1064 °୿F ASTM C1064 Slump: 4.25 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. I\ Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 9220 I Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 Date Printed: 6/8/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASJEWATER DIST. SITE IMPROVE ~"A-AVE==:] Client: DUDEK & ASSOCIATES /\ Set No.: 9-00484 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 5/18/2009 6X 12 28.27 28 6/8/2009 6X 12 28.27 28 6/8/2009 6X 12 28.27 28H 6/8/2009 6X 12 2p7 Specified Strength: 4,500 PSI Sampled By: JESSE RANDOLPH Lpcation: ADA RAMP -TOPPING SLAB Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 71531C Ticket No.: 6648804 Water added at Site: 10.00 gal. By TEAM C Cement Type: II/V MixTime: 57 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** nun. 6040PSI CARLSBAD, CA ~6 o'1L"'7&-> Load Strength Type of (lbs.) (psi) Fracture 132,150 4,670 Cone 171,440 6,060 Cone 170,390 6,030 Cone & Split ASTM C172 Date Sampled: 5/11/2009 Date Received: 5/12/2009 Concrete Temp: 78 Ambient Temp: 61 °๞F ASTM C1064 °๞F ASTM C1064 Slump: 6.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified-strength. /\ Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 Date Printed: 6/8/2009 CARLSBAD, CA 92008 Project Name: LEUC~ATER DIST. SITE IMPROVE ~kG0ST-A-kVB Client: DUDEK & ASSOCIATES CARLSBAD, CA _r-?e e'1 L"? b? I\ Set No.: 9-00539 Age bate Nominal Actual-Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 6/8/2009 6X 12 28.27 123,970 4,380 Shear 7 6/8/2009 6X12 28.27 126,420 4,470 Shear 28 6/29/2009 6X 12 28.27 28 6/29/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: SCOTT VA WSER ASTM Cl 72 Date Sampled: 6/1/2009 Date Received: 6/2/2009 Location: FLAT WORK BEHIND LEUCADIA DISTRICT OFFICE BUILDING Concrete Supplier: ROBERTSON'S READY MIX Concrete Temp: 78 °F ASTM C1064 Mix No.: 71531C Ambient Temp: °F ASTM Cl064 Ticket No.: 6647860 Water addedat Site: 10.00 gal. By DRIVER Cement Type: Mix Time: 45 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. Slump: 5.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ C ., Report# __ PG __ OF ___ _ San Diego/Imperial County 6295 Ferris Square, Suite C San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.49~ .2990 Indio: 44917 Golf Center Pkwy, #1 Indio, CA 92201 Tel: 760.342.4677 Fax: 760.342.4525 Dispatch: 800.491.2990 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL THE WORK WAS WAS NOT D D BATCH PLANT D PT CONCRETE ~OTCRETE ~"CONCRETE AVAILABLE: ,./ APPROVED PLANS ~ ND DATE TIME DEPARTED LUNCH TIME •ADDR ·O PR ECT~ -------, _ _____;,,,__; D MASONRY D FIREPROOFING D CEILING WIRE D HIGH STRENGTH BOLTING D ANCHOR/DOWEL o ______ _ D WELDING D NOE FIELD O ______ _ d SHOP WELD ti NOE SHOP O ______ _ SOiL REPORT Y. ND Inspected in acco dance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS,-/ WAS NOT D N/A D Performed in accordance witWbSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District 8 F& -~ C,rttticalion ffe. :,,po l O -'4 Verified by: Z--l.A-\l §)~e C Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dis~tch: 800 /t91.2990 San Diego/Imperial County 6295 Ferris Square, Suite C San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 c-, lrilapd Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Indio: 44917 Golf Center Pkwy, #1 Indio, CA 92201 Tel: 760.342.4677 Fax: 760.342.4525 Dispatch: 800.491.2990 MTGL ,ro;~ ~I_? ':'o 9 _ Permit# , B_fJ;;lL:i-b ~ .1 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# __ PG __ OF~---DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of'the inspection. Reports of non-compliant conditions must be distributed immediately. Separatereports shall be prepared for each type of special ins ection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION 0 ENGINEERED FILL 0 FOUNDATION · 0 BACKFILL THE WORK WAS WAS NOTO ---0 BATCH PLANT 0 PT CONCRETE O~H0TCRETE ~CONCRETE 0 MASONRY D HIGH STRENGTH BOLTING D WELDING D SHOPWELD Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS j WAS NOTO N/AO Performed in accordance wiefoSAJOSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District D FIREPROOFING D ANCHOR/DOWEL 0 NOE FIELD D NDESHOP TIME DEPARTED LUNCHTIME 0 CEILING WIRE O ______ _ D ______ _ 0 _______ 11 D W Inspections/ MTGL 1333 Orange Grove Road El Cajon California 92021 Cont.M,-t # 619) 249-2087 MTGL, Inc. -San Diego Office 6295 Ferris Square, Suite C San Diego, CA 92121 Phone: (858) 537-3999 Fax: (858) 537-3990 Steel Inspection Field Report TYPl;OFWORK l.lLI INSPECTOR LJTECHNJCIAN AVAILABLE: SOJL REPORT (Y) (N) SPECS (Y) {N) Welding of Handrails . APPROVED PLANS 1¥,) (Nl APPROVED SHOP DRAWINGS ('fl IN\ ARCHITECT WEEK'ENOING: I MTGL PROJECT NO: RNT 5/30/09 2510A04 ENGINEER REPORTNO. PG. OF SDSE 5292009 CONTRACTOR B~leNG PERMIT NO: I SAN l;JIEGO PROJECT NO: Jaynes '?t ,-9~~ NIA SUB-CONTRACTORS PROJECT NAME: - Minshew Steel Leucadia Wastewater Site Redevelopment Project INSPECTIONAOORESS: AODRESS.OF-P-ROJEGT~ 12578 Vigilante Rd G:S:so:L.A-Gosta-Ave-Ga sbad California. Lakeside, CA 92040 , llt1inshew Steel Shop for Fabrication & welding inspection