07-0821 (CSCS) Field ReportCorporate:
San Diego/Imperial County
Inland Empire:
^r=,r1mw
2992 E, La Palma Ave. Ste.
A 7313 Carroll Rd. Ste. G
14467 Meridian Pkvvy., Bldg. 2-A
Anaheim, CA 92806
San Diego, CA 92121
Iverside, CA 92518
Tel: 714.632.2999
Tel: 858,537.3999
T I. 951.653.4999
Fax: 714,632.2974
Fax: 858.537.3990
951.653.4666
www.mtglinc.com
Dispatch:800.491.2990
Dispatch:888.844.5060OSA�G[TY
Dispatch:800.491.2990
MTGL Project #: �21Li
s - A
DAILY INSPECTION
File #. 1`
r
Permit # (� 1- �a���
� � ��
REPORT
DSA/OSHPD APPL #:
W.
Report # PG i
OF
DSA / LEA #: okl�� �
Special Inspection Reports must be distributed to the parties listed below within 14 days of the inspection. Reports of non -compliant conditions must be distribute[4'[y�jyh iate:ly.
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 t Inspection.
PROJECT NAME / {
DATE
AACHITECT
TIME ARRIVED TIME DEPARTED
;�, 7� 3
ENGINEER AAf }�!
LLl1 C� Lrlr�I ynee
TRAVEL TIME LUNCHTIME
^--- " -
CONTRACTOR {�
,_ CQ 04a
SUBCONTRACTOR
W
INSPECTION ADDRESS
d Jkliak0oq11
' 'dam+'_
ADDRESS OF PROJECT
�+v«
TYPE OF INSPECTION ❑ BATCH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY ❑ FIREPROOFING
❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL
6 WELDING ❑ NDE FIELD
❑ SHOP WELD ❑ NDE SHOP
❑ CEILING WIRE
❑
❑ _
❑
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y 1� N ❑
SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y'XI; N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO- ORIMATE IAL TEST REPORTS):
1 tom{ sVl V1
V�aov
CONTRACTORS EQUIPMENT /MANPOWER USED:
016 Ir J( 4" 1
WiG i r
Q e
AREA, G ID LINES, PIECES INSPECTED:
e r�
`
e. iA't - �bc
I
L+
` C aVL3 di:�� �t!
I i [ '41 _
1
)'.
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
REMARKS, INCLUDING MEETINGS:
Lzjoc'r0111 ei 0
com
al(i O O
t'
j
J
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
T
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 METE] DID NOT MEET❑ --
THE requirements of the DSA/OSHPD/PROJECT approve6 documents.
Samples taken: / M1
Weather: C Get ii / Temp:_ ::zf-'t
Signature of Special Inspector
Print Name
Certification #: - * ?�•
Verified bv: - ,
IFM
Corporate: C
2992 E. La Palma Ave.
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
San Diego/Imperial Count
Ste. A 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
ECHNICIAN
TYPE OF WORK MNSPECTOR Z,4
c �7v
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANS44 (N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT 1; 451 A
FOR WEEK ENDING` ��
PROJECT. NO-
ENGINEER
REPORT NO. PG / OFIL—
CONTRACTOR
PLAN FILE NO.
PERMIT NO.
SUB -CONTRACTOR �
PROJECTNAME .gyp
INSPECTION ADDRESS
4 g- 1`lG,¢
ADDRESS OF PROJECT
—01S
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):
g So® �� etcP. GE�cs rvt' Afar 1J2z3Z w��i�y
ivr,P�
CONTRACTORS EQUIPMENT / MANPOWER USED:
3 crr�r �� att�uEZ«,4,
AREA, GRID LINES, PIECES OBSERVED. T—
P&P enhooy ar�y� r�i vole Ems% dF �u7L1���� Z� `a3o�t� F,a�s+ >�Lua,e
A -D M"'�'ae- 'rowdfFA&w;'r7 N r��37-a l u�� �l Z' A&dE ctPrshepf-7z&1L
sem AM4 CA)
STRUCTURAL NOTES. DET, OR RFI�SEI C�
J
REMARKS, INCLUDING M EITNGS.
4-"e1-ptIv6 &F C+06PY PT 7 ��caw.►,�s�s�
AOfJr G�%'WY LAAM tlX.a' t=E9'lwO4[S:7z-,-7V FST jP00 DAA 4v4�ZD5 0�r_ -TUBE L-
e_0GcuVS' `5ou7W vP FuP,0' Z'
-1-0 07- A-vGt-e5 7900 x9P- b ®7MAL
GA G A�oN J Z4- c.oc Ia�S
t "> A 1"TREWORK
AS PERCENT OF ALL WORK TODAY, PERCENT PROJI T OMPLET10e:
WEATHER: Z__/C'�C� SAMPLES TAKEN: ppp
TEMPERATURE: j® `! _ / - TESTS REQUIRED: / d
SITE TIME START:.7,160ae, SITE TIME FINISH: A""
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY -00 J00
.1 - C4��=
I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL
AND / OR THE APPR E PLOS,SPECIF TIO A
Signature
Name
THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
'LICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
1570211, 10 ss
Date of Report ICBO Certification Number
City / County Certification Number
PP.- 7/o7
Corporate C San Diego/Imperial CC:ty
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 CONTINUED
Inland Empire
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
PROJECT NAME �
DDRESS OF PROJECT—sig
PRJ N0.
C— Z
PLAN FILE NO.
PERMIT N0.
40
REPORT NO PG Z OF 7-
�P -k4� 1j010 PC — e-DvW&G770.0 PI -4 r� 7v WT APS — 3 Z
i'�P�7�/L� /�147�v1T9C r,�l�� ' /moi S'v�✓E�i L..�% OD�Dd�i%- �,iG>��/.Lr O,QnitxPs.� D�.�
®� signature
Print Name
/7i�/z�eiJ �Of�PIIL�Q�
Date of Report Certification Number
rt
i
t
MTG L
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
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 SPECTOR
p TECHNICIAN
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS 44N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
��PA
FOR WEEK ENDING
�
PROJECT. NO.
z �¢se,:P z.
ENGINEER_ -��
REPORT N0. PG � OF
CONTRACTOR
PLAN FILE NO.
PERMIT NO.
7 47-1V
40
SUB•CO,CTOR
PROJECT NAME //4554-1%C
INSPECTION ADDRESS
ADDRESS OF P 1JECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALfMTGL 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):
56 wo
CONTRACTORS EQUIPMENT /MANPOWER USED:
AREA. GRID LINES, PIECES OBSERVED:�����
iiQ rAA4r"- Gs�} 01-1
p
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AMA".
if "Pee e r
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STRUCTURAL NOTES. DETAIL, OR RFIS USED:
0�/7""'
REMARKS. IN(aU01NG ME MCS:
WOUe&f.Jr)S �$i�. °fdD F®12 �ieo�C-� uJlt ��091�� AND i�4f�'I®rL� �ltt��n
6M&=0
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REWORK AS PERCENT OF ALL WORK
TODAY: PERCENT PROJECT COMPLETION-
WEATHER:
TEMPERATURE:G•'/i�0,``/ /s`� s
SAMPLES TAKEN:
TESTS REQUIRED: / /t
SITE TIME START: 1C DO Cl -/V SITE TIME FINISH:
LUNCH PERIOD:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERV
AND / OR THE APPR V P N SPECI IC I h
Signature 4)
4-0-14-sizv.
Print Name
TRAVEL TIME:
VERIFIED
E WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
CABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Date of Report ICBO CertHication Number
City / County Certification Number
Rev: 7/97
A& Corporate: C San Diego/Imperial County 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 VINSPECTOR O TECHNICIAN
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLAN (N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
5cP
FOR WEEK ENDIN
3
PROJECT. z
sc�
ENGINEER J` j�
LC'
REPORT NO. PG f OF
CONTRACTOR
PLAN FILE NO.
