07-0825 (CSCS) Field ReportCorporate:
2992 E. La Palma Ave. Ste. A
Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
Dispatch: 800.491.2 990
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 M INSPECTOR ❑ TECHNICIAN
AVAILABLE SOIL REPORT (Y)(N) SPECS (Y)(N)
APPROVED PLANS (Y) IN) APPROVED SHOP DRAWING (Y) IN)
ARCHITECT
FOR WEEK ENDING ` PROJECT. NO -
ENGINEER
Ali
REPORT NO. PG OF
CONTRACTOR �}}
L7r
PLAN FILE NO, PERMIT NO
SUB -CONTRACTOR w
PROJECT NAME
INSPECTION ADDRESS
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ADDRESS OF PROJECT �9- -7q3 4-w� E.,a(11Lt+�,`re] r.
REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAL/MTGi. 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 DER ESEARCH REPORT NO. OR MATERIAL TEST -REPORTS):
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CONTRACTORS EQUIPMENT/ MANPOWER USED:
AREA, GRID LINES, PIECES OBSERVED:
STRUCTURAL NOTES, DETAIL, OR FU IS USED:
REMARKS; INCLUDINOMEE7INDS.
REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT_ PRID JECI COMPLETION:
WEATHER: c1 tr : i .' / `'1
TEMPERATURE:
SAMPLES TAKEN:
TESTS REQUIRED:
SITE TIME START: ._ . -- SITE TIME FINISH:
LUNOH_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
hq
Signature
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Print Name
Date of Report
ICBO Certification Number
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
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 O TECHNICIAN
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS (N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT / Q
FOR WEEK ENDING /, (
PRQIECT � / S ero Z
ENGINEER / w / `,
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REPORT NO. PG OF
CONTRACTOR ,/C �� '
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PLAN FILE NO.
PERMIT NO
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SUB -CONTRACTOR
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PROJECT NAME
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INSPECTION ADDRESS
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REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS tb.
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):
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CONTRACTORS EQUIPMENT,, // MANPOWER USED: )
AREA, GRID LINES, PIECE OBSERVEO:
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STRUCTURAL NOTES. DETAIL, OR FINS USED:
REMARKS. INCLUDING MEETINGS:
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REWORK AS PERCENT OF ALL WORK TODAY:
PERCENT PROJECT COMPI ETION'
WEATHER:
TEMPERATURE: D
SAMPLES TAKEN:
TESTS REQUIRED: tr !
SITE TIME START: �GY!c SITE TIME FINISH:
LUNCH PERIOD: TRAVEL TIME:?
VERIFIED BY:
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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 APPROVEDIPLANS, SPECIFIPA
TIONS AN67APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
Signature Date of Report ICBO Certification Number
0*p �v
Print Name City / County Certification Number
. , t Rev: 7/97
7 1'
' 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/ImperiaLCount# Inland Empire:
7313 Carroll Rd:.-Ste,,G-_. : 14467 Melidian 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 INSPECTOR p TECHNICIAN
AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS (�44N) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT 0 /1
FOR WEEK ENDING / !�
3
PROJECT NO.
ENGINEER
REPORT N0. PG OF
.CONTRACTOR g R
PLAN FILE NO.
PERMIT NO
SUB -CONTRACTOR, !;-
PROJECT NAME• 'oPY14
INSPECTION ADDRESS
<g� y
ADDRESS OF PROJECT
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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.
MA RIALS USED BY CONTRACTOR (IN LUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
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CONTRACTORS EQUIPMENT / MANPOWER USED: - Q,,,,
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AREA, GRID LINES, PIECES OBSERVED:
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STRUCTURAL NOTES, DETAIL. OR RFIS USED*
REMARKS, INCLUDING MEETINGS: �^ -
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REWORK AS PERCENT OF ALL WORK TODAY: " PERCENT PROJECT COMPLETION'
WEATHER: G� SAMPLES TAKEN:
TEMPERATURE: / /� I // TESTS REQUIRED:
SITE TIME START: 7" oa-It, SITE TIME FINISH: Z: 5
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY:
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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 / ORITHE APPROV DP NS,SPECIFIC. ION�SA ND`APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
T Signature Date of Report ICBO Certification Number 1
AW 64
�Print Name / City / County Certification Number
L (/ Rev: 7/97 r
f� J
Corporate:
2992 E. La Palma Ave. Ste. A
AM'Anaheim, CA 92806
Tel: 714.632.2999
Fax: 714.632.2974
D i s p atc h: 800.491.2990
San Diego/Imperial Coun rel
7313 Carroll Rd. Ste. G
San Diego, CA 921.21
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 O TECHNICIAN
AVAILABLE:` SOIL REPORT (Y) (N) SPECS (Y) (N)
APPROVED PLANS #MN) APPROVED SHOP DRAWING (Y) (N)
ARCHITECT
SraOA
FOR WEEK ENDING/
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PROJECT. NO.
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ENGINEER %p�
REPORT N0. PG / OF /
CONTRACTOR
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PLAN FILE NO.RMIT
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SUB-CONTRACT9 R
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PROJECT NAME
INSPECTION ADDRESSADDRESS
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OF PROJECT '<
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REPORTING REQUIREMENTS: ICBO FIELD INSPECTION MANUALJMTGL 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 (IN JL -UDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS):
AT?Z BisS f. COA&AtfVs, N/t-L3Z W67 -Al e7 Id2E
CONTRACTORS EQUIPMENT / MANPOWER USED:
AREA, GRID LINES, PIECES OBSERVED:
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STRUCTURAL NOTES, DETAIL. OR RFIS USED:
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REMARKS, INCLUDING MEETINGS:
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REWORK AS PERCENT OF ALL WORK TODAY• PERCENT PROJECT COMPLETION'
WEATHER: //1 SAMPLES TAKEN:
TEMPERATURE: ��1 /� TESTS REQUIRED: r
SITE TIME START: � o... SITE TIME FINISH: X00
LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: o Q/
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, SRECIFICATI S AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT
ignature Date of Report ICBO Certification Number
Print Name
City/ County Certification Number
Rev: 7/97 i ' -,
'