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0308-184 (CSCS)
LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the -Business and Professionals Code, and my License is in full force and effect. License # Lic. Class ` Exp. Date 64 611.10 ✓,1 B f ,/bate Signature of Contractor- 11 « %! --- / _ OWNER -BUILDER DECLARATION` I hereby affirm under penalty of perjury that'l am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ). 1, as owner of the. -property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). > O . I am exempt, under Section B&P.C. for this.reason Date Signature of Owner ' WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the. following declarations: () I have and will maintain a certificate of consent to self -insure for w_ orke'rs:. compensation, as provided for by Section 370.0 of the Labor` Code, for th'e performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance; as required by Section_ 3700 of the Labor Code, for the performance of the`wowork for which this permit is issued..My workers' -compensation insurance carrier & policy no.. are Carrier �fA'LL.Y FC,FZC13 . Policy No. C103094 M, (This section need not be completed if the permit valuation is f9r,$100.00 or less). . O I certify that in the performance of the work for which this permit is issued, I shall not employ any personin any manner so' as to become subject to the workers' compensation laws of California, and agree that if, I should become, "subject t the workers' compensation>p�rovisloris of Section. 3700 of the Labor /Eode, I shall forthwith comply with those provisions,f'� Date:Applicant.. ,�-w�.,r; 1 r �^^• Warning: Failure to secure 1Norkers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. t 1. Each person upon whose behalf this application is.made'& each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees°'to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and, employees. 2.'Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of. issuance of such permit, or cessation of work for •180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating,to the, building construction, and hereby authorize representatives of this City to enter upon Sthe above-mentioned property- for -inspection purposesr '! / 1' Signature -(Owner/Agent) ��� - f�"' y' �pDate BUILDING PERMIT;PERMIT# A ' OT303•$r,t+ .. DATE VALUATION. LOT TRACT ' . �+- 2 , � Alts •,R 9A.0 Pl�fi � PM,,2739�,A�aJOB SITE ADDRESS V;�I�iStLTIYG7��i1� �1F£.1±:fi APN;-ZLJSAdT{Y19 OWNER CONTRACTOR / DESIGNER / EN (NEER . � � ''`��+T a . ET��•�+�,+�p����,�( �>y�+�,y�•� day A r��!/y��1 V l-:i"�;i.Y.KFd:ai•�1V A�I.i,+.S\1 C , `2.S A WAMN(F-TO ^7 y '( '�yy�'' p' t-alr &61.IW: IaOSV.1.�3:aS"�CIAL B3 V 1•b.�3..�.SLI. S, �r' - >2A �, c��.�tAtr�;��.�v �l coo � ' • � ���� �. ����©?TlEYT r°�'�'�.: PHOENrx Z 85016 YHOEI.OX AL. ! 5014 (602)263.8300 G".f31. SiU .USE OF PERMIT CC.►iv 1481ZOAAL. COMM MM 14,479 SQ 1#"T': ;§� s91da3tl�PidS • .�1's TFLJL �,'pJJ� t2Ja9EiCRf . M, OCC" ;PYPEV-N SI'tit14XVI Er) 3001 C.'OI):Vd PORCHIPAITIO. S.l.w. SP1iINKUR. ,15,W:00 SP . PUC -- ("!O 1IMERC L 14,479.00 3F' CIDIN `RAC`J" .A.113O[J1' T �. ` 553, 93.60 :..S RMT FEE Whl1b ARY COA 8TRTJCTJ(XH i -.1,01 € -Quit : A533,10 PUV.1 C.HE.,CK Fahy $2,859.31 Ii FRE DEPOSIT 101.-000435.3181 ..•9ZM,00 MECHANICAL EEL ' 1.01.000;421-i'}0 ELECTIUCAL1Ri?. _ . i G►1-C3At e4 C��OtiO $434.158 P!.l,1'Aidlif'[�Gll�l?R .. '1!fJ'.l-Cb0ti-41�-Ata® .. •. �303'.3S` . ST903a1 MOTION FRE - COMM 100-0W441;:000 ' S1 A 19 DMLOPER IMPACT FEE ART:113 PUBLIC PLACES - COMP:27 -000-445-000 $%31s u i?13 'iC.9 til C:iS.e�'�'.{+' ', ia(:1T Aim 1�i;.A�I °T C C . IM3 PYE-.PsadW ..' C' e`,ea �CiQCY.i1A A. FEf8 Q-212004 CITY of QUfNTA FI�fAAIfwE ;r_nT tIRECEIPT DATE Vim- �y' BY`/. DAT FI A E INSPEC O INSPECTION RECORD OPERATION DATE I INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings / Ducts Slab Grade fj Return Air Steel Combustion Air Roof Deck Exhaust Fans O. K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVA S Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines 9j Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation ` Gas Piping Gas Test Appliances Final COMMENTS: `. s Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior,Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) t • c' P.O. BOX 1504 APPLICATION ONLY Building �-7 90� WA,6H,N"/ ratj 78-495 CALLE TAMPICO LA Address 99 ' / QUINTA, CALIFORNIA 92253 Owner J • Mailing Address City Zip Tel. 7gber Contractor' °��`', ::. ' ' °12TH C oM �cF�2c� r�►r • 3u I �DEre.0 . /N C . Address 1300 E. o't�ssok�c/ g c�roo City Zip Tel.. State Lic. 'wL "P City & Classif. �T�S�Z (QIQ a i Lia k Arch., Engr., Designer RegL Address Tel. i B800 vIE941C.46 fbu/ t '07 311 aro- 86S - g 762 Le City Zip State oil, IAS -_LAC�S I 900<3q Lic. a 62159 9 U51 LICENSED CONTRACTOR'S DECLARATION I heieby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bulsness and r Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own' employees, provided that such improvements are not intended or offered for sale. If, however, the building + or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ' I FI I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law doesnot apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION ' I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work. for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: g, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and slate that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of a0plicant Date - Mailing Address City, State, Zip BUILDING: TYPE'CONST. OCC. GRP. A.P. Number Legal Description Pi12CtcZ I OF PAgccz%—A4iti7' s`tZ Project Description + Sq. Ft. Size �S�Q� No. No. Dw. Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Can : /QQwyJcrx `T1'rP�� Ci�Z-'80�—Qf00d Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. e2000 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Infrastruct TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION + CERTIFICATE OF COMPLIANCE Desert'Sands Unified School District 47950 Dune Palms Road 'Q BERMUDA DUNES r Date 12/17/03 La Quints, CA 92253 r0 RANCHO MIRAGE d INDIAN WELLSLM ti No. 25284 (760) 771-8515 ��� P L QUINTATNDIO y Owner Evergreen Avenue 48 & Washington., APN # 643-200-001 Address 2920 E. Camelback Road #100 Jurisdiction La Quinta City Phoenix Zip 85016 Permit # 0308-184 Tract # PM27892 Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 47900 Washington 14479 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8' Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways„residential additions under 500 square feet, detached accessory structures (spaces that,do not contain facilities for living,"sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $0.34 X 14,479 S.F. or $4;922.86 have been paid for the property listed .above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By OC/City National Bank- Reuben Garbett Check No. 829376445 Name on the check..; Telephone 623-363-6262 Funding Commercial By, Dr. Doris Wilson Superintendent Fee collected /exe ted by haron MCGllvrey Payment Recd $0:00 $4,922.86 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting r S 'I DEC -11-2003 10:42 EVERGRELN DEVCO INC r STMART TiTI W—R' i 6028089100 P.02 werside E®P1� If Document Recorded JUL -�2 2003 RECORDING REQUESTED -BY:' a"�,..��_as No. has not been compared with original, Stewart Title Company ' ..County Recorder WHEN RECORDED MAIL TO AND RIVERSIDE COUNTY, CALIFORNIA MAIL TAX STATEMENTS TO: ; EVERGREEN -AVENUE 48.8 WASHINGTON, L.L.C. . c/o Evergreen Devco, Inc: ' 200 North Maryland Avenue, Suite 201 Glendale, California 91206 Attention: Chris Bergren M S U PACE ciao 0) Escrow No.: 580061048 6;W-01.� ' Assessor's Parcel No(s). 643-200-001-8 GRANT DEED In accordance with Section- 11932 of the California Revenue and Taxation Code, Grantor has declared the amount of the transfer tax which is due by a separate statement which is not being recorded with,this Grant Deed. FOR VALUE RECEIVED, EiSENHOWER MEDICAL CENTER, a California nor. profit public benefit corporation ("Granton), grants. to 1_VERGREEN-AVENUE 48 & WASHINGTON, L.L.C., an Arizona limited liability compaiy ("Grantee"), all that certain real property situated in the County of Riverside, Stat. of California, described on Schedule " 1 " attached hereto and by this • referenc:e i ncorporated herein (the Property'), y This grant is made and accepted subject to:' 1. Real property taxes and assessments hot d.dinquent; and ' 2. All easements, tends,° limitations, coven;.,nts; conditions, reservations, restrictions and equitable servitudes and other matters of record on the date hereof, including, without limitation,, that certain Declaration of F.estrictive Covenants* recorded substantially concurrently herewith. (Signatures on Next Page] t n F i• , 348754.1 . PCOR NOQOR 8MF MIBC A ii COf Y LONG REFVNO HCMG El(A61 I DEC-11-2003 10:42 EVERGREEN DEVC0 INC 6028089100 P.05 y t STATE OF CALIFORNIA ) ss: COUNTY OF.Rwa►� ) ; On 1 , 2003, before me, the undersigned, a Notary Public in and for. said County and State, personally appeared Ca. NeNgNM personally known to me (e;;-Vrewml-to MQ steyF-aw ee) to be the person(',, whose nam6(bkis/arq subscribed to the within instrument and acknowledged to me that he/SHefthq executed the same in his/her/their authorized capacit^s), and that by his/hardiuw signatures, on the instrument the personN, or the entity upon behalf of which the person(N acted, executed the within instrument. WITNESS my hand and official seal: r CHERYL GRAVES Commlaalon 8 1381999 Notary Pubno - Coefornty Rlveralde County . Notary Public MvComr.E4xes0ct28.2006 + .t STATE OF CALIFORNIA ") COUNTY OFWW''l) ss: 0n 1 ' , 2003,' before me, the undersigned,, a Notary Public in and for said County and State, personally appeared _ ov c4�ww�o� personally known to me (a. -F eaeel-to e) to be the personM whose namej* is/a> subscribed to the within instrument and acknowledged to me that heftetfty executed the same in his/hWtheir authorized capacity(1+eg), and that by his/Ra/their signature(sL on the instrument the person(N), or the entity upon behalf of which the person(l) acted, executed the within instrument. WITNESS my hand and official seal. CHERYL GRAVES Cornmigion i 13619% Nota Public Notary PupuC - C00fomla ry Rlveraltle County i MyCome• B0aS0d2aF6 348754,E -DEC-11-2003 10:43 EVERGREEN DEVCO'IN( :. 6028089100 P.06 STATE OF ,2 ) )SS COUNTY OF���) , i,C Zi 2003, before e, the undersi rnod, a Nota Public in and for On W _�__ ---- 9 Notary said County and State,personally appeared ___, personally known to me (or proved to me on the b of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to ;tee that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the within instrument.., WITNESS nstrument.- WITNESS my hand and official seal. =YFFIikos14 COW Notary blic E 348754. r: DEC -11-2003 10 43 EVERGREEN DEVCO INC 6028089100 P.O? r xy YOUNG ENGINEERING SERVICES •Engineering •A rchitecture•Surveying• Building.& Safety Services Letter of Transmittal To: City of La Quinta Date: Building and Safety Project 47 Washington St. Walgreens Attn: Ed Randall / Greg, Butler P/C#; 0308-184 (1s` check) R Tel No.: Tract No.: We are forwarding:. X By Messenger By Mail Your Pickup No. of Copies Description: 1 'Plans=(approved set) 1 Structural calculations (approved set) 1 Soils report (approved set) 1 Roof spec. sheets (approved set) 1 Steel joist calculations (w/EoR-shop drawing stamp) Comments: Steel joist calculations are approvable. This Material Sent for: Your Files X Per Your Request Your Review Approval Checking At the request of: Other By: John. W. Thompson Phone # 360-5770 ext. 102 77-804 Wildcat Drive; Ste: C *Palm Desert, CA 92211 • (760) 360-5770 .*Bron Young . APC Lo OF To: Greg Butler, Building & Safety; Manager To CDD: 11-12-20.03 /2-$- 03 From: Oscar Orci, Planning Manager,-19-2003Due date: 11. Status: 2ND Review - Plans p1/+�'s wee SewT Building' a s Approval �, t,,. r► -- (This is an approval to ,issue a Building Permit) �N ��_ iZ - 03. The Community Development;Department has reviewed the Building .Plans for the following project: Description: WALGREENS Address or general location: 47-900 WASHINGTON STREET Applicant Contact: RUBEN GARBETT (602) 808-8600 The Community. Development Department finds that: ❑ these Building: Plans, do not require Community Development- Department approval.: �! ..,these Building Plans are approved by the:Community Development Department: ❑ ...these -Building Plans require corrections. Please forward a copy of the w attached corrections to the applicant. When the corrections are made please return them to the. Community Development Department for review. r �Z- fi Oscar Orci, PI'annirfg Manager Date s i z x 4111117 1 "N Y Building & Safety De'partmen't" OF Public Works Release to Issue . Building Permit._ } - To: John Freeland,. Senior Engineer, Date to PWD: - From: Greg Butler, Building & Safety Manager Permit # 0 6 - A release from Public Works Department is required prior to building permit issuance for the following project: _ °= VzDescription: )/&.) Sed ggQc .5.U. y_ Address-orgenerallocation: `�%�400. ��� �•. r-��$,,, APN and/or legal description:PhAa-EZ. 1 OF Oalgz MAP a789Z, Applicant contact and telephone number:`' oa =dos�a /;; _,Iz-4�, Please do not return this form to Building& Safety Department until released building permit issuance. For issues delaying or preventing release, please contact applicant directly at the number above. L= r Note: Action required (reply to Building Department or contact Applicant) wrthtn` five (5) .working days from date received by Public Works Department. To: Greg Butler, Building & Safety Manager From: John Freeland, Senior Engineer t , The Public Works Department has reviewed the above project and finds that...;%°_:h�` ❑ ... issuance of this Building Permit does not require Public Works Department approval. r µ fg ...issuance of this Building Permit is approved by the Public Works�' Department. John Senior Eng Omen Sheet (PW revl).doc-4/18/03 r Dat AUG -10704 TUE 3:57 PM R.H. >CO, FIRE P&E INDIO FAX YO, -I 760 863 7072 P. 1 RIVERSIDE COUNTY FIRE DEPARTMENT .In cooperation with the California Department of Foresiry and Fire Protection 2 est San On- o Avenue • errs, California 927,'0 . ax(9M)-9 Tom Tisda!e Fire Chief Proudly urvingthe August 10, 2004 Unina>rporated Areas oi•RivcRide , County and the Cities of.-, . City Of- La Quinta Banning Building Department •, Dcaumonl �. Re: Walgreen Store Calimusa . 4 Canyon Lake . The Riverside County Fire Department is granting afire and life safety: clearance for the S•• Coachella Following address located at'.47--900 Washington street? La Quinta. Please call if you �. should have any questions. Lksort I lot �prinp . ladian Wells Indio �• F . Lake Elsinore RANK KAWASAKI r Chief Fire Department Planner La Quinta . Moreno Valley D 4. By Palm 17� erl -re Terry peso Cy Perris Fire Systems Inspector Rancho Mirage San Jacinto ti Temecula . Board ofSupervisors Bob austtr, Dislricl I TDfjl John Tavaglione, ' District 2 Jim Venable. AisL ict Roy Wilson, : District 4 Marion Asldcy. Districi S EMERGENCY SERVICES DIVISION • PLAN NTNG SECTION . INDIO OFFICE 92367S Highway 111, 21 Fl., ]ndlo, CA 92201. (760) 863-9086 • rax (366) 963-7012 i Tom ."Tisdale Fire Chief Proudly serving the unincorporated area of Riverside County and the . Cities of- Banning fBanning <V Beaumont <• Calimesa 4 - Coachella Coachella 4 - Desert Hot springs <• . Indian Wells Indio 46 Lake Elsinore La Quints Moreno Valley Palm Desert Perris 0 Rancho Mirage o ' San Jacinto 6 Temecula Board of Supervisors Bob Buda, District i John Tavaglione, District 2 Jim Venable, District 3 Roy Wilson, District 4 �r Marion Ashley, District S i . r . RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 210 West San Jacinto Avenue • ems, California 92570• Fax (909) 940-6910 ' CIS 0' November, 25, 20037A To: Saxton Engineering Services REC p 1030 Calle Sombra, Suite A2 y BUILDING. i San Clemente, CA 92673 ����,: {Re: IWatersystem plan review Laq-03=BP-059 %Walgreens-� Aof MT The above referenced water plans have been reviewed andare acceptable by the Riverside County Fire Department. After the registered, Civil Engineer has signed and stamped the original Mylar, please submit them to this office for Fire Department signature. After all•signatures are obtained on the'original, one (1) print of the title sheet. is required for our files... - c The required water system including fire hydrants shall be installed and accepted by the appropriate water agency prior to any combustible building material being placed on the construction site and/or individual lots. Blue retro -reflective pavement markers shall be mounted on private streets, public streets,` '-"4 and driveways to indicate location of fire hydrants: 4 Any question regarding these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886 " Sincerely, + Frank Kawasaki ,- • tR- FireMar s ha lBattaon Chief/Co: , By: . �• ' . ; Dale Evenson ' - Fire Safety Specialist } EMERGENCY SERVICES DIVISION • PLMMNG SECTION • INDIO OFFICE 82-675.HIghway.111, 2nd Fl., Indio, CA 92201 • (760) 863-8886 • Fax (760)t63-7072 Tom Tisdale . Fire.Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning .y Beaumont Calimesa 4. Canyon Lake Coachella Desert Hot Springs Indian Wells 4. Indio .;. Lake Elsinore La Qainta Moreno Valley 4. Palm Desert. Perris Rancho Mirage 4. San Jacinto Temecula Board of Supervisors RIVERSIDE COUNTY: FIRE :DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection, 210 West an Jacinto Avenue • ems, California 92570 • • Fax (909)_940-W10 March 26, 2003 1, To. Martin Mag aria, Associate Planned From: Dale A. Evenson, Fire Safety Specialist ' The following conditions are requested on PM 31248: ; vi U Lo=Do Water mains shall be capable of providing 4000 -GPM at 20 -psi residual for a 2 -hour duration with the actual fire flow from any two adjacent hydrants to be -2.000 -GPM at 20 -psi residual for a 2 -hour duration. Super fire hydrants are tote placed no closer than 25 feet and not more than 165 feet, from any portion of the first floor any building following approved travel ways around the exterior of the building. Blue dot retro -reflectors shall be placed in the street 8 inches from centerline to the side that the fire hydrant is on, to identify fire hydrant locations. City of La Quinta, ordinance requires all buildings, other than single family, 5,000 sq. ft. orlarger to be fully sprinkled NFPA 13.Standard If required, sprinkler plans will need to be submitted to the Fire •Department. Area separation walls may not be used to reduce the need for sprinklers. All buildings shall be accessible from an approved roadway to within -150 feet of all portions of the exterior of the first floor. The minimum dimension for access- goads. is 20 feet clear and unobstructed width and a minimum vertical clearance of 13 feet 6 inches in height. ; The required water system; including firehydrants, shall be installed and accepted by the appropriate water agency prior to any combustible building material being placed on an individual lot. Two sets of water plans are to be. submitted to the Fire.De&Unent for approval'. 4 The applicant or developer shall prepare and submit to the Fire Department for approval, a site plan designating required fire lanes with appropriate lane painting and/or signs. Building plan check is to run concurrent with the City plan'check. A KNOX entry key box will be required on the building. Contact the Fire Department for an application. •AUG -20-2004 09:23 EVERGREEN DEVCO INC 6028089100 P.02i02, � �•���'� EVERGREEN' Devco; nc. 200 N: MARYLAND AVENUE, SUITE 201 1 GLENDALE,.CALIFORNIA 91206 1 818.240,8727 TEL 1819,240-1923 FAX 2920 E. CAMELBACK ROAD, SUITE 100 PHOENIX, ARIZONA 65016 1, 602.808.8600- TEL 602.808.9100 FAX J August 19, 2004 G Via Facsimile Greg Butler Building & Safety Manager City of La Quinta Building & Safety Department P.O. Box 1504 78-495 Calle Tampico La Quinta, CA 92253 Re: Walgreens = 47-900 Washington Street Dear Greg: ' As you know, the Walgreens project at the above r•.-ferenced location is nearing completion. I was informed today that our building inspector has some questions or concerns about the material used and the locationof the tnmcated domes at the site. He also communicated that he would be willing to issue a temporary certificate of occupancy (with your, approval) if we would guarantee that Corrections 7, 8 and the asterisked comment ("construct yellow truncated domes conforming to federal color no. 33538 w/ 5 . year minimum warranty") be addressed to the satisfaction of the City of La Quinta. I would like to respectfully request that the City issue a temporary CofD with the understanding and commitment from Evergreen Devco, Inc and RTM Commercial Builders that these corrections will be finalized to the City's satisfaction within 30 days after the certificate's issuance., Please confirm that this arrangement is OK with eil:her Jim Stone or myself. . Thank you for your, consideration of this request. We are rxcited to be so close to completing this development in the City of La Quinta, and appreciate all your help in making it wsuccessful project. Sincerely, Reuben GVabett Evergreen Devco, Ins,: TOTAL P.02 COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH'SERVICES SUPPLEMENTAL REPORT TO SAN. FORM # DATE SUBJECT t ,it.� q (mac e2 ~t., PERMIT NO. ADDRESSt Cl -1 9 INSPECTOR.. REMARKS: i nom.r 11 c •I -_--�" Iuur't.f� .c ��i c�, ,i' /-��! (t rC(�.� �-( ,�� ,,N;v , f• Z ru "eri e 'tor i.o C'rnl.., yid • - 1 1 `�t+Qr' 1 SSt,,(' L. G' wc. Gl w•.Pa-'� ' , „ tj i• .�f•c>uC��`i-e:*-e::.��Pr��9.P- DEH -SM -1 ie (Rev eroz) Distribution: WHITE—Office; CANARY—Owner; PINK—Office i� Tuesday, October 28,-2003 s Greg Butler Building Safety Director . City of La Quinta RE: Walgreens —22930 S. Western Ave. & Sepulveda Blvd. La Quinta, CA CTS Job No.: 03-376 .. . Dear Mr. Butler, We have reviewed the qualifications of Miles Chang of SILOAM Structural Engineering Consultants. As a registered California engineer, his experience qualifies him and we authorize him to perform the Structural Observation for this project as required by the City of La Quinta Building Division. Please contact our, office with any.questions or comments. Respectfully, Reviewed By: OQPOFESS10Nq4C Z� Ronald Kuklish, E.I.T. �, S4oso m Project Designer. Lu ExP.MOM � d4 STquC7URp� 4�OFCAUFO`� Sandy Her , Principal CARUSO TURLEY SCOTT INC. consulting structural engineers 2702 N. 44th Street Suite 200 Phoenix, Arizona 85008 (602) 912-9120 . FAX (602) 912-9390 3425 E. Grant Road 4 .. Suite 201 Tucson, Arizona 85716 (520) 318-1777 FAX (520) 318-0004 x K 'YOUNG ENGINEERING S'ERVIC'ES *Engineering •A rchitecture•Surveying• Building & Safety Services Letter of Transmittal. To: City of La Quinta Date: 12-1-03 Building and Safety ' Project: Walgreens Attn: Ed Randall / Greg Butler P/C#: 0308-184(2 ncheck) Tel No.: Tract No.: We are forwarding: X By Messenger By Mail Your Pickup No. of Copies Description: ` 2 Plans (redline set) 2 Plans (second submittal) 1 Structural calculations (1St and 2°d submittal) 1 Soils report 1 T-24 (1St and 2°d submittal) 1 ICBG Report and architectural cut sheets x Comments:. All plan check comments have been addressed adequately. Plans are Approvable. (Community Development approval for items 1 and 2, section E) Wood trusses, steel joists/girders, fixture floor plan are deffered submittals. Engineer of Record has provided a letter for Miles Chang of SILOAM Structural Engineering to perform structural observation. This Material Sent for: a ` Your Files X Per Your Request Your -Review .Approval Checking At the request of; Other By: John W. Thompson Phone # 360-5770 ext. 102 77-804 Wildcat Drive, Ste. C *Palm Desert, CA 92211 #(760)360-5770 - •Bron Young • ' COUNTY OF RIVERSIDE COMMUNITY'HEALTH AGENCY '' ASSESSOR'S PARCEL NUMBER DEPARTMENT OF ENVIRONMENTAL HEALTH APPLICATION FOR WASTE WATER DISPOSAL APPROVAL APPLICANT: Submit this form with four copies of a SCALED plot plan (1"=20' to 1"=40' SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted.=Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of payment. LMS # Agent, Contractor, Contact Person Address C4Ma'6Ae)L City State Zip Telephone Q Owner fw�tyJa Address City State Zip il tw-c. Telephone ewwuO&q - A w4we y �. SIar+4 As OJob Property Address City Zip . ^J %,r _ to Lot Size Water Agency/Well Use of Permit, P/P, SUP, PUP, etc. Legal Description DBA IU � O y ��r� (f4 I ' aE Fl.tlp Z��Sv1«N" S •� Ly Dwelling, MH Site Prep., etc. Signature ofApplicant Datett FOR OFFICE USE ONLY CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require repayment of fees. ❑ Other El Staff Specialist Lot Inspection Required m Z Holding Tank Agreements Completed ❑ 9 9 . P ❑ Certification of Existing S.D. System Required 1 Thomas Bros. Page Grid W❑ WQCB Clearance Required ❑ Date Lot Inspection Completed: Initials U) (Attach for DOH -SAN -007, Santa Ana Region Only) Remarks: ❑ Soils Percolation Report Required ❑ Maintenance Booklet Provided ❑ Special Feasibility Boring Report Required ❑ Final Inspection by Department of Environmental Health is required. ❑ Rereview Required Initials Date Please call 24 hours PRIOR to inspection. C/42 / Soils Percolation Boring Report By Lic/Project # Date Soils Map Page Soil Type Approved By Date No. of Systems Type of System(s) No. Dwelling Units (1) Septic Tank Soil Rate Grease/Sand ❑ Holding Tank ❑ Replacement Bedrooms, Fixture Units Grease Intcp/Lint Trap ❑ New ❑ Addition ❑ Existing 0 Connect to Sewer. Gal. Gal. Sq. Ft. Total Linear Sidewall Allowance Leach Bed sq. ft. Bottom Area. Ft. ft. rock/ sq. ft. running ft. Install Line(s) ft. long ft. wide of Bottom Area Inlet Tested Depth ❑ N/A with min. inches rock below drainlines U Proposed Bottom Tested Depth or Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (61) Seepage Pit Maximum Other: 0 Applicable Total Depth Allowable U W N/A Overburden Factor (J 5' ❑ 6' TD Depth U) i Well Review Approved: Date: Well Drilling Permit# SIGNATURE Grading Plan Approved: Date: SIGNATURE Plan Check Only Approved: Date: 1 ` / REMARKS:Cee . a.e. K ./ A j �.. /. �.! "7).� r 1/ e i (. �U TA ,w .r. _ - / �81 '1 k- / 1 ti l�, ,-1�:,, . �,, -_. This application ikAPPRO for the V .D/DENIED category checked in SECTION B above, regardin a design of a disposal system as indicated on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the above- 2 Revenue Code S 13 s- Fee $ �. 57 designed system. No construction is permitted in the required reserved 100% expansion area. Check # 0,11.:5 4-- (1) Septic Tank must be 100' minimum from any wells. (1) (2) Leach lines must be 100' minimum from includingex / & Z an wells, arsion Date Initial 0 area. H b�ad� (,) (3) Sewer lines must be 50' minimum from any wells. W U) (4) Seepage pits must be 150' minimum from any wells, including expansion RIVERSIDE: 909-955-8980 area. . IN IIQ. 760-863-7000 Signature ` c SOUTHWEST: 909-600-6180 / Date uia lluuuun. vvni i c—vmce rile; fELLvvv—Hppncanr,.rtrvK—t3lag. Uept.; GOLDENROD—Plans/Records r tom- Jou.e.0 CITY OF LA QUINTA . BUILDING & SAFETY DEPARTMENT OF'I1'�'� 777-7012 INSPECTION REQUEST LINE 777-7153-- Owner EVERGREEN AVENUE 48 & WASHINGTON LLC Contractor RTM COMMERCIAL BUILDERS INC Permit Number .0308-184 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLI CAB LE,S PACES JOB ADDRESS (47-900 WASHINGTON.STREET -14,479 SQ.FT. WALGREENS - RETAIL COMM. / PHARMACY. M OCC. TYPE V -N SPRINKLERED CONSTR. , 387 OCCUPANT LOAD. 2001 CODES TYPE OF INSPECTION DATE INSR TEMPORARY POWER SETBACKS i U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB 0 DO NOT POUR CONCRETE UNTIL ABOVE SIG"NE , ROOF NAIL / PRE-ROOFj OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION r3ocit-- COVER NO WORK UNTIL ABOYE dIGNED INTERIOR GYP. BD. (DRYWALL) Ll EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS I U/G PLUMBING I U/G GAS I U/G ELECTRICAL M PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTI N TEMP. USE OF PERMANENT POWERI 611W ELECTRICAL PLUMBING PUBLIC WORKS DEPARTMENT W O COMMUNITY DEVELOPMENT DEPT. M I J(ppff Qo 0 FINAL / JOB COMPLETED I ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING o FZkv (G) Zf 3 �slAs,_ G�Na t-'(,�,,,w� — Ceritpls>� �'M► of - Cous-cRrucz- Cuv.%* ovr 0— U"E VA AP -0 xf ��na� � Grp � �• Gr�vg� VIM UJ46$ l I So/La c �j 6 %J'4/U6r71A01 d w 1 �i s ~- I u /Yi 00"'s i 7LG.V�%j�oQl,�f ��Are►/YL-/ T) i . r MMMVERLI a_ ' �W ��\•(V\ice /i .�C � eit�ficatef of Occ_ (ipan cY", T-4--o _ ,/� .-, . �WOCV➢ATID � h -, - .. r'-- ! � ti ..i' � 9 ,. of :�� - �,Bdilding�-&�SafetV Department ".4 V ' -This Certificate is.issue_ d,'pursua, huo th'e requiremen_ts• of Section,109-of the California-Bui1ding - °gode' ' certifyirig'�that, at � fhe time` of issuance, this .-structure' was �n co irpliance .'with`' ihib provisions of the'`Buiiding:Code "and,.. various ordinances ,of the City, regulating building cornsiruction sand/or use. +�- i �'r -Y _ ,. n, _, • . � .r �• •�� �. '.t S.- - '--J' J.� �iT t +.•'i+;t-�. 1 '�„' r - ,. `�' ���. - .__ � ...� � w� � �Cf.a^ r 71 ro� �� i• '� l f - }moi Y �,i� •y . - •~'{ , 1 - .• VY /.�, e Y •t ♦j �`1.y — BULLDING-ADDRESS X47-900'Washingto -' Street ^., ..:] r ..t_. '� .♦ r Y �'r` �...5' f 7_ i '- '` �. ,. 4} 'N1r .f a • •'rF :.x� S i � yj - • - y t • � ,' p - _ �,. .r ti' Y j `` "'.. b ..} i r . . y, � Use classification: Commercia[MALGREENS - RETAIL &PHARMACY) ry= ': v r t Building Permit No.: 0308-184'-, r , Occupancy Group:, M ' -- . Type of Construction: VN' Sprinkled , r r Land Use Zone: CR ., Owner of Building:-Evet0een'Avenue 48 & Wa§hington'L'LC-, _ ,Address: 2920, E: Camelback Road #100 may. _ ,,T�• ,` ,r . ` City, ST,,ZIP Phoenix, AZ 85016 } �. 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C . � rcTa e1 `� C c1Z rLC aZ rcC aZ i ` sf GEOTECHNICAL ENGINEERING INVESTIGATION ` PROPOSED WALGREEN'S PHARMACY ' 48TH AVENUE AND WASHINGTON STREET " LA QUINTA,-CALIFORNIA PROJECT No. 112-03003 FEBRUARY 4, 2003 k PREPARED FOR" MR. REUBEN GARBETT EVERGREEN DEVCO 7 2920 EAST CAMELBACK ROAD, SUITE 100 �t PHOENIX, AZ 85016 i AND " MR. RICHARD S. COEN PROJECT ARCHITECT WALGREEN COMPANY' « ' 200 WILMOT ROAD DEERFIELD, ILLINOIS 60015 } PREPARED BY: J , KRAZAN & ASSOCIATES, INC. ^ r j 4221 BRICKELL STREET ONTARIO, CA 91761 , :(909).974-4400 k " 1.Cr;an& ASSOCIATES INC. - , i LAND, DEVELOPMENT ENGINEERS February 4, 2003 KA Project No. 112-03003 Mr. Reuben Garbett Evergreen Devco, Inc.: 2920 East Carnelback Road, Suite 100 Phoenix, AZ 85016 Mr'. Richard S.. Coen f ' Project Architect Walgreen Company r 200 Wilmot Road ,s Deerfield, Illinois `60015 - ' RE: Geotechnical Engineering Investigation F Proposed Walgreen's Pharmacy 48th Avenue and Washington Street La Quinta, California r Dear Mr. Garbett and Mr. Coen: ' In accordance with your request, we have completed a Geotechnical Engineering Investigation for the above -referenced site. The results of our investigation are presented in the attached report. If you have any questions, or if we.may be of further assistance,.please do'not hesitate to contact our ' office at (909) 974-44000. epMMY sgy9l Respectfully submitted, ' ycc, QS hc�<<_1 KRAZAN & ASSOCIATES, INC. ' CM No. 2549 oWc EXP•• Dec. 31,'06rn ,t�gFOTFCH�\CP�\ R. Sammy �alS, PE, GE r FCA OQ�Southern California Regional Manager, RCE No. 52762 / RGE No. 2549 r RSS/ka , r Distribution: 8 bound report copies to Evergreen Devco, Inc. Eleven Offices Serving The Western United States ' 4221 Brickell Street • Ontario CA ,91761: (909) 974-4400 • Fax: (909) 974-4022 11203003 ' —KraZarz & ASSOCIATES, INC. LAND DEVELOPMENT ENGINEERS TABLE OF CONTENTS INTRODUCTION......:...............................................................................................................................1 PURPOSE AND SCOPE..................:.........................................................................................................1 PROPOSED CONSTRUCTION...............................................................................................................'2 SITE LOCATION AND SITE DESCRIPTION.............:........................................................................ 2 GEOLOGICSETTING :................. ........ :........ :.......................................................................................... 2 General................................................................................::.................................................................... 2 Lithology................................................................................................................................................... 3 Faultsand Seismicity ................................................................................................................................ 3 GEOLOGICHAZARDS....:......................................................:................................................................ 3 Fault Rupture Hazard Zones in California................................:...........................:................................... 3 Seismic Hazard Zones in California......................................................................................................... 4 Groundshaking............................................... ......................................................................................... ... 5 FIELD AND LABORATORY INVESTIGATIONS............................................................................... 5 SOIL PROFILE AND SUBSURFACE CONDITIONS.......................................................................... 6 1 GROUNDWATER......................................................................................................................................6 CONCLUSIONS AND RECOMMENDATIONS.................................................................................... 6 AdministrativeSummary ..................................... ....................... :............................................................. 6 Groundwater Influence on Structures/Construction....................................................:........:................... 7 SoilLiquefaction ............................ .......:...........,.......:.............................................................................. 8 Seismic Settlement ................... 8 SitePreparation...............................:......................................................................................................... 8 CollapsibleSoils..........................................:........:....:...............::......::..............:....:............................... 10 EngineeredFill........................................................................................................................................ 10 Drainageand Landscaping ................................... ....................... ............................................................ 10 UtilityTrench Backfill..........................:................................................................................................. 10 Foundations .......................................... ...:..:........................................................... ....... .......................... 11 ' Floor Slabs and Exterior Flatwork:.........:.:..............:............:..:..:.,,...................................... .................. 12 Lateral Earth Pressures and Retaining Walls......................................................................................... 12 R -Value Test Results and Pavement Design— ............. .............. 12 SiteCoefficient....................................................................................................................................... 14 SoilCement Reactivity ..........:................................................................................................................ 14 Compacted Material Acceptance.................................................:..........:............................................... 15 Testing and Inspection.................................:..................................................:.................I...................... 15 LIMITATIONS.........................................................................................................................................15 SITE PLAN ............. ............................ ...........17 LOGS OF BORINGS (1 TO 6) ..................................... ..........I..................................................... Appendix A GENERAL EARTHWORK SPECIFICATIONS......::...............:::................................:...... Appendix B ' GENERAL PAVEMENT SPECIFICATIONS .....................................................................Appendix C Eleven Offices Serving The Western United States 4221 Brickell Street • Ontario, CA 91761 • (909) 974-4400 • Fax: (909) 974-4022 11203003 jOPF ra.Zan & ASSOCIATES', INC. LAND DEVELOPMENT ENGINEERS February 4,2003 KA Project No. 112-03003 GEOTECHNICAL,ENGINEERING INVESTIGATION - PROPOSED WALGREEN'S PHARMACY 48TH AVENUE AND WASHINGTON STREET LA QVINTA, CALIFORNIA INTRODUCTION This report presents the 'results of our Geotechnical Engineering. Investigation for the proposed Walgreen's Pharmacy to be located at the southeast corner of 48th Avenue and Washington Street in La Quinta, California: Discussions regarding site conditions are presented herein, together with conclusions and recommendations pertaining to site preparation, Engineered Fill, utility trench backfill, drainage and landscaping, foundations; concrete floor slabs and exterior flatwork, retaining walls, soil cement reactivity, and pavement design. A site plan showing the approximate boring locations is presented following the text of this report. A description of the field investigation, boring logs, and the boring logs legend are -presented in Appendix A. Appendix A contains a description of,the laboratory testing phase of this study, along with the laboratory test results. Appendices B and C contain guides to earthwork and pavement specifications. When conflicts in the text of the report occur with the general specifications in the appendices, the recommendations in the text of the report have precedence. PURPOSE AND SCOPE` This investigation was conducted to evaluate the soil and groundwater conditions at the site, to make geotechnical engineering recommendations for use in design of specific construction elements, and to provide criteria for site preparation and Engineered Fill construction. Our scope of services was outlined in our proposal dated December 13, 2002 (KA Proposal No. P087- 02) and included the following: • - A site reconnaissance by a member of our'engineering staff to evaluate the surface conditions at the project site, • A field investigation consisting of,drilling 6 borings to depths ranging from approximately 10 to, 50 feet for evaluation of the subsurface conditions at the project site. Eleven Offices Serving The Western United States . 