PERMIT NO. ��77
SUB -CONTRACTOR
PROJECT NAME
Ay#k
INSPECTION ADDRESS
ADDRESSOF-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):
CONTRACTORS
GL-Lako Mlow_ MANPOWER i Z -P Z6 !t>11e,0_Y' ZW'
A99PA16,1710 0 YAtzoI �c
AREA, GRID LINES, PIECES OBSERVED:
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GOCr4'l��S� G ytl�5 Gy,�bZ�a 'yllK77Y UrCaIN� Al- �LlA>6 $ ��i�X 3 6,637 *p
STRUCTURAL NOTTEES, D AIL, OR RFIS USED. S &
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REMARKS, INCLUDING MEETINGS.
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��T1 �i� w�2lj � cv �s [�g5��►/L� � P�9�� cv�ZDiNEj P��b �,It.� A�'D
AVP sir 1 65' TF -G-15- - 6 IF y f5 i%—Fb i':
REWORK AS PERCENT OF ALL WORK TODAY. PERCENT PROJECT COMP) ETION•
WEATHER: �J �i SAMPLES TAKEN: C/
TEMPERATURE: TESTS ®I C TESTS REQUIRED:
L 01A
SITE TIME START:2, `/fid SITE TIME FINISH:Q /
LUNCH PERIOD: /y4TRAVEL TIME: 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 / Ozmr
S, SP ATIO AN PPLICABLE SECTION OF THE BUILDING C� UNLESS OTHERWISE NOTED IN THE DEFICIENCY ORT
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Si nature � S
9 Date of Report ICBG Certification Number
6 s�
Print Name City / County Certification Number
Rev: 7/97
TYPE OF WORK SPECTOR ❑ TECHNICIAN t
s f '
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS Cg^ APPROVED SHOP DRAWING (Y) (N)
ARCHITECT A
S
FOR WEEK ENDING
/ Zrr�
PROJECT. N l
Z ¢Sco "Z -
Corporate:
San DiegoAmperial Coun�''
Inland Empire:
1
• 2992.;E:lLa FaI a Ave. Ste. A
7313 Carroll Rd. Ste. -G—__
14467 Meridian Pkw., Bldg. 2 A
Anaheim; CA 92806
San Diego, CA 92121 'x
`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
ti. Dispatch: 800.491.2990
Dispatch: 888.844.5060
Dispatch:.W0.491.2990
- FIELD
REPORT—
`—'
fiyE%7i1�� /e%11 i d1�S�(%E� ire,2 %�i� U%f��rl't / ��i`�[[LE� Tr� %✓��-�Ta�%��✓" ���W }n
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TYPE OF WORK SPECTOR ❑ TECHNICIAN t
s f '
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS Cg^ APPROVED SHOP DRAWING (Y) (N)
ARCHITECT A
S
FOR WEEK ENDING
/ Zrr�
PROJECT. N l
Z ¢Sco "Z -
ENGINEER .
REPORT NO. PG � OF
CONTRACTOR
PLAN FILE NO.
ERM
PIT N0.
SUB-CONTRACTOR
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W S./ �.
PROJECT NAME
k/L{iT/`�
INSPECTION ADDRESS '
2- �'3S � N !¢ c ���Is , c
ADDRESS OFtROJECT /�
`t%lq aQ
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.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
�c?9��ti�nc B- syr 3� c66g ) Z 7-
CONTRACTORS EQUIPMENT/ MANPOWER USED:
AREA. GRID LINES, PIECES OBSERVED:
---AALZ*A*4Y f d"g 1200#0b Fzw1z 6!57hl/R*u
AF i4POI FA�&An,7 4dE11*'4Y i L�aE— u ��r 4X1i s�5 Git6�e
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STRUCTURAL NOTES, DETAIL, OR RFIS USED: y nn C
REMARKS, INCLUDING MEETINGS.
fiyE%7i1�� /e%11 i d1�S�(%E� ire,2 %�i� U%f��rl't / ��i`�[[LE� Tr� %✓��-�Ta�%��✓" ���W }n
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMP) FTIOW
WEATHER: / i /_-7Q� SAMPLES TAKEN:
TEMPERATURE: ,� 0 j /- 9 & � w TESTS REQUIRED: J, )4
SITE TIME START: ;f ao 4., SITE TIME FINISH:
17
LUNCH PERIOD: TRAVEL TIME: VERIFIED
I DO.CERTIFY THAT I HAVE PERSONALLY
AND / OR THE APPROVED PANS. SPECI
Signature
ov of -a 'v,
Print Name
OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
A7LICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
— Z
Date of Report ICBO Certification Number
City / County Certification Number
Rev: 7/97
Corporate::,# San Diego/imperial Counp,
�6 , I AXV�e."Ste. A 7313 Carroll Rd
2 te.,G
9,Slj2Jf, a�l? r6 S
W,�P?*'Anaheirn, CA 92806
San Diego, CA 92121
-.Tel: 714.62.2999 Tel: 858.537.3999
A •
Fax: 714.632.2974. Fax: 858.537.3990
Dispatch: 800.491.2990. Dispatch: 888.844.5060
FIELD REPORT
s.
Inland Empire:
14467 Meridian Pkw., Bldg. 2-A
Rivefside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch -7 800.491.2990
TYPE OF WORK kONSPECT . OR 0 TECHNICIAN
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y)(N)
APPROVED PLANS (•yy(N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT v
156`A4
FOR WEEK ENDING
PROJECT NO
7,4Seo t
ENGINEER
REPORT NO. PG OF
CONTRACTOR
g 4 E 4V. A -
PLAN FILE NO.
PERMIT NO.
SUB-CONTRACTOk
u>ys7 7_-�
PROJECT NAME
)6567erCEPS
INSPECTION ADDRESS S
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, s6 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):
7—
CONTRACTORS EQUIPMENT/ MANPOWER USED:
1z
AREA, GRID LINES. PIECES OBSERVED:
rAd AffiWV.
gc�-n-c"7a -71A? r:k. //"Vw--
TO 1-k;-R1AVVZ01_ 171 'YZ rL,1VA flW-45 A- af i15,>_
STRUCTURAL MOTES, DETAIL. OR FIRS USED:
17
REMARKS, INCLUDING MEETINGS:
-12ftvL&-)> r),M t5 zzia-57-L 04 &Pr :54 eg& Pow 42-3-97'761_,
(A) AXI Et -0 A94 -$V6C Z -)--427d 5;, A -e U,
. t-,om-t,
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETIOW
WEATHER: ;1 SAMPLES TAKEN:
TEMPERATURE: TESTS REQUIRED:
SITE TIME START... SITE TIME FINISH: �2!aaQ,
1-7 -------
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 P11ANS'SPECIFICATIONS ND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
7, /Z�47 /ZM6 Loll;
Signiture Date o I Report ICBO Certification Number
Newpp SD
Print Name City / County Certffication Number
Rev: 7/97
1 r \h
l..
Corporate: •
"w 2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
v
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
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 VINSPECTOR ❑ ECHNICIAN
/�j
AVAILABLE:' SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANSCj (N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECTtoo
f /T
FOR WEEK ENDING/ 8
PROJECT. NO.
14
ENGINEER � �
L7• •C/yf�/
REPORT NO. PG / OF Z
CONTRACTOR
g
PLAN FILE N0.
PERM[IT NO.
