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07-0819 (CSCS) Field ReportFrom: Bob Strong, P.E. Copy: f u I I c i r c l e t h i n k i n g 16795 Von Korman, Suite .100, Irvine, California 92606 c tel 949.474.1960 o fax 949.474.5315 0 www.fuscoe.com C Irvine FUSCOE San Diego lilts. Inland Empire E N G 1 N E E R I N G Palm Springs TRANSMITTAL To: City of La Quinta Date: 8=13-07 .78-495 Calle Tampico La Quinta, CA 92253 Project: Komar Desert Center Att: Jesse Jimenez Project #: 687.01.01 Phone: 760-777-7087 Sent Via: ❑ Mail ® Overnight ❑ Messenger ❑ Other This material is forwarded to you for: ❑ Your Files ® Per Your Request ® Your Review ❑ Bid Pricing ❑ Plan Checking ❑ Your Signature ❑ Other Copies ---Description 1aGre` en1Sheet1 1 Soils Cer''f`Letter 1 Pad Elev Cert Letter 1 Recorded Parcel Map 1 Precise' Grading Plan Remarks: 2 IC1��y,(r�� Jesse, For building permit release. FA 4'Thanks, From: Bob Strong, P.E. Copy: f u I I c i r c l e t h i n k i n g 16795 Von Korman, Suite .100, Irvine, California 92606 c tel 949.474.1960 o fax 949.474.5315 0 www.fuscoe.com -Irvine - FUSCOE San Diego (lion Inland Empire E N G 1 N, E E R 1 N G Palm Springs August 10, 2007 Jesse Jimenez City of La Quinta Department of Public Works 78-495 Calle Tampico La Quinta, CA 92247 Subject: Civil Engineer's Pad Certification, Parcel Map 33960, Parcels 3 & 4 Komar Development Project: Plan Set No.: 07126 Parcel Map Number: 33960, Parcel 3 & 4 SDP No: 2006-874 Owner: Costco Komar Development Work Completed: August 8, 2007 Dear Jesse, This is to verify that the locations and elevations of Buildings Pads A, B, C, D, E, F, G, H and J of Parcel Map 33960, Parcels 3 & 4, were field checked by Cornerstone Land Surveying and found to be in substantial conformance with the approved Precise Grading Plan. The results are as follows: Pad # Plan Field Difference A 56.3 56.4 B 56.8 56.9 +.1' ✓ C 56.8 56.7 -.1' ✓ D 57.3 57.2 -.1' ✓ E 57.0 56.9 -.1' F 57.8 57.7 -.1' ✓ G 57'.9 57.8 H 59.6 59.5 J 59.6 59.5 -.l' ✓ If you have any questions please contact me. Sincerely, FUSCOE ENGINEERIN Bob Strong, P.E. Project Manage C28300 full\ 04 k i n 9 16795 Von Karman, Suite 100, Irvine; California 92606 C tel 949.474.1960 G fax 949.474.5315 o www.fuscoe.com P:\Projects\687\01\Eng\Admin\Cert Letters\Pad Cert.doc LA QUINTA 07-819 APRIL 12, 2007 SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION: 79-815 HWY. 111, La Quinta, CA PLAN CHECK NUMBER: 07-819 OWNER'S NAME: Komar Investments, LLC as the owner. or 119ZPI,nL«,1, UM Lily u iuL i, or ine arcnitectvengineer of record, will be responsible for employing the special inspector(s) as required by Uniform Building Code (UBC) Section 1701.1 for the construction project located at the site listed above. UBC Section 106.3.5. Signed 1, as the engineer/archltect of record, certify that I have prepared the following special Inspection program as required by UBC Section 106.3.5 for the construction project located at the site listed above. reenuedkthutts Bed a Baandm 1Gn ® Signed 1. List of work requiring special inspection: Soils Compliance Prior to Foundation Inspection ® Field Welding ® Structural Concrete Over 2500 PSI ® High Strength Bolting. ❑ Prestressed Concrete ® Expansion/Epoxy Anchors ® Structural Masonry ❑ Sprayed -On Fireproofing ❑ Designer Specified ❑ Other 2. Name(s) of individual(s).or firm(s) responsible for the 'special inspections listed above: A. l" ti`s �l L- 4.1 c= ALS t �•i Zi�FGT1o�-1�--i B. C. 3. Duties of the special Inspectors for the work listed above: A. B. C. 47 / V�G Pea-- -47 special Inspectors shalfcheck in with the City and present their credonlials for approval orlor W beginning work on the Job site. Oct 04 2007 12:38PM 661-942-7258 P.1 wslqw NINEUNK MASONRY CONST, CORR. Phone 661-948-7859 Fax 661-942-7258 DATE: 10107 T0: The Bergman Company „ ATTN: Kelly I Steve REGARDING: Komar FROM: Tom PAGES: 4 (including cover) MI 11 Cern I CUSTOMER ORCO CONST =IGN SUPPLY N 2650 LA CADMM DR COLTON. CA 92324 a • •A CERTIRED MILL TE?ST REPORT fsFATIQ ascatle steel rolling mills,, inc_ 0R1E 9-06-07 =011" NGmY9Sw el1OF LAUM NM 40750360 lidl/INYB. A GX< M 8712E MG)~01 FAk f143"M PAGE 1 OF 1 O 0 r O 4+ N O O v r IV W 'D 3 0 Pa 1fI1MB11tt (6) : 4302963 CERTIFED BY. _ C6RMCB MA=JWIf43EMN{AOEA ALL MELTING AND MKWALMUNG PYACESS89 FOR THE MATERIALS OCCMRED IN T8E UVrrM STATES. TOM XmpffY, Q.A.M. HEAT NO. IPR000CflGRADE YIEW TENSILE SLORG. WON. NP BMW DSP. •357707 161 1(05) REM 420/60 aRADB MW MI -02 484 70.0 75T 740 107 EST 13 98 180 OK OK { •357607 16M(#5) RSBAR 420/60 GRADE X615 (M 420 AASf= M31-02 475 69.0 Im 741 107 KS1 10 95 180 OK aR •357507 •16'!@1(05) REBBR 420/60 GUMS 464 755 12 96 180 OR 09' " •357007 16MM(#S) RSBAR 420/60 GRADS --AfiI5--QR 420 AASM 931-02 428 62.0 KST 760 120 991 12 95 180 OK OR •356907 16 01(05) REBAR 420/60 GRAEE A615 GR 420 M31-02 470 68.0 Fm 760 lie bS 10 95 180 OR OR ` t i -AMM e O 0 r O 4+ N O O v r IV W 'D 3 0 Pa 1fI1MB11tt (6) : 4302963 CERTIFED BY. _ C6RMCB MA=JWIf43EMN{AOEA ALL MELTING AND MKWALMUNG PYACESS89 FOR THE MATERIALS OCCMRED IN T8E UVrrM STATES. TOM XmpffY, Q.A.M. R"Aymountain steal mills PI. Bm sm roab, oa sero oes MATERUL TEST REPORT DWx Prim d: 23--AUG-M Dam Stopped, Z3 -AUG-& PnxbM DEF 16o Sped§cmffm ASIN-A-7064415-Of GB.66 FWIY: SMS323 Comer. ORCCIOONSTAUCTIONSUPTLV ChsLPO: 4299493 � NVQ CHEMICAL C • Mn P S. 9 co m ANALYSIS -Cr Mo AI V c r ao6mron B Cb Sn N 10 110430 039 1.17 0.015 0.029 Q21 017 OA9 0.12 O.A23 0.004 0.050 0.008 "11 MECHANICAL PROPERTIES New Seaple YUcld geld - 3YiAt N umbw mo. 110930 01 72320 100520 14.1 ok 1.048 110930 - 02 70107 99880 16.4 A 1.046 ALL Nffi,TIM ANDMANWACTURINO PROCESSES OF THE MATERIAL SUBJBCr TO TM TEST CP.RT IRCAW OCCURRED IN TELE LWTED 0 m STATES OF AWAUCA • �, TMS MATERIAL HAS SM PRODUCED AND ITMW IN ACCORDANCE . N WITH THE REQU MEMU 7e OF THE APPLICABLE SPEFICATIONS- WE HEUMY CPRTWY THAT 711E ABOVE TWT RESULTS REPRESENT THOSE }_ _-. -- cn CONTAEVFD W THE RECORDS OF THE COMPANY. co an 444: *hiss low-di&#119- Quin ain Steel Co..eLTD via rsu ?�lflMM RBIW to SAX IL0. C KfE0i65s T9.:Yt 8-57�O+1Q6 rsso� DATEMILL TEST CERTIFICATE A—Shit-72065240 44-417.4 A' glallpn alrflllf�fll a'Ullt/ 1l//rll\//�lll/Mla/lalalf ala la/l/lawlaaaa�ff .1 ■ Naalfl/wfa/fa ll��yWU/lON/aafNalali 'I-faallVM/Yfaafarl►■llll////Uf Ua'+ f'Ol. f•Rfa'^1lYYf N/IfMal w...lt♦..;•ff1/af� S 1• •1/raY •I..N...A Hf►aulru.•l..•' - ' 1 (`� /�. ..'•C t/.1.'1C','►I'\//l<71I1r/•/I,I14laapal VrlVlalll YIN/IIaW If7flflUllalllalla/W.//ll• ►aq fll�l•1l/auaua//asl r.. . ..• . »'.-rami•. .nafu./rf arf of afar /�i�S�u[urN avwwraaulff ■alra�.raaa/N., ., Ji r• I - ... ../.'.' .•,..a-• ,•uuocf/louefw ■l■llt��wM/VIIaIYN'1��.1�Ya/aN4( aat•/aaA� t♦n■la laN/wf17NYalla/ate//tlWa//HI//I I,y y. I I' I • I t 7 I 1 Nor11, '' :� um OWEBOUBBOO13 - - -- -d9.792l-L.a - ; ----- Co® �M V iaON 1 II j •� ,li+:l i• ►i' J' 1 ;r; M' }1 ;I:1'1; ,•;I I' IhA I �� , I • � r 'II � �1 -i I.: !: yl' II1.'11 Y: '�:.I I 'I � I:r' 1,. r 44-417.4 A' Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH -MORTAR ASTM C270 ** CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: KOMAR INVESTMENTS, LLC A Set No.: 7-6311 File No.: Permit No.: Project No.: Project Name: 07-819 2145A02 KOMAR DESERT CTR-LA QUINTA- BLDG A 79-815 HWY III (JEFFERSON & HWY 111) LA QUINTA, CA Age (Days) Date Tested Nominal Size Actual Area (Sq. Inch) Load (Ibs.) Strength (psi) Type of Fracture 7 10/11/2007 2 X 4 3.14 6,985 2,220 Cone 28 11/1/2007 2 X 4 3.14 8,990 2,860 Cone 28 11/1/2007 2 X 4 3.14 9,105 2,900 Cone Specified Strength: 1,800 PSI Sampled By: DONALD SMITH Location: 1ST LIFT LINE 8 BETWEEN A TO B FROM F.F. TO 3'-4" Concrete Supplier: SPEC. MIX Mix No.: Ticket No.: Water added at Site: 0.00 gal. By Cement Type: S Remarks: Mix Time: 5 Distribution: KOMAR INVESTMENTS, LLC THE BERGMAN COMPANIES SGPA ARCHITECTURE MALEK ENGINEERS INC. CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY" ASTM C172 Date Sampled: 10/4/2007 Date Received: 10/8/2007 Concrete Temp: 82 Ambient Temp: 76 °F ASTM C1064 °F ASTM C1064 Slump: in. ASTM C143 min. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 2880 PSI 28-day compression test complies with the specified strength. Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 ** CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: KOMAR INVESTMENTS, LLC A Set No.: 7-6619 File No.: Permit No.: Project No.: Project Name: 07-819 2145A02 KOMAR DESERT CTR-LA QUINTA- BLDG A 79-815 HWY III (JEFFERSON & HWY 111) LA QUINTA, CA Age (Days) Date Tested Nominal Size Actual Area (Sq. Inch) Load (lbs.) Strength (psi) Type of Fracture 8 10/31/2007 3 X 3 X 6 9.92 26,365 2,660 N/A 28 11/20/2007 3 X 3 X 6 9.00 28 11/20/2007 3 X 3 X 6 9.00 Specified Strength: 2,000 PSI Sampled By: GEORGE CHAVEZ Location: WALL- GRIDS F & 5, AT 25'-8" HIGH Concrete Supplier: SUPERIOR READY MIX Mix No.: D66P-8 Ticket No.: 44295 Water added at Site: 15.00 gal. By Cement Type: II Remarks: Mix Time: 55 Distribution: KOMAR INVESTMENTS, LLC THE BERGMAN COMPANIES SGPA ARCHITECTURE MALEK ENGINEERS INC. CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** min. A ASTM C172 Date Sampled: 10/23/2007 Date Received: 10/29/2007 Concrete Temp: 78 Ambient Temp: 90 °F ASTM C1064 °F ASTM C1064 Slump: 8.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 ** CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: KOMAR INVESTMENTS, LLC A Set No.: 7-6618 File No.: Permit No.: Project No.: Project Name: 07-819 2145A02 KOMAR DESERT CTR-LA QUINTA- BLDG A 79-815 HWY III (JEFFERSON & HWY 111) LA QUINTA, CA Age (Days) Date Tested Nominal Size Actual Area (Sq. Inch) Load (lbs.) Strength (psi) Type of Fracture 9 10/31/2007 3 X 3 X 6 9.18 21,080 2,300 N/A 28 11/19/2007 3 X 3 X 6 9.00 28 11/19/2007 3 X 3 X 6 9.00 Specified Strength: 2,000 PSI Sampled By: DONALD SMITH A ASTM C172 Date Sampled: 10/22/2007 Date Received: 10/29/2007 Location: WEST WALL LINE 1 & 2, BETWEEN F.5 TO B TO 18' AFF, 4TH LIFT Concrete Supplier: SUPERIOR READY MIX Mix No.: Ticket No.: 59710 Water added at Site: 35.00 gal. By CONTRACTOR Cement Type: II/V Mix Time: 50 min. Remarks: Distribution: KOMAR INVESTMENTS, LLC THE BERGMAN COMPANIES SGPA ARCHITECTURE MALEK ENGINEERS INC. CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** Concrete Temp: 74 Ambient Temp: 79 °F ASTM C1064 °F ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH -MORTAR ASTM C270 ** CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: KOMAR INVESTMENTS, LLC A Set No.: 7-6617 File No.: Permit No.: Project No.: Project Name: 07-819 2145A02 KOMAR DESERT CTR-LA QUINTA- BLDG A 79-815 HWY III (JEFFERSON & HWY 111) LA QUINTA, CA Age (Days) Date Tested Nominal Size Actual Area (Sq. Inch) Load (lbs.) Strength (psi) Type of Fracture 8 10/31/2007 2 X 4 3.14 6,445 2,050 Cone 28 11/20/2007 2 X 4 3.14 28 11/20/2007 2 X 4 3.14 Specified Strength: 1,800 PSI Sampled By: GEORGE CHAVEZ Location: GRIDS 8 & F, 20'-0" HIGH Concrete Supplier: SPEC. M1X Mix No.: TYPE S Ticket No.: Water added at Site: 0.00 gal. By Cement Type: I Remarks: Mix Time: 5 Distribution: KOMAR INVESTMENTS, LLC THE BERGMAN COMPANIES SGPA ARCHITECTURE MALEK ENGINEERS INC. CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** A ASTM C172 Date Sampled: 10/23/2007 Date Received: 10/29/2007 Concrete Temp: Ambient Temp: °F ASTM C1064 °F ASTM C1064 Slump: in. ASTM C143 min. Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer .i i Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of. COMPRESSIVE STRENGTH -GROUT ASTM C1019 CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: KOMAR INVESTMENTS, LLC A - - Set No.: 7-6909 File No.: Permit No.: 07-819 Project No.: 2145A02 Project Name: KOMAR DESERT CTR -LA QUINTA- BLDG A' 79-815 HWY III (JEFFERSON & HWY 111) LA QUINTA, CA A Age (Days) Date Tested Nominal Actual Area Size (Sq. Inch) Load Strength (lbs.) (psi) Type of Fracture 7 11/21/2007 3 X 3 X 6 9.89 41,195 4,170 N/A 28 12/12/2007 3 X 3 X 6 9.83 54,130 5,510 N/A 28 12/12/2007 3 X 3 X 6 9.73 52,505 5,390 N/A Specified Strength: 2,000 PSI Sampled By: GEORGE CHAVEZ Location: WALL -GRIDS 9 & D- 14'-0" HIGH (HIGH LIFT) Concrete Supplier: SUPERIOR READY MIX Mix No.: D66P-8 Ticket No.: 44843 Water added at Site: 15.00 gal. By FOREMAN Cement Type: IIIV Mix Time: 74 min. Remarks: Distribution: KOMAR INVESTMENTS, LLC THE BERGMAN COMPANIES SGPA ARCHITECTURE MALEK ENGINEERS INC. CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** ASTM C172 Date Sampled: 11/14/2007 Date Received: 11/15/2007 Concrete Temp: 86 °F ASTM C1064 Ambient Temp: 91 °F ASTM C1064 Slump: 8.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B.(Ben) Lo Chief Engineer 5450 PSI 28 -day compression test complies with the specified strength. j Corporate: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 Branch: 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of. COMPRESSIVE STRENGTH -MORTAR ASTM C270 ss CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: KOMAR INVESTMENTS, LLC Set No.: 7-6885 File No.: Permit No.: 07-819 Project No.. 2145A02 Project Name: KOMAR DESERT CTR -LA QUINTA- BLDG A 79-815 HWY III (JEFFERSON & HWY 111) LA QUINTA, CA Age (Days) Date Nominal Tested Size Actual Area (Sq. Inch) Load Strength (lbs.) (psi) Type of Fracture 7 11/20/2007 2 X 4 .3.14 6,200 1,970 Cone 28 12/11/2007 2 X 4 3.14 8,700 2,770 Cone 28 12/11/2007 2 X 4 3.14 8,920 2,840 Cone Specified Strength: 1,800 PSI Sampled By: GEORGE CHAVEZ Location: GRIDS 9 & C 14'-0" HIGH (WALL) Concrete Supplier: SPEC. MIX Mix No.: TYPE S Ticket No.: Water added at Site: 0.00 gal. By Cement Type: I Mix Time: 15 min. Remarks: Distribution: KOMAR INVESTMENTS, LLC THE BERGMAN COMPANIES SGPA ARCHITECTURE MALEK ENGINEERS INC. CITY OF LA QUINTA-BLDG & SAFETY. **LAB COPY** ASTM C172 Date Sampled: 11/13/2007 Date Received: 11/14/2007 Concrete Temp: °F ASTM C1064 Ambient Temp: °F ASTM C1064 Slump: in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer 2800 PSI 28 -day compression test complies with the specified strength. Arrlmm �tu-LIJXW Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 KLrVKI K11yU1KCMLN 1J: 1111V 11MLU 114,irt4,11UN MANUAUMIUL NULL MANUAL KGVIEW PKEVIOUS KEFOICI'S AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT_ MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS : 110 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A FIELD REPORT Mechanical vibrator, 10 men TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Reinforcement inspection & concrete placement — for interiors read footings lines C, D, E 4, 5, & 6, also perimeter building footing 'd lines - AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE Concrete & masonry notes & details on sheets S1, S2, S3, SD.1, SD.2, SD.3, SDA APPROVED Y N Y Y Y Y ARCHITECT amples _ 2 sets of 4 concrete FOR WEEK ENDING # 2 from load # 8, ticket # 5643430, slum 3", concrete temperature @ 811, location 'd line 7 — between B to D.5 WEATHER: Clear SAMPLES TAKEN: 2 sets of 4 concrete SGPA TEST REQUIRED: Slump, temperature, f c 9/22/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT - BLDG "A" 79-815 HWY 111 LA QUINTA KLrVKI K11yU1KCMLN 1J: 1111V 11MLU 114,irt4,11UN MANUAUMIUL NULL MANUAL KGVIEW PKEVIOUS KEFOICI'S AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT_ MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS : 110 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Mechanical vibrator, 10 men AREA, GRID LINES, PIECES OBSERVED: Reinforcement inspection & concrete placement — for interiors read footings lines C, D, E 4, 5, & 6, also perimeter building footing 'd lines - 1& 8 between A to G, lines A& G between 1 to 8 STRUCTURAL NOTES, .DETAILS OR RFIS USED: Concrete & masonry notes & details on sheets S1, S2, S3, SD.1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for VM size, grade, splice lap, spacing& clearance for perimeter building footing and interior spread footings, also monitored placement & consolidation of 110 total cubic yards of 3000 -psi concrete amples _ 2 sets of 4 concrete # 1 from load # 1, ticket # 5525661, slump @ 2 %2", concrete temperature @ 71°, locations @ interiors read ft 's line C/4, 5, 6, line D/ 4, 5, 6 & E/4 # 2 from load # 8, ticket # 5643430, slum 3", concrete temperature @ 811, location 'd line 7 — between B to D.5 WEATHER: Clear SAMPLES TAKEN: 2 sets of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, f c U SITE TIME START: 6:30 AM SITE TIME FINISH: 1:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORtt5ZMPUES WITH T SOILS INVESTIGATION RECOMMENDATIONS / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: /1l -A TUES: 9 / 1812007 ICBG Certification Number. 1037223-94, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 c FUKi n QUH%E1vwN 10: n,ov FIELD I NSPEC,11014 iV1ANUALIMTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): FIELD REPORT CONTRACTOR E UIPTMENT / MAN POWER USED: TYPE OF WORK AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED Y N Y Y Y Y. ARCHITECT of 8 total cubic yards of 3000 -psi concrete FOR WEEKENDING Sample —1 set of 4 concrete - from ticket # 5643351, slum 3 '/4","concrete temperature @ 810, locations northwest diagonal building. footing & 2 — column footin 's @ line 7 / C.5 & D.5 WEATHER: Clear SAMPLES TAKEN: I set of 4 concrete SGPA TEST REQUIRED: Slump, temperature, f c 9/22/07 PROJECT NO. 2145A02 ENGWNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-.819 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS � ADDRESS OF PROJECT BLDG "A" oannnm nrnrrm n. m�o. r 79-815 HWY 111 LA QUINTA c FUKi n QUH%E1vwN 10: n,ov FIELD I NSPEC,11014 iV1ANUALIMTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Mechanical vibrator, 5 men AREA,GRID LINES PIECES OBSERVED: Reinforcement & concrete placement — for perimeter building footing northwest diagonal section of building "A", also 2 column footing's grid limes 7/C.5 & D_5 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & mason notes & details on sheets S1, S2, S3,'SD.1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for tyM size, grade, splice lap, spacing& clearance for perimeter building footing and monitored placement & consolidation of 8 total cubic yards of 3000 -psi concrete Sample —1 set of 4 concrete - from ticket # 5643351, slum 3 '/4","concrete temperature @ 810, locations northwest diagonal building. footing & 2 — column footin 's @ line 7 / C.5 & D.5 WEATHER: Clear SAMPLES TAKEN: I set of 4 concrete TEMPERATURE: - 60's — 70's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 9:00 AM SITE TIME FINISH: 1:30 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WO OWL TH SOILS INVESTIGATION COIMv NM'NDAT�SAND/OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: /MON: 9 / .17 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Co e: • Branch: 2992 E. La *Ave., Suite.A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92I2I Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3990 REPORT REQUIREW N i S: !CBO FIELD INSPECT MANUAUM7'(iL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 12 x 8 x 16", 8 x 4 x 16" Angelus C-90 mw open ends litface & precision cmu's, spec -mix ta "S" mortar FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 6 men TYPE OF WORK GRID LINES, PIECES OBSERVED: Starting lay out of masoruy building I' course line 8 — A to A.5 AVAILABLE REPORTS PLANS SPECS SOILS SHOPS STRUCTURAL NOTES DETAILS OR RFIS USED: REINFORCED CONCRETE REMARKS, INCLUDING MEETINGS: APPROVED Y N Y Y Y Y. ARCHITECT FOR WEEK ENDING SAMPLES TAKEN: None 1'EiviYERaI'URE: 60'S-7U'S1 l'IJ'1'REt1UIRED: None SGPA 9/29/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. ' THE B.ERGM. AN COMPANY 0.7-:819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" I 79-815 HWY 111 LA QUINTA REPORT REQUIREW N i S: !CBO FIELD INSPECT MANUAUM7'(iL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 12 x 8 x 16", 8 x 4 x 16" Angelus C-90 mw open ends litface & precision cmu's, spec -mix ta "S" mortar A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 6 men r GRID LINES, PIECES OBSERVED: Starting lay out of masoruy building I' course line 8 — A to A.5 STRUCTURAL NOTES DETAILS OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing& clearance for emu wall during construction. Monitored mortar mixing & handling, cmu lay-up techniques. WEATHER: Clear .. SAMPLES TAKEN: None 1'EiviYERaI'URE: 60'S-7U'S1 l'IJ'1'REt1UIRED: None SITE TIME START: 7:00 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION.RECOMMENDATION / OR THE.APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: "v FRI: 9 / 28 / 2007 ICBG Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City /county Certification number: MI6 Corporate. - 2992 orporate.2992. E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT Branch: 7313 Carroll Road,, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3.990 TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS PLANS SPECS SOILS SHOPS GRID LINES, PIECES OBSERVED: APPROVED Y N Y Y Y Y ARCHITECT REMARKS, INCLUDING MEETINGS: FOR �i'EEK ENDING SGPA WEATHER: Clear 9/29/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK .MASONRY KO.MAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79 — 815 HWY 111 LA QWNTA REPORT RFnT TTRFMFNTC• Irru-1 PTFT n 1 mmol-rT^XF X IA—I A. .,,, Kr-vibw rKhvtVus KEPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WTTH VOTTR WFFTC>c AFPnIIT - MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 is 16", 12 x 8 x 16", 8 x 4 x 16" Angel us C-90 mw open ends litface & precision cmu's, spec -mix type "S" mortar t . A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 6 men GRID LINES, PIECES OBSERVED: Starting lay out of masonry building I" course line 8 — A to A.5 STRUCTURAL NOTES DETAILS OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing& clearance for cmu wall du!*construction. Monitored mortar mixing & handling, cmu lay-up techniques. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 70's TEST REQUIRED: None SITE TIME START: 7:00 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFI I DO CERTIFY THAT T T4AVR PFACnrTAT T V noann—.. , — ==u .1I,,...1alculADUVnPkNO MAI W OM12vL T SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION ONTHE BUILDING C O SIGNATURE: lav `^'"`"� FRI: 9 / 28 / 2007 ICBO Certification Number: 037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: • Branch: 2992 E. La P Ave. , Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA, 92121 Tel: 714,632,2999 Tel: 838,337,3999 Fax: 714.632.2974 Fax 858.537.3990 KnrvKi K tsv riGLL LNSFF 11UN MANUALSMI UL SOL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end splitface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing 1' lift lines 7 & 8 — between G to A, line A, — between 5 to 8 to 3'4" A.F.F. AVAILABLE REPORTS PLANS SPECS SOILS SHOPS STRUCTURAL NOTES, DETAILS, OR RFIS USEB-��—'-- REINFORCED CONCRETE R.FTAARYQ Thj i l illiTT(: MFFTiA1GC• APPROVED Y N Y Y Y Y ARCHITECT FOR WEEK ENDING SAMPLES TAKEN: 1 set of 3 mortar, assembled 1 set of 3 block prism TEMPERATURE: 60's — 90's TEST REQUIRED: Temperature,'f c SGPA 10/06/07 PROJECT NO. 2145A02 ' ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 MW 111 LA QUfNTA KnrvKi K tsv riGLL LNSFF 11UN MANUALSMI UL SOL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end splitface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 gade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing 1' lift lines 7 & 8 — between G to A, line A, — between 5 to 8 to 3'4" A.F.F. STRUCTURAL NOTES, DETAILS, OR RFIS USEB-��—'-- masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA R.FTAARYQ Thj i l illiTT(: MFFTiA1GC• Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for cmu wall during construction: Monitored mortar mixing & handling, cmu lay-up techniques. WEATHER: Clear SAMPLES TAKEN: 1 set of 3 mortar, assembled 1 set of 3 block prism TEMPERATURE: 60's — 90's TEST REQUIRED: Temperature,'f c SITE TIME START: 7:00 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RFCOMMENDATIO AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATUC THURS: 10 /04 / 2007 ICBG Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: • Branch: 2992 E. La P ma Ave., Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92121 Tel: 714.632..2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3990 REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL7MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision emu's &'16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing I' lift lines 1 & 2 — between F.5 to B, lines F, F.5 & G — between I to 8 to 3'4" A.F.F. AVAILABLE REPORTS PLANS SPECS SOILS SHOPS STRUCTURAL NOTES, DETAILS, OR RFIS USED: REINFORCED CONCRETE REMARKS; INCLUDING MEETINGS: APPROVED Y N Y Y Y Y ARCHITECT FOR WEEK ENDING SAMPLES TAKEN: None TEMPERATURE: 60's — 90's TEST REQUIRED: None SGPA 10/06/07 1 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN.COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79 — 815 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL7MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision emu's &'16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing I' lift lines 1 & 2 — between F.5 to B, lines F, F.5 & G — between I to 8 to 3'4" A.F.F. STRUCTURAL NOTES, DETAILS, OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3,.SDA REMARKS; INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Monitored mortar mixing & handling, cmu la -up techniques. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 90's TEST REQUIRED: None SITE TIME START: 7:00 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED -ABM AND THAT THIS WORK COMPLIES WITH THF snlT.s INV tS I IUAI ION RECUMMENDATIO S AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO 1 SIGNATURE: p WED: 10 / 03 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: Branch: 2992 E. La Ave: ,. Suite' A 7313 "Carroll'Rb4 Suite G Anaheim, CA 92806 San Diego CA. 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858,537.3990 REFORI REQUIREMEP S: ICBG-ViELu•INSPE(:-I:i )N-mANUAUM"1"GLS(JIL•MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w, open end splitface & precision cmu's & 16 x 8 x 16,12 x 8 x 16 precision column block, FIELD REPORT TYPE OF WORK t ux–lutui'uy itBttultct Yfr Ito utlull utuan, Wili lubbutt tui, I HIM AREA, GRID LINES, PIECES OBSERVED: AVAILABLE REPORTS PLANS SPECS SOILS SHOPS E ox - 2 # 6 A-615 re -bar dowels with 12" embed per rfi # 27 north doorjamb # 106 REINFORCED CONCRETE STRUCTURAL NOTES, DETAILS, OR RFIS USED: APPROVED Y N . Y Y Y Y Anntrrrr-rvr tl}�\:T]Yt'L•t.'2 SGPA Monitored epoxy of 2 # 6 re -bar dowels with 12" embed using Simpson Set 22 epoxy, verified holes to be clean & contractor followed epoxy rro umry ramrw,� 'tt7f\'A DGl1'T.FIllt1^(lT 10/06/07 PROJECT NO. 2145A02 ENGINNER 'WEATHER: Clear SAMPLES TAKEN: None PLAN FILE NO. TEST REQUIRED: None MALEK CONTRACTOR PERMIT NO. T14E -BERGMAN COMPANY 07-.8:19 SUB CONTRACTOR PROJECT NAME NIBB.ELI NK MASONRY KOMAR.DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79 — 815 HWY 111 LA QUINTA REFORI REQUIREMEP S: ICBG-ViELu•INSPE(:-I:i )N-mANUAUM"1"GLS(JIL•MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w, open end splitface & precision cmu's & 16 x 8 x 16,12 x 8 x 16 precision column block, spec -mix e" S" mortar A-615 60 grade reinforcing steel, Simpson Set 22 epoxy ICC ESR #1772 expiration date 4109 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 3 masons, 4 tenders t ux–lutui'uy itBttultct Yfr Ito utlull utuan, Wili lubbutt tui, I HIM AREA, GRID LINES, PIECES OBSERVED: Completed lay out of masonry building P course lines F, F.5 & G – I – 8, lines 1 & 2 –F.5 to B, line A – 3 to 8, also starting I' lift line I - .E.5. to F.5.to.3'4".A-F_F_ E ox - 2 # 6 A-615 re -bar dowels with 12" embed per rfi # 27 north doorjamb # 106 STRUCTURAL NOTES, DETAILS, OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SE). 1, SD.2, SD.3, SDA, rfi # 27 REMARKS, INCLUDING MEEI7NGS: Verified reinforcin g steel for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Monitored moitar mixing & handling, cmu lay-up techniques. Monitored epoxy of 2 # 6 re -bar dowels with 12" embed using Simpson Set 22 epoxy, verified holes to be clean & contractor followed epoxy 11 manufactures recommend guidelines & vrocedures 'WEATHER: Clear SAMPLES TAKEN: None 'TEMPERATURE: 60's – 80's TEST REQUIRED: None SITE TIME START: 7:00 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THF SOILS IN V EN HUA71Ut4 RECOMMENDAT NS AND/ OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: ' q„44 ;:,,i �— TUES: 10 / 02 12007 ICBO Certification Number. 1037223-E4, EE Date of Report 1T A T T (IL A1TTT • rah / n n,.. /`y„', n }inn 1.n.• YKINT NAME: Ll)iVHLli J1V1:1'l ri I Corporate: • Branch: 2992.E. Aa Ave. , Suite A 7313 Carroll Road, Suite G' Anaheim, CA 92806 San Diego CA. 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3.990 •. }�} �L�Vn Lts,L}V }J. ]VONT}GW TarLI..'11V}V LYIH}vV/1U{V111lLJUilr4VIH4VUAL' iii'VIGW PKG'VIVUJiChPUKISANDLIbIs. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH Vn1IR WFFK'S RFPnRT MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 12 x 8 x 16", 8 x 4 x 16" Angelus C-90 m.w. open ends litface & precision cmu's, spec -mix type "S" mortar FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, 1 foreman, I mason, 5 tenders TYPE OF WORKAVAILABLE AREA, GRID LINES, PIECES OBSERVED: Continuing lay out of masonry building I course lines 7 & 8 — A.5 — G, lines F & G — 8 to 7 REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA APPROVED Y N Y Y Y Y Ann1nT1":nT r+nw I�i'11 } SGPA rl n t}/ MV r.AT TI _ rvn w r;cr c{vv}tvv 10/06/07 PROJECT NO. 2145A02 ENGININER SAMPLES'TAKEN: None ATURE: 60's — 70's PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 'SUB -CONTRACTOR PROJECT NAME NIBBELINK.MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUfNTA •. }�} �L�Vn Lts,L}V }J. ]VONT}GW TarLI..'11V}V LYIH}vV/1U{V111lLJUilr4VIH4VUAL' iii'VIGW PKG'VIVUJiChPUKISANDLIbIs. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH Vn1IR WFFK'S RFPnRT MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 12 x 8 x 16", 8 x 4 x 16" Angelus C-90 m.w. open ends litface & precision cmu's, spec -mix type "S" mortar A-615 60 grade reinforcing steel. CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, I mason, 5 tenders AREA, GRID LINES, PIECES OBSERVED: Continuing lay out of masonry building I course lines 7 & 8 — A.5 — G, lines F & G — 8 to 7 STRUCTURAL NOTES, DETAILS, OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING 14EETINGS: Verified reinforcing steel for type, size, grade, splice lap, sp ing & clearance for cmu wall during construction. Monitored mortar mixing & handling, cmu lay- p techniques. R: 'Partly cloudy F SAMPLES'TAKEN: None ATURE: 60's — 70's TEST REQUIRED: None SITE TIME START: 7:00 AM SITE TIME FINISH: 2:30 PM LUNCH PREIOD: TRAVEL THME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS uv r c.� iivr�i iv}v �.V1VllV1C1vLH11 J AIVU / UK 1HL APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: G'k MON: 10 / 01 / 2007 ICBO Certification Number. 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: NR6� Corporate:• Branch: 2992 E. La P a Ave. , Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3990 FIELD REPORT TYPE OF WORK 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED Y N Y Y Y Y ARCHITECT STRUCTURAL NOTES DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size,. de, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Grout placement — monitored placement & consolidation by mechanical vibrator of 19 cubic yards of 2000 -psi gout for I' lift SGPA [Samle —1 set of 3 grout, & grouted 1 set of 3 block prism from load # 1, ticket # 58483, slum 8", out temperature 701, location —1 �` lift 10/06/07 1 PROJECT NO. 2145A02 ENGINNER TEST REQUIRED: Temperature, f c, slump PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THF RF_.RrMAN COMPANY 07- R19 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUIREMENTS: fCBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, s _ec-mix type "S" mortar A-615 60 grade reinforcing steel, 19 cubic yards of 2000 -psi grout from Superior ready mix CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, I foreman, 3 masons, 3 tenders AREA, GRID LINES PIECES OBSERVED: Grout placement — I52 lift lines 1 & 2 — between B to F.S, lines F, F.5 & G — between 1 to 8, lines 7 & 8 — between A to G, line A — between 3 to 8 to 3'4" above finish floor Cmu lay-up — starting 2nd lift lines F, F.5 & G — between 1 to 8 STRUCTURAL NOTES DETAILS, OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size,. de, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Grout placement — monitored placement & consolidation by mechanical vibrator of 19 cubic yards of 2000 -psi gout for I' lift [Samle —1 set of 3 grout, & grouted 1 set of 3 block prism from load # 1, ticket # 58483, slum 8", out temperature 701, location —1 �` lift Lines 1 & 2 — between C.5 to F.S, lines F, F.S, & G — between 1 to 8, line 8 — between E to G to 314" A.F.F. WEATHER: Clear SAMPLES TAKEN: 1 set of 3 grout, grouted I set of 3 block prism TEMPERATURE: 60's — 70's TEST REQUIRED: Temperature, f c, slump SITE TIME START: 7:00 AM SITE TIME FINISH: 2:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFYTHAT I'HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: > A a^f/ FRI: 10 /05 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. Ste Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial County ' A 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DIEL® REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WOTRK1 SPECTOR ❑TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) APPROVED PLANS (e(N) SPECS ( ) APPROVED SHOP DRAWING (Y) (N) ARCHIT.ECT - FOR WEEK ENDING PROJECT. NO. G/ ENGINEER REPORT NO. PG OF CONTRACTOIr y r - PLAN FILE NO. PERMIT NO. e l' 1 G; SUB-007TRACTORJ b ,i a k( PROJECT NAME e-0 Gr INSPECTION ADITRESS r `b � • L T ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS ED BY CONTRACTOR (INCLUDE RESEARCH REPORT ,o OR MATERIAL TEST REPORTS): - cut CONTRA-C�TORS EOUIPMEV / MANP R USED: AREA, GRID LINES, PIECES OBSERVED: es ` ,r A _ /z_ STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS. INCLUDING MEETINGS: / _. � c -v a _I�/�_K_ InLa r o a4 a -ft-P r? r , rv. � e- .,.35° .350r e _ L4 d , C.;4" ,yo ccf/A,✓C. V-,- Ott i� /Fa/4nccS�� /art S REWORK AS_PEMENT OF ALL WORK TODAY PERCENT PROJECT COMPLETION* WEATHER: C. (eaC TEMPERATURE: (f%r SAMPLES TAKEN: r� TESTS REOUIRED: �J Ji T 7 ll 1\ l li V SITE TIME START: k. SITE TIME FINISH: 7- QU P LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I VU t;tHI IFY t HAI I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR T P OV PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBG Certification Number CLA.CV"t Print Name City / County CertHicalion Number Rev: 7/97 Corl-raw 2992 E. La Palma Ave: , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632,2974. 7313 Carroll Road, Suite 0 - San Diego CA. 92121' Tel; 858.537.3999 Fax 838,537.3990 Kt -VIEW FREWOUSREPORTS ANDLISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH Yn1 IR WFFK'c RPPORT MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision cmu's & 16 x 8 x 16,12 x 8 x 16 precision column block, MELD REPORT Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 3 masons, 4 tenders TYPE OF WORK AREA, GRID LINES PIECES OBSERVED: Completed lay out of masonry building P course P, lines F, F.5 & G —1— 8, lines 1 & 2 — F.5 to B, line A — 3 to 8, also starting I' lift line 1 - AVAILABLE REPORTS PLANS SPECS SOILS SHOPS STRUCTURAL NOTES DETAILS OR RFIS USED: REINFORCED CONCRETE REeRKS� rLNC1�„'1DLNG 1l�_GS. APPROVER Y N Y Y Y) Y ARCHITECT FOR WEEK ENDING SAMPLES TAKEN: None TEMPERATURE: 60's —'80's TEST REQUIRED: None SGPA 10/06/07 1 PROJECT NO. 2145A02 ENGIIJNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE .BERGMAN COMPANY 07- gl9 SUB -CONTRACTOR PROJECT NAME • NIBBELINK MASONRY KOMAR.DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA D.CDnDT DCr%TTTDr!X C T0. rnnn rmr n Kt -VIEW FREWOUSREPORTS ANDLISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH Yn1 IR WFFK'c RPPORT MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision cmu's & 16 x 8 x 16,12 x 8 x 16 precision column block, spec -mix type" S" mortar A-615 60 grade reinforcing steel, Simpson Set 22 epoxy ICC ESR # '1772 expiration date 4/09 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 3 masons, 4 tenders E — rotor hammer w/7/8" bit, nylon brush, compressed air, i man AREA, GRID LINES PIECES OBSERVED: Completed lay out of masonry building P course P, lines F, F.5 & G —1— 8, lines 1 & 2 — F.5 to B, line A — 3 to 8, also starting I' lift line 1 - E.5 to F.5 to 314" A.F.F. Epoxy - 2 # 6 A-615 re -bar dowels with 12" embed per rfi # 27 @ north door jamb # 106 STRUCTURAL NOTES DETAILS OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SDA, SD.2, SD.3, SDA, rfi # 27 REeRKS� rLNC1�„'1DLNG 1l�_GS. Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Monitored mortar mixing & handling, cmu lay-up techniques. Monitored epoxy of # 6 re -bar dowels With'IT embed using Sim son Set 72 epoxy, verified holes to be clean & contractor followed epoxy manufactures recommend guidelines & procedages WEATHER: Clear , SAMPLES TAKEN: None TEMPERATURE: 60's —'80's TEST REQUIRED: None SITE TIME START: 7:00 AM LUNCH PREIOD: SITE TIME FINISH: .3-.00 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK O OILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, .SPECS, AND APPLICABLE SECTION OF THE BUILDING CO , UNO SIGNATURE:/ K_ �` o/� r�•'tti - TUES: 10 / 02 / 2007 ICBG Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City /county. Certification. number: r9lict Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 ,u,�vuu:iru,i. au. -w rioi,u 11-JJrr-CHUN 1MAINUAUM1GL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MMS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH. REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders TYPE OF WORK REINFORCED CONCRETE Cmu lay-up — continuing I' lift lines 1 & 2 — between F.5 to B, lines F, F.5 & G — between 1 to 8 to 3'4" A.F.F. AVAILABLE REPORTS PLANS SPECS SOILS SHOPS STRUCTURAL NOTES DETAILS OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD.1, SD.2, SD.3, SDA APPROVED Y N Y y y y ARCHITECT FOR WEEK ENDING WEATHER: Clear SAMPLES TAKEN: None SGPA r I TEST REQUIRED: None 10/06/07 1 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" I 79-815 HWY 111 LA QUINTA DCDAD'r'DOn RDL'L/C MQ i!'-1 ,u,�vuu:iru,i. au. -w rioi,u 11-JJrr-CHUN 1MAINUAUM1GL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MMS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH. REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing I' lift lines 1 & 2 — between F.5 to B, lines F, F.5 & G — between 1 to 8 to 3'4" A.F.F. STRUCTURAL NOTES DETAILS OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD.1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Monitored mortar mixing & handling, cmu lay-up techniques. WEATHER: Clear SAMPLES TAKEN: None FEMFFEKAYUM: 60's — 90's - r I TEST REQUIRED: None SITE TIME START: 7:00 AM LUNCH PREIOD: SITE TIME FINISH: 3:00 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS 70v COMPLIE WITH THE SOIL INVESTIGAT!07 COMME/JNDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDINES SIGNATURE: '/ X WED: 10 / 03 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: rMinrat Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 —1 UII2E 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end splitface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders TYPE OF WORK REINFORCED CONCRETE Cmu lay-up — continuing 1' lift @ lines 7 & 8 — between G to A, line A, — between 5 to 8 to 314" A.F.F. I AVAILABLE REPORTS PLANS SPECS SOILS SHOPS STRUCTURAL NOTES, DETAILS, OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, -SD.3, SDA APPROVED Y N Y Y Y Y •nnrnmr. nor �+c��,ni i c�. i SGPA rnn ssmry r-wrr�rwrn_ rvr` W cnn nivviivv - SAMPLES TAKEN: 1 set of 3 mortar, assembled I set of 3 block prism TEMPERATURE: 60's — 90's 10/06/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUBCONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" REPORT W 79 — 815 HY 111 LA QUINTA Q MENTS. ICBG F1ELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF . THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR-- INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end splitface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing 1' lift @ lines 7 & 8 — between G to A, line A, — between 5 to 8 to 314" A.F.F. STRUCTURAL NOTES, DETAILS, OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, -SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for e, size, grade, splice lap, spacing & clearance for cmu wall during construction. Monitored mortar mixing & handling, cmu lay-up techniques. WEATHER: Clear SAMPLES TAKEN: 1 set of 3 mortar, assembled I set of 3 block prism TEMPERATURE: 60's — 90's TEST REQUIRED: Temperature, f c SITE TIME START: 7:00 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: 1 DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK CO H TNP SOILS INVESTIGATION RECOMMENDATI S AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUIL ING CODE , UNO SIGNATURE:. ^e,4" THURS: 10 /04 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD STMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714,632.2999 Pax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 838.537,3999 Pax 858.537.3990 a�v�Yv r[�Y1VUJ ICCYVKIJ AIV IJ LIJI J. ii' THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND RT TWIT A r0PV Wrr'u VnTry UrCUY'Q ncnno•r MATERIALS USED BY CONTRACTOR (INCLUDING,RESEARCH REPORTS NO. -OR MATERIAL .TEST•.REPORTS : FIELD REPORT .CONTRACTOR E UIPTMENT / MAN POWER USED: TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS PLANS SPECS SOILS SHOPS 3'4" above finish floor Cmu lay-up — starting 2' d lift lines F, F.5 & G — between l to 8 APPROVED Y N y y y y ARCHITECT RRTRARKR TM I TTr)TMr. UrPTrM 4Z: FOR WEEK ENDING e, size de, splice lap, sacrog & clearance for cmu w%I-during construction. Verified proper mortar mixing & handling procedures. Grout placement — monitored placement & consolidation by mechanical vibrator of 19 cubic yards of 2000 -psi grout for I" lift v ^^ SGPA 10/06/07 1 PROJECT NO. 2145AO2 ENGINNER TEST REQUIRED: Temperature, f c, slump PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA 92LNTA RFPnRT17.CElT TTD 17A.iL•ATTQ. rr'on crar nn.ioncnmr��•. • ..�.,. . ..�........-.. ......:. - a�v�Yv r[�Y1VUJ ICCYVKIJ AIV IJ LIJI J. ii' THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND RT TWIT A r0PV Wrr'u VnTry UrCUY'Q ncnno•r MATERIALS USED BY CONTRACTOR (INCLUDING,RESEARCH REPORTS NO. -OR MATERIAL .TEST•.REPORTS : 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w'. open end splitface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec—Mix type "S" mortar A-615 60 grade reinforcing steel, 19 cubic yards of 2000 -psi gout from Superior ready mix .CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 3 masons, 3 tenders AREA, GRID LINES, PIECES OBSERVED: Grout placement — I' lift lines 1 & 2 — between B to F.5, lines F, F.5 & G — between 1 to 8, lines 7 & 8 — between A to G, line A — between 3 to 8 to 3'4" above finish floor Cmu lay-up — starting 2' d lift lines F, F.5 & G — between l to 8 STRUCTURAL NOTES DETAILS OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD -3, SDA RRTRARKR TM I TTr)TMr. UrPTrM 4Z: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steellacement e, size de, splice lap, sacrog & clearance for cmu w%I-during construction. Verified proper mortar mixing & handling procedures. Grout placement — monitored placement & consolidation by mechanical vibrator of 19 cubic yards of 2000 -psi grout for I" lift v ^^ Sam le —1 set of 3 grout, & grouted 1 set of 3 block prism from load # 1, ticket # 58483, slum 8", grout temperature @ 701, location —1 ' lift Lines 1 & 2 — between C.5 to F.5, lines F, F.5, & G — between 1 to 8, line 8 - between E to G to 3'4" A.F.F. WEATHER: Clear SAMPLES TAKEN: 1 set of 3 grout, grouted I set of 3 block prism TEMPERATURE: 60's — 70's TEST REQUIRED: Temperature, f c, slump SITE TIME START: 7:00 AM SITE TIME FINISH: 2:00 PM LUNCH PREIOD: TRAVEL TIME: y; I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT T CO H THE SOILS INVESTIGATION RECOMIv1END IONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTI OF THE BUILDING DES, UNO SIGNATURE:. FRI: 10 105 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Mf6� Ct)verate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.,632.2974 FIELD REPnRT aid eh: 7313"Carroll Road Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS PLANS SPECS SOILS SHOPS AREA, GRID LINES, PIECES OBSERVED: APPROVED Y N Y Y Y Y. ARCHITECT REMARKS, INCLUDING MEETINGS: FOR WEEK ENDING cmu lay-up techniques. SGPA SAMPLES TAKEN: None 10/06/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE.BERGMAN COMPANY 07-.819 SUB -CONTRACTOR PROJECT NAME NIB.B.ELINK MASONRY KOMAR.DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA UINTA ocPnD-r ocnrrrouNA-a.rre• rt -an mot n mmncrrlrl�r . IIIVV JV1L Tll'll\V113I 1\Li�ll:'n I1\1:'�1VVJ IVi1 Vl\1J T1\L L1Ji J. 11' THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SIJRMTT A rOPV WITTJ VolM UMVV°C DCDnDT . MATERIALS USED BY CONTRACTOR(INCLUDING. RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 12 x 8 x 16", 8 x 4 x 16" An elus C-90 m.w. open ends litface & precision cmu's, spec -mix type "S" mortar A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 1 mason, 5 tenders AREA, GRID LINES, PIECES OBSERVED: Continuing lay out of masonry buildin g I' course @ lines 7 & 8 — A.5 — G, lines F & G — 8 to 7 STRUCTURAL NOTES, DETAILS, OR .RFIS USED: masonry notes & details on sheets S1, S2, S3, SM, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Monitored mortar n*ing & handling, cmu lay-up techniques. WEATHER: Partly cloudy SAMPLES TAKEN: None TEMPERATURE: 60's — 70's TEST REQUIRED: None SITE TIME START: 7:00 AM SITE TIME FINISH: 2:30 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS COMPLIES H THE SOILS INVESTIGATION :C07MNffi)NDATPNS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF YM BUILDIN CODES, SIGNATURE: MON: 10 / 01 / 2007 ICBO Certification Number. I037223-84, 88 Date of Report PRINT NAME: DONALD SMITH v City / county Certification number: MTG� Corporate: 2992 E. La Palma. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 • Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 REPORT REQUOREMENIS: 1C HO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x' 16", Angelus C-90 m.w. open end s litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 3 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — starting 3`d lift @ line 1— between F.5 to E.3, lines F & F.5 — between 1 to 4.3, line 8 — between G to E.2 to 13' 4" above finish floor AVAILABLE REPORTS PLANS SPECS SOILS SHOPS above finish floor REINFORCED CONCRETE Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA APPROVED Y N Y Y Y Y ARCHITECT Monitored placement & consolidation / re -consolidation by mechanical vibrator of 24 cubic yards of 2000 -psi grout for complete 2"d lift to 8' A.F.F. FOR WEEK ENDING 1 WEATHER: Clear SAMPLES TAKEN: None SGPA TEST REQUIRED: Slump, temperature 10/13/07 PROJECT No. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 1 I 1 LA QUINTA REPORT REQUOREMENIS: 1C HO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x' 16", Angelus C-90 m.w. open end s litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix a "S" mortar A-615 60 grade reinforcing steel, 24 cubic yards of 2000 -psi grout, Robertson's mix design # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 3 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — starting 3`d lift @ line 1— between F.5 to E.3, lines F & F.5 — between 1 to 4.3, line 8 — between G to E.2 to 13' 4" above finish floor Approximately 480 units laid -up Grout placement - 2"d lift@ lines 7 & 8 — between A to G, lines F, F.5, & G — between 1 to 8, lines 1 & 2 — F.5 to B, line A — between 3 to 8 to 8' above finish floor STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar naizing & handling procedures. Monitored placement & consolidation / re -consolidation by mechanical vibrator of 24 cubic yards of 2000 -psi grout for complete 2"d lift to 8' A.F.F. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: . 60's — 70's TEST REQUIRED: Slump, temperature SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMMENDATI S AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: WED: 10 /10 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / countyCertification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's.& 16 x 8 x 16, 12 x 8 x 16 precision column block, AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED(Y) N Y Y Y Y ARCHITECT STRUCTURAL NOTES, DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. SGPA 10/13/07 PROJECT NO. 2145A02 ENGINNER TEST REQUIRED: Slump, temperature PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUIREMENT S: 1CB0 FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's.& 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing 3`d lift @ lines F, F.5, & G — between 1 to 8, line 8 — between G to A to 13' 4" above finish floor Approximately 1500 units laid -up above finish floor STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: 3:00 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT WO O_LIAS WIT SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTI 401 UIL IN S, UNO SIGNATURE: THURS: 10 /11 / 2007 ICBO Certification Number: 1037223-84, 8 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 i F%Jv i .IIVN MANUAUMIUL JU1L MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT_ MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu 's & 16x 8 x 16,12 x 8 x 16 precision column block, FIELD REPORT. Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 3 tenders TYPE OF WORK AREA, GRID LINES PIECES OBSERVED: Cmu lay-up — starting 3`d lift P, line I — between F.5 to E.3, lines F & F.5 — between 1 to 4.3, line 8 — between G to E.2 to 13' 4" above finish floor AVAILABLE REPORTS PLANS SPECS SOILS SHOPS above finish floor REINFORCED CONCRETE Masonry notes & details on sheets S1, S2, S3, SDA, SD.2, SD.3, SDA APPROVED Y N Y y y y ARCHITECT Monitored placenamt & consolidation / re -consolidation by mechanical vibrator of 24 cubic yards.of 2000 -psi grout for complete 2°d lift to 8' A.F.F. FOR WEEK ENDING WEATHER: Clear SAMPLES TAKEN: None SGPA TEST REQUIRED: Slump, temperature 10/13/07 1 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" ncnnnr nrnr rmrm.rmn. r 79-815 HW 111 LA QUINTA i F%Jv i .IIVN MANUAUMIUL JU1L MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT_ MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu 's & 16x 8 x 16,12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, 24 cubic yards of 2000 -psi grout, Robertson's mix design # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 3 tenders AREA, GRID LINES PIECES OBSERVED: Cmu lay-up — starting 3`d lift P, line I — between F.5 to E.3, lines F & F.5 — between 1 to 4.3, line 8 — between G to E.2 to 13' 4" above finish floor Approximately 480 units laid -u Grout placement - 2nd lift @p lines 7 & 8 — between A to G, lines F, F.5, & G — between 1 to 8, lines 1 & 2 — F.5 to B, line A — between 3 to 8 to 8' above finish floor STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SDA, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Monitored placenamt & consolidation / re -consolidation by mechanical vibrator of 24 cubic yards.of 2000 -psi grout for complete 2°d lift to 8' A.F.F. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: 3:00 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS IES TH THE SQILS INVESTIGATION RECOMMENDATIO AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF UILDING CODES, SIGNATURE: WED: 10 /10 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: 9 MTG� Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOUL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND REIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m:w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 3 masons, 3 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: , Cmu lay-up — completed 2nd lift line 8 — between E.3 to G, lines F, F.5, & G — between 1 to 8, lines 1 & 2 — F.5 to B to 8' above finish floor AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA APPROVED Y N Y Y Y Y ARCHITECT FOR WEEK ENDING WEATHER: Clear SAMPLES TAKEN: None SGPA TEST REQUIRED: none 10/13/07 1 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOUL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND REIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m:w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 3 masons, 3 tenders AREA, GRID LINES, PIECES OBSERVED: , Cmu lay-up — completed 2nd lift line 8 — between E.3 to G, lines F, F.5, & G — between 1 to 8, lines 1 & 2 — F.5 to B to 8' above finish floor Approximately 1190 units laid -up STRUCTURAL NOTES, DETAILS, OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 70's TEST REQUIRED: none SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: 3:00 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS IES WITH THE SOIL INVESTIGATION RECOMMENDAT ONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF BUILDING CODES, UNO SIGNATURE:. ' TUES: 10 /09 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: 9 MG Corporate: 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS). 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: AVAILABLE REPORTS PLANS SPECS SOILS SHOPS Grout placement — 3`d lift lines F, F.5, & G — between 1 to 8, lines 7 & 8 — between G to A, line A — between 3 to 8 to 13' 4" above finish floor REINFORCED CONCRETE STRUCTURAL NOTES, DETAILS, OR RFIS USED: APPROVED Y N Y Y Y Y ARCHITECT for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Monitored placement & consolidation/re-consolidation of 27 cubic yards of 2000 -psi grout for 3`d lift @ grid lines noted above FOR WEEK ENDING WEATHER: Partly cloudy SGPA TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c 10/13/07 1 PROJECT NO. 2145A02 ENGR, NER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07- 819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS). 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, 27 cubic yards of 2000 -psi grout Superior ready mix, design # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing 3`d lift @ lines 1 & 2'— between F.5 to B, line A - between 3 to 8 to 13' 4" above finish floor Approximately 1200 units laid -up Grout placement — 3`d lift lines F, F.5, & G — between 1 to 8, lines 7 & 8 — between G to A, line A — between 3 to 8 to 13' 4" above finish floor STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Monitored placement & consolidation/re-consolidation of 27 cubic yards of 2000 -psi grout for 3`d lift @ grid lines noted above WEATHER: Partly cloudy SAMPLES TAKEN: 1 set of 3 mortar, grout, block prism TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM SITE TIME FINISH: 2:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION BUILDING CODE , UNO / SIGNATURE: �� i r/ -10 A+/ 2007 ICBO Certification Number: 1037223-84,88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Mrs Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS PLANS SPECS SOILS SHOPS AREA,GRID LINES PIECES OBSERVED: APPROVED Y N y y y y ARCHITECT STRUCTURAL NOTES, DETAILS OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Maso — on site for continuous masonry ins ection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, s acin & clearance for cmu wall during construction. Verified proper mortar mixin & handling procedures. SGPA 10/13/07 PROJECT NO. 2145A02 ENGINNER SAMPLES TAKEN: None PLAN FILE NO. TEST REQUIRED: none MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NTBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY III LA UINTA REPORT RF.Of1IRFk4PNTC• Trnn FIRI n 1MQDcrT1n1J KAAw1r1w 1...-rn, nom.• . - vAL1v11 VL JV1L WituNut11, REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT.,. FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, 1S CORRECTED, SO NOTE.ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS : 8l 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end splitface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, I foreman, 3 masons, 3 tenders AREA,GRID LINES PIECES OBSERVED: Cmu Jay -up — starting 2nd lift lines 7 & 8 — between E.3 to A, line A — between 3 to 8 to 8' above finish floor Approximately 1180 units laid -up STRUCTURAL NOTES, DETAILS OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Maso — on site for continuous masonry ins ection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, s acin & clearance for cmu wall during construction. Verified proper mortar mixin & handling procedures. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 70's TEST REQUIRED: none SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: 3:00 PM TRAVEL TIME: I i3:; t;i :iz ii Y' ii.� i' i i is ; i i'iiR601Ntii..LY U.BSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WO L SOILS INVESTIGATION RECOMMENDAT ONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING COD UNO SIGNATURE: MON: 10 /0E / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: FMITGL Corporate: 2992 E. La Palma ve. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 • Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, I foreman, 3 masons, 3 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — completed 2nd lift line 8 — between E.3 to G, lines F, F.5, & G — between 1 to 8, lines 1 & 2 — F.5 to B to 8' above finish floor AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA APPROVED Y N Y Y Y Y ARCHITECT FOR WEEK ENDING WEATHER: Clear SAMPLES TAKEN: None SGPA TEST REQUIRED: none 10/13/07 1 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A' 79-815 HWY 1.11 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, I foreman, 3 masons, 3 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — completed 2nd lift line 8 — between E.3 to G, lines F, F.5, & G — between 1 to 8, lines 1 & 2 — F.5 to B to 8' above finish floor Approximately 1190 units laid -up STRUCTURAL NOTES, DETAILS, OR RFIS USED: masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 70's TEST REQUIRED: none SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: hr�4 TUES: 10 /09 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City'/ county Certification number: Corporate: • 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 • Branch: 7313'Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 KLPOKI KLl1UntLMLN rS: ICBO FIELD INSPECTION MANUAUMT(jL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT TETE END OF WORK I)A'i, OR MiSSiNU IvITRS. AND RHS, EC i., riLL i U r i ivD .CP ._ . _ _1;1:1CI3 ?'' ` REPORT. WHEN A DEFICIGNCI', )'OURS ORA PREWOUS !NSPECTOR'S, l_S C`:"-!-CTrn -0 N -MR, nN ml l,r, nolo 1pd G! Il r, ,r,Irll7�in�r n,r,nn� r ,SI It2MIT A Cr)RV WITH VOI IP karFp.k PPPnuT if ivies IER{JAL} 1 -ISED Li v Cl -II N'I _KA. _.-T )R (W(. i DING RESEARCH REPO RTS NO. OR mATERIA . TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m..w. open end splitface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools. Pas powered naddle mortar mixer; grout numnmechanical vihrator. 1 foreman; 3 masons 3 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up – starting 2" lift u) lines 7 & 8 – between E.3 to A, line A – between 3 to 8 to 8' above finish flour II AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE masun y notes &, details on sheets S 1, S2, S3, SD. 1, SD.2, SD.3, SDA APPROVED(Y) N Y Y Y Y ARCHI'T'ECT II j .FOR WEEK ENDING WEATHER: Clear SAMPLES TAKEN: None SGPA TEST REQUIRED: none 10/13/07 PROJECT NO. 2145AO2 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. T14E BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUTNTA KLPOKI KLl1UntLMLN rS: ICBO FIELD INSPECTION MANUAUMT(jL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT TETE END OF WORK I)A'i, OR MiSSiNU IvITRS. AND RHS, EC i., riLL i U r i ivD .CP ._ . _ _1;1:1CI3 ?'' ` REPORT. WHEN A DEFICIGNCI', )'OURS ORA PREWOUS !NSPECTOR'S, l_S C`:"-!-CTrn -0 N -MR, nN ml l,r, nolo 1pd G! Il r, ,r,Irll7�in�r n,r,nn� r ,SI It2MIT A Cr)RV WITH VOI IP karFp.k PPPnuT if ivies IER{JAL} 1 -ISED Li v Cl -II N'I _KA. _.-T )R (W(. i DING RESEARCH REPO RTS NO. OR mATERIA . TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m..w. open end splitface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, C:ON'I'KACTOK E UIP'I'MEN'I-/ MAN POWER USED: Mason hand tools. Pas powered naddle mortar mixer; grout numnmechanical vihrator. 1 foreman; 3 masons 3 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up – starting 2" lift u) lines 7 & 8 – between E.3 to A, line A – between 3 to 8 to 8' above finish flour II Approximately 1180 units laid -u STRUCTURAL NOTES,. DETAILS OR RFIS USED: masun y notes &, details on sheets S 1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up procediires & techniques. Verified reinforcing steel placement I! Ii7; luny ern' =r: cu.., s....rr :» . byii:: during crriS.r»:.. C P:3:.Pr? proper mr;.mir mixing & handing procedures II j WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's – 70's TEST REQUIRED: none SITE TIME START: 6:30 AM SITE TIME FINISH: 3.00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: :.,.... ".'i iii WORK iJISTED ABOVE ikND T1lAr TIIIS WORK COMPLIES WITH THE SOILS INVESTIGATIODA16/do4v,_� COMMENDATI. NS AND/ OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE,: MON: 10/00'/2007 ICBO Certification Number: 1037223-84, 88 ^^+nrr nr e n ru ✓1(lA! 1 n CR.4IT1 j City !county Certification number: Corporate: • Branch: 2992 E. La Palfve. , Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3990 FIELD REPORT TYPE OF WORK 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE _ APPROVED(Y) N Y YPROJECT Y Y ARCHITECT STRUCTURAL NOTES, DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. SGPA 10/13/07 NO. 2145A02 ENGINNER TEST REQUIRED: Slump, temperature PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REFOKI REQUIREMENTS: 1CBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing 3`d lift @ lines F, F.5, & G —.between 1 to 8, line 8 — between G to A to 13' 4" above finish floor Approximately 1500 units laid -up above finish floor STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature SITE TIME START: 6:30 AM SITE TIME FINISH: . 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: I )W.► THURS: 10 /11 / 2007 ICBG Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS PLANS SPECS SOILS SHOPS AREA, GRID LINES, PIECES OBSERVED: APPROVED(Y) N yy y y ARCHITECT STRUCTURAL NOTES, DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handlina Procedures. SGPA 10/20/07 PROJECT NO. 2145A02 ENGINNER SAMPLES TAKEN: None PLAN FILE NO. TEST REQUIRED: Slump, temperature, MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA 9U1 NTA REPOR T REOT TM PKfPMTC• Trnn V YVT n n.TCDcr-rTrWT i 1 A Xn T A T s rT•r.T ncvinwrKLv1UUaKCrUK1JANl)LISIS. W THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL 'DEFICIENCY REPORT AND CTTRAATT A rnUV u TT'u vnTTD iirccvTc nrnnnm MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 gmde reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, as powered paddle mortar mixer, 1 foreman, 7 masons, 6 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up - completed 0 lift lines 1 & 2 = between F.5 to B to 18" A.F.F., also completed 5`h lift south wall line F & G — between line 8 to MCJ 5.3, also east wall lines 7 & 8 — between A to G & line A — between 8 to MCJ 5.3 to 22' 8" above finish floor. Masonry contractor starting to install roof embeds. No deficiencies noted. STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handlina Procedures. No deficiencies noted. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, SITE TIlvEE START: 6:30 AM SITE TIME FINISH: 2:30 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY I DO CERTIFY,THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WQX -INVESTIGATION RECOMMENDATIONS AND/ OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF SIGNATURE• -n "J'Q PRINT NAME: DONALD SMITH THE THURS: 10 /18 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report City / county Certification number. Irl Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED Y N Y y y y ARCHITECT STRUCTURAL NOTES, DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Monitored placement, consolidation & re -consolidation by mechanical vibrator of 19.50 cubic yards of 2000 -psi grout for cmu walls noted above. SGPA 10/20/07 1 PROTECT NO. 2145A02 ENGINNER TEST REQUIRED: Slump, temperature, PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" � 79-815 HWY 111 LA qUINTA nnrUlcI nr-YULALMACIN I a It,nU rMLU INSPE ;TION MANUAUM GL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR CLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, 19.50 cubic yards of 2000 -psi gout Superior ready mix # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 7 masons, 6 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — finished 0 lift precision cmu's @ north wall line A — between 3 to 8 to 18' above finish floor, starting 0 lift lines 1 & 2 — between F.5 to B Grout placement — 3rd lift @ west wall lines I & 2 — between F.5 to B to 1314" above finish floor, also 0 lift south wall line F & G — between line 8 to MCJ 5.3, east wall lines 7 & 8 — between A to G, line A — between 8 to MCJ @ 5.3 to 18' above finish floor. No deficiencies noted. STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets Sl, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Monitored placement, consolidation & re -consolidation by mechanical vibrator of 19.50 cubic yards of 2000 -psi grout for cmu walls noted above. No deficiencies noted. WEATHER: Clear/windy SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: 3:00 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS W H SOILS INVESTIGATION RECOMMENDA=ANDHE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: WED: 10 /17 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: Branch: C4, 2992 E. La Palma Ave. , Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3990 AND, kl&kl� rwi n R1=anRT TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS PLANS SPECS SOILS SHOPS ARCHITECT AREA, GRID LINES, PIECES OBSERVED: APPROVED Y N y y y Y SGPA FOR WEEK ENDING 1 Masonry — on site for continuous masonry inspection, verified roper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. 10/20/07 PROJECT NO. 2145AO2 ENGINNER MALEK PLAN FILE NO. TEST REQUIRED: Slump, temperature, f c CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUBCONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORTREOUIRFMFNTC• IrRn PTPT n n QPcrTrnu AAAATTTAT n,.r 1 ter,.. . ncv�nvvrtccviUU�IthYUK1 AND LIS IS. 1F THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., F LmL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND S11RMiT A rnPV WITR VnTTD Rmcv,c ncnnn� MATERIALS USED BY CONTRACTOR CLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 4 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — starting 4`h lift @ split -faced @ south & east walls P lines G & F.5 — between 1 to 8, line 8 — between G to E.3 to 18' above finish floor Approximately 600 units laid -up STRUCTURAL NOTES, DETAILS, OR RFIS USED: Maso notes & details on sheets S1, S2, S3, SDA, SD.2, S13.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified roper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. WEATHER: Partly cloudy SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VE B I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THE SOILS INVESTIGATION RECOM�M/JENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION BUILDING C ES, UNO SIGNATURE: �Oi•rr�/ MON: 10 /15 /2'007 ICBO Certification Number: 1037223-84, EE Date of Report PRINT NAME: DONALD SMITH City / county Certification number: FMITGL Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 ....:r.. .. QUNZE1v.n1vla.lCouFEELL11VJrnC1101VNuu-4upumIGLSOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): FIELD REPORT CONTRACTOR E UIPTMENT / MAN POWER USED: TYPE OF WORK AVAILABLE REPORTS PLANS SPECS SOILS SHOPS 18' above finish floor REINFORCED CONCRETE APPROVED Y N Y y y y ARCHITECT REMARKS, INCLUDING MEETINGS: FOR WEEK ENDING for type, size, grade, splice lap, spacing & clearance for cmu. wall during construction. Verified proper mortar mixing & handling procedures. SGPA 10/20/07 1 PROJECT NO. 2145A02 ENGINNER TEST REQUIRED: Slump, temperature, f c PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT n rn�nm n BLDG "A" 79-815 HWY 111 LA QUINTA ....:r.. .. QUNZE1v.n1vla.lCouFEELL11VJrnC1101VNuu-4upumIGLSOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders GRID LINES, PIECES OBSERVED: Cmu lay-up — finished 0 lift P, split -faced & precision cmu's south & east walls lines G, F.5, F — between 1 to 8, line 8 - between G to E.3 to 18' above finish floor Avvroximately 1000 units laid -up STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets Sl, S2, S3, SDA, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placernent for type, size, grade, splice lap, spacing & clearance for cmu. wall during construction. Verified proper mortar mixing & handling procedures. WEATHER: Partly cloudy/windy SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFITiD BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WO OMPL SOkLS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OFNj�_ffiBUILDMGCODESNT,UN SIGNATURE: �`L+c _ TUES: 10 /16 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: f j �ITf/'Je �J S FC ! [_ '� /V / r'" f:;_- Corporate: San Diego/Imperial Count, 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 - - - --- --- - Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK FI INSPECTOR ❑TECHNICIAN AVAILABLE: SOIL REPORT(4 (N) SPECS (4M (N) / 41 APPROVED PLANS 0 (N) APPROVED SHOP DRAWING pry(N) ARCHITECT FOR WEEK ENDING PROJECT. NO. �q ENGINEER REPO T NO. PG OF CONTRACTOR ■ PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJBT NAME INSPECTION ADDRESS ADDRESS OF PROJECT y REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL 50 - RCV[E1V PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE V ; , OR MISSING MT .VD RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S CO [ ;C ED, ❑ Nt7T O TtI RTGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. ��- ]j]� 1 MATERIALS USED BY CONTRACTOR (MCLUDE RESEARCH REPORT NO. OR MATERI t C NTRAC70RS EQUIPMENT / MANPOWER USED: , ICA //IyP 0 ro AREA, GRID LINES, PIECES OBSERVED: O 3 Fa ) � ` /r l STRUCTURAL NOTES, DETAIL, OR RFIS USED: r f: 1 y r tt i"r moo REMARKS, INCLU41MG MEU NCS: t ^r r 7 � Y%s F= G" i n � � Z grA .' 14 EU -�P 0 1-- 6 A U Z- S-P r- 's 14L � IIC s2( F t�L ,S, tl,F 4000 Rs 1 mg, m WEATHER: �'0 SAMPLEAEt�O�,/f'� 15 eC f _A/_S ,S - 6R0ar per- 9te-- fi)_!� TEMPERATURE: G TESTS REQUIRED: - -. SITE TIME START:. ��[i d SITE TIME FINISH: $� �' LUNCH PERIOD: TRAVEL TIME: VERIFIE I DO CERTIFY T AT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR 7 ROVED PLANS, SP 7 NS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ignature Date of Report ICBO Certification Number 7309-4 Print Name City / County Certification Number Rev: 7/97 Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 ir Tel: 714.632.2999 Fax: 714.632.2974 — Dispatch:800.491.2990 10V_ &>&/,/ Udif_W%�10!�' )90 San Diego/Imperial Count, 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK KINSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT(4 (N) SPECS (i*..(N) APPROVED PLANS O (N) APPROVED SHOP DRAWING (*(N) ARCHITECT FOR WEEK ENDING PROJECT. NO. /n1_114<5--R02 ENGINEER RVRT 0. PG OF CONTRACTOR PLAN FILE NO. PERMIT NO. 1® �„ SUBCONTRACTOR PROJECT NAME , P INSPECTION ADDRESS i ADDRESS OF PROJECT L I:IldzX Zee t REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S, IS CORRE "ED, SO NgfE OV THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERLAL TEST REPDRTS): d `' CONTRACTORS EQUIPMENT/ MANPOWER USED: FW.. AREA, GRID LINES, PIECES OBSERVED: re A&Y_ T 1117ZZ 5 a N egZy�& F'g:� _t'--ej JG' 7-0 P 0 P 0 ) ,a, lJ 3 e4. 19 A&�/0Pic/ 2! Rzl/1 i 7b 23-7- YV 77-, P 6le let .� I e %] �� ro _ i °1. �3�r( La E , �..�5— G'l�/E i Td �r �'�rSriC� STRUCTURAL NOTES, DETAIL, OR RFIS USED: -' �- ! REMARKS, INCLuawG ptEET7NCS' �j�i'71�'�; i9!►Io� �1d�eiflN�r �` �'-�'�C�� -S��s�C_'� _ _ CZ ZW P SAMPLES TAKEN: WEATHER: TEMPERATURE: C. TESTS REQUIRED: Y �J SITE TIME START: _ SITE TIME FINISH: LUNCH PERIOD: / TRAVEL TIME: =le= VERIFIED BY:� I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR TH �VED PLANS, SPECIFI D APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT :Z� ature r Date of Report ICBO Certification Number 2 �f Print Name City / County Certification Number Rev: 7/97 FMITGL Corporate: 2992 E. La Palma Ave. Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: Suite A 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT TYPE OF WORK AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPRO VED Y ( N (Y Y (Y (Y ) ARCHITECT FOR WEEK ENDING SGPA 10/27/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07- 819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 1 79 — 815 HWY III LA OUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 gradc reinforcing steel. CONTRACTOR EQUIPTMENT / MAN POWER USED: Mason hand tools, awered paddir mortar mixer, I foreman, 5 masons, 4 tenders AREA, GRID LINES,• PIECES OBSERVED: Cmu lay-up — starting 5th lift @ southwest s litfaced tower lines F.5 - 1 to 3, line 1 F.5 to E STRUCTURAL NOTES, DETAILS, .OR RFLS USED - Masonry notes & details on sheets S1, S2, S3, SD.I, 913.2, SD.3. SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, gmde, splice lap, spacing & clearance for emu wall during construction. Verified proper mortar mixing & handling procedures. Note: replaced by another Special Inspector WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: 10:00 AM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE INVESTIGATION RECOMMENDATION / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO { SIGNATURE: TUES: 10 /23 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: I Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT TYPE OF WORK AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED (Y) (N) (Y) (Y) (Y) (Y) ARCHITECT FOR WEEK ENDING SGPA 10/27/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07- 819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79 — 815 HWY 111 LA QUINTA REPORT REQUTRFMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PRF VIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open end s litface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, 27 cubic yards of 2000-psi gout, Superior ready mix design # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, &Lout Rump, mechanical vibrator, 1 foreman, 3 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Grout placement — 0 & 5'b lifts () roof embeds @ west wall lines 1 & 2 — between B to F.5 to 18' —18' 8" A.F.F, also south wall, lines F, F.5, & G - between 1 to 8, height varies from 18' to 22'8" A.F.F. (sloped roof), also east wall line 8 — between A to 13.5 & line 8 — between G to E.5 to 22'8"af. f. also north wall line A — between 3 to 8 from 18'8" to 22'8' A.F.F. (sloped roof) STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2 S3, SD.I, SD.2 SD.3 SD.4 REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonr y inspection. verified proper cmu lay-u procedures & techniques. Verified reinforcing steel placement for type, size, grade, splice 1 , spacing & clearance for emu wall during construction. Verified proper mortar mixin & handling procedures. Verified anchor bolts & steel embeds prior to grout placement. Contractor responsible for heights, dimensions & lay -out of embeds. Monitored placement & consolidation by mechanical vibrator of 27 cubic yards of 2000- si grout for 0 & 5`h lifts (heights varies to cover roof embeds) Sample — from load # 1, ticket # 59710, slum (c� 9", grout temperature 740,location (a) west wall line 1 & 2 — between B to F.5 to 18' A.F.F. WEATHER: Clear SAMPLES TAKEN: 1 set of 3 grout TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: 3:00 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WNttghl LIES %V[TH THE OILS INVESTIGATION RECOMMENDA NS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, SIGNATURE: MON: 10 /22 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: 4%9- A ' Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 I Fax:714.632.2974 ---------- Dispatch:800.491.2990 San Diego/Imperial Coum., 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WOR KINSPECTOR OTECHNICIAN AVAILABLE: SOIL REPORT QQ (N) SPECS c(Aj (N) APPROVED PLANS ) (N) APPROVED SHOP DRAWING 00 (N) ARCHITECT FOR WEEK ENDING PROJECT. NO. ,r� td 2- ENGINEER �IEP On1 0, PG OF CONTRACTOR PLAN FILE NO. PERMIT NO. SUB-CONTRACTOA PROJECT NAME Jf_N r' /f,I ' a INSPECTION ADDRESS ADDRESS OF PROJECT ! - ! 1-1 ;A REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORKDAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST,REP4 M: 1 - /5`l'.��►d� D -�f l�~ �'�� 7'J�le�/�i2-[__�r 6. a'eR- .:2 0 n o P-S; Gs,QAar CONTRACTORS EQUIPMENT/ MANPOWER USED: `Mk f 1; FP-ShWAREA, GRID.LINES, PIECES OBSERVED: o.v MA_JT>iV41 WAlls f� '�:t�s 4.2, 79- d, a 2L-o MC11. PL nae I 16 szanl j .2o c a. ydS , L' Ej c r - 9- 1 r 1 a STRUCTURAL NOTES, DETAIL, OR FIRS USED: REMARKS, IArCl.f 0 G MEETINGS. CJ 4 ER V� P�i�.�r�?��'T � � Ll�f�� I■t%�d A ��/Y?� JI. °Y, /�' c_"�� U c� !-' f2 `� iF ZAII Ale APO6 ` 6 �= REWORK AS PERCENT OF ALL WORK TODAY* pEgCENTj4TgjEMnMpLETj0Nv L'� n n SAMPLES N C O T `�/0�C I � eAe#S " '4r WEATHER: TA TEMPERATURE: TESTS REQUIRED: {� L/ 77 — _ 6' — SITE TIME START: P S SITE TIME FINISH: O U (&;.?IAW / TRAVEL TIME:` v LUNCH PERIOD: �_-- VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR ROVED PLANS, SDEMI ONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ignature Date of Report ICBO Certification Number le,,5-7 i 6 !? - !!/ 7 Print Name City / County Certification Number Rev: 7/97 Corporate: San Diego/Imperial Count, 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G — _ Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 ---- - Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK ,EINSPECTOR ❑TECHNICIAN AVAILABLE SOIL REPORT (*s (N) SPECS 09HN) _ APPROVED PLANS 0 (N) APPROVED SHOP DRAWING($ (N) ARCHITECT FOR WEEK ENDING PROJECT. NO. ENGINEER REPORT NO- PG 'f OF �l■ CONTRACTOR a) PLAN FILE NO- PERMIT N0. IQ 2 YL SUB -CONTRACTOR . PROJECT NAME �a a INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY. TRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CO TEl7. SO NOTE THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATE IAL TEST REPORTS: g2aan r°Sz�Rr�r�i :r1r`��l�rRj6a RFAe-1tJ InIY 0r), CONTRACTORS EQUIPMENT/MANPOWER USED: - 1 AREA, GRID LINES, PIECES OBSERVED: 1 � Vn . r 1 — � ! , ' � ' �I 6 To ;2' STRUCTURAL NOTES, DETAIL, OR RAS USED: rS'T.4I1C:ff.Carr/-lgleT REMARKS, INCLUDIN$ MEETINGS: 0A s^��+ 1�S-/ C & ydsA/O p - - &t� WEATHER: (� �� L� SAFAP ES iAK Hjd o r6 TEMPERATURE: 79 TESTS REQUIRED: LCIVA SITE TIME START: 65I _ SITE TIME FINISH: _ Z�_(' �- r .) LUNCH PERIOD: — TRAVEL TIME: VERIFIED BY: = I DO CERTIFY THA I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR VIED PLANS, SPEC i S AND APPLICABLE SECTION OF THE BUILDING CODE, UNLLE,SeS� OTHERWISE NOTED IN THE DEFICIENCY REPORT �y rs /d l2 Sa /oLC1fJ / �C} g o g V 75 7 I9nature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 snap wY / AOLCorporate: San Diego/Imperial Count, 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT 5- Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK *INSPECTOR ❑TECHNICIAN GS �JJG ; 'A" �- AVAILABLE: SOIL REPORT-% (N) SPECS () (N) APPROVED PLANS#) (N) APPROVED SHOP DRAWING (g (N) ARCHITECT Sl 12 PJ,/ _ FOR WEEK ENDING % 00 I PROJECT. NO. a A ENGINEER REPORTJJO. PG j OF CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR -, PROJECT NAME /] % INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WOR Y SSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR' . CORREQTED, SO ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. ML MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. 0 T J-,�'C�'p,�c��D �� • fs'l?T��C� ! <ns ): �� 4:?�r 'r�}�j ��, f►I Azm CONTRACTORS EQUIPMENT / MANPOWER USEO- AREA, GRID LINES, PIECES OBSERVED: � y � r /� ,� f �f r / rv7 /+ / hzz STRUCTURAL NOT8. DETAIL. OR RFIS USED: �1fa✓/ 0 REMARKS, INCLUDING MEETINGS: SL��J1Y I L/ �i ! �!_' r! lt� I •s�` �! t �IQ. J REWORK AS PERCENT OF ALL WQBK TODAY: - WEATHER: �Z�C/ w d TEMPERATURE: gd i s67- or' 3 CdidCi SAMPLES TAKEN: TESTS REQUIRED: sL SITE TIME START: —CG Q _ — SITE TIME FINISH: LUNCH PERIOD- TRAVEL TIME: p ' ;�7r f y VERIFIED BY: I DO CERTIFY AVE PERSONALLY SE_ VIED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR T OVED PLANS, CIF NS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 Corporate: 2992 E. La Palm Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial t 7313 Carroll Rd. Ste. San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A .�� Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK O INSPECTOR ❑TECHNICIAN f) �l C lee . AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENDING PROJECT. NO ENGINEER t REPORT NO. PG OF CONTRACTORPLAN ` FILE N0. PERMIT NO. 1is.tit TOS '` ` � .. \N r U�. �9SUB-CON PROJECT NAME , j�� \J � ��\� • C C- _� C� f INSPECTION ADDRESS `j fq'5 it'dk1i ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMITA COPY WITH YOB R WEEK'S REPORTS. MATERIAL'SIUSED BY CONTRACTOR (INCLUDE RESEARCH REPORT N0. OR MATERIAL TEST REPORTS): civ _ enc 3noo }CONTRACTORS EQUIPMENT/ MANPOWER USED: I 'AREA. GRID LINES! PIECES OBSERVED: j �n an .Q "%m'9-,( t1 Q_ C\' A Vkp-Mao e �e` emm- e7\ -.E> T a k�i�F �' STRUCTURAL NOTES, DEJ AIL, OR RFIS USED: - 00, -REMARKS. INCLUDING MEEI7NOS: i r 15 `1 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COM Pl FTIOW WEATHER: Sr, R A ///�� O SAMPLES TAKEN: 4 5 ett j y TEMPERATURE: o n j ® q0 TESTS REQUIRED: L , } � 5 SITE TIME START: SITE TIME FINISH: �o � ,,4/y LUNCH PERIOD: TRAVEL TIME: lest VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT , K,67 j6� z /// 7/ S IV 7 Signature /� Date of Report ICBO Certification Number clija I r10 99 [ P 7 - Print Name City / County Certification Number I! Rev: 7/97 t J�• I Corporate: l` 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Ar Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 .., .. ...',. ..s:';Txc.z ;•rr.,�tyn.,.+"'f"•.a. .m-_y5.-:.� r�..�:+i,.::.:.c.='sc:v-=J.:er.*.s��.A+^.-r_ir:•ue.+!SIt,Ft+'-vrsF� 174 o- • San Diego/Imperial Count• Inland Empire: 7313 Carroll Rd. Ste. G 14467 Meridian Pkw., Bldg. 2-A San Diego, CA 92121 Riverside, CA 92518 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 858.537.3990 Fax: 951.653.4666 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT TYPE OF WORK '!O INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (Yp(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT PA r FOR WEEK ENDING PROJECT NO. ��~ ! t�L CJI ENGINEER f ! REPORT NO. PG OF CONTRACTOR i{ PLAN FILE NO. PERMIT NO. 1•/ c'C j C (ice t �` ^ ' {j n I�A ( A SUB -CONTRACTOR _j PROJECT NAME s // INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND , SUBMIT COPY WITH YOUR WEEK'S REPORTS. " MATE/RIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS) �,:.Lar+-i�,ri i1,4t'�,/ 1"{ �t - ', t .�If J��-t" - `' �'� f 1 t v• �t a CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA. GRID LINES, PIECES OBSERVED: . •� • � � E~G.1 �_ % /', 1 f. E z r.. d C_ O (1 rJ l� f � :.� -R v�? t •� STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS. INCLUDING NEERNGS: `- C� S C c \l r �� C f Ii i� �, C� _�d �, r a^ n r �-. i; n < t �c' c. 1 r r r_, �-, -A r .% lr REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETION• WEATHER:j SAMPLES TAKEN: 'f/ jt, f / TEMPERATURE:TESTS REQUIRED: Ij SITE TIME START: v +•?) SITE TIME FINISH: f�l _ l 11 w LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:. I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS,4ECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT jSignature..�' / Date of Report ICBO Certification Number Print Name- City / County Certification Number . c ,.. Rev: 7/97 ti AVAILABLE: SOIL REPORT (Y) (N) APPROVED PLANS (Y) (N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y) (N) Corporate: 07CT FOR WEEK ENDING I 2992 E. La Palma Ave. Ste. A f Anaheim, CA 92806 ENGINEER REPORT NO. PG Tel: 714.632.2999 III IL 1 10 Fax: 714.632.2974 PERMIT NO. Dispatch: 800.491.2990 SUB -CO t`. San Diego/Imperial Coun, 7313 Carroll Rd. Ste. G San Diego, CA 92121 • Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE 0 WORK INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) APPROVED PLANS (Y) (N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECP_t G, 07CT FOR WEEK ENDING I PROJECT. NO. ys ENGINEER REPORT NO. PG OF CONTRA PLAN FILE NO. PERMIT NO. SUB -CO PROJECT NAME 1 INSPECTION ADDRESS e ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO Ff& D INSPECTION MANUAUMTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERICS© BY CONTRACTOR CLUDE RESEARC R PORT NO. OR MAT IAL TEST REPORTS): r CONTRACTORS EQUIPMENT/ MANPOWER USED: tk AREA, GRID L PIECEQS OBSERVED: J �e, ga 4_fnit klck ?w ''10 r_ S dpcv SIR TU L NOTES, DETAIL. OR RFIS USED: a� � u in e REMAR S. IMCIUO/MG MEETINGS: OMAO, (JLIU REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: ) l; r `V ,^ `k /� TEMPERATURE: �11 s 0 o SAMPLES TAKEN: /1 '3 © `k TESTS REQUIRED: \j �� Q SITE TIME START: SITE TIME FINISH: LUNCH PERIOD: )SL TRAVEL TIME: �� VERIFIED BY: 4<Z%4'041� I DO CERTIFY THAT 1 HAVE PE ONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE PROVED P NS, SPE IONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT �/ 7 ®� z Ignature Date of Report ICBG Certification Certification Number Print Name City / County Certification Number Rev: 7/97 CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 1111012007 PROJECT NO. 2145A02 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. OT -019 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quints, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL! MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDERS: Felipe De Jesus Cardenas, Greg Guess CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Big Blue 400D, Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: Completed the complete joint penetration welding for the revised elevations of the 6x6x1/4 tube steel columns at lines 2.9/A.1 and 2.1 A.9. t STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: WARM SAMPLES TAKEN: TEMPERATURE: 77 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: none TRAVEL TIME: V IFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT, 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/09/2007 City of La Quinta Print Name Date Of Report City / County Certification Number CORPO 2992.E. La Ila Ave., Suite A Anaheim, CA 92806 Tel: 714.6322999 Fax: 714.6322974 San Diego / Imperial 00 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 FIFA n RF:anQT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 TYPe Of Work X INSPECTOR TECHNICIAN AVAILABLE SOIL REPORT (Y) (N) SPECS. (1) SSW APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (11) ARCHITECT: SGPA Ard*ecture and Pbnnvv. FOR WEEK ENDING 11110/2007 PROJECT NO. 214SA02 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 Building - A ENGINEER: Malek Engineers. Inc. REPORT NO. 1 PG 1 8380 Mirimar Mata Ste. 225 San Diego, CA 92121 OF 1 CONTRACTOR: The Bergman ComMiesPLAN FILE NO. PERMIT NO. 07$19 4300 Edison Avenue Chino, CA 91710 SUB -CONTRACTOR: SunWood Construction PROJECT NAME: Komar Desert Center 14161 Shrw Street Ste. G Moreno Valley, CA INSPECTION'ADDRESS: 79-815 H'Igt ay 111 ADDRESS OF PROJECT: 79$15 Highway 111 La Quinta, CA La Quinta. CA REPORTIKO RMBREMENTS: 1CBO FIELD WSPECT1ON MANUAL I MTGL SOIL MANUAL4WVIEW PREVIOUS REPORTS AND USTS IF THERE ISS NON=NFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., Po.L OUT AND ATTACH A DEFICfENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS. IS CORRECTED, SO NOTE ON THE ORKoOdAL DEFICIENCY REPORT AND . SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO.OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot John Dickie CONTRACTORS EQUIPMENT I MANPOWER USED: WELDING MACHINES: Lincoln Classic 111 D AREA, GRIDLINES, PIECES OBSERVED: Welding inprogress: 1 Ends of the to • cord of the roof joists to the supports on the CMU wall on line 8/A to F. (2) Ends of the top cord of the roof joists to the top cord"of the roof girders online 6/A to F. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: WARM SAMPLES TAKEN: TEMPERATURE: 77 Dog. F TESTS REQUIRED: SITE TIME START- 11.00 AM SITE TIME FINISH: 3:00 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: RIFIED BY 1 nn DV /`CdTIN Tu wT , uwm rye -e............ -----. ,,.. yr 1 nr_•vvvlcn Ua l to Aesuvh ANU I tIAT THIS WORK -COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDIN CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. eaa 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/09/2007 City of La Quinta Print Name - Date Of Report City / County Certification Number Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK 09INSPECTOR O TECHNICIAN .! SPECS WMN) Corporate: . San Diego/Imperial Coun^ 2992 E. La Palma Ave: Ste. A 7313 Carroll Rd. Ste. G ` Anaheim, CA 92806 San Diego, CA 92121 PROJECT NO. Tel' 714.632.2999 Tel: 858.537.3999 //' 6_Q0o Fax: 714.632.2974 Fax: 858.537.3990 ENGINEER Dispatch: 800.491.2990 Dispatch: 888.844.5060 PG OF r ' FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK 09INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Y.) (N) SPECS WMN) APPROVED PLANS ,(*7 (N) APPROVED SHOP DRAWING (YY(N) ` ARCHITECT FOR WEEK ENDING PROJECT NO. A //' 6_Q0o --190,2 6- ENGINEER REPORT NO. PG OF CCOONNTRACTORPLAN FILE NO. PERMIT NO. / !J. p� 0 13 SUB -CONTRACTOR PROJECT NAME .dell e�S INSPECTION ADDRESS _ ADDRESS OF PROJECT �� rel iv .�A�a -9-- REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL—REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT ACOPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): mi A-Y. G!'91% CONTRACTORS EQUIPMENT/ MANPOWER USED: 02.;36FQ -Ai124 ,lies SPtc)" 4tM,6St3A1,S 4TX 1Q1ARS 1CDR 'MAN AREA, -GRID LINES, PIECES OBSERVED: /9N A,4oorlir eG/;V/. # '4-1hh"e , RVi/T 4M4 %,:rl:s0/ 100:r1iysA0e > r- 0 aLL� STRUCTURAL NOTES. DETAIL. OR RFIS USED: STQ/IrTURAl a1VArA1;- LSPAF CS- IAtj 1 !�,As_d REMARKS. INCLUDING MEETINGS. / l�.�J' SBQ Wrl P/fid/A/lam T/NDS e3F 1-2M,1/ A6&6'4Re'F f� �A!/ A/ ld /A VlNr, U,.= 0/%i// s e ZrA&& v 4-F 4R6417" sofnA A40 REWORK AS PERCENT OF ALL WORK TODAY: ---- P -ER' ENT PRO �Fr,T rnnnPl FTlnnl• / _/ WEATHER: 040410 1 SAMPLES TAKEN: TEMPERATURE: S TESTS REQUIRED: SITE TIME START: �j,'l/� SITE TIME FINISH: 490 LUNCH PERIOD: ' TRAVEL TIME: —--- VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE�APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT I/Signature Date of Report '—ICBG Certification Number nwz/ Print Name City / County Certification Number Rev: 7/97 i x. .'rwi•� �v,'*A?W•Tri Corporate::, San Diego/Imperial Coun Inland Empire: 2992 E. La Palma'Ave. Ste. A 7313 Carroll Rd. Ste. G 14467 Meridian Pkw., Bldg. 2-A Anaheim, CA 92806 San Diego, CA 92121 Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 FIELD REPORT TYPE OF WORK E 'INSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT (.Y) (N) SPECS (Y)' (N) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y)'(N) ARCHITECT / FOR WEEK ENDING 10401 PROJECT. NO. 0/��":e f�l� ENGINEER REPORT NO. PG OF CONTRACTOR 7W_ 11 Aqerkp. l3'1 I At 1-91, PLAN FILE NO. PERMIT NO. teZ9 7 -.Sty/ SUB -CONTRACTOR /v/� PROJECT NAME INSPECTION ADDRESS j '.i 9 - 9/-5 i1/.l)v l // - ADDRESS OF PROJECT / REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IFTHERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CONTRACTORS EQUIPMENT / MANPOWER USED: 7/XXP R/; f,F1-- rYA.S r S ter' Md6.�5-i Lr��rnril.✓ AREA. GRID LINES, PIECES OBSERVED: / A-11;/ ? /- 1-1163 / > r > ��>fr l / .�/fi.1 /' RY f1�:/�/f ./ter. � � t�,%.K's�A/-tJ1eTS r7�i9/his �S'/= .z'nI A,Q�t✓,v�ec..! AR/ i T !"/I/PIcle STRUCTURAL NOTES, DETAIL. OR RFIS USED: S2-X111'7/s,0 A a AA67-x S -.S/�r 'C,&S- IV%d t /7A/ / REMARKS. IMaUDING MEETINGS: 'n A r' P�irGr✓t 1a/ ►�/?!fi/!� 7'Ys-A/n !a ,F 111411 NAOr/A/.'n 0 1' C Xn e_,97T f''/,e�'h3 d"A"6 'T ,C /ten n 7-�.Ir ca �/9 VIA le-, ms s: l ),n f 19AII/ ,%11,0.4 A1J�V11^ 6 REWORK AS PERCENT OF ALL WORK TODAY: PER •.ENT PROjE T CDMPI FTms . /-S&r Oj 'P,1,77ORrnXJ WEATHER:d�� SAMPLES TAKEN: TEMPERATURE: LD TESTS REQUIRED: CJ� SITE TIME START -A. R�iF% SITE TIME FINISH: • �� / - U D 5� -f L..' s' r • � LUNCH PERIOD:, TRAVEL TIME: r� VERIFIED I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBO Certification Number 'M 10/�7x_ /0 1___9AZo� -�7 Print Name City/ County Certification Number ' "Rev: 7/97 • r d©CA-L 1 ,Corporate: San Diego/Imperial Count, 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G f Anaheim, CA 92806 San Diego, CA 92121 rTT-Tel: 714.632.2999 Tel: 858.537.3999 j A Fax: 71 .632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK KINSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT 04 (N) SPECS (" (N) APPROVED PLANS 00 (N) APPROVED SHOP DRAWING (Kf (N) ARCHITECT FOR WEEK ENDING PROJECT. NO. a ENGINEER REPORT NO. PG OF CONTRACTOR a9. PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS. F ADDRESS OF PROJECT � 7 REPORTING REQUIREMENTS: iCBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE 1S NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PRRVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): -AAP - 7 M!!r ':s' 122, , J JCS r" -!'