4221 Brickell Street • Ontario, CA 91761 • (909) 974-4400 • Fax: (909) 974-4022 . 11207003 KA No. 112-03003 ' Page.No. 2 ' • Performing laboratorytests on representative soil samples obtained from the borings to evaluate the physical and index properties of the subsurface soils. • Evaluation of the data obtained from the investigation and an `engineering analysis to provide recommendations for use in the project design and preparation of construction specifications. y t _ • Preparation of this report summarizing the results, conclusions,'recommendations, and findings of our investigation. PROPOSED CONSTRUCTION ' We understand that design of the proposed development is currently underway; structural load information and other final details pertaining to the structures are unavailable. On a preliminary basis, it is understood that development will include the construction of a single-story Walgreen's Pharmacy encompassing approximately 15,000 square-feet. On-site parking and landscaping are also planned for rthe development. Footings loads are anticipated to be light to moderate. In the event, .these structural or grading'details are inconsistent with the final design criteria, the Soils ' Engineer should be notified so that we may update this writing as applicable. ; SITE LOCATION AND SITE DESCRIPTION The site is rectangular to shape and encompasses approximately 1.8 acres. The site is located on the northeast corner of 48th Avenue and' Washington Street in La Quinta, California. The site is predominately surrounded by vacant land or residential developments. ` 1 Presently, the site is vacant. Vacant land is located north and east of the site. Washington Street is ilocated west of the site.. Forty-Eighth Avenue is located south of the site. The site is covered with desert vegetation, weeds, and large trees.-.Landscaping is located along Washington, Street and 48''' Avenue. The site is relatively level•with.no major changes in grade. GEOLOGIC SETTING. General h j t -• The subject site is situated at the base of the San Jacinto Mountains And Santa Rosa at the southeast end r of the Coachella Valley of"SouthernCalifornia. Near-surface material'consists of alluvial fan deposits of sand, silt, gravel, and cobbles derived from erosion of the Mesozoic granitic and metamorphic rocks of the adjacent San Jacinto Mountains. 1 Krazan & Associates, Inc. Eleven Offices Serving The Western United States - .! 11203003 DEL � ----- NO?TES 1 S 1 i u 1 Y O V r 0 O D O C •L : I 0 50 100 miles •,, / 5 N A 9 T. A. 0 50 100 150 tcilometers MAP NAME OF - 1 SYMBOL PRINCIPAL FAULT T EN a a- -�-� A ? r - B °Brayde c l U o• a s I' By -Buena vista a .g - c 4 - +° 1 ----{ ' C °CataV0ra5�. G L It. Up CA Calico o\ �-t -- • a � CH -Cleveland Hill CM Cedar Mtn Cu CucamongaJ 1 . � 'n - rings , • �9 e �� ' DS Deep Springs SA ro DV Death Valley a,� 9 act g�S►` , 1\% '. 3 8 3 - 19 k E Elsinore a`� s.+ p pJoYIPp� �• Y i I ` f GRFS *Garlock g@ �qa oriwaa o� 16�; , °ASN9e -Gr62RV11e SAN raanciSto ' g HCy\` ✓ GV *Green vane and Concord +a_�' R'� g� �`- _ V. M *J H -Hayward y oa' A�g� �� `, raa�o �1 HA Hat Creek 1979-11980 — r 5+, C .`.>`�', o DS. t1 r Money take .� HC °Raton Creek related S G c°< r+ , QP��' i t°' � � ND HE Helendale '6 +R ;i�C�•M-leo _ 1 OV � Hsu Creek '�a qF�'r\ �'F �� r `: %% s * J -Jd=M VW & related ( � P/ j "Q7 Pqi V L a R E � T KF *Kern Front & related L Lenwood 1 x 8 5- SA. _ ---� LA L= Alamos SS :+-- + -��- K� LL -lBpeLake q co, , W �/ ` 1 LO LAS Oros L$ Little Salmon I °mea !$ V li E a n M *Man& �� i,. GI-- SCA M 1 MA -Maacalna l .rte P� -OCR o a a o 1 a o 1 MC McArthur I ilUr4- - - ` — - L Pi ME eeaeaaa �4SC, Bios NE 1 MR 1976 RM q�-S-GEl69 �-` MF N *Nunez _ , R ----NF' r--7 ND Nmftm Death Valley V_ --- 1 ' NF North Frordat SGA 197 7 'do gslo n,v 6 Ota -trtyt@'"°°d SRS s_ Sq���--'� OV -Owens Valley NI N P Pteito & Wheeler Ridge E S ft o E 'h; e L Sant R Pisgah-Bullion� 1978 B PM Pinto Mountain RC` PV Partain" VakT R Raymor d Hip RC Rose Canyon 1 RH Rodgers Creek-Healdsburg RM Red Mountain SA -Sam Andreas SC San Cayetamo SF -Sm FemarMo 1 SG San Gregorio SGA San Gabriel - SH 'Superstition Hills Si -San Jacinto SN Sierra Nevada (zone) �Faults zoned through SS San Simeon Jan uary 1, 1994. SV Surprise Valley V VenturaAPPro)dmate boundaries of wort: -plan regions and year studied. ' _ ... - - - W Whittier - Note: Other faults may be zoned in the future and ezishng zones may be revised !WM White Mts. when warranted by new fault data. WW 'White Wolf 'Faults with historic surface rupture i KA No. 112-03003 ' Page No. 3 Lithology The near -surface deposits in the vicinity of the subject site are indicated to be comprised of recent ' alluvium consisting of unconsolidated sands, silt, gravel, and clays derived from erosion of local mountain ranges. Deposits encountered on the subject site during exploratory drilling are discussed in detail in this report. Faults and Seismicity ' Numerous moderate to large earthquakes have affected the area of the subject site within historic time. Based on the proximity of several :dominant active faults and seismogenic structures, as well as the historic seismic record, the area of the subject site is considered subject to relatively high seismicity. ' The seismic hazard most likely to impact the site is groundshaking due to a large earthquake on one of LL the major active regional faults. The San Andreas Fault Zone is the nearest active fault to the site and is located approximately 7 miles east of the project site. The. Burnt, San Jacinto, and Eureka Peak Fault Zones . are located approximately 19, 20, and 20 miles from the site, respectively. Because of the proximity to the subject site and the maximum probable events for these faults, it appears that a ' maximum probable event along these fault zones could produce a peak horizontal acceleration of approximately 0.68g when uncertainty is used (mean plus one standard deviation). With respect to this hazard, the site is comparable to others in this general area within similar geologic settings.' ' GEOLOGIC HAZARDS ' Fault Rupture Hazard Zones in California The Alquist-Priolo Geologic Hazards Zones Act went into effect in March, 1973. Since that time, the ' act has been amended ten times (Hart, 1994). The purpose of the Act, as provided in DMG Special Publication 42 (SP 42), is to "prohibit the location of most structures for human occupancy across the traces of active faults and to mitigate .thereby the hazard of. fault -rupture." The act was renamed the Alquist-Priolo Earthquake Fault Zoning Act in 1994, and at that time, the originally designated "Special Studies Zones" was renamed the "Earthquake Fault Zones." ' As indicated by SP 42, "the State Geologist is required.to delineate 'earthquake -fault zones' along known active faults in California. Cities and counties affected by the zones must regulate certain development 'projects' within the zones. They must withhold development permits,for sites within the ' zones until geologic investigations demonstrate that the sites are not threatened by surface displacement from future faulting. The State Mining and Geology Board provides additional regulations (Policies and Criteria) to guide the cities and counties in their implementation of the law (CCR, Title 14, Division 2)." a 42 Publication Special 1 p o , so provides definitions of certain terms. which are important to the evaluation of seismic hazards. These include the definitions for a fault and a fault trace. They also include the following:. Krazan & Associates; Inc. ' Eleven Offices Serving The Western United States -- 11203003 KA No. 112-03003 Page No. 4 ' Active Fault: One which has had surface displacement within Holocene time (about the last 11,000 years), hence constituting a potential hazard to structures that might be located across it. ' Potentially Active Fault: Initially, faults were defined as potentially active, and were zoned, if they showed evidence of surface displacement during Quaternary time (last 1.6 million years). The term "recently active" was not defined, as it was considered to be covered by the term "potentially 'active ...... The term "potentially active". continued to be used as a descriptive term on map explanations on EFZ maps until 1988. ' Sufficiently Active and Well -Defined: There are so many potentially active faults in the State that it would be meaningless to zone all of them. The State Geologist made a policy decision to zone only those potentially active faults that have a relatively high potential for ground rupture. To facilitate this, ' the terms "sufficiently active", and "well-defined" were defined for zoning faults other than the four named in .the Act. These -two terms constitute the .present" criteria used by .the State Geologist in determining if a given fault should be zoned under the Alquist-Priolo Act. Sufficiently active: A fault is deemed sufficiently active if there is. evidence of Holocene surface displacement along one or more of its segments or branches. Holocene surface displacement may be ' directly observable or inferred. Well-defined: A fault is considered well-defined if its trace is clearly detectable by a trained geologist ' as a physical feature at or just below the ground surface. The fault may be identified by direct observation or by.indirect methods. The critical consideration is that the fault, or some part of it, can be located in the field with sufficient precision. and confidence to indicate that the required site-specific investigations would meet with some success. ' Review of current Fault -Rupture Hazard Zone mapping indicates that the subject site is not within a Fault -Rupture Hazard Zone. The nearest mapped Fault -Rupture Hazard Zones are located approximately 7 miles from the site and are associated with the San Andreas Fault Zone. No evidence ' of surface faulting was observed on the property during our reconnaissance. Seismic Hazard Zones in California In 1990, the California State Legislature passed the Seismic Hazard Mapping Act to protect public safety from the effects of strong shaking, liquefaction, landslides, or other ground failure, and other ' hazards caused by. earthquakes. The Act is codified in the Public Resources Code as Division 2, Chapter 7.8, Sections 2690-2699.6 and became operative on April 1, 1991. The program and actions mandated by the Seismic Hazards Mapping Act closely resemble those. of the Alquist-Priolo Earthquake ' Fault Hazards Zones Act. The Act requires that the State Geologist delineate various seismic hazards zones on Seismic Hazards Zones Maps. Specifically, the maps identify areas where soil liquefaction and earthquake -induced landslides are most likely to occur. The Act directs cities, counties, and state agencies to use the maps in their land use planning and permitting processes. A site-specific geotechnical evaluation is required prior to permitting most urban developments within the mapped Krazan & Associates, Inc. ' Eleven Offices. Serving The Western United States 11203003 f KA No. 112-03003 ' Page No. 5 ' zones. The Act also requires .sellers of real property within the zones to disclose this fact to potential buyers. ' Due to the recency of enaction of the Act, relatively few Seismic Hazard Zone Maps have been prepared as of this writing. Areas covered by the preliminary maps released to date are predominately within the Los Angeles and San Francisco Bay areas. The area of the subject site is not included on any of the ' Seismic Hazard Zone Maps released to date. It is not known whether the subject site will be within a Seismic Hazard Zone on future maps. ' Groundshaking t Due to the high seismicity of the region and the proximity of the site to active faults and other seismogenic structures, the property is considered subject to relative high groundshaking. The subject site is located in Seismic Zone 4 as defined. by the Uniform Building Code, and the proposed structures should be designed accordingly. `1 ` The review of readily available references pertinent to the subject site indicate that structures should be designed to resist moderate earthquakes with a low'probability of structural damage. Such design shall resist major or severe earthquakes with some structural damage, but with.a low probability of collapse. The moderate and major earthquakes have.been interpreted to represent the maximum probable and maximum credible earthquakes, respectively., The maximum credible earthquake is defined as the largest event that a specific fault is theoretically capable of producing within the presently known tectonic framework and is established based on mechanical relationships of the fault and fault mechanisms and does not consider rate of recurrence or probability of occurrence. The maximum probable earthquake is generally defined as that seismic event along a particular fault, which has a 10 percent probability of being exceeded in 50 years. The repeatable high ground acceleration, which is considered appropriate for structural design,. is _estimated to be approximately ab of the peak acceleration for events within a radius of approximately 20 miles of the site and is considered equal to the peak acceleration beyond 20 miles (Ploessel and Slosson, 1974). FIELD AND LABORATORY INVESTIGATIONS Subsurface soil conditions were explored by drilling 6 borings to depths ranging from approximately 10 to 50 feet below existing site grade, using a truck -mounted drill rig. In addition, 2 bulk subgrade soil samples were obtained from the proposed pavement areas for laboratory R -Value testing. The approximate boring and bulk sample locations are shown on the site plan. During drilling operations, penetration tests were performed at regular intervals to evaluate the soil consistency and to obtain information regarding the engineering properties of the subsoils. Soil samples were retained for laboratory testing. The soils encountered were continuously examined and visually classified in accordance with the Unified Soil Classification System. A more detailed description of the field investigation is presented in Appendix A. Laboratorytests were performed on selected soil samples to evaluate their physical characteristics and engineering properties. The laboratory testing program was formulated with emphasis on the evaluation Krazan & Associates, Inca Eleven Offices Serving The Western United States 11203003 W I KA No. 112-03003 ' Page No. 6 of natural moisture, density, gradation, shear strength, consolidation potential, and moisture density relationships of the materials encountered. In addition, chemical tests were performed to evaluate the corrosivity of the soils to buried concrete and metal. Details' of the laboratory test program and results ' of the laboratory tests are summarized in Appendix A. This information, along with the field observations, was used to prepare the final boring logs in Appendix A. ' SOIL PROFILE AND SUBSURFACE CONDITIONS Based on our findings, the subsurface conditions encountered appear typical of those found in the ' geologic region of the site. In general, the surface soil predominately consisted of loose silty sand, sandy silt, or silty sand/sand. These soils are disturbed, have low strength characteristics, and are highly compressible when saturated. Below the loose surface soils, alternating layers of medium dense to. very dense silty. sand, silty sand/sand, or sand, occasionally interbedded with thin layers of sandy silt or clay silt were encountered. ' Field and laboratory tests suggest that these soils are moderately strong and slightly to moderately compressible. Penetration resistance ranged from 22 to 90 blows per foot. Dry densities ranged from ' 92 to 111 pcf. Representative soil samples consolidated 2 and 3 percent under a 2 ksf load when saturated. Representative soil samples had angles of internal friction of 29 and 31 degrees. These soils were extended to the termination depth of our borings. ' For additional information about the soils encountered, please refer to the logs of borings in Appendix A. GROUNDWATER ' Test boring locations were checked for the presence of groundwater during. and immediately following the drilling operations. Free groundwater was not encountered. It should be recognized that water table elevations may fluctuate with time, being dependent upon seasonal precipitation, irrigation, land use and climatic conditions, as well as other factors. Therefore, waterlevel observations at the time of the field investigation may vary from those encountered during ' the construction phase of the project. The evaluation of such factors is beyond the scope of this report. CONCLUSIONS AND RECOMMENDATIONS ' Based on the findings of our field and laboratory investigations, along with previous geotechnical experience in the project area, the following is a summary of . our evaluations, conclusions, and ' recommendations. Administrative Summary In brief, the subject site and soil conditions, with the exception of the upper native soils, appear to be conducive to the development of the project. The upper soils within the project site are moisture - sensitive and are moderately compressible under saturated conditions. Structures within the project Krazan & Associates, Inc. ' Eleven Offices Serving The Western United States 1/203003 1 KA No. 112-03003 Page No. 7 vicinity have experienced excessive post -construction settlement when the foundation soils become near -saturated. Accordingly, mitigation measures are recommended to reduce potential excessive soil settlement. To minimize post -construction soil movement, it is recommended that at least 2 feet below the base of the footings and the slab system be excavated, moisture -conditioned as necessary, and recompacted. The over -excavation should extend a minimum of 5 feet beyond footing lines. The contractor may elect to over -excavate the entire building area to a depth of 2 feet below the footings. Recommendations pertaining to the removal and recompaction of these moisture -sensitive soils are presented herein. Within the proposed exterior flatwork and pavement areas, it is recommended that the upper 12 inches be excavated/scarified and recompacted.. This compaction effort should stabilize the surface soils and locate any unsuitable or pliant areas not found during our field investigation. Sandy soil conditions were encountered at the site. These cohesionless soils have a tendency to cave in trench wall excavations. Shoring or sloping .back trench sidewalls may be required within these sandy soils. Large trees were encountered at the site. If not ' utilized for the proposed development, it is recommended that these trees be removed and the resulting excavation be backfilled with Engineered Fill. Tree removal operations should include roots greater than l inch in diameter. After completion of the recommended site preparation; the site should be suitable for'shallow footing support. The proposed structure footings may be designed utilizing an _allowable bearing pressure of 2,500 psf for dead -plus -live loads. Footings should have a minimum embedment of 18 inches. The shrinkage on recompacted soil and fill placement is estimated at 15 to 20 percent. Subsidence within building areas will be less than 0.01 feet, due to the recommended over -excavation. Subsidence within parking areas, below the 12 -inch recompaction depth, is estimated at 0.1 feet. Liquefaction potential was evaluated at the site. Based on our findings, it is our opinion that the potential, for liquefaction at the site is low. Therefore; no mitigation measures would be warranted. ' Groundwater Influence on Structures/Construction Based on our findings and historical records, it is not anticipated that groundwater will rise within the ' zone of structural influence or affect the construction of foundations and pavements for the project. . .However, if earthwork is performed during or soon after periods of precipitation, the subgrade soils may become saturated, "pump," or not respond to densification techniques. Typical remedial measures ' include:,discing and aerating the soil during dry weather; mixing the soil with dryer materials; removing and replacing the soil with an approved fill material; or mixing the soil with an approved lime or cement product. Our firm should be consulted prior to implementing remedial measures to observe the unstable subgrade conditions and provide appropriate recommendations. Krazan & Associates, Inc. Eleven Offices Serving The Western United States 11203003 KA No. 112-03003 Page No. 8 Soil Liquefaction Soil liquefaction is a state of soil particles suspension caused by a complete loss of strength when the effective stress drops to zero. Liquefaction normally occurs under saturated conditions in soils such as sand in which the strength is purely frictional. However, liquefaction has occurred in soils other than clean sand. Liquefaction usually occurs under vibratory conditions such as those induced by seismic events. To evaluate the liquefaction potential of the site, the following items were evaluated: 1) Soil type 2) Groundwater depth 3) Relative density 4) Initial confining pressure 5) Intensity and duration of groundshaking The soils encountered within a depth of 50 feet on the project site, predominately consisted of silty sand, silty sand/sand, sand, sandy silt, or clayey silt. Groundwater was not encountered below the site within a depth of 50 feet during our subsurface exploration. Information obtained from previous investigations performed in the vicinity of the project site indicates that groundwater is present at a depth greater than 50 feet below site grade. Due to the depth of groundwater, liquefaction potential at the site is considered very low and measures to mitigate liquefaction potential are not necessary. Seismic Settlement One of the most common phenomena during seismic shaking accompanying any earthquake is the induced settlement of loose unconsolidated soils. Based on site subsurface conditions, and the moderate to high seismicity of the region, any loose fill materials at the site could be vulnerable to this potential hazard. However, this hazard can be mitigated by following the design and construction recommendations of our Geotechnical Engineering Investigation (over -excavation and rework of the loose soils and/or fill). Based on the moderate penetration resistance measured, the native deposits underlying the surface materials do not appear to be subject to significant seismic settlement. Site Preparation General site clearing should include removal of vegetation and existing utilities; structures; including foundations basement walls and floors; existing stockpiled soil; trees and associated root systems; rubble; rubbish; and any loose and/or saturated materials. Site stripping should extend to a minimum depth of 2 to 4 inches, or until all organics in excess of 3 percent by volume are removed. Deeper stripping may be required in localized areas. These materials will not be suitable for reuse as Engineered Fill. However, stripped topsoil may be stockpiled and reused in landscape or non-structural areas. .Of primary importance in the development of this site, is the removal/recompaction of- potentially compressible .soils from the areas of the proposed structures. To minimize post -construction soil Krazan & Associates, Inc. Eleven Offices Serving The Western United States 11203003 0 KA No. 112-03003 Page No. 9 ! movement, it is recommended that at least 2 feet below the base of the footings and the slab system be excavated, moisture -conditioned as necessary, and recompacted to a minimum of 90 percent of maximum density based on ASTM Test Method D1557. Therefore, if the footings are 18 inches deep, the total depth of recompaction within the proposed footing area should be 3'/z feet. Native silty sand or silty sand/sand soils are suitable for reuse as Engineered Fill. Over -excavation should extend to a minimum of 5 feet beyond the structural elements. Fill material should be compacted to a minimum of ! 90 percent of maximum density based on ASTM Test Method D1557. The contractor may choose to excavate the entire site to 2 feet below the bottom of the footings. If this ' alternative is used, surface preparation may be accomplished concurrently with building foundation site preparation. ' Within the proposed exterior flatwork and pavement areas, it is recommended that the upper 12 inches be excavated and recompacted to a minimum of 90 percent of maximum density based on ASTM Test Method D1557. Limits of recompaction should extend 5 feet beyond structural elements. This ' compaction effort should stabilize the surface soils and locate any unsuitable or pliant areas not found during our field investigation. ' Large trees were encountered at the site. If not utilized for the proposed development, it is recommended that these trees be removed and the resulting excavation be backfilled with Engineered Fill. Tree removal operations should include roots greater than 1 inch in diameter. The upper soils, during wet winter months, become very moist due to the absorptive characteristics of ' the soil. Earthwork operations performed during winter months may encounter very moist unstable soils, which may require removal to grade a stable building foundation. Project site winterization consisting of placement of aggregate base and protecting exposed soils during the construction phase should be performed. Excavations, depressions, or soft and pliant areas extending below planned finished subgrade levels ' should be cleaned to firm, undisturbed soil and backfilled with Engineered Fill. Any buried structures encountered during construction should be properly removed and backfilled. In general, any septic tanks, debris pits, cesspools, or similar structures should be entirely removed. Concrete footings should ' be removed to an equivalent depth of at least 3 • feet below proposed footing elevations or as recommended by the Soils Engineer.. Any other buried structures should be removed in accordance with the recommendations of the Soils Engineer. , The resulting excavations should be backfilled with ' Engineered Fill. A representative of our firm should be present during all site clearing and grading operations to test and observe earthwork construction. This testing and observation is an integral part of our service, as acceptance of earthwork construction is dependent upon compaction and stability of the material. The Soils Engineer may reject any material that does not meet compaction and stability requirements. Further recommendations of this report are predicated upon .the assumption that earthwork construction will conform to recommendations set forth in this section and the Engineered Fill section. Krazan & Associates, Inc. ! Eleven Offices Serving The Western United States 11203003 KANo. 112-03003 Page,No. 10 Collapsible Soils The upper 2 feet of site soils are moisture -sensitive and are moderately compressible under saturated conditions. Structures within the project vicinity have experienced excessive post -construction settlement, when the foundation soils become near saturated. As recommended in the site preparation section of this report, the collapsible soils should be removed and recompacted to a minimum of 90 percent of maximum density based on ASTM Test Method D1557. Engineered Fill The organic -free, on-site, native soils are predominately silty sands; silty sand/sands, sands, sandy silts, or clayey silts. These soils 'will be suitable for reuse as non -expansive Engineered Fill, provided they are cleansed of excessive organics and debris. The preferred materials specified. for Engineered Fill are suitable for, most applications with the exception of exposure to erosion. Project site winterization and protection of exposed soils during the construction phase should be the sole responsibility of the contractor, since he has complete control of the project site at that time. Imported Fill material should be predominately non -expansive granular material with a plasticity index less than 10 and a UBC Expansion Index less than 15. Imported Fill should be free from rocks and clods greater than 4 inches in diameter. All Imported Fill material should be submitted to the Soils Engineer for approval at least 48 hoursprior`to delivery at the site. Fill soils should be placed in lifts approximately 6 inches "thick; moisture -conditioned as necessary, and compacted to achieve at least 90 percent of maximum density as determined by ASTM Test Method D1557. Additional lifts should not be placed if the previous lift did not meet the required dry density or if soil conditions are not stable. Drainage and Landscaping The ground surface should slope away from building pad and pavement areas toward appropriate drop inlets or other surface drainage devices. It is recommended that adjacent exterior grades be sloped a minimum of 2 percent for a minimum distance of 5 feet away from structures. Subgrade soils in pavement areas should be sloped_a minimum of l percent and drainage gradients maintained to carry all surface water to collection facilities and off-site. These grades should be maintained for the life of the project. Utilitv Trench Backfill Utility trenches should be excavated according to accepted engineering practice following OSHA (Occupational Safety and Health Administration) standards by a contractor experienced in such work. The responsibility for the safety of, open trenches should be borne by the contractor. Traffic and vibration adjacent to trench walls should be. minimized; cyclic wetting and drying of excavation side r , Krazan & Associates, Inc. Elev Off' S Th W U d S en ices -6 a estem n to tales 11203003 slopes should be avoided. Depending upon the location and depth- of some utility trenches, groundwater flow into open . excavations could be experienced; especially during or following periods of precipitation. ` Sandy soil conditions were encountered at the site. These cohesionless soils have a tendency to cave in trench wall excavations. Shoring or sloping back trench sidewalls may be required within these sandy soils. Utility trench backfill placed in or adjacent to buildings and exterior .slabs should be compacted to at least 90 percent of maximum density based on ASTM Test Method D1557. The upper 2 feet of utility trench backfill placed in pavement areas should be compacted to at least 90 percent of maximum density based on ASTM Test Method D1557. Pipe bedding should be in accordance with pipe manufacturer recommendations.. The contractor is responsible for removing all water -sensitive soils from the trench regardless of the backfill location and compaction requirements. The contractor should use appropriate equipment and methods to avoid damage to the utilities and/or structures during fill placement and compaction. Foundations The proposed structures may .be supported on a shallow foundation system bearing on 2 feet of Engineered Fill. Spread and continuous footings can be designed for the following maximum allowable soil bearing pressures: Load Allowable Loading Dead Load Only 1,880 psf Dead -Plus -Live Load 2,500 psf Total Load, Including Wind or Seismic Loads 3,325 psf The footings should have a minimum depth of 18inches below pad subgrade (soil grade) or adjacent exterior grade, whichever is lower. .Footings should have a minimum width of 12 inches, regardless of load. - The total settlement is not expected to exceed 1 inch: Differential settlement should be less than %2 inch. Most of the settlement is expected .to occur during construction, as the loads are applied. However, additional post -construction settlement may occur if. the foundation soils are flooded or saturated. -Resistance to lateral footing displacement can be computed using an allowable friction factor of 0.4 acting between the base of foundations and the supporting'subgrade. Lateral resistance for footings can Krazan & Associates, Inc. Eleven Offices Serving The Western United States - 11203003 KA No. 112-03003 Page No. 12 ' alternatively be developed using an allowable equivalent fluid passive pressure of 350 pounds per cubic foot acting against the appropriate vertical footing faces. The frictional and passive resistance of the soil may be combined without reduction in determining the total lateral resistance. A v increase in the ' value above may be used for short duration, wind, or seismic loads. Floor Slabs and Exterior Flatwork Concrete slab -on -grade should be appropriate for this project. In areas where it is desired to reduce floor dampness, such as office areas, slab -on -grade construction should have a water vapor retarder incorporated into the floor slab design. Concrete slab -on -grade floors should be underlain by a water vapor retarder. The water vapor retarder should be installed in accordance with ASTM Specification E1643-94. According to ASTM Guidelines, the water vapor retarder should consist of a vapor retarder sheeting underlain by a minimum of 3 .inches :of compacted, clean, open -graded coarse rock of 3/4 -inch maximum size. If elected, a 2 -inch thick layer of damp clean sand (Unified Soil Classification:. SW or ' SP) may be placed above the water vapor retarder to protect it from drainage. The exterior floors should be poured separately in order to act independently of the walls and ' foundation system. Exterior finish grades should be sloped a minimum of 1 to 1 %2 percent away from all interior slab areas to preclude ponding of water adjacent to the structures. All fills required to bring the building pads to grade should be Engineered Fills. Lateral Earth Pressures and Retaining Walls ' Walls retaining horizontal backfill and capable of deflecting a minimum of 0.1 percent of its height at .the top may be designed using an equivalent fluid active pressure of 31 pounds per square foot per foot of depth. Walls that are incapable of this deflection or walls that are fully -constrained against deflection ' may be designed for an equivalent fluid at -rest pressure of 52 pounds per square foot per foot per depth. Expansive soils should not be used for backfill against walls. The wedge of non -expansive backfill material should extend from the bottom of each retaining wall outward and upward at a slope of 2:1 ' (horizontal to vertical) or flatter. The stated lateral earth pressures do not include the effects of hydrostatic water pressures generated by infiltrating surface water that may accumulate be the retaining walls; or loads imposed by construction equipment, foundations, or roadways. ' During grading and backfilling operations adjacent to any walls, heavy equipment should not be allowed to operate within a lateral distance of 5 feet from the wall or within a lateral distance equal to tthe wall height, whichever is greater, to avoid developing excessive lateral pressures. Within this zone, only hand operated equipment ("whackers," vibratory plates, or pneumatic compactors) should be used to compact the backfill soils. R -Value Test Results and Pavement Design ' Two subgrade soil, samples- were obtained from the project site for laboratory R -Value testing at the locations shown on the attached site plan. The samples were tested in accordance with the State of ' California Materials Manual Test Designation 301. Results of the test are as follows: Krazan & Associates, Inc. ' Eleven Offices Serving The Western United States 11203003 Sample Depth ° Description r R -Value at Equilibrium 1 12-24" Sandy Silt (ML) 37 2 12-24" Sandy Silt. (ML) 39 ' These test results are moderate and indicate fair to good'subgrade support characteristics under dynamic traffic loads. The following table shows the recommended pavement sections for various traffic indices. ' ASPHALTIC CONCRETE Parkin Area Traffic Asphaltic Concrete_ Class II Aggregate Base* Compacted Subgrade** Index 4.0" 7.5" 12.0.. 4.5 2.5" v . 4.011. 12.0" ASPHALTIC "CONCRETE, (Vehicle Drive Area 1 Traffic Asphaltic Concrete; Class H Aggregate Base* Compacted Subgrade** Index 4.0" 7.5" 12.0.. 6.0 3.011 r 7.0" 12.0" T 1 ASPHALTIC CONCRETE (Heavy Truck Area Traffic Index * Asphaltic Concrete Class II Aggregate Base* Compacted Subgrade** 7.0 4.0" 7.5" 12.0.. 95%. compaction based ora -ASTM Test Method D1557 or CAL 216 ' ** 90compaction based'on ASTM Test Method D1557 or CAL 216 The following recommendations are for light-duty and heavy-duty"Portland Cement'Concrete pavement ' sections. PORTLAND CEMENT PAVEMENT LIGHT DUTY rive-Thru, Entrance, and Trash Enclosure ' Traffic Index Portland Cement Class H Aggregate Base*. Compacted'Subgrade** Concrete*** - 4.5 5:0 f . 