� -Szl
SUB -CONTRACTOR. 5
7
PROJECT NAME eatfM
!i 1�
INSPECTION ADDRESS '
`l� � 111 LSC u„ter 6 G
ADDRESS OF PROJECT
4t!IN 44 ouAxM
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 J
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 D BYCO (INCLUDE ESEARCH REPORTR MATERIAL TAEST �p�T ehWP/0_,5` or Ai0�e71
CONTRACTORS EQUIPMENT / MANPOWER USED:
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AREA, GRID LINES, PIECES OBSERVED:
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STRUCTURAL NOTES, DETAIL, OR RFIS USED:
REMARKS, INCLUDING MEETINGS: r
og-s� ✓�� �i�2� w�v� o� cANo�y �,�3�r�i. >� � � �ocGo�v i�5 �-n ���
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REWORK A8 PERCENT OF ALL WORK TODAY9 PERCENT PROJECT CnMPI FTInN•
WEATHER: G / SAMPLES TAKEN:
TEMPERATURE: �D'S — aDf� TESTSREOUIRED: ,) IA'
SITE TIME START: 7,061g,4 SITE TIME FINISH: it”00n.L. _ `r.i
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY/ '✓C—
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 APPR E PLANS, SPE�TION§ AN�PPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
2 , 7-11- , Zrx��j 5,0,6 / OL-;>
Signature Date of Report ICBO Certification Number
19AW
Print Name City / County Certifinatinn NIImhP.r
w
Rev: 7/97
i
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F
Corporate u ' SanIDie o/Im erial CW,
P a r;r;, 1 9 P . Y
2992 E. La PalmaAve. Ste. A 731,3 Carroll Rd. Ste. G>
Anaheim, CA 92806 Sari Diego, CA 92121
1Tel: 714.632.2999 Tel: 858.537.3999
i> Fax: 714.632.2974:"" sem`"i ' Fax 858.537.3990.2,E `
Dispatch: 800.491.2990 Dispatch: 888.844.5060
FIELD REPORT CONTINUED
Inland Empire
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
—4 Fax: 951.653.4666
Dispatch: 800.491.2990
re.,
PROJECT NAME
DDRESS OF PROJECT— f— Q/� �ilkO��l/ / LA u wm
—f Q
PRJ NO.
PLAN FILE NO.
PERMIT NO.
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Print Name
Date of Report
ip?4 M- eS
Certification Number
Corporate: San Diego/Imperial Coun
2992 E. La Palma.Ave. Ste. A 7313 Carroll Rd. Ste. G.
Anaheim, CA 92806 San Diego, CA 92121
Or 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 I
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK NSPECTOR ❑ TECHNICIAN
` '
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANSVY . (N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
FOR WEEK ENDIN
3�
PROJECT. NO.
oz -
ENGINEER
htj5e
REPORT NO. PG j OF /
CONTRACTOR
PLAN FILE NO.
PERMIT NO.
SUB -CONTRACTOR
ZAP Si'Z
PROJECT NAME
)
INSPECTION ADDRESS
ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAVMTGi. 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):
A 3& LOT /1�1LC"i , iI WE5, —4 57sy_, ,P t Z 3Z u z�� �✓��c:
CONTRACTORS EQUIPMENT/ MANPOWER USED:
l�G�L➢ilk G�e7ye72A�7D�', L/y Z�, rvi,P.d���'T�'� / c�nFi�i� �F,z.6e�� C�/5 th9�T��Z �Sqo�
AREA, GRID LINES, PIECES OBSERVED:
c/lvopy EL42211)6 P_04r1 WAW" / z4A3 /V OROaEFAN15#eP Fz a/Z — Gov pw Pz*71—' 7T)
�ANHc.C��43u��oYS, l ti�p� ve�71�� oyLY� r.�TA��E3� cyTA-s��S �6Gautnews� �i.�
Sim his 70 7'A!5_ -5,r&Z2 96A145 <6 40CA77gV5> -7VW 47ga- 80006 7a 4gfAWEz s rg
Loe�n 40r5� Gf%yd �Z5 t» e//i9l�i��71 'sog7?f
STRUCTURAL NOTES, DETAIL. OR RFIS USED: w
1J0 7th o'.S . yano .7— 1 Y/Fv
fiZs�b � ��u�ZS �c�A�lv6Z5 S-tet«i
REMARKS, INCLUDING MEE17NGS.
Al- 4V4A-77 oas `15 7&Fp it8v��
Geyt�Ol.�'7 Gt>�ZP5 w41920�*" VepIGi&1) rtP-t S/25*51 L��1�7 � 40CA-i70A-)
hV2 . kP&O'55 007ZO F&--&- BF V (5194,6r
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION'
WEATHER: G/ i� SAMPLES TAKEN:
TEMPERATURE:vlo , ` 59015 TESTS REQUIRED:
SITE TIME START: ���� SITE TIME FINISH: C".11
LUNCH PERIOD: /t^ 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 APPCIVEED1RLAN SS, S�CATIONS.AND.APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
7-17-6 / ZG)P2Sd �/i�
Signature p Date of Report ICBO Certification Number
Print Name • City / County Certification Number
s Rev: 7/97
•ry
i;
Corporate:
San Diego/Imperial Court
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 >i
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK - `0'INSPECTOR ❑ TECHNICIAN
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
s Si+ctt/ G�ZD��E7
APPROVED PLANS Y) (N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
�o PQ
FOR WEEK ENDIN '
�l �z�
PROJECT. NO.
z /¢s6 �z
ENGINEER •^
REPORT NO. PG OF
CONTRACTOR fOA4
PLAN FILE N0.
PERMIT NO -7 -
U
SUB -CONTRACTOR
1,Aw) 57V5Z
PROJECT NAME
9,,oN-4k
INSPECTION ADDRESS ,
ADDRESS OF PROJECT
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGi. 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 YOUR WEEK'S REPORTS. s
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): e
OT &61O40iX3. j Lll.PI/EZS• .44 >T z� , /1 �' Z 3Z
CONTRACTORS EQUIPMENT/ MANPOWER USED:
Iyf Z p/ e--feYL A°7 , LIQ Z�P �E�nFiL�� u�EZbE a Gi�i��S f�t1;�I %l �SI1�
AREA, GRIDLINES, PIECES OBSERVED:
C/1WQy E947AI>l, NUZ1FW6-iT Ltd63 ttamr r lk)l fED FGa/L- — GvNYc- pov Au-7z's 7T)
,,IIJE ,, -evenr✓ oa`y>. r -7D J�Fs CGS �ndt-s� tl&
'
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Loot7�ors�. �/%t �Ezs �v �,�It9w��zs `�'saN'r�f vz �tIP4' yr /IIvr 11-O/my, 1 w415s 6-P
STRUCTURAL NOTES,DETAIL. OR RFIS USED:
P07�5 _ S 0. v S! M14 Sp S/ZT, 5• jt;) Htt���5 3i� 4144&3'
REMARKS. INCLUDING MEETINGS:
4-16-7- t2t1Jry o r e -A EKAV4 rpC -r 4VL't477 ()PS
t. 77 �i �i 6v � �y2 w R'S [�r S��V�� P���;� c�iEZ �//✓h PR�� -� 4(/24,-s �
-265,ff/Q>crI! S—T l F 4 0 > ,
/)PP 6 bt55 4)07Z;Z� 07W-aW1S�--- A� F,2,-&' 6P= V 151944� IPr;F,5
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPI ETION4
WEATHER: SAMPLES TAKEN:
TEMPERATURE: Ga 6 r c-aS D r� TESTS REQUIRED: , t 4
SITE TIME START: —, SITE TIME FINISH:
2
LUNCH PERIOD: /�'s't TRAVEL TIME: VERIFIED BY:;�'s'_.r'
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 APPROVERS, SPECIFICATIONS AND,APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/ % 711
jSignature
[3 Date of Report ICBO Certification Number
Print Name City / County Certification Number }
Rev: 7/97
.nty Inland Empire:
14467 Meridian Pkw., Bldg. 2-A.
Riverside, CA 92508
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK SPECTOR 0 TECHNICIAN j
G7UAK
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANS ( ) APPROVED SHOP DRAWING (Y) (N)
Corporate:
San Diego/Imperialc
2992 E. La Palma Ave. Ste. A
7313 Carroll Rd. Ste. U
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
.nty Inland Empire:
14467 Meridian Pkw., Bldg. 2-A.
Riverside, CA 92508
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK SPECTOR 0 TECHNICIAN j
G7UAK
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANS ( ) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT �
FOR WEEK ENDING � _�
c7
PROJECT N0.
ENGINEER
JnJ
REPORT NO. PG OF
CONTRACTOR `
PLAN FILE NO.
PERMIT NO.