!?'11.1 iS 14 Rtg E"! c CONTRACTORS E UIPMENT / MANPOWER USED: AREA. GRID LINES. PIECESOBSERVED: . A,az1 �� Zz &ih -/ �.y��e_:r� �1��'��/ 441e&6. ADZ .15 D ny-n ��RLfi� FiNi s f� .�L�� cT .'�► ) eL-0-dA-1 ars h/2 110-r Iv RA v 1 STRUCTURAL NOTES, DETAIL. OR RFIS USED: 9Z / REMARKS. INCLUDING MEETINGS. 6 � _ A/% i &&j n,2 CDC-: m6At'i' a ANi/V�e 6 25 /'isn;�� LAY'//✓tea [1 r'- L'ii�i ST N�V �LFA.t/// F iP[)�T SPAC G `: WEATHER: Cd��2/-sir TEMPERATURE: u' { rj o� 3wkt.ma r / -s"10 SyMPLESTAKEN: �lc'C a)/t/l— 6,4 TESTS REQUIRED: SITE TIME START: SITE TIME FINISH: S✓ LUNCH PERIOD: �� TRAVEL TIME: -45�:— VERIFIED BY: nn rrDTICV TLAT i uAvc orocMIAI IV nRCLRVLn AI I nP THF VVnRK I ICTFn ARnVF ANn THAT THIS WORK COMPLIES WITH THE SOIL INV STIGATION •RECOMMENDATIONS, AND / OR ROVED PLANS, SP :.FI ATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN�THE -►DEFICIENCY REPORT e l nature Date of Report ICBO Certification Number 3 4 9 — Print Name City / County Certification Number Rev: 7/97 . ACorporate: San Diego/Imperial Count, 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844'5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK j9INSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT (li4 (N) SPECS 4Wf(N) APPROVED PLANS (N) APPROVED SHOP DRAWING (` f(N) ARCHITECT I . FOR WEEK ENDING PROJECT. NO. II,, V ENGINEER ORT NO. PG OF REPORT CONTRACTOR PLAN FILE NO. PERMIT NO. _ /C SUBCONTRACTOR PROJECT NAME v INSPECTION ADDRESS L ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE 1S NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): 6w",Q 9 ell Al -.Z d 20 CONTRACTORS EQUIPMENT/ MANPOWER USED: LIFT S'J?w - Z//V'q_'5,)iV�S mA/v AREA, GRID LINES, PIECES OBSERVED: wwZ2 ArY .�i'r/ 9 B.�'TrL:C f `Ili �i1i'c>�s h'; c71, S Tib /r) r) AA101 li'S' r&&.2 a. fi- )-22 -Y-� STRUCTURAL NOTES, DETAIL, OR FIRS USED: S'T/1/1CT REMARKS, INCLUDING MEMNGS. e rtvzvF ah irk yo' vel &dc"MZ e rr��L M/�t!'F'0�z�� %i4�y , t: ohy/J1S. gAirini nF 6,9nar PA 'i-0 REWORK AS PERCENT OF ALL WO K TODAYs PROJECT COMPLETIOND WEATHER: (� LCjLI C7 �/ TEMPERATURE: b SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: LG2- SITE TIME FINISH: 4 LUNCH PERIOD: TRAVEL TIME: _ — VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND /ORT ROVED PLAN (CATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 0"/71 11142J667 Signature Date of Report ICBO Certification Number e4� Ar Print Name City / County Certification Number Rev: 7/97 CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 P11=1 r1 CDCona"r Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 -- -• -•• �- .," .wr��v -ncvvvrtnu01toN0VvtMU ItiA1 IHISWOKKCOMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDIN CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 'b��6 ez,(J, 1'�' �^"0849264-85 %nature ICBO Certification Number Stege W. Bodnar 11/09/2007 City of La Quinta Print Name Date Of Report City / County Certification Number Type Of Work X INSPECTOR TECHNICIAN SSW ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 ENGINEER: Malek Engineers, Inc. 6380 Mirimar Mall Ste. 225 San Diego, CA 92121 AVAILABLE: =OIL (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) FOR WEEK ENDING 11/10/2007 PROJECT NO. 2145A02 Building - A REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue, Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 PROJECT NAME: Komar Desert Center SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, CA INSPECTION ADDRESS: 79-815 Highway 111 ADDRESS OF PROJECT: 79-615 Highway 111 La Quinta, CA La Quints, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY. OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot, John Dickie CONTRACTORS EQUIPMENT/ MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Welding in progress: (1) Ends of the top cord of the roof joists to the supports on the CMIJ wall on line 8/A to F. (2) Ends of the top cord of the roof joists to the top cord of the roof girders on line 6/A to F. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: WARM SAMPLES TAKEN: TEMPERATURE: 77 Deg. F TESTS REQUIRED: SITE TIME START: 11:00 AM SITE TIME FINISH: 3:00 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: VERIFIED BY i nn ov nrnrry r -- -• -•• �- .," .wr��v -ncvvvrtnu01toN0VvtMU ItiA1 IHISWOKKCOMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDIN CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 'b��6 ez,(J, 1'�' �^"0849264-85 %nature ICBO Certification Number Stege W. Bodnar 11/09/2007 City of La Quinta Print Name Date Of Report City / County Certification Number CORPORift San Diego / Imperial C* 2992 E. La Wa Ave., Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.6322999 Tel: 858.537.3999 Fax: 714.6322974 Fax: 858.537.3990 FIELD REPORT Inland Empire 1.4467 Meridian Bldg. 2A Riverside, CA 92518, Tel: 951.653.4999 Fax 951.653.4666 Type Of Work' X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS: (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) - ARCHITECT: SGPA Ardiftctvre and Planing 1545 Hotel Cede S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11110/2007 PROJECT NO. 2145A02 Building -A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman ConWies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-019 SUB -CONTRACTOR: taw Steel 820 South Hathaway Bldg. B BarmiN, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quetta. CA . ADDRESS OF PROJECT: 79-815 Highway 111 La Quints, CA REPORTING REQUIREMENTS: K= FIELD INSPECTION MANUAL I MTGL SOI. MANUA4REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON=NFORNING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDERS: Felipe De Jesus Cardenas, Greg Guess CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Big Blue 400D, Myer Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: Completed the complete joint penetration welding for the revised elevations of the 6x6x1/4 tube steel columns at lines 2.9/A.1 and 2.1 A.9. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDIIIIG MEEANGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: WARM SAMPLES TAKEN: TEMPERATURE. 77 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: none TRAVEL TIME: IFIED BY - I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Signature Steve W: Bodnar Print Name 11/09/2007 Date Of Report 0849264-85 ICBO Certification Number City of La Quinta City / Cow* Certification Number r; vvww.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 - Fax: 714.632.2974 .Dispatch: 800.491.2990 MTGL Project #: .Z Permit # Report #_7 PG _J_ OF San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME DATE ARCH TELT TIME ARRIVED 1 TIME DEPARTED JVD ENGINEER TRAVEL TIME LUN H TIME -E9- �2 CONTRACTOR SUP CONTRACTOR 5W AIR 4 A,C INSPECTION ADDRESS y n ADDRESS OF PROJECT TYPE OF INSPECTION ❑ BATCH PLANT ) MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING O ANCHOR/DOWEL ❑ ❑ FOUNDATION O SHOTCRETE ❑ WELDING O NDE FIELD ❑ ❑ BACK FILL ❑ CONCRETE O SHOP WELD ❑ NDE SHOP O D&A/94W/PROJECT: AVAILABLE: SOIL REPORT Y[9 N ❑ SPECS: Y 9 N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y CS N ❑ APPROVED SHOP DRAWING YX N ❑ MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): 6 RE -13,48- 7kC--!213 , . 7 � o PSZ, CC&TRACTORS EQUIPMENT/ MANPOWER USED: _ -1- o _I'P!- 6J7641 _ 6 7ZW' 4 AREA, GRID LINES, PIECES INSPECTED: ' e t /— r STRUCTURAL NOTES, DETAIL, OR RAS USED: �.� _ REMARKS, INCLUDING NE/NGS:1.2 G n `-rrAO -7-75 4J &AQ,4�zwg REWORK AS PERCENT OF ALL WORK TODAY: COMPLETE: THE WORK WAS 01 WAS NOT Inspected in accordance with the requirements of the 861fHWtIP PROD approved documents. MATERIAL SAMPLING WAS)6 WAS NOT ❑ N/A O Performed in accordance with D8?1eSMM/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department gfi�nnaf-9f#iee Owner SL400 4istiict THE WORK INSPECTEDMET DID NOTME-ET❑ THE requirements of the ROJEC pproved documents. Samples taken:3 ')W0A M 2 ' Weather: _ez'--A/z Temo: v Signature o p ial Inspector Print Name Certification #: c s Verified by: 11r407/f,e Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL Project Permit # & Report # PG_ DF l7�S��i� �'�N1�•�' San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax:858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of tie inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME DATE ARCHITECT TIME RPIVED .b'DU TIME DEPARTED 6-2,es ENGINEER a2APZX Ar TRAVEL TIME LUNCH TIME CONTRACTOR SUB CONTRACTOR INSPECTION ADDRESS ADDRESS OF PROJECT TYPE OF INSPECTION ❑ BATCH PLANT I? MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ ❑ FOUNDATION ❑ SHOTCRETE ❑ WELDING ❑ NDE FIELD ❑ ❑ BACK FILL ❑ CONCRETE ❑ SHOP WELD ❑ NDE SHOP ❑ OSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): y y /)y •rl r V l 2666 CO RACTORSEOUIPMENT/MANPOWER USED: Mlig R—f0kk J jr7— V_24,ea zoa' AREA, GRID LINES, PIECES INSPECTED: f 4 B&227- Slclet 1 - i /2 Rtit, .Ci X &U7,601 611 i'd 847W AEN cl919 n /IA j _I /fibld 49,tud) , T _ c, A661Z / d 21�Zs STRUCTURAL NOTES, DETAIL, OR RFIS USED: ,.i r+ ` REMARKS, INCLUD GNEETIMOS: I s � i s • i /� G r (� 00 V REWORK AS PERCENT OF ALL WORK TODAY: CENT PRO. MPLETE: THE WORK WAS W WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS IN WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED MET Ir DID NOT MEET ❑ THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples take : 103 sCALK Weather p: Signatur of S ecial I ector 0, J (W,b __z Print Name Certification #: 73 40 91 Verified by: - '111101 Arrrm MLLU�fw www.mtglinc.com .� - y�;yy� ,4.�Hti: �t?///�J lG: /l�..e�� r r/ �• �� •yrs. - —i,1�,:7'ak.. G+'c-IV/f«4 ,�-•�� . y �.; Corporate: �JLfEGjif�f�! San Diego/Imperial County,' 2992 E. La Palma Ave. -Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 MTGL Project #: qe Permit# /i 9— ,4'/9" Report #_ R PG _Z OF DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME DATE ARCHITECT 's TIME ARRIVED TIME DEPARTED EC q 1. ENGINEER TRAVEL TIME LUNCH TIME _4_ r CONTRACTOR SUBCONTRACTOR INSPECTION ADDRESS-. �; ADDRESS OF PROJECT F 7,? - TYPE OF INSPECTION ❑ BATCH PLANT 52 MASONRY " ❑ FIREPROOFING ❑ CEILING WIRE ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING O ANCHOR/DOWEL ❑ ❑ FOUNDATION ❑ SHOTCRETE ❑ WELDING ❑ NDE FIELD ❑ ❑ BACK FILL ❑ CONCRETE ❑ SHOP WELD ❑ NDE SHOP ❑ OSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): r+ CONTRACTORS EOUIPMENT I MANPOWER USED: r AREA, GRID LINES, PIECES INSPECTED: r/id.! / .c 62V 4,P 2v, ' �"'217 47- e2irl R 723 A7_/'I /9 /s )IC- ...t/� < /Y rt2[tLial l3' S. 14?x /i//i1 L•»P,!)ltT'Fe- ya/, d 1--� or-71i;A—AC ty J.:!5--iF. lud io rv,gid q >3rTwilcE -a rriGH dAldL�>e,�' 9f� R161 --Al � 1?16ru1AJeA1 ,!ice d. i rrNAmc�_ ,,,� fp s 1A STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: I /3.hr P vot --, Q/ /!? 4e i C A D AX -AA) k. i/!-1/0 aA/:. �/o .6 f= �i �".t s;RAO 7 REWORK AS PERCENT OF ALL WORK TODAY: — -. PFRCENT PROJECT COMPLETE: Ma n THE WORK WASW WAS NOT❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS;Q WAS NOT ❑ N/A ❑ Performed in accordance with OSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED METR DID NOT MEET❑ THE requirements of the OSA/OSHPD/PROJECT approved documents. Certification Verified by:� Ak www.mtglinc.com Corporate: °140.: --tun-, 2992 E. La Palma AVe'`.Stel Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGLProjee�� Project 7/I'y7- Permit # ea Y 4 &/17 -c -1Z ;San Diego/Imperial County.•;¢; 7313 Carroll Rd. Ste. G t. San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 OSA/CITY File #: ' DSA/OSHPD APPL Report #. % PG r OF DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of/ h inspectionAep rts of non-compliant must be.distriributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shalbbe completedsandQsiI n d by the speciabinspector<cond` Cting the inspection PROJECT NAME I V DATE ARCHITECT TIME ARRIVED TIME DEPARTED ENGINEER TRAVEL TIME LUNCHTIME CONTRACTOR �� / SUB CONTRACTOR INSPECTION ADDRESS ADDRESS OF PROJECT TYPE OF INSPECTION ❑ BATCH PLANT ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑S�OTCRETE ❑ BACK FILL CYCONCRETE ❑ MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ ❑ WELDING ❑ NDE FIELD ❑ ❑ SHOP WELD ❑ NDE SHOP ❑ DSA/OSHPO/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. TEST �O-R^MATERIAL ^.SREPORTS): L•..F�° ani% �!e . / ' i 1,e J- CO a ilf 7Z56, _32-5o )0 CONTRACTORS EQUIPMENT/ MANPOWER USED: -AREA, GRID LINES, PIECES INSPECTED: ezw Jr lie' 'Y Sf eze r2.7 4w a£• •:. ezlc8ivy J !Lr �Ct P STRUCTURAL NOTES, DETAIL, OR RAS USED: REMARKS, INCLUDING MEETINGS., r REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WA -St WAS NOT❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS❑. WAS NOT❑ N/A❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District W. THE WORK INSPECTED MET ❑ DID NOT MEET ❑ THE requirements oJ the DSA/OSHPD/PROJECT approved documents. Samples taken: / OF Weather: � `- Temp: 74) Signature of Special Inspector Print Name Certification #: Verified by: 16".Z ` Corporate: - ( ) 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL Project #: Permit # e��KTTc� Report # r PG OF San Diego/Imperial County' 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 88 8.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME DATE ARCHITECT TIME ARRIVED TIME DEPARTED ENGINEER TRAVEL TIME LUNCH TIME CONTRACTOR SUB CONTRACTOR _5-Vgrh- dvol-J� Lar' '✓C26 T� INSPECTION ADDRESS S lC/N 7` ADDRESS OF PROJECT TYPE OF INSPECTION ❑ BATCH PLANT ❑ MASONRY ❑ FIREPROOFING ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ FOUNDATION ❑ SPOTCRETE ❑ WELDING ❑ NDE FIELD ❑ BACK FILL ONCRETE ❑ SHOP WELD ❑ NDE SHOP ❑ CEILING WIRE ❑ ❑ ❑ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. ORMATERIAL TEST REPORTS): / / CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: �� •_I -� 014� 440 STRUCTURAL NOTES, DETAIL, OR RAS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK M96 WAS NOT❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WA3❑ WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department . DSA Regional Office Owner School District THE WORK INSPECTED MET❑ DID NOT MEET❑ THE requirements o the DSA/OSHPD/PRCT approved documents. 7 Samples taken: S� P. OJ Weather: Temp: 70 Signature of Special Inspector Print Name Certification #:� Verified by: San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW CORPORATE U . . 2992 E. La Palma Ave., Suite A sArx s<,. Anaheim CA 92806 REPORT NO. 1 PG 1 OF 1 Tel: 714.632.2999 PLAN FILE NO. Fax: 714.632.297 4 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 1111712007 PROJECT NO. 2145A02 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICSO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND FIRS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT ACOPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot, John Dickie CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Welding Completed: (1) Knife plates between the top cord ends of the roof girders at lines 6/C, D and E. (2) Top cord ends of the roof joists to the top cord of the roof girders on line 6/A to F. (3) Plate straps between the top cord ends of the roof joists on line 6/A to F. (4) Hold down plates to the top cord of the roof girders to accept the wood nailers on line 6/A to F. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 86 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: none TRAVEL TIME: VEKIFJffBY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. �o 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/13/2007 City of La Quinta Print Name Date Of Report City I County Certification Number A-1 CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 . Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/17/2007 PROJECT NO. 2145A02 1 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 2 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710. PLAN FILE NO.PERMIT NO. 07-819 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quints, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (FCAW) E71T-8 WELDERS: CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: In Progress: Complete joint penetration welding of the tube steel beam to column connection on line 7/C.5 at elevation 16'-5". NOTE: Attended the General Contractors jobsite safety meeting at 7:30 AM. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEE77NGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 91 Deg. F TESTS REQUIRED: SITE TIME START: 7:00 AM SITE TIME FINISH: 3:30 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: RIFT BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. �i 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/14/2007 City of La Quinta Print Name Date Of Report City / County Certification Number Id r�Ir. MTGc; CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD RFPCIRT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108. FOR WEEK ENDING 11/17/2007 PROJECT NO. 2145A02 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 3 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79.8.15 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (FCAW) E71T-8 WELDERS: Jason Law, Giovany R. Elena CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: Completed the complete joint penetration welding of the tube steel beam to column connections on lines 7/C.5 and 7/D.5 at elevation 16'10". NOTE: Attended the General Contractors 'obsite safety meeting at 7:30 AM. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: , TEMPERATURE: 89 Deg. F TESTS REQUIRED: SITE TIME START: 7:00 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: � FIED Y I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/15/2007 City of La Quinta Print Name Date Of Report City / County Certification Number L CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPAAr-hitecture and Planning 1545 Hotel Circe S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/17/2007 PROJECT NO. 2145A02 Building -A ENGINEER: Malek Engineers, Inc. 8380 Midmar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 2 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 SUB -CONTRACTOR: SunWood Construction 14161 Sisworth Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 - La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot, CONTRACTORS EQUIPMENT/ MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Welding In Progress (1) Top cord ends of the roof joists to the top cord of the roof girders along lines 4 and 5. (2) Top cord ends of the roof joists to the CMU wall embeds along line 2. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 89 Deg. F TESTS REQUIRED: SITE TIME START: 11:00 AM SITE TIME FINISH: 3:30 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: FIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 0849264-85 Signature s ICBO Certification Number Steve W. Bodnar 11/152007 City of La Quinta Print Name Date Of Report City / County Certification Number San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW CORPORATE ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 2992 E. La Palma Ave., Suite A PROJECT NO. 2145A02 1 Building - A Anaheim, CA 92806 REPORT NO. 4 PG 1 OF 1 Tel: 714.632.2999 PLAN FILE NO.PERMrr Fax. 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (1) (N) SPECS. (Y) APPROVED PLANS (1) (N) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/17/2007 PROJECT NO. 2145A02 1 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 4 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO.PERMrr NO. 07-819 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 7"15 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (FCAW) E71T-8 WELDERS: Jason Law, Giovany R. Elena CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: Items Completed: (1) Complete joint penetration welding of the tube steel beam to column connections on lines 9/C.5 and 9/D.5 at elevation 16'-5". (2) Welding of the 3/4" diameter threaded studs to the top of the tube steel beams on lines C.5 and D.5 between lines 7 and 9. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEE77NGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 86 Deg. F TESTS REQUIRED: SITE TIME START: 8:00 AM SITE TIME FINISH: 11:30 AM LUNCH PERIOD: none . TRAVEL TIME: VE IFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDIN CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Z C/,, 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/16/2007 City of La Quinta Print Name Date Of Report City / County Certification Number :I CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 ,Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/17/2007 PROJECT NO. 214SA02 1 Building - A ENGINEER: Malek Engineers, Inc. 8380 Midmar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 3 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. fr NO. 0719 T�— SUB -CONTRACTOR: SunWood Construction 14161 Sisworth Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: . (SMAW) E-7018 WELDER: Donald Elliot CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Welding Completed: (1) Top cord ends of the roof joists to the CMU wall embeds on line 8/A to F. (2) Knife plates between the top cord ends of the roof girders to the CMU wall embeds on lines A/4, A/5, A/6, F/5 and F/6. (3) Seismic sway braces from the bottom cord of the roof joists to the bottom cord of the roof girders on lines 5/A.5, 5/C.5, 5/D.3, 5/E.6, 6/A.5, 6/C.5, 6/D.3 and 6/E.6. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 85 Deg. F TESTS REQUIRED: SITE TIME START: 7:00 AM SITE TIME FINISH: 1:00 PM LUNCH PERIOD: none TRAVEL TIME: VEftIFIEff BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDIN CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 'M�i 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/172007 City of La Quinta Print Name Date Of Report City / County Certification Number CORPORA Pla 2992 E. La Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego I Imperial C* 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (M (N) SPECS. (Y) APPROVED PLANS (`C APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA ArchiOEschrre and Planning 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 1111713007 ----]Building PROJECT NO. 2145A02 -A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07$19 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 fthway 111 ILa Quin, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quirria, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL I MTGL SOIL MANUALAEVIEW PREVIOUS REPORTS AND LISTS IF THERE 15 NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS US)=D BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliiot, JohnlDidde CONTRACTORS EQUIPMENT I MANPOWER USED: WELDING MACHINES: Lincoln Classic III D I AREA, GRIDLINES, PIECES OBSERVED: Welding Completed: (1) Knife plates between the top cord ends of the roof girders at lines 6/C, D and E. 2 Top cord ends of the roof joists to the top cord of the roof girders on line 6/A to F. 3) Plate straps between the top cord ends of the roof joists on line 6/A to F. (4) Hold down plates to the top cord of the roof girders to accept the wood nailers on line 6/A to F. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 86 Deg. F TESTS REQUIRED: ! SITE TIME START: 6:30 AM SITE TIME FINISH: 11:00 AM i LUNCH PERIOD: none TRAVEL TIME: VEKIFJff BY I DO BY CERTIFY THAT i HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 08492 B5 Signature ICBO CertfficafioF Number Steve W. Bodnar Print Name 11/13/2007 City of La C uinta Date Of Report City I County Ce�rtlficidon Number l CORPORA San Diego / imperial Count* Inland Empire 2992-E P. 992 E. La Patm'J�we., Suite A 7313 Carroll Road, Suite G 14467 Meridian Bldg. 2A Anaheim, CA 92806 San Diego, CA 92121 Riverside,' CA 92518 f� TeL 714.6322999 Tel: 858.537.3999 Tel: 951.653.4999 Fax 714.632 .2974 Fax 858.537.3990 Fax 951.653.4666 I 011=1 n RFPnRT I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WfTH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Signature Steve W. Bodnar Print Name 11/16/2007 Date Of Report 0849264-85 ICBO Certification Number City of La Quinta City / County Certification Number Type Of Work X INSPECTOR TECHNICIAN SSW ARCHITECT: SGPA Architecture and Planning 1545 Hotel C'rrde S. Ste. 200 San Diego, CA 92108 AVAILABLE SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (M APPROVED SHOP DRAWINGS (Y) FOR WEEK ENDING 11/17/2007 PROJECT NO. 2185A02 Building - A ENGINEER: Malek Engines, Inc. REPORT NO. 4 PG 1 OF 1 8380 Mrimar Mail Ste. 225 San Diego, CA 92121 CONTRACTOR: The Bergman Comprise PLAN FILE N0. PERtiA(T NO. 07-819 4300 Edison Avenue Chino, CA 91710 SUBCONTRACTOR: Law Steel PROJECT NAME Komar Desert Center 820 South Hathaway Bldg. B Banning, CA 92220 INSPECTION ADDRESS: 79$15 Highway 141 ADDRESS OF PROJECT: 79-815 Highway 111 La Quetta, CA La QuInta, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL/ MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS i IF THERE IS NONCONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MiRS, AND RRS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPQRT II WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (FCAW) E71T-8 WELDERS: Jason Law, Giovany R. Elena CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G 1 . AREA, GRIDUNES, PIECES OBSERVED: Items Completed: (1) Complete joint penetrabon welding of the tube steel beam to Column connections on lines 9/C:5 and 9/D.5 at elevation 19-5". 2 Welding of the 3/4" diameter threaded studs to the top of the tube steel beams on lines C.5 and D.5 between lines 7and 9. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE 86 Deg. F TESTS REQUIRED: SITE TIME START: 8:00 AM SITE TIME FINISH: 11:30 AM LUNCH PERIOD: none TRAVEL TIME: VE IF1ED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WfTH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Signature Steve W. Bodnar Print Name 11/16/2007 Date Of Report 0849264-85 ICBO Certification Number City of La Quinta City / County Certification Number CORPORATS San Diego / Imperial Cou Inland Empire �� 2992 E. La Palm- ve., Suite A 7313 Carroll Road, Suite G 14467 Meridian Bldg. 2A Anaheim, CA 92806 Sari Diego, CA 92121 Riverside, CA 92518 Tel: 714.632—n99 Tel 858.537.3999 Tel: 951.653.4999 .._.�.�_`� Fax 714.632.2974 Fax 858.537.3990 i Fax 951.653.4666 nm n RFPORT Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Yi APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT. SGPA Architecture and PWnning 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/17/2007 PROJECT NO. 214SA02 1 Building - A ENGINEER: Malek Engineers, Inc 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 3 PG 1 OF 1 CONTRACTOR The Bergman Compniee 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07.819 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quints, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quirda, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL41EVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NONCONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., Fal OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: pNCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: . Lincoln Classic 111 D AREA, GRIDLINES, PIECES OBSERVED: Welding Completed: 1 Top cord ends of the roof joists to the CMU wall embeds on line 8/A to F. (2) Knife plates between the top cord ends of the roof girders to the CMU wall embeds on lines A/4, A/5, A/6, F/5 and F/6. (3) Seismic sway braces from the bottom cord of the roof joists to the bottom cord of the roof girders on lines 5/A.5, 5/C.5, 5/D.3, 5/E.6, 6/A.5, 6/C.5, 6/D.3 and 6/E.6. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY- PERCENT PROJECT COMPLETION: WEATHER HOT SAMPLES TAKEN: TEMPERATURE 85 Deg. F TESTS REQUIRED: SITE TIME START: 7:00 AM SITE TIME FINISH: 1:00 PM LUNCH PERIOD: none TRAVEL TIME: FI BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE JIBUILDI;NCODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Signature Steve W. Bodnar 11/172007 Print Name Date Of Report 0849264-85 ICBO Certification Number City of La Quinta City / County Certification Number CORPO 2992 E. La pW Ave., Suite A Anaheim, CA 92806 Tel: 714.6322999 Fax 714.632.2974 San Diego I Imperial Co f� 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax. 858.537.3990 amici n 09:PfllRT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653. 4999 Fax 951.653.4666 I DO BY CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. I 084926485 �nJw ICBG Certlfica ion Number Signature Steve W. Bodnar 11/1512007 City of La Quinta Print Name Date Of Report City I County Cert fication Number Type Of Work X INSPECTOR TECHNICIAN AVAILABLE SOIL REPORT (Y) (N) SPECS. (Y) SSW APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (1) ARCHITECT: SGPA Architecture and Planning FOR WEEK ENDING 11/1712007 PROJECT NO. 2145A02 Building - A 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92108 ENGINEER -Malek Engineers, Inc.REPORT NO. 3 PG 1 OF 1 8380 Mirimar Mall Ste. 225 San Diego. CA 92121 PERMIT NO. 07$19 CONTRACTOR The Bergman Compnies PLAN FILE NO. 4300 Edison Avenue Chirto CA 91710 SUB CONTRACTOR Law Steel PROJECT NAME Komar Desert Cerner 820 South Hathaway Bldg. B Banning, CA 92220 INSPECTION ADDRESS: 79815 Highway 111 ADDRESS OF PROJECT: 79-815 fthway 111 La Quints, CA La Quhita, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL I MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (FCAW) E71T-8 WELDERS: Jason Law, Giovany R. Elena CONTRACTORS EQUIPMENT I MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES 08SERVM Completed the complete joint penetration welding of the tube steel beam to column connections on lines 7/C.5 and 7/D.5 at elevation 1610". NOTE: Attended the General Contractors jobsite Safety meeting at 7:30 AM. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING NEE17NGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER HOT SAMPLESTAKEN: TEMPERATURE 89 Deg. F TESTS REQUIRED: i SITE TIME START. 7:00 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: 112 Hr. TRAVEL TIME: FIE/D Y I DO BY CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. I 084926485 �nJw ICBG Certlfica ion Number Signature Steve W. Bodnar 11/1512007 City of La Quinta Print Name Date Of Report City I County Cert fication Number - - CORDO '' 2992 E.::M Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego I Imperial COO 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 cici n acDnPT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSWAPPROVED AVAILABLE SOIL REPORT (Y) (N) SPECS. (Y) PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT. SGPA Architecture and Plan nimf 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11117/2007 PROJECT NO. 2145A02 1 Building - A ENGINEER: Malek Engineers, Inc. 8390 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 2 PG 1 OF 1 CONTRACTOR The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE N0. PERMIT NO. 07-819 SUBCONTRACTOR SunWood Construction 14161 SLsworth Street Ste. G Moreno Valley, CA PROJECT NAME Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta. CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: IC80 FIELD INSPECTION MANUAL / MTGL SOIL MANUAL4WAEW PREVIOUS REPORTS AND LISTS IF THERE IS NONCONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO- OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot, CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDUNES, PIECES OBSERVED: Welding In Progress (1) Top cord ends of the roof joists to the top cord of the roof girders along lines 4 and 5. 2) Top cord ends of the roof joists to the CMU wall embeds along line 2. STRUCTURAL NOTES, DETAIL, OR RFIS USED:. (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION WEATHER HOT SAMPLES TAKEN: TEMPERATURE 89 Deg. F TESTS REQUIRED: SITE TIME START: 11:00 AM SITE TIME FINISH: 3:30 PM LUNCH PERIOD: 112 Hr. TRAVEL TIME: FIED BY I DO BY CERTIFY THAT I HAVE PER50NALLY UMLKvtU nu. yr r nn vvvnr1 uo j w..w.� ..,... • • •-- • • • ••- -- -•-•- --•-•• --- --- - - - THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. N 0849264-85 S''gnature ICBG Certification Number Steve W. Bodnar 11/152007 City of La Quinta Print Name Date Of Report City / County Certification Number J San Diego / Imperial Coto 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW CORPORA ARCHITECT. SGPA Arddtechue and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 2992 E. La P Ave., Suite A PROJECT N0. 2145A02 Building -A Anaheim, CA 92806 REPORT NO. 2 PG 1 OF 1 1 - CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 Tel: 714.632.2999 PERMIT NO. 07-819 SUBCONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 Fax. 714.632.2974 J San Diego / Imperial Coto 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) IN) APPROVED SHOP DRAWINGS (Y) ARCHITECT. SGPA Arddtechue and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDIN' 11/17/2007 PROJECT N0. 2145A02 Building -A ENGINEER: Malek Engineers, Inc. 8380 Nfidmar Mall Ste_ 225 San Diego, CA 92121 REPORT NO. 2 PG 1 OF 1 1 - CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. I PERMIT NO. 07-819 SUBCONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79$15 Highway 111 La Quinta, CA ADDRESS OF PR ECT: 79.815 Highway 111 I La Quints, CA REPORTING REQUIREMENT& ICBG FIELD INSPECTION MANUAL I MTGL SOIL MANUALAEVIEW PREV'OUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND0,1S, IIS. ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEBS REPORTS. I MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (FLAW) E71T-8 WELDERS: i CONTRACTORS EQUIPMENT I MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: In Progress: Complete joint perielration welding of the tube steel beam to column Condection on line 7/C.5 at elevation 16-5". NOTE: Attended the General Contractors "obsite safety meeting at 7:30 A, M. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT I SAMPLES TAKEN: TEMPERATURE 91 Deg. F TESTS REQUIRED: SITE TIME START: 7:00 AM SITE TIME FINISH: 3:30 PM LUNCH PERIOD: 1/2 Hr. I TRAVEL TIME: ACRIF16 BY I I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES Wrrti THE SOIL INVESTIGATION RECOMMENDATIONS, AND I OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. t 0849264-85 Signature I ICBO Certification Number Steve W. Bodnar 11/14/2007 City of La Quinta Print Name Date Of Report City / County Certification Number Corporate: 2992 1 2992 E. La Palma Ave. Ste. Arrrrlw Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 MTGL Project #: a 14 S ko 9— - Permit # 077 — 9 `q Report # PG OF San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME Q DATE • ARCHITECTTIME ARRIVED s ME DEPARTED ENGINEERAVEI,I tA QA LUNCH TIME CONTRACTOR �kexa SUB CiIOCTTI�ACTOR INSPECTI ADDR �'3 C u. \k\ I & ATOESS OF PROJECT 01) aa 06 1. ::�7 game. TYPE OF INSPECTION ❑ BATH ANT ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑ SHOTCRETE ❑ BACK FILL ❑ CONCRETE ❑ MASONRY ❑ HIGH STRENGTH BOLTING ❑ WELDING ❑ SHOP WELD ❑ FIREPROOFING ❑ ANCHOR/DOWEL ❑ NDE FIELD ❑ NDE SHOP ❑ EILI G I ❑ ❑ DSA/OSHPD/PROJECT: AVAILABLE: f APPROVED DOCUMENTS: APPROVED PLANS Y Q N ❑ SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USIZ CONTRACTOR (INCLUD RESEARCH REPORT 0 OR MATERIAL TORTt aC.5iG0133 3a_ (DCONTRACTORS EQUIPMENT / MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: " 00 C' "',S CN STRUCTURAL NOTES, DETAIL, OR RAS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PE ENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS WAS NOT❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED MET❑ DID NOT MEET❑ THE requirements o1 the DSA/ SHPD/ OJECTppr Samples Weather:— Certification eather: Certification #: 145 Verified Corporate: 2992 E. La Pal e. Ste. A Anaheim, CA 92806 ®Tel:714999 F Faxx : 714.632..632.2974 www.mtglinc.cco]'fil►,m/.Dispatch: 800.491.2990 MTGL Project # 17 I' 1 S k , 0— Permit # Permit# cr;l - M Report # PG OF San Diego/Imperial C7313 Carroll Rd. Ste. AlG San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Seoarate reoorts shall be oreDared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME )KQ& DATE sC�Q ✓ V ARCHITECT TIME ARRIVEDME #3 DEPARTED ENGINEERAVEI„�IhAE 1\COCPTI_CTOR LUNCHTIME CONTRACTOR SUB INSPECTI ADDR ADD SS Of PROJECT TYPE OF INSPECTION =1 BATH NT ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑ SHOTCRETE ❑ BACK FILL ❑ CONCRETE ❑ MASONRY ❑ HIGH STRENGTH BOLTING ❑ WELDING ❑ SHOP WELD ❑ FIREPROOFING ❑ EILI G, I ❑ ANCHOR/DOWEL ❑ NDE FIELD ❑ ❑ NDE SHOP ❑ DSA/OSHPD/PROJY.CT: AVAILABLE: APPROVED DOCUMENTS: APPROVED PLANS Y N ❑ SOIL REPORT Y ❑ . N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USZY CONTRACTOR (INCLUD�RESEARCH REPORTJX OR MATERIAL TE REPORT ' • CONTRACTORS EQUIPMENT /MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED:, ILI / o (0 vo- eAe' m C Ar !�i ntA-kel A)ag STRUCTURAL NOTES, DETAIL, OR RAS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PE ENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS V, WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS -_✓l WAS NOT❑ N/A❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED MET❑ DID NOT MEET❑ THE requirements of the Samples tak ` Weather: `Print Name �1 Certification #: 145197 Ac /. tJ Verlfled b Corporate: 2992 E. La Palma ve: Ste. A Anaheim, CA 92806 ®Tel:714999 Fax: 714.632..632. 2974 www.mtglinc.com Dispatch: 800.491.2990 MTGL Project #: C� 14 � >ryA ,San'Diego/Imperial Co 7313 Carroll Rd. Ste. G• San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Permit# tq c DAILY INSPECTION REPORT Report # PG OF Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA.92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each tvpe of special inspection, on a daily basis. Each reDort shall be comDleted and signed by the special insoectorconductino the insDection. PROJECT NAME ti £ \ 1)csQ-:k, `. Ce DATE /r-,10 - 0 7 ARCHITECT TIME ARRIVED ' TME DEPARTED ENGINEER /n� p TRAVEL IME LUNCH TIME CONTRACTOR r- SUB CON.TACTORr rn � A� INSPECTIO ADDRESS ADD ESS OF PROJECT TYPE OF INSPECTION (� ❑ BATCH SLANT ENGINEERED FILL ❑ PT CONCRETE FOUNDATION ❑ SHOTCRETE ❑ BACK FILL ❑ CONCRETE ❑ MASONRY ❑ FIREPROOFING OLLINGWIRE❑ ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL❑ I]WELDING ❑ NDE FIELD ° ❑ SHOP WELD ❑ NDE SHOP ❑ DSA/OSHPD/PROJECT: AVAILABLE: APPROVED DOCUMENTS: APPROVED PLANS Y SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS US D`eY CONTRACTOR (IN�DF�RESEARCH REPORT , 0 OR MATERIAL TEST REPORTS)i, C 41i1(�C q\ X1 A o� '� , a CONTRACTORS EOUIPMENT /MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED:`�� R� �� C's, C" t X IR0 I -C, . C� STRUCTURAL NOTES, DETAIL, OR RAS USED: REMARKS, INCLUDING MEETINGS., REWORK AS PE CENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WASV WAS NOT❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS I WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED THE requirements of the Samples taken: f Weather: -M—mc MET❑ bIDNOTMEET❑ SA/OSHPD/PROJECfT �approved doc __/Temp:e-11 ' Signatur'Speciallnspestbr 'Print Name p Certification #: '1457197 A. C. t Verified by4.— E .,.__. p A 9 Corporate: 2992 E. La Palma Ave. Ste. F Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 MTGL Project#: Permit # 07 - Report # PG OF San Diego/Imperial Counp-- 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 OSA/CITY File DSA/OSHPD APPL DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT DATE -D ARCHITECTYM,-; RIVED TIME D PARTED iENGINE Ole VLTIME &Z LU CH TIME CONT R SUB CONTRA 0 INSPECTI DDRE e ADDRESS OFPROJECI =r TYPE OF INSPECTION Q ❑ BATCH PLANT ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑ SHOTCRETE ❑ BACK FILL ❑ CONCRETE ❑ MASONRY ❑ HIGH STRENGTH BOLTING ❑ WELDING ❑ SHOP WELD ❑ FIREPROOFING ❑ ANCHOR/DOWEL ❑ NDE FIELD ❑ NDE SHOP ❑ILIN RVjjl , ❑ ❑ DSA/OSHPD/PROJECT: AVAILABLE: APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERI SED BY CONTRACT (INCLUDE R CH REPORT NO R MATERIAL TEST REPORTS): , CONTRACTORS EQUIPMENT MANPOWER USED: AREA, GRID LINES, PIECES INSPECT IV STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS. REW:OR:KAS PE ENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS O WAS NOT ❑ Inspected in accordance with the re uirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED MET❑ DID NOT MEET❑ THE requirements of the DSA/OSHPD/PRO�CT appy Samples taken: re of Print Name Certification #: Verified by: a •4 Corporate: �� San. Diego/Imperial Coun_i,= Inland Empire: 2992 E. La -Palma Ave.; te. A 7313 Carroll Rd. Ste. G 14467 Meridian Pkwy., Bldg. 2-A ®Anaheim, 2.92806 San Diego, .3 92121 -Riverside, 65 .4999 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 www.mtglinc.com Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 MTGL Project #: DAILY INSPECTION DSA/CITY File #: Permit #_ REPORT DSA/OSHPD APPL #: Report # PG OF DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each tvoe of special inspection, on a daily basis. Each reoort shall be completed and signed by the snecial insnertor condnetinn the insnection PROJECT .NA E DATE / J ARCHITECT S . -a.'7i TIME ARRIVED K;00 TIME DEPARTED ENGINE TRAVEL TIME 119 LUNCHTIME NTR9CT R ' C' SUB CONTRAC 0P So� TION ADDRES [IN 9 [ttA�IIwlyLa / / rQ ADDRESS O✓R�ECT TYPE OF INSPECTION ❑ ENGINEERED FILL ❑ FOUNDATION ❑ BACK FILL ❑ BATCH PLANT ❑ PT CONCRETE ❑ SHOTCRETE ❑ CONCRETE ❑ MASONRY ❑ FIREPROOFING ❑ HIGH STRENGTH BOLTING I]ANCHOR/DOWELCg3kd7'XJt'�Y. ❑ WELDING ❑ NDE FIELD ❑ SHOP WELD ❑ NDE SHOP ❑ ILING WIRE , tt . ❑' DSA/OSHPD/PROJECT: APPROVED DOCUMENTS: AVAILABLE: APPROVED PLANS Y ❑ N ❑ SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERI L-S.USEDgpBY CONTRACT R (INCLUDE R SE RCH REPORT NO R MATERIAL TEST REPORTS): C CONTRACTORS EOUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: U ao 1 1 C� STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS[ WAS NOT❑ THE WORK INSPECTED MET❑ DID NOT MEET❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT THE requirements of the DSA/OSHPD/PROJECT aved doc ments.l approved documents. Samples taken: .� �� ppr C N I i to (A CZ MATERIAL SAMPLING WAS WAS NOT❑ N/A❑ Weather: ��! 1 /1 /--Temp: /—' Performed in accordance with DSA/OSHPD/PROJECT approved documents.,Paz cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District of Print Name Certification #: L57/9 7 Verified by: Corporate: 2992 E. La Palma Ave. Ste ®Tel:7Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com p�Dispatch:800.491.2990 MTGL Project #: WT'7D4�9 Permit # 07-9-7 Report # PG OF I_\t San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL #: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection PROJECT A ARCHITECT .S GA DATE TIME RRIVED , PAR TIME TED 100 ENGINE TRAVEL TIME LUEIME CONTR R MAJA_ INSPECTI DDRESS wufq SUB CONTRAC 0 50C ADDRESS OF PROJECT =— TYPE OF INSPECTION ❑ BATCH PLANT ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑ SHOTCRETE ❑ BACK FILL ❑ CONCRETE ❑ MASONRY ❑ HIGH STRENGTH BOLTING ❑ WELDING ❑SHOP WELD ❑ FIREPROOFING ❑ ANCHOR/DOWEL ❑ NDE FIELD ❑ NDE SHOP ❑ ILIN I13 ❑ ❑ DSA/OSHPD/PROJECT: AVAILABLE: APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ SOIL REPORT .Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIA SED BY CONTRACT (INCLUDE R E CH REPORT NO R MATERIAL TEST REPORTS): CONTRACTORS EOUIPMENT /MANPOWER USED: AREA, GRID LINES, PIECES INSPECT t�T \ IL STRUCTURAL NOTES, DETAIL, OR FIRS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PE ENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS [V WAS NOT ❑ Inspected in accordance with the re uirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS WAS NOTE] N/A❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect _ Contractor Structural Engineer Building Department DSA Regional Office Owner School District v,; c THE WORK INSPECTED MET❑ DID NOT MEET❑ �i•z :r_-•• THE requirements of the DSA/OSHPD/PRO I&CT app ved doc ments. Samples taken: Weather: _, Stri AV �?�. Amo: %/A1 1� n -A a of Print Name Certification #: Verified by: CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806, Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 rim n RFP[)RT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951:653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS () APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/24/2007 PROJECT NO. 2145A02 1 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Show up Time Welder not at jobsite STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: HOT SAMPLES TAKEN: TEMPERATURE: 85 Deg. F TESTS REQUIRED: SITE TIME START: 7:00 AM SITE TIME FINISH: 9:00 AM _ LUNCH PERIOD: none TRAVEL TIME: VERIFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. �< 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/192007 City of La Quinta Print Name Date Of Report City / County Certification Number Nov' 26 07 12:313p Steve W. Hodr a1^ 760 469-3677 p.2 CORPORATE San Diego! Imperial County Inland Empire 2992 E. La Palma Ave., Suite A 7313 Carroll Road, Suite G 14467 Meridian Bldg. 2A ® Anaheim, CA 92806 San Diego, CA 92121 Riverside, CA 92518 Tel: 714.6322999 Tel: 858.537.3999 Tel: 951.653.4999 Fax 714.632.2974 Fax 858.537.3990 Fax 951.653.4666 CICI r% OMMIRT I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF I Ht WUNr, us r to Arwvt Anu r rV%1 1 MQ V V%JMM -- - THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. ";-?4- 0849264-85 Signature ICBG Certification Number Steve W. Bodnar 11/21/2007 City of La Quinta Print Name Date Of Report City / County Certification Number AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (1) APPROVED SHOP DRAWINGS (Y) Type Or Work X INSPECTOR TECHNICIAN SSW ARCHITECT: SGPA Archltecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/24/2007 PROJECT NO. 2145A02 1 Building - A ENGINEER Malek Engineers, Ino. BM Mrrlmar Mail Ste. 225 San Diego, CA 92121 REPORT NO. 2 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 430D Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 SU&CONTRACTOR SunWood Consbuc an 14181 SISw Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Higharay 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highvmy 111 Le Quinta, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL I MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE FIND OF THE WORK DAY, OR MISSING MMS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER Donald Elliot CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic 111 D AREA, GRIDLINES, PIECES OBSERVED: Welding Co m leted: (1) Top cord ends of the roof joists to the top flange of the W21x44 steel beam from line A.1/2.9 to A.9/2.1. 2 Top Cord ends of the roof joists to the top cord of the roof girders on lines 4/A to F and 5/A to F. 3 Plate straps to the top cord ends of the roof joists on lines 4/A to F and 5/A to F. 4 Knife plates between the top cord ends of the roof girders on lines 5/C, 5/D and 5/E. 5) Knife plate from the top cord end of the roof girder to the CMU wall embed on line F/4. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEEJ7NGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER WARM SAMPLES TAKEN: TEMPERATURE 77 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PERIOD: 1R Hr. TRAVEL TIME: GOP' ED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF I Ht WUNr, us r to Arwvt Anu r rV%1 1 MQ V V%JMM -- - THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. ";-?4- 0849264-85 Signature ICBG Certification Number Steve W. Bodnar 11/21/2007 City of La Quinta Print Name Date Of Report City / County Certification Number Nov'26 07 12:36p Steve W. Bodnar 760 469-3677 p.3 - CORPORATE San Diego / Imperial County Inland Empire 2992 E. La Palma Ave., Suite A 7313 Carroll Road, Suite G 14467 Meridian Bldg. 2A ® Anaheim, CA 92806 San Diego, CA 92121 Riverside, CA 92518 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fare 858.537.3990 Fax: 951.653.4666 ci=i n RGD[1RT Type Of Work X INSPECTOR TECHNICIAN AVAILABLE SOIL REPORT (Y) (N) SPECS. (lr) SSW APPROVED PLANS M APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architectun: and. Planning FOR WEEK ENDING 11/24/2007 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 PROJECT NO. 214SA02 1 Building -A ENGINEER: Malek Engineers, Inc. REPORT NO. 3 PG 1 OF 1 8380 Mirimar Mall Ste_ 225 San Diego, CA 92121 CONTRACTOR: The Bergman Compnies PLAN FILE NO. 4300 Edison Avenue Chlno, CA 91710 PERMIT NO. 07-819 SUB -CONTRACTOR: SunWood Construction PROJECT NAME: Korner Desert Center 14161 Slsworth Street Ste. G Moreno Valley, CA INSPECTION ADDRESS: 78-815 Highway 111 ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA La Quinta, CA REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAL I MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NDN-CONFOFOAING WORK AT THE END OF THE WORK DAY, OR MISSING WIRS, AND RFtS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN ADEFICIENCY. YOURS ORA PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald ElWt CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic 111 D AREA, GRIDLINES, PIECES OBSERVED: Welding Co m leted: 1 Knife plates between the top cord ends of the roof girders on lines 4/c, 4/D and 4/E. 2 Hold down plates to the top cord of the roof girders to accept the wood nailers on lines 4/A to F and 5/A to F. (3) Top cord ends of the roof joists to the CMU wall embeds on line 2/A.9 to F. 4 Seismic sway braces from thr bottom cord of the roof joists to the bottom cord of the roof girders on lines 4/A.5, 4/C.5, 4/13.3 and 4/E.6. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER WARM SAMPLES TAKEN: TEMPERATURE 75 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 12:30 PM LUNCH PERIOD: none TRAVEL TIME: RIFIED BY I DO BY CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND 7 MAT 1HI5 vvurtK wMrura wi 1 n THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. f�J 0849264-85 Signature c ICBO Certification Number Steve W. Bodnar 11/23/2007 City of La Quinta Print Name Date Of Report City / County Certification Number !,MT i,; 0 CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Fim _D REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSS/ AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/24/2007 PROJECT NO. 2145A02 1 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07$19 SUB -CONTRACTOR: Law Steel _ 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: [CBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (FCAW) E71T-8 WELDERS: Jason Law, Giovany R. Elena CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: Items Completed: (1) Complete joint penetration weld splicing of the tube steel column replacement that was damaged on site at line E/6. (NOTE) Work was performed as per item No. 1 in the letter from Malek Engineers, Inc. and is included with this report. (2) Relocate and weld the connection plates on the west face at the top of the tube steel columns on lines 9/10.5 and 9/D.5. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: COOL SAMPLES TAKEN: TEMPERATURE: 75 Deg. F TESTS REQUIRED: SITE TIME START: 8:00 AM SITE TIME FINISH: 12:00 PM LUNCH PERIOD: none TRAVEL TIME: V IFI D BY 1 DO BY CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. � — 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/20/2007 City of La Quinta Print Name Date Of Report City / County Certification Number woM CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS m ARCHITECT: SGPA Archkedure and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92106 FOR WEEK ENDING 11/24/2007 PROJECT NO. 2145A02 1 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 2 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quints, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL I MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Welding Co mpleted: (1) Top cord ends of the roof'oists to the top flange of the W21x44 steel beam from line A.1/2.9 to A.9/2.1. (2) Top cord ends of the roof joists to the top cord of the roof girders on lines 4/A to F and 5/A to F. (3) Plate straps to the top cord ends of the roof joists on lines 4/A to F and 5/A to F. 4) Knife plates between the top cord ends of the roof girders on lines 5/C, 5/D and 5/E. 5) Knife plate from the top Cord end of the roof girder to the CMU wall embed on line F/4. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: WARM SAMPLES TAKEN: TEMPERATURE: 77 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: RIFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/21/2007 City of La Quinta Print Name Date Of Report City / County Certification Number 9 CORPORATE 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIFL n RFPnRT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (1) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/24/2007 PROJECT NO. 214SA02 Building - A ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 3 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, CA PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quints, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Welding Copmpleted: (1) Knife plates between the top cord ends of the roof girders on lines 4/c, 4/D and 4/E. 2) Hold down plates to the top cord of the roof girders to accept the wood nailers on lines 4/A to F and 5/A to F. (3) Top cord ends of the roof joists to the CMU wall embeds on line 2/A.9 to F. (4) Seismic sway braces from thr bottom cord of the roof joists to the bottom cord of the roof girders on lines 4/A.5, 4/C.5, 4/D.3 and 4/E.6. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER: WARM SAMPLES TAKEN: TEMPERATURE: 75 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 12:30 PM LUNCH PERIOD: none TRAVEL TIME: RIFIED BY .+.+ .. . I IF I I nn I I nnvc rcfcavnhLLT UaACf%V W ALL UP I tit WUKK LI5I ED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Zf%f 0849264-85 Signature ICBO Certification Number Steve W.'Bodnar 11/23/2007 City of La Quinta Print Name Date Of Report City / County Certification Number San Diego / Imperial Cou 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 F1R n RFPnRT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW CORPORA ARCHITECT: SGPA Architecture and Planning 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92108 2992 E. La P Ave., Suite A PROJECT N0. 2145A02 Building - A ENGINEER: Malek Engineers, Inc. 8380 Midmar Mall Ste. 225 San Diego, CA 92121 Anaheim, CA 92806 CONTRACTOR: The Bergman Compmes 4300 Edison Avenue Chino, CA 91710 Pri Tel: 714.632.2999 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, ,CA PROJECT NAME. Komar Desert Center For 714-632.2974 San Diego / Imperial Cou 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 F1R n RFPnRT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (1) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (1r) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Cirde S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/24/2007 PROJECT N0. 2145A02 Building - A ENGINEER: Malek Engineers, Inc. 8380 Midmar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 3 PG 1 OF 1 CONTRACTOR: The Bergman Compmes 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO.PERMIT NO- 07.819 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, ,CA PROJECT NAME. Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS. ICSO FIELD INSPECTION MANUAL / MrGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NONCONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING NRRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS, MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Welding Copm leted: . 1 Knife plates between the top Coni ends of the roof girders on lines 4/c, 4/D and 4/E. 2 Hold down plates to the top cord of the roof girders to accept the wood milers on lines 4/A to F and 5/A to F. 3) Top cord ends Of the roof joists to the CMU wall embeds on line 2/A.9 to F. 4 Seismic sway braces from thr bottom cord of the roof joists to the bottom cord of the roof girders on lines 4/A.5, 4/C.5, 4/D.3 and 4/E.6. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER- WARM SAMPLES TAKEN: TEMPERATURE 75 Deg- F TESTS REQUIRED: SITE TIME START- 6:30 AM SITE TIME FINISH: 12:30 PM LUNCH PERIOD: none TRAVEL TIME: VERIFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 0849264-85 Signature ICBO Certification Number Steve W. ' Bodnar 11/23/2007 City of La Quinta Print Name Date Of Report City / County Certification Number CORPORA7� X110 2992 E. La Pa ve., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego / Imperial Cour 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (1r) (N) SPECS. (Y) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPAArchitectum and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/24/2007 PROJECT NO. 2145A02 1 Building - A ENGINEER Matek Engineers, M 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 2 PG 1 OF 1 CONTRACTOR The Bergman Compnies 4300 Edison Avenue Chino.CA 91710 PLAN FILE NO. PERMR NO. 07$19 SUB -CONTRACTOR: SunWood Construction 14181 Slsworth Sheet Ste. G Moreno Valley, CA PROJECT NAME Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA ADDRESS OF PROJECT: 79-815 Highway 111 La Quina, CA REPORTING REQUIREMENTS ICBG FIELD INSPECTION MANUAL / MTGL SOIL MANUALAEVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINES: Lincoln Classic 111 D AREA, GRIDLINES, PIECES OBSERVED Weldin 'Co m leted: 1 Top cord ends of the roof joists to the top flange of the W21x44 steel beam from line A.1/2.9 to A.9/2.1. (2) Top cord ends of the roof joists to the top cord of the roof girders on lines 4/A to F and 5/A to F. 3 Plate straps to the top cord ends of the roof joists on lines 4/A to F and 5/A to F. 4 Knife plates between the top cord ends of the roof girders on lines 5/C, 5/D and 5/E. 5) Knife plate from the top cord end of the roof girder to the CMU wall embed on line F/4. STRUCTURAL NOTES, DETAIL, OR RFIS USED:; (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATHER WARM SAMPLES TAKEN: TEMPERATURE 77 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PERIOD: 12 Hr. TRAVEL TIME: C19RIFIED BY °I DO BY CERTIFY THAT I HAVE PERSONALLY. OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 67 10,1- 084926485 Signature ICBO Certification Number Steve W. Bodnar 11/2112007 City of La Quinta Print Name Date Of Report City / County Certification Number San Diego / Imperial Cour} 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: .951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW CORPORA ARCHITECT: SGPA ArehdecWm and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 2992 E. La P ve., Suite A PROJECT NO. 2145A02 Building - A Anaheim, CA 92806 REPORT NO. 1 PG 1 OF 1 CONTRACTOR • The Bergman Cornpnies 4300 Edison Avenue Chino, CA 91710 Tel: 714.6322999 PERMIT NO. 07-819' Fax 714.632.2974 San Diego / Imperial Cour} 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: .951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (1) (N) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA ArehdecWm and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/24/2007 PROJECT NO. 2145A02 Building - A ENGINEER Malek Engineers, Inc 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR • The Bergman Cornpnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819' SUB -CONTRACTOR law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME Komar Desert Center INSPECTION ADDRESS: 79815 Highway 111 La QUinta, CA ADDRESS OF PROJECT. 79-815 Highway 111 La Quints, CA PmvRTING REQuommENTS: ICBG FIELD INSPECTION MANUAL / MTGL SOIL MANUAL4WVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEKS REPORTS, MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (FCAW) E71T-8 .WELDERS: Jason Law, Giovany R Elena CONTRACTORS EQUIPMENT / MANPOWER USED: " WELDING MACHINE: Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED - Items Completed: 1 Complete joint penetraton weld splicing of the tube steel column replacement that was damaged on site at line E/6. (NOTE) Work was performed as per item No. 1 in the letter from Malek Engineers, Inc. and is included with this report. (2) Relocate and weld the connection plates on the west face at the top of the tube steel columns on lines 9/C.5 and 9/D.5. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS.- EETINGS.REWORK REWORKAS PERCENT OF ALL WORK TODAY- PERCENT PROJECT COMPLETION: WEATHER: COOL SAMPLES TAKEN: TEMPERATURE: 75 Deg. F TESTS REQUIRED: SITE TIME START: 8:00 AM SITE TIME FINISH: 12:00 PM LUNCH PERIOD: none TRAVEL TIME: ' IFI D BY 100 BY GERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATION$ AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. �Jz— �' 0849264-85 Signature ICBO Certification Number Steve W. Bodnar 11/20/2007 City of La Quinta Print Name Date Of Report City / County Certification Number CORPORATIM 29W E. La Pa ve., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego I Imperial Cour Inland Empire 7313 Carroll Road, Suite G 14467 Meridian Bldg. 2A San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT Riverside, CA 92518 Tel: 951:653.4999 Fax 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE SOIL REPORT (1) (N) SPECS. (1) APPROVED PLANS (Y) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Ardtitecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/24/2007 PROJECT NO. 214SA02 Building - A ENGINEER Malsk Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07$19 SUB -CONTRACTOR SunWood Construction 14161 Slsworlh Street Ste, G Moreno Valley, CA PROJECT NAME Komar Desert Center INSPECTION ADDRESS: 79-815 Hiighway 111. La Quints, CA ADDRESS OF PROJECT: 79515 Highway 111 La Quirtta, CA REPORTING REQUIREMENTS ICSO FIELD INSPECTION MANUAL I MTGL SOIL MANUALAEVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NONCONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MFRS, AND RFIS, ETC., Fal OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot CONTRACTORS EQUIPMENT/ MANPOWER USED: WELDING MACHINES: Lincoln Classic III D ' AREA, GRIDLINES, PIECES OBSERVED: Show up Time Welder not at 'obsde STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS: INCLUDING MEETINGS. (PER APPROVED PLANS) REWORK AS PERCENT OF ALL WORK TODAY. PERCENT PROJECT COMPLETION: WEATHER. HOT TEMPERATURE . 85 Deg. F SAMPLESTAKEN: TESTS REQUIRED: SITE TIME START: 7:00 AM LUNCH PERIOD: none SITE TIME FINISH: 9-00 AM TRAVELTIMF: 1iER1F1EDB`f I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. 084926485 Signature ICBO Certification Number Steve W. Bodnar 11/192007 City of La Quinta Print Name Data Of Report City I County Certification Number Wt Corporate: San Diego/Imperial Count Inland Empire: 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G 14467 Meridian Pkwy., Bldg. 2-A Anaheim, CA 92806 San Diego, CA 92121 Riverside, CA 92518 EOLTel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 www.mtglinc.com Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 MTGL Project Ilia 115 AQ DAILY INSPECTION DSA/CITY File #: Permit# 4?-$� REPORT DSA/OSHPDAPPL#: Report PG OF DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECN E MKOA ARCHITECT S, G DATE / ^ ® 7 TIME ARRIVED( (/v± TIME DEPARTED : 00 ENGINEER ok A TRAVEL TIME LUNCH ME ' CONT R INSPECTIO ESS TYPE OF INSPECTION ❑ BATCH PLANT ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑ SHOTCRETE O BACK FILL ❑ CONCRETE CONTRAC ADDRESS OF PROJECT ❑ MASONRY O FIREPROOFING O CEILING WIRE ❑ HIGH STRENGTH BOLTING O ANCHOR/DOWEL ❑ ❑ WELDING ❑ NDE FIELD O O SHOP WELD O NDE SHOP ❑ DSA/OSHPD/PROJECT: AVAILABLE: APPROVED DOCUMENTS: APPROVED PLANS Y ❑ SOIL REPORT Y❑ NO SPECS: YO NO NO APPROVED SHOP DRAWING. Y ❑ N ❑ MATERIALS U BY CONTRACTOR (INCLURESEARCH REPO N . OR MATERIAL REPOR : a 10 CONTRACTORS EQUIPMENT / MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: CIA CIL12��k S1G STRUCTURAL NOTES, DETAIL, OR RAS USED: REMARKS, INCLUDING MEETINGS., REWORK AS PE ENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS WAS NOT❑ THE WORK INSPECTED METO DID NOT MEET❑ Inspected in accordance wrtn the requirements of the USA/UziKF'U/NHU&L; I approved documents. MATERIAL SAMPLING WAS ' WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District P ' t Name Certification: Verified by: Corporate: = San Diego/Imperial CoU Inland Empire: 2992 E. La Palma e° Ste: A 7313 Carroll Rd. Ste. G 14467 Meridian Pkwy., Bldg. 2-A Almr'777L Tel:7Anaheim,-CA 92806 San Diego, .3 92121 Riverside, CA .4999 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 www.mtglinc.comt[' Dispatch: 800.491.2990 Dispatch: 888.844.5060 Dispatch: 800.491.2990 MTGL Project #: r2 ! j`Y'J A ! DSA/CITY File #: Permit # 07-Al4 DAILY INSPECTION REPORT DSA/OSHPD APPL#: Report # PG OF DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and sioned by the special insoector conducting the insoection. PROJECT NAME Ka%A,o,� (� � P P A l �� DATE 1 / d 6 ARCHITECT � TIME ARRIVED TIME DEPARTED ENGINEER- TRAVEL LUNGE CONTRAC. OR r� ` SUBCONTRA CTOf3 /� f� (��ju` INSPEE-CTTION'AD KESS ADDRESS OF.PROJECT - SoLm TYPE OF INSPECTION ❑ BATCH PLANT ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑ SHOTCRETE ❑ BACK FILL ❑ CONCRETE ❑ MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ ❑ WELDING ❑ NDE FIELD ❑ ❑ SHOP WELD ❑ NDE SHOP ❑ DSA/OSHPD/PROJECT: AVAILABLE: APPROVED DOCUMENTS: APPROVED PLANS Y ❑ SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USED 9Y�C0' � R�TOR (INCLU�RE�.ARCH REPO T N L MATERIAL TEST REPORTS, 1 V C. (L7 v v �. CONTRACTORS EQUIPMENT / MANPOWER USED: .1 AREA, GRID LINES, PIECES INSPECTED: ( /� 1/� /'} p � /'� \ l '.t K I t l . l.t'- [ A �'tj l LAS _ _ STRUCTURAL NOTES, DETAIL, OR FIRS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS MJ WAS NOT❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS (WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED METED DID NOT MEET❑ THE requirements oo the DSA/O1SHPD/PROJECT ap rffved dOCUentS. Samples taken: C J 't tic Weather: 1 A_)Temp: r /f fSianature.of SDeclal lnsoector y ,A �Pri`nt Name Certification #: /�� % �/ j Verified by: �%,-..rte.-,�` j �Ja y� t f 1-7. — Cor oratea _.• San Die o Im ri I p � g / pe a Countys ; Inland Empt, M .: r�. .. _ 2992 •. ;Palma Ave:, Ste. A 7313 Carroll°.Road,'$ute G , 14320 Elsworth Street, Sfe.;C101w;� Anaheim,, CA 92806 San Diego;`CA 921214 N;r : ;Moreno Valley, CA 92553 ; Tel: 714.632.2999 'Tel: 858.537.3999 7.k:Te1: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.390 f . Fax. 951.653.4666 , s F FIELD REPORT",-, J' TYPE OF WORKY INSPECTOR ❑ TECHNICIAN 11jIrL If No AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N) APPROVED PLANS (N) APPROVED SHOP DRAWINGr4,(N) ARCHITECT V V V ■ • YvL r�Ir. FOR WEEKENDING .WSMfIAI•vr..P ENGINEER .j +PLAN REPORT NO. PG OF CONTRACTOR�.y � . -• FILE N0. PER�IT N0. % R` O O SUB-COTRACTOR ICU 5 TEE L PR JECT NAME a M -*Q INSPECTION ADDRESS ADDRESS OF PROJECT .S A (Ag lT �' REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. ' MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): �'Q.�SE/2✓�,D// -t r E L 6 W rLO1 �/G- G."� ' 5",g A62T STD 2 e /-fi om A voa s%S --- .2 r AAMCs CONT CTORS EQUIPMENT/ MANPOWER USED: o v/ 126 V �A�a A �laa_A 1 C 5 / AREA -GRID LINES, PIECES OBSERVED: 't I i' of L✓EGrir�tl/- r.G C %F'AT'S ;Q 7-a P-n/'Ru_r LIES i S iy STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDINQ NEERNDS. REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETIM WEATHER: TEMPERATURE SAMPLES TAKEN: �— TESTS REQUIRED: SITE TIME START:77 7_441 SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIMEn- �- VERIFIED B I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Print Name /A /;Z, / Q-,� Date of Report .0416 ZXX[_ f� ICBG Certification Number City / County Certification Number Rev: 7/97 'mow Corporate TA^=i1 `' NO San DiegoAmperial County; Inland Empr. ,r . ; ,,,d� 2992 E0LaTalma Ave., Ste. A. 7313 Carroll Road, Suite G a 14320 Elsworth Street, Ste. C101 Anaheim; CA 92806. San Diego, CA 92121.• �F'.' . Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: ' 858.537.3990 Fax; 951.653.4666 r FIELD REPORT- TYPE EPORT. TYPE OF WORK 'INSPECTOR OTECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (V,) (N) APPROVED SHOP DRAWING'& (N) ARCHITECT [� I FOR WEEK ENDING - PROJECT. NO. ENGINEER A I X REPORT NO. PG OF CONTRACTOR "' 6 � PLAN FILE NO. PERMIT NO. 71el R106- A SUB -00 CTOR , PROJECT NAME INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): IES r,��-�Q,N�-. G Su�nB�Tn c, l �,Os A7"'• Sr®/1C f~f2 0n1 t F►�ca<<S -- .� �`/L.QN��S ,a 7-- A;42 //Oe CON CTORS EQUIPMENT / MANPOWER USED: 1-0 /= ^i A nil LO x 70 ,y 1 1 49 x 1-0 (A1/,-- �: L r A tj 6 tt1 I, C 5 �' n ,... nllo+� —� Li`T'" t� ry F n � 1 � l �yt •P AREA,GRID•LINES, PIECES OBSERVED: r i + �' 1 � ,2_�" �•! !fin! �3u r ��`F S i S � ! "o'7 4 1_7w1' STRUCTURAL NOTES. DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS. tease 1�ncezIPS Q _ REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETIONr WEATHER: C le A ✓ TEMPERATURE: SAMPLES TAKEN: -- TESTS REQUIRED: SITE TIME START: 7 Am SITE TIME FINISH: LUNCH PERIOD: --- TRAVEL TIME: ----- — VERIFIED BY:40 I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, , AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Print Name 1A / Z / 0-7 Date of Report ICBO Certificatio6 Number City / County Certification Number" Rev: 7/97 e s'vn,-.�..yv...••�.nt ti.ma�'an..+"•.h�^`r'. �y _ ...-.. ti. N.+�-s-. T Corporate- • ' 2992 E'La Palma Ave'; Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road., Suite G San,Diego, CA 92121,,.�,,�•: Tel: 858.537.3999 Fax: 858.537.3990 ;1. Inland Em p., 14320 Elsworth Street, Ste. C101 r_ Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR ❑TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) APPROVED PLAN (Y (N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y)"(N) ARCHITECT�� . f2 I11" FOR WEEK ENDING PROJECT. NO. I ENGINEER l It_AA ApA WF I RLE 1 REPORT NO. PG OF CONTRACTOR E�ZGM ti Gone(MN E5 PLAN FILE NO. PERMIT NO. 10 -1 -?1'9 l p�14 SUB -CONTRACTOR A) STE 51 PROJECT NAME 9 o M 'Q_ S&A -r- C EAv-r E A - INSPECTION ADDRESS ` ADDRESS OF PROJECT / .-71 ww REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AN6 LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATER I -S USED BY CONTRACTOR INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): ` ��r O A4 3%g X C1 CO��`ACT�ORS OU`I IPM MANPOWER USED:� '►�- (� ( uLSc-SD tt5S 1N 6 c L., ✓ D F I c- uA NJ � �' � AT(='<,. colyplC-1-6D AREA, GRD LINES, PIECES OBSERVED: STRnUCTURAL NOTES, DETAIL. OR FIRS U ED: 2 REMARKS, INCLUDING NEERNGS. a SE R d S A L F S -- C C,! r rP v,T t&c/yd o�-12 74#1 REWORK AS PERCENT OF ALL WORK TODAY. PERCENT PROJECT COMPI ETION• WEATHER: I EA 12— TEMPERATURE: SAMPLES TAKEN: �...� TESTS REQUIRED: SITE TIME START: !-An SITE TIME FINISH: LUNCH PERIOD:- TRAVEL TIME :+/ VERIFIED BY: Y I UO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, ANf/), THE APPROVED PLANS -SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature "v / Date ofReport�O 7 -" � OCertification �sNumber r �k 4 n Print Name City / County Certrficalion Number' Rev: 7/97 Y, r" r A& Corporate: 2992 E. La Palma Ave Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 TYPE OF WORK INSPECTOR ❑ TECHNICIAN (A — �_ �f! L- San Diego%imperial,County: Inland Empt_. 7313 Carroll Road; Suite G ,Vy�+±. 14320 Elsworth Street, Ste. C101 SA iego, CA 92121--._--• Moreno Valley, CA 92553 Tel: 858.537.3999 Tel: ,: 951.653.4999 Fax: 858.537.3990 } Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR ❑ TECHNICIAN (A — �_ �f! L- AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANSr(N) APPROVED SHOP DRAWING (Y)4(N) ARCHITECT r C7 10 FOR WEEK ENDING PROJECT. NO. 1 ' ENGIN; ERq r D r A L�� l I 1 1^� 1 (X REPORT N0. PG OF CONTRACTOR G M ry G o rv� n ►.�t�-S PLAN FILE NO. PERMIT NO. -1- 819 R l D4-, A SUB -CONTRACTOR STEL PROJECT NAME M Ati T.� �-- c ry c A_ INSPECTION ADDRESS 'Sftnn� -- ADDRESS OF PROJECT l "7 `i t�J I t e o r< A AuwrA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AN6 LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIAL USED BY CONTRACTOR INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): /L A I N Ls•- rAIVO-PLI�i�f� l,%1 ti. ""' O 5F, Q VC Q > �_ �r-Y- a �'" A ; E 3/' X 41 P -r- a I ..r G De n CON CTORS EQUIPMENT / MANPOWER USED: F%Jt uLsc-16 t1 SS )4y6 c ✓y D t ,rL:o,n,t� n 4- TDI,�,,�'� r /V t C t c.D r*Y 2 -cam I A AREA, GRID LINES, PIECES OBSERVED: A I STRUCTURAL NOTES. DETAIL, OR FINS USED: y r1 ,'1 /J REMARKS, INCLUDING MEETINGS. 05f 7Z) e--) A L If -- -- C cA v r� .., tT � �.�/.5 r�, u / f . e/T ec,/� r REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMPI ETION• WEATHER: t / E^ TEMPERATURE: SAMPLES TAKEN: �... -- TESTS REQUIRED: SITE TIME START:�A'I SITE TIME FINISH: LUNCH PERIOD: r-^^ -' TRAVEL TIME: I--- >� VERIFIED 1 UU UtKI IVY I MAI I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS—,SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT .. Signature Date of Report ICBO Certification Number ^D Print Name City / County Certification Number P_ I Rev: 7/97 www.mtglinc.com MTGL Project #: 3I4 <' %6 a Corporate: 2992 E. La Palma Av01 A Anaheim, CA 92806 ` Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial County,, 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel "858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DAILY,INSP,ECTION DSA/CITYFile#: Permit# REPORT , DSA/OSHPD APPL #: k Report # ' •PG I nr I OF + DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME DATE 14. OF(X elF_ufF (Z t2- 29-0 ARCHITECT TIME ARRIVED TIME DEPARTED ENGINEER TRAVEL TIME LUNCHTIME A CONTRACTOR SUBCONTRACTOR R.2[,i..n.l Aul Cn c'T Cna) 2r_Z'>✓ � 1=i'1�JClL • INSPECTION ADDRESS ADDRESS OF PROJECT -i4-,9a UA, „ ' e A tt,m.)- A• (-A TYPE OF INSPECTION ❑ BATCH PLANT ❑ MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ ❑ FOUNDATION ❑ S ETCRETE ❑ WELDING ❑ NDE FIELD ❑ 1:1 BACK FILL CONCRETE ❑ SHOP WELD - ❑ NDE SHOP ❑ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y 0? <0 APPROVED SHOP DRAWING Y ❑ N ❑ r MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): nOER_,"&S 3anm P&I n 1tRf- F_ aft' t CONTRACTORS EQUIPMENT/ MANPOWER USED: , 111rnRnnAo i-.NF_r ITkNEt^c AREA, GRID LINES, PIECES INSPECTED: nn�.)t-, 0 A P5 AT R l.O (-.. 940 F STRUCTURAL NOTES, DETAIL, OR RFIS USED: 171=a PIA ` REMARKS, INCLUDING MEETINGS: tA-ftnL A 41 T I. AT 1)ErLJ QA) Sz—Ir CnR �oIGfZG E DOUR A i C3CDC5. 13 nN RACTo(R VvuRil) 4 `nolYJ( AAPS r' rAoA)+ CAomgs. -I Ecfl e - ST- evC2.uDER i^e (IL LAS 1 RCA) -'IE ST. 1a .0 D ERS (LE AH -,l OA) S ��E t f1 reliuft 95 c fC UP. REWORK AS PERCENT OF ALL WORK TODAY: I, PERCENT PROJECT COMPLETE: Sn THE WORK WAS IR�'WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS N /WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED METU DID NOT MEET❑ THE requirements of the OSA/OSHPD/PROJECT approved documents. Sample`s taken: 3 6XIz (!nM0Z&T"E e VIX.UDERS Weather: So'S -tin`s Temp: S /nA� `.r Signature of Special Inspector ZJ c)S4, A1—A D E2 o Print Name Certification #: ` 7 Verified by: ./ _L V r � • Corporate. 2992 E. La PaAve. Ste. A A Anaheim, CA 92806 77 r7 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Cay 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel:,` 858.537.3999 Fax 858.537.3990 Dispatch: 888.844.5060 FIELD REPORT r t ^j Inland Empire: 14467 Meridian Pkw., Bldg. 2-A '•y Riverside, CA 92508 Tel: 951.653.4999 S Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK MINSPECTOR ❑ TECHNICIAN /► l t'[ / AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N) � APPROVED PLANS K) APPROVED SHOP DRAWING (Y) (N) ARCHITECT ..5 G?14 z f7- 6/3 FOR WEEK ENDING PROJECT. NO. 12i s%s;40 ENGINEER REPORT NO. PG OF CONTRACTOR Ir3F/76A1AA1 ('0112,1N,fir-S PLAN FILE NO. PE NO. -�✓9 acv SUB -CONTRACTOR ._ PROJE AMEZ,4V 0A4 4 r r 71 Clq dc/,./, -.l aiv/i INSPECTION ADDRESS Srf`fnSOA1�� ADDRESS F PRO,1T yJ l�/ REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS SED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): 1ZY6YX/ CONTRACTORS EQUIPMENT /MANPOWER USED-�/ev AREA, GRID LINES, PIECES OBSERVE6- i l Ald APP /2CS7/11/eT,4,'g 7/5711✓K STRUCTURAL NOTES, DETAIL. OR FIRS USED: ,GI ll G✓/ --1 D /.j/G- �9l�c� 79/.jCF !'v�/�1,�--7i_=/, REMARKS, INCLUDING MEETINGS. 14/rc OF/t ZS os C RO SALES L'o/�/ of ell? 7-1,-'_&'.f T�y� T ,c«ti/�ti/`S AZO-/�o-9D 38 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETION• WEATHER: SAMPLES TAKEN: TEMPERATURE: TESTS REQUIRED: SITE TIME START: OU SITE TIME FINISH: 3 r LUNCH PERIOD: TRAVEL TIME: VERIFIED B 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLA SPECIFIC NS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT /.Z / 17 /O 7 �S`"/d �/✓ 1D tri t • Signature Date of Report ICBO Certification Number , Print Name City / County Certification Number Rev: 7/97 www.mtglinc.com MTGL Project #: I14';-AC`A Permit # Corporate:;` 2992 E. La POma Ave: Ste. A r Anaheim, CA 92806 Tel: 714.632.2999 ' Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego-Amperjal County�r- 7313 Carroll Rd. Ste. G San Diego, CA 92121 " Tel: -858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION ....REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax:. 951.653.4666 Dispatch: 800.4 91.2990 DSA/CITY File #: DSA/OSHPD APPL #: Report # PG I or I . OF DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non-compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection PROJECT NAME tt DATE ARCHITECT n ZOY TIME ARRIVED ( TIME DEPARTED .VU AM ENGINEER ALi-%AC.rV TRAVEL TIME .t'/ LUNCH TIME TRACTOR cPECTION SUB CONTRACTOR ADDRESS Lfita HL"'/ 1!t LA , r:x ,)rA ('.A ADDRESS OF PROJECT AS Ak_rf. 0) TYPE OF INSPECTION ❑ BATCH PLANT ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑ SHOTCRETE ❑ BACK FILL 2(CONCRETE ❑ MASONRY ❑ HIGH STRENGTH BOLTING ❑ WELDING ❑ SHOP WELD ❑ FIREPROOFING ❑ CEILING WIRE ❑ ANCHOR/DOWEL ❑ ❑ NDE FIELD ❑ ❑ NDE SHOP , ❑ OSA/OSHPD/PROJECT: AVAILABLE:SOIL APPROVED DOCUMENTS: APPROVED PLANS Y N ❑ REPORT Y ❑ N ❑ SPECS: Y K N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. 08 MATERIAL TEST REPORTS): f r, a;c ki co,t nsr %7 oe: m r:T I CONTRACTORS EQUIPMENT / MANPOWER USED: s Sr %'vAIp I"itt.K111t7';i Ittvxnr,Al�.f 10r,rtAAA A' 11)f./AP,-i'.S AREA, GRID LINES, PIECES INSPECTED: / .i ('^+�!!:/"•' fI•..f... .� sl'i !.,.t'f:-fa.'f: TAC:X'A. t- Ai/:../ n,l RIne. .\i Jr.rtrt. - 4�'r �r'.Ali a .A-.. x!T<.17ro1C%� A /7 Ac.^,- 3"A . tAr t' STRUCTURAL NOTES, DETAIL, OR FIRS USED: fr'• 4.5�C REMARKS, INCLUDING MEETINGS: ,ti17.7, ACT c_d +tfit (s a� f1li .�-t �_-a iI rt�C li! TF_ - i'rr • C'%. j +. ;�' •i• (1 ..l I.T.:/f,k"t'CS..1 MilE.' ...Irl';£ C.c"�-r' c.t%i J F reef, i".A-'�,��r_ I-cY-. u(=. REWORK AS PERCENT OF ALL WORK TODAY:o PERCENT PROJECT COMPLETE: ,g-,, THE WORK WAS ❑ WAS. NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS ❑ WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DSA Regional Office Owner School District THE WORK INSPECTED MET12"IDID NOT MEET THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples taken:., - (..~: t^ Cr -u-nY-rr I.' v ? 'J r-) r r: Weather: Pi rn vu Temp: I % Signature of Special Inspector J��11 Al- 1r/r Pi U Print Name Certification #: ACi ti (% o .9 '1 Ll I c , Verified by:�� G " 'l Corporate: 6 A X 2992 E. La Palma Ave':; Ste: A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San.Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Emp 14320 Elsworth'Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF WORK ^INSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS (d (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT a So 6 FOR WEEK ENDING .' y, _ +-- G� X110', .ENGINEERp� — REPORT NO. PG OF r Irl CONTRACTOR f & r PLAN FILE NO. PERMIT NO. SUBCONTRACTOR PROJECT NAME Ilom2r ,�es�eri' e�+,i�er INSPECTION ADDRESS 7q'51 s H Wv I I' a ��; n a Li ADDRESS OF PROJECT ?, �_ - 11 a U A fa CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. ' MATE RFAL" SED"B-CONLAAI FOR-14NGLUDE+RES EARMWEPORi'N0'-OR'MATERTArTE$ PORT (V r t dbserv� �I-h��Iac�vnp�► - 3n�g we cl L Far I-tuo ('o6m G'Uliclwfans a.�.0 (-or siecl L'frIurn" r'K �4 P.a<i 1�14p o� Il'A;JAIn4, CS,O,NN`TRAC-TORS:E,QUIP.MENT-/-MANROWE"SEW 1 Aire lG1 itOI1< rd r�1�y e X -c /o X l2A i UYI LrfS IQ:e r i M PA1,5 �7 C�kJn�?Lames frybSPr1/a :eH a� dunfYe IDIA(QN'le�l,� (yam�f le II I Pr�tTS k" 90, 3S/Ua1 AREA-GRIUsKINES,.P.IECES'ERVEd� t"11�C .PYPC{'. '/� r /� A t�`7J I(f incrile- Was OliftCo(cAJ'-j fJUba IM11 y4cjLA)1jA(A!eWbr fie� 10 ar< Lei mee p fn > or 2A9 otleYn��► buil ,r, 'I 11U S• R RAL . 'Ef . OR 1 OStti: �o u M la Lal 0 ' 14 ci / ' r •, fn10 . c u PEMARKWNC &NO*MN }" I ,lamd-erl an Si to 0630 r a 1; esc� (44ur��d doncr4t War ron 0700 K(tlte +by c1(mcrf,�inejaIr Loci5 Mtilt]_,Oaf" �0 II'c)c�1P!"� Si r (°L!0'O 1 v �iE�lllbfi�sA�PP'RC�NT�©�A�CNbRI��.(��1Y' P�R1;P%P (��tET�GO'IYIIBL�k.ION's' WEATHER: C G aT 44-v-2_ j SAMPLES TAKEN: TEMPERATURE: A� (j 8 O O. TESTS REQUIRED: fI SITE TIME START: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE -SOIL INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED.IN THE DEFICIENCY REPORT .0,/ 6 > 0 10 33 19 �I Signature Date of Report ICBO Certification Number n�Ylill (�,��ri PaAprac� -- i Print Name i Gity"/C ounty_Certification Number . Rev: 7/97 I Corporate: �: ` Branch: 2992 E. Law Ave. , Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3990 REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, I foreman, 5 masons, 4 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — starting 5`" lift P, southwest s litfaced tower lines F.5 - 1 to 3, line 1 F.5 to E AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE Masonry notes'& details on sheets S1, S2, S3, SD.1, SD.2, SD.3, SDA APPROVED Y N Y Y Y Y ARCHITECT Note: replaced by another Special Inspector FOR WEEK ENDING WEATHER: Clear SAMPLES TAKEN: None SGPA TEST REQUIRED: Slump, temperature, f 10/27/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY III LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, I foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — starting 5`" lift P, southwest s litfaced tower lines F.5 - 1 to 3, line 1 F.5 to E STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes'& details on sheets S1, S2, S3, SD.1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Mason — on site for, continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Note: replaced by another Special Inspector WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f SITE TIME START: 6:30 AM SITE TIME FINISH: 10:00 AM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION COMMENDATION AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO r G SIGNATURE: TLJES: ] 0 /23 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate' 2992 E. La ma Ave. ,Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT • Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED Y N Y Y Y Y ARCHITECT STRUCTURAL NOTES, DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Verified anchor bolts & steel embeds priorto. grout placement. Contractor responsible for heights, dimensions & lay -out of embeds. SGPA embeds 10/27/07 PROJECT NO. 2145A02 ENGINNER TEST REQUIRED: Slump, temperature, f c PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NMBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, 27 cubic yards of 2000 -psi grout, Superior ready mix design # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, I foreman, 3 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Grout placement — 4`h & 5`h lifts roof embeds west wall lines 1 & 2 — between B to F.5 to 18' — 18'8" A.F.F, also south wall, lines F, F.5, & G - between 1 to 8, height varies from 18' to 22'8" A.F.F. (sloped roof), also east wall line 8 — between A to 13.5 & line 8 — between G to E.5 to 22'8"a.f.f. also north walI line A — between 3 to 8 from 18'8" to 22'8' A.F.F. (sloped roof) STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Verified anchor bolts & steel embeds priorto. grout placement. Contractor responsible for heights, dimensions & lay -out of embeds. Monitored placement & consolidation by mechanical vibrator of 27 cubic yards of 2000 -psi grout for 4'h & 5`h lifts (heights varies to cover roof embeds Sample — from load # 1, ticket # 59710, slum 9", grout temperature 741,location P, west wall line f & 2 — between B to F.5 to 18' A.F.F. WEATHER: Clear SAMPLES TAKEN: 1 set of 3 grout TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMME/NDATIO S AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: g.¢V MON: 10 /22 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH 1 City / county Certification number: Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK Q INSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N) Y� RIO/, A, Corporate:' } San Diego/Imperial Count s. 2992 E. La Palma Ave.` Ste. A ` 7313 Carroll Rd. Ste. GV Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: -858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK Q INSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N) 17M.5121VA APPROVED PLANS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT 1 FOR WEEK ENDING PROJECT NO. SP., R A. ENGINEER REPO,R,T N0. PG OF CONTRACTOR PLAN FILE NO. PERMIT N0. SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS J 9-S br _ / /,lel/ // -" .%/9 /fia iyrh ADDRESS OF PROJECT s REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGi_ SOIL -MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORKDAY OR MISSING MAND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S,` S CORUC E�O NOTf� G THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. //`` ff`` /} MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIACTEST-REPORTS): "--^ 7-X-3,: `S pmowk- ggelk Al -,I otv CONTRACTORS EQUIPMENT / MANPOWER USED: F/�'��%ir ,�'ii,�.�'�2 - / i� �a k• /;,cT Sig rxl " �'"6�''Ii r4 Sn�IC � �i T,�- n/r✓.�` � S - % ��,��.�ii� Irl . AREA, GRID LINES, PIECES OBSERVED: opt 4.R LI 64&1t ,C r Al REQ 4 Al 7-A d1 '»Lt 1 :isNt�c- /,��I AA/�� /Cl76TisieC A% / -�� 5� /"�� , rr,cr,,tjAc,cAI ��•S'�F�. 9.C" �"!Jlr� � 6?,�1�A1�'C�A1 F^��'4; �'l/%f�/!/! 3' Tib 'i�S?'�l��"// STRUCTURAL NOTES, DETAIL. OR RFIS USED: - /Pi,QF7' 4_2,6*e-q !dart+ Rr7 RAld r.R/d !� AOrrl ,l AI 9A 0f -ik _R /511f �`?nlr7`�'r%�'e� %�S'-�l�f"N JtS�f'l.�'Yr%S• �'/t7Cl�s� R',n C./t./y)�)�':1 -'. _� REMARKS. INCLUOINGMEERNCS; f3 A flAc'gll &XC 4" AC Al T �`i�69R,9AV!',F>=' C e) F / s JJ9/I' P6lAI CI- )0rsV 4a -j .ac Al 14e V/Ns- n>ar e A If,/.a c f'% /tAl 1 Al 0) 17 41VAti — 113'PA.IX ✓��;��Q n�a,�„r ,-1 ;,,��. r')11a eyIr /•Y/t! .Ss1��l�1�'c 5'd�ra-i PG 2/50 7*9 A,11) REWORK AS PERCENT OF ALL WORK TODAY! - ---�''F =R'CFNT`PA0jE T COMPLETIf'1N• . 10 V711 k 5T 6L / IJ /�AI`S WEATHER: � 3 SAMPLEST TAKEN: ^ a RO Li r J PPC. i nl---Al S TEMPERATURE: p TESTS REQUIRED: 90 d1 C✓L/,i7J /'3 ?<ST •- % llJ SITE TIME START: j4 °0 SITE TIME FINISH: - !�✓_% �� #4 i LUNCH PERIOD: - TRAVEL TIME: VERIFIEABY: f r� I VU GtHI IVY IHAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, k. AND / OR THEROVED PLANS,, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 16123 1,V4,07 a , _ S gnaturree� )J Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 t Corporate: �M 2992 E. La Palma Ave. ,Suite A A- Anaheim, CA 92806. Tel: 714.632.2999 Fax: 714.632.2974 AEUWAMM FIELD REPORT Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED Y N Y (Y) (Y Y ARCHITECT STRUCTURAL NOTES, DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masomy inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. No deficiencies noted. SGPA 10/20/07 1 PROJECT No. 2145A02 ENGINNER TEST REQUIRED: Slump, temperature, PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 7 masons, 6 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — completed 4th lift lines 1 & 2 — between F.5 to B to 18" A.F.F., also completed 5th lift @ south wall line F & G — between line 8 to MCJ 5.3, also east wall lines 7 & 8 — between A to G & line A — between 8 to MCJ 5.3 to 22' 8" above finish floor. Masonry contractor starting to install roof embeds. No deficiencies noted. STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masomy inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. No deficiencies noted. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, SITE TIME START: 6:30 AM SITE TIME FINISH: 2:30 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIFS WITH THF .MILS INVESTIGATIObL RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: T HJRS: 10 /18 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: San Diego/Imperial Co InWW"z A - 2992 E. La Palma ve: Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK gaINSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (,YJ (N) SPECS .(V) (N) I'VIy{"� k1i APPROVED PLANS (yY) (N) APPROVED SHOP DRAWING (Y,) (N) ARCHITECT- FOR WEEK ENDING PROJET. NO. S P A 4 -5 7- V O I/ 'V57 -Ad _L ENGINEER Ay' Tl10. PG � f OF CONTRACTOR T/ :F -1 Al PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJECT NAME INSPECTION ADDRESS ,79-.W,/,5*' u/ Int ADDRESS OF PROJECT /W A REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): `�' - agOd< /n Re -9194- 7 YPF 410,*T'A R C I''-911 AnJ ALL P -R'- SIIP,044160 %' Im CONTRACTORS EQUIPMENT/ MANPOWER USED: n AREA, GRID LINES, PIECES OBSERVED: G Yl RI)IJ r,—rl / z'� rz r n IV /i�.9 s/3'fL"A'./ /13A//S rt Al 470'fr/r i 1 23' A rA 9/- -,1 M?' -'w /�4-'/_'u i'/Tt�S. PI.,11rtr� 9. f) S/IJ.VtP '7 AI'V Jc Imo/ ABX, -V RLli1 T UIt�'//s o .m'Q�'r%s -4~ Ft'!=%ll1 Jr11/ �A�.�S Lig' r- 12ir�9 f Te) -9-V /a!G'/" 4AIIV R//.'l T 1-,19;11 , elw/r" 'J T;s V 7-4" 17.-'4'f STRUCTURAL NOTES, DETAIL. OR RFIS USED: sro/�rrrr��oe �31�3i - ct� r'c- ti Z /,;/y REMARKS. INCLUDING MEETINGS: / �'i��'�•,f�17,aG/ly ��1/�.6�i))�'�I/%V /7� >.�1�./l.��'�uf'n��^�'o�-��'�lT.��.��sflr� � �" 9/)^ 0A.,., t /7 A,(ICr, T .+>O 4'L1 t;)�0/ iw/C REWORK ASSPERCENT OF ALL WORK TODAY: PERCENT PROJECT COMP ETIONt WEATHER: (.r is W ,(? SAMPLES TAKEN: �' R6&T `Sf%e G j �3 Al5 21-4✓ r R% f %_ �� r �Q �a TEMPERATURE: D TESTS REOUlpf�s /[1 " %Zlzo9ti,) c7_ T,si�ae9, SITE TIME START: 6) . V SITE TIME FINISH: LUNCH PERIOD: �� TRAVEL TIME: VERIFIED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED P,LAANNSS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Si nature f) Date of Report 7 ICBO Certification Number Print Name _ _ Ci % Coun Certit' �C N bl ty ty Ica Ion um r .� ' Rev: 7/97 Corporate: 2992 E. La Palma e. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 San Diego/Imperial Coun0; - 7313 Carroll Rd. Ste. G' San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK ® INSPECTOR 0 TECHNICIAN AVAILABLE: SOIL REPORT (:Y) (N) SPECS (Y-) (N) APPROVED PLANS (Y,) (N) APPROVED SHOP DRAWING (Y)>(N) ARCHITECT-` © 4, FOR WEEK ENDING � q Jy PROJECT. NO. -2 ENGINEER y �f7A � /i REPORT NO. PG OF adI CONTRACTOR PLAN FILE NO. PERMIT N0. SUBCONTRACTOR A/4,4,111- NY PROJECT NAME %`' JW fa INSPECTION ADDRESS; / ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE OV THE ORIGINAL DEFICIENCY REPORTAND SUBMIT COPY WITH YOUR WEEK'S REPORTS. /q�� /L� / I MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): A- t A` 4r1)?C1X_ /15 )9.057-,I rak 7 -.VA,- `S r,071,4j97, W - I'9Mll ' ' f?- 94a',P^gt .4/--/ CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES OBSERVED:a / t A4 Li ft 7- fr/A5a//S Q N /°sriPz;-A A 72).-M-46 401 ,jV 7-"n R ei != /13 R// R,r �,tj.,-.C-A 1-�iZ .19AIW 7- Ty 49,5`-9''N/-1if-'-,q 77-) P e1 F= it)npid %D _VZ"- o62o ),-J 1 I Tie )AF J A1 $ '' ". ,Q/1� 11' i'a !w -2i /S�iS // 7 n tt) STRUCTURAL NOTES, DETAIL. OR RFIS USED: REMARKS, INCLUGINtfMEETINGS: /p yam,) pW31 /2 1 9+ y1 � r 1 ,9 7+ P AIA A°R/iA I xoj S 2-n r2 el iL�l REWORK AS PERCENT OF ALL WORK TODAY: PER ENT-"PR'ojEcT 'c mPl ETI0N- WEATHER:CZ,-"4 /e. SAMPLES TAKEN: TEMPERATURE: 6 TESTS REQUIRED: SITE TIME START: �j • ~ fJ SITE TIME FINISH: <�96 LUNCH PERIOD: TRAVEL TIME: VERIFIED i vu ern i in i n„i i nMvt rCM0Vr4ALLT UnatnvtIJ ALL Ur I Ht VVUIIK u51 tU AbUVt ANU I HAI I MIS WUHK CUMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPEC IFICATIONS,AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT i ✓f%Y..�� ,/.�� (G �G�..,.,�.,�`a s ,/fel � � ice. Ot'1 � �/� 5' 7��{� �y� Si nature 8 �.