of Railing building 100. ), Welder of Record: Juan Ramos. ), Check material being used 1-1/2" Schedule 40 pipe. ~ Check attachment brackets for correct spacing. ),-Welding process being used duel shield gas wire welding E71T-1C .072 diameter wire. ), Chipped wire brushed cleaned. ~ Sizes of welds checked appear to be correct per details on approved submittals, contract documents, specifications. ~ Ambient temperature preheat is all that is required per AWS 01 .1 Section 3.2. ),-Fabrication stair handrails southeast corner Headquarters building. ), Railing mark numbers M12A, B. MBA, Thru MSC. ), Fabrication and welding on going. All work & weJdrng Appears to be been being done visually acceptable Per AWS D1 .1 Section 6.0 & AISC to the best of my knowledge. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Clear SAMPLES TAKEN: TEMPERATURE: 65 Degrees TESTS REQUIRED: No Exceptions noted On this date. Project Inspector: Tom Klskadden. SITE TIME START: 06:00 LUNCH PERIOD: NIA nmeonstte: 8.0 Hours I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WO COMPLIBS WITH THE STRCUTRUAL, AND ~EPOR · · I ORTHg,:;,:CIFICATIONSAND APPLICABLE SECTION OF THE BUILDING CODE, UNLES THERWISE NOTED IN THE DEFICIENCY d · . Friday, May 29, 2009 Signature Date of Report David W Goins SD City 937/ CWI 04060471/ ICC 5214617-85 • DAVID W. GOINS Cfti 0406847t QCt EXP. 6/01/lO ---· -· --·-·------------------------------.. --·- D W Inspections/ MTGL 133~ Orange Grove 1load El Ci\jon Califo..-nia 92021 Contact# 619) 249-2087 MTGL, Inc. -San Diego Office 6295 Ferris Square, Suite C San Diego, CA 92121 Phone: (858) 537~39~9 Fax: (858) 537-3990 Steel Inspection Field Report TYPE OF WORK l!J INSPECTOR Welding of Handrails ARCHITECT ENGINEER CONTRACTOR · SUB-CONTRACTORS Minsh_ew Steer RNT SPSE Jaynes INSPECTION ADDRESS: 12578 Vigilante Rd Lakeside, CA 92040 QTECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS{,);) {N) APPROVED PLANS r.i"1 INI WEEK ENDING: 6/6/09 REPORTNO. 61200$ APPROVED SHOP DRAWINGS (li') {Nl I MTGL PROJECT NO; 2510A04 PG. OF BUILDING pi;RulT ~,,,. 1 SAN DIEGO PROJECT NO: ~ q-7__\ ~b-5 _ NIA PROJECT NAME: Leuca~fa Wastewater Site Redevelopment Project ADPR!;:SS OF PROJECT; ~1:A:Costa.Av.e.:.C_a:t1s:bad:Callfomia. Minshew Steel Shop for Fabrication ~ welding inspection of Railing building 100. )> Welder of Record: Juan Ramos . .> Check material being used 1-1/2" Schedule 40 pipe. > Check attachment brackets for correct spacing. > Welding process being used duel shield gas wire welding E71T-1C .072 dfameterwire. )> Chipped wire brushed cleaned. > Sizes of welds checked appear to be correct per details on approved submittals, contract documents1 specifications. > Ambient temperature preheat is all that is required per AWS D1 .1 Section 3.2. > Fabrication stair handrails southeast corner Headquarters building. > Railing mark numbers M12A, B. M8A, Thru MSC. Fabrica.tion and welding completed on this portion of the project, Minshew informed me that there is still some guard railing left; Nick will be going to the field to take field measurements before stating the guardrail fabrication. I told Minshew to call Jaynes before they plan on starting fabrication on the remainder of the railing so that inspection can be scheduled. All work & welding Appeans to be been done visually acceptable Per AWS 01 .1 Section 6.0 & AISC to the best of my knowledae. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: Clear TEMPERATURE: 65 Degrees SITE TIME START: 06:00 LUNCl:f PERIOD: N/A SAMPLES TAKEN: TESTS REQUIRED: No Exceptions noted On this date. Time on site: 8.0 Hours I DO CERTIFY THAT I HAVE PERSONALl Y OBS~ ALL OF THE WORK LISTED ABOVE AND THAT THIS WO COMPLJES WITHTHE STRCUTRUAL, AND / OR THEAPPROVED PLANS, CIFICATIONS AND APPLICABLE SECTION OF THE BUILDING·CODE, UNLES THERWISE NOTED IN THE DEFICIENCY REPO . Monday. June 01, 2009 Date of Report David W Goins SD City 937/ CWI 04060471/ lCC 5214617-85 DAVID W. GOINS CWl 04066411 QC1 EXP. Mll/10 Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 GolfCenterParkway#l, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD~BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 6/11/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE U2.@.1,A_C_O.ST.A.AY.E..._J Client: DUDEK & ASSOCIATES A Set No.: 9-00549 Age Date Nominal Actual Area Load (Days) Tested Size (Sq. Inch) Obs.) 7 6/11/2009 6X 12 28.27 109,800 7 6/11/2009 6X 12 28.27 102,950 28 7/2/2009 6X 12 28.27 28 7/2/2009 6X12 28.27 28H 7/2/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: SCOIT VA WSER ASTM Cl 72 Location: CAST IN PLACE SITE WALL -FOUNTAIN, NORTH OF BUIDING 100 Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 7l531C Ticket No.: 66481l2 Water added at Site: 5.00 gal. By SUB-CONTRACTOR Cement Type: MixTime: 45 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. CARLSBAD, CA ~s 01 L _,,~~ Strength Type of (psi) Fracture 3,880 Shear 3,640 Shear Date Sampled: 6/4/2009 Date Received: 6/5/2009 Concrete Temp: 80 Ambient Temp: °໬F ASTM C1064 "F ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A C Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 San Diego/1.mllerial County 6295 Ferris Square, Suite C San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 C Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Indio: 44917 Golf Center Pkwy, #1 Indio, CA 92201 Tel: 760.342.4677 Fax: 760.342.4525 Dispatch: 800.491.2990 MTGL Project# d-510 ~ 0 ::i Permit# ~8fD=:J_J~b.5. · · . ----------... -. 1 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/0SHPD APPL#: _______ _ Report# __ PG __ OF __ ~_ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BACKFILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: MA D BATCH PLANT D PT CONCRETE D_.~-I0TCRETE ,)1!5C0NCRETE AVAILABLE: ,/ APPROVED PLANS ~ ND D MASONRY D HIGH STRENGTH BOLTING . D WELDING D SH0PWELD SOIL REPORT Y. ND D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD D NOE SHOP REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WA WAS NOTO Inspected in ac rdance with the requirements of the DSA/0SHPD/PR0JECT approved documents. MATERIAL SAMPLING WASr/ WAS NOTO N/AD Performed in accordance wi;ro'SA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Builtling Department DSA Regional Office Owner School District TIME DEPARTED LUNCHTIME D CEILING WIRE 0 _______ 11 o ______ _ 0 _______ 11 - Corporate: .l;lranch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714)632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 Date Printed: 6/22/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Q;96o·rKc~if-=J Client: DUDEK & ASSOCIATES I\ Set No.: 9-00565 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 6/19/2009 6)( 12 28.27 7 6/19/2009 6X 12 2'f,.27 28 7/10/2009 6X 12 28.27 28 7/10/2009 6X12 28.27 281-J 7/10/2009 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: SCOTT V AWSER Location: SLAB ON GRADE -MAIN ENTRANCE AT GATE Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 71531C Ticket No.: 6539896 Water added at Site: gal. By Cement Type: MixTime: 50 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. CARLSBAD, CA t.S o1l '3 fa5 Load Strength Type of (lbs.) (psi) Fracture 130,890 4,630 Shear 127,670 4,520 Shear ASTM C172 :Date Sampled: 6/12/2009 Date Received: 6/15/2009 Concrete Temp: 78 Ambient Temp: °໹F ASTM C1064 °໹F ASTM C1064 Slump: 6.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTII-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTIONDEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 251 OA04 Date Printed: 5/12/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Q9o0 LA COSTAAV:ir:=J Client: DUDEK & ASSOCIATES A Set No.: 9-00440 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/16/2009 6X 12 28.27 28 5/7/2009 6X 12 28.27 ~8 51712009 6X 12 i8.21 2~H 5/7/2009 6X12 28.27 Specified Strength~3,5-0~_::::;PSI Sampled By: JESSE RANDOLPH Location: OPENINCrGATE MASONRY FOOTING Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6595271 Water added at Site: 5.00 gal. By TEAM C Cement Type: II/V MixTqne: 44 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 5340 PSI CARLSBAD, CA bB o'1l ~~~ Load Strength Type of .(lbs.) (psi) Fracture 102,450 3,620 Shear 150,640 5,330 Shear 150,860 rs;3,m-::;; Shear ASTM C172 Date Sampled: 4/9/2009 Date Received: 4/10/2009 Concrete Temp: 73 Ambient Temp: 67 "F ASTM C1064 "F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 GolfCenterParkway#l,Jndio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF·CARLSBAD-BLDG INSPECTION DEPT. 1635 FARAPAY AVENUE File No.: Permit No.: SEEREMARKS Project No.: 2510A04 Date Printed: 5/12/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEf ATER DIST. SITE IMPROVE <i§.6oiA-G0S'.fA-A:V-E Client: DUDEK & ASSOCIATES A Set No.: 9-00439 Age Date Nominal Actual Area (Days) Tested Size (Sq. lnc;h) 7 4/16/2009 6X 12 28.27 28 5/7/2009 6~ 12 28.27 28 5/7/2009 6X12 28.27 28H 5/7/2009 6X 12 28.27 · Specified Strength: (§iOO .:PSI Sampled By: JESSE RANDOLPH Location: RETAINING FOO'JJNG BETWEEN BUILDINGS 200 & 300 Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6582988 Water added at Site: gal. By Cement Type: II/V MixTime: 51 Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 4090PSI CARLSBAD CA , ~ 01 ~-9'-S ----\. A.. /- Load Strength Type of (lbs.) (psi) Fracture 87,700 3,100 Shear 116,120 4,110 Shear 115,170 g:liw:.7 Cone ASTM Cl72 Date Sampled: 4/9/2009 Date Received: 4/10/2009 Concrete Temp: 74 Ambient Temp: 62 °໭F ASTM Cl064 °໭F ASTM Cl064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch; Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Fenis Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-CONCREIB ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 5/12/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WAS1EWA1ER DIST. SIIB IMPROVE Client: DUDEK & ASSOCIAIBS A Set No.: 9-00438 Ag!! Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 4/16/2009 6X 12 28.27 28 5/7/2009 6X 12 28.27 28 5/7/2009 6X12 28.27 2~H 5/7/2009 6X12 28.27 Specified Strength:~ PSI Sampled By: JESSE RANDOLPH Location: PA VINO WEST OF BUILDING 400 -SLAB ON GRADE Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6582977 Water addecl at Site: gal. By Cement Type: 11/V . MixTime: 53 Remarks: Distribµ.tion: DUDEK & ASSOCIAIBS CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 4060PSI Load (lbs.) 82,150 119,360 110,680 . ...., Q9o~_A_COSTA..AY..E CARLSBAD CA ' ~ o---Z l '5)'=,,S Strength (psi) 2,910 ~220-, '3-910_.,,. . ' Type of Fracture Shear Cone Shear ASTM C172 Date Sampled: 4/9/2009 Date Received: 4/10/2009 Concrete Temp: 71 Ambient Temp: 56 "F ASTM C1064 °ሁF ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,I~c. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 ~eport of: COMPRESSIVE STRENGTH-MORTAR ASTM C270 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. l635FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 5/12/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE CI§..60-bA-GQS'.J'A.AY.E] Client: DUDEK & ASSOCIATES I\ Set No.: 9-00449 Age Date Nominal Actual Area (Days) Tested Size (Sq.Inch) 28 5/11/2009 2X4 3.14 28 5/11/2009 2X4 3.14 28 5/11/2009 2X4 3.14 ~-::;,::_;, Specified Stren~9,soo----ps1 Sampled By: JESSE RANDOLPH Location: ENTRANCE WALL ConcreteSupplier: SPECIFIED MIX Mix No.: TYPES Ticket No.: Water added at Site: gal. By Cement Type: Mix Time:-- Remarks: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** mjn.-- 4750PSI ~SBAD,CA en l ":> '=, 5 ... ~- Load Strength Type of Obs.) (psi) Fracture 14,750 4,700 Cone&Shear 14,620 4,§50 Cone & Split 15,430 L-4;9 ro----' Cone & Split ASTM C172 Date Sampled: 4/13/2009 Date Received: 4/15/2009 Concrete Temp: Ambient Temp: °୽F ASTM Cl064 °୽F ASTM Cl064 Slump: in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with tbe specified strength. I\ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-GROUT ASTM Cl019 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEEREMARKS Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE {NnOIA-COS+MVE-:J Client: DUDEK & ASSOCIATES A -- Set No.: 8-02921 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 9/30/2008 3X3X6 9.80 28 10/71/2008 3X3X6 9.00 28 10/21/2008 3X3X6 9.00 28H 10/21/2008 3X3X6 9.00 Specified Strength: 2,000 PSI Sampled By: MATTMCVAY Location: BUILDING 100 -3RD LIFT Concrete Supplier: HANSON AGGREGATES Mix No.: 2011501 Ticket No.: Water added at Site: gal. By Cement Type: . M~Time: Remarks: PE~-CB07-1-965.:::J Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 19,260 1,970 NIA ASTM C172 Date Sampled: 9/23/2008 Date Received: 9/24/2008 Concrete Temp: 78 Ambient Temp: 80 °ᇁF ASTM C1064 °ᇁF ASTM Cl064 Slump: 8.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A Corporate: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: PerniitNo.: Project No.: SEEREMARKS 2510A04 CARl,SBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Client: DU:OEK & ASSOCIATES I\ Set No.: 8-02823 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 9/12/2008 6X 12 28.27 7 9/12/2008 6X12 28.27 14 9/19/2008 6X12 28.27 14 9/19/2008 .6X12 28.27 28H 10/3/2008 6X 1_2 28.27 Specified Strength: 4,500 PSI Sampled By: MA TI MCVAY Location: SITEW ALL UP TO GRID LINE A3 / 13 Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 54041C TicketNo.: 6161357 Water added at Site: _ Cero.epf 'fype: Remarks: gal. By Distribution: DUDEK & ASSOCIATES _ Mix Tirge: CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** ,T9oOLA COSTA.AVE} ~SBAD,CA _ ~ o'Jl b'5l? Load Strength Type of (lbs.) (psi) Fracture 95,960 3,390 Cone & Shear 96,130 3,400 Shear ASTM C172 Date Sampled: 9/5/2008 Date Received: 9/8/2008 Concrete Temp: 81 Ambient Temp: 80 °ᇓF ASTM C1064 °ᇓF ASTM C1064 Slump: 4.00 in. ASTM C143 Tested at:. San.Diego. Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: 2992 E. La Pahna A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg.2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE Elle No.: Permit No.: Project No.: SEE REMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE U.9.Ji.O.LA..CP_.S_TfrA"Y_gi CARLSBAD, CA Client: DUDEK & ASSOCIATES A Set No.: 8-02680 Age Date Nominal Actual Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 8/21/2008 6X12 28.27 96,760 3,420 Shear 14 8/28/2008 6X 12 28.27 116,230 4,110 Cone&Shear 28 9/11/2008 6X12 28.27 181,290 6,410 Cone &Shear 28 9/11/2008 6X 12 28.27 183,170 6,480 Cone & Shear 28H 9/11/2008 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: SCOTT VA WSER ASTM Cl 72 Date Sampled: 8/14/2008 Date Received: 8/15/2008 Location: HEADQUARTERS BUILDING 100 -FIRST FLOOR SLAB, GRID LINE 1.5 / A.2 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 59466 Water added at Site: gal. ;By Cement Type: MixTime: 40 Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 6440 PSI Concrete Temp: 81 Ambient Temp: °໡F ASTM C1064 °໡F ASTM C1064 Slump: 3.