SUB -CONTRACTOR
54
PROJECT NAME
4,,,,,,
INSPECTION ADDRESS
ADDRESS_OF_P_ROJECTT--�
17 �e/S i oy
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 A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS L12D BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
CONTRACTORS EQUIPMENT / MANP WER USED:
AREA. GRID LINES. PIECES OBSERVED:
�PdPY 7u-6dgr7&
YL/A10- l ',-564 Z* &e-Pc4 01 A -r 3 °ram PIM::: <'::LwA_, C9
-ro jp3; P/w.&4-rzr itPftr, Z -a `A, FF,7 rev
STRUCTURAL NOTES, OEIAIL, OR RFIS USED:
o a D s'/�Z, Jas 9es1� P3�7'e� cc7ro� �,e���s �r�tOi�oG�
REMARKS, IMCLUDIMO MEETINGS.
�s '/," b IA.) oz,o� cc4�Pt' t 5 n-7'�x�'VA 10ry�
gob u.��b3�
REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PR COMPLETIONP
WEATHER: SAMPLES TAKEN:
TEMPERATURE: Cff� — Q 0 /S P/-'� TESTS REQUIRED:
SITE TIME START: ���+._�� SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:Z'.�Zz'
I UU GERIII•Y THAT I HAVE F
AND 10
R THE A P V PI
Signature
Print Name
ALL OF E WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
ND, (CABLE SECTION OF THE BUILDING COODDE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
/ 7 / �a�`
Date of Report ICBO Certification Number 3
City / County Certification Number
D.- 7/07
, -rili-L,
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
San Diego/Imperial County
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
FIELD REPORT
Inland Empire:
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92508
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK pp(jdtWSPECTOR p TECHNICIAN
G lyl�i S L�%�LJ7/�J�7
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
.5a
FOR WEEK ENDING a
-3
PROJECT !0
�✓/
ENGINEER �
REPORT N0. PG � OF
CONTRACTOR_
PLAN FILE NO.
PERMIT NO.
SUB -CONTRACTOR
-"A
PROJECT NAME
Me- ' �
INSPECTION ADDRESSADDRESS
OF PROJECT
g;!S 4.4 4,,NM
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALIMTGL 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.
MRIALS USEDJY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORT
/ q
CONTRACTORS EQUIPMENT/ MANPOWERUSED:
L7Y i4&waiLV Z:! iAAEU16-S
Z �iat) Ge o F��'�
mT,�4•��I s
10
AREA, GRID LINES, PIECES OBSERVED:
STR�'U49C�TUURR�ALL.NOTES, DETAIL, OR RFIS USED: Z
e j s, �j /
REMARKS, INCLUDIN;NI TRNC :
AT' &PY—
or— 17agm-y-g --a
�oNP�Tty� O� . WI -Apt'
��ro�s 15; r p� gorO� �r-
REWORK AS PERCCEENTT OF ALL WORK TODAY.
PERCENT PRn.FCT COMP) FTION-
WEATHER: 4u ///`
TEMPERATURE: CQ �� (C
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START:
LUNCH PERIOD:
I DO CERTIFY THAT I HAVE PERSONALLY
AND / OR THE AP V D P�NSSPECI
Signature
Print Name
SITE TIME FINISH:
TRAVEL TIME:
VERIFIED
THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
'LICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Date of Report ICBO Certification Number
City / County Certification Number
0.". 7107
MTG�
Corporate
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
San Diego/imperial CC
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
.ty Inland Empire
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
FIELD REPORT CONTINUED
PROJECT NAME 7�e
DDRESS 0 OJ f%u ZU U7,V
I[
PRJ N0. c nPFILE NO.
4-5�� z-;�b`✓✓
PERMIT NO
� -Z-
iz �s o�tt Gd"7��
REPORT NO PG OF 7i
v G'
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0-116EPiP4 q c 7&4ffAJI 645
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s� te-P*79 0 LO41J d02656 1.267
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ae,7- V&7- z4P4f:soA-)/e,411-Y Tv%
Signature
i
Print Name
3 / S /796
Date of Report Certification Number
MTG L
Corporate: C
2992 E. La Palma Ave. Ste
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
San Diego/Imperial Count
A 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 WIN) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT®�
FOR WEEK ENDING zeeI6
PRQIECT. N0. 15caz'
ENGINEER
REPORT NO.33 PG Z OFF /p-
CONTRACTOR
PLAN FILE NO.
PERMIT NO Q 7
® 7—
SUB -CON, CTOR e _ _
PROJECT NAMEt/
I/'/
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):
4,500 134 vA2V., dk?,3;z 040,-vc,
CONTRACT
,RSUIPMENT/ USED: we o
7,
AREA. �GRID LINES. PIECES (%SERVED:
P�y,f
owb `T cmwt '-4 iL`$az ,fry-
S 47- cOIL) l � &IM
FMTW 4 404"")s 7v74 � % -TV
STRUCTURAL NOTES, DETAIL. OR RFIS USED:
LIMES 450 , D i%Z + Poz t S 3 � 1oS9 1%1L
-�—-��
&R S/ 7-
{P
REMARKS. 'INCLUDING MEETINGS.
PLU0"&IN> TL � 4, :�_ e/` ed=- J-&—�
er.
( Ar i 0e4w'0s--5 Z-.-$ mlo /CoQ✓Tpy
iztib a/Lb wo�s2
P�9s1� ��b1 P,� AL -6,
oft t►b� �yG�s �m � �r�ry �s� ���'
a �ytsL z� D�crsv ®�
REWORK AS PERCENT OF ALL WORK TODAY:
PER ENT PRO IF�CjT COMP) ETIONe
WEATHER: 6zz /
TEMPERATURE: 6�(I� ! -
SAMPLES TAKEN: //
TESTS REQUIRED:
P14—
SITE TIME START: 6N9_ 0 1__ SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: 1� K, �eo_
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL F THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE APPR V D P NS, SPECIFI TIO PPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
SignatureDate of Report ICBG Certification Number
012h]
Print Name
City / County Certification Number
Rev: 7/97
A& Corporate: San DiegoAmperial Count 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 ®p ��"SPECT-OR y ❑ TECHNICIAN
/ �7°Llrirry y! c� i rjt/�� jEi
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS �$4N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
FOR WEEK END albl)
PRQIECT.vq A ->
ENGINEER . �
REPORT N0. PG / OF /
CONTRACTOR �C J, •�
PLAN FILE N0.PERMIT
NO.
SUB -CONTRACTOR
(
PROJECT NAME
&&h4 J�
IN TION '3 J ` /� O�L`G
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.
MA RIALS USED BY CON CTOR (INCLUDE RESEARCH REPOR NO. OR MATERIAL TEST REPORTS):
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CONTRACTORS EQUIPMENT / MANPOWER USED:
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REMARKS, INCLUDING MEETINGS.,
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REWORK AS PERCENT OF ALL WORK TODAY*7PERCENT
PR J�QT COMPLETION@
WEATHER: / / ,
TEMPERATURE: C✓7-1 ZQ �<
16
SAMPLES TAKEN: /p
TESTS REQUIRED: 1)14
SITE TIME START: �r�®� SITE TIME FINISH: /
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:
I DO CERTIFY THAT I HAVE PERSONALLY SE EDA OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE P 0 D NS, P F A APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Signature Date of Report ICBG Certification Number
Print Name G City / County Certification Number
RAW 7/97
F' S
., Corporate:
2992 E. La Palma Ave. Ste. A
- Anaheim, CA`92806
: Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
San Diego/Imperial Coun•y
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 O %ASPECTOR ❑ TECHNICIAN
5714ec7tie/¢L .5 twe"/Ij 91
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANS NAN) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
FOR WEEK ENDING/�
3
PROJECT.
�
1�
ENGINEER
REPORT NO. F
PG OF
CONTRACTOR � t _„ �
PLAN FILE N0.
PERMIT N0. _�r
O l
SUB -CONTRACTOR
L STS r
PROJECT NAME
o �ES�i LEivT1Z
INSPECTION ADDRESS
ADDRESS OF PROJECT / 0
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL 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.