�� Date of Report ICBO Certification Number Print Name City / County Certification Number - Rev: 7/97 MTG� Corporate: 2992 E. La Palma ve. , Suite A Anaheim, CA 92806 Tel: 714.632.2999. Fax: 714.632.2974 • Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 REPORT REQUOREMENTS: 1CBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: AVAILABLE REPORTS PLANS SPECS SOILS SHOPS F.5 to B REINFORCED CONCRETE MCJ 5.3, east wall lines 7 & 8 — between A to G, line A — between 8 to MCJ 5.3 to 18' above finish floor. No deficiencies noted. APPROVED Y N Y Y Y Y ARCHITECT REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement FOR WEEK ENDING Monitored placement consolidation & re -consolidation by mechanical vibrator of 19.50 cubic yards of 2000 -psi grout for cmu walls noted above. No deficiencies noted. SGPA 10/20/07 1 PROJECT NO. 2145A02 ENGINNER TEST REQUIRED: Slump, temperature, PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY .07-819 SUB -CONTRACTOR PROJECT NAME N- BBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUOREMENTS: 1CBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, 19.50 cubic yards of 2000 -psi grout, Superior ready mix # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 7 masons, 6 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — finished 4`h lift precision cmu's north wall line A — between 3 to 8 to 18' above finish floor, starting 4`h lift lines 1 & 2 — between F.5 to B Grout placement — 3`d lift P. west wall lines 1 & 2 — between F.5 to B to 13'4" above finish floor, also 4`h lift south wall line F & G — between line 8 to MCJ 5.3, east wall lines 7 & 8 — between A to G, line A — between 8 to MCJ 5.3 to 18' above finish floor. No deficiencies noted. STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified p roper mortar mixing & handling procedures. Monitored placement consolidation & re -consolidation by mechanical vibrator of 19.50 cubic yards of 2000 -psi grout for cmu walls noted above. No deficiencies noted. WEATHER: Clear/windy SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMMENDATI NS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: pI, WED: 10 /17 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: MT6� Corporate: 2992 E. La Palm Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 • Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w: open ends litface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — finished 4`h lift split -faced & precision emu's south & east walls lines G, F.5, F — between 1 to 8, line 8 — between G to E.3 to AVAILABLE REPORTS PLANS SPECS. SOILS SHOPS REINFORCED CONCRETE Masonry notes & details on sheets S1, S2, S3, SDA, SD.2, SD.3, SDA APPROVED Y N Y Y Y Y ARCHITECT FOR WEEK ENDING WEATHER: Partly cloudy/windy SAMPLES TAKEN: None SGPA TEST REQUIRED: Slump, temperature, f c 10/20/07 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w: open ends litface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, S ec-mix' a "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — finished 4`h lift split -faced & precision emu's south & east walls lines G, F.5, F — between 1 to 8, line 8 — between G to E.3 to 18' above fmish floor Approximately 1000 units laid -up STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SDA, SD.2, SD.3, SDA REMARKS., INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforc ing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. WEATHER: Partly cloudy/windy SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMMENDATI NS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: N'avTUES: 10 /16 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: • Branch: 2992 E. La Palrr�Ave. , Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax 858.537.3990 nr.rvn i nL�Uu�nrvinry i �: a,nv r ini..0 inarnt,11UIN 1VUU 4 UA1JM 1 l7L aUIL MAN UAL Kh V 1h W FKE V.IUUS KEFUR1S AND LISTS. I THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, I foreman, 4 masons, 4 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — starting 4`" lift P, split -faced south & east walls lines G & F.5 — between 1 to 8, line 8 — between G to E.3 to 18' above finish floor AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SD.4 APPROVED Y N Y Y Y Y ARCHITECT FOR WEEK ENDING WEATHER: Partly cloudy SAMPLES TAKEN: None SGPA TEST REQUIRED: Slump, temperature, f c 10/20/07 1 PROJECT NO. 2145A02 ENGINNER PLAN FILE NO. MALEK CONTRACTOR i PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELK MASONRY IN KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA nr.rvn i nL�Uu�nrvinry i �: a,nv r ini..0 inarnt,11UIN 1VUU 4 UA1JM 1 l7L aUIL MAN UAL Kh V 1h W FKE V.IUUS KEFUR1S AND LISTS. I THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, I foreman, 4 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — starting 4`" lift P, split -faced south & east walls lines G & F.5 — between 1 to 8, line 8 — between G to E.3 to 18' above finish floor Approximately 600 units laid -up STRUCTURAL NOTES, DETAILS, OR RFIS USED: _ Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, gradie, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. WEATHER: Partly cloudy SAMPLES TAKEN: None TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: 4 f U � MON: 10/15 /2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: I Corporate: 2992 E. La Palm ve. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 n Branch: FIELD 7313 Carroll Road, Suite G Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 4 tenders San Diego CA. 92121 AREA, GRID LINES, PIECES OBSERVED: Tel: 858.537.3999 AVAILABLE REPORTS PLANS SPECS Fax 858.537.3990 REPORT REQUIREMENTS: 1C B0 FIELD tNSPECI7UN MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, FIELD REPORT Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 4 tenders TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing 3`d lift @ lines 1 & 2 — between F.5 to B, line A - between 3 to 8 to 13' 4" above finish floor AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE Masonry notes & details on sheets S1, S2, S3, Sl). 1, SD.2, SD.3, SD.4 APPROVED Y N Y Y Y Y ARCHITECT Monitored placement & consolidation/re-consolidation of 27 cubic yards of 2000 -psi grout for 3`d lift @ grid lines noted above FOR WEEK ENDING WEATHER: Partly cloudy SAMPLES TAKEN: 1 set of 3 mortar, grout, block prism SGPA TEST REQUIRED: Slump, temperature, f c Ell 10/13/07 1 PROJECT NO. 2145A02 ENG]NNER PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819. SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQUIREMENTS: 1C B0 FIELD tNSPECI7UN MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, spec -mix type "S" mortar A-615 60 grade reinforcing steel, 27 cubic yards of 2000 -psi grout, Superior ready mix, design # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 5 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Cmu lay-up — continuing 3`d lift @ lines 1 & 2 — between F.5 to B, line A - between 3 to 8 to 13' 4" above finish floor Approximately 1200 units laid -up Grout placement — 3`d lift lines F, F.5, & G — between 1 to 8, lines 7 & 8 — between G to A, line A — between 3 to 8 to 13' 4" above finish floor STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, Sl). 1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Mason — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Monitored placement & consolidation/re-consolidation of 27 cubic yards of 2000 -psi grout for 3`d lift @ grid lines noted above WEATHER: Partly cloudy SAMPLES TAKEN: 1 set of 3 mortar, grout, block prism TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c Ell SITE TIME START: 6:30 AM SITE TIME FINISH: 2:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS tN VES"17GA"MON RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO `1 SIGNATURE: �J^oV J21�� THURS: 10 /11 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 . Tel: 858.537.3999 Fax 858.537.3990 TYPE OF WORK 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE APPROVED Y N Y Y Y Y ARCHITECT STRUCTURAL NOTES, DETAILS, OR RFIS USED: FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Verified anchor bolts & steel embeds prior to grout placement. Contractor responsible for heights, dimensions & lay -out of embeds. SGPA embeds 10/27/07 1 PROJECT NO. 2145A02 ENGIlVNER TEST REQUIRED: Slump, temperature, f c PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "A" 79-815 HWY 111 LA QUINTA REPORT REQ10R MEN I s is BO YIELD INSPEC:IIUN MAN UAUMTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision emu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, 27 cubic yards of 2000 -psi grout, Superior ready mix design # D66P-8 CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, grout pump, mechanical vibrator, 1 foreman, 3 masons, 4 tenders AREA, GRID LINES, PIECES OBSERVED: Grout placement — 0 & 5's lifts roof embeds west wall lines 1 & 2 — between B to F.5 to 18'— 18'8" A.F.F, also south wall, lines F, F.5, & G - between 1 to 8, height varies from 18' to 22'8" A.F.F. (sloped roof), also east wall line 8 — between A to B.5 & line 8 — between G to E.5 to 221"a.ff. also north wall line A — between 3 to 8 from 18'8" to 22'8' A.F.F. (sloped roo STRUCTURAL NOTES, DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Verified proper mortar mixing & handling procedures. Verified anchor bolts & steel embeds prior to grout placement. Contractor responsible for heights, dimensions & lay -out of embeds. Monitored placement & consolidation by mechanical vibrator of 27 cubic yards of 2000 -psi grout for 4 & 5`h lifts (heights varies to cover roof embeds Sample — from load # 1, ticket # 59710, slum 9", grout tempe 741,location west wall line I & 2 — between B to F.5 to 18' A.F.F. WEATHER: Clear SAMPLES TAKEN: 1 set of 3 grout TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: 3:00 PM TRAVEL TIME: 1 DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS LMPNITH THE OILS INVESTIGATION RECOMMENDA NS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, 13NO SIGNATURE: MON: 10 /22 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 a.ir Uni E%G.YULMKIIVID1V 1J. 1%,DU r1n1.1J uvJrDl,11UN fvL-'NUAUM1GL SOL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): FIELD REPORT CONTRACTOR E UIPTMENT / MAN POWER USED: TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS PLANS SPECS SOILS SHOPS APPROVED(Y) N Y Y Y Y ARCHITECT REMARKS, INCLUDING MEETINGS: FOR WEEK ENDING for type, size, grade, splice lap, spacing & clearance for emu wall during construction. Verified proper mortar mixing & handling rocedures. Note: replaced by another Special Inspector SGPA10/27/07 PROJECT NO. 214SA02 ENGINNER TEST REQUIRED: Slump, temperature, f c PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY 07-819 SUB -CONTRACTOR PROJECT NAME NIBBELINK MASONRY KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT n r. nrn r n rrr •m nmrnn. BLDG "A" . 79-815 HWY 111 LA QUINTA a.ir Uni E%G.YULMKIIVID1V 1J. 1%,DU r1n1.1J uvJrDl,11UN fvL-'NUAUM1GL SOL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR(INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 x 16", 8 x 4 x 16", Angelus C-90 m.w. open ends litface & precision cmu's & 16 x 8 x 16, 12 x 8 x 16 precision column block, Spec -mix type "S" mortar A-615 60 grade reinforcing steel, CONTRACTOR E UIPTMENT / MAN POWER USED: Mason hand tools, gas powered paddle mortar mixer, l foreman, 5 masons, 4 tenders AREA, GRID LINES, -:PIECES OBSERVED: Cmu lay-up — staking 5t° lift P, southwest s litfaced tower lines F.5 - 1 to 3, line 1 F.5 to E STRUCTURAL NOTES DETAILS, OR RFIS USED: Masonry notes & details on sheets S1, S2, S3, SDA, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS: 'Masonry — on site for continuous masonry inspection, verified proper cmu lay-up rocedures & techniques. Verified reinforcing steel placement for type, size, grade, splice lap, spacing & clearance for emu wall during construction. Verified proper mortar mixing & handling rocedures. Note: replaced by another Special Inspector WEATHER: Clear SAMPLES TAKEN: None t TEMPERATURE: 60's — 80's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM SITE TIME FINISH: 10:00 AM LUNCH PREIOD: TRAVEL TIME: VERIFIEAY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE ZILS INVESTIGATION RECOMMENDATION / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: TUES: 10 /23 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: A& Corporate: 31 X' San Diego/Imperial Count, 2992 E. La Palma Ave. Ste. A n 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK PJINSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT V4 (N) SPECS (*) (N) XvAsaw APPROVED PLANS 0 (N) APPROVED SHOP DRAWING (+F) IN) ARCHITECT / FOR WEEK ENDING PROJECT NO. "� 121L411"_ �0 ENGINEER REP7 N0. PG OF CONTRACTOR e PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJECT NAME r INSPECTION ADDRESS ADDRESS OF PROJEC REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAU rGL SO - REVIEW PREVIOUS REPORTS AND LISTS )F THERE IS NON -CONFORMING WORK AT THE END OF THE WO OR MISSING MT D RF1S, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS ORA PREVIOUS INSPECTOR'S Cg�E'D N6T OX THE�RIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS ESEARCH REPORT BY CONTRACTOR O OTYP� D[ (INCLUDE R/fC �/� f ES '16A' 7Ak C NTRACTORS EQUIPMENT/ MANPOWER USED: �� /1.. ,,W, AREA. GRID LINES, PIECES OBSERVED: �lL1LrL[r IL ON 6"n id Q Sfz&AIV AW 6 ANe! CW, R RAsf r c1 j9 9 Al � 7- - 1 �s 'Zrei> ' ' 7TD 11)6d >9i 0/ e—,C 3Eic�;EEIJ r- 26s � ��2�.�,A/ r e .4 F 7-0,26-& AX) GAl -465-A911 775Pi d y 2 .- ja4Id sit?A -)9 fQ if "el STRUCTURAL NOTES, DETAIL. OR RFIS USED: 6- 1// 6 i2 o Li rcnd T� 7S- R �&C&'�"� - ('l,� �'�s e io g z elm � REMARKS, WaU0/NG MEE17MGS: n1l 5��,QL4'e-1 1-7(A�-. i��A T e!Y t a&C,9 _Rzfic I S 0/f4i 9A// .(1Y',. Yeof yz N�k ne= c mur 4 rAghAl itv cP ® r dar sPi9nir_ z!?yec Iiy /_30A( OZ;r;Sr!,t- ��F 'x000 p_lt; i GRt)Z14 '"w P -,n - REWORK AS PERCENT OF ALL WORK TODAY* OMPI HIM WEATHER: �� SAMPLESTAKEa��,e SrG 1'/"X- W`S �-CROui irr��vs TEMPERATURE: l,� G TESTS REQUIRED: SITE TIME START: �Q%D SITE TIME FINISH: LUNCH PERIOD: y, TRAVEL TIME: VERIFIE \ I DO CERTIFY T AT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR T APROVED PLANS, SPEPdn NS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT ignature Date of Report ICBO Certification Number y 73'0 9 Print Name��5r City / County Certification Number Rev: 7/97 MTG L Aellvwg r Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 4 9cI, i9 San Diego/imperial Court 7313 Carroll Rd. Ste. G Sar, Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK ZINSPECTOR ❑ TECHNICIAN AVAILABLE: SOIL REPORT (4 (N) S?ECS (;4.(N) APPROVED PLANS (&) (N) APPROVED SHOP DRAWING (*(N) ARCHITECT SIG, 112 A FOR WEEK ENDING O 7 PROJECT. NO. 1 2 ENGINEER REPORT 0. PG OF CONTRACTOR - PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR ` f' PROJECT NAME 6rlyrcQ INSPECTION ADDRESS ' i ADDRESS OF PROJECT, C l REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRE SO OIV THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTQR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): TyP� CONTRACTQRS EQUIPMENT/ MANPOWER USED: , c;hda/LA /m ms e,e - A6AAC jj�lapu_--/"-ice AREA, GRID LINES, PIECES OBSERVED: t to AV727- tsfiAL S ON 2d-6 eOGAI %'bP D!' 62!7// RfT[ei / r 6'x;��ls -_qieigillc / aeid � Rzur : za 2.c ��`r'!H � P 6 � ce3Y+// G'Rld � a&-lZI 0"� STRUCTURAL NOTES. DETAIL. OR RFIS USED: REMARKS, INCLUD/NG,�"EE77NGS: CiX�,g P ✓A-fy/ P/-- i2i xy r 6 : wzq z iNy a° �irl'I �T o V/�'/o REWORK AS PERCENT OF ALL WORK TODAY: MPI ETI0N- WEATHER: CZ 54P— TEMPERATURE: y �J SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR TH P . VED PLANS, SPECIFI D APPLICABLE SECTION OF THE BUILDING CODE, /UNLESS OTHERnWISE NOTED IN THE DEFICIENCY REPORT � 16 ature Date of Report ICBO Certification Number 7 *A%6-:2,3 6 cz Print Name City / County Certification Number Rev: 7/97 Al0/,V,eA4 '/c% � Pr eelk7,,6 � ACorporate: San Diego/Imperial Couni,. 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK KINSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT W (N) SPECS oM (N) APPROVED PLANS )(N) APPROVED SHOP DRAWING % (N) ARCHITECT FOR WEEK ENDING PROJECT. NO. /. i! CJ ENGINEER 0. PG OF SORT CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJECT NAME Irev",*S INSPECTION ADDRESS ADDRESS OF PROJECT REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): °l/S�('Ri9c�� R6'°[4 12 %Yf',a�s 'jmmm/$ 600 Psi r-WRI)u7' MIX 41P-4�/P �2t(�lA /: lM. CONITP4CTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES OBSERVED: �/?,nejn5 i 'S'`R L/RT dN iy!? 3; ky r� /1%/' e1Ay rf�,Ws j ?t [4, r.6 - -c y PL,�c �.f 9, b slamp A c a , Yr EL is c6A, .�r�id g 2'0 29-x! MLOA{ R/// L % aR."d A 7T _) Al 9 R ids a��t? � s' TD .27-41 //iL'i� (,ra A) STRUCTURAL NOTES. DETAIL, OR RFIS USED: REMARKS, INCLUO NG MEETINGS. n lzR 7' Ljlgl/ gj5L l �P_ c":rin'a, 10 S114wA- .9&14:2�1,VYiAlo nIG* �irl!/.S /'�� lt///ym I�/e,4zz 5A*CC, d 6REWORK AS PERCENT OF ALL WORK TODAY4 PERQENT--FTMUEM0MPLETIQN- WEATHER: L o/ /Y P, - C'fda'% SAMPLES TAAW� TEMPERATURE: © TESTS REQUIRED: ® J SITE TIME START: CO • J V LUNCH PERIOD: /!5_7 SITE TIME FINISH: IN TRAVEL TIME: -j6�°` VERIFIED BY: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND �®R ROVED PLANS, S I ONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Signature Date of Report ICBG Certification Number Print Name City / County Certification Number Rev: 7/97 Corporate: San Diego/imperial Count',, 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 FIELD REPORT Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK XINSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (*A (N) SPECS (JOHN) _ APPROVED PLANS t* (N) APPROVED SHOP DRAWING (a (N) ARCHITECT FOR WEEK ENDING PROJECT. NO. rr ✓ 1 laN� 19 ENGINEER. REPORT NO. PG OF ar CONTRACTOR PLAN FILE NO. PERMIT NO. SUBCONTRACTOR R PROJECT NAME ;j INSPECTION ADDRESS ADDRESS OF PROJECT J %% 9— Z/4 L 1 REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY MTRS, AND RFS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CO CTED, SO NOS E THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO.OR MATE IAL TEST REPOR Anon PSZ; Com/lg6ar intx n1(aP k.-reRj©a AF -pe -Ju in'X _t), cdNTRACTORS EQUIPMENT / MANPOWER USED: , f'101V /r 1/;11f171_ 4- /L'auT AREA, GRID LINES. P ECES OBSERVED: 8//l9ecy IWAW e` 1S,1X191V � 9 F k6 -d ,#jPf'L Ct �i1,'+ e3�' �(Tf f /dam i C � A&,- G%WL1ct'% //� ^y \D l �i4 %�'�J j'/y.8/`d, ai2�LJTFa? Gipi1 -s .l f} F S LlL �' �, �i �s IdiVYZV1/2 / d STRUCTURAL NOTES. DETAIL. OR RFIS USED: je REMARKS, INCLUDINQ MEETINGS. t AIQ REWORK AS PERCENT OF ALL WOR TODAY: WEATHER:L� r\ COMPLETIOM SAMPLES TAK Nib GR)ds i"%� � 9, y TEMPERATURE: 7 � TESTS REOUIRED:-1 Slamp TEST- T16F.1148 I / SITE TIME START: � � � SITE TIME FINISH: / LUNCH PERIOD: —��— TRAVEL TIME: �`�� VERIFIED BY: I DO CERTIFY THA 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR T VED PLANS, SPEC [GUS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT �Q ��/ .q /:2 r�s l ,CC1O�ec Q � Ignature Date of Report ICBO Certification Number Print Name City / County Certification Number Rev: 7/97 5 `5 Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK *NSPECTOR O TECHNICIAN 7 ' /;v SITE TIME FINISH:, AVAILABLE: SOIL REPORT% (N) SPECS (j) (N) APPROVED PLANS) (N) APPROVED SHOP DRAWING ('C) (N) ARCHITECT Corporate: San Diego/Imperial Count, 2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G Anaheim, CA 92806 San Diego, CA 92121 rm TM Tel: 714.632.2999 "Tel: 858.537.3999 Fax: 714.632.2974 Fax: 858.537.3990 Dispatch: 800.491.2990 Dispatch: 888.844.5060 ' FIELD REPORT 5 `5 Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 TYPE OF WORK *NSPECTOR O TECHNICIAN 7 ' /;v SITE TIME FINISH:, AVAILABLE: SOIL REPORT% (N) SPECS (j) (N) APPROVED PLANS) (N) APPROVED SHOP DRAWING ('C) (N) ARCHITECT FOR WEEK ENDING14/1-3_�_ ECT. NO. _ 61 ENGINEER REP020. PG OF CONTRACTOR (i', PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR 7�7;Q�2 PROJECT NAME �INNSPECTION ADDRESS / '�' J.m &642 y .". . % ADDRESS OF PROJECT f I REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WOR SSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORCORRECTED, SOS E ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MATERIALS AA ' + USED BYYCCONTRACTOR.(INCLUDE RESE�RCHH�REPORT NO. O T A 1-1 /2 ): 4AZAr, , _,qCdV /C L/ s ✓ CONTRACTORS EQUIPMENT / MANPOWER USED: &hg, ►Tda?— e- g/1l — Z .�1�/�m'il'l!� tv AREA, GRID LINES, PIECES OBSERVED: v,.clV ALA12,o%_rzv,rrivr dr "-�diqk AAAc nAICx5 f' n6 &5 i �� r ,^//V Pia iiL'I� �F f' /' � n -rilel -� � �jtd '09,yd zzz"/n OA/ aRid a ezL NY rwlt� STRUCTURAL NOT8 , DETAIL. OR RFIS USED: ST.c?/1 r_ '&R i4 L A16 i [_. q s S A; cg - "v REMARKS, IN(X UD/ND MEETINGS: ass c a xaz, Pz/ Mir, y6J 2tZmJ0 REWORK AS PERCENT OF ALL WORK TODAY' 6:TE3rMjj1QjEGT COMPLETION9 WEATHER: R ��.r��z TEMPERATURE: � v sg r o t' 3 c o rice, S"pZc; �� e,7Zs SAMPLES TAKEN: TESTS REQUIRED: S1 SITE TIME START:—(p f SITE TIME FINISH:, LUNCH PERIOD: TRAVEL TIME: ��' VERIFIED BY: I DU CERTIFY T AVE PERSONALLY SERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR T OVED PLANS, ECIIF NS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT / Q Signature Date of Report ICBG Certification Number Print Name City / County Certification Number Rev: 7/97 r _ •• •, •Corporate:.- .,�4. •2992 E. La Palma Ave:, Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 t FIELD REPORT CONTINUED r Fax: 760.482.0650 PROJECT NAMES t ADDRESOF PROJECT 779 t a rj Branch: Branch: PERMIT NO. v O 7313 Carroll Road, Suite G 441 W. State Street San Diego, CA 92121 EI Centro, CA 92243 Tel: 858.537.3999 Toll Free: 877.563.TEST Fax: 858.537.3990 Tel: 760.482.0600 t FIELD REPORT CONTINUED r Fax: 760.482.0650 PROJECT NAMES t ADDRESOF PROJECT 779 t — �! rj PRJ N0. 2 PLAN FILE N0. C�. PERMIT NO. v O y REPORT NO. PG OF i P�; ` tida is ul 14— --J Lr- sze- r -rale laig blend `.0 t _ \r t x °' o, t rr tVit 0%0r -St -m—a!et ---a 1 1d"r y V - t t1 of rt 1 •o ` 1 1 A irn�C ;p S t r, 1300 Z i t tr 11 . 1 14 to lI"7 no I�� - --- — — t L 11 2-4,o- ! --- AF ` t SigAaldrr O Date of Report .-Certdica ion Number 'J ►� V1►`V Vom l Vey 4rri Print Name) _ ` F THIS ISNOT ATCKETNO. ROBERTSON'S CONTROL 1 I (!1 j� i � } �; � (� NUMBER 7 DAACA928783600 i 1 IN li � 111 1 ; I � 11111111! ON JOB �✓ Water added On Job at STAND BY MIN. CHECK ❑, � k� 4; 1 Customer's request: AMOUNT BY P. 3600PEN � s f 111,11111il Phon�834-7557 San Diego 800/870-1220 #1 RIVERSIDE - 6120 201h. ST. # 8SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. ' #18 LAKE FOREST - 25931 TOWNE CENTRE DR #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. WEIGHMASTER CERTIFICATE 7 _ �. r) is f ,, r�"',M - 1 9 i`1'.- i - t 1 •'T' - TX CD DELIVERY ADDRESS & INSTRUCTIONS < 3 ORDER N0. METER READING TIME TYPED TRUCK LIC NO. CUSTOMER P.O. / JOB OR LOT # • 0 TRUCK LOAD NO. SLUMP DRIVER tt11 ff DRUM REVS: Job -site Cylinder Test: Yes TO JOB TIME ON JOB MIN. CHECK # ON JOB �✓ Water added On Job at STAND BY MIN. CHECK ❑, Customer's request: AMOUNT BY START POUR gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑` AMOUNT BY FINISH POUR gals to 2/3 Ld. $ PLANT MGR SIG gals to 1/3 Ld. OVEFTTIME CHARGE LEAVE JOB ADJ. Meter 4 min. per yd. unload.Wg4kne allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design witer is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and its from liability for damage done by from Robertson's employees all or claims them, resulting the movement of vehicles upon or mut the delivery location. Customer acknowledges that the described material has been chosen an selected solely by Customer without Robertson's havinlrr..Mriewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Rooertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent the the land the is fullest 1 with plans and specifications, or vnth ground sods or conditions on where material utilized, to the extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's Incurred by Robertson's. Customer agrees to pay a time price differential of 1 %% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, 1 t f t measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB ROBERTSON'S TOTAL WEIGHMASTER STAND BY • CHARGE BY DEPUTY C! TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET THIS IS NorA a TN . � N ® ® s9 A+ CONTROL `` :�•Y' °� { NUMBER rt p D OPEN 7 DAYS, j P.O. BOX 3600, CORONA, CA 92878-3600 I ' Phone 800/834 7557 San Diego 800/ 870-1220 1, *101G5653476* w #1 RIVERSIDE - 6120 201h. ST, # 8 SUN CITY - 27050 WATSONIRD. } •' #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS-LANE #2 MORENO VALLEY - 12890 DAY ST. _# 9 ARROWHEAD - 29750 HWY 18 #16. ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. - #30 CORONA - 1540 SHERBORN ST. #3 REOLANQS.- 8353 ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. ' #17 SAMA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE 'DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. STH ST #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS-72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE -116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HN 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD.#14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961,AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE ; CUSTOMER NO: t SOLD TO: MAP PAGE TICKET NO. 26 10/05/07 85122 t TIDWELL CONCRETE CORISTRUC 5470A3 `JF,jV,34'7.7 TX CD DELIVERY ADDRESS & INSTRUCTIONS i CUSTOMER P.O. /JOB 0 LOT # 79793 HIGHWAY--111 197�Ls � ►11F3043 a RLI) B C D//JEFFERSON LA QUINTA (-160) 342-8300LAST TITS 152.. ,lob Phone : (760) 275-' ii133 I1\1 THE COSTCO f'JKIP%l LOT IG4 ORDER NO. METER READING TIME TYPED s TRUCK LIC NO. ,1.s 1600.0k1 8.47 7X44125 I � LOAD NO. SLUMP TRUCKDRIVE •- 1•: 4.00 738 :;7 7 S!✓rRATT ELIAS COMMERCIAL SLAB DRUM t JOB START 6s-.:30 (fie REVS: Job-site ,Cylinder Test: Yes TO JOB t/^ �C�'�^�Ul ( TIME ON JOB MIN. CHECK # ON JOB 0 1 4" `� Water added on job at p STAND BY MIN. CHECK El('� �j Custom, request: AMOUNT . BY START POUR GL �/ " I gals t0 FUII Ld. RATE OF X $, PER MIN. CASH El AMOUNT BY i �.� FINISH POUR gals to 2/3 Ld. $PLANT MGR SIG ` ..._. ._ .. gals to 1/3 Ld. h'S;, OVERTIME CHARGE LEAVE JOB ADJ -MetWl- MI. � ,•� 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time Charged at Current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's del vexing the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage d0 ne`6 them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed mater al has tieeri chosen and set iCted solely by Customer w thout Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend; indemnify, and hold Robertson's harmless from all liability or claims for damage relating to.sald material being Inappropriate, incompatible, improper or inconsistent w th plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest eMent permitted bylaw. In event Robertson's rata ns the sery ces of an attorneyy to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's Incurced by Robertson's. Customer agrees to pay a time price differential of 1, per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY-- ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10.00 1.30.00 240.00 62121A WATER ALLOWED 355.00 WATER RATCHET?' 287.50 MOISTURE WATER 52.00 MAX ADD WATER' 15.50 CEMENT # 5640.00 FLYASH # 1010, 00 FINE AGG # 14000.0+ 3/8 AGG # 31.112.0.00 111 AGG 4# 13360.00 WRDA 64 FO '2.'00.00 AGREED TO AND RECEIVED BY CUSTOMER 4 00P11P'L CY DEL. CHARGE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12710) of Division 5 of the California Business and i Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. f Da V xR40BERTSON'S WEIGHMASTER EN DEPUTY DELIVERY TICKET TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL WEIGHMASTER CERTIFICATE T THIS IS TO CERTIFY that the following described commodity was SERIOR. READY MIX CONCE, L.P. .864006 weighed, measured, or counted by a weighmaster, whose Signa- SERVING SOUTHERN CALIFORNIA SING 8 tura is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YOU of Division 5 of the California Business and Professions. Code, SHOWN ON REVERSE administered by the Division of Measurement Standards of the California Department of Food and Agriculture. E t WeighedFi155 IUfi�ROE •��'TFieET 7N%7�0, t`r�'��:. ( d r _1' (r Q! �.: 333-3418. - DATE"�Y+ CUSTOMERNO. s. 4 I Inonan .NO - - —.-CUSTOMER-P.O.-NO. PLAN.T.NO.— DEUVERY.TICKETNO. IL 0,-O 0 "1I , B13i 005~' ? .� 071 -13959 CUSTOMER NAME L CUSTOMER.JOBNO. - - %lI BBELINK MASQi"RY CONSTRUCTION 70B JOB ADDRESS _ MAP_PAGE 7 9-81 HWY-„ 211 (COiMAR DESERT CEN, LA QUINTA 79-815 HWY 111 (COMAR 015470-.A3 SPECIAL INSTRUCTIONS _WEIGHMASTER DOING GROUT.... LOOS{ FOR BLOCK BUILDING.. USE COS'TGO ENTRANCE. :IERANDO HERNANDEZ DESIGN.NO. __ SLUMP TRUCK NO. _ .DRIVER NAME- - ORDERED BY - - QTY ORDERED. iy 00 S82 FC RRES,. ED 24.00 LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 4.00 24.00 CY S SACH 3/8 PUMP • 1.1*X ' I66P-El 2 oll _ QTY TO GO - i 9 Excessive water is detrimental to concrete C.O.D. -TICKETrIME—ARRI` . - - TOTAL FOR THIS TICKET 0$ [dpi t,.,v performance.❑Cash ; // / i/,, Gallons to full d % } /Slump -•- ElCheck No. START. - - FINISH-"— Gallons to 3/44 load C- 1/4_ '/Slump ❑ Credit TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET PREVIOUS STAND-BY Gallons to 1/4 load /Slump r Water added on job at Customer's request. Authorized By: " "Cusiomer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color. variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are placed." Loy6mole �/. - _ SRM -145 REV 7/06 `Received.in good condition 6y: DELIVERY .. t THIS IS NOT a ncry=T No. I N'` lee (j I _ c NUMBER CONTROL ��;��ARM P.O. BOX3E00 CORONDAACAM78-3800 ' �r Phone 800/834-7557 San Diego -10IC5653558* 6 5 #1 RIVERSIDE - 6120 201h. ST # 8SUN CITY - 27050 WATSON RD. #15 VERNON-IAS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER'STREET #29 EL CAJON - 215 CYPRESS�LANE - #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM. ,201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. wv #3 REDLANDS - 8353 ALABAMA ST. G #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO =2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA- 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. " #IB :LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAII- 5692 EASTGATE DRIVE✓' ' #6 HEMET/SAN JACINTO - 1675 STATE SL #13 IRWINDALE - 13631 LIVE OAK LANE `- #20 SAN CLEMENTE - 116 RINCON CL 1#27 MURRIETA - 26190 ADAMS AVE. r #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE 1,16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: A 1 MAP PAGE TICKETNO:. ti G 10/08/07 '85122 TIDWELL GONIC;RE7TE CONSTRUCT •��47u)A3 5C 5. 559 TX CD DELIVERY ADDRESS & INSTRUCTIONS t CUSTOMER P.O. /JOB OB LOT # 7� 79 3 H I G-'IWAY 1 1 1. 7 % tilLl�l` r . LALD L? C D//..7EF'F7E:RSON LA WINTA (70,171) 42----8300LAs"r TNS Job Phone o (760)2`75-8133d IN -THE CdcSTCCI 4 KIN 1._07.7 ORDER NO. METER READING TIME TYPED TRUCK LIC NO. LOAD NO. SLUMP TRUCK DRIVER 164 31 SUMMER, DIER, F RED COMMERCIAL SLAB DRUM ,JOB START ��:00 4I�Nil "2 REVS: Job -site Cylinder Test: es ---� - TO JOB (c/ TIME ON JOB MIN. CHECK # ' ON JOB [> Water added on job at STAND BY MIN. CHECK El Gr Customer's request: , ¢_.. l F \� AMOUNT BY START POUR, , gals to Full Ld. r RATE 0� $ + i PER MIN. CASH ❑ 1 I AMOUNT BY •• FINISH POUR gals to 2/3 Ld. '' $ PLANT MGR SIG LEAVE JOB gals to 1/3 LdOVERTIMECHARGE ADJ. Meter's M I N 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate a• ; . water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE � ' - In consideration of Robertson's;delivering the described material. to-a.place designated. by the -Customer, the Customer hereby releases and agrees to indemnity.and hold harmless rts�o tlRobr..� its employees from all liability or claims for damage done by them; resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specificatio(1s relating to the project on which f S d the material is to be used. Customer agrees to defend, indemnity, and hold Robertson's harmless from all liability or claims for damage relating to said material being Inappropriate, incompatible; improper or 71� ECJ �q inconsistent with plans and spext ecifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest ent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 %z% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10.00 1171. 1G"10. 70.00 621 ? 1 A WATER ALLOWED 355. 0171 . WATER SATO HED 208. 170 MOISTURE WAT[-**R 107. 00 MAX ADD WATER 40.00 CEMENT #F 5E,30.1710 F= LYASH 4# 1070. 01€'l, FINE AGCY #F 1.4400.00 3/8 AGG #E 3360.00 1 " ACG k 13320. 00 AGREED TO AND RECEIVED BY CUSTOMER 450171E -'/PL. (7- Y DEL. CHARGE. TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB D -V V LROBEFkA S O TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY ' TOTAL DELIVERY TICKET L'A THIS IS NOT A TICKET NO. ROBERTSON'S NUMBER 5200 OPEN 7 DAYS �� i •�� f �I�� I� �� ` P.O. BOX 3600, CORONA, CA 92878-3600 Oho 557 ne 800/8347San Diego 800/ 870 1220 - 6io1c�5�6�0� #1 RIVERSIDE - 6120 201h. SL '�+'-' # B:SUN.CITY'�`2705I SON ND. #15 VERNONAOS ANGELES - 3365 E. 26TH ST. #22 N0. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST:,,3„ ,,- `#,9 ARROWHEAD = 29750'I,iWY-18> #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA SL #10 SANTA FE SPRGS - 123-1 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPEflIA - 9661 C AVENUE #4 FONTANA,=-13792'SLOVER AVE. #11 CABAZON - 1399D APACE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5» POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 41A 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE LANE ,�r ' #20 SAN CLEMENTE =x116 RINCON CT. 3 #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 FIW1' 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE.1;i #21 IRVINE - 16081 CONSTRUCTION CI.^,. WESf 1 #_ 28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT E CUSTO ER NO: i E SOLD�TO: MAP PAGE TICKET NO. 11 .• ►�'i�4/2.8 /Q7 85 .E �-TIDWELL CONCRETE CONSTRUC 5470A3 5526003 TX CD DE V.ER. ADD S 8. N CIONS r� CUSTOMER P.O. / JOB OR LOT r r r: ��'I ' 1 �t6, 9/ �'1�3ir)8�� BLU D/ /JEFFERSgN 1 LA QUI NTA ( 760) 342-:.-8300LA aT Tl -<<G 168 Jc1G Phone » (76XI) 275-8133 IN THE CCSTCO PKIN LOT//4. 5° SLUMP/ 614 26 j, ORDER0.. METER READING TIME TYPED TRUCK UC NO. 1a8 1,50. lb. LAO 3, 7Ckyl5352 INTO PLANT 26 LOAD N0, 1,1-9 arZl TR CK O.1 DRIVER 1 LAIL., CLAWSON JAMES FOUNDATION FOOTINGS DRUM JOB START . %» 11121 To JOB 0 REVS: Job -site Cylinder Test: ❑ Yes TIME ON JOB MIN. CHECK # ON JOB a~ --> Water added on job at STANDBY MIN. CHECK❑ /�(%� Customer's request: AMOUNT BY START POUR II 7L v5 I � gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ 9,16 _ AMOUNT BY j FINISH POUR ) 1' 6 I gals to 2/3 Ld. $ PLANT MGR SIG 1 gals to 1/3 Ld�� ., � I � , '� OVERTIMECHARGE LEAVE JOB � i ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any • Additional unloading time charged at current,hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liabty or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described materlal has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to Bald materlal being inappropriate, incompatible, Improper or inconsistent with plans and specifications, or with the ground soils or Conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 %z% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD -CODE MIX AND COMMODITY UOM UNIT PR AMT .. 1 0. k >� W;1Z1. k00 k . 1Z1(7� 1 18P1�'1W14-3000 P / F1L. CY WATER ALLOWED 341.00 DLL. CHARGE WATER BATCHED 197.50 50 ' MOISTURE WATER -124.00 TAX WEIGHMASTER CERTIFICATE MAX ADD WATER 18.50 THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS CEMENT ## 4240. 00 who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE C;. (commencing with Section 12700) of Division 5 of the California Business and (L } # ;��i� 17�y�I Professions Code, ad�1,�ist`ered by tl�e Divisiol of Measurement Standards of the NAIR California Departments(�ggd(andAgr'Leyltur6:'IEY� SUB 1 rr AGG #II 1;.,0) 0. 1710 ROBERTSON'S TOTAL WEIGHMASTER W SAND 9# 14320. X10 STAND BY WRDA 64 FO 149.00 CHARGE BY DEPUTY j TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET CONTROL THISISNOTATICKETNO. 9 NUMBER 5659583 OPEN 7 D ! ` CORONA, 78 3600 •!PO0.0X36060, Phone 800/8347557 San Diego 800/870-1220 ` *10105659583* #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET#29 EL CAION - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E: COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 26DI N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 ' FONTANA '13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LANE FOREST ; 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 97H ST #19 ADELANTO-11i203.VIOLEr RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE 1 #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LWE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWr 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081' CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE 2E 11/15/07 CUSTOME NO: SOLD 588 1 SCTJ�ITW COAS"f GONST RUCT i ON �°P4Pi�i1A3 T' Wit:, 3 �' TX CD IL17-y3's.RESL $,l(JSJ(aAOT I 1 1 — KOMAR.DESERT CENTER LA QUINTA Job Phone (951),774--0174. ORDER Ig`) 1 MI Eg EfADI�N CA LOAD NOJ �4 4:M60 TRU" DRUM TO JOB REVS: ON JOB J TIME TYPED 30 6, Ra--"P' A .N i �r 5 1 WLAJTKI ]id.S CHRI .TOB START Job -site Cylinder Test: F-1 YPc E ��STOMERPO./JO bRV#`� (951)351-7777LAST TKS 150 S CURB &GIS " lHAND FOR 7:014 �H TIME ON JOB Water added on job at STAND BY Customer's request: v"\4 MIN. CH ECK,t� MIN. CHECK ❑ " AMOUNT BY START POUR gals to Full Ld. RATE OF x $ PER MIN. CASH ❑ a /; AMOUNT BY FINISH POUR (AC) gals t0 2/3 Ld.$ ARPLANT MGRSI 13t LEAVE JOB 4, MIN N gals to 1/3 Ld. OVERTIME CHGE ADJ. Meter;, 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own Fisk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's del wan ng the described material to a place designated by the Customer, the Customer herreleases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed mater al has been chosen and selected coley by Customer without Robertson's hay ng reviewed any plans or specifications relating to the project on which the material is to bI used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent w th plans and specifications, or w th the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. In event Robertson's retains the carry ces of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorneys fee's incurred by Robertson's. Customer agrees to pay a time pr ce differential of 1'/z%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX ANb COMMODITY UOM UNIT PR AMT 10. 00 20. CAO WATER ALLOWED WATER BATCHED MOISTURE WATER MAX ADD WATER CEMENT # FLYASH # 3/8 AGG ## 1" AGG # W SAND # 20.00 GC5601333 56OC3250 CY 380.00 273.00 83.00 24.00 4500. 00 1100.00 3040.00 14080. 00 14040.00 AGREEq;TO AND RECEIVED BY CUSTOMER T. . DEL. CHARGE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the DMsion of Measurement Standards of the Califomia Department of Food and Agriculture. Da V IFfpBEHTSONi O WEIGHMASTER BY DEPUTY DELIVERY TICKET TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL CONTROL "HIS IS NOT ATTCKETNo. PS LOB=.&.,UQN 20.00 GC56OB33 56OQ32 50 ' CY NUMBER 659 6 WATER ALLOWED 380.00 DEL. CHARGE WATER BATCHED 276.50 MOISTURE WATER 79. 00TAX WEIGHMASTER CERTIFICATE MAX ADD WATER 24.50 THIS IS TO CERTIFY that the following described commodity was weighed, CEMENT # 4460.00 OPEN 7 DAY t PO. BOX 3600, CORONA, C i l!!I!I F L Y A S H # l liilllll (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the illi lilll ! illl l lli! l!lliliilillll!llliilli 14080. 00 WEIGHMASTER TOTAL W SAND # 14000. 00 Phone 800/8347557 San Diego800/8701220 CHARGE BY DEPUTY C! TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET _ - #1 RIVERSIDE 6120 � `. �T �# *10105659576*' - 201h. ST.1 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #2 MOflENO VALLEY - 12890 DAY SL K- # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #22 NO. HOLLYWOOD - 13132JAlT1ER STRE X29 EL CAION - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. ' #3 REDLANDS - 8353 ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. f�4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #24 RIALTO - 2601 N. ALDER AVE. �.. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON • 5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. STH ST #19 ADELANTO -,12203 VIOLET RD. #6 HEMET/SAN JACINTO - 1675 STATE ST .#13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE70RIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 ' ti ' 0 #7 BEAUMONT -452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #2I IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. , PLANT DATE CUSTOMER NO: SOLD TO: PGE TICKET , O_ _ r_'8 11/15/07 58801 SOUTH COAST CONSTRUCTION �4��A3 �,6�,` 576 K . TX CD DEUV,EJJ�. AQDF?ESl bN$ _HYION$ 1 1 /'� T fh11 h7 cCUSTOMER PO. / JOB.OR LAT # r W 11 624�.7V_T 1 G KOMAR DESERT CENTER LA OUINTA (551)351--7777LAST TKS .Jab Phone : (951),774-0174 ORDER 05 1 16g LL1GL) T GE TIMED 01 7WR�.'6'2�N5L� ! �� LOADN01 4 V.tIZI TR] JI D��JS JOBE JIM CUF��c UT ,fk 1 JOB STAFF t 7:00 � DRUM /• L REVS: Job -site Cylinder Test: es "�/ TO JOB TIME ON JOB MIN. CHECK #j ON JOB 3 Water -added on job at STAND BY MIN. CHECK � 6CUS or` CUS oPrequest: AMOUNT. BY ner's req START POUR gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ ��.�- AMOUNT BY FINISkPOUR 1 �is-t0'2/3-P'-'• $ PLANT MGR SIG • 'Li , is to 1/3 Ld. OVERTIMECHARGE - ` •F LEAVE Jos ADJ. Meter MIN 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water' added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 11/1% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM , UNIT PR AMT 10.00 3.0. 00 20.00 GC56OB33 56OQ32 50 ' CY WATER ALLOWED 380.00 DEL. CHARGE WATER BATCHED 276.50 MOISTURE WATER 79. 00TAX WEIGHMASTER CERTIFICATE MAX ADD WATER 24.50 THIS IS TO CERTIFY that the following described commodity was weighed, CEMENT # 4460.00 measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 PREVIOUS F L Y A S H # 1110. 00 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the BALANCE 3/8 AGG # 3040.00 California Department o Food and Agria�J��re,. �dV �RpBERTSON'S o $EJB 1 rr AGG # 14080. 00 WEIGHMASTER TOTAL W SAND # 14000. 00 STAND BY CHARGE BY DEPUTY C! TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET _ - WEIGHMASTER CERTIFICATE SUP,`*OR READY MIX CONCRE , L.P. 958493 THIS IS TO CERTIFY that the following described commodity was� .. weighed, measured, or counted by a weighmaster, whose Signa- u RVING SOUTHERN CALIFORNIA SINCE 1958 ; lure is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YOU of Division 5 of the California Business and Professions Code, SHOWN ON REVERSE administered by the Division of Measurement Standards of the California Department of Food and Agriculture. CY = Cubic Yard PY = Per Cubic Yard , r Weighed at: t 9 '/, 919155 MnNRInR t ;TiiF, UD' FT10. 9_220,__V r,_ ;�.76Q'}. 313=3 1g DATE CUSTOMER NO - ,. ORDER NO. CUSTOMER P.O. NO. PLANT, NO.—. DELIVERY.TICKET.NO._-_. 14 -Na -07 HIBBE005 X29 071 44843` CUSTOMERNAME - -- ---- CUSTOMER _. JOB NO. _ 4T.'ARF-1-INK MiSQt RY CONSTRUCTION 079815 JOB ADDRESS _ MAP PAGE — _� 79-8151HWY 111 I. UA QUINTA 79-81.5 HWY 111 SPECIAL INSTRUCTIONS _ ,WEIGHMASTER,�_,_� GROUT ACROSS THE STREET FROM HOME DEPOT _ SERARDO HERNANIDEZ DESIGN NO. _ SLUMP NO. DRIVER NAME - ORDERED BY_��., QTY ORDERED_- UGSP-88. 00 [TRUCK ?4E 3A�iT, ,3G; +'.7: �(� LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 9.00 9.00 i C:Y 6 SACK 3/8'. ' PUMP MIX )S&fit- 8 QTY TO GO 18.00 . Excessive water is detrimental to concrete C.O.D. TICKET.TIME—ARRIVE__, _ performance.❑Cash 11:17 c� TOTAL FOR THIS TICKET Gallons to full load - /Slump ❑ Check NO. START—FINISH _r__ _. Gallons to 3/4 load /Slump ❑ Credit I U ,7 114 TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET PREVIOUS STAND-BY Gallons to 1/4 load /Slump Water added on job at Customer's request. • Authorized By: "Customer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations of assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are placed." M 1111 NMI OW ORMIMI 101 = e SRM -145 REV 7/0 Received in good condition by: DELIVERY CONTROL THIS IS NOT A mC1G:T No. 1+t ® ' NUMBER 5659273 ' 0 ' OPEN 7 DAYS I'll #1 RIVERSIDE - 6120 201h. ST. #2 MORENO VALLEY - 12890 DAY ST. #3 REDLANDS - 8353 ALABAMA ST. #4 +FONTANA - 13792 SLOVER AVE. #5 POMONA - 2470 POMONA BLVD. #6 HEMET/SAN JACINTO - 1675 STATE ST. #7 BEAUMONT - 452 W. LUIS ESTRADA RD. PLANT DATE `C, 11/07/07 •P.O. BOX 3600, CORONA, CA92878-3600 Phone 800/8347557 San Diego 800/ 87(M M # 8 SUN CITY 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. # 9 -ARROWHEAD - 29750 HWY 18 #16ANAHEIM - 201 E. COMMERCIAL ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE OB. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #13 IRWINDALE - 13631 LIVE OAK LANE ` #20 SAN CLEMENTE - 116 RINCON CT. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST CUSTOMER NO: SOLD TO.: 85122 T I DWELL II�IIIIhIIIIUIIIIIINIIIIVIIIIIIIIII #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAID: - 42040 BIG BEAR BLVD. MAPPQGE TICK.E� NO CONCRETE CONSTRUC. 541VIA3 :af✓:r9 7 3 TX CD DELIVERY ADDRESS & INSTRUCTIONS 719793 HIGHWAY 1 1 1 BLD F//JEFFERSON LA GIUINTA Job 'hone (760)275-8133, 3. 511 MARX DRDER 6L 1700 READING TIMETYP�E.00 7X44126 198aCEUSTOMERP.O./J OBQ�LOZ95 (.760)344-8300LAsT TKS !�� LOAD NOiSLUMP_ TRUCK RIVER .:r. I0 218 D::f0. 5 JENSEN TOMMY FOUNDATION FOOTINGS DRUM JOB START,.- 8:30 TO JOBy REVS: Job -site Cylinder Test: i ❑ Yes _ TIME ON JOB MIN. CHECK # ON JOB -S, Water added On Job at STAND BY MIN. CHECK ❑ / / (� Customer's request: AMOUNT BY START POUR /`'? ( gals toFUIILd. RATE OF X$ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals to 2/3 Ld. $ PLANT MGR SIG gals to 1/3 Ld. OVERnMECHARGE LEAVE JOB ADJ. Meter' M I N 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any,�-Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's ovan risk. TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed mater al has been chosen and selected solely by Customer without Robertson's having rev awed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent wfth plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1'/�%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10.00 10.00 10. 00 1085A WATER ALLOWED 340.00 WATER BATCHED 240.50 MOISTURE WATER 36.00 MAX ADD WATER 63.50 CEMENT # 4210.00 FLYASH # 740.00 3/8 AGG # 3920.00 I" AGG # 15000. 00 W SAND # 13360.00 WRDA 64 FO 149.00 300OP/PL CY DEL. CHARGE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY'that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. Dav EROBERTSOIUSI Ut WEIGHMASTER BY DEPUTY AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET TOTAL TAX} 1 �1 f RUN N PREVIOUS dr -; ..`��.�'� •� BALANCE SUB TOTAL STAND BY CHARGE TOTAL THIS ISS NOT A TICKET NO. `R-' N-, OWRTSONS UMBER 157 1'r OPEN 7 DAYS r` #1 RIVERSIDE - 6120 201h. ST. #2 MORENO VALLEY - 12890 DAY ST. #3 .REDLANDS - 8353 ALABAMA ST. #4 tFONTANA - 13792 SLOVER AVE. #51 POMONA - 2470 POMONA BLVD. #6 HEMET/SAN JACINTO - 1675 STATE ST. 17 BEAUMONT - 452 W. LUIS ESTRADA RD. PLANT DATE 11 /07/07 •P.O.80X3600, CORONA,CA9m78-3600 Pfione800/8347557 San Diego 800/870-1220 # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #'g -ARROWHEAD - 29750 HWY 18 #16' ANAHEIM - 201 E>COMMERCIAL ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SAMA ANA - 310 N. TOWNSEND ST. #11. CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE OR #12 SAN BERNARDINO -1955 W. 9TH ST. #19 AOELANTO - 12203 VIOLET RD. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #14 PASADENA - 1420 N. LINCOLN AVE. #21 _ IRVINE - 16081 CONSTRUCTION CUL WEST CUSTOMER NO: SOLD TO: II'�IIIII!Illlllhlllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO - 2607 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301-W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. MAP PAGE TICKET NO CONCRETE CONSTRUC . :;4 7��A-3 ;:�E,53 7: TX CD DELIVERY ADDRESS &,INSTRUCTIONS CUSTOMER P.O. / JOB R -LOT # / ! .3 H 1 UHWAY a 1 1 19886 : I%Itio85 BLU FI/JEFFERSON L_A QUI NTA (7 60) 34'.2-8300L.AST T KS J6b Phone . (160) 275--8133. 5" MARX ORDER NO., METER READING TIME TYP D _TRUCK UC N0. EsILI 1�1 F 171 Cl LOADNOk . S�TRiC1i 'JICE Sr`a JE�NSE"fu TOMMY F OE.1h10A'T']:Oi�! FOOTINGS .JOB START 8:3L DRUM /REVS: Job -site Cylinder Test: Yes TO JOB 0 [].Yes TIME ON JOB MIN. CHECK # ON JOB • -{� Water added on job at �C_u_stJo_me�r's_request: 1 y STAND BY MIN. CHECK ❑ AMOUNT BY START POURS �� / ` I gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals to 2/3 Ld. $ PLANT MGR SIG 1 r. gals to 1/3 Ld. OVERTIME CHARGE LEAVE JOB ' 1'- ADJ. Meterj< M. IN 4 min -per yd+unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength!Any- Additional unloading time charged at current hourly truck rateN water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer herreleases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or cla ms for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent w th plans and specifications, or w th the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. I I event Robertson's retains the sery ces of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1'/z%per month on any amounts owed to Robertson's for more than thirty (30) days. LD OTY CUM CITY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. 