4.0" 12.0" 'HEAVY DUTY - R nn.70nn Arnoi - ' KA No. 112-03003 Page No. 14 Traffic Portland Cement Class H Aggregate Base* Compacted Subgrade** Index Concrete*** Source Type A 7.0 6.511 6.011 12.0" * 95% compaction based on ASTM pest Metnoa ut J3 or LAL .10 ** 90% compaction based on ASTM Test Method D1557 or CAL 216 , ***Minimum compressive strength of 3006 psi The asphaltic -concrete and concrete pavement recommendations presented herein are designed in accordance with CalTrans specifications. Site Coefficient M The site coefficient, per Table N. 16-J, California Building Code, is based upon the site soil conditions. It is our opinion that a site coefficient of soil type SD (1997 UBC) is.appropriate for building design at this site. For seismic design of the structures, in accordance with the seismic provisions of the Uniform Building Code (1997 UBC), we recommend the following parameters: , Seismic Item Value UBC Reference Zone Factor 0.4 Table 16I Source Type A Table 16U Coefficient N,, 1.2 ' Table 16S Coefficient N„ 1.5 Table 16T Coefficient Ca 0.528. Tablel6Q Coefficient Cv 0.960 Table 16R Soil Cement Reactivity Excessive sulfate in either the soil or native water may result in an adverse reaction between the cement in concrete (or stucco) and the soil. HUD/FHA and UBC have developed criteria for evaluation of sulfate levels and how they relate to cement reactivity with soil and/or water. Soil samples were obtained from the site and tested in accordance with State of California Materials Manual Test Designation 417., The sulfate concentrations detected -in these soil samples were less than 0.02 percent and are below the maximum allowable values established by HUD/FHA and UBC. Therefore, no special design requirements are necessary to compensate for sulfate reactivity with the cement. ' Krazan &'Associates, Inc. Eleven Offices Serving The Western United States 11203003 _ KA No. 112-03003 Page No. 15 ' Compacted Material Acceptance Compaction specifications are not the only criteria for acceptance of the site grading or other such ' activities. However, the compaction test is the most universally recognized test method for assessing the performance of the Grading Contractor'. The numerical test results from the compaction test cannot be used to predict the engineering performance of the compacted material. Therefore, the acceptance of ' compacted materials will also be dependent on the stability of that material. The Soils Engineer has the option of rejecting any compacted material regardless of the degree of compaction if that material is considered to be unstable or if future instability is suspected. A specific example -of rejection of fill ' material passing the required percent compaction is a fill which has been compacted with an in situ moisture content significantly less than optimum moisture. This type of dry fill (brittle fill) is susceptible to future settlement if it becomes saturated or flooded. ' Testing and Inspection ' A representative of Krazan & Associates, Inc. should be present at the site during the earthwork activities to confirm that actual subsurface conditions are consistent with the exploratory fieldwork. This activity is an integral part of our service, as acceptance of earthwork construction is dependent ' upon compaction testing and stability of the material. This representative can also verify that the intent of these recommendations is incorporated into the project design and construction. Krazan & ' Associates, Inc. will not be responsible for grades or staking, since this is the responsibility of the Prime Contractor. ' LMTATIONS Soils Engineering is one of the newest divisions of Civil Engineering. This branch of Civil Engineering ' is constantly improving as new technologies and understanding of earth sciences advance. Although your site was analyzed using the most appropriate and most current techniques and methods, undoubtedly there will be substantial future improvements in this branch of engineering. In addition to ' advancements in the field of Soils Engineering, physical changes in the site, either due to excavation or fill placement, new agency regulations, or possible changes in the proposed structure after the soils report is completed may require the soils report to be professionally reviewed. In light of this, the ' Owner should be aware that there is. a practical limit to the usefulness of this report without critical review. Although the time limit for this review is strictly arbitrary, it is suggested that 2 years be considered a reasonable time for the usefulness of this report. , ' Foundation and earthwork construction is characterized by the presence of a calculated risk that soil and groundwater conditions have been fully revealed by the original foundation investigation. This risk is ' derived from the practical necessity of basing interpretations and design conclusions on limited sampling of the earth. The recommendations made in this report are based on the assumption that soil conditions do not vary significantly from those disclosed during our field investigation. If any ' variations or undesirable conditions are encountered during construction, the Soils Engineer should be notified so that supplemental recommendations. may be made. ! Krazan & Associates, Inc. " Eleven Offices Serving The Western United States ' 11203003 i . KA No. 112-03003 Page No. 16 The conclusions of this report are based on the information provided regarding the proposed construction. If the proposed construction is relocated or redesigned, the conclusions in this report may ,not be valid. The Soils Engineer should be notified of any changes so the recommendations may be reviewed and re-evaluated. This report is a Geotechnical Engineering Investigation with the purpose of evaluating the soil conditions in terms of foundation design. The scope of our services did not include any Environmental Site Assessment for the presence, or absence, of hazardous and/or toxic materials in the soil, . groundwater, or atmosphere; or the presence of wetlands. Any statements, or absence of statements, in this report or on any boring log regarding odors, unusual or suspicious items, or conditions observed, are strictly for descriptive purposes . and are not intended to convey engineering judgment regarding potential hazardous and/or toxic assessment. The* geotechnical engineering information presented herein ,is" based upon professional interpretation utilizing standard engineering practices and a degree of conservatism, deemed proper for this project. It is not warranted that such information and interpretation cannot be superseded by future geotechnical engineering developments. We dmphasize that this report is valid for the project outlined above and should not be used for any other sites. If you have any questions, or if we may be of further assistance, please do not hesitate to contact our office at (909) 974-4400. , Q�pFESS/pN CO MY SlRespectfully submitted, KRAZAN & ASSOCIATES, INC. c� No. 2549 Z M cr_. Exp. Dec. 31, 06 rn R. Sammy. Salem, S, PE, GE OF CSouthern California Regional Manager RCE No. 52762 / RGE No. 2549 RSS:ka i Krazan & Associates, Inc. Eleven Offices Serving The Western United States 11203003 L APPROXIMATE R -VALUE LOCATION Scales PROPOSED WALGREENS PHARMACY AS c NORTHEAST CORNER OF AVENUE 48 AND WASHINGTON Drawn LA QUINTA, CALIFORNIA ^o ject No, 112-03003 Date, 01/03 Approved by, RSS Figure No. NOT TO SCALE d4dKrazan.*- SITE DEVELOPMENT ENGINEERS Offices Serving the Western United States hi 1 J J 9 mt r APPENDIX A j FIELD AND LABORATORY INVESTIGATIONS Field Investisation - ,The field investigation consisted of a surface reconnaissance and- a subsurface exploratory program. Six 4'/2 -inch exploratory borings were advanced. The boring locations are shown on the attached site, plan. t , The soils encountered were logged in the field- during the exploration and with supplementary laboratory test data are described in accordance with the Unified Soil Classification System. Penetration and/or Resistance tests were performed at selected depths. These tests represent the resistance to driving,'a 2-and/or3-inch outside diameter core barrel, respectively, 18 inches into the soil. The N -Value obtained from the Standard. Penetration Test (SPT) and/or driving the Modified California Sampler (MCS) was .recorded basedr on, the number of blows required ,to penetrate the last 12 inches. The driving energy was provided by a hammer weighing 140 pounds, falling 30 inches. Relatively undisturbed soil .samples were obtained while performing this test. Bag -samples of the disturbed soil were obtained from the" auger cuttings. All samples were returned to our. Clovis laboratory for evaluation. Laboratory Investigation 9 , The laboratory investigation was programmed to determine the physical and mechanical properties of the foundation soil underlying the site. • Test results were used as. criteria for determining the engineering suitability of the surface and "subsurface. encountered. In-situ moisture content, dry `density, consolidation, direct shear, and sieve analysis tests were determined for the undisturbed samples. representative of the' subsurface material. These tests, supplemented by visual observation,`coinprised the basis for our evaluation of the site material. } 1 ------------------------ The ------ ------The logs of the exploratory borings and laboratory. determinations are presented in this ?appendix. r Krazan & Associates, Inc: Eleven Offices Serving The Western United States - t .. 11203003 . 1 1 1 1 1 1 1 1 1 1 1 1 1 Unified Soil Classification Svstem Major Divisions Letter S mbol Description GW :. Well -graded gravels and gravel -sand miAU xtures v h Clean •: �% =� ._. little or no fines. C> o 4 $ > Gravels GP "Vp Poorly -graded gravels and gravel -sand ttle mixtures, li N " > y ,Q' b or no fines. Gravels GM Silty gravels, gravel -sand -silt mixtures. fA • N d os v o Z ° With Fines c GC Clayey gravels, gravel -sand -clay mixtures. SW ; Well -graded sands and gravelly sands, little or no o • w y N Sands : fines. Poorly-graded sands and gravelly sands, little or no 0 dClean 0. Z SP ,-�4'{ ftp}:r: fines. SM Silty sands, sand -silt mixtures Sands With SC Clayey sands, sandy -lay mixtures. 0 OS Fines Inorganic silts, very fine sands, rock flour, silty or Silts and Clays ML . fine sandsInorganic CL clays Of ow medium PY. grave y y •o Liquid Limit less than S. rA .5u 50% days.sand clays,clays,lean clays. ��� c OL ' r Organic clays of medium to high plasticity. MH Inorganic silts, micaceous or diatomaceous fines [ Z Silts and Clays sands or silts elastic silts. CH Inorganic clays of high plasticity, fat clays. U = Liquid Limit greater than 1. 50% OH :: % Organic clays'of medium to high plasticity. Highly Organic Soils PT Peat, muck, and other highly organic soils. ::coasrsfti :Class t. tu ri.: ::::::•:::•:::::::::::: ...... iC d Granular Soils -_ Cohesive Soils Description - Blows Per Foot Descri tion - Blows Per Foot Very loose < 5 Very Soft < 3 Loose 5 - 15 Soft 3 - 5 Medium dense 16-40 Firm 6-10 Dense 41-65 Stuff 11-20 . Very dense > 65 Very stiff 21-40 Hard > 40 gain''Sire:lassllieadob :::•::::::.::::::::.::::.:.:::::::..::. rain Type Standard Sieve Size Grain Size in MiUimders Boulders ve 12 inches Above 30 es• 12to3inches 305 to 7 ,2 rave : 3 inches to No. 4 76.2 to 4.76 Coarse-grained 3 to 3/4 inches 76.2 to 19.1 Fine-grained 3/4 inches to No. 4 19.1 to 4.76 band: No. 4 to No.2 436 to .074 Coarse-grained No. 4 to No. 10 4.76 to 2.00 Medi6-grained No. 10 to No. 40 2.00 to 0.042 Fi fied No. 40 to No. 200 0.042 to 0.074 r tow No. 200 ow 0. 74 Log of Boring B-1 Project: Walgreens Pharmacy Project No: 112-03003 Client: Evergreen Devco, Inc. Figure No.: A-1 Location: 48th Avenue and Washington Street, La Quinta, California Logged By: J. Kaoud Depth to Water> Initial: At Completion: SUBSURFACE PROFILE SAMPLE >, 8 o cPenetration Test 4- Description °' > o Q -E O ,F o �, aUi O 5 15 25 35 45 55 65 Ground Surface SANDY SILT (ML) Very dense, fine- to medium -grained, f 2 with traces of clay, grayish brown, 98.5 7.3 MCSO 77 - - t - --.., --. .-.--.x .-•-........ dry, drills easy. 4 i._. _..... y .;: SILTY SAND/SAND (SM/SP) _ .3.... NA 2.2 MCS 50 Very dense, fine-grained, grayish ; ` 6 brown, dry, drills easy. SANDY SILT (ML) `y 10 Medium dense, fine-grained, with 91.8 9.4 MCSM 45 } a little clay, grayish brown, dry, drills ---- ---- : --�.--.... - - 12 easy. SILTY SAND/SAND (SM/SP) 14 kr Dense, fine-grained, grayish brown, 105.0 1.4 MCS 55 f,* dry, drills easy. 16 !" 18- 20 _Jr . End of Borehole — -------_ 22 24 � I 26 Krazan & Associates, Inc. Drill Rig: B-61 Drill Date: 1/22/03 Drill Method: Hollow -Stem Hole Size: 6" Driller: M. Kaoud Sheet: Log of Boring B-2 Project: Walgreens Pharmacy Project No: 112-03003 Client: Evergreen Devco, Inc. Figure No.: A-2 Location: 48th Avenue and Washington Street, La Quinta, California Logged By: J. Kaoud Depth to Water> Initial: ' At Completion: SUBSURFACE PROFILE SAMPLE > o C a) u_ Penetration Test � �. .5 Description o (D > 0 3 Q- a> ❑ >, U) Z' C) m 5 15 25 35 45 55 65 Ground Surface SANDY SILT ML Very dense, fine- to medium-grained, 113.1 4.3 MCS 89 2 with traces of clay, grayish brown, dry, drills easy. __ ! .. j.._ _._.• SILTY SAND (SM) 4-. Very dense, fine-grained, grayish f I ? 106.9 3.6 MCS 90 brown, dry, drills easy. ---+ -- ` - -i- --F i i SANDY SILT (ML) ! .~ Medium dense, fine-grained, with 10 little clay, grayish brown, dry, drills 100.4 9.8 MCS 42—� - easy. 12- -- 14 - j v'> SILTY SAND/SAND (SM/SP) Medium dense, fine-grained, grayish_._]j- :;:: brown, dry, drills easy. 108.7 1.7 MCS 37 - ---- --} --- -� - r - 16 2 18- 8 - 20 1 i End of Borehole24 26 Krazan & Associates, Inc. Drill Rig: B-61 Drill Date: 1/22/03 Drill Method: Hollow-Stem Hole Size: 6" Driller: M. Kaoud Sheet: Log of Boring B-3 Project: Walgreens Pharmacy Project No: 112-03003 Client: Evergreen Devco, Inc. Figure No.: A-3 Location: 48th Avenue and Washington Street, La Quinta, California Logged By: J. Kaoud Depth to Water> Initial: At Completion: SUBSURFACE PROFILE SAMPLE a� o 4- 0 u_ Penetration Test Description o .-. Cn > ° ; L ' 0 E Q a m 5 15 25 35.45 55 65 0 Ground Surface _ SILTY SAND/SANDY SILT (SM/ML) Very dense, fine-grained, grayish 111.2 3.9 MCS 85 2 brown, dry, drills easy., - _-,._..._......n._; .__..%__..._�.. _.... SILTY SAND (SM) Very dense, fine- to medium-grained, 4 s 109.1 3.2 MCSO 95 grayish brown, damp, drills easy. ----' =-- --- 6 SANDY SILT (ML) i 10 Medium dense, fine- to medium- 91.1 3.1 MCS 35 =--`,` ---�r-- i--+---- grained, with traces of clay, grayish I 12 brown, d drills easy. dry, Y 14 - i _-j.._._..3... __., -------d...-. 16 End of Borehole I S r { I 20 22 ---1 — ----_ 24 26 Krazan & Associates, Inc. Drill Rig: B-61 Drill Date: 1/22/03 Drill Method: Hollow-Stem Hole Size: 6" Driller: M. Kaoud Sheet: Log of Boring B-4 Project: Walgreens Pharmacy - Project No: 112-03003 Client: Evergreen Devco, Inc. Figure No.: A-4 Location: 48th Avenue and Washington Street, La Quinta, California Logged By: J. Kaoud Depth to Water> Initial: At Completion: SUBSURFACE PROFILE SAMPLE Penetration Test. 5 15 25 35 45 55 65 ca 0 E, cD Description c o _ 0 o I-- > o � cr U_ U) 0 m 0 2 Ground Surface _ ��__ +------r---a.--, i-~--- _, „• SANDY SILT (ML) Very dense, fine-grained, with traces of clay, grayish brown, dry, drills easy. 110.1 4.7 SPT 81 ?; SILTY SAND/SAND (SWSP) Very dense, fine- to medium -grained, 107.2 3.1 SPT 86 , - 6-. 8- - grayish brown, dry; drills easy. r. - SANDY SILT (ML) 10 Medium dense, fine- to medium- grained, with little clay, grayish brown, dry, drills easy. 23 i I -1 IT I I 95.3 9.6 SPT 12 14 16 -- -E- ---- I -,--- ' .. i -- SILTY SAND (SM)�f Medium dense, fine- to medium- grained, grayish brown, dry, drills 104.2 1.6 SPT 24 18- 8 20 20- --`I---j 1 --'-- 100.7 1.7 SPT 22 22 ff , 24 _ i 1 99.5 1.2 SPT Krazan &Associates, Inc. Drill Rig: B-61 Drill Date: 1/22/03 Drill Method: Hollow -Stem Hole Size: 6" Driller: M. Kaoud Sheet: Log of Boring B-4 Project: Walgreens Pharmacy Project No: 112-03003 Client: Evergreen Devco, Inc. Figure No.: A-4 Location: 48th Avenue and Washington Street, La Quinta, California Logged By: J. Kaoud Depth to Water> Initial: At Completion: SUBSURFACE PROFILE SAMPLE o 0 _ a) �° Penetration Test � 0 Description 4- > 0 3 C E 07 m 5 15 25 35 45 55 65 284 30A --r-- I 100.1 1.4 7r r47---lam—i 32-- 2 34 34-' - ._.L__...- s j __..._.. ...... t-----�-••---;-- 96.0 2.1 SPT 66 36 I _ .. 38 SANDY SILT (ML) Very dense, fine- to medium -grained,-' with little clay, grayish brown, dry, 40 E . i drills easy. 100.1 2.4 SPT 53 - 42 44 SILTY SAND (SM) i Very dense, fine-grained, gray, dry,drills 104.1 1.4SPT 82 easy. easy. --j---i� I �- - -- --- 46- 8 48- 50 50 End of Borehole Krazan & Associates, Inc. Drill Rig: B-61 Drill Date: 1/22/03 Drill Method: Hollow -Stem Hole Size: 6" Driller: M. Kaoud Sheet: Log of Boring B-5 Project: Walgreens Pharmacy Project No: 112-03003 Client: Evergreen Devco, Inc. Figure No.: A-5 Location: 48th Avenue and Washington Street, La Quinta, California Logged By: J. Kaoud Depth to Water> Initial: At Completion: SUBSURFACE PROFILE SAMPLE o o c m Penetration Test � n Descriptiono ^ o (DE, 0 U) �'� O m 5 15 25 35 45 55 65 - 0 Ground Surface i — - �_ ._�._._.__.�.. � ^�"• SANDY SILT (ML) Very dense, fine- to medium-grained,�_I i 2 with traces of clay, grayish brown, 107.0 5.2 MCS 79 ----+- --j-------I --- - i�-- dry, drills easy. 4 -I- - -- -- -,- - . SILTY SAND/SANDY SILT (SWML) Very dense, fine-grained, grayish 109.3 3.8 MCS 50 g brown, dry, drills easy. ------ +- ` - 8 _ __._--r-..M...._ ...._.. 10 _....._. _._._ End of Boreholei 12 14 _ _ _— ' _4-- ..-_...20 16-- 18- 20- 22- 24- 24 26] 26-- Krazan & Associates, Inc. Drill Rig: B-61 Drill Date: 1/22/03 Drill Method: Hollow -Stem Hole Size: 6" Driller: M. Kaoud Sheet: Log of Boring B-6 Project: Walgreens Pharmacy Project No: 112-03003 Client: Evergreen Devco, Inc. Figure No.: A-6 Location: 48th Avenue and Washington Street, La Quinta, California Logged By: J. Kaoud Depth to Water> Initial: At Completion: SUBSURFACE PROFILE SAMPLE o a c ani u_ Penetration Test °i } Description a) o ,-. L/)o > ami 0 �, �' 0 Q 0 m 5 15 25 35 45 55 65 Ground Surface SANDY SILT (ML) Very dense, fine- to medium -grained, I_ 106.9 4.1 MCS 95 2 with traces of clay, grayish brown, --- !---�-- -- „- a - - - - dry, drills easy. 4 108.6 3.5 MCS 90 6 ! SILTY SAND (SM) Very dense, fine-grained, grayish brown, dry, drills easy. 8 i F 10 End of Borehole 14 16- 6 18- 20 20- _.._,. �. _... ,..__...._ _.. .. . i 22- -� T' + i t 24- 4 I 261 Krazan & Associates, Inc. Drill Rig: B-61 _ Drill. Date: 1/22/03 Drill Method: Hollow -Stem Hole Size: 6" Driller: M. Kaoud Sheet: Consolidation Test Project No Boring No. & Depth J Date Soil Classification 112-03003 B-2 @ 2' 1 1/30/03 - (SM),Silty Sand Load in Kips per Square Foot 0.1 1 10 100 0.00 % Consolidation @ 2Ksf: 2.0 % 0.50 1.00 1.50 0 v , 0 N 0 2.00- .002.503.004.00 .2.50-- 3.00- 1 LE I ILJ 4.00 Krazan Testing Laboratory Consolidation Test ' Project No Boring No. & De th. Date •Soil Classification 11,2-03003 B-3 @ 5' . 1/30/03 SM ,Silt and Krazan Testing Laboratory Shear Strength Diagram (Direct Shear) ASTM D - 3080 / AASHTO T - 236 Project Number Boring No. & Depth Soil Type Date 112-03003 B-2 @ 2' SM ,Silt Sand 1/31/03 Krazan Testing Laboratory Shear Strenqth Diagram (Direct Shear) ASTM D - 3080 / AASHTO T - 236 Pro*ect Number Boring No. & Depth Soil Type Date 112-03003 B-3 @ 5'::::] (SM,Silt Sand 1/31/03 Krazan Testing Laboratory Grain Size Analysis Sieve Openings in Inches U.S. Standard Sieve Numbers Hydrometer 3 1 1/2 #4 #8 #16 #30 #50 #100 #200 100 10 t -r 100.0 90.0 80.0 f 70.0 ,,^^ V Z 60.0. Q a 50.0 Z W 40.0 it W a 30.0 20.0 10.0 0.0 1 0.1 0.01 0.001 Grain Size in Millimeters Graver Sand Silt oe Clay Coarse. Fine Coarse MediumI Fine I ., Project Name Project Number Soil Classification Sample Number Prop. Walgreen 112-03003 (SM),Silty Sand B-2 @ 2' (Unified Soils Classification) d Krazan Testing Laboratory Grain Size Analysis Sieve Openings in Inches U.S. Standard Sieve Numbers Hydrometer 3 1 1/2 #4 #8 #16 #30 #50 #100 #200 1-1/2 3/4 3/ Coarse Fine Coarse Medium Fine 100.0 . 90.0 80.0 70.0 Z 60.0 Q aF 50.0 Z W 40.0 w W a' 30.0 20.0 10.0 0.0 100 10 .1 0.1 0.01 0.001 Grain Size in Millimeters (Unified Soils Classification) Gravel Sand Silt or Clay Coarse Fine Coarse Medium Fine Project Name Project Number Soil Classification Sample Number Prop. Walgreen . 112-03003 (SM),Silty Sand B-3@5' Krazan Testing Laboratory M Eliilly Grain Size Analysis Sieve Openings in Inches U.S. Standard Sieve Numbers Hydrometer 3 1 1/2 #4 #8 #16 #30 #50 #100 #200 100 10 1 0.1 0.01 0.001 Grain Size in Millimeters .0 Z' 5 U) Q A Z w D w CL D 0 0 Gravel' Sand -Silt or Clay Coarse Fine Coe rse Medium Fine (Unified Soils Classification) Project Name Prop. Walgreen Project Number 112-03003 Soil Classification (SM),Silty Sand Sample Number B-4 @ 15' Krazan Testing- Laboratory Grain Size Analysis F3Sieve Openings in Inches U.S. Standard Sieve Numbers Hydrometer 1 1/2 #4 #8 #16 #30 #50 #100 #200 iia�■nwa■iu 100 10 1' 0.1 Grain Size in Millimeters 0.01 100.0 90.0 80.0 70.0 60.0 N IL 50.0 F Z W 40.0 W (L 30.0 20.0 10.0 0.0- 0.001 .0- 0.001 Gravel Sand Silt or Clay Coarse Fine Coarse Medium Fine u�w�■■�nA■�xui■n�mm�■ u■�■� Win■■mwu■uwn��uu■■ un��o 100 10 1' 0.1 Grain Size in Millimeters 0.01 100.0 90.0 80.0 70.0 60.0 N IL 50.0 F Z W 40.0 W (L 30.0 20.0 10.0 0.0- 0.001 .0- 0.001 Gravel Sand Silt or Clay Coarse Fine Coarse Medium Fine (Unified Soils Classification) Project Name Prop. Walgreen Project Number 112-03003 Soil Classification (SM),Silty Sand Sample Number. B-4 @ 25' Krazan Testing Laboratory IIIA 1111f1� I� � IIIA I� Ir l� � llllf� I� �liImo. lily l� � � • -r• 111f1f/ - Grain Size Analysis 100 10 1 0.1 _ 0.01 Grain Size in Millimeters 100.0 90.0 80.0 70.0 Z 60.0 N U) Q. CL 50.0 H Z. W 40.0 W IL 30.0 20.0 10.0 0.0 0.001 Gravel Sand Silt or Clay. Coarse Fine Coarse Medium Fine Project Name Project Number Soil Classification Sample Number Prop. Walgreen 112-03003 (SM),Silty Sand B-4 @ 35• (Unified Soils Classification) Krazan Testing Laboratory I0 Grain Size Analysis Sieve Openings in Inches U.S. Standard Sieve Numbers Hydrometer 3 1 1/2 #4 #8. #16 #30 #50 #inn, *qnn 100 100.0 ko 80.0 70.0 0 Z 60.0 CL 50.0 1.- Z w 40.0 W IL 30.0 20.0 10.0 0.0 10 0.1 0.01 0.001 Grain Size in Millimeters Gravel Sand Silt or Clay Coarse Fine Coarse Medium Fine (Unified Soils Classification) Project Name Prop. Walgreen Project Number 112-03003 Soil Classification (SM),Silty Sand Sample Number B-4 @ 45' Krazan Testing Laboratory Grain Size Analysis Gravel Sand Silt or Clay Coarse Fine Coarse Medium Fine Project Name Project Number Soil Classification Sample Number Prop. Walgreen 112-03003 (ML),Sandy Silt RV # 1 Krazan Testing Laboratory Grain Size.Analysis Sieve Openings in Inches U.S. Standard Sieve Numbers Hydrometer 3 1 1/2 #4 #8 #16 #30 #50 #100 #200 1-1/2 3/4 3/8 100.0 90.0 80.0 70.0 0 Z 60.0 N Q a� 50.0 Z W 40.0 W CL 30.0 20.0 10.0 0.0 100 10 1 0.1 0.01 0.001 Grain Size in Millimeters . Gravel Sand Silt or Clay Coarse Fine Coarse Medium Fine (Unified Soils Classification) Project Name Prop. Walgreen Project Number 112-03003 Soil Classification (ML),Sandy Silt ' Sample Number RV # 2 • Krazan Testing Laboratory Project Name Prop. Walgreen Project Number 112-03003 Soil Classification (ML),Sandy Silt ' Sample Number RV # 2 • Krazan Testing Laboratory R - VALUE TEST ASTM D - 2844 / CAL 301 Project Number 112-03003 Project Name Prop. Walgreen Date 1/31/03 Sample Location/Curve Number RV# 1 Soil Classification (ML),Sandy Silt TEST A B C Percent Moisture @ Compaction, % 12.7 13.7 11.8 Dry Density, Ibm/cu.ft. 121.0 120.5 119.6 Exudation Pressure, psi 270 140 690 Expansion Pressure, Dial Reading) 0 0 0 Expansion Pressure, psf 0 0 0 Resistance Value -R 39 28 43 R Value at 300 PSI Exudation Pressure 39 R Value by Expansion Pressure (TI =): 5 Expansion Pressure nil 'Krazan Testing Laboratory 11111111n11111�1111 11ENMENNI MEN . 11111111111111 ������ ��1111n11111111n1� , 1111111111111�1111n 1111111111111111111 :. 11111111n11 X1111111 111111111111n 1111n .. - 1111n1111�1111n11 1111111111111�11n11 . ,111111111,111111111 11111111111111111111 11111111��1111111111 111111man , 11111111 X11111111111 111111..-__-�� I�1�1111n ������ . , 111111 11111 �111111111111i 11111111111111 111111nn1111 11111111111111111a11 ��►���� , 1111 211 M11111111111111 1111111111111111 11111111111111 nn11 . 11 V X11111111111111111 111111111111111111 n11111111111111n11 11111n1111111L1111n , ,. �1nn11111111111111 � 111111n1111�11111 , 'Krazan Testing Laboratory R - VALUE TEST ASTM D - 2844 / CAL 301 Project Number 112-03003 'Project Name Prop. Walgreen' Date 1/31/03 Sample Location/Curve Number RV# 2 Soil Classification (ML),Sandy Silt TEST A B C Percent Moisture @ Compaction, % 13.3 14.2 12.3 Pry Density, Ibm/cu.ft. 119.2 118.9 118.6 Exudation Pressure, psi 310 170 740 Expansion Pressure, Dial Reading)- 0 0. 0 Expansion Pressure, psf 0 0 0 Resistance Value R 37 27 43 R Value at 300 PSI Exudation Pressure 37 R Value by Expansion Pressure (TI =): 5 Expansion Pressure nil 11111 111111111111D 11111 11111111111 i1 1111 n 11111111111111 II 11111111111111111111 . , n11n11111111111111 II II 11 II11 Ii 111111 111111111111111• X111 1111111111111111111 11111111111111111111 11111111111111111111 :, . 1111111111111 X11111 11111111111111111111 , . 1111111111111 � II n n 11111111111111111111 11 n 111111111111111 11111111111111111111 . . , - n 111111111 � 11111111 111111111t�111111111 11111111111111111111 _ , ;;111111111111111111 , . 1111111111111111111 111111111111111111 II II i::! !11111111111 , 1111111 X11111111111 . , n11111 X111111111111 IIIIIIn11��..IIIIn 11111111111111111111 1 11D n111111 11111 11111111n1111 1111111111111111►7111 �►1111 , , : 1 1t u1111n11 1111111;;111111111111111 11��n1111nn1111n , . 11 X11111111111111111 �� 1111111111111111n 1111011u1111111111 iiii�11n11a111111 1111111111 n , , , �11111111111111l11111 1111111111111111 , Krazan Testing Laboratory 9 J &I ' APPENDIX B EARTHWORK SPECIFICATIONS 1 GENERAL When the text of the report conflicts .with the 'general specifications in this appendix, the ' recommendations in the report have precedence. SCOPE OF WORK: These specifications and applicable plans pertain to and include all earthwork ' associated with the site rough grading, including, but not limited to, the furnishing of all labor, tools and equipment necessary for site clearing and grubbing, stripping; preparation of foundation materials for receiving fill, excavation, processing,'placement and compaction of fill and backfill materials to the lines and grades shown on the project grading plans and disposal of excess materials. PERFORMANCE: The Contractor shall be responsible for the satisfactory completion of all earthwork in accordance with the project plans and specifications.. This work shall be inspected and ' tested by a representative of Krazan and Associates, Incorporated, hereinafter referred to as the Soils Engineer and/or Testing Agency. Attainment of design grades, when achieved, shall be certified by the project Civil Engineer. Both the Soils 'Engineer and the Civil Engineer are the Owner's representatives. ' If the Contractor should fail to meet the technical or design requirements embodied in this document and on the applicable plans,. he shall make the necessary adjustments until all work is deemed satisfactory as determined by both the Soils Engineer and the Civil Engineer. No deviation from these, specifications shall be made except upon written approval of the Soils Engineer, Civil Engineer, or project Architect. ' No earthwork shall be performed without the physical presence or approval ,of the Soils Engineer. The Contractor shall notify the Soils. Engineer at least 2 working days prior to the commencement of any aspect of the site earthwork. The Contractor agrees that he shall assume sole and complete responsibility for job site conditions during the course of construction of this project, including safety of all persons and property; that this ' requirement shall apply continuously; and not be limited to normal working hours; and that the Contractor shall defend, indemnify and hold the Owner and the Engineers harmless from any and all - liability, real or alleged, in connection with the performance of work on this project, except for liability ' arising from the sole negligence of the Owner or the Engineers. . TECHNICAL REQUIREMENTS: All compacted materials shall be densified to no less that 90 ' percent of relative compaction based on ASTM Test Method D1557-78, UBC or CAL -216, as specified in the technical portion of the Soil Engineer's report. The location and frequency of field density tests shall be as determined by the Soils Engineer. The results of these tests and compliance with these Specifications shall be the basis upon which satisfactory completion of work will be judged by the Soils Engineer. " SOILS AND FOUNDATION CONDITIONS: The Contractor is presumed to have visited the site ' and to have familiarized himself with existing site conditions and the contents of the data presented in the Geotechnical. Engineering Report., Krazan & Associate's, Inc., - Eleven Offices Serving The Western United States ' _ 11203003 Appendix B Page B.2 The Contractor shall make his own interpretation of the data contained in the Geotechnical Engineering Report and the Contractor shall not be relieved of liability under the Contractor for any loss sustained as a result of any variance between conditions indicated by or deduced from said report and the actual conditions encountered during the progress of the work. DUST CONTROL: The "work includes dust control as required for the alleviation or prevention of any dust nuisance on or about the site or the borrow area, or off-site if caused by the Contractor's operation either during the performance of the earthwork or resulting from the conditions in which the Contractor leaves" the site. The Contractor shall- assume all liability, including court costs of codefendants, for all claims related to dust or wind-blown materials attributable to his work. SITE PREPARATION Site preparation shall consist of site clearing and grubbing and preparation of foundation materials for receiving fill. CLEARING AND GRUBBING: The Contractor shall accept the site in this present condition and shall demolish and/or remove from the area of designated project earthwork all structures, both surface and subsurface, trees, brush, roots, debris, organic matter and all other matter determined by the Soils Engineer to be deleterious. Such materials shall become the property'of the Contractor and shall be removed from the site. Tree root systems in proposed building areas should be removed to a minimum depth of 3 feet and to . such an extent which would permit removal of all roots greater than 1 inch in diameter. Tree roots removed in parking areas may be limited to. the upper 1'/2 feet of the ground surface. Backfill or tree root excavation should not be permitted until all exposed surfaces have been inspected and the Soils Engineer is present for the proper control of backfill placement and compaction. Burning in areas which are to receive fill materials shall not be permitted, . SUBGRADE PREPARATION: Surfaces to receive Engineered Fill, building or slab loads, shall be prepared as outlined above, excavated/scarified to a depth of, 12 inches, moisture -conditioned as necessary, and recompacted to 90 percent relative compaction. Loose soil areas and/or areas of disturbed soil shall .be moisture -conditioned as necessary and recompacted to 90 percent relative compaction. All -ruts, hummocks, or other uneven surface features shall be removed by surface grading prior to placement of any fill materials. All areas which are to receive fill materials shall be approved by the Soils `Engineer prior to the placement of any of the fill material. EXCAVATION: All excavation shall be accomplished to the tolerance normally defined by the Civil Engineer as shown on the project grading plans. All over -excavation, below the grades specified shall be backfilled at the Contractor's expense and shall be compacted in accordance with the applicable, technical requirements. krazan,& Associates, Inc. Eleven Offices Serving The Western United States 11203003 Appendix B Page B.3 FILL AND BACKFILL MATERIAL: No'.material shall be moved or. compacted without the presence of the Soils Engineer. Material from the required site excavation may be utilized for construction site fills, provided prior approval is given by the Soils Engineer. All materials utilized for constructing site fills shall be free from vegetation or other deleterious matter as determined by the Soils Engineer. PLACEMENT, SPREADING AND COMPACTION: The placement and spreading of approved fill .materials , and the processing and compaction of approved fill and native materials shall be the responsibility of the Contractor. However,.compaction of fill materials by flooding, ponding, or jetting shall not be. permitted unless specifically approved by local code," as well as the Soils Engineer.. Both cut and fill shall• be surface -compacted to the satisfaction of the Soils Engineer prior to final acceptance. SEASONAL LIMITS: No fill material shall be,placed, spread, or rolled while ii is -frozen or thawing, or during unfavorable wet weather. conditions. When the work is interrupted by heavy rains, fill operations shall not be resumed until the Soils -Engineer indicates that the moisture content and density of previously placed fill is as specified.. • - \ ° k • L fir' • Krazan & Associates, Inc. Eleven Offices Serving The Western United States . _ - 11203003 1 0 1. DEFINITIONS - The term "pavement shall include asphaltic" concrete surfacing, untreated aggregate base, and aggregate subbase. The term "subgrade" . is that portion of the area on which surfacing, base, or subbase is to be placed.. The term "Standard Specifications": hereinafter referred to is the January 1991 Standard Specifications of the State of California, Department. of Transportation, and the "Materials Manual" is the Materials Manual of Testing and Control Procedures, State of California, Department of Public Works, Division of Highways. The term "relative compaction" refers to the field density expressed as a percentage of the maximum laboratory density as defined in the applicable tests outlined in the Materials Manual. 2. SCOPE OF WORK - This portion of the work shall include., all labor, materials, tools, and equipment necessary for, and reasonably incidental to the completion of the pavement shown on the plans and as herein specified, except work specifically notes as "Work Not Included." 3. PREPARATION OF THE SUBGRADE - The Contractor 'shall prepare the surface of the various subgrades receiving subsequent pavement courses ' to the lines, grades, and dimensions given on the plans. The upper 12 inches of the soil subgrade beneath the pavement. section shall be compacted to a, minimum relative compaction of 90 percent. The finished subgrades shall be tested and approved by the Soils Engineer prior to the placement of additional pavement courses. 4. UNTREATED AGGREGATE BASE -. The aggregate base material shall be spread and compacted -on.the prepared subgrade in conformity with the lines, grades, and dimensions shown on the plans. The aggregate base material shall conform to the requirements of Section 26 of the Standard Specifications for Class H material, 1 % inches maximum size. The ' aggregate base material shall be compacted to a minimum relative compaction of 95 percent. The aggregate base material shall be spread and compacted in accordance with Section 26 of the Standard Specifications. The aggregate base material. shall be spread in layers not exceeding 6 inches and each layer of aggregate material course shall be tested and approved by the Soils Engineer -prior to the placement of successive layers. 5. AGGREGATE SUBBASE - The aggregate subbase shall be spread and compacted on,the prepared subgrade in conformity with the lines, grades, and dimensions, shown on the plans. The aggregate subbase material shall conform to, the'requirements of Section 25 of the Standard Specifications for Class II material. The aggregate subbase material shall be compacted to a minimum relative compaction of 95 percent, and it shall be spread and compacted in accordance: with Section 25 of the Standard Specifications. Each layer of aggregate "subbase shall be tested and approved by the Soils Engineer prior to the placement of successive layers. Appendix C ' Page C.2 6. ASPHALTIC CONCRETE SURFACING - Asphaltic concrete surfacing shall consist of a mixture of mineral aggregate and paving grade asphalt, mixed at a central mixing plant and spread and compacted on a prepared base in conformity with the ' lines, grades; and dimensions shown on the plans. The viscosity grade of the asphalt .shall be AR -4000. The mineral aggregate shall be Type B, '/2 inch maximum size, medium grading, and shall conform to the requirements set forth in Section 39 of the Standard Specifications. The drying, proportioning, and mixing of the materials shall conform to ' Section 39. The prime coat, spreading and compacting equipment, and spreading and compacting the mixture shall conform to the applicable chapters of Section 39, with the exception that no surface course shall be placed when the atmospheric temperature is below 50 degrees F. The surfacing shall be rolled with a combination steel -wheel and pneumatic rollers; as described in Section 39-6. The surface course shall be placed, with an approved self-propelled mechanical spreading and finishing machine. 7. FOG SEAL COAT - The fog seal (mixing type asphaltic emulsion) shall conform to and be applied in accordance with the requirements of Section 37. 1 1 . Krazan & Associates, Inc. Eleven Offices Serving The Western United States 11203003 http://InspectorProfile.asp v Page 1 of 1 it G '17FC6T A = ..., CALIF' Zpmt DEPARTIt9ENT o� GENERAL SERbIGES HG�1tE�ACE �HoiliE� �E 4 _ }' SA - r IVISIOrN of"flue STATARCHIT'ECT` ( ,.a YySM. T f /h ?"'•rir x.y .•. �'?'.•^'nP + '' �`" d r`k!t' .*y+�'Rv,,o 9tr-'•'OG• ' T RAC kt, R �p SA s on 1 ine , 'Pro pct t r ck :n s stent -� . ri P i g y Ins ector=Qualifications First Name James Last Name Rudden County ____,_]FS an Bernardino Phone (909 380 .t• _. Certification Glulam Masonry Inplant Fc -las -s1 Class 2 Class 3 . ° Class 4 Pneumatically Placed Concrete °°0 Yes o ` °000 No o ' Certification Number 0 2474 00000 •M� �;Y •+I 0 Tracker Home Page : Return to School Construction Inspectors ' - • + .LCR. 51 x ty{•: .t• ... + r , • tiu � h i.yr t ., - +. ti' .. 1 1. y r �: .dr rp r: •M� �;Y •+I H~ �F j h ���i !`, i_ S • � '• � y �,., •l a a • • . h `• � ' k � �� r.t M S ry'3 ( �.� . �' Y.. 'r" . M ••r Y � F, • } .Yt . - � .. - " , t 6 "� A`r�"� t ��. bf.•i s I.'.� t i • r ,.. +`1�, `N 4 4 Al � i• a W.a „xn;1.y � t� k _` N.. � YM; h . Q h .- e .. cj Jj cit `� - ' � s ., �.,, '� �"�� y y � ti. Y� �1 `a `c •• . _ _-• ; ,+. a y.,rA� � i X+•. A4 ':. n •rr. _ rS. �.^ http://www.appiica'tions:dgs ca gov/dsa/eTrackerWeb/InspectorProfile.asp?id=1038 2/14/2004 s • - • b -7;M V, PECTION A Reinforced qoncrit4,;:a, StructuralQ;asony ial&eel-As§ehbWPost V-'LTehsioh' n er wOP N;- i� "'i 1�4 - Project Name ki'-`,TESt9 PERFORMED Ll L3 N 0 Client7_/C,:�? 1.10 G .,TV 't�f rip mnp Ump Atldress 00-7:.Wi UJ T*Sl Architect -z _z ( Cbncretd,T�.pe. -7 7V_ Sub Contractor P -A -C: -M "CQAS77'� Q TAl uadtiN'of Set General Contractor. K r. t4s - clam *- ilult. bi Location of sample 'bate t [6 Inspection -j Bldg. Permit Additional Remarks on Samples )c Plan File Other 1- t' F'6- IN L-,&,, t /71 S IT t)41, cz /A eel P-'4. n f _'J b 00 7- 3 C T C C 12 SSC.. Co 'INS-PECTORSMAILY REPORT,,,ANI )Q7_ D-s- V, PECTION A 41638 Lori Lane -Hemet, CA' 02544-- Office (909) 658-3296 -'Fax___ ""'65 "1"" 5 - 24 �i. pager ager (909) 617-0211 White -Office COPY a Canary -Deputy Copy Pink-Jobsite Copy Reinforced qoncrit4,;:a, StructuralQ;asony ial&eel-As§ehbWPost V-'LTehsioh' n er N;- i� "'i 1�4 - Project Name ki'-`,TESt9 PERFORMED Ll L3 N 0 Client7_/C,:�? 1.10 G .,TV 't�f rip mnp Ump Atldress 00-7:.Wi UJ T*Sl Architect -z _z ( Cbncretd,T�.pe. -7 _11 . M. . 77, Engineer t,,s, i T-uc.L 'n 7o Sub Contractor P -A -C: -M "CQAS77'� Q TAl uadtiN'of Set General Contractor. K r. t4s - clam *- ilult. bi Location of sample 'bate t [6 Inspection -j Bldg. Permit Additional Remarks on Samples )c Plan File Other 1- t' F'6- IN L-,&,, t /71 S IT t)41, cz /A eel P-'4. S _'J b 00 7- 3 C T C C 12 SSC.. Co )Q7_ D-s- Iunderstand that the services provided by K&R Inspections, Inc. is subject to unless noted otherwise, the work observed is to the best of my knowlid ge, in the terms and conditions as described in the reverse side of this Inspector substantial compliance with approved plans and specifications. Provision of Daily Report, By this signature in this observation report I agree to be bound construction monitoring by K&R Inspections, Inc. field personnel is not insur- by all terms and conditions on the reverse side of this observation report. ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report The Owner or a successor in interest shall waive and indemnity K&R Inspections, 166. against all claims, liability, damages;1and expen pep s arising out of or relating to all acts. CONTRACTOR REPRESENTATIVE OF IGISTERED DEPUTY' CERTIFICATION NUMBW/ SIGNATURE0 41638 Lori Lane -Hemet, CA' 02544-- Office (909) 658-3296 -'Fax___ ""'65 "1"" 5 - 24 �i. pager ager (909) 617-0211 White -Office COPY a Canary -Deputy Copy Pink-Jobsite Copy TYPE OF WORK INSPECTED k]' Reinforced Concrete ❑ Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name % _, , .,.. TESTS PERFORMED ,2rYes ❑ No Client T� r� �.e "�n,M Type of Sample Address zz, ti .. %''" /� .:. Slump ` Architect Concrete Temp. 7o,' © p Engineer AMB Temp. 7 y Sub Contractor 1WRA-4 i' �t�. e ¢ H - Quantity of Set General Contractor o Location of Sample p,�. �✓ �.r/� . Inspection: Date -2-13-0'!;z' Bldg. Permit Additional Remarks on Samples �l xwo.� f. Plan File /9a_s� Other ' f� Q�lI N.C,...Mf"/ !`D/ !.!. ., .:. i^ �'f.i� /'e 7.9/ x.iP', ..w .�: .: /�: //� is/✓ ,7.� Ir.^_no J".f; ••� :'?.F.•: O rn,.eF •.� /�f a�%� �J//✓.� /.�:,%s �/ ��1.!. 7� FY.n u./J / /IY.IY✓/ .�.Gl�'Y� �`, :�fl.h'. �/ //N7F.anah �CJ a�7, .^t /� !i /��� .F:•I �•r.rY,.. r• f.(.... :'%.7F: r'I: f ,•V/ //.last. ,!'.J /t ,F . "A" �=<r7^•,". .r !t;:.. .;. .� !' llf" fA. ." /.> Sr// ' s 7 %" .+ J`` .i ±:.,... r rid ' ,%a_x ct ra': � /: / i � ./'.sr n , • /;. ; r . . 1 Time I understand that the services provided by K&R Consulting is subject to the Unless noted otherwise, the work observed is to the best of my knowledge, in terms and conditions as described in the reverse side of this Inspector Daily substantial compliance with approved plans and specifications. Provision of Report, By this signature in this observation report I agree to be bound by all construction monitoring by K&R Consulting field personnel is not insurance, terms and conditions on the reverse side of this observation report. nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side`of this Inspector Daily Report. The Owner or a successor in -- interest shall waive and indemnify K&R Consulting against all claims, liability, damages, and expenses arising out of or relating to all acts. CONTRACTOR REPRE!`ENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 Office (909) 658-3296 a Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy Terms and Conditions I. Field Inspection Fees and Billing Practices 1. Field Inspection: Four (4) hour minimum charge than billed in four (4) hour increments. 2. Cancellation: If cancellation occurs at time inspector arrives at the project there is a two (2) hour minimum charge. 3. Overtime: Any inspection exceeding more than eight (8) hours in one day is billed in one (1) hour increments. 11. Owner's Duties 1. Owner and/or the Contractor agrees to be truthful with K&R Consulting, to cooperate, to keep K&R Consulting, informed of any information or developments which may come to the Owner's and/or the Contractor's attention, to abide by this Agreement and to pay K&R Consulting bills on time. Owner and/or the Contractor will assist K&R Consulting in providing information and documents necessary for the services described in this Agreement. Owner and/or the Contractor shall provide K&R Consulting with all information regarding existing conditions, including the existence of hazardous or dangerous materials, and proposed uses of the Project. Owner and/or the Contractor shall immediately provide K&R Consulting with any new information, including any change in plans. Owner and/or the Contractor releases and holds K&R Consulting harmless from liability for any incorrect advice, judgment, or decision based on any inaccurate information furnished by the Owner and/or the Contractor. K&R Consulting is not responsible for any presently existing building code violations in the areas of the building, electrical, plumbing, zoning, or other municipal or government codes, ordinances, and/or regulations. Owner and/or the Contractor shall cooperate with all reasonable requests by K&R Consulting that are related to the performance of the services including, but not limited to, obtaining permission at the Owner's and/or the Contractor's sole cost, to allow K&R Consulting access to the Project site. III. Governing Law and Venue 1. GOVERNING LAW AND VENUE. This Agreement and all questions arising in connection herewith shall be governed by and construed and interpreted in accordance with the laws of the State of California. Venue shall be in the Riverside County Superior Court. 2. ATTORNEYS FEES AND COSTS. If any litigation is commenced between the parties concerning this Agreement, the party prevailing in that litigation shall be entitled, in addition to any other relief granted, to a reasonable sum as and for its attorneys' fees and costs in that litigation. IV. Miscellaneous 1. PURPOSES OF SERVICES. Services provided under this Agreement, including all reports, information, recommendations, testing, or opinions prepared or is sued by K&R Consulting, are for the exclusive use and benefit of the Owner and/or the Contractor in connection with the Project, are not intended to inform, guide, influence, or otherwise be relied on by any other entities or persons for any purpose. 2. BILLING STATEMENTS. On or about the 20th day of each month, K&R Consulting will mail Owner and/or the Contractor an invoice for fees and costs incurred. Each invoice will be due within 40 days of the date on the invoice. The invoice shall include the amount, rate, basis of calculation or other method of determination of the fees and costs. Invoices not paid within 40 days of the invoice date shall be subject to a late payment charge of 1-1/2 percent per month (or the maximum rate allowable by law, whichever is less). Owner and/or the Contractor agrees to pay all associated costs incurred with collection of past due amounts, including attorney's fees. 3. DISCHARGE AND WITHDRAW. K&R Consulting may withdraw with the Owner's and/or the Contractor's consent or for good cause. Good cause includes the Owner's and/or the Contractors breach of this Agreement, refusal to cooperate or to follow K&R Consulting's advice on a material matter or any fact or circumstance that would render K&R Consulting continuing representation unlawful, unethical, or impractical. When K&R Consulting's services conclude under this section, all unpaid charges will become immediately due and payable. 4. LIMITATION OF LIABILITY AND INDEMNIFICATION. K&R Consulting shall perform the services in a manner consistent with the standard of care and skill ordinarily exercised by other members in the same or similar locality under similar circumstances at the time the services are performed. This Agreement contains no warranty or guarantee, expressed or implied, nor does it create a fiduciary responsibility to the Owner and/or the Contractor. In no event shall K&R Consulting be responsible for the means and methods of construction or for the safety procedures employed by the Owner and/or the Contractor. The Owner and/or the Contractor shall be solely responsible for the quality and completion of the Project. The Owner and/or the Contractor agrees to waive and indemnify K&R Consulting against all claims, liability, damages, and expenses (except for K&R Consulting, gross negligence or willful misconduct) arising out of or relating to all acts, failure to act, or other conduct of K&R Consulting including, but not limited to, claims, liability, damages, or expenses arising our of or relating to the general negligence or other fault of K&R Consulting, The Owner and/or the Contractor shall indemnify and hold harmless K&R Consulting even if the Owner and/or the Contractor is partially or wholly without fault for such claims, liability, damages, or expenses even if liability is claimed to have arisen while K&R Consulting was performing work outside of the scope of services set forth in this Agreement. The Owner and/or the Contractor waives all claims against K&R Consulting for all claims, liability, losses, and expenses arising out of or relating to the Owner's and/or the Contractor's failure to perform, in whole or in part, any of its obligations under this Agreement and any subsequent agreements. 5. DISCLAIMER OF WARRANTY. Nothing in this Agreement and nothing in K&R Consulting's statements to the Owner and/or the Contractor will be construed as a promise or guarantee about the outcome of the services K&R Consulting or any third parties is to provide. No warranty or guarantee is expressed or implied. The parties agree that there are other factors and risks such as conduct of third parties and acts of God, which may create shifting or sinking of the earth at the Project, which can create property damage and which poses any inherent risk in land development and repair. The Owner and/or the Contractor acknowledges that K&R Consulting has not been authorized to perform investigation necessary to eliminate such risks. 6. ENTIRE AGREEMENT. This Agreement contains the entire Agreement of the parties. No other agreement, statement, or promise made on or before the effective date of this Agreement will be binding on the parties. 7. HEADINGS. The headings in this Agreement are for reference only and shall not limit or define any meaning of this Agreement. 8. SEVERABILITY IN EVENT OF PARTIAL INVALIDITY. If any provision of this Agreement is held in whole or in part to be unenforceable for any reason, the remainder of the provision and of the entire Agreement will be severable and remain in effect. { PA. Ia i FEB 3 RECp Engineering Group, Inc. A, February 16, 2005. r Project No. 604-367 Mr. Fred Fuss J Lahfdany General Contractor 8404 83rd Ave SW, Suite H Tacoma, WA 98498 Subject:Fival`Soils Re`por`t= Buifding pad onl . .-Proposed Walgreen's Pharmacy. #_0262 SEC Pacific Coast -Highway and Anza Avenue 4124 Pacific Coast Highway ' Torrance, California 90505 { ' D`ear. Fred: At your request and authorization; SALEM Engineering Group, Inc. (SALEM), has prepared this Final Soils Report for the site of the proposed new Walgreen's Pharmacy to be located at the above -referenced address. SALEM Engineering Group, Inc. , (SALEM) has previously, prepared. a Geotechnical Engineering,. Investigation for the above -referenced site.(Job No..203-119, dated October 22, 2003). 1.0 PROJECT DESCRIPTION We understand that design of the proposed: development is currently underway; final details pertaining to the structures are unavailable. On a preliminary basis, it is understood that development will include the construction of a single -story Walgreen's .pharmacy building with concrete slab -on -grade. The proposed pharmacy will cover an area of approximately 14,805 square -feet. 'On-site parking, and landscaping are planned to be associated with the development. Maximum wall load is expected to be on the order of 3 kips per linear foot. Maximum column load_ is expected to be on the order of 50 kips. 2.0 SITE LOCATIONS AND DESCRIPTION The site is irregular in shape and covers an area of approximately 75,172 square feet. The site is located south of Pacific Coast Highway, approximately 80* feet east of Anza Avenue 'in Torrance, California. The site has a street address of 4140 - 4142 Pacific Coast Highway, Torrance; California. The site is predominantly surrounded by commercial and residential developments. Prior to grading, the site was occupied` by existing large "buildings 'with associated paved parking. The footprint of the existing building encompasses the entire proposed pharmacy building and portions of the proposed pavement areas. Small trees and landscaping covers portions of the -site. The site is relatively level with no major, changes in grade. 4539 N. Brawley Avenue, Suite 101 9 Fresno, CA 93722 ` •, (559) 271-9700 • Fax (559)275-0827 Project No. 604-367 February 16, 2005 Page 2 I 3.0 Site Preparation and Grading The grading work was performed between December 21, 2004 and- February 9, 2005. A representative of Salem Engineering Group, Inc., made observation and Testing. A total of 46 in-place density tests were conducted. The individual test data are summarized in the attached Table. A site map showing the locations of the tests is attached and identified as Site Plan. A sample of the native soil sample was tested in our laboratory for maximum dry density and sieve analyses tests. Results of the laboratory tests are also shown on the attached Table. 3.1 Test Procedures The soil was sampled and visually classified in accordance with the Unified Soil Classification System. The soil was then tested in the laboratory per ASTM Test Method D1557 and the results are shown in the attached Table. The depth and frequency of testing was directed at providing a preliminary evaluation of the backfill compaction. The in-place density and moisture tests were performed using a nuclear gauge in accordance with ASTM Test Methods D2922 and D3017. The locations were determined by pacing and steel tape and should be considered accurate to within 0.5 and 5 feet in vertical and lateral dimension, respectively. 3.2 Grading Observation and Testing The existing structures with associated pavement was demolished and removed from the site. The upper 2 to 4 inches of the soils containing asphatic concrete, vegetation, roots and other objectionable organic matter encountered at the time of grading was stripped and removed from the building and pavement areas and at least 5 feet outside the building perimeter. Following stripping and debris removal operations, the on-site soil within the proposed building area was excavated to the desired elevation, scarified to an approximate depth of 7 feet. Prior to fill placement, a representative of Salem Engineering Group, Inc. inspected the bottom of the excavation to verify whether additional excavation will be required. The on-site soil material was worked until uniform and free from large clods, moisture -conditioned as necessary, and recompacted to a minimum of 90 percent of maximum density based on ASTM Test Method D1557. Limits of re -compaction were extended 5 feet beyond structural elements. A minimum of at least 4 feet below the base of the footings and the slab system was excavated, placed in thin lifts, worked until uniform and free from large clods, moisture -conditioned as necessary and recompacted to a minimum of 90 percent of maximum density based on ASTM D1557 Test Method. Moisture conditioning was applied as needed. A self -loading front loader applied compaction effort. . Conclusion Based on the result of the in-place density tests, as well as our observations, it is concluded that the fill has been placed in accordance with accepted engineering practice and has been compacted in substantial conformance to the recommendatiuons presented in the above -referenced geotechnical engineering investigation report. The compaction tests results, a Site Plan showing the location of the compaction tests, as well as, a Certificate of Engineered Grading Inspection are attached. Project No. 604-367 February 16, 2005 Page 3 4.0 GEOTECHNICAL RECOMMENDATIONS Based upon the data collected during our investigation, and from a geotechnical engineering standpoint, it is our opinion that the site is suitable for the proposed construction. The proposed buildings may be supported on shallow reinforced concrete foundations provided that the recommendations presented herein are incorporated in the design and construction of the project. 4.1 Surface Drainage Control Within building and paved areas, cut and fill slopes should not exceed 2:1 (horizontal to vertical). The ground surface should slope away from building pad and pavement areas toward appropriate drop inlets or other surface drainage devices. It is recommended that adjacent exterior grades be sloped a minimum of 2 percent for a minimum distance of 5 feet away from structures..Subgrade soils in pavement areas should be sloped a minimum of 1 percent and drainage gradients maintained to carry all surface water to collection facilities and off-site. These grades should be maintained for the life of the project. 4.2 Foundations + Bearing wall footings considered for the structure should be continuous with a minimum width of 12 inches, and extend to a minimum depth of 18 inches below the lowest adjacent grade. Isolated column footings should have a minimum width of 18 inches and extend a minimum depth of 18 inches below the lowest adjacent grade. Footing concrete should be placed into neat excavation. The bottom of footing excavations„ should be maintained free of loose and disturbed soil. Footings constructed as recommended herein may be designed for the maximum bearing capacity shown below. These values are for dead and sustained live loads and may be increased by one-third (1/3) to include"wind and seismic effects. For design purposes, total settlement on the order of 1/2 to 1/4 inch may be assumed for shallow foundations. Differential settlement, along a 20 -foot exterior wall footing or between adjoining column footings, should be '/4 to % inch, producing an angular distortion of 0.002.' Most of the settlement is expected to occur during construction as the loads are applied. However, additional post -construction settlement may occur if the foundation soils are flooded or saturated. The footing excavations should not be allowed to dry out any time prior to pouring concrete. Resistance to lateral footing displacement can be computed using an allowable friction factor of 0.4 acting between the base of foundations and the supporting subgrade. Lateral resistance for footings can alternatively be developed using an allowableequivalent fluid passive pressure of 350 pounds per cubic foot acting against the appropriate vertical footing faces. The frictional and passive resistance of the soil may be combined,without reduction in determining the total lateral resistance. A one- third increase in the value above may.be used for short duration, wind, or seismic loads. v: 1 Project No. 604-367 February 16, 2005 Page 4 4.3 Concrete Slabs -on -Grade We recommend that, non-structural slabs -on -grade be a minimum of 4 inches thick. In areas where it is desired to reduce floor dampness, at least 2 -inches of coarse washed sand should be placed between the finished subgrade and the slabs. Where moisture -sensitive coverings are anticipated, a suitable waterproof membrane (a minimum of 10 mil with the consideration of anticipated moisture build-up on top of the hard rock) should be placed between the granular layer and the floor slab. Because of the importance of the membrane, joints and perforations should be properly sealed. The membrane should also be covered with a 2 -inch layer of washed sand to facilitate concrete placement and curing. The subgrade should be kept in a moist condition until time of slab placement. It is recommended that the concrete slab be reinforced to reduce crack separation and possible vertical offset at the cracks. The concrete slab should be reinforced using a No. 3 reinforcing bar placed on 18 -inch centers. Slabs subject to structural loading may be designed utilizing an modulus of subgrade reaction K of 200 pounds per square inch per inch. The K value was approximated based on inter -relationship of soil classification and bearing values (Portland Cement Association, Rocky Mountain Northwest). In order to regulate cracking of the slabs, we recommend that full depth construction joints or control joints be provided at a maximum spacing of 12 feet in each direction. Control joints should have a minimum of one-quarter of the slab thickness. The exterior floors should be poured separately in order to act independently of the walls and foundation system. Exterior finish grades should be sloped a minimum of 1 to 1'/s percent away from all interior slab areas to preclude ponding of water adjacent to the structures. All fills required to bring the building pads to grade should be Engineered Fills. 4.4 Lateral Earth Pressures and Frictional Resistance Active, at -rest and passive unit lateral earth pressures against footings and walls are presented below: Active pressure applies to walls, which are free to rotate. At -rest pressure applies to walls, which are restrained against rotation. The preceding lateral earth pressures assume sufficient drainage behind retaining walls to prevent the build-up of hydrostatic pressure. The top one -foot of adjacent subgrade should be deleted from the passive pressure computation. A coefficient of friction of 0.40 may be used between soil subgrade and footings or slabs. The foregoing values of lateral earth pressures and frictional coefficients represent ultimate soil values and a safety factor consistent with the design conditions should be included in their usage. For stability against lateral sliding, which is resisted solely by the passive pressure, we recommend a minimum safety factor of 1.5. For stability against lateral sliding, which is resisted by the combined passive and frictional resistance, a minimum safety factor of 2.0 is recommended. For lateral stability against seismic loading conditions, we recommend a minimum safety factor of 1.1. Project No. 604-367 February 16, 2005 Page 5 4.5 Retaining Walls Retaining and/or below grade walls should be drained with either perforated pipe encased in free -draining gravel or a prefabricated drainage system. The gravel zone should have a minimum width of 12 inches wide and should extend upward to within 12 inches of the top of the wall. The upper 12 inches of backfill should consist of native soils, concrete, asphaltic -concrete or other suitable backfill to minimize surface drainage into the wall drain system. The aggregate should conform to Class H permeable materials graded in accordance with Section 68-1.025 of the CalTrans Standard Specifications (January 1988). Prefabricated drainage systems, such as Miradrain®, Enkadrain®, or an equivalent substitute, are acceptable alternatives in lieu of gravel provided they are installed in accordance with the manufacturers recommendations. If a prefabricated drainage system is proposed, our firm should review the system for final acceptance prior to installation. Drainage pipes should be placed with perforations down and should discharge in a non-erosive manner away from foundations and other improvements. The top of the perforated pipe should be placed at or below the bottom of the adjacent floor slab or pavements. The pipe should be placed in the center line of the drainage blanket and should have a minimum diameter of 4 inches. Slots should be no wider than 1/8 -inch in diameter, while perforations should be no more than '/4 -inch" in diameter. If retaining walls are less than 6 feet in height, the perforated pipe may be omitted in lieu of weep holes on 4 feet maximum spacing. The weep holes should consist of 4 -inch diameter holes (concrete walls) or unmortared head joints (masonry walls) and placed no higher than 18 inches above the lowest adjacent grade. - Two 8 -inch square overlapping patches of geotextile fabric (conforming to Section 88-1.03 of the CalTrans Standard Specifications for "edge drains") should be affixed -to the rear wall opening of each weep hole to retard soil piping. During grading and backfilling operations adjacent to any walls, heavy equipment should not be allowed to operate within a lateral distance of 5 feet from the wall, or within a lateral distance equal to the wall height, whichever is greater, to avoid developing excessive lateral pressures. Within this zone, only hand operated equipment ("whackers," vibratory plates, or pneumatic compactors) should be used to compact the backfill. 4.6 Utility Pipe Bedding and Backfilling Utility trenches should be excavated according to accepted engineering practice following OSHA (Occupational Safety and Health Administration) standards by a contractor experienced in such work. The responsibility for the safety of open trenches should be borne by the contractor.- Traffic and vibration adjacent to trench walls should be minimized; cyclic wetting and drying of excavation side slopes should be avoided. Depending upon the location and depth of some utility trenches, groundwater flow into open excavations could be experienced; especially during or following periods of precipitation. Sandy soil conditions were encountered at the site. These cohesionless soils have a tendency to cave in trench wall excavations. Shoring or sloping back trench sidewalls may be required within these sandy soils. Utility trench backfill placed in or adjacent to buildings and exterior slabs should be compacted to at least 90 percent of maximum density based on ASTM D1557 Test Method. The upper 12 inches of utility trench backfill placed in pavement areas should be compacted to at least 90 percent of maximum density based on ASTM D1557 Test Method. Pipe bedding should be placed in accordance with pipe manufacturer recommendations. Project No. 604-367 February 16, 2005 Page 6 r' The contractor is responsible for removing all water -sensitive soils from the trench regardless of the backfill location and: compaction requirements. The contractor should use appropriate equipment and methods to avoid damage to the utilities and/or structures during fill placement and compaction. 5.0 LIMITATION It should be noted that the precision of he field density and laboratory maximum dry density test results are subject to variation. inherent with testing procedures and 'heterogeneous soil characteristics. Quantitative values of testing precision have been documented by the American Society of Testing and Materials. Results indicate the accuracy of the ASTM D-1557 test to be plus or minus four percent of the mean density. Based on this information, relative compaction results should be as approximate values subject to variations in lateral and vertical directions. Survey lines and elevations relative to grade modification, locations of various elements, etc. Were established by others. The tests procedure used complied with generally accepted methods practiced in the industry. The data represented in this report are provided for informational purposes only. We do not undertake the guarantee of construction nor do we relieve the contractor of his primary responsibility to produce a completed project in accordance with the plans and specification. We claim no responsibility or liability for the damages originating from improper use of these results. Our services were performed, our findings obtained and results presented in accordance with generally accepted testing principles and practices. This warranty is in lieu of all other warranties either expressed or implied. The findings and recommendations presented in this.report are valid as of the present and for the proposed construction. If site conditions change due to natural processes or human intervention on the property or adjacent to the site, or changes occur in the nature or design of the project, or if there is a substantial time lapse between the submission of this report and the start of the work at -the site, the conclusions and recommendations contained in our report will not be considered valid .unless the changes are reviewed by SALEM and the conclusions of our. report are modified or verified in writing. The validity of the recommendations contained in this report is also dependent upon an adequate testing and observations program during the construction phase.. Our firm assumes no responsibility for construction compliance with the design concepts or recommendations unless we have been retained to perform the on-site testing and review during construction. l! Engineering Group, Inc. ` - CERTIFICATE ENGINEERED GRADING INSPECTION ' PROPOSED WALGREEN'S PHARMACY # 02622 - SEC PACIFIC COAST HIGHWAY AND ANZA AVENUE ' 4124 PACIFIC COAST HIGHWAY TORRANCE, CALIFORNIA 90505•: IN ACCORDANCE WITH CHAPTER 33 OF THE 1997 UNIFORM BUILDING CODE, THIS IS TO CERTIFY THAT SALEM ENGINEERING GROUP, INC. HAS PERFORMED COMPACTION TESTING AT THE WALGREEN' S PHARMACY # 02622. THE COMPACTION TESTING / INSPECTION WAS LIMITED TO THE BUILDING PAD TO THE BEST OF OUR KNOLEDGE, BASED UPON OUR OBSERVATION AND WRITTEN REPORTS OF • THIS WORK, IT IS OUR OPINION ,THAT, THE COMPACTION TESTING / INSPECTION WORK WAS PERFORMED IN ACCORDANCE WITH THE APPROVED PLANS, SPECIFICATIONS, AND THE UNIFORM " BUILDING CODE. BASED ON THE RESULT OF THE IN-PLACE DENSITY,TESTS, AS WELL AS OUR OBSERVATIONS, IT IS CONCLUDED THAT THE FILL HAS ,BEEN PLACED IN ACCORDANCE WITH , r ACCEPTED ENGINEERING PRACTICE AND HAS BEEN COMPACTED IN SUBSTANTIAL CONFORMANCE TO THE RECOMMENDATIUONS PRESENTED IN THE GEOTECHNICAL ENGINEERING REPORT. Respectfully submitted, ; SALEM Engineering Group,,Inc: R. Sammy Salem, MS, PE, GE, REA Principal Engineer r Q RCE NO. 52762 / RGE No. 2549` 4539 N. Brawley Avenue, Suite 101- ,! Fresno; CA 93722 • (559) 271-9700 Fax (559) 275-0827 - _ -_�J *ks - � +...s•,..atr., ' } _ � a � �. ♦ � -a...,. �� -.: - y - ':yam .. ,.- , SUMMARY OF,COMPACTION TEST RESULTS, ,a ,• Walgreen's Store 9 02622 t„ j4 { ` 4124 Pacific Coast.Highway yrr,-. .J.�- `.+t. ' �• .., _ 1?:� - - r-.. .. �. .-. -..i -e '.i --i ,i _yYG 'P Y�' A�•t' r SEG Job # 604-367,;.y e Depfi VIM- ®ptimu�11ia?euSample Uens N So" MIN ``. _ �oisturelb) ��y �m Locaon Description _ 1 0' - 5 9.5 125.5 -Site"' Silty Sand (SM) -with trace`of clay SALEM .'On .10.5 "M-0 -. ' On -Site, `_ Silty Sand (SM) with trace of clay ' ' ; AP Engineering 3 `- 4' - 7' " ': 16;0 103.0 `^ On -Site Sandy Clayey Silt (ML) s AP Engineering � Tes Depth Tb: d In�P In -Place I?ry" Mf�im D elati ve - :: _ ;^ a u, iY o- Locataan . M �Test°m' ' . _ (ff•) MPosture (o) � �,� Dense • Dense . ty (. �) (�) - o ra Com acfion� fo • 1.0 95 . '7111.1 1220 - ,.> r,- m - 91, Parking Lot 12.21:04 r 111 9` .r a i 'ac' y ti 122 0 h ;, t� 92' ; r : .` Parkin Lot y , , . �.. 12.21.04 3; 3 0 9 8 c ;113.2 122 0 , ;, �* ., 93? z -^' Parking . tt: �» :� ';,-,Parking' ,, 12.21.04 } X12.3 103.6 Native .� k, ' "` Native ri - ' -Parking Lot t, 12:21:04 ``� 14 6i ^ �. 102 3�-'ative'' r 'Native ' - 1H w ��" �,ParkingLot 12.21.04 6` ," `.1.0 �; 97�. 113.6 ' <4.4122.0 _ ti t 4 '"' 93 r_ �- Parking Lot °' 12.21:04 r4 7= ;3 2 0 10.2, ";' ,. t 112.0 X122 0 t� -92••�,r s' ��{ Parkin I of 1221-04 8� : 4,.• 3.0 , =` 11 6 : • ` k. ,, 98:8` v :122 0 . -Y .. c" . Native { t . r ; A '* Parking. Lot ;z 12:21.04 t: -9 =* ` 4 0 • ; 1,13 .4 � + t . yR ,101.1 Native - 't w, '? -Native r A Parking Lot " ' 12.21.04, �+ �r 10` 50 * 1703 963 �'�Y' Native v ',.NativeParkirigLot > '101 114.4 '..r , ;125 5 :' Y i 91 ,` �" ;z -,Parking L'ot , ,�- ^ ; _12:21.04 F. 12 s` 2.O.X 13 3 • ' x G',112".9' "'' -:125.5 `R^' ,, ;' 90. �'' '° ,- �: Parking Lot -12.21.04, 13 t,3 0 v, > .:13 8, _y ,11-1.6' - 422.0-,y : ql , Parking Lot ,• •"' �, ; 12.21.04 .Native yNative�r 12.21.04903 Parking Lot ' 15''w 5.0 =1b 8 `, ; , ,`,� , ' ' 89.8 "Native ' �_ Native �' •: •.',' Parking.Lot 12.21.04 -16 ` '2.0 ;:- •+ 10.1 ;`' 111:5 :122.0 F 91 Parking Lof. w 12.23.04 17 `' 7 0 `..9.8 _ 115.6 :125.5 92 h 4 Building'Pad _ " 12.23.04 7:0 `.x. -10.2. • 116.1 'R ". 125.5 %'93`r � ,... + '"Building Pad. 12:23:04 19 4.5 .., . 11.8 116.3 ; 93 . r , w s Building Pad , -12.23.04 20 *, �.- 4.5 9.9 114.4 - " 125:5 ,, 91 - .:. Building Pad . 12.27.04 21 4.5 10.2 ' ;: 114:1 125.5' , y y,. 91 ° Building Pad * ' , 12.27.04 F 22 4.5 9.6 114.6 . • - . 125.5', . , 91 Building Pad 12,27.04 23 4S' 9.1 115.2 125:5 - r, .. 92;'` •, Building Pad 12:27.04 24 3.5 - 10.4 , ` `113.9 ; . 125 :5 _ _ .` . .. 191, ,Building Pad 12.27.04 - _ -_�J *ks - � +...s•,..atr., ' } _ � a � �. ♦ � -a...,. �� -.: - y - ':yam .. ,.- , mow' - ` SUMMARY OF COMPACTION TEST RESULTS -� Walgreen's Store # 02622 4124 Pacific Coast Highway',. SEG Job # 604-367 .. De th 1. s h '° 0141 . So01 A'll _ Te'. (ft) 1Vloisture• °:o) Dens cation Desch - .t<on 1 0' 5': 9.5 125.5. '' On=Site ' Silty.Sand (SM) with trace of clay' - SALEM 2 � '0' - 5' -: 10 5 -� � : 122.0: On -Site ' '" '_, Silty Sand (SM) with trace of clay,.." z AP Engineering 3-, ` ` ' 4',- 7' ^ .16.0 103.0,-, On -Site • Sandy Clayey Silt (ML)'..AP Engineering Test. D'e th" Pi ce n= lace D M -4%W el�att" I aho P a rye° WRIiy a v o t W.N. ft) Moistole °off)'D:ensi Com action : 4: 25, ry_3 5 - *9.&. , .,¢ '' `1-14`.7 »,w �' X125.5 ' ; -: ' • 91' s �, Buil'ding Pad =12.27:04 '-20 ' `3 5 3 � .10 7, ' � 114:3 ." • x125 5' 91. Building Pad k 12:27.04 tw27 :3 5 Y� 10 5 ' �' ' 114.2; z , 5,` ': ", -t 91' ; ; "� `' : 42.17.04, t , ,125 l i -::`' _' , .Building,Pad 2.5: 125.5. ; 94' y 7 -� s , ' M' Building Pad z :- 12:27.04'.:' , , t ., x.29, `� 2 5, 12 9 =`116:`4s t 125 5 i� ' a93� : x ` Building:Pad ` y , ., : , _.12.27.04 30; '- 2 5 -13 4 116,9 ., 125 5 -y `, ` 93'- A ; Building Pad ' `° ` '; :^'- `12:27:04 - a'y`e j r LL: 31 ;i2 5'�, 14 8�. "''117.2 �, : 'r X125.5 .' 93.E , s `* = '_x ` `Building Pad ;' s 12.27.04 ` f a� 125.5 • ' 91 '' r" ' Building Pad w 12.27:04•" r M i 33:1F5 ' 13 8^` _ " 115.1 � � � f :-125 5 "� � • t 92: � =� � � • Building Pad � X12.27.04•; _ �, , , o 34'' s13 1, `' 114:3°+� '' 125 5,", sw,+' r i 91- t' �' i' ' 1'. Building Pad J"� '; 12.27.04' .:•15; _ 35 - , . 15 -N 7 : A 114 9"', -125.5 92', "� .r . q +...Building Pad "` it 1 a x;14 r . �' ,, Kms; �' rtr ,12.27.04, '. 36 + ;3 5 -' . 14 5 ",::-.118:0 ' "'`125 5 �. r :� : 94'.: k ' ` Building Pad ", '` �' ' ;, 1.18:05 . 37, �25, •'"`150 114.9` r",125.5,' -:< �' `92" Building Pad `�,_' : ' 1,18:05_ ,.: _ . ." X96.3 =: 103.0 ,:Y,::' 4 0 25 7 r; 93' '_ ;. "Building Pada . 1:18:05 .;. t .'`.; .-. . r 39 4:0 21 6 94.6 ` `� 103 0 ' `" '192 " t "° Building Pad ' ' `':.R 1'.18.05: 40 • 1 0 11.0;' 111.0 122.0 ,.: 91 . : Building Pad . ; �:; ,,, 1.21:05 l 0 . Y' 16.0 .. 116.5 122 0 "` :, ' . :95 . ` ` y . • r, . Building Pad M - 1.21.05 - 42, 1.0 13:0 109.5 ; - '. 122.0 a . 90� « - %Building Pada �' 1.21.05 " 111.0 110.7 :'. 122.0 > ,. .: , X91 E Building Pad 44'., 0.0- 10.8 117.9- ; 122.0 97: ', x ` Building Pad ' 2.07.05 45, " h 0.0 10.8 118.0 122.0_ ;.. 97. T'= r Building Pad -207.05: ,, •" r: :: -, 46 0-0 ,13.0 =,.4 - '` .' 114.2 v 122 0 :: 94. .: ' : Building Pad ='2 09.05 Lo N 400 g : 0 . 29i 27.x.2,8. 41 • '' :� -- — — ❑ / s f • • •• I • 17 37• X45 I 432 •30 2 _ I ❑ CO •TW 5 32 1846 35 36 �20 I I +auraum ❑ / ITOM ...` F 70• • Q o 06 . ; •19 31 •23 039• I • / 2 ?44 2.38' '• t �• I / / v 4• oil .�41- 1 I - Q _ 25 34 - 40 G I / 0% x+•12 - 6 ---- _J - `---------------- -L m on • ANZA AVE-NUE � 0' ' 90' 180' • Approximate Compaction Test Location SCALE IN FEET (t). *ALL LOCATIONS AND DIMENSIONS ARE APPROXIMATE Scale. Date, AS SHOWN 2/16/05 SEC Pacific Coast Hi hwa and Anza Avenue DrarrRSS Approved rRSS r g y SALEMEngineering Group, Inc. Project No. Figure No. Torrance, California 604-367 1 I 4 Testi ng Enol r 16"'41'Skih Diego, Inc. 