MRIA�USED B CONTRA�TOR I(INCLUDE RESEARCH REPORINO. OR MATERIAL REPORTS):,�/��
CONTRACTORS EQUIPMENT / MANPOWER USED:
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STRUCTURAL NOTES, DETAIL, OR RFIS USED:
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REMARKS, INCLUDIMO MEETINGS. r
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REWORK AS PERCENT OF ALL WORK TODAY 1 PERCENT PROJECT T COMPLETION'
WEATHER: SAMPLES TAKEN: �1
TEMPERATURE: C/�i�V/L �/7 %r TESTS REQUIRED:
SITE TIME START: %,Iy�� SITE TIME FINISH:
LUNCH PERIOD `" S TRAVEL TIME: VERIFIED BY:
I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALA-, OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE AMOVCM
LA S. SPICAA IONSAIS APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
za)f3 Sr}9G/99�,5
Signature
���
Print Name
Date of Report
ICBO Certification Number
City / County Certrfication Number )
Rev: 7/97
y ! v
1
ar � �^
Corporate: f
s MI
2992 E. La .Palma Ave. Ste. A
..Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
San Diego/Imperial Count
7313 Carroll Rd. Ste. G
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 ❑ TECHNICIAN
577/ c7 aAZ- 5r2:-9�A1J'!57-b1J -) 7
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANS t�•(N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT5;4qM
FOR WEEK ENDING /�g�
3
I PROJECT_NO
ENGINEER �-�}
qq�f
REPORT NO. PG OF /
CONTRACTOR 87�,� • k
rrli
PLAN FILE NO.
PERMIT N0.
O
SUBCONTRACTOR
. I -AA.) ?
PROJECT NAME ���^�
&0,e �k.574e/�
INSPECTION ADDRESS f 7t G/I /7 ��rLI�C
y�y/
ADDRESS OF PROJEC7
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUrMlTGL 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.
MA RIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
49�3 7L1
CONTRACTORS EDUIPMENT! MANPOWER USED:
l�N�
<j>G /6V ;7 C�'
AREA, GRID LINES, PIECES OBSERVED:
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STRUCTURAL
STRUCTURAL NOTES, DETAIL, OR RAS USED:
REMARKS, INCLUDING MEE7INGS.,
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REWORK AS PERCENT OF ALL WORK TODAY` / PERCENT PROJECT COMPI ETIM
WEATHER: / /� SAMPLES TAKEN: /� d
C w if
TEMPERATURE: J
TESTS REQUIRED: 1_0 t
SITE TIME START:. SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:
I DO CERTIFY THAT I HAVE PERSONALLY
. AND / OR THE AFFIAUV �DRRLLA. N5. SPECI
'.
Signature {)�/
Print Name
OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Date of Report ICBO Certification Number
City / County Certification Number
'yHF c a Rev: 7/97
Inland Empire:
14467 Meridian Pkw., Bldg. 2-A
Riverside; CA 92508
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK NSPECTOR ❑ TECHNICIAN
Gwg& �j�i _ (J�`1f.J7/�U4
r Cor orate: •
P
San Die o/Im erialCounty
9 P
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 92508
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK NSPECTOR ❑ TECHNICIAN
Gwg& �j�i _ (J�`1f.J7/�U4
AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANS 64-(N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT _ �
!f•
FOR WEEK ENDING� � M�
LGf/
PROJECT. NO�
ENGINEER
REPORT NO. PG OF Z
CONTRACTOR
PLAN FILE N0.
PERMIT � ��
SUB -CONTRACTOR
L-AUJ
PROJECT NAME
AeIW 65,' 4�
INSPECTION ADDRESS
ADDRESS OF PROJECT /
LA 4UIP74
REPORTING REQUIREMENTS: ICBG FIELD INSPECTION MANUAUMTGL 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 ORA PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND
SUBMIT A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED JY CONTRACTOR (DE RESEARCHREPORTNO. OR MATERIAL TEST �RE�PORTS)1JI-7-50 4AA&ZtI'/A-0
— -
CONTRACTORS EQUIPMENT/ MANPOWER USED:
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STRUCTURAL NOTES, DETAIL, OR RAS USED:
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REMARKS, IN(X NCMEEIIMG : AT 7M6
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REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PRO,,,IECT COMP) FTION•
WEATHER: G'L f1 — SAMPLES TAKEN: 1J /`�
TEMPERATURE: TESTS REQUIRED: //7 //L
SITE TIME START-...
LUNCH PERIOD -
I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVI
AND / OR THE AP ROVED PLANS', SPECIFIC TI N
Signature
,��A40
Print Name
SITE TIME FINISH: Z' w
IL
TRAVEL TIME: VERIFIED BY'
-<_17"
.OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Date of Report ICBO Certification Number
i
City / County Certification Number
Rev: 7/97
Corporate
San Diego/Imperial Cty
T
�Z sr eS o7f�k Ge7�%
- 2992 E. La Palma e. Ste. A 7313 Carroll Rd. Ste. G'`"
Anaheim, CA 92806
San Diego, CA 92121
Tel: 714.632.2999
"` ,.r. Tel:: 858.537.3999
Fax: 714.632.2974 . -
Fax: 858.537.3990:
Dispatch: 800.491.2990
Dispatch: 888.844.5060
FIELD
REPORT CONTINUED
Inland Empire
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92518
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
PROJECT NAME DDRESS 0 OJE '6 �I
PRJ NO. PLAN FILE NO. PERMIT NO Q L//
Z C� Z DI- Sz REPORT NO PG Z OF7i
2�/ k- h�
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n�grnatture
Print Name
.! r
Date of Report Certification Number
uvELs
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Date of Report Certification Number
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it
Corporate: San DiegoAmperial my
2992 E.. La P*Ave. Ste. A 7313 Carroll Rd. Stef_
----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
F.
Inland Empire:
14467 Meridian Pkw., Bldg. 2-A
Riverside, CA 92508
Tel: 951.653.4999
Fax: 951.653.4666
Dispatch: 800.491.2990
TYPE OF WORK VINSPECTOR ❑ TEEC"HNICI{A�N
L L G�%GZYI
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS (f(N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT^�
7J/
FOR WEEK ENDINGC_ _�
'7`6'vYICr'JC
PROJECT. N0.
ENGINEER
REPORT NO. PG OF
CONTRACTOR
PLAN FILE N0.
PERMIT NO.
q'���
SUB -CONTRACTOR c
PROJECT NAME
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 A COPY WITH YOUR WEEK'S REPORTS.
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
CONTRACTORS EQUIPMENT/ MANPOWER USED:
AREA, GRIDLINES, PIECES OBSERVED:
%Lt RImoiLeVl_�ea ^ 37(O A"It' P"�T7 7U 9,5r5 7STZ— ) ,5 'S, �� /rV�d/�/ rw/'w14=r
wts-r or l z_/pe- rz'iy
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AT F-G/N0 4 I �rSou o
STRUCTURAL NOTES, DETAIL. OR RAS USED:
DS/,Z�. 17ET/LS �Z�9JS/Z p.310>�L��G71o� l>,Q/jw/yFS �TY�/�JfG
REMARKS. lMa UDING NEErINGS.
d&�;,5;e v� pigz5 61-- Pgo-� cAa>6�PY CiyE75_ f3&C155 AF7 444-/ 7oPj�- 1 -kJ Mt
t� wAZO& Wh-s e5s0_A45i-1 r,e 0,01402 cj&_Z_t>11_w
Av Txe 11p/mok5 �Af Aoo>,
u�S
heREWORK
No7� 077f��iyrsE � fes' D� ✓Ki a�� D�����
AS PERCENT OF ALL WORK TODAY2 PERCENT PROJECT COMPLETION*
WEATHER:P -rL/l SAMPLES TAKEN: /
TEMPERATURE: TESTS REQUIRED:
SITE TIME START: — SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: —I
I DO CERTIFY THAT I HAVE PER .ONALLY OBSERVED ALL OF �E WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS,
AND / OR THE A P V D PLAN /
PECIFI AI IO�S NO P LICABLE SECTION OF THE BUILDING CODE,.UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
911V — en
Signa'tupre� Date of Report ICBO Certification Number
Print Name City / County Certification Number
Rev: 7/97
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
San Diego/Imperial County(
7313 Carroll Rd. Ste. G
San Diego, CA 92121
Tel: 858.537.3999
Fax: 858.537.3990
Dispatch: 888.844.5060
MTGLProject#:
Permit# Q7_ 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 #:
OSA/OSHPD APPL #:
Report #_I PG _J OF DSA / LEA #:
Special Inspection Reporis 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
MET❑ DID NOT MEET❑
DATE
approved documents.