1217-1 10. 0!+ 1. C1h. 00 1 Q7)615A 30QI ZF,/.F-'L WATER ALL.OWED 340.00 WATER BATCHLD 240. ` 0 MOISTURE WATER 36. 00 MAX ADD WATER 63. `rV_I CEMENT # 42 1.0. V'_IIA F"LYASH #k 740.17-0 3/8 .AGG #t 39.1210. 00 1 " AGG #t 15 ft. 0 0. 00 -W SAND 4# 1.360.11110+ WRDA 64 FO 9. 49. 00 AGREED TO AND RECEIVED BY CUSTOMER DEI._, CHARGE_ CY TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as, prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB D a v ERoBRRTSON8I u t TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL DELIVERY TICKET OTN1s Is NOT A ncic�r No. ` 340.00 WATER BATCHED NUMBEOR 5659290 OPEN 7 DAYS 215.50 MOISTURE P.O. BOX 3600, CORONA, CA 92878-3600 • ! liil iilil lliiil !!il hili il! Illi li !! it i I i Ili !i!!l iii Ilii! �t l�� Phone 800/8347557' San Diego 800/870-12M 51.50 CEMENT # * 101Cs 659 z 9 o * FLYASH. .#1 RIVERSIDE - 6120 201h ST # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE h 3/8 AGG #2 MORENO VALLEY - 12890 DAY SL # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. if 01 - #3 REDLANDS - 8353 ALABAMA ST #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SAMA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE r'" W SAND' #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 *LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON ti ' #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 TOTAL #7 BEAUMONT -452 W. WiS ESTRADA RD. '#14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET 10. 26 11/07/07 85122 TIDWELL CONCRETE CONSTRUC 5470A3 4i�,�5250 TX CD DELIVE Y ADDRESS 8 I ST UCTIONS �'kM'A5 H1G 9l�AY 111 OR T # CUSTOMER P.O. /JOB0095 1588b I0at50 5 BLD F/ /JEFFE=jtSON LA QU I NTA ( 760) 342-8300LAST TKS 218 Jab Ghune (760) 275-81.3,3 '3.5" MAXX ORDER NO. METER READING TIME TY�ED ,� UCK LIC N0. X03 1700. 00 . ,�7 NEn LOAD N0. SLL14L TRUCK DF�LVE. .J0 152 15'.7 MIRACLE JIM FOUNDATION FOOTINGS �. DRUM JOB START 8:30 REVS: Job -site Cylinder Test: ❑ Yes TO JOB TIME ON JOB MIN. CHECK # ON JOB �A I Water added on job at STAND BY MIN. CHECK ❑ Customer's request: AMOUNT DY START POUR gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals to 2/3 Ld. - ti $ OVERTIME CHARGE PLANT MGR SIG gals to 1/3 Ld. LEAVE JOB ADJ. Meter' M I N 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time Charged at current hourly truck rate water added exceeding the design water is at the customer's own risk., TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's deliver ng the described material to a place designated,by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer w thout Robertson's having reviewed any plans or specifications relating to the project on which the material is i be used. Customer agrees.to defend, indemnify and hold Robertson's harmless from all liabty or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or w th the ground soils or conditions on the land where the materiel is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the descr bed materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of t Yz% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY : • CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10.00 20.00 20.00 10851 WATER ALLOWED 340.00 WATER BATCHED TAX 215.50 MOISTURE WATER 33.00 MAX ADD WATER 51.50 CEMENT # FLYASH. # 750.00 3/8 AGG # 3840.00 I" AGG # 14920. 00 W SAND' # 13240.00 WRDA 64 FO 149.00 AGREED TO AND RECEIVED BY CUSTOMER 300OP/Rl_ CY DEL. CHARGE TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB DaveROBERTSO�fj,S ut TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL DELIVERY TICKET THIS IS NOTATICKET NO. ®BER ®may* NUMBER 5659125 9 CONTROL mp�il OPEN 7 DAYS P.O. BOX 3600, CORONA, CA 92878-3600 Phone 800/8347557 San Diego 800/870-1220 #1 RIVERSIDE - 6120 2011. ST # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LAS ANGELES - 3365 E. 26TH ST. #2 MORENO VALLEY - 12890 DAY ST # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE.#17 SANTA ANA - 310 N. TOWNSEND ST. #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #6 HEMETISAN JACINTO - 1675 STATE ST. #13 IRNNDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST P;,ANT DATE e E., 11/05/07 CUSTOMER NO: SOLD TO: 58801 SOUTH VIIIIIIIIINIhillhill11111 #22 N0. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO - 2601 N. ALDER AVE. O #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28 OTAY MESA - 7961 AIRWAY ROAD MAP PAGE #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. TICKET COAST CONSTF;l. Q I I CIN 54 10A3 5659125 TX CD DELIVE ,Y. ODRESS.&INSTRUCTIONS . HWH Y 71 11 "KOMAR DESERT CENTER" L.A CIUINTA Joh Phone : (951)351.--7"7'77 INT() 26 ORDER NO; i METER READING TIME TIME TYPED O RUCK UC NO., 123 1.500. 00 11171. 59 r7�"'.'-1`:it4b / GI CUSTOMER P.O. / JOBIOR LOT # ., r._.. £-, 1 J 1 F:' ( a`'a;1 ) 351. -- 777LA ST TKS 150 196 LOAD NO. SLUMPT LICK DRIVERry /i c�4. 430 r 1.5,.1 1804 RIVER( -'I F RANC I .:,C2 C DRUM J U E� START r7 T ° 00REVS: Job -site Cylinder Test: Yes TO JOB TIME ON JOB FOUNDATION E=OO fINOS MIN. CHECK # ON JOB 1 r �a Water added on job at STAND BY MIN. CHECK EIff �•'� Customer's request:. AMOUNT BY START POUR 7 1 gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals t0 2/3 Ld. $ PLANT MGR SIG gals t0 1/3 Ld. OVERnMECHARGE LEAVE JOB ADJ. Meter4 M I N 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this cQncrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's del ver ng the descr bed material to a place designated by the Customer, the Customer herreleases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or clams for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, Improper or inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest eMent permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of t'/z%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 1.0. 00 40. 0 46. 012) 32. '4.1 301 IZIP 1 CY , AGREED TO AND RECEIVED BY CUSTOMER DEL. CHARGE". BY DEPUTY DELIVERY TICKET TOTAL TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the -following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB 1) a ' EROBERTSON S 1-1't TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY DELIVERY TICKET TOTAL CONTROL THIS IS NOT A TICKET NO. q� i�i`�1 q' r, � ALI OPEN 7 DAYS NUMBER i P.O. BOX 3600, CORONA, CA 92878-3600 Phone 800/8347557 San Diego 800/870-1220 #1 RIVERSIDE - 6120 201h. ST. #2 MORENO VALLEY - 12890 DAY ST. #3 REDLANDS - 8353 ALABAMA ST. #4 �FONTANA - 13792 SLOVER AVE. #5' POMONA - 2470 POMONA BLVD. #6 .HEMET/SAN JACINTO - 1675 STATE ST. #7 ' BEAUMONT - 452 W. WIS ESTRADA RD. PLANT DATE 26 - 11/05/07 # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E.rCOMMERCIAL ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SAMA ANA - 310 N. TOWNSEND ST. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #12 SAN BERNARDINO - 1955 W. STH ST. #19 ADELANTO - 12203 VIOLET RD. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENt- -'146 RINCON CT. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST CUSTOMER NO: SOLD TO: 85122 f 1DWEL.L. TX CD DELIVERY ADDRESS & INSTRUCTIONS A BLD E//,1'EFFERE)ON �jp Job Phone a (760)275-8133. ORDER NO.., METER READING 111111111111111111111IN11111 #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HN 18 #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. MAP PAGE.- TICKET. NO._ CONCRETE C(:)NSTRL1C: b4IviA3 1_56b,_3097 r CUSTOMER P.O. / JOB.OR LOT -fir._ V:-)871 1V_Ia1�)1,3., LA GNU I NTA (760) 34E:--'8300LAST "F'KS 164 4SL MAX OR REJECT 738 r! 4 l TIME TYPED TRUCK UQ N0. QRIV.jEa 552MLL_E R JEFFREY r YMRCIK E'sLf..�l '. Job -site Cylinder Test: Yes 00 TIME ON JOB MIN. CHECK # LOAD NO., SLUMP TRUCK _ 1!, .00 43E: O� S� DRUM TO JOB REVS: ON JOB d�Z . Water added on job at I' CUstm�'s request: STANDBY MIN. CHECK ❑ AMOUNT BY START POUR gals t0 FUII Ld. RATE OF X $ w PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals to 2/3 Ld. $ PLANT MGR SIG gals to 1/3 Ld: .•� _�r ` i OVERTIME CHARGE LEAVE JOB ADJ. Meter-' 'rl1 N .4 min. per yd. unlgading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any"'--- Additional unloading time charged at current hourly truck rate 1 water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SAID= In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agr to indemnity and hold harmless Robertson's and its employees from all liability or claims for damagad neby them, resulting from the movement of Robertson's vehicles upon or about the dellVery location. Customer acknowledges that the described material has been chosen and selected solely by Customer w thous Robertson's having rev ewed'any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropr ate, incompatible, Improper or inconsistent w th plans and specifications, or w th the ground sods or conditions on the land where the material is utilized, to the fullest aMent permitted bylaw. In event Robertson's rata ns the services of an attorney to Collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 Yz%per month on any amounts owed to Robertson's for more than thirty(30)days (30)days r LID QTY CUM OTY ORD CITY PROD CODE MIX AND COMMODITY UOM s •/ UNIT PR AMT R <v WATEER ALLOWED .:.55.170 WATER TER BAT C:HED 252. 00 MOISTURE WATER &2.00 MAX GIDD WATER 21. 00 CE.I~ ENT # 5640. 1/10 F=LYAF.H # ILA IVI. 01�) 3/8 AGG '•F# 3280.00 I" AGG I# 1'3)?,i' (A. 1-41 Q1 W LAND # 1 4c_00. 00 WRDA C,4 FO 2100. 00 AGREED TO AND RECEIVED BY CUSTOMER 450OP/PL. Cy DEL. l.HAR(:;E TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 PREVIOUS (commencing with Section 12700) of Division 5 of the California Business and BALANCE Professions Code, administered by the Division of Measurement Standards of the Califomia Department of Food and Agriculture. SUB I:c3 V FRO BEAT80NS, TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL DELIVERY TICKET THIS IS NOT A MCKI T NO. 121 CONTROL NUMBER 5-65908 ,OPEN 7 DAYS P.O. BOX 3600, CORONA, CA 92878-3600 Phone 800/8347557 San Diego 800/870.1220 #1 RIVERSIDE - 6120 201h. ST. #2 MORENO VALLEY - 12890 DAY ST. ' #3 REDLANDS - 8353 ALABAMA ST. #4 FONTANA - 13792 SLOVER AVE. #5 POMONA - 2470 POMONA BLVD# #6 HEMET/SAN JACINTO - 1675 STATE ST. #7 BEAUMONT - 452 W. LUIS ESTRADA RD. PLANT DATE 216 .11 /05/07 # 8 SUN CITY - 27050 WATSON RD. # 9 ARROWHEAD - 29750 HWY 18 #10SANTA FE SPRGS - 12311 GREENSTONE AVE. #11 CABAZON - 13990 APACHE TRAIL. #12 SAN BERNARDINO - 1955 W. 9TH ST. #13 IRWINDALE - 13631 LIVE OAK LANE #14 PASADENA - 1420 N. LINCOLN AVE. #15 VERNON-LOS ANGELES - 3365 E..26TH ST. #16 ANAHEIM - 201 E. COMMERCIAL ST. #17 SANTA ANA - 310 N. TOWNSEND ST. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #19 ADELANTO - 12203 VIOLET RD. #20 SAN CLEMENTE - 116 RINCON CT. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST * 1010565908 4 * #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE.. #30 CORONA - 1540 SHERBOFIN ST. #24 RIALTO - 2601 N. ALDER AVE. PERIA #31 HES- 9661 C AVE E #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. CUSTOMER NO: SOLD TO: MAP PAGE_„ TICKET NO. 8512L--:' T 1: DWEL_L.. CONCRETE CCONS3T'RILI ; 54 Q1A3 :,�,'59O84 TX CD DELIVERY'A.DDRESS & INSTRUCTIONS r CUSTOMER P.O. / JOB O . LOT.#[_ y 979 3 H1(i1-1W )Y 11.1 1.9871. %V_ IZJt�,.7 ' 1 BLD E // JEF"F'E PS01\1 J -A QU T NTA (i E: 0) 34E:-- E330(3L_►=1S'I" TKI93 596 (01. Job 1-11"'IUTit3 (760)'75-81,33 4GL_ MAX OR REJECT ��:9r3 ORDER -NO. METER READING TIME TYPED •_ ; _ . TRUCK UC NO. I' c J 1 16 0121. 0lZ1. Er : �-'c:'_ C- F',`:5`�4;, � � :.'•: LOAD NO.. SLUMP'. TRUCK,„, DIVER I' 6, 4., 01"1 1..,;:i,`_f '< 1. 104 RI VERA ,`'=RANC.[EsC,0 COMMERCIAL, AL, E)I- P. ��.��r ,.} L.,L� START : 6 : ,.''�,4'� rF1 DRUM v REVS: Job site Cylinder Test: El Yes TO JOB r TIME ON JOB CHECK # / �/ MIN. ON JOB Water added yn job at STAND BY MIN. El CHECK CUSt17m`er�request: AMOUNT BY"• START POUR 7 ` gals to Full Ld. RATE OF x s _: } PER MIN. CASH AMOUNT By FINISH POUR gals to 2/3 Ld. $ I pI.4NT MGR SIG �p //gals t0 1/3 Ld. OVERTIME CHARGE LEAVE JOB 1;1 ADJ. Meter4 'ii ' 4 min. per yd. unloading time allowed.:• ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any • Additional unloading time Charged at Current hourly truck rate water added exceeding the design water is at the customer's own risk. i TERMS AND CONDITIONS OF SALE ' In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or p I t f inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In Robertson's 1d event retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1'A% per month on any amounts owed to Robertson's for more than thirty (30) days. ! LD OTY CUM CITY ORD OTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT r.. 1.0 IZi f%1 GQA. Q►IZi 1. 0 . C!1lZ1 f : 1 E'.1. i 1 4500P/PL Cir WATER ALL. -OWED 355, 00 DEI._. CHARGE WATER BATCHED 2'65. 4:10 MOISTURE WA 1 ER 71. 00TAX WEIGHMASTER CERTIFICATE TI��, MAX ADD WI=C rE R 1. `�. I[ 0 THIS IS TO CERTIFY that the following described commodity was weighed, �x�:�� measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS CEMENT '57= jZkJ who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and F 1_ Y A°'1 H E 10 0 0. 00 Professions Code, administered by the Division of Measurement Standards of the �. 7� y California Department of Food and Agriculture. SUB �ttr 3/8 f C� C 1 :�;a ' 0. Y_ V 1ABERTSON'it' O TOTAL 1 Ir W(":!(_7 # 13280. 00 WEIGHMASTER W Sf�ND # 14200. 0. 00STANDBY CHARGE 7 t•1 WRDA 64 FO 202. V..1(A BY DEPUTY C! TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET THIS IS NOT A TICKET NO. CONTROL 56938 3ROMRTWIFS NUMBER OPEN 7 DAYS #1 RIVERSIDE - 6120 261L ST. #2 MORENO VALLEY - 12890 DAY ST. 43-11 OLANDS - 8353 ALABAMA ST. #4 FONTANA - 13792 SLOVER AVE. $#5 POMONA - 2470 POMONA BLVD. 1#6 HEMET/SAN JACINTO - 1675 STATE ST. #7 BEAUMONT - 452 W. IVIS ESTRADA RD. PLANT DATE 86 11/26-/07 P.O. BOX 3600, CORONA, CA 92878-3600 Phone 800/8347557 San Diego 800/ 870-1220 *10305693813* #22 NO. HOLLYWOOD - 13132 RHYMER STREET # 8 SUN CITY - 27050 WATSO RD. #15 . VERNON-LOS ANGELES - 3365 E. 26TH ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. ' #10 SANTA FE SPRIGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310-N. TOWNSEND ST. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #12 SAN BERNARDINO - 195$ W. 9TH ST. #19 ADELANTO - 12203 VIOLET'RD. #13 IRWINDALE - 13631 L OAK LANE #20 SAN CLEMENTE - 116 RINC.ON CT. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST CUSTOMER NO: SOLD TO �IIY11Y� �i� *10305693813* #22 NO. HOLLYWOOD - 13132 RHYMER STREET #29 EL CAION - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHER80RN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAID - 42040 BIG BEAR BLVD. MAP PAGE . TICKET NO. 58801 SOUTH COAST CONSTRUCTION 849J3 5693813 TX CD DELIVERY ADDRESS & INSTRUCTIONS r.' 79793 HIGHWAY 111 KOMAR"DESERT CENTER LA QUI'NTA :fab Phone t (951)774-0174• 1. ORDER NO. METER READING TIME TYPED TRUCK LIC NO. , 290 1600.00 6-.11 NEED LOAD NO. SLUMP TRUCK DRIVER 1 4. 00 164 31 SC -INE I DE R, •;, ri ,Yj;.. �. DRUM JOB START �jC •� -( REVS: Job -site Cylinder Test: ❑ Yestl TO JOB CUSTOMER P.O. / JOB OR LOT # 62'616 1 1516 ( 951) 351-7777L.AST TICS FRED MISC. FLAT WORK 7:00 TIME ON JOB MIN. CHECK # Water added on Job at STAND BY MIN. CHECK ❑ _ Customer's request: _ AMOUNT BY START POUR gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals to 2/3 Ld. $ PLANT MGR SIG gals to 1/3 Ld. OVERTIME CHARGE LEAVE JOB ADJ. Meter4 M I N 4 min. per yd. unloading time allowed. r ARRIVE PLANT Additional water added to this concrete will reduce its strength. Aoy* Additional unloading time charged at current hourly,truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's deliver ng the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer w thout Robertson's hav ng rev awed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or cla ms for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground solfs or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's"retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1'/z%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY, • ORD QTY. PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10.00 10.00 WATER ALLOWED WATER BATCHED MOISTURE WATER MAX ADD WATER CEMENT # FLYASH # 3/8 AGC # 1" AGG 0# W SAND it 20.00 GC560B33 560C3250 CY 380.00 x:41. 00 116.00 23.00 4630. 00 1010. 0o 3040.00 14000. 0 C 14120. 00 C! -5CJS `L 5. AGREED TO AND RECEIVED BY CUSTOMER DEL. CHARGE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the foflowing described commodity was weighed, measured, or counted by a weighmaster,;whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with, Section 12700) of Division 5 of, the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. ' Da V 1ROBERTS,ON',S 0 WEIGIAW% ER' •' BY DEPUTY DELIVERY TICKET TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL nnS IS O nater too. - ® ®N' CONTROL j • ( OP..EN 7 DAYS'I 01111 NUMBER 5693816 P.O. BOX 3600, CORONA, CA92878-3600 Phone 800%834-7552 Sari Diego 800/ 870-1220 x 1 1 G 5 69 3 816 * r'< #1. RIVERSIDE - 6120 20th. ST. # 8 SUN CITY - 27050 WATSON RD. #15 ,VERNON-LAS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 AftAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. - #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4' FONTANA - 13792 SLOVER AVE. #11 CABAZON -13990 APACHE TRAIL. #18 LAKE FOREST -.25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE'- 116 RINCON CT. #27 MURRIETA - 2619D ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. IRIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CUL WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. 26 11/26/07 58801 SOUTH COAST CONSTRUCTMN 849J3 569381E TX CD DELIVERY ADDRESS & INSTRUCTIONS 1 CUSTOMER P.O. / JOB OR LOT # ` 79793 HIGHWAY 1 i 1 ( 62616 1 518 KOMAR DESERT CENTER ' LA QUINTA (951) 351--7777LA ST 'TKS 184 Jots Phone : (951) 774-0174 ORDER NO. METER READING TIME TYPED TRUCK UC NO. 1 290 1600. 0. ChO 6: 34 8F 59457 LOAD NO. SLUMP TRUCK DRIVER «✓ 4.00 115.`-.; 1804 RIVERA FRANCISCO MISC. FLAT WORK DRUM JOB S i"ARf-" : 7: 00 REVS: Job site Cylinder Test: ❑ Yes TO JOB .� f � TIME ON JOB MIN. CHECK # ON JOB L11 Y `Wateradded on job at STAND BY MIN. CHECK ❑ �X' Custom�er'ss request:. AMOUNT BY START POUR. r� _� gals t0 FUII Ld. €�`' RATE OF X $ PER MIN. , CASH ❑ C A AMOUNT BY rI FINISH POUR gals to 2/3 Ld. $ NT PLAMGR SIG ,4 � gals to 1/3 Ld. OVERTIME CHARGE t LEAVE JOB / / V ADJ. Meter4 M 1 N 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at Current hourly truck rate t. water added exceeding the design water is at the customer's own risk.. J TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer w thout Robertson's having rev awed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or cla ms for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the tallest eMent permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 %z%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM OTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT t. 10. ti? 0 20. 00 20. tt 0 GC56OB33 56OC3250 CY ' I :WATER ALLOWED 380.00 DEL. ' CHARGE:. WATER BATCHED 242. 50 TAX MOISTURE WATER 118.00 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, MAX ADD WATER 19.50 measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS CEMENT #k 4470. �I who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and F L Y A S H # 1110. 00Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB 3/8 AGG #f 304b�. 00 p1 Dav YROBEfiTSON'S: U TOTAL WEIGHMASTER ]. " AGC-;# 1408k). 0Q+ STANDBY W SAND #k 14360.00 CHARGE BY DEPUTY C! TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET OTHIS IS NOT AA TICKET NO. ® N9 6iil WGTER NUMBER M9.9200 1111111 all MAX ADD WATER R 10.0 W EIGHMASTER •CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, CEMENT [ :. �� . �I �� +6 measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 PREVIOUS BALANCE FL YA S 1-1 #k 1040. 00 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the P.O. BOX36DO, CORONDA, CA92878-3600 3/8 A G G # 31-710 0. 0171 California Department pf rodd 1'. AL -1.1 Ir H C Y SUB .1'! AG13 # 139 2 0. 00 ROBERTSON'S WEIGHMASTER TOTAL tf 14560. lZA0 STAND BY one800/834-7557 San Diego 800/870.1220 x z CHARGE #1 RIVERSIDE • 6120 2018 SL # 8 SUN CITY - 27050,WATSON,RD.•.. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD • 29750.HWYS 18y"lr • #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST #10 SANTA FE SPRGS=.123j 7�•.GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4' FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHEJR. AIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955` W:.JrHST. #19 ADELANTO - 12203 VIOLET RD. i4 #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK -LANE, #20 SAN CLEMENTE - 116 RINCON CT. - a #27 MURRIETA - 26190 ADAMS AVE. - #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST 4 #28 OTAY MESA - 7961 AIRWAY ROAD #,35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: 1 a MAP PAGE_ I TICKET . _ 1 1.1 / 21. / 07 58801 PUTH G, 3AST CON STR�U CIN 84 J � 5EE (N0O20, 0 TX CD DELIVERY ADDRESS & INSTRUCTIONSI CUSTOMER P.O. / JOB.,OR LOT # 79793 HIGHWAY Ill ,' G257` 1. 11(-, KOMAR DESERT CENTER [_A • OUINTA ! • (95:1. ),3,51.-77771_AST TI -,!7, Job Phone : (9 51 ) 774-017-3 CLEAN ; UPIS BY OFFICE CALL IN ONLY INTO 26 ORDER NO METER READING . 1 1600. 00 LOAD NO, SLUMP 1 4.00 �} DRUM TO JOB / �" / REVS: ON JOB pr `+ O � TIME ED TRUCK UC N0. �� 11 7S�s•[:,44��J INTO PLANT 26, TRUCK DRIVER. '` 71Z+7 :112 AbNATHE:Y ALFRED ' CURN&GUTTER[HAND FOR Job -site Cylinder Test: Yes ! - TIME ON JOB MIN. CHECK # Water added on job at STAND BY MIN. CHECK ❑ Customer's request: � AMOUNT BY START POUR, O gals t0 Full. Ld. RATE'OF X $; PER MIN. CASH rl . AMOUNT BY FINISH POUR / I ll gals to 2/3 Ld. X •- $ PLANT MGR SIG gals to 1%3''Ld. ' ` OVERTIMECHARGE LEAVE Joe ADJ. Meter`+ MI N ` 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added tothisconcrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Custom er"hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liab lity or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having rev ewad any plans or specifications relating to the project on which the material is to be used Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or cla ms for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specificetions, or w th the ground sails or conditions on the land where the material is utilized', to the fullest extent permitted bylaw. In event Robertson's rets ns the sery ces of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 Yz%per month on any amounts owed to Robertson's for more than thirtj (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 1.0. 012) 10.00 20. 00 GC560E:�. 3, 560C3250 � CY Irl I ' 1 t 1 - WATER R ALL.OWEw D 380. 00:-..i?EL . ` VE. ,;� SPC F-�AF�L�t_ , WATER' BATCHED 233. 50 ! a, MOISTURE WGTER 136.00 - TAX MAX ADD WATER R 10.0 W EIGHMASTER •CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, CEMENT [ :. �� . �I �� +6 measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 PREVIOUS BALANCE FL YA S 1-1 #k 1040. 00 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the 3/8 A G G # 31-710 0. 0171 California Department pf rodd 1'. AL -1.1 Ir H C Y SUB .1'! AG13 # 139 2 0. 00 ROBERTSON'S WEIGHMASTER TOTAL W SAND tf 14560. lZA0 STAND BY CHARGE BY DEPUTY C! _ TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET: , CONTROL THIS IS NOT A TICKET NO.ROBER7WW"S NUMBER N "OPEN 7 DAYS • , P.O. BOX 3600, CORONA, CA92878-3600 I��,�¢ ��t�� 1 �� I �1�� 1��I� ��+� ��` �� • Phone 800/8347557 San Diego 800/870 -IM #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY - 27050 WATSON RD. #2 MORENO VALLEY - 12890 DAY ST. . # 9 ARROWHEAD - 29750 HWY 18 ' #3 REDLANDS - 8353 ALABAMA ST #10 SANTA FE SPRIGS - 12311 GREENSTONE AVE. #4 FONTANA - 13792 SLOVER AVE #11 CABAZON - 13990 APACHE TRAIL. #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO -1955 W. 9TH ST. #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #7 BEAUMONT - 452 W. IVIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. JLTT 'Ar/21/07 . "JTtit3EC�1 "MROT'H TX CO ' DEUVE • ADDRESS ,& NSTRUCTIONS \\ r :� r 6 rt 1 !��-tafN Y t i l KOMAR DESERT CENTER \Jab Phone (951)774-0173 ORDER JQ 16� Dlfy� TIME 10.926 LOAD NO` UM TRC 1 0 DRUM TO JOB REVS: , , 141G569924� #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #16 ANAHEIM - 201 E. COMMERCIALIST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA -1540 SHERBORN ST. #17 SAMA ANA - 310 N.-TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA ;•301 W. ROSECRANS AVE. ' #32 UPLAND - 1975 N. BENSON #19 ADELANTO. - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #20 SAN CLEMENTE - 116 RINCON CT #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD- #35 BIG BEAR LAID: - 42040 BIG BEAR BLVD. M PAGE TICKET COAST CONSTRUCTION , ��.j , 56-T9204 ' ; 6C.57,CiUSTOMERP.O./ O JOALOT# LA OU I NTA r ( 951 Y3 51-7777LAOT TKS '707 CLEAN UPS' BY Ot= F i CE CALL IN ONLY INTO 26 G 2R40flkl`�-i°-• INTO PLAINT 26 1491vEP- 1 bo"3 7 NEGRONI ERIC CURB&GUTTERCHAND FOR JOB START.: . 7:00 Job -site Cylinder Test: Yes - TIME ON JOB i MIN. CHECK # _ ON JOB # / Water added on fob at STAND BY r MIN. CHECkEl Customer's request: 4, AMOUNT BY START POUR �✓ I ✓O gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals t0 2/3 Ld: $ PLANT MGR SIG gals to 1 /3 Ld!�, MIN OVERTIMECHARGE LEAVE JOB - ` ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate r water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or clams for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or cla ms for damage relating to sa d material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest eMent permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1' &per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10.012) 20.00 20.00 BC`_ 6OB33 56OC3250 CY WATER ALLOWED .380.00 DEL.. CHARGE WATER BATCHED 212.00 MOISTURE WATER 135.IZ40 TAX MAX ADD WATER 31-3.00 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, CEMENT ## 4520.00 measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 PREVIOUS F L.YASH� 1 1'.'J1�. 00 with Section 12700) of Division 5 of the California Business and BALANCE 3/g AGG �# ,3000. 00 Professions Professions Code, adm star by the Divi ior�� of. MM�easurement Standards of the CalifomiaDepartment(otf andAbilaI A' Ll SUB 1 N AGG # 14160. 00 ROBERTSON'S TOTAL WEIGHMASTER W SAND # 14440. X10 STAND BY CHARGE BY DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET THIS IS NOTA TICKET NO. ® CONTROL NU�vflER'' a 0PEN7DAYS Y P.O. BOX 3800, CORONA, CA92878 3600 f�) I�f f ff (�If f I I iflllfff f fllfflf - Phone 800/834-7557 San Diego 800/870-1220 I �'1Q1GS699150� #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY - 27050 WATSON RD. #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #3 REDLANDS - 8353 ALABAMA ST. #10SANTA FE SPRGS - 12311 GREENSTONE AVE. #4FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL.' #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #6 HEMET/SAN JACINTO - 1675 STATE ST.. #13 IRWINDALE - 13631 LIVE OAK LANE #7 BEAUMONT - 452 W. IVIS ESTRADA RD. #14 PASADENA -1420 N. LINCOLN AVE. PLANT DATE C 1STOMER NO: 9 SOLD TO: .L 1 11 A x /0)7 I 58801 C-3OUT,1' I . TX CD DELIVERY ADDRESS & 1 INSTRUCTIONS j 79793 HIGHWAY III 1 MAP PAGE COAST. -CONSTRUCTION AST` -CONSTRUCTION 949J TICKET NO. CE791 `lIl) KOMAR DESERT' CENTER! LA QUINTA Job Phone : (9 1) 774--0JJ3 CLEON UPS CUSTOMER P.O. / JOB OR LOT # CE 5 c6 1.516 (9;51) 51.--7771LAaT TKS 95 BY OF•F:: I CE : CALL IN ONLY/ INTO 26 ORDER ffCGr a METER fF156p JG'! TIMETYEEP2(j NtaUR t KC UC NO. INTO PLANT 26 LOAD NIT. SLUArB0 TRUC8Q1 DRIVERfr•t WA�I SO�� RICHARD MISC. F•L.A E ab RK Ia r tJOB '.START 7:I, 0 ` DRUM N REVS: Job -site Cylinder Test: Yes TO JOB r TIME ON JOB MIN. CHECK # ON JOB � r Wate'rjadded on job at CUsi&ner's request: STAND BY MIN. CHECK ❑ AMOUNT BY START POUR gals to FUII Ld. RATE OF X $ PER MIN. „CASH ❑ AMOUNT BY FINISH POUR gals to 2/3 Ld. 6, $OVERTIME CHARGE / PLANT MGR SIG i gals to 1/3 Ld. M I N LEAVE JOB r ' r �'ADJ. Meter 4 min. per yd. unloadingaime allowed. ARRIVE PLANT Additional wateiadded tothis con c ate will reduce its strengt tAny Additional unloading time charged at current hourly truck rate water added exceeding the design!A ter is at the customer's own risk. r I . TERMS AND CONDITIONS OF SALE In consideration of Robe' n's.clelivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and Is employees from all Liabil ty ¢laims, for damage done by them, re`sulhngg from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the desrr bed material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agI s to defend, indemnify aril hold Robertson's harmless from all liability or claims for damage relating to said matenaLbeing inappropriate, incompatible, improper or inconsistent w th plans and specificattons, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted byia'w:7 In event Robertson's retains the services of an attorneyy to Collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee" incurred by Robertson's. Customer agrees to pay a time price differential Of t 4 per month on any amounts owed to Robertson's for more than thirty (30) days. i LD QTY CUM QTY ORD QTY PROD CODE,MIX AND COMMODITY UOM UNIT PR AMT ` 1'a 10.001 20).00 20.00 BC56I?►B33 5E',tZfC,3250 CY I 1 WATER ALLOWED 80.00 DEL. CHARGE WATER BATCHED 235.50 ' .- MO I SIVRE: WATER 133.00 MAX ADD WATER R i '1 . , 50 �,yS WEIGHMASTERCERTIFICATE TAX THIS IS TO CERTIFY that the following described commodity was weighed, CEMENT :r N # 4490.0171 measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who isa recognized authority of accuracy, as prescribed by Chapter 7 , F"LYASH i 11130. 0th (commencing with Section 12700) of Division 5 of the California Business and BALANCE ` 1 Professions.Code, admi 'stered the DMsionlof•Measurement Standards of the 1/8 AGC•r �: # ` 60. 1710 California Department lofF8MhAdAbriEftdre.)" y SUB 1 r' AGG # 144.210a). 00 ROBERTSON'S TOTAL W SAND #' 14-480.014'I wEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. . . #31 HESPERIA - 9661 C AVENUE #18LANE FOREST- 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #19 ADELANTO - 12203 VIOLET RD. #26THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #20 SAN CLEMENTE - 116 RINCON CT #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. MAP PAGE COAST. -CONSTRUCTION AST` -CONSTRUCTION 949J TICKET NO. CE791 `lIl) KOMAR DESERT' CENTER! LA QUINTA Job Phone : (9 1) 774--0JJ3 CLEON UPS CUSTOMER P.O. / JOB OR LOT # CE 5 c6 1.516 (9;51) 51.--7771LAaT TKS 95 BY OF•F:: I CE : CALL IN ONLY/ INTO 26 ORDER ffCGr a METER fF156p JG'! TIMETYEEP2(j NtaUR t KC UC NO. INTO PLANT 26 LOAD NIT. SLUArB0 TRUC8Q1 DRIVERfr•t WA�I SO�� RICHARD MISC. F•L.A E ab RK Ia r tJOB '.START 7:I, 0 ` DRUM N REVS: Job -site Cylinder Test: Yes TO JOB r TIME ON JOB MIN. CHECK # ON JOB � r Wate'rjadded on job at CUsi&ner's request: STAND BY MIN. CHECK ❑ AMOUNT BY START POUR gals to FUII Ld. RATE OF X $ PER MIN. „CASH ❑ AMOUNT BY FINISH POUR gals to 2/3 Ld. 6, $OVERTIME CHARGE / PLANT MGR SIG i gals to 1/3 Ld. M I N LEAVE JOB r ' r �'ADJ. Meter 4 min. per yd. unloadingaime allowed. ARRIVE PLANT Additional wateiadded tothis con c ate will reduce its strengt tAny Additional unloading time charged at current hourly truck rate water added exceeding the design!A ter is at the customer's own risk. r I . TERMS AND CONDITIONS OF SALE In consideration of Robe' n's.clelivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and Is employees from all Liabil ty ¢laims, for damage done by them, re`sulhngg from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the desrr bed material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agI s to defend, indemnify aril hold Robertson's harmless from all liability or claims for damage relating to said matenaLbeing inappropriate, incompatible, improper or inconsistent w th plans and specificattons, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted byia'w:7 In event Robertson's retains the services of an attorneyy to Collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee" incurred by Robertson's. Customer agrees to pay a time price differential Of t 4 per month on any amounts owed to Robertson's for more than thirty (30) days. i LD QTY CUM QTY ORD QTY PROD CODE,MIX AND COMMODITY UOM UNIT PR AMT ` 1'a 10.001 20).00 20.00 BC56I?►B33 5E',tZfC,3250 CY I 1 WATER ALLOWED 80.00 DEL. CHARGE WATER BATCHED 235.50 ' .- MO I SIVRE: WATER 133.00 MAX ADD WATER R i '1 . , 50 �,yS WEIGHMASTERCERTIFICATE TAX THIS IS TO CERTIFY that the following described commodity was weighed, CEMENT :r N # 4490.0171 measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who isa recognized authority of accuracy, as prescribed by Chapter 7 , F"LYASH i 11130. 0th (commencing with Section 12700) of Division 5 of the California Business and BALANCE ` 1 Professions.Code, admi 'stered the DMsionlof•Measurement Standards of the 1/8 AGC•r �: # ` 60. 1710 California Department lofF8MhAdAbriEftdre.)" y SUB 1 r' AGG # 144.210a). 00 ROBERTSON'S TOTAL W SAND #' 14-480.014'I wEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET 11 THIS IS NOT A TICKET NO. NUMBER CONTROL SG'�s5e . � HO�rSON'S IIIIIIILIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIII #1 RIVERSIDE - 6120 201h. ST. #2 MORENO VALLEY - 12890 DAY ST. #3 REDLANDS - 8353 ALABAMA ST. #4' FONTANA - 13792 SLOVER AVE. #5 POMONA - 2470 POMONA BLVD. #6 HEMET/SAN JACINTO - 1675 STATE St #7 BEAUMONT - 452 W. WIS ESTRADA RD. PLANT DATE rpt, 7. 9. /E'0/07 PO. BOX 3600, CORONA, CA92878-3600 . Phone 800/8347557 San Diego 800/870-1220 n.0 $R # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET#29 EL CAJON - 215 CYPRESS LANE # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. 423 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA,- 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #12 SAN BERNARDIND - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #13 IRWINDALE - 13631 LIVE OAK LANE r #20 SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. CUSTOMER NO: SOLA TO: • MAP PAGE - TICKET NO.; c �,titi�+l 0 Li COAST CONS"r�uc-r I ON .,F+ r ti'A,3 ,,Y:,:P36 8 I z TX CD IEIYEPIJAIII UINr`TRCIONAS 1 KOMAR DESERT CENTER• - f Phone (951)'774 1►17;3 ORDER N.tSO METER READING TIME pED 1. L: �4a i LOAD IN/ y'-iSLU% TRUCK DRIVER+, �+ G. EUSTOMER P.O. / JOB:OR LOT # .t 1..r .L v LAJ QLJ IJVT'A (9— 5.1-) 51--7777LAST _ TKO 160 CLEC UOS`"BY OFF ICE" CALL IN ONL-Y,/ -1 -3952 TRUCK LIC -NO a MILLER JEFFREY MI:3C. FLAT WORK r (\' DRUM I _v REVS: Job -site Cylinder Test: Yes TO JOB \ ` < - r TIME ON JOB MIN. CHECK # - ON JOB \ j /1 ; ' Water added on job at 1 STAND BY MIN. CHECK Q t Customer's request: AMOUNT BY START POUR \\ `' t .' r gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ Artourrr — BY+ FINISH POUR gals to 2/3 Ld. $ PLANT MGR SIG ac _ gals t0 1/3 � Ld. OVERTIME CHARGE , LEAVE JOB 4 M .I. N Y ADJ. Meter 4 min. per yd` unloading time allowed. ARRIVE PLANT Additional water added tothis concrete Will reduce itssttength�Any-'Y,' Additional unloading time charged at current hourly truck rate 1 = I ria q •\ ' + 'r V , water added exceeding the design! water is:at the customer's own risk. I TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemniy and hold harmless Robertson's and its employees from all liability br claims fordamage done by them, resulting from the movement of f3otSertson's vehicles upon or about the delivery location. ' Customer acknowledges that the described material has been chosen and selected solely by Customer w thout Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent wth plans and specifications or,w th the ground Bolls or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's Teta It the services .Ian attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's Incurred by Robertson's. Customer agrees to pay a t me price differential of 1'/z% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. 00 30. 00 ; o.00 GC5E0Et33 56OC3250 C 10.00 10.00 10. 00` 202 CG POLAR2%' FO x 'WA'TER ALLOWED 3soi 06,E WATER BAT)PHED' 27'-00 MOISTURE WATER 1 00 MAX ADD WATER 21.00 CEMENT # 4510.00 FLYASH # It 40. 00 `• FINE AGG # 14400.00, 3/8 AGG # 3040.00+ I" AGG # 140£30. 00 POLARSET FO 1340.00 AGREED TO AND RECEIVED BY CUSTOMER A DEL. CHARGE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a.weighmaster, whose signature is on this certificate, who is a recognized authority, of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department `YotodvaiduAgric�F i ROBERTSON'S ♦ ,WEIGHMASTER i 9 'a BY DEPUTY DELIVERY TICKET TAX PREVIOUS ' BALANCE SUB TOTAL STAND BY CHARGE TOTAL 6'. TRIS ISROTAncKErRa �® �� CONTROL .� j l J)1� NUMBER �' 0 WATER BATCHED 235.50 MOISTURE WATER 133.00 - MAX ADD WATER 11.50 WEIGHMASTER CERTIFICATE TAX CEMENT # 4490.00 THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS FLYASH # • OPEN 7_DAYS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE 3/8 AGG 9fa0 00Professions (commencing with Section 12700) of Division 5 of the California Business and Code, adrT)yli atered by the DD�'v'11sir�o Measurement Standards of the California Department) f Food and AgAcultdre. 111 AGG # 14200.00 ROBERTSON'S SUB TOTAL W SAND # 14480.IZIO WEIGHMASTER STANDBY CHARGE P.O. BOX 3600, CORONA, CA 92878-3600 BY DEPUTY C! TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET Phone 800/834-7557 San Diego 800/870 -1220 *1010569915011 #1 RIVERSIDE - 6120 20UL ST. # 8SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM,_ 201 E. COMMERCIAL ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAPON - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3' REDLANDS - 8353 ALABAMA ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #4 FONTANA - 13792 GLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE OR. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH'ST. #19 ADELANTO - 12203 VIOLET RD. #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA --26190 ADAMS. AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSIRUCTION.CIR.. WEST 428 OTAY MESA - 7961 AIRWAY ROAD `- - r.� #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE`` TICKET NO. 11 11/20/07 ,58801 SOUTH COAST CONSTRUCTION 849J3' 5899150 TX CD DELIVERY ADDRESS & INSTRUCTIONS ' CUSTOMER P.O. / JOB OR LOT # 79793 'HIGHWAY 111 1 62526 1.518 KOMAR DESERT CENTER LA QUI NTA ( 951) 351-777'7LAST TKS 395 Jab Phone : (951) 7'74'--017;3 CLEAN UPS BY OFFICE CALL IN ONLY/ INTO ; 6 ORDER ffP58 MET E�t�R�Af JG) TIME Tl(PED2E, NI AGK UC NO. INTO PLANT • 26 LOAD NO? SLUK4P1%J TRWCLKKe( ER6 WATSON RICHARD MISC. FLAT WORK � JOB START : 7:00 DRUM TO JOB REVS: Job -site Cylinder Test: ❑ Yes TIME ON JOB MIN. CHECK # ON JOB 1 �5 q Water added on job at STAND BY MIN. CHECK ElCustomer's request: AMOUNT BY START POUR gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals t0 2/3 Ld. $ PLANT MGR SIG LEAVE JOB gals to 1/3 Ld4 MIN OVERTIMECHMGE ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT ` Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described mater al to aplace designated by the Customer, the Customer herreleases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the describedmaterial has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications -relating to the project on which the material is to be used. Customer agrees to defend, indemnify aiid hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. In event Robertson's Teta ns the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 %z%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. e1C 0 20.00 20.00 GC 56OB3,3 56OC3250 CY WA'T'ER ALLOWED' 380.00 DEL. CHARGE WATER BATCHED 235.50 MOISTURE WATER 133.00 - MAX ADD WATER 11.50 WEIGHMASTER CERTIFICATE TAX CEMENT # 4490.00 THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS FLYASH # 1130. 00 who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE 3/8 AGG 9fa0 00Professions (commencing with Section 12700) of Division 5 of the California Business and Code, adrT)yli atered by the DD�'v'11sir�o Measurement Standards of the California Department) f Food and AgAcultdre. 111 AGG # 14200.00 ROBERTSON'S SUB TOTAL W SAND # 14480.IZIO WEIGHMASTER STANDBY CHARGE BY DEPUTY C! TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET CONTROL THIS IS NOT A TICKET NO. R® N9S. ) + NUMBER 140 �� • i P0. BOX 3600PCORONDA, CA9287&3600 I Phone 800/834-7557 San Diego 800/870-1220 • �, ORDER N3q8g i si% TLMET_ED . T� 'T 2f,7 'I \ U r LOAD N . SLUMP TILI �a.00 3`45 e VER 2 RODRIGUEZ AARON MISC. FLAT WORK � DRUM I JOB START : 7:000 DRU' Job -site Cylinder Test: Yes TO JOB TIME ON JOB MIN. CHECK # oN Jos Water added on job at Customer's request: STANDBY MIN. CHECK ❑ AMOUNT BY START POUR ` gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR als to 2/3 Ld. gals to 1/3 Ld`+.r - $ OVEFmMECHARGE PLANT MGR SIG LEAVE JOB M I N r ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's del vering.tha described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees hom all Liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the deliverylocation. Customer acknowledges that the described material has been chosen and selected solely by Customer w shout Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liabty or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and sppeecifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's rata ns [he sery ces Of an attorney to collect payment for the descr bed mater als, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD CITY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. 001 10. 00 WATER ALLOWED WATER BATCHED 10 140 #1 RIVERSIDE - 6120 201h. SL # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #3D CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SANTA FE SPRGS - 1231 1GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 26M N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA -3D1 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #7 BEAUMONT N52 W. LUIS ESTRADA RD. #13 IRWINDALE - 13631. LIVE OAK LANE ! #14 PASADENA - 1420 N. LINCOLN AVE. #20 SAN CLEMENTE - 116 RINCON CT. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28. OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. 1' 4 PLANT DATE 11 11/20/07 CUSTOMER NO: SOLD TO: MAP PAGE TICKET N0. 58801 SOUTH COAST CONSTRUCTION 84_ J3 ;j _'99140 TX CD llf jV.�RRtj1�,DDA$,56(N$T,gU�CTION�S11 + STOMERPO. /JOB6ff T# J KOMAR DESERT CENTER LA QUINTA (951) 351-7777LAST TKS Job Phone : (951)7747-0173 CLEAN UPS RY ' OFFICE CALL_ I N ONLY/ INTO 26 ORDER N3q8g i si% TLMET_ED . T� 'T 2f,7 'I \ U r LOAD N . SLUMP TILI �a.00 3`45 e VER 2 RODRIGUEZ AARON MISC. FLAT WORK � DRUM I JOB START : 7:000 DRU' Job -site Cylinder Test: Yes TO JOB TIME ON JOB MIN. CHECK # oN Jos Water added on job at Customer's request: STANDBY MIN. CHECK ❑ AMOUNT BY START POUR ` gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR als to 2/3 Ld. gals to 1/3 Ld`+.r - $ OVEFmMECHARGE PLANT MGR SIG LEAVE JOB M I N r ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's del vering.tha described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its employees hom all Liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the deliverylocation. Customer acknowledges that the described material has been chosen and selected solely by Customer w shout Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liabty or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and sppeecifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's rata ns [he sery ces Of an attorney to collect payment for the descr bed mater als, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD CITY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. 001 10. 00 WATER ALLOWED WATER BATCHED MOISTURE WATER MAX ADD WATER CEMENT # IS/BAi��f, 1" AGG # W SAND # 20.00 GC56OB33 560C3250 380.00 241.50 121.00 10. 50 4460. 00 �-_6R : X31 14200. Ora 14480. 00 cc AGREEO'TO AND RECEIVED BY CUSTOMER DEL. CHARGE C.Y WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Seehon 1,700) of-)Mstgn�ofMthe California Business and Professions Code, admM6d 1'Measurement Standards of the California Department of Food and Agriculture. ROBERTSON'S WEIGHMASTER BY DEPUTY DELIVERY TICKET TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL THIS is Nora TicKer No. ROMR"ON S CONTROL ,� W . I NUMBER 5659777 ` _ gmiiiiiL OPEN 7 DAYS - X3600,CORONA,CA92878-3600 ' Ph/834-7557 San Diego 800/870- 1220 • -#1 RIVERSIDE - 6120 2011k ST. # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIALIST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST #10SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SAMA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. ` #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND: 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST % G- #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST #13 IRWINDALE - 13631 LIVE OA9,LANE « #20 SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY,18 ' #7 BEAUMONT : 45,2 W UUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. ` PLANT DATE Yy�. . _ + CUSTOMER NO: SOLD TO:' -� MAP PAGE y TICKET [J'e:) �:6 11'fi9/07 `r8LIO1 SOUTH COAST CONSTRUCTION t��`�a� ��.�r�177 .T`h TX CD ADDRESS DELIVERY & INSTRUCTIONSw' ^ CUSTOMER P.O_/ JOB OR LOT # '79793 HIGHWAY 1 V ��L_ ,� f- 25 _,. KOMAR DESERT CF 1'ER LA OUINTA',, ` (951)351-7777LAST-.xKs 447 .Tub Phone :' (95 ) 774-0173 ,.� CLEAN �UP43 BY OF F � CE CALL. IN fi..tlal Y 204 ORDER NO. METER READING TIME TYPETRUCK UC NO. .94 1600. 00 11:D 47 NL LOAD NO., SLUMP , TRUCK DRIVER - • r 13 V4. X10 t 299 • ' D•1 17 � a R I CH41RDF L.AT WORK r '= Plitt JOB STAR -f 7:1210 �ma{ *DRUM ' y 2 ' &;V REVS: Job -site Cylinder Test:Yes TO JOB l+ , +-..TIME ON JOB MIN.~ CHECK # , vE ON JOB 7�? + �} Water added on job at y. STAND BY MIN. CHECK ❑ _ a" • Customer's request: 4 „'..¢-- AMOUNT BY '3 START POUR Z - ! gals to FUII Ld. PER MIN. CASHAMOUNT , IRATEOFX$ BY gFINISH POUR OQ2/3 Ldals t $ wPLANT MGR SIG OVr. ERTIMHARGE CEi • --�•-' - � � '� gals. to 1!3 Ld .• LEAVE JOB.tYt�R^-rp..M iTf A9J rMbter, ' �'`- °`4 min, per yd"unloading time -allowed: -Z-• -� - , , ARRIVE PLANT Additional water added tothrsconcrete vnllreduce dsstrengtFixAny Additional unloading timechargdd at current hoyrly truck rate water added exceeding the design water is at the Customers'"nsk. ?•} "\'" r.y+a+:� +' "(� f '• TERMS �1ND CONDITIONS OF SALE 1.. Inconsideration of Robertson's delivering the described material to a place designated by the Customer, the GdStomer herreleases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the Robertson's movement of vehicles upon or about the dehveryaocation. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless frorp all liability or claims for damage relating to said material being inappropriate, incompatible, improper or 1 1 ! U n 1[y p• inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. , r;t In event Robertson's rete ns the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 Yz%per month on any amounts owed to Robertson's for more than thirty (30) days. r UNIT LD QTY CUM QTY ORD QTY PROD CODES i MIX AND COMMODITY UOM PR AMT � �.. + 10. 