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [M] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA EstablisW 1046 Test Date Page - of # WOW Structure__FTeat Location and Elevation or Do* tel,M to... ik A vw� MI 8 a Soil, AC a Asphalt Concrete, ATS - Asphalt Treated Base. AS = Aggregate Base, CTS = Cement Tmated SO LTi - Lime Treated Sol. 0 a Other P = Pavement SUucUW Secdon, F a General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U a Other Utilities, W a Wan Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Number. and W Gauge T* 3A111-6 -7 ?.!C * Modell Wall r MW does W refieve the cmftcW of their responsibility for performance in accordance with the plane, speellications and apOW" F. `4!:S_0008. The contractor Is responsible' for scheduling retesting of reworked areas that have previously failed to meet Specifications. S6 accompanying Daily Report for description of work and observations. T 90's Testing Technician: E Name: Signatu Clent's or Contractor's Acknowledgement: Name: Signature. White- Office Yellow- Contractor Pink- Field Techniclin .4 Cume Number MEE mmmmmi Number. and W Gauge T* 3A111-6 -7 ?.!C * Modell Wall r MW does W refieve the cmftcW of their responsibility for performance in accordance with the plane, speellications and apOW" F. `4!:S_0008. The contractor Is responsible' for scheduling retesting of reworked areas that have previously failed to meet Specifications. S6 accompanying Daily Report for description of work and observations. T 90's Testing Technician: E Name: Signatu Clent's or Contractor's Acknowledgement: Name: Signature. White- Office Yellow- Contractor Pink- Field Techniclin .4 T, Testing Engineers -San Diegol Inc. 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [859] 715-58100 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA tit Number r0 I ,i Test Date yL--- Page --- of �r•y OW W: S = Soll, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AS = Aggregate Base, CTS =Cement Treated Soil LTS = Lime Treated Soli, Q = Other lure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS =Sanitary Sewer, ST m Storrs Sewer. U = Other Utilities, Ulf = WaH Backfill, SC = Sidewalk, Curb/Gutter, O = Other Too# Material structure Test Location and Elevation or Depth relative to... Of Pros Depth (inches)Oy 41, Ael i7- -------------- [. �.__ ..�,;-. �... .�>— OW W: S = Soll, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AS = Aggregate Base, CTS =Cement Treated Soil LTS = Lime Treated Soli, Q = Other lure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS =Sanitary Sewer, ST m Storrs Sewer. U = Other Utilities, Ulf = WaH Backfill, SC = Sidewalk, Curb/Gutter, O = Other ti t, °i NLJcWr Gauge Model and Serial Number: Thi report does not relieve the oontriwtor of their responsibility for performance in accordance with the plans, specificttiions and Y ooges. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specfficaTdons. ' US accompanying Daily Report for description of work and observations. :.. 'V ��,.• ; ' %r • Signature: ASD'sTesting Technician•. Name: �. Client's or Contractor's Acknowledgement: Name: c• White- Office Yellow Contractor Fink- Field Technician Pros Depth (inches)Oy Den ity WM Density 00 [. �.__ ..�,;-. �... .�>— r Density (pd) 'L , :t,_j._ _.3z�... urs Mb Curve Number MRAmum Density (pcQ ... .- ..?...�.--- ��q.. - -� mum Moisture (%) F�fttivs Compaction, RC (9°) _. iii dve Moisture, RM (%) •2!eeified RM (%) donfonnance (YeSNO) ti t, °i NLJcWr Gauge Model and Serial Number: Thi report does not relieve the oontriwtor of their responsibility for performance in accordance with the plans, specificttiions and Y ooges. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specfficaTdons. ' US accompanying Daily Report for description of work and observations. :.. 'V ��,.• ; ' %r • Signature: ASD'sTesting Technician•. Name: �. Client's or Contractor's Acknowledgement: Name: c• White- Office Yellow Contractor Fink- Field Technician PAGE OF *& it JOB No. INSPEC.710NS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE -OF WORK INSPECTED ❑ Reinforced Concrete Structural Masonry . ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project. Name . WA LC�" t✓ i=1.5 .7 76 6 TESTS, PERFORMED Yes ❑ No Client _ L� //lit ��Eiti e'G t�1 ( Type of Sample GE -22`r' 3 X 4P Address i.t:)AS 64 t ni CTao-j, AVS 1A Qur,rr'A Slump — 24 T Architect tF" CMU 7--7 f Concrete Type �rz-0L) i7. Engineer C• T S AMB Temp. Sub Contractor Quantity of Set a f? JK -A Z -- General Contractor T C.-,�ZS i ° T ate . Location of Sample t7 i-irl I, 0) LL Inspection Date 31141oq Bldg. Permit CID CD e-) i AT Additional Remarks on Samples Plan File hi A Other �• �i� �-�f� tii.%D `' v�4 M F-iw) ©r /% 9L s �Zs'tol0D cis+ A '50 1P ' erPpix-W P,DL f (9 114 10 L) ��LL 4GL Li'_`r �fa2rE1�t%l�7 MLtCI-1 �3tC"A1��; P_,560A75ipQDA��i� RSP— u9'3 PzbL--r' 7c: C_%at1T2��t3C�' CY /,JLr>c 06L- -ro �' t -Y) -T-(0 �- + a���►�� P� L.D � �� �� � rro�Oy i r= c1 � res- �Qlr%L CcabT� I understand that the services provided by K&R Inspections; Inc. is subject to the terms and conditions as described the reverse side of this Inspector Unless noted otherwise, the work observed is to the best of my knowledge, in Daily Report, By this signature in this obs observation report I agree r ee to be bound by all terms and conditions on the reverse side of this observation report. substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Inspections, Inc. against all claims, liabil' es, and expenses arising out of or relating to all acts. 5077b61- 0/ NT R AEPRESENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 41h3M I_nri I anp 9 Hpmpt lie 47AAA a Off ira eQf1Q1 . Fnr 10M ARft_AQ'2s; . 9d hr nnnar IQd m Al7_ngi+ "y-• s'�'�''�' t ��V K r%?"'+'�J .aa•+ x. }-..,.�ay5!,zx..I 2kv.£', efdY''�iir.rs. 'vi..'L 'A +7 � >±' PAGE. `OFA a ::Milk jiv,t Consu ting, JOB No.'Consulting r... INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT..=";`'::r TYPE OF WORK INSPECTED. w ❑ Reinforced Concrete ' ;Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning .. ❑ Epoxy 0 'Other Project Name // «P,,Q . TESTS PERFORMED 'Yes O 'No. Client ...Typig pf Sample Address ,�1 X /�,:, Z, Slump '`r T.$:/ ... Architect Concrete Temp. .S,p -Engineer AMB Temp. 6X Sub Contractor 610.6 Quantity of Set as,, a e el� tom, P'P General Contracto Location of Sample .721,L, / %oma S'y'''44t AV Inspection Date 3-2=04 Bldg. Permit Additional Remarks on Samples 'Plan File.. Other IJ •..('/..!/A P.�/(/PN Q//-/yis.P-10 .?f6' /1.9 vli,Y,Ms�T// /S GG/ 4i '�7ti1Ge .G7� GPrI 2/AT 5z",/.� Q lrl/llQle Gon.<o�r��r� �miir��rF c. or, ' • /�,'/o��.Tr�1. 'C7'e2/p_ 7 rc:71 , ab t0 t,S.T / L Pq/. ��++��'+�..• OGt /7Pi�.=.o/�/ '7 L��A /X-�• �ir�//. � .�sTFi��p`iI i[ p��c /�.¢�P/Tie., �.T �r�.-Tion � �iT�1 ' /� 1,�d�/�� - TimeVAL I understand that the services provided by K&R.Consulting is subject to the Unless noted otherwise, the work observed. isto the best of my knowledge, in' terms and conditions as described in the reverse side of this Inspector Daily substantial compliance with approved plans and specifications. Provision of . Report, By this signature in this observation report I agree to be bound by all construction monitoring by K&R Consulting field personnel is not insurance, terms and conditions on the reverse side of this observation report. nor does it guarantee construction of any .type. The performance of Our Inspection -services -is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The. Owner or a successor in interest shall waive and indemnify K&R Consulting against all claims, liability', 1 damages, and expenses arising out of or relating to all acts. / NTRACTOR REPR SENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211. West Acacia Ave., Ste. 12. • Office. (909) 658-3296 • Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy PAGEOF� JOB No. INSPECTIONS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF. WORK INSPECTED ❑ Reinforced Concrete. *Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name rsjr !J 5- .77(a 9 - Client % 1i1Nrp f�Wr11)6"r&atiJe. Address tt!AS!-tt����ra 5l' �`�°..C� QU4Al Architect jq, 2✓ z Z Engineer L° T S Sub Contractor 6- c General Contractor RT M Inspectionbate 7S /e CJ' y Bldg. Permit O "r l v, K Plan File Other. TESTS PERFORMED gYes ❑ No. Type of Sample Slump % Concrete Type 3 Q (�f?-cyt?r R4S�O�t �-rr3t7 AMB Temp. 9:z �� 1�1Z .y01 501. Quantity of Set o 4 L Location of Sample ZZ -0 J_ /-`r IIJ4e Additional Remarks on Samples 4 /A16F6C5-t= r) rz�C13AA�,�0 Ls�r' A�o&Wi tt p&L, �-4S`r W A-tid se jr ?- �2 a t� Ta fir; 2�L�rJ P� cG-,�•�z3,v� �F r�` cLt ud s '712 -2J10n(J d e., M I X tt 1-16:501 G2001 ® A e-3pVir e4)r7,0,Jc, - 461 (!&-L_e, 1V1W1!1i4 a �RL'pAaZL117 . ro20u`; �A Ltx -,g-r rte' 0 P,:�-2 I understand that the services provided by K&R Inspections, Inc. is subject to the terns and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report The Owner or a successor in interest shall aive and indemnify K&R Inspections, Inc. against all claims, liabi g s, and expenses arising out of or relating to all acts. SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER Lori Lane 9 Hpmpf_ Ce 99Rdd • nffirn lanai RCA_490Q a Comw /OAA► Cie4 cn2t . 7A I.. e4T n0144 fr '...`•. r' fi , ^rK z.. :.t ,.ac t - - ,�a...r'L 5 3'e-af ;:Sat' '6- _ zia;C. PAGE OF: JOB No. Consulting Consulting . . INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED - ❑ Other- ❑ ReinforceclConcrete A ,Structural Masonry ❑ Structural Steel Assemble ❑Post Tensioning 'Ll Epoxy Project Name TESTS PERFORMED J�'Yes 0 ,No ^Type of Sample A,I; Client / Slum 2 5 Address r y,� T� Af/1 p - �- Concrete Temp. Architect �ellL 7a'. AMB Temp. .Engineer ""Cluantity of Set e �� � o>✓ f/� P �" Sub. Contractor General Contractor �T , -Location of Sample T�/ �� Inspection Date Bldg. Permit Additional{Remarks on Sampl ., Plan File �� f Other 3AY. Glp a f . P est 1 i�anA �P, '..A a•. �rio I understand that the services provided by K&R Consulting is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. rneiToeCTnR REPRESENTATIVE Unless noted otherwise, the work observed is to .the best of my knowledge, in I substantial compliance with.approved plans and specifications. Provision o1 construction monitoring by Il Consulting field personnel is not insurance. nor does it guarantee constructionof 'any type. The, performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report.. The Owner *or. a successor in interest shall waive and indemnify K&R Consulting against all claims, liability, damages, and expenses arising out of or relating to all acts. SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER SIGN 1211 West Acacia Ave., Ste. 12 •Office (909) 658-3296 - Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy `!TN �sah' Af � ���t f'!, "'fl.•�l�'^y'�� INSPECTIONS, INC. a INSPECTORS DAILY RE �xi IIS ie— 'c - '4-44'44 SRT ANDINSPECTION AGREEMEN ° ;TYPE OF 'WORK INSPECTED _ ` M. ,�6 .> -• � " !. l} •- •S ...4' � f A.•j 1'/ F izt-. it � � Y�O� ! 4r -� r V9iV.rn• 7 •, 1, dY, •!4w / ". M�I+Ary'.%�V���i.�"���F': Rein%rced Concrete a ` ,❑ Structural Masonry c Structural Steel Assemble 0' Pos4 Tensioning }_ '.: 0 EpoxyW*0 Qther' +•r.�.� r .::<i . C- S`* � z jr+�'21 ,i ` moi• i . .K.••.: T�Y^^� ,aY,f••��,�'(i,�,�y��xY1�42A - l .u. tr ,w.a•.i.-M` ��bv :•" ,i%-: j'dIL `_l? y{''A � .�'9-. Project Name ' (,�, a s �` �.,,P au .4k-'} ,t, �- a:TESTS PERFORMED O Yes Client-` r`.1�J► / �j (/ (l �+' !�� �} r1 e• �, wvYf..Kf:� 1 «Y .]r 'i Client h ' ��` J/ //Y`� f I I // �I• Y315 Ay fl i cif^ Yj 7 li`� I i.x ri'e4� f AT�bY t iyR �1�FJ Type of Sample _ Address S"H f:G�N :� i Ih:iGT'G/ . �tr�(�cii�Vtr�' - - i,Slump '''f S is ;.� 'l (1C:tJ Architect 7 Z/ ,.,� Concrete Type Engineer -CR IitJ3n 7-! j tom '- o rr ""�' `k��r s r.. t S ~- AMB Temp.. Sub Contractor r .. :' •. ,r •. - ,. „ ! i :;S ,rri h 3 Fl a: a r:; f t ei� , Quantity of Set _ _ ta1� General Contractor—)R - 7 -I1 • C, C��iS7"AtJ I -ti ` " -- �.•� " . of Sample }'Location Inspecti_0P -...i L.: •c• •i•• 7Gt'}'a !! r3,T'4:,�'17�Y�t_.',4 V.. r9u4ei+,u,4e Y i } ,yJ �. at A }- 2 y } }. �¢S+}Y }I`X •"-�' on Date.,,, •• fie-...� 1~,'..�!«s ,. � � . !7' "! psr"° 4A- !�•. ?A�'"!'.a4 t' - ._. ,.... -.. ._ .N. 1 � S•• '.f - y.. Bldg, Permit Additional Remarks on Samples~` . .. t+ •i,4 F L k � .. Plan File .�`'_;: `•"' »'�-_ :_. _ ` w'k `� '�M Other ...... . • .. �� . -•- •- ,- � a 3.a�1.G" 'G!?.roak� _F,.,>:, yn, .. .._ '1:. , .q ':l?Z'MFltiv:ii,,r,::+1• n1 -...«LY. .�+. ':p. r,. tf'[,t?'•.�' Y.l:. . o ` 734 )r-' .i•`.e�. -r� ST f a 1;'.r a.i S -t w -k iutVM1„�'.�`. ,..: i:_' t.^.-1 �:.F } .., �.x rtn'f^.Y. -.. .. r -•j a1�.4 t..`.a: - - tJ � \•-'i� / - ✓! /` � � / `•... 7.. i I'. I tf FTS 'l7 'tl w •- T^F:..--• .ni^Y'- _•�^,+i T r - s it. �� 'TY +.t - y ,. .. :,•� ; �,11 ^t%'4ry fY, i t'li4i'"h"T� Yi" j •T K- 'y` k i.' . -� MF•Y9•�,b fiyY ldVt ,7.- R'Mt: •i _u,arla At. bi�.s f .s- met•. t S0. i6 / 'tI ' }a':-`'�:1� frs `".•fx�...vis+u-`-t4 tt .r;- -> �i .,r'�a :,^„t' - 7.i'� }) yam:.:{y;t/_� 0(iY.f•a w .> of i5,r i�i,�,4•.Tr� . J .' �- //)3t - yy" _ Y _.. ,. i • :r?1-or t•'�,Y �:"' .>�.��4�r - �.i?,.i,:r r ,.a.r,�:�`iS.,.fir�': F.7` �. j.�_.�_' . t,'.:.":T J.itrr �{d� i': �.,lr -. 5 - - .. .. .. i tK, '��rs _'{ i'.r .T,, �.5 r �a .!�?�Iwi .M i��s .Jt. •./," .t.1:.'Y7rtl�.. 1�..-� .Y..'. � il; i"• :i. -. • ::ilJ 4a .i `A�,7i i- -.tF• -.,.. .'!�{'ya1•w.__ ,`'F:.Y +3:. ' ._ .. - - 'w+L::. .:t...:.;�"i,�.w ..:s::+,lr:�i: ..i+tr rr• ,a.:w-- r. r�:..i�w ,-i,-r !. •..i4 t r..?:i-. a'i�6.0.' ,.z :[G,..ae t L+3F+t1'1; xi ?. —► '*,:SY"L� r, - `a. . .. « .. .•.l r.. .3 .. '>..- i K' .4 _ _ :sic ?�.: L.H. y�.. , .. ,. ... .. ..- i,� .: n:Tii.'yi:��.�•.Tl-Zl .�kiiirn..,-: ^'� t . i M. �.ri. � - .... v - - ; � - 'i"'."' „•#t`�+4 E' - .. 1 .r 'i^- : i.. r.3Ci'�r. c a!ts: . -... understand that the services provided by K&R Inspections, Inc. is subject to -' ••^r the terms and conditions as described in the reverse side of this Inspectorsubstantial•compliance '.:'a "• Unless noted otherwise, the w6rtc observed is to the best of'my knowledge, in Daily Report, By this signature in this observation report I agree to be bound — with approved plans and specifications. Provision of -`-construction by all terms and conditions on the reverse side of this observation report. monitoring by K&R' Inspections, Inc. field personnel Is not insur- ,, ;': _y_; ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in -' -`'-•the reverse side of this Inspector Daily Report The Owner or a successor in ;Interest shall waive and indemnify K&R Inspections, Inc. against all claims, ! /rl- ' ` ' "--* -'�• •' liability, damages, and eXpen arisin out of or relatin to all acts. 9 9 CONTRACTOR REPRESENTATIVE SIGNATURE OF REGISTERED DEPUTYIF CERTIFICATION NUMBER 41638 Lori Lane - Hemet, CA 92544.Office (909) 658-3296 - Fax (909) 658-6935.24 hr. pager (909) 617-0211 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy w.il<r (}Lit •: .. .Jam .1 .Y ❑ Testing Engineers - San Diego, Inc. .7895 CONVOY CT., SUITE 18 SAN DIEGO, CA 92111 Phone: (858) 715-5800 Fax: (858)715-5810 'f''"� L .�'ix. �i..,c.''i^C,' i rR 87 L•V { .,e'a b � .2 Testing Engineers —Inland Empire 571-E CRANE STREET LAKE ELSINORE, CA ' Phone: (909)471-3500. Fax: (909)471-3732 P e 1 of .1 Date -4-2004 Job Name Walgreens LaQuinta Job # 65216 Address Washington st and 48h St. General l Subcontractor Type of Service Performed ® Field Report ❑ Notice to Comply ❑ Concrete ❑ Structural Steel ❑ Waterpi Concrete ❑ Prestress Concrete ❑ Fireproofing ❑ Roofing ring Observation Masonry- n Other Inspection Check List: ❑ Soils Report Plans ❑ Specs. ❑ RFI U Codes Building Permit # 0308-184 Plan File # DSA # OSHPD # On-site Equipment ❑ Tests Performed see attached Sample Type Inspected reinforcing steel for size, grade, lap, location and clearance. A615 grade 60 steel reinforcing bars were used in construction. Inspected grout space for clean up and clearances, immediately prior to grouting. Masons were observed for proper low lift grout procedures and techniques as noted on approved drawings as noted below. Inspected the placement and consolidation of 16yd3 grout mix#46501 pl9fed in the following locations: The west wall, and the north wall, to a height of 16 feet above the f The concrete was delivered to the site by Associated Cast 1 set of compression test grout specimens. Groin inches. 72°F in PM Partly Cloudy I CoNbrete Inc. in 2 loads. indicated 70°F slump indicated 9'/2 CERTIFICATION OF COMPLIANCE: To the best of my knowledge, all of the observed work, unless otherwise Start I Stop Reg. Hrs. I OT Hrs. stated, is in Conformance with the approved plans and specifications and the workmanship provisions of the 1100 1800 Applicable code. For any non -conforming items the contractor shall schedule TESD for re -inspection or re -testing. Note: all inspections are based on 4 and 8 -hour minimums. In addition, any inspection extending past 12:00 P.M. (noon) will be billed 8 -hour minimum. Concrete Certification's ACI # 949664, Masonry Certifications ICC / ICBO # 5087457-X4 NDT Certifications, ASNT, TC1-A / ACCP # 139880 Level II Ultrnconic. ae*+a le Particle, Liquid Penetrant INSPECTOR'S SIGNATUREINSPECTOR'S NAME Ronald Trebesch APPROVAL SIGNATURE: .: . 4 ..K. . y :. y •w �� f:y5srt. -�-. t +h "'^ r ,� PAGE iJOB No.,ConsultingConsulttri - INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT... i TYPE OF WORK INSPECTED ❑ Reinforced Concrete Structural Masonry ElStructural Steel Assemble ❑ -Post-TensioningEl Epoxy'...-' :: ❑. Other Project.Name 2>�%,,� ,� TESTS PERFORMED Yes : O No Client T, ;,i �,Y,--,po.,.,,, nti /lH r -Type of Sample Address 011 ?I _111111— ig-C, 61 /-0, , .>4, i Slump Architect Concrete Temp.- Engineer_.AMB Temp. 7 f F Sub Contractor GpG _ . Quantity of Set a- 14, General Contractor, .PT�n 8.. /��,a_ :Location of Sample_1 Inspection Date Bldg. Permit o C7 icy Additional flemarks on Samples 5 S6,1 Plan File Other' - eflop,.//ss i ii9/ 3 /%/ .O /1 rY •A G Q /// �P� �.✓P.-1 /• /1U �nr/ X_v/Z /�a �i-,n o'LiIA /r�/ /9�� If •�/n /f •PJI._ ��S a.�.ri/mi 2! �/! /o �l • ll..o / .07-7zGti/r. 7/' �. �:;..��:/.�� r /sem /s/ .z ��,�,! x � %'�' „ �_�,.,/ x 2. X P X.2.,•'.lP�� 2�P/o/. ,%R /2-) C7,00,0,7 - .. Time I understand that the services provided by K&R Consulting is subject'to the Unless noted otherwise, the work observed is to the best of my knowledge, in terms and conditions as described in the reverse side of this Inspector Daily substantial compliance with approved plans and specifications. Provision of Report, By this signature in this observation report I agree to be bound by all i construction monitoring by K&R Consulting field personnel is not insurance, terms and conditions on the reverse side of this observation report. nor does it guarantee construction of any type. The performance of .Our. Inspection services is subject to the terms -and conditions as described in the reverse side of this Inspector Daily Report. The Owner'or a successor in — interest shall waive and indemnify K&R Consulting against all claims, liability, damages, and expenses arising out of or relating to all acts: ,.CONTRACTOR REPRESENTATIVE SIGNATURE OF REGISTERED DEPUTY . CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 • Off ice (909) 658-3296 • Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy u 4 i + 'R- VAGOF ' ( JMR MN r t Y s u �..`I « kwX• -:r a 1t.3 a'= .utt�Kf 'l�ri �tr>r'',"vzi: a€a'' W,,,,a, m rsn 1 f } S7 nak 4 x x^' r 3 7 v 4k i�xt z �w7cNSPECTIONS. INC 'INSPEC.TIONS INC t Y�ix rti Y� y AND INSPECTIO�_1 MEINSPECTORSDAILY"REPORT Ii1T = TYPE OF�Wbya OItKINSPECTED y ; •��ac EVReinforced Concrete Structural Masonry ❑ aural SteelrHssem t F O Post Te. ionirig _ X04 f Other 2M k '+ yr,C Project Name 1� l {Z'��1 s 97fv 5: � °' 3 r�f�TryyyESTS` PERiFORMED''.' RUS pFC�� o � q( s`, :ClientsTy'p'eoSample'�'NOW�5 a�5 'nsa-'_+ Address J.0 A� 1°1�9�'�'ei d.► Architect�''� [ .� Coricrete Type ZDc�n4��i .y s t^J ^ • Engineer C.T 5 r AMB Temp [n LAW - Sub Contractors "QuantltyofnSetME s�[�II�tL' •—� ? i �,� :4Fr a F a 3 't dim 2�, : a£ ,, a '":gea �•"'�6rYa,�'r'.`�r�i`'y7f�,i�i, � T pa General'Contractor' LocatlOn�of Sarm�pqleu�" - .®�. _: 3 7� } �' `7R' Cfj Q �v i. :'j t• � `� •. Inspection Date—:* �J �M IU --r-1 _ Y ,� .,. ,�., � M�F � •�,� Bldg. Permit Additional Remarks on Samples K > Plan. File, �p b q <_y f-'C��E���i 32rox�'£+..i�T..'4�; Other JS c r,�d 3�� _w tsa;�<?{6.:'x`. :<.ze53.rerrv#L•,m,!!�v+v+r`�$Sf"''.m✓`staasa�ed i'" .s aa.icF.ti• ..''r ��iii,:m..,`',ra.mr'•'re.Sai. . a'.lipY`DvT Cts�0T`e,`°, _ F .: CH!w'r ..-.«. -rF i Ya -w eRe,'r%•.: 'E+r .. _. .,���4.iWR3'±Y` .rI•� 1 .fir 77 9 IJ` 4 � 3 ....�—��..�1 } / Qom- i N .0*;h� �'^'• n .• '' /'. .NCI M�itl6m5 f sow. �y /a // p j a/../ �{-Avul3y�i�+s3/�sC//Jr�xr :r/xF,s/�, +� >;�Jad� :¢ - �li/��S ��IP, `-nd� CL" ,C_{C C���tT�lr(S.C..�F�l77 .a.w / 7.60 "''r ' y^L7-Os-�'.���D�f:.V�r�.Wr,r.; _ .. ,. .. ,. _,: Kff R "s,FLc_EjP '� i3"�y?r3 Ji'4H`h CsiB:135'" N S '�i `LT>� �1�2' In 'Y�' 3 %9! L �U`C2U� %n i'�2OUC� 1� /_ti1 l p' � L� ._ "47 } c°�'+, -.. ri73'P .aB,arle iL,Xf .'Jyyt xi'.3kfi'�X3x`�'ti S } f`1MF 'y. h�k h• +> k'iak3y,�"R c .Y ra^ F f.;xIS .. `ir M,Sa�}'"yy4 . MAZE. _ .� .M3't e.'i^ +J#'3: f, Y't+•"`z.EP:. M� �Y ,': r �'7. • '+y _ rl rn a .. Ar'�1r21, IMM. (;�dR% )[[t?:93P :-.Sf•b" '.rt •�k}�N V' S 3 y �, e:�. 'y'.; P ' Ya1�j R"'iJ l 1 ,}Y3W �..iS�y� 3 rIIy� cu�'S r" �cL� Y r�. r}`x�:g9iS.�P.}.i', •+ t +'(u C. yTJ 'Sq X52 rC ;.if-+f.,,r arnJ; �, �-rs�4� �iy` 'xi+R, {7'aY ��,x! '..%'{rt#y, .w.,Y2,.�n�'pSkfi. 532 .-MB3`e ,:. S Fi ff AX& '�,+ig3��� S �' -y VAN' "`•^•u^v�a�V1.+`N, 4YNh'Fn,FA1ifita4 :�{`.+1i51Y5k.fiWs17�X>4iR :7.0 Mvy* qv �i� •i P `� laiP� �yy�'-AS s7.t l understand'that the services provided by K&R Inspections Inc. is _subtecttosx�q r v j+,i tUnlessted'o,hese the obsev`is to {best of myYtknawtedge the terms and conditions as described in•the' reverse "side of. this lnspecto s R. 3 z adv ., � substantialioompUanee wdh approved%pia grali,d apeaficaUons Prortsion:of ,,:'Daily.Re ort,'8 this s" nature in this observation report) agree to be b04,rnd£.5 P Y �9 P 9consWcbon "" monr<onng by K8R51nspections � w - r t fn vfi ld personnels �noa msur-" by all terms and conditions on the reverse side of this observation report A � r'does It guarantee nstru on any?EYP Me�p&O ance,of h, OurilnspecUon sen�ces Is subject to the terms andreor�dfions as describe l in -'{ ✓.'1 Ysi L.i' s the reverse side"ofrthls Ins r Dail R The Owner o a suooessor in inte e t shall �" iv d robe' rin idy KBR y= 0°and''expen I spe ons lr c�against` all claims; ' °R�'aaF a e esansing ou`t of�orelaU Uo'allaclsi ! ��... E. -. _,� .•_r' �-YRvFN �C�AT�IUO'�VN+'N�iaMxR .R SE B^F� U�.h ISTERE;^.Y. ;�. EPUTY ObFra��R�E.xG= a :,ts{r,� -.3I:3 .E. wee. �nn�. _ e_� 5nnnir eO cA�e. A` 1.�:.....�,.��rene► +7'A!fA A 0 r �R PAGE OF *&R JOB No. INSPECTIONS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name WAL(ZiZ��J�S �7fo 5 Clients Address 1d)A_ I A9tn e7t� 'yf� rte_ L QU 1:-,�YTA Architect 'P L).;Fz C Engineer _ C_T S Sub Contractor G3C- General Contractor T�M Inspection Date 2,lip,D� Bldg. Permit n'�46 Plan File Other TESTS PERFORMED J*Yes ❑ No Type of Sample Slump. /0 tt Sr Concrete Type 15W, 7 --Doo Pyr A'--`30 c 14TE'V AMB Temp.-69"�-Jc hoAje 74 dF Quantity of Set A �"ArL Location of Sample ji�u7- C.r1Y2�Ue� C'�JZs Additional Remarks on Samples t 'BAAF Ltra:� e-azovn- r— L *T-.10 C-!�T :6ti� (ve !.c)1%s WALL, _ Aim© -e I '3 r7-= Mf -040 (DOT-9.ALL- epi! �s !�idL+ VJi3lzr47W� V' )eetO Ja( c=xeW-r L' O L,uf- N f S- l �,2ouri t -i t< To % In It ;# PU VD"--rZ7 -7-0 . wo-u�5)I -- I understand that the services provided by K&R Inspections, Inc. is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. TIVE L) i Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc, field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report The Owner or a successor in interest shall waive and indemnify K&R Inspections, Inc. against all claims, liabili s, and expenses arising out of or relating to all acts. S NATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 41638 Lori Lane • Hempt_ CA 925AA • Offinp 19(191 R5R.i29R • Fax 19(191 R5R_R915.2A hr mnar 19(191 R1741211 INSPE(,TIONS, INC. INS PAGE OFI_ JOB No., : 4t "o'-' .-; g: DAILY REPORT AND INSPECTION AGREEMEI :tom TYPE OF WORK INSPECTED44 ❑ Reinforced ConcreteStructural Masonry ❑ Structural Steel Assemble Ll Post Tensioning ❑ €Epoxy- Project Name /�.�La2Ega� J. A. QutrJTA TESTS PERFORMED L) Yes.,: : ❑ No t Client 1 Eeeic G ANG Type of Sample , Address t� Lt% ftN��c1�1 Slump r ;: l, - Architect rGf? U zz II Concrete Type -j Engineer ays AMB Tem r Sub Contractors' Quantity of Set General Contractor"�� Location of Sample Inspection Date -.4b,e 22 '0q Bldg. Permit 3 a r 1' >r3 Additional Remarks on Samples Plan File iIJ 1 , Other I f.3 �. �r 7 14L- �%ZL-'GZQU`r !NvP I$ ro[ Lotc�1�y6 A2L�6� m IUOti ! 2 Cc=Asi O% r3 L- 'gi p oar i, -r 0 ?-utin.0 5i;; -.e," ?:r ro GEDDA- T G tl I !�p-190« •� 'fr �� �.� a 1F;. ' ,`r_• 'ski ±.k'��.� 1 �:.:'u. I understand that the services provided by K&R Inspections, Inc. is subject to the terms and conditiois as described in the reverse side this Inspector Unless noted otherwise, the work observed is to therbest f m know ed e�in y .g 'Y of P substantial compliance with approved plans and specifications PfdUion of Daily Report, By this signature in this observation report I agree to be bound by all terms and conditic ns on the reverse side of this observation report. construction monitoring by K&R Inspections, Inc. field personnel is nofnsur ance, nor does ituarantee construction of an 9 Y h!Pe They performa� of s c •�7 ; Our Inspection services is subject to the terms and conditions as described r the reverse side of this Inspector Daily Report. Thewn ;Oer or a successor in interest shall waive and indemnify K&R Inspections lnc'against all claims liabil' ge , nd expenses arising out of or relating to all acts:' REPRESENTATIVE ,OMTRArTnFf SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER r AIAIR I n►i 12ne 9 Womof rA Q91:dd • flffir-o tanat itaR_49Qa • rav tanai asR_aQzA • )A Hr mmnor /QAQ% R9';4';2 — r/ *&R AA INSPECTIONS, INC. PAGE l OF JOB No. is #; INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF: WORK INSPECTED ❑ Reinforced Concrete Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ ;Epoxy: IOOther,, a Project Name . r�)AO ao'js G -A. ICU fmTA TESTS PERFORMED , �, ❑ No Client�`><-� Co L �y SIL Type of Sample Address —4 (A i 3-�s�u�'�D N' Slump 9 Architect PeFLU 'L2 1 Concrete Type . 'S.r n ' Engineer i .*s PAGE OF JOB No. ' INSPECTIONS, INC. - • i INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT ' TYPE OF WORK INSPECTED ,,a Reinforced Concrete O Structural Masonry ❑ 'Structural Steel Assemble' 0 -Post Tensioning' L1 Epoxy LlOther• Project NameC �A� G,�' ;c / ,` G 61 41)v. 1:17/7 Client.. ,.._ '., r; r •• . a,, s=.c` .uc- Address �' ' R S/�;:�r o,� / - Architect PC u Z Z r - Engineer -. S Sub Contractor M�. _ General Contractor. Inspection Date — �,: �1. r� Ll ., . .. Bldg. Permit 036 8 Plan File Other TESTS PERFORMED . A( Yes ' ❑ No Type of.Sample ,. _> ,,�r Tom. Sump -3/.L/ w Concrete Type AMB Temp: ty Quanti of Set % J _3 _ Location of Sample�+% /_=A 5 i fi;f, LI), ;•Additional Remarks on Samples yr -d S� /�. ��L. % /l�= l,�.a c� -tet =,� : C C10 O'D moi /PAC/ � ' L ",q& / A S,c— _S o C� C. , �:;- a - c A _3 To AZ_ a iecir.-c� 4 (., tJ ,�!' {- �. �- ,.<<> r � . � r� _S , y G . r•'.� air i �:� �L:.,a c , � , � ['c � ;• • �? � i ,c r 4 11 I understand that the services provided by K&R Inspections, Inc. is subject to the terms and conditions as described in the reverse side of this. Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. j ' ��016NTRACITOR REPRESENTATIVE Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall .waive and indemnity K&R Inspections, Inc. against all claims, liability, damages, and expenses arising out of or relating to all acts. SIGNATURE - OF REGISTERED DEPUTY CERTIFICATION NUMBER 41638 LoH.Lane • Hemet, CA 92544.Office (909) 658-3296 • Fax (909) 658-6935-••24 hr. pager (909) 617-0211 White -Office Copy Canary= Deputy Copy Pink-Jobsite Copy. PAGE 4, OF Consulting - nr,= -; JOBfNo. _ - Consulting ' - � r',i•i )Y.i ai '1 11 +1. �' f'' .t r,1 ilJ r 1.. '1i y' T j'.t Vit. '.t• %. .f .�. �. -`I - INSPECTORS DAILY REPORT -AND INSPECTION AGREEMENT f �. , TYPE .OF WORK INSPECTED, . . ❑ ..Reinforced Concrete ❑' Structural Masonry.*'1^, ia' structural Steel.:Assernble'° , �.:❑ Pbst Tensioning:, Epoxy, _ ❑Other „ ? y. _ 5 '• •; c F` '� r ,XML ,� • } ,, ..� c: , ' Z/or<<�a CJuu TESTS Project Name '' %2 t a PERFORMED „ T"O' Yes', o ,. Client: �'T« f • Ehd:a��/ .ra ` TyP6 of Sample` ' x ►, �„ .:� •Address -h1Brtv Slump'i.•t' t•, ,+ at t, �, +.r:w ,•-, Architect i° �� Y t y' Concrete Temp: Engineer ` AMB Temp . 3 .�,' T = . •:+t t +s.'. 1 : Y 1 7 r , a . ^ Sub:Contracid ' sI« /` (Quantity of Set ' :General Eontractor .,PTiyi ' .a Location of'Sample �'- . • ., r' ,' '� it i r ` 3 r c•' , .. Inspection Date •• 3 ' 3/ t7.y • Bldg .Perini " O308 =/8y e _ Additional:.,Remarks on Samples Other . , .. . t, a,; .. . , ,' r�.. • S A rfYR • ...' t _ , ..1 91 . M' , It14 1. l .i 4 , ; J. •�F Q• ''��/Gt'�OLMCC/ �•JDOo Xri ./A9J Pi �dc :itTrr/ �f AC//�' �fi� r ��o �oA L�O�iO �-K���<. /0,/.2 t '' 4��8 = T� i? — �� A307'' i✓� �.GreG cy .- /L o/i'sL � /tP>t.i� . ~G��+:•N .�/ .h/T j �LC+n C1 /1e/P�•y �O.�XJ /Yi �7. `• /7t. �5�.("X� /� � �dOL F{•� r . i�•�;. !r'CTi:./'��I /l�s/1 A9GlA�t/!.!T?YGl'i. /1PliJ.fs0/t/7/•e./I'O/L • ?� G/iec/�Ec/ Z��e�c G'T�caTib%v 07 .. i ' ,, 6� •/TGe A o•tcii ",_S'' �ae� •, iPis•Jr '�41 �OJ?+c.,.Tr C G.n /1 -' ./1lo'NNA� ''�L7 7 9���` }c "t r "• rt • ` ! c a, - . r • e - a' �, 1<` i J J; ... .;5 a k'� r .. ' ' .v.i-'... v •5 ., - I.. 'I � .. i it" � `}J ) :�! i4: •' ' t` �*�•'+ . 1 , t ` ZJ .. 'rJJ .. �d .r iR t�",• •� 'ri � 1: � S • f • •�9.. � . .5. �. ft •. •'a .. f"4 .. {. "4 f. - . .C? • t' t'" .h .'i`.^ J, :'yh^ �,: , r4 •� . Y .. , •,+ 'r. r.. : r i .3 T . f .. x G K S J -f 'C . �_ .. •".,� T! }• ^I ..t,.-•& .,:.t"'S ..tit _�,:_ 7 •,, 'k .. t t.- r.' �Y .� 4, .J+{':- '"J _f. -` . r .. .., � - 1G. •.V•j.:; .. ,`l. vw ,� `rf. •:J .:iia: I. J...:e i�..1 . l - . ' t t e ..- ..'.r -. a ' .41;. - .. — .x{ - .,..7 � ✓': ,� fir` � r. : t, i° _] Jaj. r ..0 tJ. tt Tlrne'-.J l,> t I understand that the services provided by K&R Consulting is.subject to the : .1' : Unless noted otherwise, the work observedis to the best of my'knowledge, in terms and conditions as described in the reverse side of this Inspector Daily. ' substantial -compliance with approved plans and specifications. Provision of Report, By this signature in this observation report I. agree to be bound by all construction monitoring by K&R Consulting.field personnel is not insurance,-, terms and conditions. on the reverse side of this observation report. nor does it guarantee, construction.' of: any type. The perforrnance of: Our . + Inspection services is subject to the terms and conditions 'as described in the t j it n �. _r; n ,';+ ' < '� • reverse side. of. this Inspector. Daily. Report. The Owner-or,a successor in - interest shall v;aiJe and indemnity K&R Consulting against all claims,`liability, ::.Y. 1s^..�' - „%•,a ?.' ."Y. htI"••,j r •'f- {.- damages, and expenses arising out of or relating to all acts: t.: �rfr - t:. e•.a'`s-- ♦i. ".+.! a F Y i ..Im .Y;-. TRACTOR REPRESENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acd„cia {Ave., Ste. 12 Office (909),658.3296 • Fax (.909) 658-6935 ;. White -Office Copy, r Canary-Deputy,Copy.... •Pink-Jobsite.Copy i - PAGE;= Z OF:- 2• JOB No. .. ,�* .�: c. ,. `onsu ting ,. r .,, �: r . -Consulting • x t: s t i:at. i I.. t;,rJ Nr tr.r INSPECTORS DAILY ^REPORT AND INSPECTION AGREEMENT - L L TYPE OF WORK INSPECTED Reinforced; Concretes ;+; .r:0 <Structural Masonry - ; : Structural Steel Assemble.) ;i <] Post Tensioning �EPoxy. : U Other. r; Project Name,' % `'''' '� ` 4 ' TESTS PERFORMED' ues�. ❑ No` i .. r n 4P�'itQ • i - Y Client T'�.X�6..�%;.""Ap�,�,'r `." t Type of ;Address ysr rE'r� '7i.�re°`ii/:✓ �� G� �; � � Com: slump!� `: '•' � i � .Architect,. GalN - - •:', Concrete`Tem P f Ert i ., u . nber ' 9. lR �: .a..l., ��� f " AMB Te" '-Sub Contractor Gam';-; rV.pl- ti/fro;: lam: ..'Quantity of Set. . General.: ContractorLocation.of Sample :5E Inspection Date VV- 474V �.; G��✓ _ '�� ...s. x les „Bldg: Permit = - - " Additional Remarks on Sampi. Plan File or/ Other �h: f 3aao ,Z< ' , '_7"L -•-.a .... .�r SSt .•..r .r t.: d9..i�tK q / ,�- ( ''.;.. _ r>/ t.. �.^!. ,�// r .`It. -•N, ,. ' r���.:l�Pdl/PC/ %J/c�lP�.•fPir�' �' !L/,itail��.r�.. �i CC/ � .rlyfflP�'• 'J� LPC/� '•LtieriC. •/�%OJ.�i�lP' '�Qi'�: /i1:]�/ �o07 n�i- �' �P 7.�i I•C LQ..i"/_�AfrQTi `TQi /4Q.7A�7 /t �. r/ x. r. 'foc sah/Syst:" nZ•— 3/ 'iP lL,i[ P�.I/X, ���L(.cf�C'� /...Q%7!�; oi.,a/„` O—,�•`is it,�LPen .. _ ss/ / 40 •.?%�iiP�.• �vtr �/. .- �i.s..c�. 'Cri�Ta���//i/S hb/ice s incts�l,.i''r �/'�'/n Tr✓i i.9z 'SAD �tee�,/%.��1� r� !!�ty4ri//A f118 Nd C �i irra w. OP PX.v TOS • � 7 w ; ••ff 77, ell •. ; • •. ` 'N�✓C.- Q//`f PiYf�Pl/i9/PAr.JGA '�/Y/G.�GYJ/i�L/��/1t/1LC 'G4T�uJ ��O/.� �4P' i - �l Q d7. / ./ . -vr=, -:. .�. r « ..p,ij �.:i ,i:. �!'-•i -, .rr ....-r r qi t ,, .. ... ..!' LAff �;o.ty/ ,. ' - 2 , r:. < i .t ti •� ; 1 � _ µ:ms �' r 1 - Time i I understand that the services provided by K&R Consulting is subject to IN 1� Unless noted otherwise,, the work observed is to the best of my knowledge, in` terms and conditions.as described in the reverse side of this Inspector Dally `substantial compliance with.approved plans and specifications. Provision.• of, . Report, By this signature in this observation report 1 agree to be bound,by all: ,_ •t. `construction monitoring by K&R Consulting field personnel is not insuiance; , -` terms and conditions on the reverse side of this observation report. nor. does . it guarantee construction of any, type. The performance of Our Inspection services is subject to the terms and conditions as described in the° t ,T reversesideof this Jns ector Daily Re ort. The Osusoi i2 ccn: interest shall waive and. indemnify K&R. Consulting against all claims,`liability,,' , '-+t .� -•V•1 x} -1>AM rn '3`;��f 4Y. •i^,. , z..'t. damages, and expenses arising out of or relating to all acts. ,;,: y r � . � t P r.rS .r1 + r j ',✓. � '. SCO ..:RA TOR REPRIMENTATIVE SIGN,ATURE*OF REGISTERED DEPUTY . - CERTIFICATION NUMBER', 1211 West'Acacia Ave.; Ste. 12 '• Officd-(,09)158-3296 -9.Fax (909) 658-6935: ' ' sWhite-OffeCoPY Cana ry-De utY' Copy' Pink -Job ite Co py: _4* PAGE OF -------------- - JOB.Noit , -------- -------- -- ---- . IT -r.1 -_ - — - - -- - ConSulting SU Mg "�'Con= INSPECTORS DAILY R,EPORT,.AND.,I,NSPE.CTION.AGREEMENT -- TYPE OF WORK INSPECTED El Reinforced Concrete ry!.� Other. Q Structural Mison., Structural* SteelAssemble ❑ Post Tensionin9'. EYEpoxy r ._' Project ,Name TESTS PERFORMED S N6 F El, Y; EY Client, Type Sample Addte s U 4 Architect, .6666ret6-76m + P. -Engineer AMB T4mip'. Sub Contractor Quantity -6f Set General'Contractor' az' Location. ofSample r,' Inspection. Date:V-L 05/ Bldg.j pirmittr -Additional Remarks on Samples' Plan, File v, Other. 7 4' Z 1A,1& _7 -�202 �S!kU'; a, e.L .203. "e207 ae 2-'22" C. -V -J t Time I understand.;fhit the services -piovided.by MR Consulting. is subject to the. .4 'f-';'uniesg notedotfierwis . e, the work o . b . s e . rved is to the best-ofrhy know�lge, in terms and conditions -as described in the reverie side of this Inspector Daily substantial. doinpliance with approved plans and specifications.: Provision o f,; Report'. By this signature in this observation, report I agree to be bound by aIV. - construction monitoring by MR Consulting field peponnel,is not'insuranco,-;, terms and conditions on the reverse side of this observation report.' ' nor does -it guarantee construc . tion. . of any, type.. The- performance of Our Insi on services i ' s subject to the termsand conditiohs as described in the is, subject sio- ri reverseside of' . this Report. The Owner or a subce r I interest shall waive and indernnify.K&I'l Consulting. against all claims, liability,"," and expenses arising out of or relating to all acts. 0� mi -darnage% t rj f CONTRACTOR. REPRESENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER .1211 West Acacia Ave*. Ste..12 e.0Y"ice (909) 658-3296 *'Fax . (909).658-6935" . White -Office Copy Canary -Deputy Copy, Pink-Jobsite COPT �M ❑ Testing Engineers - San Diego, Inc. ❑ Testing Engineers - Inland Empire A W k k1A 571-E Crane SUM 92530 164 San Owp. ceiftinia 02111 Lake Oshors, California lr plow (me) 7154800 phorw (909) 471-3500 tax, (OW) 7185810 ter. (909) 471-3732 PAP I Of t7, R VLV"W 5 Job No. (0 It Ar % VA 'A th 0 Field Report 0 Notice to Comply 13 concrete 0 Stwurw St" 0 W"Proo" of bgrvtw Performed: 13 Awmat concrete ❑ Pro -stress Concrete [3 Fireproofing C] Roofing; 'F\ M. Engr. Observation 13 masonry � Other -0140 - Check Ust [3 Soft Report 0 plans Specs. [3 RFI ❑ Coda "M Permit 0- Plan File A DSA 01 OSHPO 0, liqulpmant. N'4 'Vk��t C' V.. L C_ \a. \j B ltTe� Performed see attached) §gMI9 Type: T \—;ci C— ICE., 4 cz \4- CiN \Q1 1IJ-10 b to iTION OF COMPUANCE. All of : a Ip provisions of the applicable a *cloe� ftnaturs/Name ftnaturalwarnal'ComPAY I urn IrVLAR irved wok unless otherwise stated. Is In conformance with the approved plans and aped GIons — and ft any *non Irg" Items the contractor shag schedule TESD for reinspection and retesting. �o�orml' I Cert. No. Date: '\j A W k k1A 164 : iTION OF COMPUANCE. All of : a Ip provisions of the applicable a *cloe� ftnaturs/Name ftnaturalwarnal'ComPAY I urn IrVLAR irved wok unless otherwise stated. Is In conformance with the approved plans and aped GIons — and ft any *non Irg" Items the contractor shag schedule TESD for reinspection and retesting. �o�orml' I Cert. No. Date: '\j CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise staled, is in conformance with the approved plans and'specificatio the workmanship provisions of the applicable code. For any "non -conforming" items the contractor shall -schedule TESD for reinspection and retesti: Inspector's SignalurelNarne G �� Cert No, ��� Z& i. ❑ Testing Engineers - San Diego, Inc. o Testing Engineers - Inland Empire 7895 Convoy Court. Suite 18 ✓r 571-E Crane Street San Diego. California 92111 Lake Elsinore. California 92530 - 471-3500 , Sfax: phone: (858) 715-5800 (858) 715-5810 phone: (909) fax: (909) 471-3732 s y Page 1 Est. 1946 Date: 4 ti • Job Name: , Job No.; Address: ' C� Client/Conlractor. Field Report. - ::_ ❑ Notice to Comply ❑ Soil ❑' Concrete �*6tructural Steel ❑ WaterF Type of Service Performed: ❑ Asphalt Concrete ❑ Pre -stress Concrete El Fireproofing ,'❑ Rootiim. - ❑ Engr. Observation - ❑ Masonry ❑ Other ` Inspection Check List: ❑ Solls •Report PlansSpecs. E] RFI' CodesIK- Building Permit #.,el- Plan File M. A119V DSA #: OSHPD M. On -Site -uipment: ❑ Tests [--.