Samples taken:
ARCHITECT
IS U -92r
Weather: _ _
TIME ARRIVED
TIME DEPARTED
ENGINEER
TRAVEL TIME
LUNCHTIME
t0h/ tNName
CONTRACTOR
_.L
SUB CONTRACTOR
INSPECTION ADDRESS
&znue U4
ADDRESS OF PROJECT
Ga
TYPE OF INSPECTION BATCH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY ❑ FIREPR00 NG
❑'HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL
O WELDING ❑ NDE FIELD
❑ SHOP WELD ❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
DSA/OSHPO/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑
N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
/Y
CONTRACTORS EQUIPMENT/ MANPOWER USED:
I
AREA, GRID LINES, P ES INSPECTED:
J
17
STRUCTURAL NOTES, DETAIL, OR RAS USED:
REMARKS, INCLUDING MEET/NGS.
�r
REWORK AS PERCENT 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.
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/PROJECT
approved documents.
Samples taken:
Weather: _ _
Temp: aorta Q °4�'
Signature of Speci spector
t0h/ tNName
Certification #: � b
_.L
Verified by
A& Corporate: C
2992 E. La Palma Ave. Ste
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
MTGL Project #:9 /4: �f'!
Permit # y
Report #--,5 _ PG OF
San Diego/Imperial CountyC
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
ARCHITECT /)
TIME ARRIVED
-d
TIME DEPARTED
` 00
ENGINEER
TRAVEL TIME
LUNCHTIME
CONTRACTOR
SUB CONTRACTOR ,
INSPECTION ADDRESS
- �'
DDRESS OF PROJECT
r
TYPE OF INSPECT11 ff BATCH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY
❑ HIGH STRENGTH BOLTING
0 WELDING
❑ SHOP WELD
❑ FIREPROOFING
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
0 CEILING WIRE
❑
❑
❑
OSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑
SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑ N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
N�Q
CONTRACTORS EQUIPMENT/ MANPOWER USED:
><
v
Cn/
464
Z 61
c.G o/r,
C
AREA, GRID LINES, PIECES INSPECTED:
STRUCTURAL NOTES, DETAIL, OR RAS USED:
�r
•
REMARKS, INCLUDING MEETINGS:,
REWORK AS PERCENT 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 of the DSA/OSHPD/PROJECT approved documents.
Samples taken:
Weather: _ Temp: ° f130
A Signature of SRti;W'Inspector
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 #:� 5 A b of
Permit#. D7—rn Z
Report #-3— PG —j — 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 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
0
08
ARCHITECT ^
TIME ARRIVED
TIME DEPARTED
ENGINEER _
TRAVEL TIME
LUNCH TIME
CONTRACTOR
SUB CONTRACTOR
9
INSPECTION ADDRESS
-7 q5
ADDRESS OF PROJECT
TYPE OF INSPECTION ❑ BATCH PLAT
❑ ENGINEERED FILL ❑ PT CONCRETE
O FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
O MASONRY
❑ HIGH STRENGTH BOLTING
0 WELDING
❑ SHOP WELD
❑ FIREPROOFING
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
❑ CEILING WIRE
❑
❑
O
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ NO
SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑ N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
N 2
(--
ii
CONTRACTORS EQUIPMENT/MANPOWER USED:
L LJ
C 6
I
AREA, GRID LINES, PIECES INSPECTED:
a
STRUCTURAL NOTES, DETAIL, OR RAS USED:
REMARKS, INCLUDING MEETINGS:4. �.
L
ry
JJ
'
LJA-A
i.v
W
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WAS 0 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/OSHPO/PROJECT approved documents.
cc Project Architect Contractor
Structural Engineer Building Department
DSA Regional Office Owner
School District
THE WORK INSPECTED MET❑ DID NOT MEETO
THE requirements of the DSA/OSHPD/PROJECT approved documents.
Samples taken
Weather: Temp: �Qb1 W $a°
N,
Signature of SpeciaKnspector
Print Namdl
Certification #: ,
Verified by:
www.mtglinc.com
Corporate: C
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
MTGL Project #:L& rj A o
Permit # 0-7-9,Q
Report # % PG _ DF�
San Diego/Imperial County(-
7313
ounty
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
o3hu
ARCHITECT
S. GZ6
TIME ARRIVED I
7ioo e—
TIME DEPARTED
; cao
ENGINEER
TRAVEL TIME
LUNCH TIME
CONTRACTOR
SUB CONTRACTOR
INSPECTION A KESS
rl L
ADDRESS OF PROJECT
TYPE OF INSPECTION 66BATdrPILANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL O CONCRETE
❑ MASONRY
❑ HIGH STRENGTH BOLTING
O WELDING
❑ SHOP WELD
O FIREP OFING
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y 0 NO
SOIL REPORT Y NO
SPECS: YO NO
APPROVED SHOP DRAWING Y O NO
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
w :
r.r Li
CONTRACTORS EOUIPMENT /MANPOWER USED:
�-Ag
oo3
'
T
o o /6-e.
�e
rA
RhAIA o _06
AREA, GRID LINESffECESINSPECTED:
y r
o
1
STRUCTURA OTES, DETAIL, GIR RAS USED:
i 1 (�
1
ARKS, INCLUDING MEETINGS.
a
C",
":3.4,A -ad
ULP Izzi
9
LRE—WORK AS PERCENT 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 O 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/PROJECT approved documents.
Samples taken
Weather: Temp:—1690 q. C- po (7
'Signature of Specia ector
,S� a4e,a
Int Name
Certification #: ��-s �
Verified by
C
.vww.mtglinc.com
Corporate: y
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
D is patch: 800.491.2990
MTGL Project #: _0 1Ts A n
Permit # U� 9 � 1
Report #_G PG I-411
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 NAMES
6-lent"57 -A
DATE
�
ARCHITECT
TIMEARRIVED
TIME DEPARTED
ENGINEER
TRAVEL TIME
LUNCH TIME
CONTRACTOR
SUB CONTRACTOR
INSPECTION AD 0 R EgS
Cl- 3-c ' k 1
Lo
ADDRESS OF PROJECT
I
1 )-(a (3,
TYPE OF INSPECTION ❑ CH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY
❑ HIGH STRENGTH BOLTING
❑ WELDING
❑ SHOP WELD
❑ FIREPROOFING'CEILING
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
WIRE
❑
❑
❑
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑
SOIL REPORT Y ❑ N ❑
N ❑
SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑ N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO R MATERIAL TEST REPORTS)
CONTRACTORS EQUIPMENT/ MANPOWER USED: I
C/?
w
C
-60
��C3
beg'GRID LINES, PIECES INSPECTED:
4
1
1�
111/1 CIL
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
m
m
EE
REMARKS, INCLUD/NGMEEr/NGS:
46A It)-aA—C
/
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WAS 0 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.
C. Project Architect Contractor
Structural Engineer Building Department
DSA Regional Office Owner
School District
THE WORK INSPECTED MET Z DID NOT MEET ❑
THE requirements of the OSA/OSHPD/PROJECT approved documents.
Samples taken:
,- ' or o
Weather: %� �...., Temp:
Signature of Sped Inspector
tint Name
Certification #:
Verified by:
' Corporate: San Diego/Imperial County(
2992 E. La Palma Ave. Ste. A 7313 Carroll Rd. Ste. G
Anaheim, CA 92806 San Diego, CA 92121
Tel: 714.632.2999 Tel: 858.537.3999
Fax: 714.632.2974 Fax: 858.537.3990
www.mtglinc.com Dispatch: 800.491.2990 Dispatch: 888.844.5060
MTGLProject #_,Q5/a Q DAILY INSPECTION
Permit # 07— 8 / REPORT
Report #_/_ PG / DF
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
ARCHITECTTIME
ARRIVED
7�C7QF�
TIME DEPARTED
Cj0
ENGINEER
TRAVEL TIME
LUNCH TIME
CONTRACTOR
SUB CONTRACTOR ,
INSPECTIO DRESS
_ t
ADDRESS OF PROJECT
k
TYPE OF INSPECTION ❑ ATCH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY ❑ FIREPR00
❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL
2 WELDING ❑ NDE FIELD
❑ SHOP WELD ❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
OSA/OSHPO/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑
N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
J
CONTRACTORS EQUIPMENT I MANPOWER USED:
L
c
60
AREk,-6ffldLI1qES, PIECES INSPECT D:
J
oil'
IVn
C
STRUCTURAL NOTES, DETAIL, OR RAS USED:
Sq f>9
S 12
REMARKS, INCLUDING MEETINGS.,
f
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WAS12 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 p DID NOT MEET ❑
THE requirements of the DSA/OSHPD/PROJECT approved documents.
Samples taken:
Weather: S Temp: 8() °f_ o o
S
Signature of tial Inspector
nt Name
Certification #: _
Verified by: /
Corporate:
2992 E. La Palma Ave. Ste
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
MTGL Project#: 6 /45 19 0 Q
Permit # Q a'
Report # PG ` OF
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
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 conductinD the inspection
PROJECT NAME
DATE
o
T
ARCHITECT
TIME ARRIVED
TIME DEPARTED
ENGINEER
TRAVEL TIME
LUNCH TIME
CONTRACTOR
SUB CONTRACTOR
INSPECTION A RESS
ADDRESS OF PROJECT
TYPE OF INSPECTION 4ff BATCH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY
❑ HIGH STRENGTH BOLTING
Q WELDING
❑ SHOP WELD
❑ FIRE OOFIN
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N O
SOIL REPORT Y NO
SPECS: Y❑ NO
APPROVED SHOP DRAWING Y ❑ N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
8(R V3 a Lkje�q
n /
� C Wj
CONTRACTORS EOUIPMENT I MANPOWER USED:
.Z
AREA, G LINES, PIECES INSPECTED:
% or. -,L
z L\ oI
rl
PA
STRUCTURAL NOTE , DETAIL, OR RAS USED:
4 E
REMARKS, INCLUDING MEETINGS.
EE—
V
,4A 44
AA kA
i
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WASZ 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 of the DSA/OSHPD/PROJECT approved documents.
Samples taken: q
Weather: �(� n Temp: o,
O.IVV�.I�`�f
Signature of Special l ecfor
Certification #:5d
Verified by:
int Name
Corporate:
-f 2992 E. La Palma Ave. Ste
Anaheim, CA 92806
MkTel: 714.632.2999
Fax: 714.632.2974
www.mtglinc..ccom) Dispatch: 800.491.2990
n/T
MTGL Project #: 15A o �
Permit # ' O 7- S;Q
Report #3 PG _ OF
San Diego/Imperial County, --
A 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: 800.4 91.2990
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
o3h2logGJ
ARCHITECT
TIME ARR ED
TI EPARTED
ENGINEER
TRAVEL TIME
LUNCH TIME
CONTRACTOR
all
SUB CONTRAC OR
INSPECTION AD SSADDRESS
OF PROJECT
e
TYPE OF INSPECTION BATCH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY
❑ HIGH STRENGTH BOLTING
ZWELDING
❑ SHOP WELD
❑ FIREPROOFING
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑
SPECS: YO N ❑
APPROVED SHOP DRAWING Y ❑ N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
N
w
CONTRACTORS EQUIPMENT/ MANPOWER USED:
L N 15 LJ
1 /
V
AREA, GRID LINE ,PIECES INSPECTED:
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
e
/
•
EE- 6 �C- 6
REMARKS, INCLUDING MEETINGS: '
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WASPr 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 of the DSA/OSHPD/PROJECT approved documents.
Samples taken
Weather: A_4A AA ' Temp: n° � to —1 so
Signature of SIVialInspector
t Name
Certification #: IS
Verified by:
3
A-
www.mtglinc.com
Corporate: C
2992 E. La Palma Ave. Ste
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
MTGL Project #:� 14 5 A o Q
Permit # e3_7_921
Report #-4— PG DF %
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
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
o3 `
T
ARCHITECT nep
TIMEARRIVED-
- co
DEPARTED
�Q od
ENGINEER
aAi
TRAVEL TIME
LUNCH TIMEy
CONTRACTOR
SUB CONTRACTOR ,
INSPECTION ADDRESS
ADDRESS OF PROJECT
TYPE OF INSPECTION
❑ ENGINEERED FILL
❑ FOUNDATION
❑ BACK FILL
46 BATC LANT
❑ PT CONCRETE
❑ SHOTCRETE
❑ CONCRETE
❑ MASONRY
❑ HIGH STRENGTH BOLTING
❑ WELDING
❑ SHOP WELD
❑ FIREPRo641NG
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
DSA/OSHPD/PROJECT:
APPROVED DOCUMENTS:
AVAILABLE:
APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑
SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑
N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
CONTRACTORS EQUIPMENT/ MANPOWER USED:
W • '
lfL
i.ei
P
AREA, GRID LINES, PIECES INSPECTED:
/
R
/6
i
9
ST9tIdTURAL NO S, DETAIL, OR a5tt USED:,
C ,
2
G 611-G
EE -6 EE -G
R ARKS, INCL66NGMEET/NGS:
r�
z
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WASO 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 of the DSA/OSHPD/PROJECT approved documents.
Samples taken
Weather: Temp:6n°.rf.-IG, C'
G
Signature of Wial Inspector
PName
Certification #:
Verified by
r
Corporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
MTGL Project #: !X / 4 5
;7—RePermit #6;7—
Report
port #_6� — 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/OSHPO 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
ARCHITECTF (�
`v\
TIME ARRIVED TIME DEPARTED
r
ENGINEER
TRAVEL TIME LUNCH TIME
CONTRACTO
SUB CONTRACTOR
INSPECTION AD ESS
�ZtZ'l'f
ADDRESS OF PROJECT
TYPE OF INSPECTION ❑ fffiCH PL T
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY ❑ FIREPRO NG
❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL
0 WELDING ❑ NDE FIELD
❑ SHOP WELD ❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑
N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS)
iPORTS)--
CONTRACTORS EOUIPME
CONTRAC ORSEOUIPME ANPOWER USED:
G
ze
AREA, GRID LINES, PIECES INSPECTED:
C
STRUCTURAL NOJK DETAIL, OR RFIS USED:
�.
REMARKS, INCLUDING MEETINGS.,
Al n
gj-Le
/
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WASP WAS NOT❑
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS O 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/PROJECT approved documents.
Samples taken:
Weather: 5 1Temp:-X° �A
N gALA
Signature of Speci pector
i/Name
Certification #: '�;2L)4 '� -:?, `
Verified by:__,/�.ti���__G��
Iq
C
Corporate:
2992 E. La Palma Ave. Ste
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
MTGL Project-#:
Permit #
Report #_ PG OF
San Diego/Imperial CountyF
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
m3
ARCHITECT
TIME ARRIV
TIME DEPARTED
Oma_ -G
ENGINEER
TRAVEL TIME
LUNCH TIME
CONTRACTOR
SUBCONTRACTOR
INSPECTION ADDRESS
ADDRESS OF PROJEC-T-
77ql?li:; 14
TYPE OF INSPECTION
❑ ENGINEERED FILL
❑ FOUNDATION
❑ BACK FILL
❑ ATCH PLANT
❑ PT CONCRETE
❑ SHOTCRETE
❑ CONCRETE
❑ MASONRY L__-
❑ HIGH STRENGTH BOLTING
❑ WELDING
❑ SHOP WELD
❑ FIREPR00 G
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
DSA/OSHPD/PROJECT:
APPROVED DOCUMENTS:
AVAILABLE:
APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑
SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑
N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT No. OR MATERIAL TEST REPORTS):
e LJ
CONTRACTORS EQUIPMENT/MANPOWER USED:
heA
rz'
AREA, GRID LINES, PIECES INSPECTE ,
42
41
_4w:la
"
l
2
STRUCTURAL NOTES, DETAIL, OR RAS USED:
-
E
REMARKS, INCLUDING MEETINGS:
za
al
RE:W::R:KAS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WAS 21 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 METE DID NOT MEET ❑
THE requirements of the DSA/OSHPD/PROJECT approved documents.
Samples taken:
00
Weather: Temp:
Signatu f Special Inspector
z '
Print Name
Certification
Verified by
Corporate: C
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
MTGL Project #: of / 4 5 A O
Permit# 07-01
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: 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
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 NAME
DATE r
3
T
ARCHITECT ,p
TIME ARRIVED
Jco
TIME
DEPARTED
0 '
ENGINEER �
TRAVEL TIME
LUNCH TIME
CONTRACTOR
SUB CONTRACTOR
INSPECTION ADORES
ADDRESS OF PROJECT
TYPE OF INSPECTION BATCH PLANT
O ENGINEERED FILL O PT CONCRETE
❑ FOUNDATION O SHOTCRETE
❑ BACK FILL O CONCRETE
O MASONRY
❑ HIGH STRENGTH BOLTING
d WELDING
❑ SHOP WELD
O FIREPROOFI G
❑ ANCHOR/DOWEL
O NDE FIELD
❑ NDE SHOP
❑ CEILING WIRE
O
❑
O.
DSA/OSHPD/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y O NO
SOIL REPORT Y ❑ N ❑
SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y O N
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
CONTRACTORS EQUIPMENT/ MANPOWER USED:
61-2 d
A EA, GR NES, PIECESINSPECTE
2
YJ
STRUCTURAL NOTES, DETAIL, OR RAS USED:
REMARKS, I D/ EET/NGS:
O
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WAS 0 WAS NOT ❑
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS 0 WAS NOT ❑ N/A O
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/PROJECT approved documents.
Samples taken
Weather: Temp: 9� 0`3 E�L_ :7 `t ° e
Signature f pecialInspector
S
/ Print Name
Certification #: `
Verified by:
fCorporate: C
2992 E. La Palma Ave. Ste
Anaheim, CA 92806
Tel: 714.632.2999 &-
Fax: 714.632.2974
www.mtglinc.com Dispatch: 800.491.2990
MTGL Project #: C� / 1-4
Permit#_0
Report #—'3_ PG DF
San Diego/Imperial Countyt\
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
ARCHITECT
TIME ARRIVFD
-7-o
----------
TM=ARTED
^ 00
ENGINEER
TRAVEL TIME
LUNCH TI E
SUB CONTRACTOR
[INSPECTIONNTACTOR
ADDRESS 67
t
ADDRESS OF PROJECT
_ i
TYPE OF INSPECTION
❑ ENGINEERED FILL
O FOUNDATION
O BACK FILL
BATCH PLANT
❑ PT CONCRETE
O SHOTCRETE
O CONCRETE
O MASONRY
❑ HIGH STRENGTH BOLTING
Z WELDING
O SHOP WELD
❑ FIREPR66FING
❑ ANCHOR/DOWEL
❑ NDE FIELD
O NDE SHOP
❑ CEILING WIRE
❑
❑
O
DSA/OSHPO/PROJECT:
APPROVED DOCUMENTS:
AVAILABLE:
APPROVED PLANS Y O N ❑
SOIL REPORT Y O NO
SPECS: YO N O
APPROVED SHOP DRAWING Y ❑
N O
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
2
^
J
CONTRACTORS EQUIPMENT/ MANPOWER USED:
c
AREA, CAM LINES, PIECES INSP ED:
Q.
3
3
S
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
to
REMARKS, INCLUDING MEETINGS:
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WASP) WAS NOTO
Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT
approved documents.
MATERIAL SAMPLING WAS❑ WAS NOT❑ N/AO
Performed in accordance with DSA/OSHPD/PROJECT approved documents.
cc Project Architect Contractor
Structural Engineer Building Department
DSA Regional Office Owner
School District
THE WORK INSPECTED METO DID NOT MEET❑
THE requirements of the DSA/OSHPD/PROJECT approved documents.
Samples taken:
0 0
Weather:Temp: "Co
Signatur.6orSpecial Inspector
so�o`V
/Print Name
Certification
Verified by:
Corporate: \
2992 E. La Palma Ave. Ste
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
www.mtglinc.com` Dispatch: 800.491.2990
MTGL Project #: 2
Permit # 4 7 0/
Report#_,�_,_ PG __/_ OF
. 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
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
ARCHITECTTIME
ARRIVE
'D 0 D,-
ARTED
3 i* (OD0
ENGINEER
TRAVEL TIME LUNCH TIME
CONTRACTOR
44
SUB CONTRACTOR
INSPECTION-ADDREW
TYPE OF INSPECTION TBATM7rANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
ADDRESS OF PROJECT
❑ MASONRY ❑ FIREP FING
❑ HIGH STRENGTH BOLTING ❑ ANCHOR/DOWEL
Q'WELDING ❑ NDE FIELD
❑ SHOP WELD ❑ NDE SHOP
❑ CEILING WIRE
❑
❑
❑
DSA/OSHPO/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑ N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
_G
CONTRACTORS EOUIPMENT/MANPOWER USED:
'
L '
62
AREA, GRID LINES, PIECES INSPECTED:
C`
F
STRUCTURAL •TES, Dj4L, OR FINS U
A
G i
Ef�7 EH -'7
ZW--7
H
REMARKS, IN NGMEETINGS:
1,7
at14 44
REWORK AS PERCENT 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 of the DSA/OSHPD/PROJECT approved documents.
Samples taken:
Weather: Temp:6` ��� �o
Signature of Special Insp
' , , L �J n. - �'/'
Certification #: �e L
Verified by:
Pruit4game
www.mtglinc.com
Corporate: C
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2990
MTGL Project #: _b14 5 A D d
Permit # 07-82 1
Report #S 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
DATE
ARCHITECT . .1 +
TIME ARRIVED
[ JOa
TIME DEPARTED
, m0
ENGINEER_
TRAVEL TIME
LUNCH TIME
CONTRACTOR USUB
CONTRACT R
INSPECTION ADORES
ADDRESS OF PROJECT ,
TYPE OF INSPECTION f BATCH PLANT
❑ ENGINEERED FILL ❑ PT CONCRETE
❑ FOUNDATION ❑ SHOTCRETE
❑ BACK FILL ❑ CONCRETE
❑ MASONRY
❑ HIGH STRENGTH BOLTING
0 WELDING
❑ SHOP WELD
❑ FIREPROOFING
❑ ANCHOR/DOWEL
❑ NDE FIELD
❑ NDE SHOP
❑ UILING WIRE
❑
❑
❑
DSA/OSHPO/PROJECT: AVAILABLE:
APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑
SOIL REPORT Y ❑ N ❑
SPECS: Y ❑ N ❑
APPROVED SHOP DRAWING Y ❑
N ❑
MATERIALS USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
N
W
e
CONTRACTORS EOUIPMENT /MANPOWER USED:
AREA, GRID LINES, PIECES INSPECTED:
c
It
\�
,
a
2
STRUCTURAL NOTES, DETAIL, OR RFIS USED:
EIV -7
REMARKS, INCLUDING MEETINGS:
iLZ
z
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPLETE:
THE WORK WAS Q 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 META DID NOT MEET❑
THE requirements of the DSA/OSHPD/PROJECT approved documents.
Samples taken
Weather: Temp:°�� 15 ° F
Signature of cial Inspector
Print Name
Certification #:�1�1'`\ 31_Q1
Verified by