00 30.00 30 "BO GC56OB33 6E,171C3250CY 10. 00 10,00 10:100 =026 POLAR2% FO . -1 - rt'�,4 j .. {. _ '� • - 11{`1. WATER ALLOIJED 380.00— DEL. CHAF10,E WATER SATCHEL) 27... 00 TAX MOISTURE WATER 87. 160 WEIGHMASTER CERTIFICATE +r JY�F� ADD WATER 1. 4IZl THIS IS TO CERTIFY that the following described commodity was weighed, != measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS ppI�1 who is a recognized authority of accuracy, as prescribed by Chapter 7 CEMENT T � , t h 47101. 4�0 1 (commencing with Section 12700) of Division 5 of the California Business and BALANCE F L Y A S 14 #1 1 1 kl �y (� Professions Code, administered by the Division of Measurement Standards of the s, Califomia Department of Food and Agriculture. SUB,— :3/8 A(.aG # 3040.00 3+i r^" DiveROhEATsoN"sL1t TOTAL I" AGG # 1 408 ►. 00 WEIGHMASTER •• STAND BY a, W SAND # 14080.00 _" CHARGE+ r_rt1LARSET _FO 1340. 00'* BY DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER i. DELIVERY TICKET CONTROLr N75 NUMBER, �, OPEN 7 DAYS X3600; CORONA,CA.""9278 3600 P /834-7557 San Di o 800/ 870 1 220 e9 #1 RIVERSIDE•- 6120 20th. ST.r` - #.B SUN CITY - 27050 WATSON RD. #15 �VERNON-LOS ANGELES 3365 E. 26TH ST. #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD -29750 HWY 18 `'� + #16 ANAHEIM - 201 E. COMMERCIALIST. #3 REDLANDS - 8353 ALABAMA ST. f #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. ' #17 SANTA ANA - 310 N. TOWNSEND ST. #4 FONTANA - 13.792 GLOVER AVE #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931,TOWNE CENTRE DR #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #7, BEAUMONT - 452 W. UJIS ESTRADA RD.. #14 PASADENA - 1420 N. LINCOLN AVE. ,,, #21, IRVINE - 16081 CONSTRUCTION CIR. WEST PLANT DATE CUSTOMER NO: SOLD TO: �f 1 ;11/19/1017 .58801 SOUTH COASTCONSTRUCTION MAP PAGE TICKET NO. 5470A3 5699098. . TX CD PE,3Q JRY ADDRESS 8 INST UC IONS CUSTOMER PO. / J B OR L T # r� 9�. HICiHW t1� 1 6250e . �4Ib KOMAR DESERT CENTER LA QUINTS (!951)351--7777LAST TKS Job Phone (951)-774-0173 CLEAN UPS BY, OFFICE CALL IN ONLY • J 4 ORDE� NO._ , METER EADI G TIME TYPED , T U_CK LIC NO. ;` r' ��.4�1 �, : 0� hiE�E i INTO FrLANT • 2E LOAD NO. SLUMP TRU DRIVER v M I SC. FLAT WORK i �+. �� `4 I:.rJ.S DISNEY,�='RANN. T DRUM JOB START 7:00 TO JOB REVS: Job -Site Cylinder Test: ❑ Yes TIME ON JOB MIN. CHECK # ON JOB 1-1 A< Water added on job at STAND BY MIN. CHECK ❑ Customer's request: AMOUNT BY START POUR NF1 ) gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR' gals to 2/3 Ld. $ PLANT MGR SIG gals t0 1/3 Ld., GVERTIMECHARGE LEAVE JOB ADJ. Meter4' M IN 4 min. per yd. unloading time allowed., ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the desigA water is at the customer's own risk. r TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or'cUms for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils &'conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 %% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. OILY 10.00 20.00 GC` 6OB33 560C325 CY WATER:'ALLOWED - 380.00 DEL. CHARGE WATER - BATCHED 235.50 MOISTURE'WATER 131.00 rs MAX ADD WA'T'ER 13.50 ii�i�lli�ii�liiii f�f�ff I�ifflflfflflfli �« i •!C5699098z it �� kk PREVIOUS FLYASH •+ #22 N0. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE BALANCE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA '1540 SHERBORN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE SUB #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON # #26 THOUSAND PALMS -72460 VARNER ROAD #27 MURRIETA - 26190 ADAMS AVE. #33 MIRAMAR- 5692 EASTGATE DRIVE #34 LUCERNE- 36555 HWY 18 TOTAL #28 OTAY MESA - 7961 AIRWAY ROAD #35 - BIG BEAR LAKE - 42040 BIG BEAR BLVD. # ;11/19/1017 .58801 SOUTH COASTCONSTRUCTION MAP PAGE TICKET NO. 5470A3 5699098. . TX CD PE,3Q JRY ADDRESS 8 INST UC IONS CUSTOMER PO. / J B OR L T # r� 9�. HICiHW t1� 1 6250e . �4Ib KOMAR DESERT CENTER LA QUINTS (!951)351--7777LAST TKS Job Phone (951)-774-0173 CLEAN UPS BY, OFFICE CALL IN ONLY • J 4 ORDE� NO._ , METER EADI G TIME TYPED , T U_CK LIC NO. ;` r' ��.4�1 �, : 0� hiE�E i INTO FrLANT • 2E LOAD NO. SLUMP TRU DRIVER v M I SC. FLAT WORK i �+. �� `4 I:.rJ.S DISNEY,�='RANN. T DRUM JOB START 7:00 TO JOB REVS: Job -Site Cylinder Test: ❑ Yes TIME ON JOB MIN. CHECK # ON JOB 1-1 A< Water added on job at STAND BY MIN. CHECK ❑ Customer's request: AMOUNT BY START POUR NF1 ) gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR' gals to 2/3 Ld. $ PLANT MGR SIG gals t0 1/3 Ld., GVERTIMECHARGE LEAVE JOB ADJ. Meter4' M IN 4 min. per yd. unloading time allowed., ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the desigA water is at the customer's own risk. r TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or'cUms for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils &'conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 %% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. OILY 10.00 20.00 GC` 6OB33 560C325 CY WATER:'ALLOWED - 380.00 DEL. CHARGE WATER - BATCHED 235.50 MOISTURE'WATER 131.00 rs MAX ADD WA'T'ER 13.50 WEIGHMASTER CERTIFICATE TAX i CEMENT it 4530. 00 THIS IS TO CERTIFY that the following described commoditywas weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS FLYASH 1060. 00 is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing (commencing with Section 12700) of Division 5 of the California Business and BALANCE �'/,� Ai�G X000. 00 Professions Code, admiry'st ,by the D'�nSt00'of easurement Standards of the CalitorniaDepartmentfOfandggdcuhrire. ( SUB 1 r`'�AGG # 1416 t0 ROBERTSON'S WEIGHMASTER TOTAL VAND # 14640.00 STANDBY CHARGE EN DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET ' CONTROL +NUMBERr"r'OPEN 7 DAYS �I f Iflllllllfl�� -^ 0X3600; CORONA, CA92878�600 PWI8347657 San Diego 800/8701220 w �'' •a JIC56990•98* �' -r. A 7 1 V #1 RIVERSIDE - 6120 2018 ST. -- # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 ' ..•a -+rte #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 'PARAMOUNT - 7277 E. ROSECRANS AVE. #30' CORONA - 1540 SHERBOR14 ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 -SANTA ANA - 310 N. TOWNSEND ST." #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA -_13792 SLOVER AVE. -#11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON f„ #5 POMONA - 2470 POMONA BLVD. , #12 SAN BERNARDINO . 1955 W. 9TH ST. #19 ADELANTO '12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 , HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT #27 MURRIETA - 26190 ADAMS AVE. , #34 -LUCERNE- 36555 HWY 18 f ` \ . , #7 BEAUMONT - 452 W. LUIS ESTRAOA RD. #14 PASADENA - 1420 N. LINCOLN AVE. �, #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAID: - 42040 BIG BEAR BLVD' i V LV , : •� PLANT ATE y CUSTOMER NO! SOLD TO: t MAP PAGE TICKET NO. 11 , X11!1,:-(077El8 UCIUTIA [OAST >: ONS FRUC'T'ION `':.,41003 TX CD gELIVERY ADDRESS& INSTpRUCTIONS CUSTOMER P.O. / JO OR LOT # y' l' !'"1,6 HJ.ut-1121"Y IWfl7�„J-lav' 1 ' KOMA DESERT CE=NTER I��A 00.1Nq 06. t`?01.) Y51-7 `7LAST T}:S t, Jab Ph ora._ t _ P �: (0351) 77 + 617 3 GLEAN 'U ')~iY, OFF=ICE Cf-l'1LL IN, 0 lY ry ORDER NO.. METEFTREADING, TIME TYPED TRUCK UC NO. 'Y 1 .� 34 t e v�. V11, 1r, : 0� �^ NLt:1a INTO PLAN i4 26 f I ' , � LOAD NO. SLUMP TRUCK DRIVER -r 1 14. r�C1 C 14 I, s DISNEY, FRANK, M I SC. FLA -I; WORK DRUM JOB STAR- 7 :1714.; ;` �j /'(� REVS: Job -site Cylinder Test: ❑Yes`' "' t TO JOB If ) , TIME ON JOB MIN. J CHECK # Water added on job at f r •e• ON JOB ? STAND Customer's request: BY MIN. CHECK AMOUNT BY STARTPOUR.l ITEOFX$ PER MIN. �x '� ❑ gals to Full Ld. -, � CASH —�,--/^ AMOUNT ��, -2/3 FINISH POUR__�l�i gals to Ld. $ �ERTIMECHARGE PLANT MGR SIG gals to 1/3 Ld. �4 M�'l , ADJ. Meter � 4 min. per yd. unloading time allowed. �. , ARRIVE PLANT Additional wateriddedtothis concrete w1)reduce its strength. Any t Additional unloading time charged at current hourly truck'rate Nx water added exceeding the design water is at the customer's own risk. a ilr+ -� 1 TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and holdharmless Robertson's and its employees from all liability or claims for damage done by them, res lung from the movement Robertson's.vehicles " of upon or about the delivery location: Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having c reviewed any plans or speifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and,hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent t" with plans and specifications, or with the ground soils or conditions on the land where the material Is utilized, to the fullest extent permitted by law. to event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer to agrees pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 Ys% per month on any amounts owed to Robertson's for more than thirty (30) days. LD STY,= `CUM OTY 1 ORD OTY-. PROD CODE MIX AND COMMODITY UOM f 'UNIT PR AMT �. ," �1020.00 GC560B:33 56,0C3250CY 4 1 . QN 1 •v. V- _ t, P: _ —fit"` xn- ` • 4,ATLrR ALLOWED 380. 00", _ " DEL. CHARIDt �_ � 4ATEF2 PATCHED 2 5,,50.- - 1 ,"`"'" �� Y ;,• Yt01STURE"WATER 131.00 ' i • 1AX ADD WATER 1 ? 5' `� TAX 1 .../, J121 WEIGHMASTERCERTIFICATE 1 1x4 �EMECNT - !{ 53121. (�(� �y YTHISJS,TO CERTIFY that the following described comrl�odity was weighed, _ measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS . 4 r LYAO�,H�. who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE 1_""•"y•' 1 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, ad Inistere�ct the DMsion of Measurement Standards of the ,.1t AGC t# a .000.I`[1121 m by " ' California Department of Fobd'And Agrlcukure: r ` ' L i. _ x SUB 11r ACGG ' #k 141G0 00•ROBERTSON'S �' TOTAL- A'�AND I# lf+E40. 0 "jLx '"• " WEIGHMASTER ' STANDBY CHARGE •�. . - BY DEPUTY / TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET THIS IS NOTATCKET NO. ROTWNS CONTROL ! • NUMBER 5699101 START POUR gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ ' T OPEN 7 DAYS hill 11 II l $ gals t0 1/3 Ld. OVERTIME CHARGE PLANT MGR SIG P.O. BOX 3600, CORONA,CA92878-3600 • LEAVE Joe ADJ. Meter+ MIN 4 min. per yd. unloading time allowed. 3/8 AGG Phone 800/834-7557 SanDiego800/870-1710 4. 141056991411 water added exceeding the design water is at the customer's own risk. #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 ND. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION 215 #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL SL #3 REDLANDS - 8353 ALABAMA SL #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA -ANA - 310 N. TOWNSEND ST. - CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540SHERBORN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE y �( #4 FONTANA- 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO- 195 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. HEMETISAN #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 JACINTO - 1615 STATE SL #13 IRWINDALE - 13631 LIV OAK LANE k• #20 SAN CLEMENTE - 116 RINQON CT. #7 • BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA = 1420 N. LINCOLN A . y #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. f PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET N0. 1 , 11 "11/1.9/07 58801 � SOUTH COAST CONSTRUCTION 5470A3 5699101 TX CD DELIVERY ADDRESS & INSTRUCTIONS t CUSTOMER PO. / JOB OR LOT # 7.5793 HIGHWAY Ill 62 502 151E } `JOAl�htaEeLR {" pp UU 1 LC )) (tS 121 -ALL IyNS;NLKTS .�04 ( ?r 4-01731. LRNII1\17 BY . ORDER N�4 < ELE IrOADINI(b LOAD NO2} SLUM bO �L �G / DRUM TO JOB (!> 2.5 REVS: TIMETYPH 19 3U4%i 7426 INTO PLANT 2E., TR4'67 DPo0ERJ3 OR I GSBY JAMES MISC. F LAT WORK JOB START : 7;00 Job -site Cylinder Test: ❑ Yes TIME ON JOB MIN. CHECK # ON JOB 72 Z Water added on job at STAND BY MIN. CHECK ❑ WATER BATCHED Customer's request: AMOUNT BY �� I MOISTURE START POUR gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ MAX ADD / AMOUNT BY FINISH POURSll gals to 2/3 Ld. CEMENT $ gals t0 1/3 Ld. OVERTIME CHARGE PLANT MGR SIG F"LYASH LEAVE Joe ADJ. Meter+ MIN 4 min. per yd. unloading time allowed. 3/8 AGG ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate 1" AGG water added exceeding the design water is at the customer's own risk. 'W SAND TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and Is employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed material has been chosen and selected soley by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used..Customer agrees to defend, indemnity, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or t inconsistent with plans and sppecifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law.. In event Robertson's retains the services of an attorney to collect payment for the descr bed materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 %z%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX'AND COMMODITY UOM UNIT PR AMT 1 10. 00 20. 01271 WATER ALLOWED WATER BATCHED MOISTURE WATER MAX ADD WATER CEMENT # ' F"LYASH # 3/8 AGG # 1" AGG # 'W SAND .# 20.00 GC560B33 56OC3250 380.00 241.50 1213. 00 10.50 4460.00 1140. 4710 3000.00 0 14200. 00 14560.00 AGREED TO AND RECEIVED.BYS:CUS.TOMER DEL. CHARGE CY WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was'weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, ad iV by s Diviftn idi Measurement Standards of the Department of California De ' g ac'id Agriallt,ur6. . ROBERTSON'S WEIGHMASTER BY DEPUTY DELIVERY TICKET TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL THIS CONTROL n IiO I� !j �� I NUMBER 1 E 7 DAYS P.O. BOX 3600, CORONA, CA92878-3600 � II �IIIh�'I �I I II II II�1 II II VIII llllllllllllll IfIIIINI ,!1 j Phone 800/834 7557 . San sego 800/ 8701220 #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES'- 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. - #3 REDLANDS - 8353 ALABAMA ST. #10 SANTA FE SPIRES - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE r-. #20 SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD.'. #14 PASADENA - 1420 N. LINCOLN Aq. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA 7961 AIRWAY ROAD '. - #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. 1 f'•' 1 PLANT DATE CUSTOMER NO: SOLD TO: i i MAP PAGE TICKET NO. (SOUTH F t1 =11/19/07 58801 COAST CONSTRUCTION 5470A3 5699101 TX CD '� DELIVERY ADDRESS & INSTRUCTIONS i • , CUSTOMER P.O. / JOB OR LOT # r , 79-7,93 H.I13HWAY 1 1 1 t' 1. 5250233 1 516 ' KKO ARR DESERT INT EE £ JN 'hone ( 1) 7�4 017uj 1p► INTq (gg >} 1- 7776 S ?�TF`�=04 x CL'k�N UG5 Blf$' O�F ILk� CALL T� �NLYr DRDER N0.34 , RE IN � TIME 1 r� . rt UiCGua f INTO PLANT G� LOAD NOL."1R1t TRu�c 7 DRIVEL, 3 GRIGSPY JAMES MISC. FLATC WORK ' t 41i JOB S—rART : 7. L10 DRUM (D Z5 REVS: Job -site Cylinder Test: Yes i TO JOB TIME ON JOB MIN. CHECK # ON JOB _ Water added on job at STAND BY MINCHECK ❑ 1 . _. Customer's request: AMOUNT BY ` u START POUR -5 gals to Fulltd. RATE OF X $ PER MIN. CASH ❑ AMOUNT' BY FINISH POURS I gals to 2/3 Ld. 1 $ PLANTMGR SIG A, -� gals to 1/3Ld. OVERTIME CHARGE . R r' LEAVE'JOB 1 4- MIN . ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE`PLANT ! Additionalwateraddedtothisconcrete willreduceitssfrength.Any Additional unloading time charged;at current hourly truck rate',. .- .._ . water added:exceeding the de`sig'n watt is at the wstoWar.own risk_ , ..t �f _ .j y J {� .; r . F„ 'iF 7 > Y V?c^ TERMS AND CONDITIONS OF SALEM In consideration of Robertson's delivering the described material to a ptace.designated by the Qustomer, the Customer hereby releases and agrges to indemnity and hold harmless Robertson's and its employees from all liability or claims for damage done by them,,��esulting from the movement of Robertson's vehicles upon or about the delivery location. � ,• ' Customer acknowledges that the descr bed mater al has beer�ch6sen and selected solely by Customer w thout Robertson's hav ng reviewed any plans or specifications relating to the project on which +" the material is to be used: Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or a.� i it`: Ii inconsistent w th plans and sppec fications; or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attdrney's fee's incurred by Robertson's. � = f'`I I Customer agrees to pay a time'price differential of 1 Yz%per month on any amounts owed to Robertson's for more than thirty (30) days. �{• � _ LD QTY CUM QTY ORD OTY PROD CODE. MIX'AND COMMODITY UOM UNIT PR AMT � 10`00 20. 0 2b.00 GC56 B3 569,63 50 � CY - i * r 1 WATFFR- ALLOWED 380.00 .�'`' -�` ,R DE4C :. ' �_(:MARGE= WATER -BATCHED 241.50 MOISTURE WATER'; 188. 00tj' t� r� TAX 1 0 MAX �DD WATER 10. 50 � : ' rr,•'. s, WEIGHMASTERCERTIFICATE _ , 4 x wF CEME NT" # j}�(jJ" I(�I , THIS IS�TO CERTIFY that the following described commodity was weighed, ' X11 11„ r 7measbred�pr dbunted by a weighmaster, whose signature is on this certificate, PREVIOUS FLYASH - $ 1 140; k�V',_ who ts�a recognized authority of accuracy, as prescribed by Chapter T BALANCE 4 I (commanCing with Section 12700) of Division 5 of the California Business and 3/8 ASG �. , \ 3000ti 0 ?rofess'iorls Code, adiny(istered,by the DiJsibrjof Measurement Standards of the 1 y -% .California Department of Food and Agric6ltuie. SUB 1 it AGG # 142001.00 _ ROBERTSON'S TOTAL W SAND # 14 5 r0. 00�•g� WEIGHMASTER STANDBY • A: CHARGE • ~ BY DEPUTY t � TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET . r CONTROL THIS ISNOTA TTCKXTNO. qAR ddllii��®®1111 '"' S f NUMBER 5194 t 44 ,OPEN 7 DAYS #1 RIVERSIDE - 6120 201h. ST. #2 MORENO VALLEY - 12890 DAY ST. #3 REDLANDS - 8353 ALABAMA ST. #4 FONTANA - 13792 SLOVER AVE. #5 POMONA - 2470 POMONA BLVD. #6 HEMET/SAN JACINTO - 1675 STATE ST. #7 BEAUMONT - 452 W. LUIS ESTRADA RD. PLANT DATE ,::6 12/14/07 P0. BOX 3600, CORONA, CA 92878-3600 ' Phone 800/8347557 San Diego 800/ 870-1220 # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. # 9 ARROWHEAD - 29750 HWY 18 #16ANAHEIM :-201 E. COMMERCIAL ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SAMA ANA - 310 N. TOWNSEND ST. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST CUSTOMER NO: SOLD TO 85122 TIDWELL CONCRETE CONSTRUC , 5470A3 5694144 TX CD DELIVERY ADDRESS 8 INSTRUCTIONS 79793 HIGHWAY 111 JEFFERSON LA QUINTA `Job Phone : (760)275-8133 BLDG D ORDER NO. METER READING 613 1600.00 LOAD NO. SLUMP t 4.00 DRUM TO JOB 700 REVS: CUSTOMER P.O. /'JOB OR LOT # 102 70885 ( 760) 342-8300LAS- TITS TIME TYPED TRUCK UC NO. 6:54- 81.)88105 TRUCK DRIVER 1035 .821 FORSYT14E KEN JOB START : 7:30 Job -site Cylinder Test: Yes TIME ON JOB COMMERCIAL SLAB IUFU,9 CHECK #~• ON JOB 7� 4 'Water added on job at STAND BY MIN. CHECK ❑ 230.75 Customer's request: AMOUNT BY START POUR gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ � *10105+694744* FINISH POUR gals tO 2/3 Ld. $ PLANT MGR SIG WATER • #22 N0. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE 3680.00 #23 [ PARAMOUNT - 7277;E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. water added exceeding the design water is at the customer's own risk. #24 ii RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE 224-0. 00 #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON - #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE 9560. QIO #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 t. #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. MAP PAGE TICKET NO 85122 TIDWELL CONCRETE CONSTRUC , 5470A3 5694144 TX CD DELIVERY ADDRESS 8 INSTRUCTIONS 79793 HIGHWAY 111 JEFFERSON LA QUINTA `Job Phone : (760)275-8133 BLDG D ORDER NO. METER READING 613 1600.00 LOAD NO. SLUMP t 4.00 DRUM TO JOB 700 REVS: CUSTOMER P.O. /'JOB OR LOT # 102 70885 ( 760) 342-8300LAS- TITS TIME TYPED TRUCK UC NO. 6:54- 81.)88105 TRUCK DRIVER 1035 .821 FORSYT14E KEN JOB START : 7:30 Job -site Cylinder Test: Yes TIME ON JOB COMMERCIAL SLAB IUFU,9 CHECK #~• ON JOB 7� 4 'Water added on job at STAND BY MIN. CHECK ❑ 230.75 Customer's request: AMOUNT BY START POUR gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ � AMOUNT BY FINISH POUR gals tO 2/3 Ld. $ PLANT MGR SIG WATER gals to 1/3 Ld. OVERTIME CHARGE CEMENT LEAVE JOB ADJ. Meter4 M I N 4 min. per yd. unloading time allowed. 3680.00 ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate # water added exceeding the design water is at the customer's own risk. 3/8 AGG. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer herreleases•and agrees to indemnify and hold harmless Robertson's and its from 224-0. 00 employees all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen by Customer # an selected solety without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or 111}$ , t},,Ip1E4y inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described mater els, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. 9560. QIO Customer agrees to pay a time price differential of 1'/z%per month on any amounts owed to Robertson's for more than thirty (30) days. J LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 6.521 6.50 6.50 621210 45017P/PL CY WATER ALLOWED 230.75 WATER BATCHED 143.00 MOISTURE WATER 76.00 MAX ADI.) WATER 11.75 CEMENT # 3680.00 FLYASH # 680.00 3/8 AGG. # 224-0. 00 I" AGG # 8680. 00 W SAND # 9560. QIO WRDA 64 FO 130.00 AGREED TO AND RECEIVED BY CUSTOMER DEL. CHARGE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. Da V IRQBERTSON'S; o WEIGHMASTER RY DEPUTY DELIVERY.: ,TICKET, TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL Y . � ,.. " L THIS IS NOT A TCKET NO. R®WR"ONS CONTROL �;*+,; �� NUMBER�':5�.1�"771 `�^ OPEN7DAYS BOX3600, CORONA, CA92878 3600 �� (� � 800/8347557 San Diego 800/ 870-1220 � O I C � b g 4 5 .� 1 * :. 5 6 7 . • . .<� � �� #1 RIVERSIDE - 6120 2011L ST. # 8 SUN CITY - 27050 WATSON RD. #i5 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #2 • MORENO VALLEY - 12890 DAY SL # 9 ARROWHEAD - 29750 HWY 18 � '#16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANI AVE. #30 CORONA - 1540 SHERBORN ST. E. �REDLANDS #3 - 8353, ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. Ye #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE: #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE,,. #32 UPLAND - 1975 N. BENSON 99� #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. •, #19- ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE -#6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE -020 SAN CLEMENTE - 116 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. V,A #34 LUCERNE- 36555 HWY 18 '. ' -`� #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE.` #21 IRVINE - 16081 CONSTRUCTION CIR. WEST • #28 .OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. '•`� PLANT DATE * CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. ` t2/1.0/07 58801 � S IU t T ' AST CONSTRUCTION 555470A3, 5694571 TX CD DELIVERY ADDRESS &INSTRUCTIONS' ' . > CUSTOMER P.O. / JOB OR LOT # 79793 HIGHWAY 1 1 1. ; Y =. 62970 1516 I' MAR DESERT CENTER LA QUINTA (955) 35r1.--7777LAST TICS. 75-9 dio b Phone �_: (951)',774-1'41173, CLEAN UPS BY OFF I CE. CALL IN ONL_Y 204 ORDER NO. �(T_ METER READING TIME TYPED TRUCK UC NO. 6.,00 . 0L71 1. 0 : el2 7S47'254 LOAD N0. f , , SLUMP TRUCK DRIVER { 3 f 4. ►� 71 =�fs��t8 DEPOT • [iEAI Ih i ��C. I� L AST WORN 't �` `l:Off! JOB START i DRUM A„ . Vit. , 4� ,�, .• .. } TO JOB/�f REVS: Job -site Cylinder Test: 4 ❑ YeSIME ON JOB A 1 MIN.CHECK # ON JOB 1/c'iL Water added on job at _ rSTAND BY MIN. 91 CHECK �' r _ Customer's request: t�- AMOUNT'. BY ~ ,START POUR1 gals t0 FUII Ld. RATE OF X $ PER MIN- CASH ' 1 ��• ,T✓k, .. , AMOUNT - - BY FINISH POUR gals to 2/3 Ld. I f 'PLANT •$ �' MGR SIG gals to' 1/3 Lid •^RnMECHARGEL Y x LEAVE JOB sr�i°f r - F ' 1'" y� ; ADJ. Meter4�l M "'min: unloading time allowed. •N' per yd. ARRIVE PLANT Additional water added tot hlsooricrete will reduce its strength:Anyj " Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customers -own risk. r TERMS AND CONDITIONS OF SALE In consideration of:R bertson's delivering the described material to a place designated by the Customer,'the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or cla ms -for damage done by them, resulting from the Robertson's ' movement of vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected Soley by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent w th plans and specifications, or w th the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. In event Robertson's retains the sery ces of an attorneyy to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Custom_er agrees to a time differential t'A pay price of permont Yon any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY ' PROD CODE MIX AND COMMODITYUOM UNIT PR AMT' . 4 3. 50 . • `3. 51� �3. 5)Z� [�C 58OB33 3�CY �... S Pf-3�,005,s1� 3. 10- 3. 50 3. 50 2022 OLAR2% FO � ,- � rr • � 4 I ,r ice•. y.*- f WATER,ALLC]WED 1 a,3: k�Q};- 4I EL CHARGE i`. r WATCI BATCHEOZ. 86,. 5k� � �` F, t I TAX l`WATER 31 MOISTURE . 0 WEIGHMASTEROERTIFICATE 4• j THIS 1( If \ IS TO CERTIFY that the following described commodity was weighed,., MAX ADD WATER 1 . Jmeasured, or counted by a weighmaster, whose signature is on this certificate# PREVIOUS ftr` jk I�•�1 F� ��. who is a recognized' authority of accuracy, as prescribed by Chapter 7 CEMENT A - . i730.100: (commencing with Section 12700) of Division 5 of the California Business and BALANCE Professions Code, administeredthe Division of Measurement Standards of the F'LYASH # 390. 00 California Department ofFoodandAgriculture. SUB ^ 3/8 ACU # 1486. 00 Da, /eROBERTSOTY,'Sll'h � TOTAL 1 �I AC3G 4960. BVI j' j WEIGHMASTER I STAND BY ' W SAND # 4680.00 CHARGE pnl-ARSE' EO 470.00 BY DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET ' , CONTROL -THIS IS NOT A TIOUEr NO. HIMTS N'S I NUMBER 5-99653 OPEN 7,DAYS BOX 3600; CORSONAC7&360 aDiPhonen 870-10 i jjj I11i ii 6110105699653* .- ' ."1li� li il i #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY - 27050 WATSON RD. � #15'^VERNON-WS'ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 ' #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. flOSECRANS AVE. #30 CORONA - 1540 SHERBOflN ST. #3 REDLANDS - 8353 ALABAMA SL #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. ..f #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE: #11 CABAZON - 13990 APACHE TRAIL. 418 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 195 W. 9TH ST Y„r . #19 ' ADELANTO - 12203 VIOLET'RD.' #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR• 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO '- 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 1.16 RINCON CL " #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN"AVE. I' r 421 IRVINE -•16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE'= 42040 BIG BEAR BLVD. r PLANT DATE CUSTO ER NO: SOLD TO: P PAGE TIOKE7 rNOr. 11 12/10/07 �;�"��1 SOUTH cOAs-r CONSTRUCTION 94`:3J3 I,�,":)65 3 TX CD DEUV,E Y ADDRESS &,I ST U TION Y 1 CUSTOMER P.O. / JOBAR LOT # r3ti1t��It�f1cY 11 6'2976 Y:J1Es KOMAR DF,SE�T- t?•E'NITER 4 LA QUINTA (951) 351-7777LA aT TK Job Ph Otte i74 --0173 CLEAN UPS. BY OFFICE CALL IN ONLY ( i . ORDERN0.7� tv1 EfIfiEAD +1 s +TTIMETYFED � NIRkC UC NO. It+{TO 't�LAN,T. .26 11 LOAD NOi SLUMVTRUDRIV�.*`.wi�1 � Su�' FLAT WORK 4. :% : E, t ' ° JOB sTART 7:17l DRUM 0Y •+ 'r REVS: - Job -site Cylinder Test: ❑ Yes �- TOJOB ' TIME ON JOB r MIN. CHECK # ON JOB Nater added On JOb at STAND BY ,MIN. CHECK ❑ A CuE6tomer's request: AMOUNT BY START POURS l gals to Full Ld. RATE of x $ �t PER MIN. CASH ❑ AMOUNT. BY FINISH POUR C/�_ �+ gals to 2/3 Ld. gals to 1/3 Ld. $ OVERTIME CHARGE PLANT MGR SIG LEAVE JOB 4 M I N ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete Will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. r t TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to inand hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon rabout the 'delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer w thout Robertson's hav ng rev awed any plans or specifications rotating to the projectorwhich the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent w th plans and specifications, or w th the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. In event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of t Yz%per month ori any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT I 10. t7)0 10.00 20-.00 GC5EOB33 56OC3250 C'Y WgATTEER 380.00 DEL. CHARGE �ALLLOWED M ISYURR"*5NYER `1 �: S MAX HDD WATER CEMENT. # ,31.50 4530. 00 WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, TAX FL. Y A a Fi 1140. + 1 1�f measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 PREVIOUS + i E3 Ai7� 71[I�]1„ 1711') , 3 + , (commencing with Sectionp1y2700),of D�!'visioMr PS•of+the California Business and Professions Code, adfhfiilisteredrby thele Sion of•Measurement Standards of the BALANCE 1 r+ 'AGG # 14120. 06 California Department of Food and Agriculture. SUB W SAND # 1!}6121Q1.00 WEIGHMASOTER TOTAL STAND BY CHARGE BY DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY#TICKET j THIS is oT{AnacET rr0. ® ®®ap�� CONTRO ' 56-99653 ,NUMBER OPEN 7 DAYS.. .0. BOX 3600, CORONA, CA92878-3600 I Phone 800/8347557+1 San Diego800/870.1220 .3* 1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY -27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 ,NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE •'• . 2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. 3 REDLANDS -8353 ALABAMA ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17• 'SANTA ANA,; 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE 4 FONTANA - 13792 SLOVEN AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON 5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND -PALMS -72460 VARNER ROAD #33 MIRAMAFI- 5692 EASTGATE DRIVE ' 6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IgWINDALE - 13631 LIVE OAK LANE d'• �#20 SAN CLEMENTE.- 116 RINCON CT. ' #27 MURRIETA'- 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINOOLNIAVt. P '. �" #21 IRVINE - 16081, CONSTRUCTION CIR. WEST #28 OTAY MESA,- 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. 4NT DATE CUSTOMER NO: , SOLD TO: 1 1�-'r'10/07 °;�11�101•` SOUTH COAST -4 --CONSTRUCTION �rt�GJ3 ncLl ��t�o'-9Er5: CD DELIVERY ADDRESS &,IQIN STRUCTIONS I i CUSTOMER'P,O. / JOB.OR LOT # t'� !'�,6 IJhIWH Y 1 # . 6`970 x .l (71 KOMAR � ESE T C Ar"ER r ( LA 0 NTca t'`351) y,5• - 7777 LAS• TKS Jul:, Ph01fi-�, (�� •J4'4; :01 L' (_ U 'S, BY OFF ICE,ChLt,.. � 1\1IONt Y ..'. �. f DER NO. M ER READING TIME TYPED TRUCK UC NO.' e73 1 C� 1. !z► 5:58 N1,wl` D ? ., I1\1TO PL ANT ;W •'. +'t AD NO. SLUMP TRUCK j DRIV,ERL ( �+. �O 2CA4 I Y;.:, D I C NEY;1F RANK, MISC. .;f= LAT WORK DRUM i .iUL'• �S TARI , 7:00 I I JOB REVS: y* Job -site Cylinder Test:'. 0 Yes TIME ON JOB MIN. CHECK # • .'.•t. t� e.., A •� . v JOB Water added on job at 11 . Cus'tomer's ft?CjUeSt t+ STAND BY MIN. CHECK ❑ ' AMOUNT EN ART POUR 4galS t0 FUII L -`dA RATE OF X $ �PEREMIN. CASH ❑+ �. if) }•, t t •1�'�r �tM r ,}, • r �� AMOUNT BY DISH POUR_/�7 rj gals to 2/3 Ld. Q 4 r - gals to 1/3 Ld' 'J, jI 1 $OVERTIME CHARGE PLANT MGR SIG AVE JOB ADJ. Mete' "' 4 min. per yd. unloadin• time allowed. , RIVE PLANT AddRlo4lwater added tothis concrete will reduce its'strength Ariy ; Additional. unloading time charged at current hourly truck rate water added exceeding the design water is at the customers own jisk. t ' i TERMS AND CONDITIONS OF SALE consideration of Robertson's delivering the described material to a,place designated by the`Custdrrier; the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and > employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. ustomer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans ortspecifications relating to the project on which I e material is to be used. Customer agrees to defend, indemnify, and hold.Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or f J 9 Y consistent with plans and specifications, or with the ground soil (. s or conditions on the land where the material is utilized, to the fullest extent permitted by law. event Robertson's retains the services of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertso n's. ustomer agrees to pay a time price differential of 11/1% per month on'any amounts owed to RoberVori s for more than thirtyy,(30) days. r: ' LD QTY CUM QTY . ORD QTY PROD. CODE I' YMIX,AND COMMODITY UOM '.' UNIT PR AMT 10. tZ 0 1 k7l. 00 20.00 GC ;6tOB33 5G0C,7-,C'0 CY { p ATER ALLOWE-AO AX ADD .WATER 31.50 EMr NT it 4530.00 LYASH # 1140.00 /8 AGG # " . _317180.'+70 It AGG # ".• 14140. 00' SAND It 14600.00 AGREED TO AND RECEIVED BY CUSTOMER DEL. CHARGE �, ^ _ • L It WEIGHMASTER CERTIFICATEf ' THIS IS TO-C�R71F,Y that the following described commodity wasweighed, measured, o�' o ted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Sectlon�12700),of Division LSof the California Business and Professions Code, administeiab by the,DMsion of Measurement Standards of the California Department of Food and Agriculture. « ROBERTSON'S WEIGHMASTER BY DEPUTY DELJVERY,TICKET TAX), PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL IS i CONTROL NUMBER OPEN 7 DAYS . BOX3600, CORONA, CA92878 3600 Oop�oeeoo/83�t75s7 hili! I�I�I •*-�pOIC5699659t IIII��I� lill III II�II11 �I j SanDieg0800/8701220 , #1 RIVERSIDE 6120 • - 20th. ST. # 8SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE E. #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 -CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 . GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON ' #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 ROICON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. i 1 #21 IRVINE - 16081 CONSTRUCTION CIR. WEST - #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. 11 12110107 58801 SOUTH COAST CONSTRUCTION 849J3 5699659 TX CD DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER PO. / JOB OR LOT # 79793 HIGHWAY 111 62970 1.516 KOMAR DESERT CENTER LA GIUINTA (951)351---77771-AST TKS 204 Job Phone : (951) 7-%4-0173- CLEAN UPS BY OFFICE CALL IN ONLY ORDER0%E8%DV TIMETYVINTO PLANT 2S7a 1 LOAD Nom 9wMea0 TRI�CI� DAE87 WILLIAMS DARREL MISC. FLAT WORK JOB START' : 7:00 ►��j.tt��( lil.ltifi DRUM • REVS: Job -site Cylinder Test: � Yes TO JOB TIME ON JOB MIN. CHECK # �• � Ori JOB Water added on job at STAN BY MIN. CHECK ❑ Customer's request: AMOUNT DY START POU gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY 7f t � FINISH POUR r J 7 gals to 2/3 Ld.' $PLANT p MGR SIG _ gals to 1/3 Ld. OVERTIME CHARGE 4 M I N LEAVE JOB ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE ^' In consideration of Robertson's delivering the described material to a placad S`gnaed by the Customer, the Customer hereby releases and agrees to indemnify and hold harmless Robertson's and its its employees from all liability or claims for damage done by from them, resulting the movement of Robertson's vehicles upon or about the delivery location. a acknowledges that the descr bed material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being Inappropriate, Incompatible, improper or fi inconsistent w th plans and specifications, or with the ground Bolls or conditions on the land where the material Is utilized, to the fullest extent permitted by law. In everI Robertson's retains the sery COS of an attorney to collect payment for the described materials, the Customer agrees to reasonable attorney's fee's incurred by Robertson's. pay Customer agrees to pay a time price differential of 1 I per month on, any amounts owed to Robertson's for than thirty days. more (30) i, LO OTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY LOM UNIT,PR AMT 1 .00 20.00 20.00 BC 56OB33 C{ 566 3250 , C WATER ALLOWED 380.00 ' I)EL. CRARGE � r WATER BATCHED 213.00 . MOISTURE WATER 138.00 MAX ADD WATERc9.171�i1 �`` � :'., . .'; TAX WEIGHMASTER CERTIFICATE k CEMENT, # 4490.00 THIS IS TO CERTIFY that the following described commodity was weighed, s measured, or counted by,a weighmaster, whose signature is on this certificate, PREVIOUS FLYASH # 111-110. 00 who is a recognized authority of accuracy, as prescribed by Chapter 7 ISI( (commencing with S?51o%rI,.JQ 7,00),oj Division) -5 of,the California Business and BALANCE 3/8 A G G # 2960. 12) 0 Professions Code, adjrypis`tert d'by thetBivision SOY Measurement Standards of the 1 rr AGG. 14G8f%l. 0 California Department of Food and Agriculture. SUB c� ROBERTSON'S TOTAL W SAND # 14.600.00 WEIGHMASTER I STAND BY CHARGE BY DEPUTY � •i C! ..TOTAL` AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET THIS IS NOT A TCKU NO. CONTROL NUMBER ;�*�� 5699659 #1 RIVERSIDE - 6120 201h. ST. #2 MORENO VALLEY - 12890 DAY ST. #3 REDLANDS - 8353 ALABAMA ST. #4 FONTANA- 13792 SLOVER AVE. #5 POMONA - 2470 POMONA BLVD. #6 HEMET/SAN JACINTO - 1675 STATE ST. #7 BEAUMONT - 452 W. LUIS ESTRADA RD. PLANT DATE R ®98 OPEN 7 DAYS P0. BOX 3600, CORONA, CA92878-3600. one 800/8347557 San Diego 800/ 8701220 # 8 SUN CITY - 27050 WATSON RD. _ #15 VERNON:COS'ANG?ELES;4 3365 E. 26TH ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 20T E. COMMERCIAL ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. 'p17 SANTA ANA -310 N. TOWNSEND ST. #11 CABAZON - 13990 APACHE TRAIL. #18 LME FOREST - 25931 TOWNE CENTRE OR. OR- #12 SAN BERNARDINO - 1955 W. 9TH ST. . #19 - 12203 VIOLET RD., #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE --116 RINCON CT. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE ;-16081 CONSTRUCTION CUL WEST #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE CUSTOMER NO: SOLD TO: 1.1 12/1.0/07 58812f1 SOUTH TX CD DELIVERY ADDRESS & INSTRUCTIONS 79793 1-11 GHWA1 1.. {il KOMAR=yjDE SER"f Cfi�I ER Ta Sob. f�ff ff f If�el ¢ • � 4J 1 i1 tl 1.3..O .C5699659x. #22 N0. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE, #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON_ #26 THOUSAND PALMS -72460 VARNER ROAD #27 MURRIETA - 26190 ADAMS AVE. #33 MIRAMAR- 5692 EASTGATE DRIVE #34 LUCERNE- 36555 HWY 18 ' #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR -LAKE - 42040 BIG BEAR BLVD. MAP PAGE TICKET NO. COAS1"-- CONST RUCT I CIN 8497''", CUSTOMER O. / JOB OR LOT # ;"n 1 6970 410 1.316. L+ A�1�CizNTA (951) 3 5 11--7 7 7 71__A ST TKS �'O4 C*..-E^Y - UPS -B- , f)FF I GE: ' (--ALL- - I Nr ONLY' ORDER NO fr� ME F�IRrfADINrY� TIME TYM 31 7¢..SMu: 40 I NTLI PLANT 26 LOAD WE' duumbo TRQCKi9 DR(VERT W�L.L_.LAMS DARRE'..L.. MISC. FLAT WORK I JOB STAaFT . 7.-IZIO I n REVS Job -site Cylinder Test: ( Yes TO JOB �r/ I , TIME ON JOB MIN. CHECK # ON JOB Water added on job at �- STANDBY MIN!' CHECK ❑ Customer's request:. � - ; . _ , AMOUNT BY START POUF. )I gals to FUII Ld"" r RATE OF X $? PER.:y IN 't. CASH El AMOUNT By FINISH POUR gals to 2/3 Ld:=�, ! $ PLANT MGR SIG gals to 1/3 Ld. ` OVERTIME CHARGE LEAVE JOB j *M .T. N ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to thiscbrcrete,wll educe its strength Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. 1 TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customei; the Customer herreleases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees t0 defend, indemnify and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or w th the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the described materials; the Customer agrees to pay reasonable attorney's fee's Incurred by Robertson's. , Customer agrees to pay a time price differential of 1 %z per month on any amounts owed to Robertson's for more than thirty (30) days. a 1 LD,QTY CUM�QTY ORD QTY PROD CODE i MIANDO+ MmodTy,1 UOM UNIT PR t FAMT IC. f ifjl &. Lho VI0 EryC:,E0 , 560C3850 CY WATER raLt_(awEn 380, 00 � t �` >1EM1_. CFIARGE7 / WATER BA'TCHE.D r,- .;r2,13. Ofd MOISTURE WAT I-f�t 138.00 � MAX ADD WATER -29.00 l � R, - ' TAX WEIGHMASTER CERTIFICATE + CEMENT #1 4490. 1?10 THIS IS TO CERTIFY that the following described commodity was weighed, a1, measured, or courifeq,; y a weighmaster, whose signature is on this certificate, PREVIOUS i= LYASH 17 .L 1..,'r0. 00 who is a recognized;;°authority of accurac'�, as prescribed by Chapter 7 BALANCE /E'1 AGC ~'9�,{G1. t�(Qf, It', (commencingwtli5, Idn,127,,00)pfDivisiodL5.of,theCaliforniaBusinessand 2 i . I , Professions Code; adi'hlnisterk'by thef(jMsion of. Measurement Standards of the I" AGG # 1420,10. 00 !,' California Department of Food and Agriculture. SUB ( `* ROBERTSON'S TOTAL W SANT) }{ 14600. 60 ( WEIGHMASTER STAND BY t CHARGE BY DEPUTY C! j TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET WEIGHMASTER CERTIFICATE �_�PERIOR READY MIX CONCP"TE� L.P. 864344 THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signa- SERVING SOUTHERN CALIFORNIA SINCE 195,E ture is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YOU of Division 5 of the California Business and Professions Code, SHOWN ON REVERSE administered by the Division of Measurement Standards of the California Department of Food and Agriculture. 009u Q2 Weighed at:38155 MONROE STREET, INDIO, 92201 ( 760.1) 343-3418 DATE CUSTOMER NO. , �.., __ ORDER NO. �__ C LSTOMER P.O. NO. PLANTNO.— DELIVERY.TICKET•NO. y. 23-Oct-Qi7 �lIB8E00S 31440 i i :4 ' 07'1; A95 f CUSTOMER NAME J CUSTOMER JOB NO. NIBBEL.IWK MASONRY CONSTRUCTION JOB s t. JOB ADDRESS MAP. PAGE 79-815 Hwy 7.11 , LA QUINTA_ 79-815 HHY 111 f349 -J t SPECIAL INSTRUCTIONS «� WEIGHMASTER A GROUT ACROSS THE STREET kR0@1 MOME DEPOT .,ERARDO HERNANUEZ DESIGN NO. SLUMP TRUCK NO. DRIVER NAME ORDERED.BY QTY ORDERED D66P -8 8.00 X73 SANT, JOE 9. Ofd LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 9.,00 ,9»_ Cy 6 SACK 3/8 PUMP MIX •66P-8 �`S .. !. .'- QTY TO GO� ,Excessive water is detrimental to concrete C.O.D. TICKET.TIME—A IVE performance. ❑ Cash 1J C 1t�1 TOTAL FOR THIS TICKET Gallons to full load/Slump ED Check No. sTrRT) FINI --- Gallons to 3/4 load /Slump ❑ Credit /1 TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET STAND-BY ' Gallons to 1/4 load /SlumpPREVIOUS '-Water added on job at Customer's request. • Authorized By: "Customer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to the ordered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are placed."j ,a - Received in good condition by:rv.RS CUSTOMER SRM -145 REV 7/06' THIS IS NOT A nCKEr NO. R® ®Y®y��9 p NONTROR + �� OPEN DAYS `�'i•l MAX .ADD =-y -• .0. BOX3600, CORONA CA92878-3600 I� •x t� i. =-=` done 800/834-7557 ' Jn Diego 800/870-1220 p 5 5 Z 3 '• #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY - 27050 WATSON RD. #15 VERNOIAOS ANGELES - 3365 E. 26TH ST. #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEM.- 201 E. COMMERCIAL ST. #22 NO. HOLLYWOOD - 13132 RHYMER STREET #29 EL CAJON - 215 CYPRESS LANE #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 -CORONA - 1540 SHERBORN ST. ' •• #3 REDLANDS - 8353 ALABAMA ST. #10 SAMA FE SPRGS- 12311 GREENSTONE AVE. #17 SANTA 4NA - 310 N. TOWNSEND ST. FONTANA 13792 SLOVER #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE p SUB %#4 - AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE RREST - 25931 TOWNE CENTRE DR. #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. 0 #19 ADELAATO - 12203 VIOLET RD. a #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON jt #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EISTGATE(DRIVE `�•,•• r •.• . #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINCON CT. #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE- 16081 CONSTRUCTION CIR. WEST #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18; y, #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040rBIG BEAR BLVD. STAND BY PLANT DATE CUSTOMER NO: SOLD TO: 2In., 10/ 1 r:) /07 ' 85122 T I DWELL CONCRETE. CONSTRUC MAP PAGE TICKET NO. `i470A3 .`i654223, { 4 TX CD J TOTAL DELIVERY ADDRESS & INSTRUCTIONS F I CUSTOMER P.O: / JOB OR LOT 7`�7`�3 HIGHWAY 111 197�P T I/Jt,013,:-J, BLD E//JEFFERSON LA GUINTA (760) 342--8300LAST TKS ' 7•.:,6 Job F'hune : (760)P_75-_'8133 INI THE CO STCO PKIN LOT/INTO 26 ORDER NO: , METER READING TIME TYPED TRUCK UC .B 1600. 00 7 a i.'� 6V4a /02 1 LOAD NO.. SUMP s. TRUCK DRIVEB .� F = '� . 00 -4�s y 1c1�.:, COLE E'RRV � - FOUNDAT%ON FOOTINGS � 1 JOB S T ART e G a 30 DRUM % REVS: Job -site Cylinder Test: [.,•Yes" TO JOB �' ` �. - TIME ON JOB MIN. CHECK # ON JOB �l� Water added on job at . n .. ti STANDBY jri MIN. CHECK ❑ CUStOmefsS f quest: Y AMOUNT BY START POUR gals t0 Full Ld. RATE OF X $ PER MIN. CASH ❑ � } AMOUNTBY FINISH POUR , / gals t0 2/3 Ld. $ OVERTIME CHARGE PLANT MGR SIG r gals to 1/3 Ld, LEAVE Joe ADJ. Meter••' M I IV 4 in. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength.Any Additional unloading time Charged at current hourly truck rate water added exceeding the design water is at the customer's.own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold he Robertson's and its employees from, all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed material has been chosen and selected salary by Customer without Robertson's hav ng reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's ha/mless from all liability or cla ms for damage relating to said material being inappropriate, incompatible, improper o1 inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the sery ces of an attorney to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time pr ce differential of 1per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QT/Y PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10-0121 90.00 120.00 62121A WATER ALLOWED WATER BATCHED MOISTURE: WATER MAX .ADD WATER CEMENT # F'LYASH # 3/8 AGG # I" AGG #� W SAND # 355.00 213.50 115.00 26.50 5560.00 0 1000.00 3320. 00 13280. L710 14440. IZ+�� WRDA 64 FO 200.021 j AGREED TO AND RECEIVED BY CUSTOMER 490OP/HL CY DEL. CHARGE TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB 1)c1V IFiCBERTSONS0 TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL DELIVERY TICKET _1 AGREED TO.ANDRECEIVEDBYCUSTOMER DELIVERY TICKET THIS IS NOT A7' NO. ®R ®N' ^—.--i .---.�—j—.— NOUMBEOR4f 7 OPEN 7 DAYS P.O. BOX 3600, CORONA, CA92878-3600 11191 1 ! Phone 800/834-7557 San Diego 800/870-1220 *10105672273* #1 RIVERSIDE - 6120 201h. ST # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RHYMER STREET 429 EL CAION - 215 CYPRESS LANE #2 ,MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS AVE. #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SAMA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO'- 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA- 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE OR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. STH ST. #19 ADELANTO - 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRANIAR- 5692 EASTGATE DRIVE #6 HEMETISAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116. RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE; #21 IfiVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: r MAP PAGE % TICKET NO. GUrS•O#r IR-27ADiS81NSTUCSIOSI'lDWELtCONCRErE CCNSTRU-7TX CD DELLERY'MR�Oc - '79793 F-IGHWAY 1.11. 1. 9 -75-) % F 14IB085 Bt...D E//JEFFERSON LIF ta!%..jJ.N 7A (/60)342--8300I.,.A.r-.'