-,formed (see attached) Sample Type: , e - I'. CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise staled, is in conformance with the approved plans and'specificatio the workmanship provisions of the applicable code. For any "non -conforming" items the contractor shall -schedule TESD for reinspection and retesti: Inspector's SignalurelNarne G �� Cert No, ��� Z& I [�esUng Engineers - San Diego, Inc. ❑ :rest Ing Engineers'- Inland Empire - 7895 Conroy Court, Suite 18 I . 571-E Crane Street' w + _r F�� r San Diego, California 92111. Lake Elsinore, California 92530 ' phone: (858) 715 5800.' _. • r Ptwne: f909) 471-3500 fax (909)"471-3732. _ _ { _k 'r , L• .. - -.,, a.CC+ . Pagel' Of }i s Est.1946 1 r Date: :7:z— Job 7:zJCb Name: �J� 2E�S L>!4_ C�c=t-IR Job No.' ! Address: 1Client/Contractor. Cgfield Report �':1 ' "A , : Notice to Comply t f. ❑Sod E] Concrete ❑ StruduraI Steel ❑ Waterproofing Type of Service Performed: ❑ Asphalt Concrete Pre-stress Concrete` ❑' Fre ofin Roofin { ❑ , .. pro 9;` ❑ 9 ; ❑ -ngr. Observation Masonry ' , ❑' Other' �u.T inspection Check�Ust ❑ ' Soils Report[Plans [pecs , ❑ RFL "C es Building Permit !t 3 D I� Plan File # - ;DSA OSHPD # 4 On Site Equipment 1_l/ IeStSLPe1fORTled (See BftaCCd) hf . r "- $8m I�'47i 1-7 + y p e, _ �,�u'j �* ,r � tr jj_ i �r -`y Y :. F. ' +! X y, i.. S't �J ,� �; !. - . , ♦ 1T� '.. E:. � ..y - a �, r" `+ �: G „� u m" < q:, y.. '�`' "e^ •.: K k� - w a �. � � .. ��, � rr; ° � �"' • °• i { - •-Y `ter 4` 'bd•Y -�'.*'` S. `r �'"' .. - ... :kia:^ H i 4 i 11 �- ^ " ", � ,� c' e.`z� - +�•:"� .ry }.yam. .. vr r CERTIFICATION OF COMPLIANCE: AO of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable e.• For any "non-conforming"items the contractor shall schedule TESD for reinspection and retesting_ . _ Inspectors Signature/Name �- 1 0 '� Cert No. L 0(, 43aa Ag ' Approval Signature/Name/C any Date: r TESD Form. 100-01 b Consu ting PAGE / OF / JOB --No. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete ❑ Structural Masonry Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name TESTS PERFORMED ❑ Yes Jd No ' Client T s .�� �..,r/ ,: P / , .� _ Type of Sample Address 7� t,/ 9/ . A„ L.. �.?... ,; ,�.� Slump Architect G� �,,.sa - T._ //, f - �� f/ r,., T, Concrete Temp. Engineer X, AMB Temp. Sub Contractor Quantity of Set General Contractor. ,'7', Location of Sample Inspection Date`/- 7-05' Bldg. Permit 63 o 8/•wY Additional Remarks on Samples Plan File �-�► Other /� / -7 �" a Y /'>I��PC/ 7.✓N �c'>'i•/�C. / /7 BJP! v� /.1.T ,./L U Of� A- .2 (% /Ape, ' i/J %mat /T ��1� P r/? i-,••/ c.,t c //7u 7C -i .. .Z1 U, f!i/'!f' /,r r>lo..•� �/�Pf/ .�f i> -r 6t /70/c� 1 /ifyi h'i+->-ZI/P/�n� /��/l.�/T ✓� ✓1'N i�.� P G t�.,7.7�ri�� Gir.HI /i� l.�M ��/ /.p �� �-U�/� i �li -/ 7 / dR"/ .O��r< / c✓/ sO•✓p!• ,/ii/f!o �//..n J� /(/•7� %/'// � / / !O`I i ..s•� !_e/J/�L,'�i Gi4J� �LG7 Y///il � �7�� INr/� /� /1 � r W /// / 1 Time I understand that the services provided by K&R Consulting is subject to the Unless noted otherwise, the work observed is to the best'of my knowledge, in terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all substantial compliance with approved plans and specifications. Provision of terms and conditions on the reverse side of this observation report. construction monitoring by K&R Consulting field personnel is not insurance, nor, does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side. of this Inspector. Daily Report. The Owner or a -successor in interest shall waive and indemnity MR Consulting against all claims, liability, ,J damages, and. expenses arising out of or relating to all acts. CO RACTOR REPRESENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 i Office (909) 658-3296 • Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy. Pink-Jobsite Copy Est. r946 Testing Engineers - San Diego, Inc. ❑ Testing Engineers - Inland Empire 7895 Convoy Court, Suite 18 571-E Crane Street San Diego, California 92111 Lake Elsinore, Caliromia 92530 phone: (858) 715-5800 phone: (909) 471-3500 fax: (85B) 715-5810 fax: (909) 471-3732 Page 1 Dale: Job Name: V J A-t__,r sMGi3.S *` LA- Q%. i —"T Address: r ClienYConlrac!or. -v- • vA �J a - Job No. _ eO (o • D�Field Repot ❑ Notice to Comply • ❑ Soil Type of Service Performed: Asphalt Concrete ❑ Engr. Observation Concrete ❑ Structural Steel E) Pre -stress Concrete ❑ Fireproofing Masonry ❑ Other ❑ Wateq ❑ Roofing Inspection Check List ❑ Soils Report Building Permit #: d3(�8%g� Plan File #~ On -Site Equipment: [Plans. J D-fpecs. ❑ RFI DSA #: des OSHPD #.- [3 tests Performed (see attached) Sample Type: �.� T , � obJ — CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specificatio the workmanship provisions of the applicable code. For any "non -conforming" items the contractor shall schedule TESD for reinspection and retesli: InrnorMre Cinnelnro/Alomo - _ - rprf Nn Project Name Project Number Client Testing Engineers -San Diego, Inc. Established 1946 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA 191« A✓-. Test Date T�'' y Page of Test # Material Structure Test Location and Elevation or Depth relative to... —. ' > N '"E �ti t > .l l„ J'-,' Eta.. 67-- FiA1.5eij 5`y • 1 /c' Wet Density (pcf) L (D v• Dry Density (pcf) rJ 2l ,� - f 7. -3 til J 2 , r:= A, ,• P,.. ter,:. z.3.:: C ' Maximum Density (pcf) Optimum Moisture (%) Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, O = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, 0 = Other Test# —. 7 Probe Depth (inches) 5`y • 1 /c' Wet Density (pcf) Dry Density (pcf) Moisture (%) a i - MD Curve Number ' Maximum Density (pcf) Optimum Moisture (%) Relative Compaction, RC (%) _ � g9,a 17,4 3?.q Relative Moisture, RM (%) Specified RC (%) Specified RM Conformance (Yes/No) `r. 7777 Y. Nuclear Gauge Model and Serial Number: This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting I o f reworked areas that have previously failed tt meet specifications. See accompanying Daily Report for description of work and observations. / J:., TESD's Testing Technician: Name: J = A/" `U2 Signat4re: Client's or Contractor's Acknowledgement: Name: Signature: White- 'Office Yellow- • Contractor Pink- Field Technician Testing Engineers -San Diego, Inc. 7895 Convoy Court, Suite 18, San Diego, CA. 92111 {; [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Established 1946 Project Name 4 , A.& , /�l a . •° . `1 V. Project Number Z�� / c'v Test Date / ��� �' Page of Client ' °+`y ,� :T blit a t Test # Material Structure Test Location and Elevation or Depth relative to... r ( J � 51vera R. f w. c.�r �,. Ga;� E s':J. r T�;r.,,h, Al J 1. . "7 -S /d oJi n 2 r9 aL C-**, r,,, -i :J „t r.,..)v G,:, Z . f 1 I• 11 Z. v f Z. F / Z Dry Density(Pcf)..._/03. /h11/n;/, n2 .z. n , fi2•` /�r.-7 10,3. ! /02— Moisture : �. //. ;` �. S"' f/. /C).�,- i 3 - `� o A,A. A r.. J Maximum Density (pcf).-_ " Optimum Moisture (%) # U Relative Compaction, RC (%) c (D .-1 r.• y n 7 . c ill Pro ILA ? r- n Ge J D F 1., , r. 1 . z N" Specified RC (%) Specified RM --Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated.Soil, O = Other Structure: - P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, O = Other 0.0 Test # Z . 5 r ( J (� �7 • R. `'1. 1 Probe Depth (inches) g ` f Wet Density (pcf) .! ,� t �l. 1 Z 1 t. �- f 1 I• 11 Z. v f Z. F / Z Dry Density(Pcf)..._/03. /h11/n;/, n2 .z. n , fi2•` /�r.-7 10,3. ! /02— Moisture : �. //. ;` �. S"' f/. /C).�,- i MD Curve Number `� o r.. Maximum Density (pcf).-_ Optimum Moisture (%) # U Relative Compaction, RC (%) c (D .-1 r.• y n 1 , `lam Y. t 17 ? r- n -z- Relative Relative Moisture, RM (%) Specified RC (%) Specified RM Conformance (Yes/No) , 1�.5 V,li_ �! r' Nuclear Gauge Model and Serial Number: ! f - 13o J% -3 -i This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed/Vo meet specifications. See accompanying Daily Report for description of work and observations.. . / TESD's Testing Technician: Client's or Contractor's Acknowledgement: White- Office Name: T� . •� I n.c'I Signature: Name: Signature: Yellow- . Contractor Pink- Field Technician 1' a :w_•M��,. �. .,.,.�,,,..,,.,.,.. .., y rr�y�'v-v�J -r .Y ... .-y.,..,,...r•--:�•.w....-.»xi�.�-n,«-.:�•c.....�,.-.ra;••'�ey.-+Ms�•r'rr,�Twws..��•r-.r,+r�•trg;rK:�_..;y.:v',._,.•c.:rr+rt`t++7s'.:+.vy� Testing Engineers. -,San Diego, Inc. Established 1946 7895 Convoy Court, Suite,18, San Diego, CA. 92111 t [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Project Name "`_Af /C, / n 1 ` 011-1AiU I v / C W,'A,11, A. t -V 5` Project Number Test Date %� / 5 ! J Page" of Client Test # Material Structure Test Location and Elevation or Depth relative to... I Y l� . 1 Colam, C.;. ._ ..l14 - g Y 7. Probe Depth (inches) • �, `� • a � E• ` c r/ ' fir'' y' i y' f > X Wet Density (pcf) I r {, e Ih. /: z f (/Z•"I -2— C 7. S AJ(o {. i� in �oo•y1 an C•M. Z f�t.dAJ /0'5•7 Dry Density(Pco Ibl:./.. /��• /n*' $ /or n /,/n_ I. G /lJt,,•l /r>7. 5— �f).� 4 Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, O = Other f Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, O = Other Test # 1 -3 I Y l� . 7 . Y 7. Probe Depth (inches) • �, �' �' r/ ' fir'' y' i y' f > X Wet Density (pcf) I r {, e / J f'/ /: z f (/Z•"I ,G./, /r : /r'7.a / r,d //n.? /0'5•7 Dry Density(Pco Ibl:./.. /��• /n*' $ /or n /,/n_ I. G /lJt,,•l /r>7. 5— �f).� /r C. 3 Moisture(%) / 7 k,l 7. 3 /n! `:•�- l.3 c.z MD Curve Number d 7. A97 -7 Maximum Density (pcf) Optimum Moisture (%) I.„ P. Relative Compaction, RC 7. Relative Moisture, RM (%) Specified RC Specified RM (%) Conformance (YesMo) Nuclear Gauge Model and Serial Number: -7,✓1, - 6 7:3 3 a This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Reportfor description of work and observations. TESD's Testing Technician: Name: z) tin A) — Signature: Client's or Contractor's Acknowledgement: Name: Signature: White- Office Yellow- Contractor Pink Field Technician ..• �ESp • f r � � o 9e�RATOR�'SG ::_.r;,�.�„_,.-�.,....,r.w........,..b,,,,,.,..Hy,+: r-r.�:.a;,..,�'f�,.w,;,1^,s..•.-•..._„w+n•-p+r•=+•w•-e-^;11�r-.y�.:;.^rv2f:�iX'i:»fytrt'xV`'., Testing Engineers -San Diego, Inca j 7895 Convoy Court, Suite 18; San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT'OF COMPACTION TEST DATA Project Name r/moo/G 2y r c = Project Number Test Date ��� `�/0 Page of Client - tM ;r3, ., i i. 4 - Established 1946 e Test # Test Material Structure Test Location and Elevation or Depth relative to... V ' [� •�t yG� �'4 `3 ,®�'l 'V YL„I � ,1 P '�l rJ �I��!'.. _ 7+ a I v . .�1f0 • \ 4 Probe Depth (inches) /. > A/ —h' n'I� rat `%fv ; pori , d t- EL �. -tf, Dry Density (pcf) f .,q /� 7 �/ /ra - y 7-r /, ;-z Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base; CTS = Cement Treated Soil LTS = Lime Treated Soil, O = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, O = Other . '.Test # Probe Depth (inches) Wet Density (pcf) 111/3 Dry Density (pcf) f .,q /� 7 �/ /ra - y 7-r /, ;-z Moisture % MD Curve.Nurnber d 7 e)�� Maximum Density (pcf) Optimum Moisture (%) / r. d r / • t P.0 A10 Relative Compaction, RC (%) 97-7 7Z. & iG :c 7 y 7 n 3 i Y• S Relative Moisture, RM (%) Specified RC (%) Specified RM (%) Conformance (Ye 7Ao) Nuclear Gauge Model and Serial Number: /MjAe f • 1S Zyii -'F, a• r -7 1-t:3 This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor,•is- responsible for scheduling retesting of reworked areas that have previously failed to meet specifi ations. See accompanying Daily eport for description of work and observations. -Y TESD's Testing Technician: Name: c L, 'I__..Signature:, - e: Client's or Contractor's Acknowledgement: Name: Signature`, .•may --r> / � _s��r"':�-cam White- Office -Yellow- Contractor Pink- Field Technician EXL 1816 U Testing Engineer - San Olego, Inc. •❑ Testing Engineers - Inland Empire 78% Convoy Com. Suits 18 571-E Crane Suim . San Dkw. Ca6Fontia 92111 -r Lake t7sfn". CatftOMIa 92530 phone: (858) 718 -WW phone: (909) 471-3500 fate (868) 715-5810 1z,* 9—jr s a a.. %, 90- %+--x- tett (909) 471-3732 P�lw. va 9u�z �''•� z..r-rte. F-.CYLOP Page 1 of Data: 7-61 loq_ Name: % 4 r'S Rsr n s ddress: Av,-. Al, Job No. lient/Contractoc R Field Report ❑Notice to Comply Type of Service Performed: ❑ Sell ❑ Asphalt Cate Ei1gr' Observation ❑ ❑ ❑ Concrete pre-siress Concrete Masonry ❑ Structural Steel ❑ Fireproofing 1:1Other ❑ Waterproofing ❑ Roofing Inspection Check Ust Building Permit tt -Site Equipment: L. ��-�-� A -,..a, ❑ Tests Performed (see attached)Sample ® Sone Repoli ❑ Plans Plan File: T ❑ Specs. OSA ❑ RFI OSHPO +� ❑ Codes o c. V i5L, 4 ,• 1 Ta3Ttw 1'00t —L.•hsn O 1 R J T 6.o4 t✓at d CERTIFICATION OF COMPLIANCE: All of the abservad wnrk unl0aa „x.e, 1, rmw tn�t)w , - -- -- --. - ... --...-••••W ,� ......-o aypiuvw puns ano spectucauons ana the Workmanship provtSionS of the ap Is code. For any 'non-oonforming" hems the contractor shalt schedule TESD for reinspection and retesting, Inspectors Signaturs/Name ( / v - Approval SignaturelName/Compaany TESD Form: 100-01 Can. No. Date: � a m N 7928 Mr. Jim Stone January 29, 2004 RTM Commercial Builders, Inc. Contract No. 2004-001 1300 E. Missouri Avenue, Suite C-100 Phoenix, AZ 92131 . 1 Subject: AS -GRADED COMPACTION REPORT ' Project: New Walgreen's Pharmacy 48`h Avenue and Washington Street La Quinta (County of San Bernardino), California Dear Mr. Stone: In accordance with your request, Testing Engineers — U.S. Laboratories, Inc. (TE -US Labs) has conducted grading observation and compaction testing during preparation of the building pad at above t referenced project. Services described, herein were provided by TE -US Labs from January 14, 2004 through January 20, 2004. Site conditions and attendant geotechnical engineering recommendations were originally presented in the Geotechnical Engineering Investigation report prepared by Krazan & ' Associates, Inc., dated February 4, 2003. As indicated in our field inspection reports, a representative of this office inspected the bottom of ' undercuts in the improvement areas and observed placement of on-site fill soils within the pad and drive through areas. Subgrade preparation for the improvement areas included overexcavation to a minimum depth of 2 feet below the bottom, of footings to a lateral distance of 5 feet outside the perimeter footing. 1 The bottom of the over -excavation was scarified and moisture conditioned prior to the placement of the - fill. ' Summaries of laboratory and field compaction test results are provided in Appendix A, listed as Tables 1 and 2. Results of our field observations and density testing indicate" that the fill placed within the pad meets the minimum relative compaction requirements of 90% per .test method ASTM D-1557 at the ' locations tested.. A vicinity map and site plan, showing the approximate location of the site and density tests, are provided as figures 1 and 2, respectively. It is our opinion that the .pad preparation, including the placement of fill soils were conducted in ' substantial conformance with the above referenced soil report and local grading ordinances. If you should have any questions after reviewing this report, please do not hesitate to contact the undersigned at ' (858) 715-5800. Testing Engineers - U.S. Labs 7895 Convoy Court, Suite 18 San Diego, California 92111 • (858) 715-5800 • Fax: (858) 715-5810 Offices Nationwide 1 1 0 1000 2000 3000 4000 ft SCALE 1:24000 Testing Engineers -San Diego 7895 Convoy Court, Suite 18 San Diego, CA 92111 Tel: (858) 715-5800 Fax: (858) 715-5810 Figure 1 - Site Location Map Project Name: Contract No.: Walgreen's Pharmacy 2001-001 Project Address: Date: Dag: 48th Av. & Washington St. January 2004 MM La Quinta, California IC- £S' -:k �� _VEN_U_f$ _I •.i• '•g Bi S -'G3' U33 i r 7_ _ _���.' �' •'- . .:_•`: �• t I - O _ ` J.--'•. . 1 \4 4 •'I',rla®::° :;JI ,i • o. • it 1`S"' `� fee: " I �,••,•":: ♦��e `"i•; :..,. i%•:`;'•^ 41 CQQ� %_-tl .:'� .• \ 1133 42 se 1 .. ....• i' Si ti•` '� •�• .- � �L) •', lr ,, moi,,, i.,;rE;�'ti•;:: ') 29 30 60 l `!713+ IIl�`.� j enol ` i ,,,,r. 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Hyl i jf33.32 41:5 . 10.04 )0009 Ii• 'J' •� "•S; , I�JI� �'.� • �'C�-i"�: �1 •' • \!r ..• ••.: - ♦. 73 - J e••coreg h- ,• �La Quvd TROe as.{�,. • '_�.(,T, C7 =`_ _-�)�1 s:_ ---r::_='- •`_ "• ? t � )i;1: � � - •'_:.c•f;.l' t-om�;-�;__ I1`I •.. ia.A-oR9A®v.n- eo(®1e- TRooA pmaef9R®e0<e 4 v».Y"YeRem•.•m•®.`,' 9:e•',..i.C%h OmA♦aeseORRRlOoonRi 4ROe99•®R®eAN*4 ,' -�.ti, •. r"Irr{• 1: - . y, h.�{r;%�• .,^ i�' .• . 50 :�-,�•- tilI.oaI'R9f Wel{ I `•r-\. --�-� + 1 i l.� `'.. R9R®sAm POR i 00 f� `�--. I f.. �- � `. ._'"�t_.� -�, i /-•-,��• r r Ase•RReR�R OR 'i AR ye ®�ncAw®oRseRooi'� y 1 I I ("�. •. \ i I , 7-, -• •, J `. ''\ I `;,,J" ��. ', _� ;. 9saR ®Oe 9Rm9• ire. >o wee Rm ®e eeReo � •RRRa I Q _Q_.�. nen.RAa9 •'/.eeRRe 0 1000 2000 3000 4000 ft SCALE 1:24000 Testing Engineers -San Diego 7895 Convoy Court, Suite 18 San Diego, CA 92111 Tel: (858) 715-5800 Fax: (858) 715-5810 Figure 1 - Site Location Map Project Name: Contract No.: Walgreen's Pharmacy 2001-001 Project Address: Date: Dag: 48th Av. & Washington St. January 2004 MM La Quinta, California Oil I Waffgwem LEGEND 0 20 40 60 80 100 ft Compaction Test Location (Approx) SCALE Testing Engineers -San D I iego Figure 2 - Plot Plan 7895 Convoy Court, Suite 18 Project Name: Contract No.: Walgreen's Pharmacy 2004-001 San Diego, CA 92111 Project Address: Data: D^S: P)Tel: (858) 715-5800 Fax: (858) 715-5810 48th Av. & Washington St. January 2004 MM La Quinta, California r ' TABLE 1 Print Date Project Number: Project Name: ' Location: Engineer: Table 2 REPORT OF COMPACTION TEST DATA January 29, 2004 2004-001 Walgreen's Pharmacy, 48th Av. and Washington Street 48th Av. And Washington St. La Quinta, CA Van W. Olin, G. E: 2578 Test # Test Date Materialtructur N Test Location Moisture Dry Density (pcf) Rel. Compaction Conform Non -Conform 100.0 Field Opt. Field Max. btaine a uire 94% • 90% Conform E-A, elev. 58.5 ft. 1 1/14/2004 S N Footing and column on grid line 4; column 14.2% 11.0% 100.0 107.0 94% • 90% Conform E-A, elev. 58.5 ft. 2 1/14/2004 S N Footing and column on grid line 4, column 12.4% 11.0%, 98.4 107.0 92% 90% Conform E-A, elev. 59.3 ft: 3 1/14/2004 S N Culomn footin on line 4; grid E-A, elev. 10.9% 11.0% 103.4 107.0 97% 90% Conform 59.3 ft ,4 1/14/2004 S N Footing on line3 grid B, elev. 59.3. 10.2% 11.0% 105.4 107.0 99% 90% Conform 5 1/14/2004 S N Footing on line3 grid C; elev 59.3 8.5% 11.0% 102.1 107.0 95% 90% Conform 6 1/14/2004 S N Footing on line3 grid D, elev. 59.3 9.1% 11.0% . 105.2 107.0 98% 90% Conform 7 1/15/2004 S N Footings and column on lineA grid A-E, 7.7% 11.0% 106.6 107.0 100% 900/6 Conform elev. 60.25 ft. 8 1/15/2004 S N Column footing on line 3 grid D, elev. 8.1% 11.0% 106.3 107.0 99% 90% Conform 60.251t. 9 1/15/2004 S N Column footing on line 3 grid C, elev. 11.3%0 11•.0% 105.3 107.0 98% 90% Conform 60.25 ft. 10 1/15/2004 S N Column footing on line 3 grid B; elev. 7.3% 11.0%° 105.0 107.0 98% 90% Conform 60.25 ft. 11 1/15/2004 S N Column footing on line 2 grid B, elev. 12.0% 11.0%° 105.6 107.0 99% 90% Conform, 60.25 ft. 12 1/15/2004 S N " Column footing on line 2 grid C, elev. 11.3%,,11.0% 101.6 107.0 99% 90% Conform 60.25 ft: 13 1/15/2004 S N Column footing on line 2 grid D, elev. 10.5% 1.1.0% 106.4 107.0 99% 90% Conform 60.25 ft: 14 1/15/2004 S N Footing on line 1 grid A -C, elev. 60.25 ft. 8'.2% 11.0% 102.5 107.0 96% 90% Conform 15 1/15/2004 S N Footing on line.1 grid GE,elev. 60.25 ft. 7:3% 11.0% 102.7. 107.0 96% 90% Conform 16 1/15/2004 S N Building pad, elev. 61.3 - 6.2% 11.0% 102.3 107.0 99% 90% Conform 17 1/16/2004 S N Footing and columns on grid E outside of 10.70/6 11:0% 103.4 107.0 97% 90% Conform canopy 4 18 '1/16/2004 S N Footing and columns on grid E outside of - 9.9% 11.0% 103.8 107.0 97% 90% Conform canopy line 2 19 1/16/2004 S N Footing and columns on grid A outside of 11.5% 11.0% 104.9. 107.0 98% 90% Conform canopy line 2. 20 1/16/2004 S. N Footing on grid A outside of.canopy line 4 9:5% . 11.0% 104.3 107.0 97% 90% Conform 21 1/16/2004 S N Column footing on line 2 grid B, elev. 9.7%° 11.0% 102.2 107.0 96% 90% Conform 61.25 ft. 22 1/16/2004 S N Column footing on line 2 grid D, elev. 10.6% 1.1.0% 105.0 107.0 98% 90% Conform 61.25 ft. 23 1/16/2004 S N Column footing on line 3 grid D, elev. 9.5% 11.0% 102.0 107.0 95%. 90% Conform 61.25 ft. 24 1/16/2004 S N Column footing.on line 3 grid C, elev. 10.1% 11.0% 101.7 107.0 95% 90% Conform 61.25 ft. 25 1/16/2004 S N Building pad, elev. 61.3 11.3% 11.0% 100.9 107.0 94% 90% Conform 26 1/16/2004 S N Building pad, elev. 61.3 10.5% 11.0% 102.8 107.0 960X. 90% Conform 27 1/20/2004- S N Southeast corner of building pad, elev. 9.3% 11.0% 101.8 107.0 95% 90% Conform 62.30 ft., finish grade. , Page 1 of 2 REPORT OF COMPACTION TEST DATA Print Date: January 29, 2004; Project Number: 2004-001 Project Name: Walgreen's Pharmacy, 48th Av. and Washington Street Location: 48th Av, And Washington St. 'La Quinta, CA Engineer: Van W. Olin, G. E. 2578 Test # Test Materialtructur Test Location Moisture DryDensity (pcf) Rel. Compaction Conform ' Date Field O t. I Field I Max. ObtainecORequired Non -Conform 28 1/20/2004 S N " Southwest corner of building pad, elev. 9.1% 11.0% 106.9 107.0 1000% 90%. Conform 62.30 ft. finish grade. 29 1/20/2004 S N Northwest corner of building pad, elev. 9.3% 11.0% 106.4 107.0 99% 900% Conform ' 62.30 ft. finish grade. 30 1/20/2004 S N Northeast corner of building pad, elev. 9.4% ' 11:0% 106.9 107.0 100% 90% Conform 62.30 ft. finish grade. 31 1/20/2004 S N Center of building pad, elev. 62.30 ft. finish 10.1% . 11.0% ' 106.5 107.0 100% 90% Conform ' grade. 32 1/20/2004 S N Drive through column pad; elev. 62.30 ft. 9.5% 11.0% 105.9 107.0 99% 90% Conform finish grade. 33 1/20/2004 S N Drive through column pad, elev. 62.30 ft. •' 9.9% 11.0% 105.0 107.0 98% 90% Conform ' finish grade. ' r Page 2 of 2 IM UJL 1,NtlN4UN HAUL 141 pfo)ect Name uJ Ny:�o R �� S Prolllot No (,o 5 ?A Project Address-_SDMple group No., Report of: Lf Concrete 13 Mortar p Grout Format: LI Cylinders Prisms 13 HS Grout D Masonry O Other p Corea Cement Typo: a I Gil 13V a Fly Ash t3 Cubes O Seem 13 other Placement Date d'3 -o 0 Type S d Other Measured Specified Suopller/Plent A5 s J i �� G stump to In/cm Q___ Mix Number 4(o ri 01 Kelly Bali In / cm Mix Description 2.0 u 3 � Air Tamp eF / QC Design Strength (Plumps)2,�u c7 Mix Tamp IF/2C Specified Strength NMPe Air Content % Truck No. �,�Tlckat No, Load No. Unit Weight ght pcf /Kg/Ms �"— _ Water: gallons added at _� �t Bet �`--, Time Sampled: 1 c3 . b 0 Ate; S Specific �ooatlont 3 R'p by t�,J Bti�P 'I, AdmFxturas special tnstructions/Remarkaj Truck No. _.__�.Tlckst No. No* of samples: Cast b Delivered Mark on Smnpteat Date R , Semple Age Lab number d In Leo; Dale Tested Tested by DIMOneions Test Area Lo d fn Max Load Processed (In 3 -�� • u�t- o g a li. h?� k Lbs) Compressive e (eI, MPs, KI - 28 •?3 O Fly Ash 13 Type S O Other Measured Specified Za .g•4�4 Slump In / cm Mix Number Kelly eau In / cm _-- Aspik film Prefect Name PrDjeot Address Project No 98tnpl8 Group No. Report oft D Concrete Q Morgfr Format: 13 Cylinders a Grout 13 HS Grout p Masonry G Other 13 Prfam9 Cement Type: Of 1311 p y a Cores p Cubes � seam O Other Placement Date O Fly Ash 13 Type S O Other Measured Specified Supplter/Plant Slump In / cm Mix Number Kelly eau In / cm _-- Mix Description Air Tamp IF / QC `"— Design Strength •( e1/MPa) Mix Tamp 217/10 --�� Specified Strength (pst/MPa) Air Content Truck No. _.__�.Tlckst No. Load No. Unit Weight pef / KwV .— Water_ gallons added at T1nte Batched: Time sampled: �:. Specific Location:. '- by Admixtures Special fn9tructlons/Remarka: No, of Sam lee: Cast b : Delivered Mark on samples: � Sample Lab number bate Tested Tested by Age �� Data Recd in Labt byt Dimensions Test Area L Processed by: Max a x Load ( ) M1 (In) (Ih) (Lbs) Compressive Stren th (pal, MPs, Kg/cm'� i TESTING. VERIFICATION FORM PROJECT: /��VE. T v aC►r/iRi+dt.� +Z.? DATE: .7 d CONSULTANT: /�� �,(/���4t��5/, TYPE OF TESTING PERFORMED: . LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REO'D.) CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS 8 LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS r EARTHWORK: MASONRY & REBAR: STRUCTURAL FRAMING WELDING: ADHERED VENEER: s ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.1 FOUNDATIONS: FLOORS: ) I WALLS: + ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS HOURS FROM TO TOTAL HOURS COMMENTS: ;w GeTi.Ex0 o�'OV 2V4 RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE`. v, - WHITE -CONSULTANT GREEN- CE GOLDENROD -FIELD SUPERINTENDENT PAGE Z OF JOB No. INSPECTIONS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name77661 TESTS PERFORMED Yes ❑ No Client S'T/IlO& eXIClAJ C- G l�?1 AJ GType of Sample GP02-r- •— ,e Address i�AS bib ��0�' Ay>� AL�g ,(A Qur►rPA Slump T Architect Pei2v 7.-7- f Concrete Type �� CJfZ0 L) -r .- 455dCtv4y1-7 Engineer C 7:S AMB Temp. GHQ Or %2►J� 5oG So 1 Sub Contractor Quantity. of Set RAkA L General ContractorTTM Coa iST v oN Location of Sample _r1/0 1-ir-1 W, W A, U - Inspection Date— ate Bldg. Permit 03 dc�) l84 Bldg. Additional Remarks on Samples Plan File N A Other `G -+Q M FL .D lF- LA4 0r-� lug AJ5- o,1- X, -,a' P a'P Mix '�'��0/ Co2oLpr- ® ✓A ZIOUS ItJAGLS 4Gf. CCCLS i�l�lzA, CFS MCCR-1t�iut C'AC�� �' �LtO�t7SOc� DA-��t� Row- var. P O n a- .��. 1 k5; Pr�L:-y VL,, -r -4 5!T r +Z2o Ps Z Ata v 6r S fw t,%AJ T"2 <},t )C Or %4 Lr> a — ©le_ -ro � � �2.L%P/41zGsD a�'l� o� y �d2o ur L.v G� res- Pt�'i2. G'obt3 1 understand that the services provided by K&R Inspections, Inc. is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Inspections, Inc. against all claims, liabif es, and expenses arising out of or relating to all acts. ;NT WR REPRESENTATIVE _5071667-931 SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 41538 Lori Lane • Hemet, CA 92544.Office (909) 658-3296 • Fax (909) 658-6935.24 hr. pager (909)'617-0211 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM a ^l� "y 9 PROJECT/L?l .'} b w.r� GGi�� DATE: CONSULTANT: -Gam_-smA,*. a-7=-E�+{�/ZA¢S, TYPE OF TESTING PERFORMED: , LOCATION TESTED: MATERIAL TESTING (CHECK)" COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS 8 LEVELNESS TESTING FLOOR MOISTURE TESTING: 1 . SPECIAL INSPECTIONS EARTHWORK: r MASONRY & REBAR: STRUCTURAL FRAMING: WELDING: ADHERED VENEER: • ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: - FLOORS: WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN - HOURS HOURS FROM, TO yF2 RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GREEN -OFFICE GOLDENROD - FIELD SUPERINTENDENT DIFORMS\TESTINGVERIFICATION.)ds PAGE OF� JOB No. INSPECTIONS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete.Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name hy,tk (' �?,��-,V 776 9- TESTS PERFORMED PYes ❑ No Client %1;.1T/N!o LoWrtAi z-wJG TypeofSample Address " As t � � �c� � ei'�l''D'' �� Q ua gra Slump &-.s Architect f[-mt)?- Concrete Type 3,4? Engineer C 7-!s AMB Temp. 9:X �F a�l� tib 5�01 Sub Contractor C- 3 C- Quantity of Set o --3t- General Contractor J"L Location of Sample % D Gi�'f Ab2Mq &34e / Inspection bate Bldg. Permit i 130 P-) lA Y Additional Remarks on Samples Plan File N Other /h /N!5l0CCV_ D )ecC13A%L 270 A)o2*� wNu, 01 1 4C -7_45-T (A)44J—,0 :50,J1'* W A -L L- * L;- . TMA o c rs ( 5 �:_ ) nl�_- -7-2) 24 ©� 3�i2✓'t�rJ (-' ,� - ��6�� �F � e� ids ' �/,�`` 7c9oe�os, A-sS-��ra'y''c�� - MIx 501 Geo 01 p A4-3&VbF- qno�� `— Ccy C_s lvlra'Cld F&—/2 ec��� 3 P[Z& Pmt,—r�,, GfZo u.; sq &APLca- C sg-r or N) Pea- 0 o .C>0 I understand that the services provided by K&R Inspections, Inc. is subject to Unless noted otherwise, the work observed is to the best of my knowledge, in the terms and conditions as described in the reverse side of this Inspector substantial compliance with;approved plans and specifications. Provision of Daily Report, By this signature in this observation report 1 agree to be bound construction monitoring by K&R Inspections, Inc. field personnel is not insur- by all terms and conditions on the reverse side of this observation report. ance, nor does it guarantee construction of any type. The performance of 'Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall aive and indemnity K&R Inspections, Inc. against all claims, liabi ' g s, and expenses arising out of or relating to all acts. 6 7_o CgONTCTTOR REP S ATNE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUM ER Lori Lane • Hpmpf_ CO Q74AA • Clffir-e /anal ACR -170C . C-- rene% eee en9e - eA _ _ inns% wA-V nAAA --- - - – -- 1---1 --- - 7— 1-1 vvv-Wv F - it rn. raycr lav,7r w r I -vim r I White -Office Copy Canary -Deputy Copy � Pink-Jobsite Copy RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GREEN- ICE GOLDENROD - FIELD SUPERINTENDENT D:IFORMS\TESTING VERIFICATION.& - � TESTING VERIFICATION FORM PROJECT: I_ 9///f« /'��C�E �r�LI�S- '..�`�-? DATE: CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING y (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REO'D.) <s CONCRETE TESTING:_ t� IiLT . Lc9i�GLS GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS 8 LEVELNESS TESTING: < FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS T EARTHWORK: MASONRY 8 REBAR: STRUCTURAL FRAMING:. WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) ' FOUNDATIONS: FLOORS: WALLS:. w# - ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS HOURS FROM TO ". TOTAL HOURS Z - o COMMENTS: >� LL�� DAF L�� �rj T— � �►- La�rz� � r�t�Y�axx� 3� RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GREEN- ICE GOLDENROD - FIELD SUPERINTENDENT D:IFORMS\TESTING VERIFICATION.& - � *& PAGE —f— OF & to JOB No. INSPECTIONS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name cgw 5 X76 15 - Client Client Address ld)�Stitu��oni �if3r' 'L.A QUe�la Architect 'Ry z�Z l Engineer ['_T 5 Sub Contractor G 3 C General Contractor e T Inspection Date Bldg. Permit -3O Plan File Other TESTS PERFORMED Yes ❑ No Type of Sample GROcJ-T Slump sr LsSr Concrete Type -31A r ZD O 0_ " e_f 4`r6 -V AMB Temp. _�2A4DP OL'o Quantity of Set Ajt)lt"AL_ Location of Sample J;;J>.Du7_ C-A_,0r-2A4Jcar C'DLs Additional Remarks on Samples /�; %Ci G-sL7, C�r3Sc�i2Yt�b 0 Cr' -007- F1_A e_V_MitA_J — @, ZO a F:�r �* 6 A.�' 010e GJ = s ► W-4 c.C., , Ata ovLr e CDL ✓RNs -5 2 y t_I �'�- . 7 3/S 4 A� o e r �r �o nn I nc �/lo S -a — N o - Me.Dco (Dy' -s ,,... ALL CCLL_• Cm 'A'00t n I understand that the services provided by K&R Inspections, Inc. is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this Pbservation report. Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall ive and indemnify K&R Inspections, Inc. against all claims, a e , and expenses arising out of or relating to all acts. X0=67—hI/ SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER r 41638 Lori Lane - Hemet, CA 92544.Office (909) 658-3296 • Fax (909) 658-6935.24 hr. pager (909) 617-0211 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM PROJECT: /`�GQc # t r4y�1�/�Tcw) �:2246W. DATE: CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK) , r t COMPACTION TESTING , VISUAL FOOTING INSPECTION (WHEN REQ'D.) . CONCRETE TESTING: > GROUT TESTING:'r`��.''1.�-�f+� MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS ` EARTHWORK: MASONRY & REBAR: STRUCTURAL FRAMING: " v WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS HOURS FROM TO / TOTAL HOURS �. COMMENTS:: G�.$cCTl•4-rD �✓�'/%C��7C �s�%TGT �Or�S � / a3L>✓t T �,� �'�'�„�EL r�xt � � r� srtb�� sv.�cLs, rage D?FORMWESTINGVERIFICATION.Ids r PAGE OF Z JOB No. INSPECTIONS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name W A`l.0 MC5 >-u S J-4 Qyl ki'M Client IiCS7,J.1io lcN� Address Architect Ek5-IZu Z :r J Engineer C T S Sub Contractor � 1-3 C General Contractor. T 1A Inspection Date -1.11.9 C)q Bldg. Permit (),3 ©,c� / 8 �q Plan File /U14 Other TESTS PERFORMED .)Yes ❑ No Type of Sample T - Slump n Concrete Type *131'.,911 ZDC7D �s, AMB Temp. 9/ s'r Mix Quantity of Set Ivo 2M A L Location of Sample 45 COWM S Additional Remarks on Samples tiJ�PGC�c�b �� ✓�r AMO16DGAL"LMGA1r or 6 Cv yvp 8 A9soCjA?-aa !"Glx L165ol (�,'novv- C-0LUM AA -5 77'ZA5Al if.-WCt / %r G/IST �` 001- , %34565 /a Lt C&CL 5 Ma/ No f3wl J others -- 5�gF or I understand that the services provided by K&R Inspections, Inc. is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. THE Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Inspections, Inc. against all claims, liab es, nd expenses arising out of or relating to all acts. 5i)75A7-C-By SibOATC91E OF REGISTERED DEPUTY CERTIFICATION NUMBER 41638 Lori Lane - Hemet, CA 92544.Office (909) 658-3296 - Fax (909) 658-6935.24 hr. pager (909) 617-0211 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM . a � PROJECT: L��i�l� t� fi�(JZ TgRyGc/�4��dG���s?E.]��/7 ��1�ATE: =�t CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK) ' COMPACTION TESTING: ~ VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING: GROUT TESTING:. MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING: FLOOR MOISTURE TESTING: _ SPECIAL INSPECTIONS e t , EARTHWORK: MASONRY 8 REBAR: STRUCTURAL FRAMING: - i WELDING ADHERED VENEER: ` ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) ` FOUNDATIONS: ' FLOORS: WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN - HOURS HOURS FROM TO R i TOTAL HOURSL_C COMMENTS: oollool RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: J 'WHITE -CONSULTANT.- GREEN -OGOLDENROD-FIELD SUPERINTENDENT DAFORMS\TESTING VERIFICATION.As PAGE OF�L JOB No. INSPECTIONS, INC. ry ' INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT. TYPE OF WORK INSPECTED ❑ Reinforced Concrete Structural Masonry ❑ Structural Steel Assemble : ❑- Post Tensioning ❑ Epoxy ❑ Other Project Name ht)4J_G2tECA---1 s . ,LA- QQuJIA TESTS PERFORMED ❑ Yes ❑ No Client_ I ��a'1'i0.1� `ENG Type of Sample Address -AIR �r 1J'+5,0tN(2 T-0 Ai Slump Architect AGR U zZ ii ; Concrete Type Engineer AMB Tem Sub Contractor General Contractor. �rNl Inspection Date M -h 2 22 ' O "1 ' Quantity of Set tocatio-ri of Sample Bldg. Permit 0_A08 18 N Additional Remarks on Samples Plan File tJiA Other r ✓�_ iJ/�L �/ZL'�fZOU'r' INcv-P [&) 9OC,LD /N6 A2L�As�-: A10e.T4! 2 CO(_oAtiNS a RL-'�42 Ctr'A5 �� �L.DG p Gum /,'7Ve__vM.U5 , JNr �U t-c—D;&D I understand that the services provided by K&R Inspections, Inc. is subject to - the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound byallterms and conditions on the reverse side of this observation report. " Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ante, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnity K&R Inspections, Inc. against all claims, liabili ge , nd expenses arising out of or relating to all acts. TRACTO REPRESENTATNE ZW z SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 41633 Lori Lane • Hemet, CA 92544 Office (909) 658-3296 • Fax (909) 658-6935. 24 hr. pager (909) 617-0211 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy y . TESTING VERIFICATION FORM 7b1r��TE: PROJECT: CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: . MATERIAL TESTING (CHECK) - COMPACTION TESTING: ` VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING: GROUT TESTING: oe'46!t l ec� 4 14- MORTAR TESTING: FLOOR FLATNESS 8 LEVELNESS TESTING: r FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS , EARTHWORK: T: MASONRY 8 REBAR: " STRUCTURAL FRAMING: , WELDING: ADHERED VENEER: ELECTRICAL: . STRUCTURAL OBSERVATION REPORTS (CA.) _. FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: r, ' # OF NAME OF TECHNICIAN - + .' E HOURS HOURS FFROM .., . TO TOTAL HOURS COMMENTS: /�GLr%lI1�Xi 5 -e -o" ��n ;%,--w-5 i5& n5j! 4npe S RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GREEN -OFFICE, GOLDENROD - FIELDSUPERINTENDENT D:\FORMSUESTINGVERIFICATION.& PAGE OF JOB No. INSPECTIONS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED - 13 Reinforced Concrete Structural Masonry , ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name 1JYAL6 [7K0JA /,A- CAUW-VA ClientJ �s�r, co CAv r2 Address B 1A9J,G;}+i"(.T -0a Architect P6R_V 'LZ 1 Engineer i''Ir S Sub Contractor • as (-- General Contractor, 2'hM Inspection Date MR R 23 Bldg. Permit '� l Plan File,- 7— Other TESTS PERFORMED * -*es ❑ No Type of Sample 6-31?_0*J - Slump Concrete Type 3� ZB op gf AMB Temp. Quantity of Set AM Location of Sample /6 rh_'o A,T 1:10 L g Additional Remarks on,Samples S��ciCl> SC2�/L� SA �cAC�t=titvNr Cv • of /, AJ- Cz> 0&'r14 C%Aj0i_te)c_tJ I understand that the services provided by K&R Inspections, Inc. is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. REPRESENTATIVE PAI Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in iliab rest shall wa' a and indemnify K&R Inspections, Inc. against all claims, '' e , and expenses arising out of or relating to all acts. 5D771o67 IGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 41638 Lori Lane - Hemet, CA 92544 -Office (909) 658-3296 -Fax (909) 658-6935.24 hr. pager (909) 617-0211 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM t_)& 4D 4t 41 a3 bO �'�go�ZTE: PROJECT:,ka&4,4e fpm KAs*i 'CONSULTANT: TYPE OF TESTING PERFORMED:. LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REG -D.) CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING: , FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS r ` EARTHWORK: . MASONRY & REBAR: STRUCTURAL FRAMING: , WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: Y WALLS: ROOF STRUCTURE: ' r # OF NAME OF TECHNICIAN h r HOURS HOURS FROM 16 TO 02 a TOTAL HOURS COMMENTS: RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GREEN -OFFICE GOLDENROD - FIELD SUPERINTENDENT D:%FORMS\TESTING VERIFICATION.ads - - - *&� PAGE OF JOB No: INSPECTIONS, INC. INSPECTIONS, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED Reinforced Concrete ❑ Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name &LAIL&,('� Client Address y FTS` Architect Engineer C ,i . S' Sub Contractor General Contractor. % M Inspection Date—3 -3 2 Bldg. Permit 0.30919y Plan File Other D3(�T� `/Doo e S', TESTS PERFORMEDYes ❑ No Type of Sample Ga.ctC.0 / Slump 3XL// /�ey►O. �.z Concrete Type AMB Temp. a Quantity of Set S45 I Location of I3U r [ c� ,�,� .5-C) , A4,& Additional Remarks on Samples Q% S rte' A// /3.4e.�C P. p(..A C t ) ,u c) C --,f Q 1= t I understand that the services provided by K&R Inspections, Inc. is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. 4. y W Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Inspections, Inc. field personnel is not insur- ance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Inspections, Inc. against all claims, liability, damages, and expenses arising out of or relating to all acts. S GNATUR F REGISTERED DEPUTY CERTIFICATION NUMBER 41538 Lori Lane • Hemet, CA 92544.Office (909) 658-3296 • Fax (909) 658-6935.24 hr. pager (909) 617-0211 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM �49 P.�4CC_-WL+Zs*E"�ATE: �j— —d PROJECT:`,,*f�AS !'F'f�G CONSULTANT: �T/•�=z GIS-��r� �� ( �lC�r l TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING: " GROUT TESTING: v ' MORTAR TESTING FLOOR FLATNESS & LEVELNESS TESTING: " FLOOR MOISTURE TESTING SPECIAL INSPECTIONS t EARTHWORK: MASONRY 8 REBAR:. STRUCTURAL FRAMING: WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: ' FLOORS: WALLS: ROOF STRUCTURE: r # OF NAME OF TECHNICIAN ' , HOURS HOURS FROM — -TO TOTAL HOURS COMMENTS- 5�.4181cr� ease—�G�?�rj, } RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: ol WHITE -CONSULTANT `.GREEN: OFICE GOLDENROD-FIELD SUPERINTENDENT ' D:\FORMS\TESTING VERIFICATION.ads .. .{ - • r TYPE OF WORK INSPECTJED ❑ Reinforced Concrete ❑ Structural Masonry Structural Steel Assemble ❑ Post Tensioning Epoxy ❑ Other Project Name Client Address Architect Engineer T4.-% T s-"rY Inc Sub Contractor General Contractor, . 722" Inspection Date 2 -3/- 09' Bldg. Permit Plan File Other TESTS PERFORMED ❑ Yes ,ef No Type of Sample Slump Concrete Temp. AMB Temp. Quantity of Set Location of Sample Additional Remarks on Samples p�� G>:•LT � �(�� /i.n �1 /Yll[O��G.L/dYtX/J. /J eNcn ,rs0„/�s/�.�n-. o 1J 6flf"loe 2 � c'Q�cl ©Cc.Ti 6 ✓s fJ�ot«�t S/77.4L✓ Ela/8 � �l.�ii�/04,- _-2 3:2-07.21 �i^Leci,7zc/ S Cr.�a�Y S� ». • /�NJ�o:�hr�c• �lni� /i>cr.�uc�./ '�>� Time V,4; I understand that the services provided by K&R Consulting is subject to the Unless noted otherwise, the work observed is to the best of my knowledge, in terms and conditions as described in the reverse side of this Inspector Daily substantial compliance with approved plans and specifications. Provision of Report, By this signature in this observation report I agree to be bound by all construction monitoring by K&R Consulting field personnel is not insurance; terms and conditions on the reverse side of this observation report. nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Consulting against all claims, liability, damages, and expenses/ arising out of or relating to all acts. TRACTOR REPRESENTATIVE SIGNATURE OF REGISTERED DEPUTY . CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 •Office (909) 658-3296 • Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM �� Y L��� �O !t::A 11 PROJECT: /%�F DATE:. CONSULTANT: TYPE OF TESTING PERFORMED: i i LOCATION TESTED: MATERIAL TESTING �; " (CHECK) COMPACTION TESTING:' , VISUAL FOOTING INSPECTION (WHEN REO -D.) • ' TESTING:_ '`I CONCRETE GROUT TESTING: MORTAR TESTING FLOOR FLATNESS & LEVELNESS TESTING: F j FLOOR MOISTURE TESTING: ` SPECIAL INSPECTIONS EARTHWORK: MASONRY & REBAR: STRUCTURAL FRAMING: WELDING: _ �iQlilG7 ��irlC ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: . . ' WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN ' HOURS HOURS PROM, °. TO TOTAL HOURS • _ t TS COMMENogle G�GL� G' Llx% RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT - GREEN -OFFIC GOLDENROD -FIELD SUPERINTENDENT' D:TORMS\TESTING VERIFICATION.7ds - ` TYPE OF WORK INSPECTED jd Reinforced Concrete ❑ Structural Masonry Structural Steel Assemble ❑ Post Tensioning 0'-Epoxy ❑ Other Project Name A/- TESTS PERFORMED Td Yes ❑ No Client 'Yga 7PP 7-A,11C. Type of Sample Ce-e-emlL Address �ti 1 Slump Architect Ga..X o- Concrete Temp. Engineer ierU V-1 AMB Temp. Sub Contractor L _5"6,,/!� 1-yh�Quantity of Set Opp��Oo� General Contractor A4271 ! Location of Sampleell Inspection Date Bldg. Permit 030EAEV Additional Remarks on Samples X_!5- ag-e-h Plan File ZXjW_0e: Other s�PA VQ GYLL �/ezf wlPie� O1. QO�Z oa',.✓� ., Tl�/LL GL/ �v r�nLL /'P.TP GY �/ 61 Lr�// LD/RG"P �(.� cYJ F eT B e M . Q- ✓ 1-9 1f B,7 P_ t 717,1- It/ OWE 1411-111 i-J PX AP.ei ns_ �o�ra Gl6 e.'e/ /7n. <an/✓ e' IamR"s . ¢tea. � 2/�i/S 5/ / /.� �ul6z . % 1— zo ee �� ,Ob . ;, C �i� o Sl.�- � �t�/ f /d C� o�L4- Q'/�A, g4X'/%� 'I /b �-s� tl 8 /✓iC /YJ4 X,wruM Oas8 "G /:'�ti�_ , LL�/JC�L'i ,7uXN LLaQc� Ali s+eao QST :z. r2 Pito 7�pS. 2 �iT ! � P�rsbP�iNPreT L�-T /YIRSGYI/ i Gn�ilrisQ !� ��.Z�6/ % �•eP ® iLQ �5�. � t�c<[ l�u /e✓ Pac /�PJ,c aQ �ul/��lQ 3) / eel c Ile- 703 �e� e7fe� li 2 7Time I understand that the services provided by K&R Consulting is subject to th6 Unless noted otherwise, the work observed is to the best of my knowledge, in terms and conditions as described in the reverse side of this Inspector Daily substantial compliance with approved plans and specifications. Provision of Report, By this signature in this observation report I agree to be bound by all construction monitoring by K&R Consulting field personnel is not insurance, terms and conditions on the reverse side of this observation report. nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Consulting against all claims, liability, damages, and expenses arising out of or relating to all acts. vso - `/9 S O RACTOR RE R SENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 • Off ice (909) 658-3296 • Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy z TYPE OF WORK INSPECTED ❑ Reinforced Concrete ❑ Structural Masonry Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name Client Address Architect Engineer Sub Contractor General Contractor. Inspection Date Bldg. Permit Plan File Other TESTS PERFORMED ❑ Yes ❑ No Type of Sample Slump ' Concrete Temp. AMB Temp. Quantity of Set Location of Sample Additional Remarks on Samples .. �. MA s 7Z WA4 i -- I understand that the services provided by K&R Consulting is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. t CONTRACTOR REPRESENTATIVE Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Consulting field personnel is not insurance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Consulting against all claims, liability, damages,, and expenses arising out of or relating to all acts. SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 •Office (909) 658-3296 • Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM for PROJECT:,4,1W4e,,F&,L5 �(%� J44F itY.71�Gt� �T� DATE: ctl ��d CONSULTANT: !�/dr�� �•Ei•�.t� (�L ,b(�f Zw-7Sol TYPE OF TESTING PERFORMED: LOCATION TESTED: < MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REQ-D.) ' CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: a FLOOR FLATNESS & LEVELNESS TESTING: 1 FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS EARTHWORK: MASONRY& REBAR: STRUCTURAL FRAMING: WELDING: " _ /G / !t- ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS HOURS FROM TO TOTAL HOURS COMMENTS: /J ` �7.Qt�Gzcc-fes.=-D�+CK RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: Y WHITE-CONSULTANT - GREEN-OFFICE GOLDENROD. FIELD SUPERINTENDENT D:IFORMSUESTING VERIFICATION.)b fl Consulting PAGE _ Z OF JOB No. • :: ..... INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete ❑ Structural Masonry Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name u�,Pe�. TESTS PERFORMED ❑ Yes J2rNo Client .' r �,' Type of Sample Address Slump Architect Concrete Temp. Engineer AMB Temp. Sub Contractor Quantity of Set General Cr,ntractor, o9r2 Location of Sample Inspection Date z/— 7-0 Y Bldg. Permit _ V_1 o "Y Additional Remarks on Samples Plan File n -A Other t ,�yo w /►J1�✓ 7i�L .i-✓ine. i R..�Ga cti T ✓LayO lk we f 2 a« a �/GhW.,�i, e •y2 of�,.. �, �a�� �ti dP � �r.erirstl /Jo7e�� L r '7"�'Ay /�1✓LP C[� /rt G�L� �P��P 2�i�)Y.� D/l.��rir 2�✓�, at��l�.f//Cl/ � /�6M.J/!°iP!/ �T�/Pd �o►t n7u.n � �c�o1 a✓�rl�yi 6�s�� 1/ter-9��/+�/L�Y� Asfr� rid/n /?.�/En T2 /.✓ �� �a.cJ� �1�Q .� .��� /SLOB.• /p./l i./ 7 /� 6ve ��....� G6� /la vi. QA 71'7L i a 10, �M E' v d Time I understand that the services provided by K&R Consulting is subject to the terms and conditions as described in the reverse side of this Inspector Daily Unless noted otherwise, the work observed is to the best of my knowledge, in substantial compliance with approved plans and specifications. Provision of Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. construction monitoring by K&R Consulting field personnel is not insurance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Consulting against all claims, liability, damages, and expenses arising out of or relating to all acts. C RACTOP RtORESENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 • Off ice (909) 658-3296 • Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM 4/A? ;�. PROJECT: s CONSULTANT:?/'�X� ���DA-T/E: TYPE OF TESTING PERFORMED: = 4. LOCATION TESTED: MATERIAL TESTING ` (CHECK) COMPACTION TESTING VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING:,, GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS 8 LEVELNESS TESTING FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS EARTHWORK: = r x MASONRY & REBAR: STRUCTURAL FRAMING: 'WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: << #OF ' NAME OF TECHNICIAN HOURS HOURS FROM TO Jr-WAJ A-eeA;ez TOTAL HOURS 1, o 03/27/2004 07:18 7608635668 NUNEZ PAGE 03 Testing Engineers -San Diego, Inc. 7885 Convoy court, suite 18, San Diego, CA. 82111 1858171 6-5800 Fax [8581718-5810 REPORT OF COMPACTION TEST DATA Established 1946 Project Name � .i=c, Number IP Test Date _ Pape P.Ot Test M Material Structure test location and Elsvatbn or Depth W&W8 to.., f AA :':!;?'ial: 9 = Soil• AC = Asphalt Concrete, ATB = Asphalt Treated Base. AD = Aggregate Sase, CTS c Cement Treated Sail LTs a ume Treated sal, 0 = Omer Structure: R z Pavement Stnsdural Section. F e General Fill, N = Native Solt, WL = Waterline, SS = Sanitary Sewer, ST o StOrm Sewer, U m Ottter Utijbe& W = Wall aacidill• SC - Sidewalk, Curb/Gutter, O = Other i Probe Depth (inches) �•+ 6 r, (, �. ' Wet Density (Pd) Dy Density (WO t� ,.�i. 3.4 1J.Z- . r J.;;G'...-- .:: curve Number i Maximum Density (pct) Optimum Moisture Relative Compaction. RC Fielafive Moisture, RM (951 q7jj 9'G.�.• Specified RC (9.) Specified RM (%) Conformance (YOWN0) Model and Serial Number: -sport does not relieve the contractor of their responsibility tot performance in accordance with the plans, specifications and applicable ecdes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet spectfk:atim. sae accompanying f)sib Report for descnpdon of work and observations. ,,�/ TESiYs Testing Technician: Name: ' ..... Signatur Client's or Contractor's Acknowledgement: Naft. Signa White- Office Yellow- Contractor Pink- Pteia recnntcian r :r m N REPORT OF MOISTURE DENSITY RELATIONSHIP OF SOIL TESTED FOR: PROJECT:01) DATE: r OUR REPORT NO.: (0 5 2 \ Cp TESTING VERIFICATION FORM PROJECT*,oQr l� 9444�/4I M XJ �7 DATE: CONSULTANT: T TYPE OF TESTING, PERFORMED: ` LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REO'D.) CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS 8 LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS ' 4- EARTHWORK: MASONRY 8 REBAR: STRUCTURAL FRAMING: WELDING: ADHERED VENEER: } ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) - FOUNDATIONS: FLOORS: WALLS: „ ROOF STRUCTURE: '• # OF NAME OF TECHNICIAN HOURS HOURS FROM TO '1Z TOTAL HOURS 2� d t RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GREEN-OFE GOLDENROD -FIELD SUPERINTENDENT D:\FORMS%TESTING VERIFICATION.)ds ` t ` s 04/13/2004 08:00 9098491209 TE USL CABAZON Eal el,*Testing Engineer's - San Diegb, Inc. 7095 Convoy Court. Sulle 10 San Diego. Callfornla 92111 phone; (958) 715-5800 fax; (es8) 715-5810 PAGE 13 ❑ Testing Engineers - Inland Empire 571.E Crane Street Lake Elsinore. California 97,590 phone; (909) 471-3500 fax: (909) 471-3732 Page 1 `` ``ADate: A> --- - 0 Job Nerne: LL 16r-.3 Ct' 1C 1 t r ti-�.sr�i - T' Job No. _ 4JrJIL Address; L Clfent/Contraclor. OkKieldl Report ❑ Notice to Comply ❑ soil , ❑ Concrete ❑ structural Steel ❑ Walerl Type o! Service Performed: [] Asphalt Concrete ❑ Pre -stress Concrete ❑ Fireproofing ❑ Roofini ❑ Engr. Observation &_Masonry ©'OtherrCot�' Inspection Check List: ❑ Soils Report (dans &'specs. ❑RFI odes Building Permit #: Plan File DSA #; OSHPD #; On -Site Equipment CYTests Performed (see attached) Samole Tvnn- LA r- '0_ "r - .J �ruitiuls�ui• �t,C• CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise Slated.As in conformance with the approved plans and specincatio the workmanship provisions of the applicable code. For any "non -conforming" items the.conlractor shall schedule TESD for reinspection and retesti. Lirnerinrr .0 innelwnlAlprr�A ., t - - -- r'.drF Rin - V ['Testing Engineers -.San Diego, Inc. 7895 Convoy Court, suite 16 0 San Diego: California 92111 phone: (858) 715-5800 tax: (858) 715-5810 ❑ Testing Engineers'- Inland Empire 571-E Crane Street Lake Elsinore. Califomia 92530 phone: (909) 471-3500 fax: (909) 471-3732 j Page 1 of Date: �T — (, -CLA ob Name: V_— S L.A, A Job No. cddress:� Client/Contractor. �ZTI�� i ►3 DIField Report ❑ Notice to Comply Type of Service Performed: ❑ Soil '1 ❑ 'Asphalt Concrete ❑,.Engr.Observaiion ❑ concrete. ❑ Pre -stress Concrete [g- Masonry ❑ Structural Steel ❑ Fireproofing [Other /��•�� ❑ Waterproofing ❑ Roofing Inspection Check List:. : Building Permit #: On -Site Equipment ❑ Tests Performed `(see attached) ❑ Soils Report ❑Plans Plan File #: Sample Type-.,- ❑ Specs. DSA #: ❑ RFI ❑ Codes OSHPD #: S44AO L -c- "4,j ;Z k._� A ZO _ • i CERTIFICATION OF COMPLIANCE: All of the o erved work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable de. For any "non -conforming" items the contractor shall schedule TESD for reinspection and retesting. c Inspector's Signature/Name 3.;4 Cert. No. f.,' Approval Signature/Name/Company Date: TESD Form 100-01 - - , cool altilig PAGE _l OF / JOB No. . C017SIlltlllg INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete Cl Structural Masonry. Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy Project Name Client Q Address V8' d , Architect T ./ U - Sic z , Engineer oPe_ ? Sub Contractor Z -r— General Contractor /975^l Inspection Date "' 7-4V Bldg. Permit 0 Plan File -4 Other I Q Other TESTS PERFORMED ❑ Yes Z No Type of Sample Slump Concrete Temp. AMB Temp. Quantity of Set Location of Sample Additional. Remarks on Samples A j(c �1< o� �: i-.crt < etiy A rir' a a� Q •�. - Time I understand that the services provided by K&R Consulting is subject to the Unless noted otherwise, the work observed is to the best of my knowledge. in terms and conditions as described in the reverse side of this Inspector Daily substantial compliance with approved plans and specifications. Provision of Report. By this signature in this observation report I agree to be bound by all construction monitoring by K&R Consulting field personnel is not insurance, terms and conditions on the reverse side of this observation report. nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Consulting against all claims, liability. damages, and expenses arising out of or relating to all acts. I.. aACTO PRESENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 •Office (909) 658-3296 • Fax (909) 658-6935 White -Office Copy ' Canary -Deputy Copy Pink-Jobsite Copy r • TESTING VERIFICATION FORM z � �'- �C" PROJECT: L� • fLf.J/,451. 4 +�b�t, DATE: CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REQ'D.) x CONCRETE TESTING:,, GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS + EARTHWORK: MASONRY & REBAR: STRUCTURALFRAMING: WELDING:_ i ., ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA:) FOUNDATIONS: FLOORS:, - WALLS: ROOF STRUCTURE: y . Jif" l.•�-�C����i # OF NAME OF TECHNICIAN • ; HOURS HOURS . T,• FROM' '' TO TOTAL HOURS COMMENTS: -jew RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE - CONSULTANT GREEN- FFICE'" GOLDENROD -FIELD SUPERINTENDENT - D:\FORMS\TESTINGVERIFICATION.7As 10 e Est. I9J5 ❑ Testing Engineers - San Diego, Inc. o 7895 Convoy Court. Suite 18 ►r San Diego, California 92111 phone: (858) 715-5800 fax: (85B) 715-5810 (Nesting Engineers - Inland Empire J� 571-E Crane Street Lake Elsinore. California 92530 phone: (909) 471-3500 fax: (909) 471-3732 Page 1 Dale: Job Name: Address: N Job No. i I - ClienUConlraclor. Field Report ❑ Notice to Compiy Type of Service Performed: ❑ Soil ❑ Concrete ❑ Asphalt Concrete ❑ Pre -stress Concrete '❑ Engr. Observation ❑ Masonry �*61.ructural Steel ❑ Fireproofing ❑ Other ❑ WaterF ❑ Roofing Inspection Check List: Building Permit #.Q On -Site -uipment: ❑ Solls'ReportPlans Plan File #:_,4 1 Specs. DSA #: ❑ RFI Codes OSHPD #: ❑ Tests i•'%. dormed (see attached) Sample Type: Z:24 Br it 49P D t S �C sex CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specificatio the workmanship provisions of the applicable code. For any "non -conforming" items the contractor shall schedule TESD for reinspection and retesti: A C� Inspector's Signature/Name l/ �� Cert TESTING VERIFICATION FORM �D 0.447=4J Wr �'� l obATE: -T PROJECT: �.i�./✓a /"V�r CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK), + COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REO'D.) ' CONCRETE TESTING:_"LLK�(X�B��� GROUT TESTING: MORTAR TESTING: I • FLOOR FLATNESS & LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS + EARTHWORK: MASONRY & REBAR: _ STRUCTURAL FRAMING: ' WELDING: ADHERED VENEER: 5 ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: - FLOORS: •', WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS HOURS FROM TO * ' TOTAL HOURS COMMENTS: s RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: 77 ' WHITE - CONSULTANT GREEN -OFFICE GOLDENROD -FIELD SUPERINTENDENT D:TORMS\TESTING VERIFICATION.As ['festing Engineers - San Diego, Inc. E] Testing Engineers - Inland Empire 7895 Convoy Court, Suite 18 0 571-E Crane Street San. Diego. California 92111 _ �' `- take Elsinore. California 92530 phone: (858) 715-5800 phone: (909) 471-3500 fax: (858) 715-5810 fax: (909) 471-3732 Page t of Dale: .—OA Job Name: W tCL�,t(Ef�� Address: I Client/Contractor '_ L ��1.1T�1 Job No. - ErfField Report ❑ Notice to,Comply Type of Service Performed: ' El Soil ❑ Asphalt Concrete ❑ Engr, Observation (Concrete X ❑ Pre -stress Concrete ., ❑ Masonry ❑ Structural Steel ❑ Fireproofing ❑ Other ❑ Waterproofing ❑ Roofing Inspection Check List: Building Permit #:_-ld On -Site Equipment ❑ Soils Report Plan File #: Plans . 53"Specs.. DSA M ❑ ut LyCodes OSHPD #: L7 Tests Performed (see attached) Sample Type: ' vac � i c• � CERTIFICATION OF COMPLIANCE: All of the observed work, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable code. For any "non-conforming"•items the contractor shall schedule TESD for reinspection and retesting. Inspector's Signature/Name CerL No. Approval Signature/Name/Company !'', t Date: TESD Form 100-01 - _ - • - FROM :Testing Engineers Field Lab FAX NO. :19098491209 Mar. 24 2004 11:37AM P2 Cement Type: _ Cement Factor (sk/cy) i'a" gupplier: Dc��C !� Max Size Agg- (in.): `�/s3 AdRhxtures: t N ix No. Mix Design verlgtli: _�—, SAMPLE DATA Semple Location: _ ,._ D 1-1 er i.J LL M r = Contractor: Yµ Slump (in,):=Q`:s't " Truakiricket: x7 IVA_ 9Z w/plast. (in.):�.._ _. ,.. F)�.:. Date Sampled:O Y Air Temp. (Deg. sem//�[..- Date Received: _ Sampled By: "wir Mix'Temp. (Deg. F) _.7Jr:_........... Air Content (°/a): AWA Submitted By: unit weight (pct): _ _ -C31/CGurins (24hr.): _ C.3I/Lab Curing: Batch Size: water Added (gal.): _ _ No. of Specimens: rah" f or Ai Time Batched: Specimens ID; I& vw I Time Sampled Time in Truck: M ► ti �s43� " ► 2 LABORA"MLRY DATA, aboratory Sample Sample Fracture Height - Diameter Area . Ultimate ' Load Compressive Strength Percent Of Sample Test Age Type (in.) (in.) (sq -in.) (lbs) (psi) Strength No.. Date (days) �s43� " ► 2 Z . 00 s 04/14/2004 14:12 9098491209 TE USL CABAZON PAGE 02 do M:. R Consulting ; COMPRESSME STRENGTH TEST REPORT Client: *. Project: Project No. Type of specime grout: , mortar prism concxete nonshrink grout ]►ILY DATA Cement Type' ,J A Supplier: q Cement Factor (sk/cy): JV Max Size Mix No. o ASB (in,); Admixtures: Mix Resign Strength: 2000 SAMPLE DATA Sample Location: G7 L.ACT Ili,( IN Lt9li L r Mosu:ed -Ue&s Meth6d Contractor: t Slump (in:):. _/0 Truck/Ticket: 3z- O 7 % w/plast. (in.): Date Sampled: rQ1V Air Temp- (Deg,,F) Date Received: Mix Temp. (Deg. F) _ 0.0.0 By: rg`d f rL1>,ir Content (%): AJIA Submitted By: , unit weight (pcf): W A i C31/Curing (24hr.): Batch Size:a e, C,1 ])Lab Curing: Water Added (gal_): , No. of Specimens: sir wr 51 Time Batched: Specimens ID: 4 r Time Sampled: Time in 'Trucks ' LABORATORY DATA' ' Laboratory Sample Sample Fracture Height Diameter Area Ultimate Compressive Percent Sample Test Age Type (in.) (in.) (sq -in,) Load Strength Of No. Date (days) (lbs) ' (psi) Strength .4 V1I L11 LUV1 LJ. JJ JV JI -!'171 LV7 IC UJL 1. RDRLUN �G .R Consulting COMPRESSIVE STRENGTH TEST REPORT Client: Project: _ _ A Lr- fL , !A QU t v ';-A Project No. Type of spcc' grout: mortar :. prima concrete nonshrink grout MW DATA Cement Type: • 4 Cement Factor):pi Supplier:'pf,�.ATZ. r� ( cY)' Max Size Agg- (in.): Mx NAdmixtures: - Mnr Design Strwgth: �j[) Sample Location:IV-0 LIZ r - SAMPLE DATA Cat.�ltcu s Measured Specs- Method 77Zvex , -aGY 7'1ek&-r, 30693 ee S Contractor: Y Slump (in.): -/0" 4Tck/Ticket: 48YIDraute Sa,rpled: A;r I'emP ice&r Date ReceIV= Mx Temp. (Deg- F) Sampled By: ; 6A-1 M V!!Ly Air Content (*A): �d Submitted By: Unit Wa gM .....-C3 1/Curing (24hr- ( ' — Batci4.Size: C3I/Lab Curing: WaterAdded����_ No. of Specimens: j;cl' r,;#'pr }% T• ) une Batched: _ .� � ' z o Specimens iD:aG-T) Time Sampled: lime in Truck: r K � � R _ LABORATORY DATA. - Laboratory Sample Sample Fracture Height Diameter, Sample Test a Area Ultimate Compressive Percent No. Ag Type (in.) (in.) (sq -in.) Load Strength Of Date (days) Obs) (psi) Strength W1 J53 3t5gD • s g 'a3� ApC) 366 D 3X 4 99o5S �A-7� D t-0nrnI,m ee • I V I m �j �SAApproaed . - - 1�/�]I► f�1 !1 fVJI Aewmrra 'Yes Na Average 28 Day Strength (psi): Specified Strength: Reviewed and Submitted '� Cylinders stripped by 04/19/2004 12:46 9098491209 TE USL CABAZON PAGE 01 I b I %_ s r 41 r - .- r— - COMPRESSION TEST — TEST DATA SIMT Project No.: Project u t rt.s''F,flr Permit No.; yy��, yyC�N'rli, .��'•rJ•fr'n'1 STM. :�., f14'xf>��":�I' ` '1�� e'1',. r�1r, Y•,:J:T •f •-/ C! is .,j•'•. .,�J, i�j:. r:�Y'� '��� :.';�iri;V�y :`:ei� "e'^+t�-•tl;� 5•�?"F.67i1"' �P,a;ttF',;47�+.�r ..,'•;.t-. , ,.,, .;i.�: ;•.:rT,:J�' a!' •n +' "; ;:f JR7`l1�!!tN+:?Y FJSt9N�VtL ;,fnCfl[71:h:Rbilf:PI611t I'i; ti :,ir;,4:CQ7�$!'�4Zliri,. Jw K� �iy'4 I�„f� i .i..id-'• Jd..� t�1:1:.,y n: ,�ii1 ..' •.1:!i{`. ,::c.,r.`:.f•'✓9 :.T�:F��iIY�.V:L i.1�s., :� :./ ''�E nw .:�ll�..�n'`'1:. ••L:�'.: .'•' I•f 3, :Z”; Material Type: 0 Concrete 0 Lt. Weight Grout 13 Mortar a Masonry Cement Type: n.. wr i„ta..;,•L$ff.'i'. art• 17 Cylinder 0 Prism 0 Core ❑ Cube ❑ Beam Cement Factor (sk/cy): Supplier: ocwrr b Max. Size A 3 ASS. (in.): /49 Mix Design No.: Admlxtums: Design Strength: al Building No. �.D Slab -on -grade 0 Footing 0 Will Panel ❑ Cast -in-place Pipe Masonry 42114OUT, Floor Level O Mevated Slab ❑ Pier D Column ❑ Sidewalk 0 Post -tension 0 0 Pavement O Pile C3 Beam 0 Curb e& Gutter O pre -tension Specific Location: Contractor: TruckIncket/Load: Date Sampled: Sampled By: Submitted By: Mum Batched: Time Sampled: Time In Truck: Date Received: -3119701 12&dHre- n O of 09:5 )a: �.::,ti �'; iJ;'r! ";1; ..�'�.�i:r;•!' w•r,:::.: �,:,}':,�•r-fi^;>• :: �r.r:';,� • :.:. w-.:.��p .��.�+.',[t �,. :'li:�i•,�,.'I:ri:;!•;:•:. r ;•I.: ..i"••'•' .x:;' ..:�+i. :tl•; �r+. ...�•�•Y +•�r,�: - r.T;•. .� pr,:r•.„,. >�I,:ti;;>YHC�;.:x ffr.r.r' i.: ,.v.^ .. � .. :.y :P. r.i �.�if •:ii�Q �y ��:�: :;d•:` .e�r:`�y:�•G•e:;�.g�„n;..-'..1.:••1_�SSiI,`:':'a'x..::•n�•_¢•rr.i°".ia'.'G� H. ....:...c �.. � ..'•,.. �.2 •:nom•:.. •.. i.:. �:.. �_. 'ia:L� � '} � �:r�!i:S...N .•Y� - ?i, ,dii �•�,�5 �ar•� �� rY.� F - Slump (in.): Slump w/ptasticizer (in,). Air Temperature (OF): Mix 7bmperature ('1): Air Content (fib): Unit Wcight (pcf): Batch Size (cy): Water Added (gal); Measured Specified ____01A 91 or Jr < 9d 0IA N� Sample Date Sample Age Dimensions ;Area Ultimate Load Compressive Number Tested (days) (in.) ins)(ibs.) Strength (psi) rspl A �1' �4 3 x �"o:x� to 33,0 b B `C^ t fcc rJ x r 9 4440 0 c 4' 1,6 0 3 X Co 9 U D �t B F G Remarks: J -30C-- —~• �,ucv Average Strength (psi:) B F G Remarks: J -30C-- —~• �,ucv Average Strength (psi:) �� K I. E I N FE L D E R_ � --- „�.,�"„ . COMPRESSION TEST -- TEST DATA SHEET Project No. Project: / � Permit No.: - '� .,'I I : �. isr�.••I'`G�,!.�'''.��tof?�,,?�•040 � �'`3'�;•. • _ 5 o•r.. ' � •X••. ;li iFy,axk:?: ;-,i A: .., .,.. k•. ,. • , , L • 4„ 1l, ;'�••'i: .•y .. , "n' ..1. :. ....,: '!"QIP:,' YY••,��„M1 T':'';:':::,J-:•1P>�•. }.La. 'i'\p,6'.t:y! -7 fCTMn a a ateral Type: ❑ Concrete d Lt. Weight Grout 13 Mortar OMasonry Cement Type: ': "•r• � • D Cylinder ❑ Prism ❑ Core ❑ Cube ❑ Beam Cement Factor (sk/cy): Supplier:cyA.'r'Ea Max. Size A Mix Design No.: �O 1 g8- (in.): Design Strength, sr,/ Admixtures. —� Floor Level D Elevated Slab ❑ L] Pavement Specific Location,:- 1 • fur Trucl( ickct/L.oad: -, rovring ❑ Pier ❑ Pile A ❑ Wall Panel O Column ❑ Beam ❑ Cast -in-place Pipe Kmasonry ❑ Sidewalk ❑ Post -tension ❑ Curr & Gutter 13 Pre -tension Slump w/plasticizer (in.): Air Temperatum (°.F): . Mix Temperature (°P): Air Content (%): Unit Weight (pcf); xy,s•;'ryr�:r:�!�,!t�srti Water Added (gal): ,.��;�K.':r,,i•;.:�'-,•�:: • ,r .�,..;.,�.....,.,....,:,. —�— (.: ..:Jnr. � •" • •:::... .: ....: :•.,;1. . ., >`LA,$oft,A,T{L�R7t'�D1�L�'i�l,:,�'�o��':> �.r'-� ;.��,:'.:...•,.c;;,�.�.M,:,,.. Sample Date.. " . : ,:., .. . ;,=•a: "':"`�:����.;••, r Sample Age Dimensions I A I Remarks: Entered -S tosc-AMOtEco sM.,A Average Strength (psi:) A1996, Kleinfelder, Inc. OU WLAND EOTEC 4N;54 !'DUNpATION E;NpINEERs AND' MA7ERIAI.4 1 ABS Sheet # �� of CONCRETE CYLINDER COMPRESSIVE STRENGTH TEST REPORT Client: J / (ASTM C39) Project; DSA File No. Project -No.- G y DSA Appl. No. LEA No.: M7X DATA Cement Type: Cement Factor Supplier; Max Size Agg. (in.): �� Mix No.: Mia Design Strengt14. Admixtures: �- `L'r�c� o SAMPLE DATA Contractor: Truck/Ticket: Date Sampled: Date Received: Sampled By: Submitted By: C31/Caring (24 hr.): C31 /Lab- Curing:. No. of Specimens: Specimens ID: Laborat-oij-1 Samp Sample Test No. - • Date . a. Slump On.): Measured UMcs. / Metho ILs _ w/plast. (in.): ,-1 - C143 01 3 - c Air Temp. (°F); $� 0311 Mix Temp. (°F). g ' _ _' Air Content (%): C173/231 Unit Weight (Po: 0138 0138 -, Batch Size: Water Added .(gal.): Time Batched: Time Sampled: g 0172 Time in Truck: C172 C172 LABORATORY DATA Sample Age Fracture Dimensions Jieight Diameter ultimate Compressive . Percent s Tye m.)' m. Area (sq -in.) Load. bs Strength ofda �si 20. Vi 124 c=h • Stren h 4�4.--V b I &W .71 A B C p r E Conforms to Average 28 Day Strength•(psi): DSA Approved Specified Strength: documents Yes ❑ No Reviewed and Submitted: Cylinders stripped by: Tao NORTH FOURTH sTREET. EL CENTRO, CALIFORNIA 92243 • (760) 370-3000 • FAX (760) 337-8900 79-607 COUNTRY CLUB DRIVE, SurrE 5 . BnmuDA DUNES. CALIFORNIA 9ZZ01 • (760) 360.0665. )ASC (760) 360-0SZ ] 5725 KBARtVY VILLA ROAD, SUITE L SAN DI1rt30, CALIFORNIA 92123 • (858) 467-4900 • FAX (858) 467.4909 / K & R Consulting r Sample ` Fracture Height Age Type .. (in.) (days) Diameter Area (in.) (sq -in.) COMPRESSIVE STRENGTH TEST REPORT Percent Of Strength Client: -7--,,4.; • a A..:, Project:Q- Project No. Type of specimen grout: mortar prism < concre e`er nonshrink grout q SC_ MIX DATA zp Cement Type: 1�4/V Cement Factor (sk/cy): Supplier:_ Max Max Size Agg. (in.): Mix No. 3 P191 Admixtures: Mix Design Strength: 3c tvo SAMPLE DATA Sample Location: ai, -A �o d- B,. 4 .-n Snecs. Method Measured Cdntractor: GIP /_l._YII � i. i Slump (in.): A—.' `T % C143 Truck/Ticket: 7S//Goq?/d w/plast. (in.): Date Sampled: — 9 - 7- o y Air Temp. (Deg. F) 7P Date Received: Mix Temp. (Deg. F) 7a !- C1064 Sampled By:�, . ( �� Air Content (%): 4aS20 C231/C173 Submitted By: Unit Weight (pcf): ivq C31/Curing (24hr.): -Batch Size: Ji -3 C31/Lab Curing: Water Added (gal.): No. of Specimens: &J Time Batched: i_'i/ Specimens ID: "Iel- Time Sampled: Time in Truck: LABORATORY DATA , Laboratory Sample No. Sample Test Date Sample ` Fracture Height Age Type .. (in.) (days) Diameter Area (in.) (sq -in.) Ultimate Compressive Load Strength (lbs) (psi) Percent Of Strength q SC_ zp A B C D E Conrorma m 1 S DSA Approved doeumenci Yes No Q Average 28 Day Strength (psi): Specified Strength: Reviewed and Submitted: Cylinders stripped by: ❑ Testing Engineers - San Diego, Inc. Testing Engineers - Inland Empire 7895 Convoy Court, suite 18 - 571-E Crane Street San Diego, California 92111 Lake Elsinore, California 92530 phone: (858) 715.5800 phone: (909) 471-3500 rex: (859) 715-5810 fax: (909) 471.3732 1 Page 1 of Date: 0 4' Name: W a %_C9 R t tN 5 A V F- 4 0 W e. S4 Job No. % 5 2 4 (p ress: nt/Contractor: R`\ t(� C'OM lvh F R. f" eL ❑ Field Report O Notice to Comply Type of Service Performed: N son ❑ Asphalt Concrete ❑ Engr- Observation ❑ Concrete ❑ Structural Steel ❑ Pre -stress Concrete ❑ fireproofing ❑ Masonry ❑ Other ❑ Waterproofing ❑ Roofing Inspection Check List: Soils Report Plans _ [Specs. ❑ RFI ❑Codes Building Permit # Plan File #6 DSA #. OSHPD t n -Site Equipment: ❑ Tests Performed (see attached) Sample Type: F �r1 R S r 2 mak- s A Time In/Out / CERTIFICATION OF COMPLIANCE: All of t observe ork, unless otherwise stated, is in conformance with the approved plans and specifications and the workmanship provisions of the applicable co e. r any o conforming" items the contractor shall schedule TESD for. reinspection and retesting. Inspector's signature/Name Cert. No. Approval Signature/Name/Company Date: TESD Form: 100-01 TESTING VERIFICATION FORM PROJECT: / i�.�CC./L�S� /Ge/ i�/'�d,.(/1'L Aj4—, AJ DATE: / CONSULTANT: —�� t��S7 TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK) . . COMPACTION TESTING:_GK VISUAL FOOTING INSPECTION (WHEN REQ- 'D.) CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: - FLOOR FLATNESS 3 LEVELNESS TESTING r FLOOR MOISTURE TESTING: r SPECIAL INSPECTIONS " EARTHWORK:- ARTHWORK:MASONRY MASONRY8 REBAR: STRUCTURAL FRAMING WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: ' FLOORS: WALLS: V ROOF STRUCTURE: NAME OF TECHNICIAN HOURS 0 OF HOURS FROM .- TO l' + TOTAL HOURS i COMMENTS: TESTING VERIFICATION FORM 7 7 PROJECT: S �� �✓ �a l�.ZZ DATE: I CONSULTANT: ���T//V� C�4D/j(��5 /I�iTELLi ( TYPE OF TESTING PERFORMED: LOCATION TESTED: w MATERIAL TESTING (CHECK) ' COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REO'D.) CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING: ' FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS EARTHWORK: ,�/ _ s MASONRY 6 REBAR: STRUCTURAL FRAMING: WELDING: ADHERED VENEER ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA 1 FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: NAME OF TECHNICIAN HOURS # OF HOURS FROM TO �..., ;� TOTAL HOURS 'd ' TESTING VERIFICATION FORM PROJECT:AJ"4!L4 AxW 9L -i:, ds6&JM*01�77 DATE: CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING:_ VISUAL FOOTING INSPECTION (WHEN REO'D.) CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS d LEVELNESS TESTING:, FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS - EARTHWORK: MASONRY & REBAR: STRUCTURAL FRAMING: WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS HOURS FROM -. TO t TOTAL HOURS ,iy RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GREEN- ICE GOLDENROD -FIELD SUPERINTENDENT w D:\FORMS%TESTING VERIFICATION.ids - TESTING VERIFICATION FORM' V7 PROJECT:i/►?bmc--,; DATE: . ` " - CONSULTANT: '��?/if/r� .�iL�Q�✓1GS (' J, TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK).. COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REO'D.) CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS EARTHWORK: MASONRY 6 REBAR: STRUCTURAL FRAMING: ' WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: $ OF NAME OF TECHNICIAN . HOURS ". HOURS ". FROM . TO TOTAL S 'HOURS COMMENTS: = /Gz3v- Q 7.iva C7C � RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GRE -OFFICE GOLDENROD -FIELD SUPERINTENDENT D:TORMS%TESTING VERIFICATION.& Testing Engineers -San Diego, Inc. 7895 Convoy Court, suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Established 1946 Project Name-[1o�4,C�i� s Qe+••�4 Co,e,,.�, ,.� G�,grfM s� ,� t�/fy< Project Number Test Date f ��� Page of Client rn 0"i Test N Material Structure Test Location and or Depth relative to... i• G, ♦Elevation M� � VM.� 4e.•. e� Gv. 30 f �'+ • It C,a +... d eA - 9,5 !� ✓. sq e c— SAl AJE r_ eFL..�. L—; 3 c_ v ati �v Wet Density (pcf) Material: Structure: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AS = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, O = Other P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, O = Other Test # 3 G, Probe Depth (inches) a'' ��• g•• a., ati �v Wet Density (pcf) Dry Density (P Moisture (%) / , Z / L.4 MD Curve Number Maximum Density (pcf) Optimum Moisture (%) Relative Compaction, RC (%) of 3, 9 Z,o 9G •� 9 Relative Moisture, RM (%) Specified RC (%) Specified RM Conformance (Yes/No) Nuclear Gauge Model and Serial Number: �iJ c I'. -JV' 341t - g 56&10-1 * 7 3-x3 This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report for description of work and observations. /1 TESD's Testing Technician: Name: 11:�'� &11 t �--Signature; Client's or Contractor's Acknowledgement: Name: White- Office Signature. Yellow- Contractor Pink- Field Technician y Testing Engineers -San Diego, Inc. Established 1946 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [8581715-5810 REPORT OF COMPACTION TEST DATA Project Name /.S &. n jp�t� ���_;_ 1 j Cytcrt,�� 'aR 1w,e i/ 8 C..,a s 4,-.79. Project Number Test Date—di 11_ loy Page of Clients T !yl Test M Material Structure Test Location and Elevation or Depth relative to... q SV r St •� G B"' S` $" �o s•� Wet Density (pcf) 115-0 5 //L.% Co lam,-... �' ,w L ltT.a X4__e/-- 110.x— S A� f OS. G -7_7 l o7, e / o e 3 2.1 t o v 7. G C fJG r 2.,0 o o /D/.e //. 3 e7.s /oG.p /ems' o_ 8'.s 7 cs(w,. 1-7,e o 0 Optimum Moisture (%) Relative Compaction, RC (%) Relative Moisture, RM (%) //. d Q9' X . /t. v 3 / t , e 981 //. a %><./ o •. is/:., 2- Ii. o 44• ! ti •„ 9r..o S S Al.. ♦ L��. Z. 6 ' GA.Y Specified RC (%) C o u►..� �os1'�. .� L��e Z Gt,1 ... �wC. IL-14 C - / Specified RM (%) Al 1 a ; Conformance (Yes/No) G 1 u Nmaienar Structure: s = son, AU = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, O = Other P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, O = Other Test # Probe Depth (inches) q'• g JI. -g'' 3 q SV r St •� G B"' S` $" �o s•� Wet Density (pcf) 115-0 • ter, /1.3 dT v //L.% /I4,1+ (t r ltT.a / t•.l 110.x— .U.$7 Dry Density (pcf) Moisture (%) MD Curve Number Maximum Density (pcf) f OS. G -7_7 l o7, e / o e 3 2.1 t o v 7. /or 1.3 /d7s fJG r 2.,0 o o /D/.e //. 3 e7.s /oG.p /ems' o_ 8'.s 7 1-7,e o 0 Optimum Moisture (%) Relative Compaction, RC (%) Relative Moisture, RM (%) //. d Q9' X . /t. v 3 / t , e 981 //. a %><./ // , e `?d•6 1t. v 9t►. Ii. o 44• ! ti •„ 9r..o i . //_ qt:.� 1ttrG Specified RC (%) Specified RM (%) Conformance (Yes/No) -��•��• �.ovyo ,.,vva; anu oenai rvumoer: *JYrr - 0 7-A3 ,7 This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously failed to meet specifications. See accompanying Daily Report for description of work and observations. X TESD's Testing Technician: Client's or Contractor's Acknowledgement: White- Office Name: 7.1 L -t _ Name: Signature Yellow- Contractor Pink- Field Technician Testing Engineers -San Diego, Inc. Established 1946 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Project Name 4*, s .�...-ate„ AW ./y A.,egk.z�l Project Number �+� 00 Test Date / L/z Ael Page of Client T `fit Test a Material Structure Test Location and Elevation or Depth relative to... S 19'1 O 1+t Lam. Z a O O.t: iti 7 g ` g a 49" 97, $ .. 1<" Wet Density (po j 1 4, C� u Opt. A & JJX L Z Z LL46 .L 11(.3 Dry Density (pcf) gn&° a14. G Ds— / D 3. lD 4, a D Z • e Y ��... .�— t O 1.7 foo • loZ, Moisture (%) f S /, f Material Structure: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, O = Other P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, O = Other _- Test # Probe Depth (inches) 19'1 g ` g a 49" 97, $ .. 1<" Wet Density (po j 1 4, Z Z LL46 .L 11(.3 Dry Density (pcf) i63.4 / D 3. lD 4, a D Z • e Y aL•d t O 1.7 foo • loZ, Moisture (%) 7 9 /, f MD Curve Number a Maximum Density (pcf) Optimum Moisture (%) J0,z> Relative Compaction, RC (%) �. -0 r Relative Moisture, RM (%) Specified RC (%) Specified RM (%) Conformance (YWNo) 3 Nuclear Gauge Model and Serial Number:3 �/ This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously faile t meet specifications. See accompanying Daily Report for description of work and observations. TESD's Testing Technician:Name: _Tiw /A-c'� Sign e: Client's or Contractor's Acknowledgement: Name: White- Office Yellow- Contractor Pink- Field Technician Testing Engineers -San Diego, Inc. Established 1946 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Project Name P"t^,&" Avg 'i/S l AAcij, ,1°r sr Project Number Z&a y do Test Date) Zc/O Page of Client �T 2� Y Test # Material Structure Test Location and Elevation or Depth relative to... �. fo- ; t i. .a. �,., ,. , u MA 4t, co ti ._� L Q w'i P. %JE ... GL. 46 $" w eye " V S /A. PJcea to 'u- Fb 5 Wet Density (pcf) Ca a& ,t• 6 u.. -i lif-.1 tit i 117.31 G-0 -S Dry Density (pcf) tat, t [v 101..J/ lz)e.,4 104 1 oY /oY—.c Material: Structure: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, O = Other P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb/Gutter, O = Other Test # Z. �. fo- Probe Depth (inches) $" w ~ V i, , /A. Wet Density (pcf) I J k.5 u.. -i lif-.1 tit i 117.31 G-0 Dry Density (pcf) tat, t [v 101..J/ lz)e.,4 104 1 oY /oY—.c Moisture (%) g 3,1 - I 9 . f_ MD Curve Number .0 107..0 107.0 fol - .0 107.l le 7.d /07. Maximum Density (pcf) Optimum Moisture (%) Relative Compaction, RC (%) cf ,% q 4 1, < 8 • q 8 i Relative Moisture, RM (%) Specified RC (%) Specified RM (%) Conformance (Yes/No) �.,s i<s r:,r t` S Y,,4 Ys Nuclear Gauge Model and Serial Number: '3411 - b This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. Yh ontractor is responsible for scheduling retesting of reworked areas that have previously failed meet specifications. See acro panying Daily Report for description of work and observations. TESD's Testing Technician: Client's or Contractor's Acknowledgement: White- Office Name: • (J �a •. / V'��.-� Name: Yellow- Contractor Pink- Field Technician CJJ/1C/LCICIN IZ;AGi COO (130010 1LbI INU-LNUINLLMb 5ll - PAGE 02/10 9.T , � 250^ W. Jim Stone ` January 29, 2004 RTM Commercial Builders, Inc. Contract No. 2004-001 1300 E. Missouri Avenue, Suite C-100 Phoenix, AZ 92131 Subject AS -GRAD -ED WhRACTJON REPORT Project: New Walgreen's Pharmacy 4-e Avenue and Washington Street La Quinta (County of San Bernardino), Califomia - Dear Mr. Stone: r In accordance with your request, Testing Engineers U.S. Laboratories, Inc. (TE -US Labs) has conducted grading observation and compaction testing during preparation of the building pad at above referenced project. Services described herein were provided by TE -US Labs from January 14, 2004 through January 20, 2004. Site conditions and attendant geotechnical engineering recommendations were origix ly presented in the Geotechnical Engineering Investigation report prepared by Krazan & Associates, Inc., dated February 4, 2003. As indicated in our field inspection reports, a representative of this office inspected the bottom of undercuts in the improvement areas and observed placement of on-site fill soils within the pad and drive through areas. Subgrade preparation for the improvement arras included overexeavation to a minimum depth of 2 feet below the bottom of footings to.a lateral distance of 5 feet outside the perimeter footing. The bottom of the over -excavation was scarified and moisture conditioned prior to the placement of the fill. , Siunmaries of laboratory and field compaction test results are provided in A.pmdix A, listed as Tables 1 and 2. Results of our field observations and density testing indicate that the fill placed within the pad meets the minimum relative compaction requirements of 90% per test method ASTM D-1557 at the locations tested A vicinity map and site plan, showing the approximate location of the site and density tests, are provided as figures 1 and 2, respectively. It is our opinion that the pad preparation, including the placement of fill soils were conducted in substantial conformance with the above refemced soil report and local grading ordinances. If you should have any questions after reviewing this report, please do not hesitate to contact the undersigned at (858) 715-5800. rN17G CIH/ 1V e } t7J/ 1L/ LtM 4 lY: 14 eots/10Wiln TESTING ENGINEERS SD Table 2 REPORT OF COMPACTION TEST DATA Print date. January 29, 2004 Project Number. 2004401 Project Name: Walgreen's Pharmacy, 48th Av. and Washington Street' Location. 48th Av, And Washington 8t. La Quints, CA Engineer. Van W. Olin, 0, E. 2878 PAGE 06/10 1 1/14/2004 S N FooUng and column on grid line 4, column 14.2% 11.0% 100.0 107.0 94% 90% . Conform E-A, elev. 58.5 ft. , 2 1/14/2004 S N Footing and column on grid line 4, column 12.4% 11.0% 98.4 107.0 92% 90% Conform E-A, elev. 59.3 ft. 3 1/14/2004 3 N Culomn footin online 4, grid E-A, elev, 10.9% 11.0% 103,4 107.0 97% 90% Conform 69.3 ft '4 1/14/2004 S N Footing on linea grid B. elev. 59.3 10.2% 11.0% 108.4 107.0 99% 90% Conform 8 1/14/2004 S N Footing on linea grid C, elev. 59.3 8.5% 11.0% 102.1 107.0 95% 90% Conform 8 1/14/2004 3 N Footing on Gne3 grid D, alev. 59.3 9.1% 11.0% 106.2 107.0. 98% 90% Conform 7 1/15/2004 S • N Footings and column on line 4 grid A-E, 7.7% -11.0% 106.8 107.0 100% 90% Conform elev. 60.25 ft. 8 1/15/2004 S N Column footing on line 3 grid 0, elev. 8.1 % 11:0% 108.3 107.0 99q% 90% Conform 60.25 ft 9 1/18/2004 S N Column footing online 3 grid C, elev. 11.3% 11.0% 105.3 107.0 98% 90% Conform I 60.25 R 10 1/15=04 S N Column footing on line 3 grid B, elev. 7.3% 11.0% 105.0 107.0 98% 90% Conform 80.25 R 11 1/15/2004 S N Column footing on Ane 2 grid 8, elev:. 92.0% 11.0% 105.6 107.0 99% 90% Conform 60.26 R 12 1/1512004' S N Column footing on line 2 grld.C, elev. 11.3% 11.0% 101.6 107.0 99% 90% Conform 60.26 ft. 13 1/15/2004 S N Column footing on line 2 grid D, alev. 10.5% 11.095 106.4 107.0 99% 90% Conform 60.28 ft 14 1/18/2004 • S N Footing on line 1 grid A -C, elev. 80.25 ft 8.2% . 11.0% 102.5 107.0 96% 90% Conform 15 1/1$/2004 S N Footing on line 1 grid C -E, elev. 80.25 ft 7.3% 11.0% 102.7 107.0 96% 90% Conform 16 1/18/2004 S N Building pad, elev. 61,3 t3,2% 11.0% 102.3 107.0 99%. 90% Conform 17 1/18/2004 S N Footing and columns on grid E outside of 10.7% 11.0% 103A 107.0 91% 80% Conform canopy 4 ' 18 1/16/2004 S N Footing and columns on grid E outside of . ' 9.9% 11.0% 103.8 107.0 97% 90% Conform Canopy line 2 19 1/16/2004 S _N Footing and columns on grid A outside of 11.5% 11.0% 104.9 107.0 98% 90% Conform canopy line 2 , ' 20 1/16/2004 S ,, N Footing on grid A outside of canopy line 4 .9.5% 11.0% 104.3 107.0 97% 90% Conform 21 1/18/2004 S N , Column footing on line 2 grid B, elev. 9.7% 11.0% 102.2 107.0 98% 90% Conform 61.26 R 22 1/16/2004 S N Column footing on line 2 grid D, elev:,. 10.6% 11.0% 105.0 .107.0 98% 90% Conform • 61.25 ft. 23 1/16/2004' S N Column footing on line 3 grid D, elev. 9.5% ' 11.0% 102.0 107.0 95% 90% Conform 61.25 R ; 24 111612004 S N Column footing on line 3 grid C, elev. 10,1% 11.0% 101.7 107.0 95% 90% Conform 61.25 ft 26 1/16/2004 S N Building ped, elev. 61.3"; a 11.3% 11.0% 100.9 107.0 94% 90% Conform 26 1/1612004 S N -Building pad, elev. 81.3 10.5% J 11.0% 102.8 107.0 88% 90% Conform 27 1/20/2004 3 N Southeast corner of building pad, elev. 9.3% 11.0% 101.8 107.0 95% 90% Conform 62.30 ft finish grade. Page 1 of 2 U.JI J.L/ OJ0f1:J:JOlU IC5I1NU LMINLLMn tjV PAGE 07/10 REPORT OF COMPACTION TEST DATA Print Date: January 29, 2004 Project Number. 2004-001 Project Name: Walgreea's Pharmacy, 48th Av. and Washington Street r Location; 48th Av. And Washington St. La Quinta, CA Engineer Von W. 011n, 0. E. 2578 62.30 ft. finish grade. 29 1/20/2004 3 N Northwest comer.of building ped, elev. 9.3% 11.0% 106.4 107.0 90% 90% Conform 62.30 It finish grade. 30 1120/2004 S N Northeast comer of building pad, elev. , . 9.4% .11.0% 106.9 107.0 10D°% 90% Conform 62.30 ft finish grade. 31 1/20/2004 S N Center of building pad, elev. 82.30 ft. finish 10.1% 11.0%" 108.6 107.0 100% 90% Conform grade. 32 1/2012004- 9 N Drive through column pad, elev. 62.30 ft. 9.6% 11.0% 105.9 107.0 99% 90% Conform finish grade: ,- 33 1/20/2004 S N Drive through column'pad, elev. 62.30 ft. - 9.0% 11.0%. 105.0 107,0 98% 90% Conform finish grade. • .n f` a • . 'Page 2of2 APPENDIX B PAGE 08/10 a •j s PAGE 08/10 04/1LILGGC4 1L:lw 0001100Gln ItbliNU LNU1NLLK5 bV fJAUL 09/10 bd/ 1'L/'Ln174 1;4; 1µ COU 113OU10 I tb I INU tNUIP--thtS 517 Y Atat 10/ 10 LEGEND 0 20 40 60 80 1 o0 ft (D Compaction Test Location (APprnx) SCALE Testing Engineers -San Diego Figure 2 - Plot Plan +� 7895 ConvoyCourt, Suite 18 p`°''a�"""° ►o.; Welgreen's Pharmacy 2004-001 San Diego, CA 92111 Tel' (858) 715-5800 Fax; (858) 715-5810 Ad OAK Av.& Washington St. o. Jemary 2004 MM La Quints, California TESTING VERIFICATION FORM PROJECT:ar" o %% G1it� µ DATE: /�• !� d=; - CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: r MATERIAL TESTING (CHECK) x COMPACTION TESTING:',_ a- i'�l�• S VISUAL FOOTING INSPECTION (WHEN REQ'D.) 0. CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS d LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS, " p EARTHWORK: MASONRY & REBAR: STRUCTURAL FRAMING: d WELDING: , ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA,) ' FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE:. # OF NAME OF TECHNICIAN HOURS HOURS FROM . TO TOTAL HOURS COMMENTSTOB. D A, NAC Tim+! S RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: oj WHITE - CONSULTANT _ GREEN" -OFFICE GOLDENROD - FIELD SUPERINTENDENT D:IFORMS\TESTING VERIFICATION.bs L-+ • v'•"' 7ass cwvoy cont, sage is Inc. ❑ Tsating Engineers • Inland Empire San f iW. Cavtomia 9211157 —r take E��o a rare SVeet throne: (858) 718-5600 Catitoreta 92830 tax (858) 716-$810 �La R cs c 4L�M Phone: (909) 471-3500 P.t fax: (909) 4719732 7' cit 9z.►.z. Page 1 of Q4.� 77.5 -Tad• f«���•��i ?l -S =7y $o Date: z // Name: rase: .4c • Job No. 7-00 A/ e Type of Service Performed: 12 Field .._._ ❑ Sal ❑ Asphalt Concrete Engr. Observation ❑ Notice to ❑ ❑ Concrete PM-stresa Concrete ❑ ❑ Structural Steel ❑ Waterproofing ❑ Masonry ❑ Fireproofing ❑ Roofing Other =don Check Ust: ® Solis Report ❑ Plans Ste• ❑ RFI ❑ Codes ling Permit # Plan File ;<t OSHPO Site Equipment a Tests Performed (see attached) Tom, ^.S,9 -+� � at s e#' CERTIFICATION OF COMPLIANCE: AN of the observed worlt• unless otherwise stated, is In conformance wil the I - / workmanship provisions of the ap Is code. For approved plans end apeci ications and the arry'noni:onformftW Rents the Contractor shall schedule TESD for reinspection and retesting. Inspector's Signature/Name _----. -- . Cert. No. Approval Signature/Name/Company »:so Fam: 10aa/ Date: TESTING VERIFICATION FORM W PROJECT: /4VC_ T' J► •-%y t GIR�� 2Z / CONSULTANT: TCyl/.V�I Ci�I/siCS TYPE OF TESTING PERFORMED: MATERIAL TESTING (CHECK) DATE: 2— LOCATION TESTED: COMPACTION TESTING. i VISUAL FOOTING INSPECTION (WHEN REO'D.) CONCRETE TESTING: GROUT TESTING: ` MORTAR TESTING: , FLOOR FLATNESS & LEVELNESS TESTING: FLOOR MOISTURE TESTING:, SPECIAL INSPECTIONS EARTHWORK: MASONRY 3 REBAR: STRUCTURAL FRAMING: n WELDING: ' ADHERED VENEER: ` ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN .. HOURS HOURS FROM TO TOTAL HOURS COMMENTS: �>Q So 09 RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE-CONSULTANTGREEN�CE - ' D:IFORMS\TESTINGVERIFICATION.& - t PAGE Z OFA_ JOB No. C)rtsulting C011sultili.b INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT 0 Reinforced Concrete TYPE OF WORK INSPECTED ❑ Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name Z Client - Address Architect Engineer ' Sub Contractor General Contractor Inspection Date Bldg. Permit Plan File Other TESTS PERFORMED ,Yes ❑ No Type of Sample - f Slump S Concrete Temp. 7.2 " AMB Temp. 77, r (Quantity of Set Location of Sample v Additional Remarks on Samples 4� T i 1 c t •r cc 6 i I understand that the services provided by K&R Consulting is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report, By this signature in this observation report I agree to be bound by all terms and conditions on the reverse side of this observation report. ONTRACTOR REP ENTATIVE Unless noted otherwise, the work observed is to the best of my knowledge• in substantial compliance with approved plans and specifications. Provision of construction monitoring by K&R Consulting field personnel is not insurance, nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Consulting against all claims. liability, damages, and expenses arising out of or relating to all acts. GNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 •Office (909) 658-3296 • Fax (909) 658-6935 Whito-Office Cow Canary -Deputy Copy Pink-Jobslte Copy TESTING VERIFICATION FORM PROJECTa,(jf4g ?'j WA%W 4 fir -ZaT DATE: CONSULTANT:. -722V-14-4 RiCi/XiEegS TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REO-D.)L CONCRETE TESTING: GROUT TESTING: a MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS EARTHWORK: ` I MASONRY 8 REBAR: STRUCTURAL FRAMING: WELDING: ADHERED VENEER: - ELECTRICAL: _ STRUCTURAL OBSERVATION REPORTS (CA.) ` FOUNDATIONS: FLOORS: F . WALLS: ' ROOF STRUCTURE:, ; # OF NAME OF TECHNICIAN LHOURS. HOURS FROM TO TOTAL HOURS 2, d COMMENTS: � eA Q� L7e T,rl,�st �9L L��'5 rr�zcTCtG-�L 400 ��r�QSs� �sCL_ -�z� _ � 4c., ssraG6c� T� TZ57 L�Y�L•�-. _ RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE -CONSULTANT GREEN -OFFICE GOLDENROD- FIELDSUPERINTENDENT D:TORMSUESTINGVERIFICATION.bs , - -• - PAGE OF JOB No. ---- INSPELTIONs, INC. INSPECTIONt3, INC. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED AKRelnforoed conorote U. Strudurel Masonry L7 Structural Steel Assemble 13 Poet Temlonino O Epoxy Q Other Project Name W AL 6.Afas N 5 TESTS PERFORMED Q Yes 0 No Client b l F_ EE _ Type of Sample CWk Address rK T�Slump__..,.. 5/- - Architect RZA U ZZ Concrete Type -7 Engineer JeAh'sL&I.., , _may -- AMB Temp, Sub Contractor Quantity of Set £ General Contractor K':r�-G&k IL D - Location of Sample � Inspection Date' _ . , Bldg, Permit Additional Remarks on Samples Plan File 3 S X70 t'c' Other 5A %L Z Aa r-IMAJ X1 -r-Ni Oe_ 14t -,,kA £ rtlI- r At e e „2s-rV A --r -r-/.R t )_ ^C -o7- / Ca t is L Is -1-r 0 RE 1.6 #AF. 29 I understand that the servkxe provided by K&R Inspections, Inc. is subject the tgnrls and conditions as described In the reveres aide of this ImApteAt Dally Report, By this signature in this observation report I ,gree to beON by all terms and Conditions on the reverse abs of this observation report /- V -XP REPRESENTATIVE V unless noted otherwise, the work observed is t*e beet df my knowledge, in substantial compliance with approved plans and epearicatlona. Provision of construction monitoring by UR Inspections, Inc. field personnel Is not insur- ance, nor does It guarantee construction of any ype, The performenoe of Our Inspection seMces is subject to the terms and conditions as described In the reverse abs of this Inspector Daly Report rM Owner or a suooessor In Interest shall waive and Indemnity UR Inspections, Inc, against all claims, liability, damages, and a drill no out of or relatng to eN acts. TURE 41638 Lori Lane • Hemet,CA 925" -Office (909) 668-3296 • Fax (909) 668-6935.24 hr, pager (909) 617-0211 White -Office Copy Canary -Deputy Copy Pink-Jobsite Copy TESTING VERIFICATION FORM PROJECT:DATE: CONSULTANT:—T/�i� �.�//•t�iC��G� l ��olC Z���, 1 TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING _ » (CHECK) COMPACTION TESTING:_ VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS EARTHWORK: MASONRY & REBAR: STRUCTURAL FRAMING: „ WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: WALLS: ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS HOURS f FROM TO . Ak-ZAAE2L doer*. TOTAL HOURS. �.y COMMENTS: C _ 1-� 'y't�l�•Ir—� RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE - CONSULTANT GREEN - OFFICE GOLDENROD - FIELD SUPERINTENDENT DVORMS\TESTING VERIFICATION.& *77 Project Name Project Number Client Testing Engineers -San Diego, Inc. 7895 Convoy Court, Suite 18, San Diego, CA. 92111 [858] 715-5800 Fax [858] 715-5810 REPORT OF COMPACTION TEST DATA Test Date Established 1946 Page of Test # Material Structure Test Location and Elevation or Depth relative to... Z s 5< JL m 0' 104J -k " Anftnn ALLA), u' Wet Density (pcf) o(.• o$'I ' Dry Density (pcf) Material: S = Soil, AC = Asphalt Concrete, ATB = Asphalt Treated Base, AB = Aggregate Base, CTS = Cement Treated Soil LTS = Lime Treated Soil, O = Other Structure: P = Pavement Structural Section, F = General Fill, N = Native Soil, WL = Waterline, SS = Sanitary Sewer, ST = Storm Sewer, . U = Other Utilities, W = Wall Backfill, SC = Sidewalk, Curb✓Gutter, O = Other Test # Probe Depth (inches) Wet Density (pcf) o(.• o$'I ' Dry Density (pcf) Moisture MD Curve Number p Maximum Density (pcf) Optimum Moisture (%) Relative Compaction, RC Relative Moisture, RM (%) Specified RC (%) Specified RM (%) Conformance (Yes/No) Nuclear Gauge Model and Serial Number: 3411 —P7 _ 412-1 This report does not relieve the contractor of their responsibility for performance in accordance with the plans, specifications and applicable codes. The contractor is responsible for scheduling retesting of reworked areas that have previously, failed to meet specifications. See accompanying Daily Report for description of work and observations. TESD's Testing Technician: Name: Signature: Client's or Contractor's Acknowledgement: Name: Signature: White- Office Yellow- Contractor Pink- Field Technician TESTING VERIFICATION FORM , •, Ai TO� �z V7 r� �b ItZ. PROJECT:A . S /'f► .-�'q DATE: CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: , _ MATERIAL TESTING + (CHECK)' , COMPACTION TESTING: + VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING: I GROUT TESTING:_ - MORTAR TESTING: - FLOOR FLATNESS 8 LEVELNESS TESTING: FLOOR MOISTURE TESTING: + SPECIAL INSPECTIONS ' EARTHWORK: ' MASONRY 8 REBAR: STRUCTURAL FRAMING: WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL`OBSERVATION REPORTS (CA.) FOUNDATIONS: FLOORS: . WALLS: - ROOF STRUCTURE: + # OF NAME OF TECHNICIAN HOURS HOURS .. FROM , TO _ TOTAL HOURS , COMMENTS: p ` f RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: ' • , .WHITE -CONSULTANT ,GREEN -OFFICE GOLDENROD - FIELD SUPERINTENDENT - O:\FORMS\TESTING VERIFICATION.7ds r _ - .. PAGE _ Z OFA_ - .a s Cnlzsultiizg JOB No.C0ns�rltR INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete 0 Structural Masonry ❑ Structural Steel Assemble ❑ Post Tensioning ❑ Epoxy ❑ Other Project Name 1.,/L/yaev_y TESTS PERFORMED ,I(Yes ❑ No Client : /-.2 Type of Sample G.,., Address/��;i_� %Qr� L�, 2:.... Slump `I' ArchitectJ Concrete Temp. Engineer i -- • -: - i c..-�.. AMB Temp. 7Z r Sub Contractor Quantity of Set �•�r� >f� General Contractor Location.of Sample l Inspection Date Bldg. Permit o -> aye Additional Remarks on Samples W -L>1 Plan File Other G�) /� �-, P_.,r.� i1 .•.� L./✓/.��/.�/,_,� Ste_/, /�L?�-z. �Sl-:Z>iA&2 4. //9 s -Z Ole— i %a r�/1e Lf�LL�I r��/L ia.'t n s �� �. `//7/S �. / � /1l.,►1 �=ls / «•�� ii • /�/ �s/T if s/T L,. /'- ��f J`1. �.�/.s/. .Z !eQ T�.�• R.y).0 / /'Y / Y/ /�e� 1- •L •. LLK yL'Q L•lt_ /lt//1 . rf •i.`/� ;/S1•• w /%2.'1.yR�IL'c�L /J/ es,a��,/// //1/5,0:+✓. if IS."/ es, i / 1 'l L✓��il 7..1T 1 L, ! LVi !!. l') G�.'�if/l.. �/ ..I L / I7iiV IOM �+i•+ '- AP /1< �T �N /.Ei/ / / �.i /�/ �J � - 'o// 1 i � � G! 7 .t - A. .Yl.w� //'' �!-' t1]I� e:f •Le�.'w/ �/t��• � �/ !� „�j1 /L%/G'�•J_H Tc'.s CTc•L .Q/tG-1 f J L is f4s IMCJ' Time 1 understand that the services provided by K&R Consulting is subject to the terms and conditions as described in the reverse side of this Inspector Daily Unless noted otherwise. the work observed is to the best of my knowledge. in substantial compliance with approved plans and specifications. Provision of Report, By this signature in this observation report I agree to be bound by all construction monitoring by K&R Consulting field personnel is not insurance, terms and conditions on the reverse side of this observation report. nor does it guarantee construction of any type. The performance of Our Inspection services is subject to the terms and conditions as described in the reverse side of this Inspector Daily Report. The Owner or a successor in interest shall waive and indemnify K&R Consulting against all claims. liability, O dammaag�es•. and expenses arising out of or relating to all acts. NTRACTOR REPRESENTATIVE SIGNATURE OF REGISTERED DEPUTY CERTIFICATION NUMBER 1211 West Acacia Ave., Ste. 12 •Office (909) 658-3296 • Fax (909) 658-6935 White -Office Copy Canary -Deputy Copy . Pink-Jobsite Copy - TESTING VERIFICATION FORM Ii:�r�c - � DATE: PROJECT: , "'Z /�IIfC, TO CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED:. MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REO`D.) CONCRETE TESTING: GROUT TESTING: A ��/ �/fT fi TLP`r d- • --- TO 45 s _ MORTAR TESTING: FLOOR FLATNESS & LEVELNESS TESTING: " FLOOR MOISTURE TESTING: , r' SPECIAL INSPECTIONS EARTHWORK: MASONRY 8 REBAR: , STRUCTURAL FRAMING: WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA,) FOUNDATIONS: ' FLOORS: ; WALLS: ., r ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS + HOURS i FROM TO TOTAL' HOURS G . COMMENTS: /�FtJ� L�+ L/ RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE .' • WHITE - CONSULTANTGREEN- OFFICE GOLDENRODS- FIELD SUPERINTENDENT - D?FORMS\TESTING VERIFICATION.As - ,' ',' • • - FIELD REPORT Testing Engineers -.San Diego, Inc. C3 NOTICE TO -,COMPLY Pageof 7895 Convoy Court, Suite 18 TESTING VERIFICATION FORM PROJECT: it� IC,�Ei �. .I�iL1�jT�1-� ; �713ATE: CONSULTANT:; TYPE OF TESTING PERFORMED: '- LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING: GROUT TESTING:L,d�� MORTAR TESTING: a FLOOR FLATNESS & LEVELNESS TESTING: ` FLOOR MOISTURE TESTING: # SPECIAL INSPECTIONS ; EARTHWORK: MASONRY & REBAR: STRUCTURAL FRAMING: WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA,) FOUNDATIONS: r FLOORS: a WALLS: ROOF STRUCTURE: r' OF NAME OF TECHNICIAN 1 41 " HOURS HOURS FROM . TO TOTAL HOURS ? o COMMENTS: o,J L.i c�� E,, % To L�•(.�g / .�To o�-i2 ¢ c t S4i.0,/Gu3 oar PAGE Of _ .ares`" Cur.r�'ttUirr+y/ JOB No. Cn►t.it,llirr>;f INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT TYPE OF WORK INSPECTED ❑ Reinforced Concrete wSlructural Masonry ❑ Structural Sleel ASSeMbIC U Post Tonsinning V Lrslxy i C.)lhor Project Name Client Address ., � _ /, t �• i.� r'`/J� l "� •/`� Architect • , Engineer i:; • - _. _s Sub Contractor General Contractor. krlil Inspection Date :3• z -�� ' Bldg. Permit Plan' File Other TESTS PERFORMED -jA Yes u No' Type of Sample" .• f • L Slump "r.,:,r /• Concrete Ternp, AMS Temp: 41',12' Quantity of Set e" r/•rpt•_ Location of Sample moi_- • -4 p• Additional'Remarks on Samples 2;. Yl ,.S*..•.2 r_•_ V 62 �s f4 �/wI,a�CC/ .!•' a/- :Zit <'.?n 2O/r�,T���" '. % � •'—/-_— (t� J• •�/ c�•�n.,. ai��S.7i 1 JA'7 03'1" •L.-,.� cc 2Nt7., i�+�; e.Tl;�e- �-�+..tr�/ �>_.a%u .— H SS•!e• SR' r/ tet. r6•� �/ C f!a'• - - t. I I understand Utat Ihn snrvires provided by KBrt t gosufeng is subject a/tnr" Unless noted uUlerwisr, In( -.work observed is to 'tit; bout of my knowledge. in terms and cetxldion9 as described in the frwomrt side of this Inspeclur llaily 6 - subStardial u(implinnep with approved plant' and gl/gf:diC;ihOnS. Provision of Repoll. lly this signature in this ohsarvat on report I agree to be Wund by all omnstnrchon manitoriity by K&A Cumulhng field personnel is not insurance, loins and conditiaw ell Iho reverse side of This observation mp it. nor does it guarantee cumyfna7kon of any type. The performance of Our Inspection survicr g 0 suhlrrt to the terms and cr/ tddiuri 'i+S dit5culied in the rklur;r o ,idn or this inspector Daily Report IAn Owner or, a surcessut in �• '' , r intcm -,l shill waive and indemnity K$ti (;onsulfing agair•st all claims. li,andity, damvgp , and expenses ori ;my out of or rrl.ating to all acts_. t NTRACTOR REP85SENIAINh " SIGNATURr ell' 1lHASTERED DEPUry (,'I-IITIFICAFiON NIA101,lI T ab2a 1211 West Acacia Ave., -Ste. 12 Office (909) 658-3296 • Fax (909)•658-6935 INhiie•Gffice CupyG it,ary Dr.p l�� Gohy Pink-Johsite Copy •q£69999606T Zt:9T ti00Z'£Z Hc[V TESTING VERIFICATION FORM CONSULTANT:. lelde=7/, DATE: TYPE OF TESTING PERFORMED: - LOCATION TESTED: MATERIAL TESTING (CHECK) f • ' COMPACTION TESTING: ' VISUAL FOOTING INSPECTION (WHEN REQ'D.). f . CONCRETE TESTING: GROUT TESTING: MORTAR TESTING: FLOOR FLATNESS. & LEVELNESS TESTING: FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS , EARTHWORK: a i MASONRY & REBAR: STRUCTURAL FRAMING WELDING: ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.), . FOUNDATIONS:. FLOORS: WALLS:.. ROOF STRUCTURE: }' e # OF NAME OF TECHNICIAN HOURS HOURS FROM TO ` . TOTAL HOURS .2 i COMMENTS: • O,�= � ����y c-� f�S • � �J�c cam, �'�'L i.� � `e-wc;err RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: �FFICE' WHITE -CONSULTANT GREEN •GOLDENROD -FIELD SUPERINTENDENT D:TORMS\TESTING VERIFICATION.)ds • „ •- ,�, u ` „P/1UPOF / .� �.• a4tW.8 � - .•,rorta,�r,ara„gyp, i , . .. •SVV aF'=SiHY'a S.v•;;.ty.�3b °�• ' consulting /�r,� No.. INSPECTORS DAILY REPORT AND INSPECTION AGREEMENT ' .. . 'TYPE OF WORK INSPECTED U' Reinforced Concroto 'A Struc+ural Masnnry O Struciural Stool Assemble U Post rensioning ' O Fpoxy ❑ Other Project Name TESTS PERFORMED O Yes Q No Client Type of Sample Address �_��/,'.._ s: �. ��� %� �:•. �. Slump !T ( Architect f'.. Concrete Temp. !'r'• : - Engineers _...,...,_- T -! s •...b-�~t' - - AMB Tulnp.. M 2 . Sub Contractor 11: Quantity of Set o-7.-” •��f /[{�., General Contractor rri Location of Sample " ,-=-✓ .�i S' `�� "/, �� Inspection Date J -•} �..�ti7 "' Of' iBjdcg- Permit Additional Remarks on Samples'_,/,a_ s Plan File /;• �• c .M, fes. - Other ,� rte. .�' f+y�� J���`1 '• ��"l' i�.cv1 /%l, ._./ � G+:�r•.� t...t.i 4 ... �.+��• .nr ••r/ � . Gn�� 1�� 71 `•c-)��ti+ r il? c !. a..1�/..•./ cis ' Aa<��:•..,�•,, 4_. etac� ixzod.:f... ,}'1/=_•: %oma .Q` f •/, • - � Tirna! L• I urxlerstand that the survfrra prnvtnen by UR Consulting is subivul to the unless rw;teJ othrrwPP. the. Work observed is to the u"i of my kMlwAr(Ige. In torMs and condiliVry ils Described in the revorse singe of the; 1w;pn(l.tnr I)Aily - subulunliw r; ompl,rtnce vnth approver! plane; rind ,pnr:ilx:ntinns:. t'mWstnn of Report. By this, signnbue in this observation rupurl I ;lgree to IW hound by all r•.onstntrtinn monitoring by Krj,N 0itt6ultrnrf hood personnel is not insurance. teens nen ronditirnts on (tic revVrr;C giJp of this nhsrrvation repos. nor does it guarmnee conniturhon of Any type. The peforrttancr: of our Inspection ueNIGC i i$ 3Uhlert to Ih@ lfnm's ilnuJ CVnditiVnS erg Jrt:.Cnh@O In the revviule side of this Inspector Daiy Rupurl me omwii nr A auecessor In inliw-u shAll waive and indo+nrtily "M Censulling against all claims, liahil'ity, _ aomaghP., and expenses arising not of or relating to all acts. CON C;IO t rIEPRESENTArIVE SIUNAIUM OF REGISTERED Dr-pUty CliII IHGAI ION NUMBER 1211 West Acacia Ave., Ste, 12 •Office'(909)'658-3296 •'Fax'(909) 658-6935 ' White -Office Copy Canary-L)eputy Copy Pink-Jobsite Copy Z abt?d • 5£698996061 L1:91 600Z'£Z UdV TESTING VERIFICATION FORM PROJECT: X'6: DATE: —� CONSULTANT: TYPE OF TESTING PERFORMED: LOCATION TESTED: MATERIAL TESTING (CHECK) COMPACTION TESTING: VISUAL FOOTING INSPECTION (WHEN REQ'D.) CONCRETE TESTING:_ GROUT TESTING: ' - i MORTAR TESTING: - FLOOR FLATNESS & LEVELNESS TESTING: i FLOOR MOISTURE TESTING: SPECIAL INSPECTIONS EARTHWORK: - MASONRY & REBAR: STRUCTURAL FRAMING: WELDING r ADHERED VENEER: ELECTRICAL: STRUCTURAL OBSERVATION REPORTS (CA.) T FOUNDATIONS: FLOORS: 3 WALLS: ; } ROOF STRUCTURE: # OF NAME OF TECHNICIAN HOURS HOURS FROM TO / TOTAL HOURS .4- • a COMMENTS: �Gr��CI�-'�G OAC _ f�G�C1G� , �-rl✓l�l�C` RTM COMMERCIAL BUILDERS FIELD SUPERINTENDENT SIGNATURE: WHITE CONSULTANT GREEN -OFFICE GOLDENROD - FIELD SUPERINTENDENT w D:\FORMS\TESTING VERIFICATION.As - - - - ` ❑ Testing Engineers •San Diego, Inc.' ® Testing Engineers - Inland Empire 7895 CONVOY CT., SUITE 18 571-E CRANE STREET SAN DIEGO, CA 92111 LAKE ELSINORE, CA Phone: (858).715-5800 Phone: (909)471-3500 . .t Fax: (858)715-5810 Fax: (909)471-3732 Page _Lof 1 . Inspected reinforcing steel for size, grade, lap, locati6mai nd'clearance. A615 grade 60 steel reinforcing bars were used in construction. Inspected grout space for clean up and clearances, immediately prior to grouting. Masons were observed for proper low lift grout procedures and techniques as noted on approved drawings as noted below. Inspected the placement and, consolidation of 16yd3 grout mix#46501 placed in, the:following locations: The west wall, and the north wall;: to a height of 16 feet above theliboting. The concrete was. delivered.to,the site by Associated' Ready Mixed. Concrete Inc. in 2 loads. Cast 1 set of corn pression: grout specimens. Grout -temperature indicated 70°F'slump indicated 9Y2 inches. 72°F in PM Partly Cloudy CERTIFICATION OF COMPLIANCE: To the best of my knowledge, all of the observed work, unless otherwise Start` Stop Reg: Hrs. OT Hrs. stated, is in Conformance with the approved plans and specifications and the workmanship, provisions of the 1100 1800 Applicable code. For any non -conforming items the contractor shall schedule TESD for re -inspection or re -testing. Note: all inspections are based on 4.and 8 -hour minimums. In addition,>any inspection extending past 12:00 P:M. (noon) will be billed 8 -hour minimum. Concrete Certification's ACI # 949664; Masonry Certifications'ICC / ICBO # 5087457-X4 NDT Certifications, ASNT, TC1-A / ACCP # 139880 Level II Ultras Magnetic Particle, Liquid Penetrant INSPECTOR'S SIGNATURE INSPECTOR'S`NAME Ronald Trebesch APPROVAL SIGNATURE: JCI -le Date -4-2004 Job Name Walgreens LaQuinta Job # 65216 Address Washington st and 48"' St. General / Subcontractor ® Field Report ❑ Notice to Comply Soils ❑ Concrete. ❑ Structural Steel ❑ Waterproofing Type of Service Performed ❑ Asphalt Concrete ❑ Prestress Concrete 0 _Fireproofing ❑ Roofing ❑ Engineering Observation. ® Masonry ❑ ;Other Ir1SpeCtlOr1 Check List: ❑Soils Report ®.Plans ❑ Specs. ❑ RFI ❑ Codes Building Permit # •. 0308-184 Plan File # DSA # 'OSHPD # On-site Equipment ❑ Tests Performed see attached Sample Type_' Inspected reinforcing steel for size, grade, lap, locati6mai nd'clearance. A615 grade 60 steel reinforcing bars were used in construction. Inspected grout space for clean up and clearances, immediately prior to grouting. Masons were observed for proper low lift grout procedures and techniques as noted on approved drawings as noted below. Inspected the placement and, consolidation of 16yd3 grout mix#46501 placed in, the:following locations: The west wall, and the north wall;: to a height of 16 feet above theliboting. The concrete was. delivered.to,the site by Associated' Ready Mixed. Concrete Inc. in 2 loads. Cast 1 set of corn pression: grout specimens. Grout -temperature indicated 70°F'slump indicated 9Y2 inches. 72°F in PM Partly Cloudy CERTIFICATION OF COMPLIANCE: To the best of my knowledge, all of the observed work, unless otherwise Start` Stop Reg: Hrs. OT Hrs. stated, is in Conformance with the approved plans and specifications and the workmanship, provisions of the 1100 1800 Applicable code. For any non -conforming items the contractor shall schedule TESD for re -inspection or re -testing. Note: all inspections are based on 4.and 8 -hour minimums. In addition,>any inspection extending past 12:00 P:M. (noon) will be billed 8 -hour minimum. Concrete Certification's ACI # 949664; Masonry Certifications'ICC / ICBO # 5087457-X4 NDT Certifications, ASNT, TC1-A / ACCP # 139880 Level II Ultras Magnetic Particle, Liquid Penetrant INSPECTOR'S SIGNATURE INSPECTOR'S`NAME Ronald Trebesch APPROVAL SIGNATURE: JCI -le MR. Consulting t COMPRESSIVE STRENGTH TEST REPORT Client: Y� ., Type of specimen Project: G/., 'grout mortar prism` oncrete nonshrink grout Project No. ' AM DATA Cement Type: Cement Factor (sk/cy): Supplier:_ „S f iy�� Max Size Agi. (in.): #11 Mix No. Admixtures: Mix Design Strength: 3oor� SAMPLE DATA " Sample Location: Measured Specs. Method Contractor: Slump (in.): y �- Truck/Ticket: &E 4z ZZ y3 7 w/plast. (in.): IVA . Date Sampled: a�_-off Air Temp. (Deg. F) 7y Date Received: Mix Temp. (Deg. F) 7a Sampled By: _. i,y.� Air Content (%): Submitted By: Unit Weight (pcf): �yy' C31/Curing (24hr.):: /d Batch Size: 9C' C31/Lab Curing: Water Added (gal.): No. of Specimens: Time Batched: Specimens ID: ti Time Sampled: ' ,Zie �22 Time in Truck: LABORATORY DATA Laboratory Sample Sample Sample Test Age No. Date (days) Fracture Height Type' (in.) Diameter Area (in.) - (sq -in.) . Ultimate , Load (lbs) . Compressive Strength (psi) Percent Of Strength i6 G 3~ t 2 .22 I Z c •Z& - Z 7 14--•192:0 5 2yo -TfO. S� - • .. . . .�. .� x.M•.w-Ywr.r-. r.•.+ .rrr .rWr.m•rA.. r..wrwryTr��MYMM �• j oa w •m ' clu i��x�l•.���=.��:�..fi�•il�.k��':�;ti- �l�T�¢-U.'1���lfi.a��is�.,��a .��� � •: �� 7 s i! i t3. SAM, ..E..L�: -70 Fl .. .., .,... -- ........... Td Wd92:ZZ 1700Z zZ 'q•ad 60ZZ6178606Z: 'ON XUJ q2j piatd saaaui6u8 6u?}sal: WObd ..... ..... - Z " C!" TIO. VTr ssitA"T vmUfft M OF cpgoso U MAX ION ft., P 1;:11. T y 14F 6�r-t ft E. r E PV'4S.51C, N SUPPI.Jf-, ... ... ... .... ............ ... . ............ T- A q - ilk C/ a7 A1,11" SA N 7o f, 7q Y %tawr JC 00 �V P C 7 /Lk I FT AreW Ukhoaft CvW$"w1*,,g 120,Mqt i-t4hil, Kam 'riot Lod ct mo . . . . . . ........ 11 30 .......... . B�wb +790 ....... . . ....'...._._--_...._.....t.. ...... . FROM :Testing Engineers Field Lab FAX N0. :19098491209 Apr. 05 2004 11:29AM -P11 • I T SP1., CTZNNS-.,,IlCo 'COMPRIUSSION TEST DATA SHkWT PROW -T;: WALL, �, GGAQc� l,�c?�ia PRaIECT'SM fit: PRa( IFP,f7r ADDRESS- W.Pxz," ioM I -y8' (;rNE tAL CONTRACTOR; k-r1W , . RMT BIM -40 3 6-(711 SUB CONTR. OR: 'M 40 MIX DATA M ATWAL TYPE. Gocec r £ CEMMT TYPE NEK .DEMG-K,- p 5,65 , P �P . �sQroR. 'CEM' IP. t t.( t; NUA SUE AGG (6* . ADMIX int s KET UNIT SAMPiI D., $lglo fe A.TME RATCHM, W 40 MIX TEMPE i AIR +CST (%): 11MRSAMPLft! 19 UNIT WFIGIM. IINX i't' T gyp yc m1. BATCH SIZE 4 Tim or I Dw 71 ..�..�.. ` - y K&R Data She&ffiax FROM :Testing Engineers Field Lab FAX -N0. :19098491209 Apr.'05 2004 11:29AM P10 y } p• mr, AV ',mocR.1NSPECTToNS,.j ' COMPRMIIS,1014 TEST DATA SHEET X'R(% (;'�': uvAC �,cEEr�as L►eQ� r P y P.ROJ-F.C*V MJVDVR: PR('DMU'r 4,nJD t s WAS A W6 1-0 t4 . ' t 'i'.1L;'!' 8K #: SUBCONTRACTOR: MIX DATA NIA M, TYPE.- (:,(7kc t1Att—C C't:M�;�'�` NOXI N: D"f6 S P F S► t ICON Mme : . Y�4o `" U . SAIMPLEPATA ofl ! L J if '710 UNIT - TRAE-BATCHEM q! 210( AIR CONTE 'T (Yo).- ?r ITME IN TRUM: �, A4M(n-cS .SAT (om): to j Fri —pe Lti—C.ir 1ne= a • �` Aye : !moi (mak i moi» JAWJ � 1 �__-1 K&R Consulting i ' COMPRESSIVE STRENGTH TEST REPORT. Client: Ts,��.:.���... Type of specimen Project: mortar prism concrete nonshrink grout Project No. MIXDATA Cement Type: A Cement Factor (sk/cy): Supplier:/9, oo ,ry Max Size Agg. (in.): Mix No. +X -Tc/ Admixtures: 4shp ` Mix Design Strength: 2c�o SAMPLE DATA ' Sample Location: Laboratory Sample No. Sample Test. Date Sample Age (days) Measured ' Secs. Method Contractor: ,13G Slump (in.):' Truck/Ticket: /oma ,So s88 w/plast. (in.):. Date Sampled: Air Temp. (Deg. F)... Date Received:. Mix Temp. (Deg. F) 6,2. r Sampled By: Air Content,(/o): �r�s Submitted By: Unit Weight (pcf): /✓r�- C3 1/Curing (24hr.):Q/ Batch Size: 9. S C31/Lab Curing: Water Added (gal.): No. of Specimens: e eve06&jime Batched: Specimens ID: Time Sampled: _ Time in Truck: LABORATORY -DATA.. 1% 2 CyQ0 471%.0 Laboratory Sample No. Sample Test. Date Sample Age (days) Fracture -Type; Height (in.) Diameter (in.) Area (sq -in.) it Ultimate Load (lbs) Compressive Strength (psi) mak_ 0 Percent Of Strength fsrq{ a 'ZS' 28 Z ZI 1% 2 CyQ0 471%.0 �A B C D E. conrorma m a FROM :Testing Engineers-Field.Lab' FAX NO: :119098491209 Apr. 05 2004 11:26AM P3 r Project No Prolect Name ,__i� �Ga _ _� Pro1 Sample Group No. Y ,.• " Project Addresa r Report of: O Concrete O Mortar - J%Grout G HS Grout cl Masonry . O Other A` Format: 0 Cylinders O'Prisms 13 Cores [] Cubes 0 Beam O Other Cement Type:131 V 13 Fly Ash ©Type S 17 Other Measured r Specified Placement Data3 ~ V Stump In /1 % 45 _.4 Supplier/Plant a$ M .1d Kelly Ball ' In/ cm Mix Number Ae. ara i Air Temp QF/zN, 67 Mix Description _ P " 8rr oto Mix Temp 'F/r 74 s Deslgn Strength (Pates Air Content % Specified Strength (psviiw -. Unit Weight pcf / KgIMs Trunk No. 239 Ticket No.7,7964 toad Time Batched: 4 -=Time Sample d; ` A9br!� Water: gallons added at by _ Admixtures 1► �3 �►� 140---e ue r3. specific Location• Special (nstructlone/Remarke: S o Mark on samples: No. of Sam ifie:• �' Cast by: a ioelivered by: Date Recd in Lab: Logged.in by: Processed by: Semple Lab number Date Tested- Tasted by Dimensions . (In} Test Area (In} Max Load (} Compressive Strength' (pal, MPa. Kglcm') Age =e�}2 44_ lw: 12"U> FROM :Testing Engineers Field Lab FAX NO. :19098491209 Apr. 05 2004 11:28AM P9 KhrUK! OF UUMMIiYbNIUN WAG .'CONTROL?". .PROJECT: 4,fz/Z �, r PROJECT NO. PROJECT ADDRESS: tax.� yo°;�,5; . L.;..:, t� CONTRACTOR: ' i fiVVEER:_..a�> T. fir.. t� • ARCHITECT:r.. BMLVING PERMIT NO.: D ,;z .,� SAMPLE DATA, REPORT OF: _ �CONCIi,ETE MORTAR GROUT OTI�R SUPPLIEMdlr. „ PLACEMENT DATE:. 3' ,^►y; MDC AESCM M•ION: l DATE RECD IN LAB: MIX NUMBER: TICKET.NirMBTtR: SLUMP: ii zL4dJ►/c�• TRUCK NUMBER: •-"./�tii TYPE CEMENT: " •S j " TIME IN MUM: CONC. TEMP: F S' °F i ADMIXTURE:a•.�.-- A d B TEMP: I(y OF AIR CONTENT: y. LOCATION OF PLACEMENT: i!-. %�t .SPECIAL TEST INS RUCTION/R MARKS: REQl1IIiED STRENC M 04. /P,a n PSI AT X DAYS VLWGN S'T'RENGTH: SAMPLES MADE BY: � j � C .-- TESTED BY: � rr rwrn �_ LABORATORY DATA TfM AREA MAX LOAD CAMPRMS1W TYPE UK r AGE LAC NO, - DATE TESnp IMMENMONS 011 {M. �► (IM prBErrt:T1! ( w) iPRACt L41 DAYS A, Lam.: vc .j° " �• V41l0 D diGx ? DAYS C "3 2. ;< 141 3CXxs 0140 DAYS b 2 DAYS E, Corte (A) Cone& S fit (B) Cone & Shear (C) Shear (D) Coiumnar (E) Reviewed by; DaLe All sampling and testing Conducted In aCcordwcc.with ASTM Standard Designations C31-98, C39-96, C7&94. C139 -92.'C 143-98. C17-7-97, C 1 T3=9'4: C=T -97106 YT*; C 1077.98: Conforms with Required Compressive Strength Ya Disrribwirn::