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: 2992 E. La Palma A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-39.99 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: L~'.CE}'-7 ATER DIST. SITE IMPROVE (J].60.LAGOS'I'i'\-AVE CARLSBAD, CA Client: DUDEK & ASSOCIATES A Set No.: 8-02681 Age Date Nominal Actual Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 8/21/2008 6X 12 28.27 94,170 3,330 Shear 14 8/28/2008 6X 12 28.27 135,810 4,800 Cone & Shear 28 9/11/2008 6X 12 28.27 162,450 5,750 Cone & Shear 28 9/11/2008 6X 12 2p7 161,230 5,700 Cone &Shear 28H 9/1Vi008 6X12 2~.27 SpecifiedStrength: 4,500 PSI SampledBy:SCOTIVAWSER ASTMC172 DateSampled: 8/14/2008 DateReceived: 8/15/2008 Location: HEADQUARTERS BUILDING 100 -FIRST FLOOR SLAB, GRID LINE 1.8 / A.8 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 59473 Water added at Site: 5.00 Cement Type: gal. By DRIVER MixTime: 30 Remarks: PERMIT #;-CHO~ Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 5720PSI Concrete Temp: 83 Ambient Temp: °ᆰF ASTM C1064 °ᆰF ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653"4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETEASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FARADAY AVENUE File No.: Permit No.: Project No,: SEEREMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE 1:2.60:b°"K-GOS::r.KA:¥E1 CARLSBAD, CA Client: DUDEK & ASSOCIATES A Set No.: 8-02682 Age Date Nominal Actual Area Load Strength Type of (Days) Tested Size (Sq. Inch) (lbs.) (psi) Fracture 7 ~/21/2008 6X 12 28.27 94,540 3,340 Shear 14 8/28/2008 6X 12 28.27 134,920 4,770 Cone&Shear 28 9/11/2008 6X 12 28.27 160,210 5,670 Shear 28 9/11/2008 6X 12 28.27 161,390 5,710 Shear 28H 9/11/2008 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: SCOTT VAWSER ASTM Cl72 Date Sampled: 8/14/2008 Date Received: 8/15/2008 Location: HEADQUARTERS BUILDING 100 -FIRST FLOOR SLAB, GRID LINE 3.8 / A.5 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 59481 Water added at Site: 5.00 Cement Type: gal. By DRIVER MixTime: 30 Remarks: PERMIT ~5-J Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 5690PSI Concrete Temp: 81 Ambient Temp: °ᇉF ASTM C1064 °ᇉF ASTM C1064 Slump: 6.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: 2992 E. La Palma A ;enue, Suite A, Anaheim, CA 92806 Tel: (114) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE f.l2..o'W,G0S:iiA-A-VEi Client: DUDEK& ASSOCIATES I\ Set No.: 8-02778 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 9/4/2008 6X 12 28.27 7 9/4/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 Specified Stren~th: 4,500 PSI Sampled By: MA TT MCVAY Location: BUILDING 100 -GRID LINE 4.7 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: 60046 Water added at Site: gal. By Cement Trpe: Mix Time: ~--------, Remarks: PERMl'[! CBJ2].l.9_65_J Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 122,560 4,330 Shear 120,680 4,270 Shear 150,510 5,320 Cone & Shear 151,840 5,370 Cone &Shear ASTM C172 Date Sampled: 8/28/2008 Date Received: 8/29/2008 Concrete Temp: 80 Ambient Temp: 76 "F ASTM C1064 "F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, S;m Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEEREMARKS 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE ltQ:6.~~ Client: DUDEK & ASSOCIATES A Set No.: 8-02779 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 9/4/2.00~ 6X 12 28.27 7 9/4/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: MAIT MCVAY Location: BUILDING 100 -GRID LJNE 5 I 1.9 Concrete Supplier: SUPERIOR ·READY MIX Mix No.: 8375P Ticket No,: 60064 Water added at Site: gal. By CementT~: Mix Time: Remarks: PERMIT @_0.719-65.=:) Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** qiin_, CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 117,620 4,1'60 Shear 1)8,350 4,190 Cone & Split 145,700 5,150 Shear 146,920 5,200 Shear ASTM C172 Date Sampled: 8/28/2008 Date Received: 8/29/2008 Concrete Temp: 81 Ambient Temp: 77 °໯F ASTM C1064 °໯F ASTM C1064 Slump: 5.00 in. ASTM C143 Teste!l at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. A Corporate: Branch: Branch: 2992 E. La Pa4Tia A venue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRE'IE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635 FAEA.DAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEW:_tIBR DIST. SITE IMPROVE ~60~ Client: DUDEK & ASSOCIATES I\ Set No.: 8-02780 - Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 9/4/2008 6XT2 28.27 7 9/4/2008 6X 12 28.27 14 9/11/2008 6X 12 28.27 28 9/25/2008 6X12 28.27 Specified Strength: 4,500 PSI Sampled By: MATT MCVAY Location: BUILDING 100 -BETWEEN GRID LINE A -B / 4.7 -5 Concrete Supplier: SUPERIOR READY MIX Mix No.: 8375P Ticket No.: Water added at Site: gal. By Cement Type: Mix Time: Remarks: PERMIT m-Q_filQ5~-] Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** inin. 5270PSI CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 115,630 4,090 Shear 117,430 4,150 Shear 147,600 5,220 Cone & Shear 149,030 5,270 Cone & Shear ASTM C172 Date Sampled: 8/28/2008 Date Received: 8/29/2008 Concrete Temp: 80 &nbient Temp: 78 °໹F ASTM C1064 °໹F ASTMC1064' Slump: 5.00 · in. ASTM C143 Tested at: San Diego· Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. I\ Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: . 2510A04 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE 0,;2§._~TX-A"VE:J Client: DUDEK & ASSOCIATES I\ Set No.: 8-02882 Age Date Nomipal Actual Area (Days) Tested Size (Sq. Inch) 7 9/23/2008 6X12 28.27 7 9/23/2008 6X 12 28.27 28 10/14/2008 6X 12 28.27 28 10/14/2008 6X 12 28.27 28H 10/14/2008 6X 12 28.27 Specified Strength: 4,500 PSI Sampled By: MATT MCVAY Location: BUILDING 100 -BASEMENT LOCKERS, SLAB ON GRADE Concrete Supplier: SUPERIOR READY MIX Mix No.: 828P Ticket No.: Water added at Site: gal. By Cemei,t Type: MixTillle: Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 5800PSI CARLSBAD, CA Load Strength Type of (lbs.) (psi) Fracture 131,360 4,650 Shear 130,570 4,620 Shear 163,300 5,780 Shear 164,920 5,830 Shear ASTM Cl 72 Date Sampled: 9/16/2008 Date Received: 9/17/2008 Concrete Temp: 84 Ambient Temp: 75 °๞F ASTM C1064 °๞F ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. I\ C Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 C· San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: '2$l<::>AP9 Permit# rC:/?i-~Yfl66-ct5-J•rl 2-~ \,...--· ~·-,-~ - DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: ______ _ Report# __ PG_._._ DF ___ _ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall-be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECTNAME Al DATE 1·-2.,,,...., "'OQ l,_'J:_ l,)c 4. D Ip v c.,,,,, ' f ARCHITECT TIMEARRIVED /6 _ TIMEDE ~o TRAVEL TIME LUNCHTIME SUB CONTRACTOR ADDRESS OF PROJECT D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTCRETE D CONCRETE D HIGH STRENGTH BOLTING D WELDING JlS, FIREPROOFING D ANCHOR/DOWEL D NDE FIELD 0 _______ 11 0 _______ 11 D BACKFILL D SHOP WELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YO NO SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YO ND CONTRACTORS EQUIPMENT/ MANPOWER USED: STRUCTURAL NOTES, DETAIL, OR RFIS USED: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS D WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D NIA D Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD N D PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET D DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:. _________ --==---=------ . ~ 7 O~c::::> Weathe<c~ Signatureof' lnspector Ill/ t.,l.lAM. /2. c;oot.,~ Y Print Name www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A .Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 · Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 MTGL Project#: 2 S/(:) -4GV:i Permit# ~<$6,6-1/g~~-20 . J DAILY INSPECTION REPORT DSA/GITY File#: _____ -'----- DSA/OSHPD APPL#:. ______ _ Report# __ PG __ DF ___ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. DATE/ O Q -, 7-0 f TIME ARRIVED ,.,.. 0 /" G,' TIME DEPA~p tJ TRAVEL TIME LUNCHTIME SUB CONTRACTOR D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SHOTGRETE D CONCRETE D HIGH STRENGTH BOLTING ~ WELDING D FIREPROOFING D ANCHOR/DOWEL D NDE FIELD D _______ II O ______ _ D BACKFILL D SHOPWELD D NDESHOP D _______ II DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD NO SPECS: YD NO APPROVED DOCUMENTS: APPROVED PLANS YD NO CONTRACTORS EQUIPMENT/ MANPOWER USED:. . STRUCTURAL NOTES, DETAIL, OR RFIS USED: 0.1, REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS D WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS D WAS NOT D N/A D Performed in accordance with DSA/OSHPD/PROJEGT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD N D ,0 PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET D DID NOT MEET D THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:_""/4'1/--c..e_,_------=----.!:'>-:=---.,..._--- Weather: C~ 12.. Signature of nspector VJ1,d,,z.,,z4M le.. ~oo<::&;.Y · Print Name Certification #: • Verified bg9 t?/J :;/ !)19<),,J &J tfo,4.r fr_om:AIRCAD2000 INC. 858 277 3779 01/26/2009 10:10 #272 P. 007 /007 Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.;om Dispatch: 800.491.2990 San Diego/Imperial County 7313 Carroll Rd. Ste. G S~n Diego, GA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Pennff#tLb '9f6 MTGLPr~jec. DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# _____ ~ DSA/LEA#: ________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspeption, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME ARCHITECT ENGINEER CONTRACTOR TYPE OF INSPECTION = ENGINEERED FILL 0 FOUNDATION D BACKFILL DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: 0 BATCH PLANT 0 PT CONCRETE 0 SHOTCRETE 0 CONCRETE AVAILABLE: . APPROVED PLANS Y}( N 0 DATE 0 MASONRY D HIGH STRENGTH BOLTING 0 WELDING WSHOPWELD SOIL REPORT YD N' -.23-0 cA D CEILING WIRE " L.! ______ _ o ______ _ o ______ _ SPECS: NO APPROVED SHOP DRAWING Y':1Jf N 0 MATERIALS USED BY CONTRACTOR (INCLUDE .RESEARCH REPORT NO. OR MATERIAL TEST REPORTS); A- CONTFIACTORS EQUIPMENT/ MANPOWER USEO: Fl.AW NR 2 1 , AREA, GRID LINES, PIECES INSPECTED: REF 1.5 _AO--~-~. REMARKS, INCLUDING.MEETINGS: REWORK.AS PERCENT OF ALL WORK TODAY: THE WORK WAS}? WAS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJEGT approved documents. MATERIAL SAMPLING WAS O WAS NOT u NIA)( Performed in accordance with DSA/OSHPD/PROJECT approved.documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District s cre..etl ,. PERCENT PROJECT COMPLETE: THE WORK INSPECTED METk]' DID NOT MEET 0 THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:. _________________ _ Weather: {µ.1~rw Ternp: _ _.,t,.,..0~'_.,5,__ _____ _ ~R.~ Signature of Special Inspector vx.\~ R{HtER! RO~fA }(Q1"\, Pril)tiNam~M10!1F1 ''¾,_ n!f-:"f;r .-~,.. -r',l'W ,.., Certification #: "¾ ,.f' QCi f;{?.1(l/fH'/]0 " Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Park.way Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 449 I 7 Golf Center Park.way #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-MORTAR ASTM C270 Date Printed: 10/1512009 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE CARLSBAD, CA 92008 Client: DUDEK & ASSOCIATES I\ SetNo.: 9-00759 Age Date Nominal (Days) Tested Size 28 1011512009 2X4 28 1011512009 2X4 28 1011512009 2X4 Actual Area (Sq. Inch) 3.14 3.14 3.14 Specified Strength: 1,800 PSI Sampled By: SCOTT VA WSER Location: ENTRANCE -SITE WALL Concrete Supplier: SPECIFIED MIX Mix No.: Ticket No.: Water added at Site: gal. By Cement Type: TYPE S MixTime: 10 Remarks: STARTER COURSE Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 3710 PSI File No.: Permit No.: SEEREMARKS Project No.: 2510A04 Project Name: LEUCADI~.e.STEWATER DIST. SITE IMPROVE {12§.oiA.COS'.I'.A.A:..v.E__J CARLSBAD, CA L..~ 0"1 l ~C:,-5 Load Strength Type of (lbs.) (psi) Fracture 12,220 3,890 NIA 11,230 3,570 NIA 11,490 3,660 NIA ASTM C172 Date Sampled: 911712009 Date Received: 912112009 Concrete Temp: 70 Ambient Temp: °໚ F ASTM C1064 °໚ F ASTM C1064 Slump: in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. I\ 28-day compression test complies with the specified strength. Corporate: - 2992 E. La Palma Ave. Ste. A Anaheim, CA92806 , Tel: 714.632.2999 ~~ • , , ~ Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 San Diego/Imperial County 6295 Ferris Square, Suite C San Diego, CA 92121 Tel; 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 ( Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Indio: 44917 Golf Center Pkwy, #1 Indio, CA 92201 Tel: 760.342.4677 Fax: 760.342.4525 Dispatch: 800.491.2990 MTGL Project#: ,1. S i O A O'-/ Permit# __ ~_~_g_,-0._:,...e.,-_,_l-_.§l'--'b=' =S __ Report# ___ PG __ 1 OF ___ _ DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/0SHPD APPL#: _______ _ DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of theJnspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT N~ME L w I D L DATE L-v-C.c-\dt'a..i W,<~ ,e. a·re.,,r -1..S·u,,lc-F /c,., l-Df ENGINEER LUNCH TIME D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED FILL D FOUNDATION D BATCH PLANT D PT CONCRETE D SH0TCRETE D CONCRETE D HIGH STRENGTH BOLTING rK WELDING D FIREPROOFING D ANCHOR/DOWEL D NOE FIELD o ______ _ O ______ _ D BACK FILL D SH0PWELD D NOE SHOP O ______ _ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT YD ND SPECS: YD ND APPROVED DOCUMENTS: APPROVED PLANS YD NO REWORK AS PERCENT OF ALL WORK TODAY: -- THE WORK WAS i'.W WAS NOT D Inspected in accordance with the requirements of the DSA/0SHPD/PR0JECT approved documents. MATERIAL SAMPLING WASJilJ WAS NOT D NIA D Performed in accordance_ with DSA/0SHPD/PR0JE0T approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District APPROVED SHOP DRAWING YD NO PERCENT PROJECT COMPLETE: THEWORK INSPECTED MET~ DID NOT MEET D The requirements of the DSA/0SHPD/PR0JECT approved documents. Samples taken: ,,, Weather: ~ Temp: __ 7-3,,,_· ____._F ____ _ ~-Z~tu~ /) ~ecl'al Inspector f( ~'Z-i J.. ~t>U<. Pnnt Name Certification #: i c. c -:\1_ ( a 4,, 3 z :, ~ r ~, i.f , 8 s., a f' Verified by: ·~ IAJlu,J..,JL (~1:i,hdc) San Diego/Imperial County 6295 Ferris Square, Suite C San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 (- Inland Emplre: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Indio: 44917 Golf Center Pkwy, #1 Indio, CA 92201 Tel: 760.342.4677 Fax: 760.342.4525 Dispatch: 800.491.2990 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/OSHPD APPL#: _______ _ Report# __ PG __ OF~---DSA/ LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days ofthe inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shalf·be prepared for each type of special inspection, on a daily basis, Each report shall-be completed and signed by the special inspector conducting the inspection. DATE ARCHITECJ ENGINEER TRAVEL TIME D MASONRY D CEILING WIRE TYPE OF INSPECTION D ENGINEERED F.ILL D FOUNDATION D ATCH PLANT D PT CONCRETE D SH0TCRETE D CONCRETE D ljjQl'I STRENGTH BOLTING IW'WELDING ti FIREPROOFING D ANCHOR/DOWEL D NOE FIELD 0 _______ 11 0 _______ 11 D BACKFILL D SHOPWELD D NDESHOP 0 _______ 11 DSA/OSHPD/PROJECT: AVAILABLE: / APPROVED PLANS Yj6 ND SOIL REPORT YD ND APPROVED DOCUMENTS: REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS AS NOT D Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS-0 WAS NOTO N/A~ Performed in accordance with-DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner PERCENT PROJECT COMPLETE: THE WORK INSPECTED MET ID NOT MEET D The requirements of the D 0SHPD/PR0JECT approved documents. ~ ~: of Special Inspector ~~Yfe',t t 'A£$ ' Print Name Certification#:l'11J/""#(j_?O~a1'14Jc£/t2~77/<J-?o Verified by: ·~ ~ (b~~<t:._) A ' I 1'1 ii ~ www.mtglinc.com r "·-Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.297 4 Dispa h: 0.A9;1 .2990 San Diego/Imperial County 6295 Ferris Square, Suite·C San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 C Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 Indio: 44917 Golf Center Pkwy, #1 Indio, CA 92201 Tel: 760.342.4677 Fax: 760.342.4525 Dispatch: 800.491.2990 DAILY INSPECTION REPORT DSA/CITY File#: ________ _ DSA/0SHPD APPL#: _______ _ Report# __ PG __ OF ___ _ DSA/LEA#: _________ _ Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a da· y basis. Each report shall be completed and signed by the special inspector conducting the inspection. , TYPE OF INSPECTION tJ ENGINEERED FILL D FOUNDATION 0 BACKFILL STRUCTURAL NOTES, DETAIL,.OR RFIS USED: D BATCH PLANT D PT CONCRETE D SH0TCRETE 0 CONCRETE REWORK AS PERCENT OF ALL WORK TODAY: THE WORK WAS WAS NOT 0 MAS0NR'{ --- 0 HIGH STRENGTH BOLTING D WELDING D SH0PWELD -Inspected in ace dance with the requirements of the DSA/0SHPD/PR0JECT approved documents. , MATERIAL SAMPLING WAS~AS NOTO N/AD Performed fn accordancewit~A/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office Schoo! District Contractor Building Department Owner D FIREPROOFING D ANCHOR/DOWEL 0 NOE FIELD 0 NOE SHOP. 0 CEILING WIRE O ______ _ 0 _______ 11 0 _______ 11 Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway#!, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVE STRENGTH-GROUT ASTM C1019 ** CITY QF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AV~NUE File No.: Permit No.: · Project No.: SEE REMARKS 2510A04 Date Printed: 9/29/2009 CARLSBAD, CA noo8 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE 1960 LA COSTA AVE Client: DUDEK & ASSOCIAIBS A Set No.c9~00760 Age Date Nominal Actual Area (Days) Tested Size (Sq. Inch) 7 912912009 3X3X6 9.61 28 l0/2012009 3X3X6 9.00 28 10120/2009 3X3X6 9.00 28 1012012009 3X3X6 9.00 Specified Strength: 2,000 PSI Sampled By: SCOTT V AWSER Locatiqn: SITE WALL -MAIN ENTRANCE Concrete Supplier: HANSON READY MIX Mix No.: 2011501 Ticket No.: 329744 Water added at Site: gal. By Cement Type: MixTime: 90 Remarks: 2ND LIFT Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. CARLSBAD, CA Load Strength Type of Obs.) (psi) Fracture 25,330 2,640 NIA NIA NIA NIA ASTM Cl 72 Date Sampled: 9/2212009 Date Received: 9/2412009 Concrete Temp: Ambient Temp: °ᇼF ASTM C1064 °ᇼF ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,lnc. Eduardo Dizon, R.C.E. I\ Corporate: Branch: Branch: Branch: 2992 E. La Palma.A venue, Suite A, Anaheim, CA 92806 Tel: (714) 6.32-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSIVESTRENGTH-CONCRETE ASTM C39 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: SEE REMARKS Project No.: 251 0A04 Date Printed: 4/30/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE (J[6.0;LA-CQST-A--A¥E~ Client: DUDEK & ASSOCIATES -A Set No.: 9-00423 Age Date Nominal Actual Area (Days) Tested Size (Sq, Inch) 7 4/7/2009 6X 12 28.27 28 4/28/2009 6X 12 28.27 28 4/28/2009 6:X 12 28.27 2SH 4/28/2009 6X 12 28.27 Specified Strength: 3,500 PSI Sampled By: JESSE RANDOLPH Lo~tion: HV AC BROILER EQUIPMENT p AD Concrete Supplier: ROBERTSON'S READY MIX Mix No.: Ticket No.: 6582773 Water added at Site: 5.00 . Cement 'fype: II/V - Remarks: gal. By TEAM-C Mix Time: -70. Distribution: DUDEK & ASSOCIATES .min . CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** 4140PSI CARLSBAD, CA -te,o,Zt 'Jb? ... -- Load Strength Type of (lbs.) (psi) Fracture 73,270 2,590 Shear 116,510 4,120 Cone 117,360 4,150 Shear ASTM C172 Date Sampled: 3/31/2009 Date Received: 4/1/2009 Concrete Temp: 76 Ambient Temp: 53 °୽F ASTM C1064 °୽F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A Corporate: Branch: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 6295 Ferris Square, Suite·C, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 l 4467Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 44917 Golf-Center Parkway #1, Indio, CA 92201 Tel: (760) 342-4677 Fax: (760) 342-4525 Report of: COMPRESSNE STRENGTH-MORTAR ASTM Cl70 ** CITY OF CARLSBAD-BLDG INSPECTION DEPT. 1635FARADAY AVENUE File No.: Permit No.: Project No.: SEE REMARKS 2510A04 Date Printed: 5/5/2009 CARLSBAD, CA 92008 Project Name: LEUCADIA WASTEWATER DIST. SITE IMPROVE Ci§]QJ.,_A:_COSTA.A:V.:E.:::J Client: DUDEK & ASSOCIATES Set No.: 9-00434 Age Date (Days) Tested 28 5/5/2009 78 5/5/2009 28 5/5/2009 Nominal Actual Area Size (Sq. Inch) 2X4 3.14 2X4 3.14 2X4 3.t4 Specified Strength: 1,500 PSI Sampled By: RAMZI JAMMA Location: TRASH ENCLOSURE Concrete Supplier: SPECJFIED MIX Mix No.: TYPES MORTAR Ticket No.: Water added at Site: gal. By Cement Type: Mix Time: Remarks: 1ST TO 3RD COURSE Distribution: DUDEK & ASSOCIATES CITY OF CARLSBAD-BLDG INSPECTION DEPT. **LAB COPY** min. 5240 PSI CARLSBAD, CA G'B> D1 L',~:5° Load Strength Type of (lbs.) (psi) Fracture 14,650 4,660 Cone & Shear 16,300 ~,190 Cone & Shear 18,420 5,860. Cone & Shear ASTM C172 Date Sampled: 4/7/2009 Date Received: 4/9/2009 Concrete Temp: Ambient Temp: °ᆰF ASTM Cl064 °ᆰF ASTM Cl064 Slump: in. ASTM C143 __ Tested at: San Diego Respectfully Submitted, MTGL,Inc. Eduardo Dizon, R.C.E. 28-day compression test complies with the specified strength. A