.T7 . KS) Job Phone : (760)27 --81.x,._., IN THE COSTCO r -KIN LOT/1N-1-0 ORDER NO. METER READING TIME TYPED TRUCK UC NO. 326 1 E100. X 0 5 : "2' NEED ' INTO PILANT '2'L LOAD NO. SLUMP TRUCK DRIVER I 1 4. 00 I IZA2_1 E. ?61 Tr• E I SS, Z I G - 11 UNDAT 100 F-01(31-1 NILS S'2 7 '� DRUM Cy • e4e" '03T-1riTYes: E. : yri'.i REvs: Job -site tinder Test: TO JOB TIME ON JOB MIN. CHECK # ON JOB Water added on job at STAND BY MIN. CHECK ❑ Customer's request: ' �.�N AMOUNT BY START POUR ' gals to Full Ld. i RATE.OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR gals to 12/3 Ld. g PLANT MGR SIG' gals to 1/3 Ld. (+ OVERTIME CHARGE zl LEAVE JOB ADJ. Meter 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete'willreduce its strength. Any+11:1N Additional unloading time charged at current hourly truck rate, water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described mater al to a place designated by the Customer, the Customer herreleases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the projecton which the material is to be used. Cu�acrficatomer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and ions, or w th the ground soilsorconditionson the land where the material is utilized, to the fullest extent permitted bylaw.In event Robertson's retains te services of an attorney to collect paymentfor the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's.Customer agrestopay atimprice differential of 1'/z%per month on any amounts owed to Robertson's for more than thirty(30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT i .. I Q1. 00 1.0.11;,1 :t 20.00 G 2 127.1 1 A, 45Q10 P /PL, CY ) WATER ALLOWED 3f-5 5,, 0 0 'DEL. CHARGE WATER R BES••! CHED 22-6. 0 TAX MO :t STURE WATER 10;2'. 0 12Z THIS IS TO CERTIFY that HIMfo owing STER CERTIFICATE commodity was weighed,' MAX ADD WATER R E:G.r. 5QI measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE CEMENT It � ls91]1. 0o . ` (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the I,. L. Y A a {•••I # 9-190. IZI0 California Department of Food and Agriculture. sy SUB 3/8 A!_ G it :'s i 41'1. 00 f C ASI A R 1-1 E E ASTER IS { TOTAL 1. `r faC:iG 44 :13600. 00 STAND BY W :;(-*11) It 14440. 00 CHARGE BY DEPUTY Wr'r,(a F•-4 r_ C) 21Vil0. 110 _ f `' TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET WEIGHMASTER CERTIFICATE SUPERIOR READY,MIX CONCRETE � L.P. 8 0 4 2 3 3 THIS IS TO CERTIFY that the following described commodity was , weighed, measured, or counted, by a weighmaster, whose signa- SERVING SOUTHERN CALIFORNIA SINCE 1958 ture is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YOU of Division 5 of the California Business and Professions Code, SHOWN ON REVERSE administered by the Division of Measurement Standards of the California Department of Food and Agriculture. ` 1 Weighed at:3815 ; M tti€ f_I it, ,TREETp I;t G... 12201- } (1760) q0-3418 DATE r NO. ORDER NO. 19161 CUSTOMER P.O. NO. PLANTNO.— 071 14184 DELIVERYTICKET,NO..17-Oct-07 [CUSTOMER iIBBEO(i15 CUSTOMER NAME 111`>BBL.INK MASONRY CONSTRUCTION 7CtB CUSTOMER JOB NO. JOBADDRESS--__ MAP PAGE 79-815 HWY 111 (COMAR UESERT CEN, LA QUINTA 79,815 HWY 1.1.1 (COMA3i U'J4'70--A3 SPECIAL INSTRUCTIONS DOING GROUT. ... LOOS FOR BLOCK BUILDING.. USE +C6 TCCI WEIGHMASTER ENTRANCE. ' IERARDO = HERNANDEZ DESIGN NO., _ _ — _ DISFIP-8 I SLUMP 8.00 TRUCK NO. =,51 DRIVER NAMEORDERED UNTHEF:, JONATHAN BY QTY ORDERED 20.0(ir LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 0.00 19.50 OY S SACH 3/8 PUMP MIX 1)66P_8 4N I 1 QTY TO GO O.� i r - _ Excessive water is detrimental to concrete performance. - C.O.D.E?.ir�I E3 Cash Q ---A RI TOTAL FOR THIS TICKET Gallons to full load /Slump El Check No. MART FINIS Gallons to 3/4 load /Slump Credit TOTAL FOR THIS ORDER . Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET Gallons to 1/4 load /Slump PREVIOUS STAND-BY Water added on job at Customer's request. Authorized B : "Customer acknowledges that the described material has'been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommends ions or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards applicable to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking,j Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims for damage relating to theor~dered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are placed." r //' ./<1-' /- A ved,in`);ood condition by: SRM -145 REV 7/06 %/ � DELIVERY WEIGHMASTER CERTIFICATE L.P. 864090 THIS IS TO CERTIFY that the following described commodity was � PERIOR READY MIX CON weighed, measured, or counted by a weighmaster, whose signa- SERVING SOUTHERN CALIFORNIA SIA ETE� ture is on this certificate, who is a recognized authority of accu- racy, as prescribed by Chapter 7 (commencing with Section 12700) WITH LOCATIONS TO SERVE YO1958 u of Division 5 of the California Business and Professions Code, SHOWN ON REVERSE administered by the Division of Measurement Standards of the California Department of Food and Agriculture. 00W74 Weighed at: 381 5 MONROE S'ET, �ND'I,C� 9220.1 i. t' t ' 11760! '343; 3418 DATE _ _ CUSTOMER NO. r _ ORDER NO..._._.. CUSTOMER P.O. NO. - _. DELIVERY_TICKET NO. _ 12 -Oct -07 1qIBBE@05 3696' 1PLANTNO. 071 14043 CUSTOMER NAME _ _ _- _ _ _ _ _ _ - - .._ ._ _ _ _ _ _- _ _ _ _ CUSTOMER JOB NO.. _ HIBBELINK MASONRY CONSTRUCTION )OB JOBADDRESS. _ _ .. . _ _ _ _ . _ _ ., _ _ _ _ MAP PAGE_ _ 79-81-9 HWY ill (COMAR DESERT CEN, LA QUINTA 79-815 HWY 111 (COMAR U5470 -A3 SPECIAL INSTRUCTIONS _ _ _ _ �. _ �- _ . _ _ _ _ _ - _ DOING GROUT.... LOOK FOR BLOCK BUILDING.. USE COSTC:O MASTER ._ T)ERARDO ENTRANCE. HERNANDE� DESIGN NO.. _ _ DGbP-8 SLUMP Q TRUCK NO. _ � — 179 DRIVER NAME. _ _ _ _ _- _.._ _ _ _ _ :LARK, CHRIS ORDERED BY_ _ ., QTY ORDERED - - - 1.6.00 LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION PRODUCT CODE UNIT PRICE TAX AMOUNT 9.00 9.00 CY 6 SACK 3/8 PUMP MIX } lE,6P–�4 roil r QTY TO GO��' Excessive water is detrimental to concrete performance. Gallons to full load /% i /)/Slump t' Gallons to 3/4 load /Slump C.O.D. ❑Cash ❑ Check No. El Credit TICKET.TIME.. __.ARRIVE. _ . o - 09:34 � G� TOTAL FOR THIS TICKET START _ _FINISH 1O ��i� t l`JJ TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME FOR THIS TICKET PREVIOUS STAND-BY Gallons to 1/4 load /Slump Water added on job at Customer's request. 0 Authorized B + - 1- "Customer acknowledges that the described material has been selected and ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Superior warrants only that the materials meet the ASTM standards -pp lic 41e to the supplied material. Concrete is porous. Some cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at ustomer's request. Added water will increase water/cement ratios, decrease strength and may cause increased cracking. Superior is not responsible for the addition of water or any otheNvaterial to the concrete by the customer. Customer agrees to defend, indemnify and hold Superior harmless, to the fullest extent of the law, from any liability or claims �for damage relating�toalie ordered mptfn 1`bping not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are placed." e_ .-_ SRM -145 REV 7/06 in good condition by: 1 DELIVERY CONTROL THIS ISNUrArICKErNa R® ON9S NUMBER M01-39191 OPEN 7 DAYS P.O. BOX 3600, CORONA,CA9287&3600 4!hone 800/8347557San'Diego800/870.1220 * 101CS5S3891x #1 RIVERSIDE - 6120 201h. ST. # 8 SUN CITY.- 27050 WATSON RD. #15 . VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16. ANW11 - 2p1 E. COMMERCIAL ST.. #23 PARAMOUNT . 7277 E. ROSECRANS AVE. #30 CORONA . 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10 SANTA FE SPRGS - 12311 GREENSTONE AVE^ #1, SANTA SAMA ANA • 310. N. TOWNSEND ST. #24 RIALTO - 26M N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FOMANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. 1`' #.18 '. An FOREST'\ 5931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON A I #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 W ADELANTO - 12203. VIOLET RD. #26 THOUSAND PALMS-72460 VARNER ROAD #33 MIRAMAR- 5692 E,OGATE DRIVE 1 #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAx LANE #20 SANCLEMENTE - 11,6 RINCON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. IVIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE--;16081 CONSTTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAID: - 4Y040 BIG BEAR BLVD. 1 It PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. °" TIDWEL_L. CONCRETE CONSTRUC 5470A3 `7 5..891 i�� 1�/1�:/4j17 t3.a1�: TX CD DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER P.O. / J•OB OR LO Q 757 HIGHWAY 111 197FI96 rk�bV165 BLD E/; JE FF•ERSON LA QUINTA (760) 342•-8300LAST TKS Job Phone : (760)275-8133 . IN THF_ COSTC:O .PKIN LUT 1 ORDER NO. METER READING TIME TYPED TRUCK UC NO. 535 1700.'00 �i :.: 3 NEED LOAD NO. SLUMP TRUCK DRI E 1 3.50 165 �'A KRYNTC;KI JIM FOUNDATION FOOTINGS j DRUM JOB SRT a 7:00 REVS: Job-site Cylinder Test: ` es TO JOB 1 TIME ON JOB MIN. CHECK # ON JOB I Water added on job at 1 STAND BY MIN. CHECK ❑ I Customer's request: AMOUNT BY START POUR 1 ' gals to Full Ld. RATE OF x $ PER MIN. CASH ❑ AMOLINi BY FINISH POUR gals t0 2/3 Ld. $ PLANT MGR SIG gals to 1/3 Ld. - OVERTIME CHARGE LEAVE JOB ADJ. Meter4 M 1 N 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or claims for d=one by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. j Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said matenal being inappropriate, Incompatible, improper or inconsistent with plans and spland w ecifications, or with the ground soils or conditions on the here the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorneyy to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 11h per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10. .O.OL 712(.00 1035A 30►AOA/P1L CY j I I WATER ALLOWED 340.00 DEL. CHARGE � WATER BATCHED 209.50 TAX j MOISTURE WATER 85.00 THIS IS TO CERTIFY WEIGat eMfoAlSTER ERc FI ATmmodity was weighed, I MAX ADD WATER 45.50 measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS _ who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE CEMENT ## 4230. 00 (commencing with Section 12700) of Division 5 of the California Business and i Professions Code, administered by the Division of Measurement Standards of the F L Y A S H # 760. 00 California Department of Food and Agriculture. SUB' 3/8 AGG ## :.,(34!21. 00 Daiv WEIGH MASTER TOTAL , 1 rr AGG ## 15100 0. r00 STAND BY W SAND ##�1 13760.00 CHARGE WP DA 64 FO 149.00 BY DE.FUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET S IS NOTA TICKET NOL CONTROL TMl` _ � � ONS NUMBER 't ! I a !- OPEN 7 DAYS PO. BOX 3600COH NA•;Q4928783600 Phone 800/834 7557, 'San`Diego 800/ 870 1220.l * 101 5 6 1 9 x' #1 RIVERSIDE - 6120 201h ST. # 8 SUN CITY - 27050 WATSON RD. #15 VERNON LOS ANGELES 3365 E: 26'TH'tS #22 N0. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAJON - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM ,201;GE COMMERCIAL ST. J ' S-#23 PARAMOUNT - 7277 E. ROSECRANS #30 CORONA - 1540 SHERBORN ST. AVE--i #3 REDLANDS - 8353 ALABAMA SL #10, SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA r-+310;tJ�TOWNSENDJSt . #24 flUdTO - 2661 N. ALDER AVE. #31 HESPERIA - 96610 AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FORE., CEN.TRR, R. #25 GARDENA - 301 W. ROSECRANS AVE. • #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO ' - 1955 W. 91H ST. #19 ADELANTO�' 122O3,TIIOLET flD. $# #26 THOUSAND PALMS-72460 VARNEfl ROAD #33 MIHAMAfl- 5692 EASTGATF DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTF'�' 116.AINCON CL' #27y MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 i • #7 BEAUMONT - 452 W. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE = 1608t1CONSTRUCTION LIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. • PLANT DATE CUSTOMER NO: SOLD TO: y MAP PAGE TICKET NO. 26 12/04/07 58801 SOUTH C0AST1 CONSTRUCTION 849J3 5694165 TX y CD DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER PO. / JOB OR LOT # 7973 HIGHWAY 1 11 62834 1516 KOMAR DESERT CENTER 'LA QUI NTA ' ( 951) 351-7777L.AST TK S 150 Job Phone 4 (951.)3 51-7"'77'7• DRDER NO. METER READING TIME TYPED TRUCK UC NO. 302 1600.00 6.35 7X441' 5" LOAD NO. I' SLUMP TRUCK DRIVER r' 4.00 738 3757 SPRATT ELIAS CURB&GUTT.,EERCHAND FOR JOB START ``rte - 7: 00 tT DRUM REVS: Job-site Cylinder Test: ❑ Yes t TO JOB _ - TIME ON JOB MIN. CHECK # Water ON JOB _ ` " - added on job at STAND BY MIN. CHECK ❑ Q, p� Customer's request: AMOUNT sy START POUR ��yw\ gals to FUII Ld., ' ' ` RATE OF X $ PER MIN. CASH ❑ ,' AMOUNT BY FINISH POUR `'� !y gals to 2/3 Ld. $ PLANT MGR SIG gals to 1/3 Ld., r OVERTIMECHARGE 4 � l LEAVE JOB ADJ. Meter{+ 4 min. per yd. unloading time allowed. A,j�' Y r� ARRIVE PLANT Additional water added to this concrete will reduce itsstrength Any �.- Additional unloading time charged at current hourly truck rate • water added exceeding thefdesign water is at the customer's own risk. I . TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's delivering the described material to a place designated by the Customer, fhe Customer hereby releases and.agrees to indemni fy and hold harmless Robertson's and its employees from all liability or claims for damage done by,tlSem, from resulting the movement of Robertson's vehicles upon or about the delivery location. I Customer acknowledges that the described material.has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liabilityor claims for damage relating to said matenal being inappropriate, incompatible, improper or d IT inconsistent With plans andsppecificalmns, or w th the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted bylaw. 1 In event Robertson's retains the,sely c of an attorney to collect payment for the described materials, the Customer agrees to reasonable fee's incurred by Robertson's. ` . �•�� fi pay attorney's Customer agrees to pay a time price differential of 1 %z%per month on any amounts owed to Robertson's for -more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND'COMMODITY UOM UNIT PR AMT 10.00 -20.00 20. 00 GC560833, SE,0C:3250,�., Cy �' e DEL. CHARS}E 1 '. ,. 4 TAX z �tWEIGHMASTER CERTIFICATE THIS IS TO CERTIFI'•that the following described commodity was weighed,114L'L measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS hwho is a recognized authority of accuracy, as prescribed by,Chapter 7 BALANCE (commencing vmth,Section 12700) of Division 5 of the California Business and Professions Code,"administered by the bivision of Measurement Standards of the California Department of Food and Agriculture. SUB F+Y to TOTAL Da V iRNE ERTS TN'S STAND BY CHARGE r yam, BY DEPUTY r TOTAL Y AGREED TO AND RECEIVED BY CUSTOMER -, ' M • s DELIVERY TICKET THIS IS NOT A TICKET NO. CONTROL y�WS NUMBER 5,4165 OPEN 7 DAYS TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Cade, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB Da y jRgBE- 0%.—S 0 TOTAL P.O. BOX 3600, CORONA, CA 92878-3600 • . STAND BY CHARGE BY DEPUTY f%X TOTAL I AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET Phone 800/834-7557:''SanDiego 800/870-1220 *14105694165z #1 RIVERSIDE - 6120 20ft ST. # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #22 NO. HOLLYWOOD - 13132 RAYMER STREET #29 EL CAION - 215 CYPRESS LANE #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #23 PARAMOUNT - 7277 E. ROSECRANS-AVE #30 CORONA - 1540 SHERBORN ST. #3 REDLANDS - 8353 ALABAMA ST. #10SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #24 RIALTO - 2601 N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE #4 FONTANA - 13792 SLOVER AVE. #11 CABAZON - 13990 APACHE TRAIL. #18 LAKE FOREST - 25931 TOWNE CENTRE DR. #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO'- 12203 VIOLET RD. #26 THOUSAND PALMS -72460 VARNER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #6 HEMET/SAN JACINTO - 1675 STATE ST #13 IRWINDALE - 13631 LIVE OAK LANE #20 SAN CLEMENTE - 116 RINC.ON CT. #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST #28 OTAY MESA - 7961 AIRWAY ROAD_ #35 BIG BEAR LAKE - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: MAP PAGE TICKET NO. E6 12/04/07 58801' SOUTH COAST CONSTRUCTION 849J3 5694165 TX CD . DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER P.O. / JOB OR LOT # 79793 HIGHWAY 111 62834 1516 KOMAR DESERT CENTER LA QUINTA (951)351-7777LAST TKS Joky Phone a (951)351-7777, ORDER NO. METER READING TIME TYPED TRUCK UC NO. 302 ,1.600.00 6:1.0 7W93238 LOAD NO. SLUMP TRUCK DRIVER 1 4.00 150 955 JORF_ ,JIM CURB&GUTTER CHAND FOR JOB START C 7: 00 {/ DRUM " REVS: Job -site Cylinder Test: ❑ Yes TO JOB TIME ON JOB MIN. CHECK # ON JOB [ Water added on job at STAND BY MIN. CHECK ❑ Customer's request: AMOUNT BY START POUR Q CJ gal t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT BY FINISH POUR )�~ aIs to 2/3 Ld. $ PLANT MGR SIG gals to 1/3 Ld. OVERTIME CHARGE LEAVE JOB ADJ. Meters+ M I N 4 min. per yd. unloading time allowed. ARRIVE, PLANT Additional water aded'othisconcrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE In consideration of Robertson's del venng the described material to a place designated by the Customer, the Customer herreleases and agrees to indemnify and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent w th plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the descr bed materials, the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential of 1 Yz%per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10.00 10.00 20.00 GC56OB33 56OC3250 CY DEL. CHARGE TAX WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, PREVIOUS who is a recognized authority of accuracy, as prescribed by Chapter 7 BALANCE (commencing with Section 12700) of Division 5 of the California Business and Professions Cade, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. SUB Da y jRgBE- 0%.—S 0 TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY f%X TOTAL I AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET THIS is NOT a ncfv r Na CONTROL ®_ER"®N�� METER READING 302 NUMBER 5694165 LOAD NO. SLUMP . OPEN 7 DAYS PO. BOX 3600, CORONA, CA92878-3600 I� illll� If �II�II�I�I 4t' r, � Phone 800/834-7557 San Diego 800/870-1220 �� . x 101 C 5 9 41 x � f5 . .. , � #1 RIVERSIDE 6120 . i . - 201h. ST. # 8 SUN CITY - 27050 WATSON AD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. #2 MORENO VALLEY - 12890 DAY ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 201 E. COMMERCIAL ST. #22 N0. HOLLYWOOD - 13132 RAYMEA STREET #29 EL CAJON - 215 CYPRESS LANE ' #3 REDLANDS - 8353 ALABAMA ST #10 SANTA FE SPRGS - 12311 GREENSTONE AVE. #17 SANTA ANA - 310 N. TOWNSEND ST. #23 PARAMOUNT - 7277 E. ROSECRANS`AVE. #30 CORONA - 1540 SHERBORN ST. #24 RIALTO - 26M N. ALDER AVE. #31 HESPERIA - 9661 C AVENUE ' #4 FONTANA - 13792 SLOVER AVE. #11,CABAZON - 13990 APACHE TRAIL. #18 LANE FOREST - 25931 TOWNE CENTRE DR. #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH ST. #19 ADELANTO^ 12203 VIOLET HD" - #25 GARDENA - 301 W. ROSECRANS AVE. #32 UPLAND - 1975 N. BENSON '( #6 HEMET/SAN JACINTO - 1675 STATE ST. #13 IRWINDALE - 13631 LIVE OAR LANE #20 SAN CLEMENTE - 116 RINCON CT. #26 THOUSAND PALMS -72460 VAANER ROAD #33 MIRAMAR- 5692 EASTGATE DRIVE #27 MURRIETA - 26190 ADAMS AVE. "' #34 LUCERNE- 36555 HWY 18 " ,r #7 BEAUMOM - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION C(R. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAID: - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: i MAP PAGE TICKET N0. �-6 12/04/07 `i8801 SOUTH COAST � CONSTRUCTION 849J"3 `_`rE, =U4185 TX CD DELIVERY ADDRESS a INSTRUCTIONS CUSTOMER P.O. / JOEL LOT # '�i`.:•'37`�3 HIGHWAY 1 1 1 62834 1,1:1.6 KOMAR K- SERI .,CE NTE: R LA" OU I N"w (951) 3r 51-77'7 7LAS-F TKS Job Phone : (951.•)33511_.7777. ORDER NO. METER READING 302 16071.-00 LOAD NO. SLUMP 1 4. IAO DRUM TO JOB REVS: ON JOB d � TIME TYPED TROCK JZIN' �wV "t� 4' K'�" v E, : 1 QI 7W93238 TRUCK 150 9 DRIYER 955 JOB ,7IM . � CURPRGUI TER EHAND FOR JOB START :'`" 7:00 Job -Site Cylinder Test: ElYes TIME ON JOB MIN. CHECK # Water added on job at ° STAND BY t MIN. CHECK ❑ Customer's request: AMOUNT BY START POUR ^OTth,....cmt. al t0 FUII Ld:� RATE OF X $ PER MIN. CASH ❑ AMOUNT ELY FINISH POUR als to 2/3 ti d ; ,,, , $ PLANT MGR SIG als'to 1/3"YLd. OVERTIMECHARGE L.EAVEJOB jjADJ. MeterA' hi1 N4 mint er d. unloadin time allowed. �1 is .� n P Y 9ARRIVE2PIANT ' � ; Additional water addeduce its strength. Any Additional unloading time charged at current hourly truck rate T water added exceeding the design water is at the customer's own risk. t + TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's delivering the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson"s and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or } inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. i In event Robertson's retains the services clan attorneyy to collect payment for the described materials, the Customer agrees to pay reasonable attorney's fee's Incurred by Robertson's. Customer agrees to pay a time price differential of 1 %2% per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT f 20.00 GC:56OB33 5600 AGREED TO AND RECEIVED BY CUSTOMER z,CY bEi_.* CF1ARGP WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or, counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the Califomia Department of food and Agriculture. Da V iROBERTSON'S O WEIGHMASTER T^ 13Y DEPUTY Ar 1 DELIVERY TICKET" r TAX PREVIOUS BALANCE SUB TOTAL STAND BY CHARGE TOTAL Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92I2I Tel: 858.537.3999 Fax 858.537.3.990 FIELD REPORT _ TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS APPROVED ( Y) (N) PLANS SPECS SOILS (Y) (Y) (Y) SHOPS (Y ) ARCHITECT SGPA FOR WEEK ENDING 9/22/07 PROJECT NO. 2145A02 ENGINNER MALEK PLAN FILE NO. CONTRACTOR THE BERGMAN COMPANY PERMIT NO. 07- 819 SUB -CONTRACTOR TIDWELL PROJECT NAME KOMAR DESERT CENTER INSPECTION ADDRESS BLDG "A" ADDRESS OF PROJECT 79 — 815 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGL SOIL MANUAL REVIEW PREVIOUS REPOWtS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 110 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 grade reinforcing steel CONTRACTOR EQUIPTMENT / MAN POWER USED: Mechanical vibrator, 10 men AREA, GRID LINES, PIECES OBSERVED: Reinforcement inspection & concrete placement — for interior spread footings lines C, D, E Cad 4, 5, & 6, also perimeter building footing @ grid lines - 1 & 8 between A to G, lines A& G between 1 to 8 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets Sl, 52, S3, SD.1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for perimeter building footing and interior spread footings, also monitored placement & consolidation of 110 total cubic yards of 3000-psi concrete Samples —2 sets of 4 concrete # 1 from load # 1, ticket # 5525661, slump @ 2 1/2", concrete temperature na 71°. locations n. interior spread ftg's line C/4, 5, 6, line D/ 4, 5, 6 & E/4 # 2 from load # 8, ticket # 5643430, slump @ 3", concrete temperature a 81°, location @ grid line 7 — between B to D.5 WEATHER: Clear SAMPLES TAKEN: 2 sets of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, f c SITE TIME START: 6:30 AM LUNCH PREIOD: SITE TIME FINISH: TRAVEL TIME: L:00PM VERIFIED B I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS Wb GMP WITH II.S INVESTIGATION RECOMMENDATIONS tID / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: TUES: 9 / 18 /2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Corporate: 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego CA. 92121 Tel: 858.537.3999 Fax 858.537.3990 FIELD REPORT TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS APPROVED ( Y) (N) PLANS SPECS SOILS (Y ) (Y) (Y) SHOPS (Y) ARCHITECT SGPA FOR WEEK ENDING 9/22/07 PROJECT NO. 2145A02 ENGINNER MALEK PLAN FILE NO. CONTRACTOR THE BERGMAN COMPANY PERMIT NO. 07- 819 SUB -CONTRACTOR TIDWELL PROJECT NAME KOMAR DESERT CENTER INSPECTION ADDRESS BLDG "A" ADDRESS OF PROJECT 79 — 815 HWY 111 LA QUINTA Kflt'U ei KY.. uu(rtvi�ri i�: is 1IU i i lr] iNM' C IION MANUAIJM'I'UL SOIL NEt1NUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT, WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 grade reinforcing steel CONTRACTOR EQ(JIPTMENT / MAN POWER USED: Mechanical vibrator, 5 men AREA, GRID LINES, PIECES OBSERVED_ Reinforcement & concrete placement— for perimeter building footing @ northwest diagonal section of building "A", also (2) column footing's @ grid lines 7/C.5 & D_5 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets SI, S2, S3, SD.I, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice Iap, spacing & clearance for perimeter building footing and monitored placement & consolidation of 8 total cubic yards of 3000-psi concrete Sample —1 set of 4 concrete - from ticket # 5643351, slump (7rr, 3 %", concrete temperature g 81°, locations @ northwest diagonal building footing & 2 — column footing s @ line 7 / C.5 & D.5 WEATHER: Clear SAMPLES TAKEN: 1 set of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, f c - SITE TIME START: 9:00 AM LUNCH PREIOD: SITE TIME FINISH: TRAVEL TIME: 1:30 PM VERIFIED I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WOR COMPLIL}S�JITH T SOILS INVESTIGATION RECOMMENDATI lS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO (nrLI SIGNATURE: PRINT NAME: DONALD SMITH MON: 9 / .17 / 2007 Date of Report ICBO Certification Number: 1037223-84, 88 City / county Certification number: Corp: ate. Branch: 2992 E. La Palma Ave. , Suite A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92I2I Tel: 714.632.2999 Tel: 858.537.3999 Fax: 714.6322974 Fax 858.537,3990 FIELD REPORT TYPE OF WORK ARCHITECT ENGINNER CONTRACTOR SUB -CONTRACTOR REINFORCED CONCRETE SGPA MALEK THE BERGMAN COMPANY NIBBELINK MASONRY INSPECTION ADDRESS BLDG "A" AVAILABLE REPORTS APPROVED S Y) { N ,) FOR WEEK ENDING PLAN FILE NO. PERMIT NO. PROJECT NAME ADDRESS OF PROJECT PLANS SPECS SOILS SHOPS Y} (Y) (Y) {Y} 9/29/07 PROJECT NO. 07- 819 KOMAR DESERT CENTER 2145A02 79 — 815 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUA JMTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S REPORT. MATERIALS USED BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 8 x 8 is 16", 12 x 8 x 16", 8 x 4 x 16" Angelus C-90 mw open end splitface & precision emu's, spec -mix type "S" mortar A-615 60 grade reinforcing steel CONTRACTOR EQUIPTMiBNT 1 MAN POWER USED: JMason hand tools, gas powered paddle mortar mixer, 1 foreman, 6 men AREA, GRID LINES, PIECES OBSERVED: Starting lay out of masonry building 1st course @ line 8 — A to A.5 STRUCTURAL NOTES, DETAILS, OR RF'IS USED: masonry notes & details on sheets Si, 82, 53, SD.1, SD.2, SD.3, SD.4 REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spacing & clearance for cmu wall during construction. Monitored mortar mixing & handling, cmu lay-up techniques. WEATHER: Clear SAMPLES TAKEN: None TEMPERATURE: 60's — 70's TEST REQUIRED: None SITE TIME START: 7:00 AM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFII THA'I'�kl!$ O I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND S a ILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION O HE BUILDING C ■ 1 - + 0 /2-' FRI: 9 / 28 / 2007 ICBO Certification Number. 137223-84, 88 SIGNATURE: / Date of Report PRINT NAME: DONALD SMITH ' City / county Certification number; Corporate: ;' yc X. 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 -�ITel:714.632.2974 Fax: 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland EmpL 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE OF WORK INSPECTOR 0 TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS VI(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT f FOR WEEK ENDING �;y, _ .7_49-7 P ECT 0. L_ A 2 ENGINEER REPORT NO. PG OF CONTRACTOR PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR `'f PROJECT NAME L C�� t KOW 2 r SSer1 INSPECTION ADDRESS -jct„Ui5.' limit' iii I a- c��n /1h ADDRESS OF PROJECT r9—&ir -+Ltiy hi a-,(eL 'I REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTG•L SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT l WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND I SUBMITA COPY WITH YOUR WEEK'S REPORTS. Y-CDN wEil rcie .019se r a VSS* U. aiso 4 cia i iti7 S y 5 te42.I ez i urn ws rIA .01 E. Pe“ I V tit e � 11 OU ri.i A iLS rrr �• 4 1-,, op S41- e c A La'X L ' L' ff�ic re.k_, sre c..11414.-Kc .I 6) L.[ At)iiu.uts o 15erd l-:ac4 efj (rtacrett Vtac0N1,14. (+.t.iicrete 'e i1v less ''Ll..si (Io' 3I'$`fi�l A Itc_19acre -e.. WA-s rruitteJU Ipd UiI 0k— b t iL \tied.-ac viit iCYr,l1f.G��.Pfle rail Work 1'cl`rn cj if � relirS 4-6 r3`I,.e1- `fltc r�1aj1 I,3[ a-y�'t• I over�It bu: r�+�' 1 p r 1 1 r 1 i5 �,�v111r1Jt .a- ri) L\I kaim it) ;iC J3u:13 f{ Ali &11.:ec,,,Af `."stynif7 hsLi- ff-MAPAGSrifitettligriellanivei: Ari I V zLi Gan Site, 01730 coy o : e5di E& dencrt e °a.'vr 0 ❑io ; kL([e.; 'HA ay c r o Gi,r I,tu4 s m ove d a. cc7-1H 1-0i I .. OhP.t'1- 5 r` k 1 2.! 4r) Ig WEATHER: Co GI T4-v2-' SAMPLES TAKEN: TEMPERATURE: 55-' p 0800 TESTS REQUIRED: 7 -- 2 8— /4-old SITE TIME START: LUNCH PERIOD: SITE TIME FINISH. TRAVEL TIME. I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL 1.1GESTIGATLON RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT iititt Signature fhoerliX (kr Pal) ei-o Gk Print Name I-i 6 i47 Date of Report 110335!-41 ICB0 Certification Number Rev: 7/97 Corporate: 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Branch: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT CONTINUED Branch: 441 W. State Street El Centro, CA 92243 Toll Free: 877.563.TEST Tel: 760.482.0600 Fax: 760.482.0650 PROJECT NAME Tl � 'l 75 ( ��Y�CU Li�V]�� ADDRESS OF PROJECT ,4 MI NO. 11 4540 /k PLAN FILE NO. - PERMIT NO REPORT NO PG OF _ C$5-eriJecI {„ c� tr yet -orci 0 A re . n t = . CI0Ar. L - l •te' cla sSvr) r r } LL6 k —0'dAUtkvaiAL... G 'try InALS , rynp ctillf_ar5 iV in ' I- `` �. 4flo 4l7te &Query -At ts1,0 s AY IrkVeL (1Y1 ( 0 f 1,1101 IRP i In LerCi Vie 5'#-e'... +►5 etr G#r1 / ! >3e Ai t CI;i'i1 C r �n no r W. 5 yr,pv`_e ' J vt (Y7 CO _I 'fie 1316 Signals+ V1)at1fi CVk Print Name -- F , 07 Dale of Report U-r1 re 0 q,r GDt Ir a (1ct,t' IWA..s re, ri VtecA , j 360 eridicalien Number www.mtglinc.com ff%% MTGL Project#: 1 4 /5 4 O 9 Permit# 07 8 Report # PG DF Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.4 91.2990 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL#: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non -compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAM_ Des i C DATE iOZPNO/- g/ 9 r 0 7 .}`- 1 AR--les TIMEARRIVE TIME DEP TE ENGINE TRAVEL- TIME LUNCH TIME 1 � vicA CONCT� SA cnci.5..k. . LORA... 1NSPELTiDN ADDS 7Q-gEc'W . itl LC, 001A ....ADDRESS OF PROJECT a fr = L5aivLe. TYPE OF INSPECTION C\❑ BATCH PLANT ❑ MASONRY ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ FOUNDATION ❑ SHOTCRETE ❑ WELDING ❑ BACK FILL ❑ CONCRETE ❑ SHOP WELD ❑ FIREPROOFING LINO VA I ❑ ANCHOR/DOWEL CAIt 1 U_C ❑ NDE FIELD ❑ ❑ NDE SHOP ❑ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERUSED N R R (INCLUDE RES�AF jam' H REPORT NO. OR ATERIAL( ST REPORTS}; tt`'Al`L` 4 �^t� C1 11 3 t9 50 f S i CONTRACTORS EQUIPMENT / MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: , colk �l�` o `� n I 0 �.J 1 Gf N1 rV'i j� c - Y Ar Cl 'elle par tl Res CA. STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PEPVCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS >r� WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. j MATERIAL SAMPLING WAS I I WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner THE WORK INSPECTED MET THE requirements of pie DSA/OS Samples taken: 1 5 Weather: �r 71,E 4ii DID NOT MEET PD/PROJ apprd docu entsd /A t mp. 500 80e Ignatu pecia pector OCII CI t to z_ Certification #: Print Name sIQ79q.c. 1 Verified by: Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.comJ� Dispatch: 800.491.2990 MTGL Project #: 02145 5 A 0 Permit # D 7^8 tc( Report # PG DF 1 San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPLO: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non -compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME rt �e_..cDATE + 8 _ 6��1 CC37 Y AiiCHVTE TIMEARS VEO' -RME DEPARTED 5. CI • . k 7. at: 6 ENGINEE TRAVEL TIME LUNG ME 62 TRACTOR' 1 SUB c0 +k C0col. . COVLs CONTRA O; e I Rr e 'n�. IN -rr, DRESS �w l 41 l� Q 01 \ rk CADD.:SOFPROJECT 7 ga TYPE OF INSPECTION BATCH PLANT D ENGINEERED FILL ❑ PT CONCRETE ❑ FOUNDATION ❑ SHOTCRETE ❑ BACK FILL ❑ CONCRETE _ ❑ MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ HIGH STRENGTH BOLTING D ANCHOR/DOWEL ❑ ❑ WELDING ❑ NDE FIELD ❑ ❑ SHOP WELD ❑ NDE SHOP ❑ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N D SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIA USED BY CONTRACTOR INCLUDE RESEARC R PORT NO. OR MATERIAL TESTEPDRT51: 4 3 s© f, 4 CONTRACTORS EOUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: a 0-ro f /12./r r (� CT IJt /0_, c c co o 0 c C._ 1 s‘�(NeA,_ 9___ c like_ 1n o k Avi?\s STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PE'CENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WA WAS NOT N/A❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner THE WORK INSPECTED MET DID NOT MEET THE requirements ofthe❑SAIO HPD/PRO . CT api ved doc Samples taken: ■ Weather: 1 gnatur ciayKy�pector Ge- . Print Name menfs. '5/ 7 A-C. r Certification #: Verified by: Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 MTGL Project#: _l 1f� 5A Permit # V 7 ~ p Ck Report # PG DF San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL#: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non -compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECCTTji``N E DATE �� 4 �� c e_c' / I - 7 e o 7 TIME ARRIVE) E O ARCFIrrECCA:r ENGINEERF.. TRA744ECCIIrLUNCH TIME CONTRAC SUB COACTOR INSPECTIOy_ 0.4,,,.....o._ a.[ �y t,AkE55 OF PPlOJ CT�� ` TYPE OF INSPECTION BATCH PLANT ❑ MASONRY ❑ FIREPROOFING ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ FOUNDATION ❑ SHOTCRETE ❑ WELDING ❑ NDE FIELD ❑ BACK FILL ❑ CONCRETE ❑ SHOP WELD ❑ NDE SHOP ❑ CEILING WIRE ❑ ❑ ❑ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS UNTRACTORc OLURE; REPORT yO.R M�ERTESTiifiPOft75] ^ J� 1 3 r .� p73'![[CC��►►+n_Jr� �}��C. {*_,.��i1JJ �.JILiJ'y LCONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: l e..0 rt Rs X e @' 4 \.,_ 4 -- 4 ckv. €.0s5k s 0) - V Q__. ONAP.%. 6. STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PE(CENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS LV WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. 1 MATERIAL SAMPLING WAS J WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner THE WORK INSPECTED MET DID NOT MEET❑ THE requirements of e DSA/OS PDJPROJ:l+T approv: docume .s Samples taken: Weather vial inspect Prlit Name I/51 ; A -a. Verified by: Certification #: Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com Dispatch: 800.491.2990 j MTGL Project #: c - L LIS AO Permit# 07— t4 Report # PG DF San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL#: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non -compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PRWEG Ll QMiSa\ ee7 aVk C ke DATE (1 r 02e - 0 / ARCHITECT TIME ARRIVED TIME DEPARTED • 7• 4!Vall r ENGINEER-4 TRAVE LUNCH ME . CONTR•. IR p�- talk_ ( d Gs r INSPECTION ADDRESS ROJECT OFP 7? ill 1 La_ CZo04at., =-2. some TYPE OF INSPECTION ❑ BATCH PLANT ❑ MASONRY 0 FIREPROOFING 0 CEILING WIRE 0 ENGINEERED FILL 0 PT CONCRETE 0 HIGH STRENGTH BOLTING 0 ANCHOR/DOWEL 0 0 FOUNDATION 0 SHOTCRETE 0 WELDING 0 NDE FIELD 0 - ❑ BACK FILL 0 CONCRETE 0 SHOP WELD 0 NDE SHOP 0 DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS UM BYOCONTRACTOR (INeRESEARCH REPOgT Np. ORI MATERIAL EPOR C S6O, 3 3 .� VW c tasso CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED:' ` j0, eA c i 7 ]L]k tok n { QA3b e acv 1 (TA cepiv\ q`irit—c K k 6,- (t ‘pke., 14 gAes 2..ck.k 0 c AQ.— '01-"k \ 8 lie— , STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PErENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS V WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. r MATERIAL SAMPLING WAS WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. cc Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner THE WORK INSPECTED MET DID NOT MEET THE requirements the DSNO•HPD/PRO T ap.r Samples taken: Weather Mgr • am, eS// ect; ()air' Temp: ed docu ants. .t- 47111611074 Igro Spd Spector rez- P Int Name Certification #: Verified by: 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Van VIC V I 11111JCI Ii1I <ruut 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT unana mmpire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS (Y) (N) APPROVED SHOP DRAWINGS (Y) ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 FOR WEEK ENDING 11/1012007 PROJECT NO. Building -A 2145A02 ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego, CA 92121 REPORT NO. 1 PG 1 OF 1 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 PLAN FILE NO. PERMIT NO. 07-819 SUB -CONTRACTOR: Law Steel 820 South Hathaway Bldg. B Banning, CA 92220 PROJECT NAME: Komar Desert Center INSPECTION ADDRESS: 79-815 Highway 111 La Quit, CA ADDRESS OF PROJECT: 79-815 Highway 111 La OuLn�. CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO SUBMIT A COPY WITH YOUR WEEKS REPORTS. -REVIEW PREVIOUS REPORTS AND LISTS MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT NOTE ON THE ORIGINAL DEFICIENCY REPORT AND MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDERS: Felipe De Jesus Cardenas, Greg Guess CONTRACTORS EQUIPMENT / MANPOWER USED: WELDING MACHINE: Miller Big Blue 400D, Miller Trailblazer 301 G AREA, GRIDLINES, PIECES OBSERVED: Completed the complete joint penetration welding for the revised elevations of the 6x6x1/4 tube steel columns at lines 2.9/A.1 and 2.1 A.9. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORKTODAY: PERCENT PROJECT COMPLETION: WEATHER: WARM SAMPLES TAKEN: TEMPERATURE: 77 Deg. F TESTS REQUIRED: SITE TIME START: 6:30 AM SITE TIME FINISH: 11:00 AM LUNCH PERIOD: none TRAVEL TIME: V IFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT. Signature Steve W. Bodnar Print Name 11/09/2007 0849264-85 ICBO Certification Number City of La Quinta Date Of Report City / County Certification Number '..uKruKA I t 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Diego / Imperial County 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Inland Empire 14467 Meridian Bldg. 2A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Type Of Work X INSPECTOR TECHNICIAN SSW ARCHITECT: SGPA Architecture and Planning 1545 Hotel Circle S. Ste. 200 San Diego, CA 92108 ENGINEER: Malek Engineers, Inc. 8380 Mirimar Mall Ste. 225 San Diego. CA 92121 CONTRACTOR: The Bergman Compnies 4300 Edison Avenue Chino, CA 91710 AVAILABLE: SOIL REPORT (Y) (N) SPECS. (Y) APPROVED PLANS iY (N) APPROVED SHOP DRAWINGS (Y) FOR WEEK ENDING 11/10/2007 PROJECT NO. 2145A02 Building -A REPORT NO. 1 PG 1 OF 1 PLAN FILE NO. PERMIT NO. 07-819 SUB -CONTRACTOR: SunWood Construction 14161 Slsworth Street Ste. G Moreno Valley, CA INSPECTION ADDRESS: 79-815 Highway 111 La Quinta, CA PROJECT NAME: Komar Desert Center ADDRESS OF PROJECT: 79-815 Highway 111 La Quinta, CA REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL / MTGL SOIL MANUAL -REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON -CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS, AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTORS, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR: (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): WELDING ELECTRODES: (SMAW) E-7018 WELDER: Donald Elliot, John Dickie CONTRACTORS EQUIPMENT! MANPOWER USED: WELDING MACHINES: Lincoln Classic III D AREA, GRIDLINES, PIECES OBSERVED: Welding in progress: (1) Ends of the top cord of the roof joists to the supports on the CMU wall on line 8/A to F. (2) Ends of the top cord of the roof joists to the top cord of the roof girders on line 6/A to F. STRUCTURAL NOTES, DETAIL, OR RFIS USED: (PER APPROVED PLANS) REMARKS: INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY: WEATHER: WARM TEMPERATURE 77 Deg. F SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: 11:00 AM SITE TIME FINISH: 3:00 PM LUNCH PERIOD: 1/2 Hr. TRAVEL TIME: PERCENT PROJECT COMPLETION: ./VERIFIED BY I DO BY CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Z--oi ftnature Steve W. Bodnar Print Name 11/09/2007 0849264-85 ICBO Certification Number City of La Quinta Date Of Report City / County Certification Number www.mtg II nc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL Project #: /4i.i-/ C3 Permit # 0 '7 - 6719' Report # 7 PG . % DF San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File#: DSA/OSHPD APPL#: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non -compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. PROJECT NAME DATE itc,MR R z3sic r (N7 ( RLcL .A') it, i3.•,Qo6 7 ARCHITECT TIME ARRIVED TIME PART ri 5 6 661/RS) ENGINEER TRAVEL TIME LUNJ HHHTTIME iV CONTACTOR SUJ3CONTRACTOR _ 77hi:e ie R 6 mil Al G c1 /E//h h,0rrdr 71,/25 e nIR r 1/1/0 , INSPECTION ADDRESS .- , ADDRESS OF PROJECT 79- i /7./W 11.1. - Zd f'/A/TA 5»rn.c___ TYPE OF INSPECTION ❑ BATCH PLANT g MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ ❑ FOUNDATION ❑ SHOTCRETE ❑ WELDING ❑ NDE FIELD ❑ ❑ BACK FILL ❑ CONCRETE ❑ SHOP WELD ❑ NDE SHOP ❑ DErA{OWD/PROJECT: AVAILABLE: SOIL REPORT Y Q' N ❑ SPECS: Yg N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y 6 N ❑ APPROVED SHOP DRAWING YNI N ❑ MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): /4-6/c 64l'clg. 60 R E.- 13 A d •- 7YPE `5'.'?7l]M-A-a.- CMa :15 e-go, Kiiz A d Ai -I 4)0.0 Psi. 6/eflar/72/x CorriEACTORS EQUIPMENT/ MANPOWER USED: p, d JF /121,X R - .S HtJ - /= d R 1'< L I ir► - a.Y,IQCu;1 r l'i.Mi'1)~ 1I1_ i1-r4 r3 s 4071456Al G AREA, GRID LLIINNES, PIECES INSPECTED: ` f+ rs r �/ pul1T fr� an! &RPd % FTAW.c l ati,icis- i .765?ei 2 ZQ Ip'e (roe loI-/1) elik-ek, d mild s jL z (2.604,'-6 AtIfi d e.:1!'-5 AVM t/ 7/ i/Kr1 11Z/1r'j A4JNJ i /fle-AiIR . STRUCTURAL NOTES, DETAIL, OR RFIS USED: crleaCriMili /1/0 ? $ - 5 PE C',. s - CACI, 31 REMARKS, INCLUDING elS ra V cri / l "Pd i /i%j Lo F /cac 0r /2 /49'i)c /L x O X / t '7f/ $ akZ. /MO r] (/?du■T S IVC.,P . / /r /-'-5.4 c, 3 a26Arife SP _C'':/ xjr/4 7»4 sw AtJoin's ?1 . /i'ro f:,/ J1/27 /''/ li It 7,5 • % 6 Ciithf 0 REWORK AS PERCENT OF ALL WORK TODAY: N F i ECT COMPLETE: THE WORK WASN WAS NOTE Inspected in accordance with the requirements of the OSA/0311P PROJE approved documents. MATERIAL SAMPLING WASXJ WAS NOT N/A❑ Performed in accordance with lileatlEttrI94/PROJECT approved documents. cc Project Architect Contractor Structural Engineer Building Department DftaeolonaradNiee Owner Sthoal-BistTict THE WORK INSPECTED METMETX DIDET ❑ THE requirements of the444139.14 RQJE pproved documents. Samples taken: -'/ 1C/ 7 9 ( Weather: L/ZL%�Temp: Signature [>p ial Inspector RS- (siACg E/ d' —. Print Name Certification#: 9*_ F Verified by: www.mtglinc.com Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Dispatch: 800.491.2990 MTGL Project #:.;/ _"1.1 - /70 2. Permit # 7- / % Report # eSr PG 1 DF L San Diego/Imperial County 7313 Carroll Rd. Ste. G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Dispatch: 888.844.5060 DAILY INSPECTION REPORT Inland Empire: 14467 Meridian Pkwy., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 DSA/CITY File #: DSA/OSHPD APPL#: DSA / LEA #: Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non -compliant conditions must be distributed immediately. Separate reports shall be prepared for each type of special inspection, on a daily basis. Each report shall be completed and signed by the special inspector conducting the inspection. I PROJECT NAME DATE eyr n re..s.7-7- efcrirr ,e ii-f9.-1.00 7 ARCHITECT TIME RIVED TIME DEPARTED S : a P �4 30 3 c'o QS) ENGINEER TRAVEL TIME LUNCHTIME Ny/i % CONTRACTOR SUB CONTRACTOR e TX', f f 1 / A CO • /Y1606i i/Aar D RY c)g.►. INSPECTION ADD ES ADDRESS OF PROJECT 79- 6- 1/J%iaJr /II - f11 .729, ,ShJ172,4 TYPE OF INSPECTION ❑ BATCH PLANT ® MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL ❑ ❑ FOUNDATION ❑ SHOTCRETE ❑ WELDING ❑ NDE FIELD ❑ ❑ BACK FILL ❑ CONCRETE ❑ SHOP WELD ❑ NDE SHOP ❑ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): , /9-K. S. RAc-1 t;c7 A'A---13t9R -77, '5'i9)61)Th C S• (96 akekicle /i/L .26c6 P5) 0Rc�c/T in i K ri‘6 P-�s�--supF_RIv� t�� r,J;x Co_ COM?rRACTORS EQUIPMENT/ MANPOWER USED: y J /X.672-Pok4-1 ip7- r<%ib,eR 7412 - afiaar Pith )P-- 1/ h 9 6A/S-a 4r � /Yd14.1.S AREA, GRID LINES, PIECES INSPECTED: p ..9 4'zliz7 sic/A' ith�'[Ls c ' c►eic%s C, f r�',jaPial g . r) 19bdrlA.:A/is# 1; `, �/7L7d /W Ci7rtL'�,f! Ed n ; C R aTEc LRt11d 8.riil g�iv CJJ, i a":v]. nilicil } 1 lt ti t f r r 4 f 1 , .i A ') . i' i I ' , -• l J -AL STRUCTURAL NOTES, DETAIL, OR RFIS USED: TV W t L t►rlarss-SPECS, Ada) JZIsd.1 -57RCIC REMARKS, INCLWJ G MEETINGS: I A - A. s 4 ' r - 1,40 A .'I! •• / / J _",ei .•.. . Jr A 'r *Rout 3PF PAC , ',Aid Plii!fliy_y 6 4:1,ct PS,, 64xtec./;,rvd bk,972Air aim S711774_ - Ilr Rt O SP r mg'A)s 74- eI Y .4l 6JQ,d `.# d - /4%C� Gf • ,Vd "()abLesor- WI."9 REWORK AS PERCENT OF ALL WORK TODAY: CENT PRO MPLETE: /61e) 74 THE WORK WASIt WAS NOT❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS IX WAS NOT ❑ N/A ❑ Performed in accordance with DSA/OSHPD/PROJECT approved documents. CC Project Architect Structural Engineer DSA Regional Office School District Contractor Building Department Owner THE WORK INSPECTED MET le DID NOT MEET ❑ THE requirements of the DSA/OSHPD/PROJECT approved documents. Samples take 3-G Rath SIPECE97 Weather► P t�Iemp: edeGE inCWAI2 Certification #: Verified by: Print Name Corporate: Branch: Branch: 2992 E. La Palma Avenue, Suite A, Anaheim, CA 92806 Tel: (714) 632-2999 Fax: (714) 632-2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537-3999 Fax: (858) 537-3990 14467 Meridian Parkway Bldg 2A, Riverside, CA 92518 Tel: (951) 653-4999 Fax: (951) 653-4666 Report of: COMPRESSIVE STRENGTH -CONCRETE ASTM C39 ** CITY OF LA QUINTA-BLDG & SAFETY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Client: KOMAR INVESTMENTS, LLC A Set No.: 7-6814 File No.: Permit No.: Project No.: Project Name: 07-819 2145A02 KOMAR DESERT CTR-LA QUINTA- BLDG A 79-815 HWY III (JEFFERSON & HWY 111) LA QUINTA, CA Age (Days) Date Tested Nominal Size Actual Area (Sq. Inch) Load (Ibs.) Strength (psi) Type of Fracture 7 11/14/2007 6 X 12 28.37 77,205 2,720 Cone 28 12/5/2007 6 X 12 28.27 28 12/5/2007 6 X 12 28.27 28 H 12/5/2007 6 X 12 28.27 Specified Strength: 3,000 PSI Sampled By: EDUARDO PEREZ Location: FROM CENTER OF THE FOOTING EAST SIDE OF BLDG A Concrete Supplier: ROBERTSON'S READY MIX Mix No.: 1085A Ticket No.: 5659290 Water added at Site: 5.00 gal. By DRIVER Cement Type: Mix Time: 33 min. Remarks: ADMLX- WRDA-64 Distribution: KOMAR INVESTMENTS, LLC THE BERGMAN COMPANIES SGPA ARCHITECTURE MALEK ENGINEERS INC. CITY OF LA QUINTA-BLDG & SAFETY **LAB COPY** ASTM C172 Date Sampled: 11/7/2007 Date Received: 11/8/2007 Concrete Temp: 80 Ambient Temp: 72 °F ASTM C1064 °F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer