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07-0822 (CSCS) Field ReportI TYPE OF WORK 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 REINFORCED CONCRETE ARCHITECT SGPA ENGINNER MALEK CONTRACTOR THE RERCGMAN COMPANY SUB -CONTRACTOR TIDWELL INSPECTION ADDRESS BLDG D AVAILABLE REPORTS APPROVED ( Y ) ( N ) FOR WEEK ENDING PLAN FILE NO. PERMIT NO. PROJECT NAME ADDRESS OF PROJECT PLANS SPECS SOILS SHOPS (Y) (Y) (Y(Y) 10/06/07 PROJECT NO. 214 07-822 KOMAR DESERT CENTER 845 HWY 111 LA QUINTA REPORT REQUIREMENTS: IC130 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): A-615 60 grade reinforcing steel CONTRACTOR EQUIPTMENT / MAN POWER USED: Verified reinforcin • steel for t , s'lice la & clearance for slab on To the best am lmowled• •, verified sand sub-gradc to 4" below fmish floor with laser 4 . uarc foot intervals TI'! A TT TT!il. TEMPERATURE: 60's — 90's SITE TIME START: 2:30 PM LUNCH PREIOD: SA.TTTAMT. ruvir.uES ra 1',MT. TEST REQUIRED: SITE TIME FINISH: 3:00 PM TRAVEL TIME: VERIF I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND 'THAT THIS INVESTIGATION l COMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION i '��=: UILDIN SIGNATURE: PRINT NAME: DONALD SMITH THURS: 10 / 04 / 2007 Date of Report TH THE SOILS S ICBO Certification Number: 1037223-84, 88 City / county Certification number: Corporate-. Branch: - 2992 E: La Palma Ave. , Suite A 7313 Carroll Road,. Suite G Anaheim, CA 92806 Tel: 714:632.2999 San Diego CA. 92121 Fax: 714.632.2974 Tel: 858.537.3999Fax 8.58.537.3990 isk FIELD REPORT TYPE OF WORK AVAILABLE REPORTS PLANS SPECS SOI SHOPS REINFORCED CONCRETE APPROVED Y N y y ARCHITECT SGPA FOR WEEK ENDING Y Y ENGINNER 9/29/07 PROJECT NO. 214 0 MALEK PLAN FILE NO. CONTRACTOR PERMIT NO THFR_.F_.Rr;MAN C nMPANY . RI.Dry 07-R22 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "D" 79-845 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAUMTGL SOIL MANUAL THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECT , FILL OUT AND ATTART IF REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE OCHAND LISTS. N 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 : 78 cubic ards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 a reinforcing steel. CONTRACTOR E UIPTMENT / MAN POWER USED: , Mechanical vibrator, 20 men Reinforcement in ection, anchor bolt, hd's & concrete iacement – interior pad footing's & peri Line A –1 to 4, line 4– A to C, line 5–C to F, line F– '1 to 5, line C-3 to 5 Concrete & masonry notes & details on sheets S1 REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type size de, sp monitored placement & consolidation of 78 total Note: # 1, verified ufer ground cable in footing (a Note: 12, contractor responsible for all dimensioi Sample - from ticket # 5526003, slump a,4 %". c —FA—IRER: Clear TEMPERATURE: 60's – 70's S2, S3, SDA, SD.2, SD.3, SDA ce lap, spacing & clearance for,F ubic yards of 3000 -psi concrete 1 line 5B.5 anchor bolt & holdown lay -out ------------ >ncrete temperature na, 730, locat 7dimes 1&-2–AtoF 'ter buuamg footing and interior spread footings, also II areas noted above s line A – between 1 to 4 SAWLi S TAKEN: i set of 4 concrete TEST REQUIRED: Slump, temperatut; SITE TIME START: 7:00 AM SITE TIME FINISH: 12:30 PM LUNCH PREIOD: TRAVEL TIME: I DO CERTTFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICAB ONO THE BUILD IESG CODES, WITH T ORK CO IES WITH T OIL SIGNATURE: 1 � k� ��— NO FRI: 9 / 28 / 2007 ICBG Certification Number: 1037223-84,88 Date of Report PRINT NAME: DONALD SMITH City I county Certification number. 1 ' Corporate: O San Diego/Imperial County: Inland Empi,—J Los AngelesNentura County: )C 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 13010 San Fernando Rd., Unit 1 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Sylmar, CA 91342 PLAN FILE NO. Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Tel: 818.833.8100 INSPECTION ADDRESS r1n Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 Fax: 818.833.0085 FIELD REPORT TYPE OF WORK INSPECTOR O TECHNICIAN AVAILABLE: SOIL REPORT (Y) (N) SPECS (Y) (N) APPROVED PLANS A(N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT JQ P3 FOR WEEK ENDING �:y, _ -7-0-7 __PECO. ENGINEER - i REPORT NO. PG OF CONTRACTOR 13e.r PLAN FILE NO. PERMIT NO. SUB -CONTRACTOR PROJECT NAME �u%�,, ��1.lmatf J)espir� C'e/yV r INSPECTION ADDRESS r1n RESS OF PROJECT ��ZAq—ifs �'I'I 1i� d �titi 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. ON14 Sle(rVe e az IML 6c 00 4z 1 Inor �wo ("il�vccw X, a 14,S COL'mn LM aASO b-UtL11T iI�NS 9 Qlr steed Iuml" A,A AP, PA. -J StAt � f3c.+lino A rac, r) w,9 S -O' � C i�I rem x 12 C-0 orf f ewe II cwt?hueus obses'V� nti 6� r�otirre �ac0mg/nL Tt &I1tcr1JP Lwll lessAa4 go' ARt'lral{tr'Fkl vE4 c — b a Ver n �� u� 11-9, cTUX r G: O %7% Q�lir I G 57,W Arw-I 6-_-d c;.VA Sr�e. �b�o Cr resc�e derlcV e Ir ay- IG o-zon K�to : i�4 dcmcreL, PoLa Was mOed ;L&, I2Foa WEATHER: Co o 4+vZ ,j TEMPERATURE: A� 0 8 0 'J SAMPLES TAKEN: - TESTS REQUIRED: � - � $ - W -old SITE TIME START: ~ SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED B . l__<e�� I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL PKESTIGATION RECOMMENDATIONS AND/ OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTIO OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT t 0�1 6 / 4i II03 S�- 9 Signature Date of Report ICBO Certification Number �oeniull�, 12a�,> FPa�l,ei-o c>� Print Name 14 �— �^�r.rua. i.'«: a�lf'SiVariM,I.�• IGci.'Z h,• • li a ..i ,.1.�. Rev: 7/97 MTG L 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 EI Centro, CA 92243 Toll Free: 877.563.TEST Tel: 760.482.0600 Fax: 760.482.0650 PROJECT NAME s v r i2 s ADDRESS OF PROJECT , meq- . PRJ N0. ,1 (, o� L 1 0 P a A, �r k k8ie AA II Tu'' PLAN FILE NO. PERMIT N0. REPORT NO. PG OF I i2 s I KV I L 1 0 P a A, �r k k8ie AA II Tu'' r 'Ay ri 4 l 0 ' Q — n 0-ux- u--.9 —. 0 ti r C tvi n . C; t r A X60 TQ1 � a.j i ©Z 00 1�---- Dale of Report ertilicalion Number Corporate: 2992 E. La Palma Ave. Ste. Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtgiinc.com //[ Dispatch: 800.491.2990 MTGL Project #:,(, , � �- Permit # 0:7 — a Report # PG OF 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 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 Ce DATE &Q ll -c;2-9- 07 ARCHIT T S . c. TIME ARRIVE TIME DEPARTED_ , ENGINE TRAVEL TIME LUNCH TIME CONTRA TO SUB CONTRA T R INSPECITON ADD DDRESS OF PROJE� 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 R ❑ ❑ DSA/OSHPD/PROJECT: AVAILABLE: APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATER?14 USED BY CONTRACT R (INCLUDE RES A H REPORT NO.TERIAL TEST REPORTS): AX aR(3 j JOS CONTRACTORS EOUIPMENT I MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED:_ Mlj_dle _Cji4�R_( STRUCTURAL NOTES, DETAIL, OR FIRS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PE CENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS Wf 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 he DSA/OSff/PROJ§0T appro d culents. Samples taken: Weather:_ &If iu HN�l�mp: o Print Name Certification #: �[ A. c 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 #:1_1q1,5 AO y' Permit #� Report # PG OF San Diego/Imperial County 1) 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 r e Y 07 ARCHITE T ^ S.t� . TIME ARRIVED TIME DEPARTED (t •! -10 „' ENGINEE TRAVEL TIM19 E LUNC IME CONTRACTOR SUB CONTRACTOR INSPECTIO DRESS ADDRESS OF PROJECT TYPE OF INSPECTION BATCH PLANT ❑ MASONRY ❑ ENGINEERED FILL ❑ PT CONCRETE ❑ HIGH STRENGTH BOLTING ❑ FOUNDATION ❑ SHOTCRETE ❑ WELDING ❑ BACK FILL ❑ CONCRETE ❑ SHOP WELD ❑ FIREPROOFING ❑ ANCHOR/DOWEL ❑ NDE FIELD ❑ NDE SHOP ❑ CEILING WIRE ❑ ❑ ❑ DSA/OSHPD/PROJECT: AVAILABLE: SOIL REPORT Y ❑ N ❑ APPROVED DOCUMENTS: APPROVED PLANS Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIA4 USED BY CONTRACTOR INCLUDE RESEARC R PORT NO. OR MATERIAL TEST REPORTS): �© 4 CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: (-100CITAP lPoc vtw� 4 pa*s"�\V\a krp- aAkpok4 STRUCTURAL NOTES, DETAIL, OR RAS USED: REMARKS, INCLUDING MEETINGS. REWORK AS PE CENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS Z 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 SA/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/OHPD/PRO �CT ap r ved doc� ments. Samples taken: 'I t4l Weather: SAMVl /lemo: An -1 Print Name Certification #: /c5/ 9 ,4 • c. i 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 #: a fq((''�� a Permit #0:7 — 2) \� 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. PROJEC N E DATE ARCHITECT TIME ARRIVED E D ENGINEER TRAVEL LUNCH TIME CONTRAC SUB CO ACTOR INSPECT1 S 77 ADDRESS OF PROJECT 1 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 O 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 U Y CONTRACTOR (INCLUD RESEARCH REPORT MMATERIAL TEST R PORTS): ICE 211 CONTRACTORS EOUIPMENT / MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED:. UJ 0A Q V STRUCTURAL NOTES, DETAIL, OR RAS USED: t 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 WAS JWAS 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 ZeDSA/04PID/PROJTappri Samples taken: s et T ' Weather: 4It ri 1A%K k i/ Terrrm 'i re Certification #: Yu A-c/o'y 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 #: c2N5AQ 9— Permit #-0?-- A P 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 PIOIECRI& YY DATE / - ^ (v^ ARCHITECT A.TIME ARRIVED( 7 O TIME DEPARTED P ENGINEER AlpTRAVEL TIME 1 LUNCH ME CONTR R CONTRAC INSPECTIO ESS ADDRESS OF PROJECT TYPE OF INSPECTION O ENGINEERED FILL O FOUNDATION ❑ BACK FILL ❑ BATCH PLANT ❑ PT CONCRETE ❑ SHOTCRETE ❑ CONCRETE ❑ MASONRY ❑ HIGH STRENGTH BOLTING ❑ WELDING ❑ SHOP WELD O FIREPROOFING ❑ ANCHOR/DOWEL O NDE FIELD ❑ NDE SHOP O CEILING WIRE ❑ ❑ O OSA/OSHPD/PROJECT: APPROVED DOCUMENTS: AVAILABLE: APPROVED PLANS Y ❑ N ❑ SOIL REPORT Y ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALS U BY CONTRACTOR (INCLUDE Gms RESEARCH REPOT N . OR MATERIAL T T REPO R : CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTED: 1 STRUCTURAL NOTES, DETAIL, OR RFIS 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 4)WAS NOT O 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 TLIf 111nRV I\IP n�PT�n ent•T� r�ir� I,�r ��rn P ' t Name Certification #: Verified by: Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 www.mtglinc.com1/ D' ch:800.491.2990 MTGL Project #: 7 Permit # Report # PG OF San Diego/Imperial Countj 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 AMDATE I C ia� fi- -79-07 ARCHITECT TI E ARRIVE SOs r TIME EPARTED F n l. 130 ENGINEERA.v T AVEL •CL LUNCH CONTR S UB CONOTTL`CTOR IN7 ADDR- + A DRESS OF PROJECT TYP F INSPECTION ❑ NGINEERED FILL FOUNDATION ❑ BACK FILL ❑ BATCH PLANT ❑ PT CONCRETE ❑ SHOTCRETE ❑ CONCRETE ❑ MASONRY ❑ HIGH STRENGTH BOLTING ❑ WELDING ❑ SHOP WELD ❑ FIREPROOFING ❑ ANCHOR/DOWEL ❑ NDE FIELD ❑ NDE SHOP ❑ CEILING WIRE ❑ ❑ ❑ DSA/OSHPO/PROJECT: APPROVED DOCUMENTS: AVAILABLE: APPROVED PLANS Y ❑ SOIL REPORT Y ❑ N ❑ N ❑ SPECS: Y ❑ N ❑ APPROVED SHOP DRAWING Y ❑ N ❑ MATERIALVSSEED BY CONTRACTO (INCLUDE RESEABCft REPORT NO.ORM ORF I/��'' {lvll TEST REPORTS): Q2 CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTEly [ �! Q i STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS. . REWORK AS PE ENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS IV WAS NOT❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS P/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/0 HPD/PR ECTap n Samples taken: & Weather: S a" ari , ?%—/ 'Print Name Certification #: �� , C. Verified by: Corporate: .2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 l, Dispatch: 800.491.2990 TYPE OF W RK INSPECTOR II/ C / ARCHIT - -� ENGINEER G CONTRALTO ..N✓i OIiL SUB -CONTRACTOR INSPECTION ADDRESS 345 _� 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 AVAILABLE: SOIL REPORT (Y)(N) APPROVED PLANS N) FOR WEEK ENDING, REPORT NO. PG PLAN FILE NO. PROJECT NAME ^ - II/ ^ .^ - I- Inland Empire: 14467 Meridian Pkw., Bldg. 2-A Riverside, CA 92518 Tel: 951.653.4999 Fax: 951.653.4666 Dispatch: 800.491.2990 SPECS N) APPRdV,ED SHOP DRAWING (Y) (N) PROJECT. NO. �. �-i S c OF PERMIT NO. iFe-L S G REPORTING REQUIREMENTS: ICBO FIELD INSPECTf@fq 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., MATE g S� USED BY CON�CTOR (INCLUDE RESEARCp REPORT NO. OR MATERIAL TEST REPORTS ( ✓�I ✓1 f f�T� ��nv-�3u,-�, U�t c 224 !::,a CONTRACTORS EQUIPMENT / MANPOWER USED: f� AREA, GRIO LINES. PIECES OBSERVED: _ �� .�- ST�t1 �eka STRUCTURAL NOTES, DETAIL R RFIS USED: . 5- 2.2 wl� lac.. P& e t -0C_ ion -r- rREMARKS. REMARKS.INCLUDING MEETINGS:�dC�� jjn T �Y a c #f&az 5 �-w / c 4. 4. REWORKPERCENT OF ALL WORK TODAY* PERCENT PROJECT COMP ETIs N• �ne� WEATHER: SAMPLES TAKEN:////) s�j TEMPERATURE: v�-1Q TESTS REQUIRED: 317E TIME START: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT I HAVE PERSON OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVE N PECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT / El 6'_7 igna Date of Report ICBO Certification Number Print Nam City / County Certification Number Rev: 7/97 1 Mi6`t cofp0rate.. 2992 E. La Palma Ave. , Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 FIELD REPORT WE* 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 ' SOILSSHOPS AREA, GRID LINES, PIECES OBSERVED: APPROVED Y N y y y y ARCHITECT Concrete & masom notes &. details o_ n_ sheets S1, S2, S3, SD.I, SD.2, SD.3, SD.4 FOR WEEK ENDING Verified reinforcin .steel for_. e, size, grade, splice 1 .,_ acin :& clearance.for slab on. e,..also monitored. lacement &consolidatio_n Qf-$5_.total_.._..... cubic yards of 45007psi concrete @ building s.o. SGPA 'Sample - from ticket # 5653559, slum 3", concrete tem erature *72°, locations 800 sq. 11 -area line F — between 3 to 5 10/13/07 PROJECT No. 10) ENGiNNER 'TEST REQUIRED: Slump, temperature, f c PLAN FILE NO. ..214 MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY BLDG 07-822 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR.DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT DI:UlSDT'U C/1f 11'D�1. dITAI'PaYrnliA BLDG "D" � ._ _... ..., lnrr•r n ....- _ 79— 845 HWY l 11 LA RUINTA -• • -•-• • • ••-•-•--•• • •• •-� •... .. •.•. •,. • .nn I. _� \. ul �w nnn i n .DCVICIl/ DD.CVT/1T TQ DCD/1DTC AATT� i TQTQ TC 1V..i1Vl\111•'�VLLL:1Y11.i1Y1J.1\iLV l'IL:LL LVUI U\•l.1VlY lYlA1YVA/.d 1Yl.1VL JVIL IYIAIVVAy l\L:YlI.i Yl ll\li Y1V VJ 1\Lil Vl\I.J AITrN T TQ'rQ. T 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): 85 cubic yAds of 4500 psi concrete from Robertson read mix, desi # 62121A r A -6I5 60 gFLAe reinforcing steel CONTRACTOR E IIIPTMENT / MAN.POWER�USED: Laser screed, 20 men AREA, GRID LINES, PIECES OBSERVED: Concrete placement — for 4" slab on grade from lines 1 &. 2 to 4_ & 5 & A to F T 7 !`TT ID AA 77 AT/ITCQ 11CT A TI (G� /1D D CTQ I TC�YCTI - - 1R�\.1V1\AL 1VV 11iJ, LLilA1LJ, V1\1\1'1J VJL:L. Concrete & masom notes &. details o_ n_ sheets S1, S2, S3, SD.I, SD.2, SD.3, SD.4 REMARKS, -INCLUDING MEETINGS: - Verified reinforcin .steel for_. e, size, grade, splice 1 .,_ acin :& clearance.for slab on. e,..also monitored. lacement &consolidatio_n Qf-$5_.total_.._..... cubic yards of 45007psi concrete @ building s.o. 'Sample - from ticket # 5653559, slum 3", concrete tem erature *72°, locations 800 sq. 11 -area line F — between 3 to 5 WEATHER: Clear SAMPLES TAKEN: I set of 4 concrete TEMPERATURE: 60's — 70's 'TEST REQUIRED: Slump, temperature, f c II SITE TIME START: 9:00 Aly( SITE TIME FINISH: 1:30 PM /--� 1 n/ —1I LUNCH PREIOD: TRAVEL TIME: l J)O CEtt 1'[FY "1'C[A'1' I ItA:VI's PFRSONALI;Y OBSfRVF.D ALL OF THE WORK LISTED ABOVE AND'THAT THIS WO C IES t V1sST[GATt0N ?COMMENDATIONS AND / OR TIJFAPPROVED PLANS, SPECS, AND APPLICABLE SECTION OF BUILDING SIGNATURE: d10 MON: 10 / 08 / 2007 ICBG Certification Number. 1037 Date of Report PRINT NAME: DONALD SMITH City /county Certification number: Mf6� Corporate: Branch: 2992 E. La Pal ve. , 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: ICBG FIELD INSPECTION MANUAL/MTGL SOICMANUAL ,-- 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 Laser screed, 20 men TYPE OF WORK AREA, GRED LINES, PIECES OBSERVED: Concrete placement - for 4" slab on grade from lines l & 2 to 4 & 5 & A to F AVAILABLE REPORTS ^" '- — - PLANS SPECS "`" SOILSSHOPS ' STRUCTURAL NOTES, DETAILS, OR RFIS USED: REINFORCED CONCRETE REMARKS, INCLUDING MEETINGS: APPROVED Y N Y Y Y Y AnnrrrmT.nm tuMt.nuc%.l SGPA rn"RrnnV nLrllr.i/1 rvn wccn civl�uv� 10/13/07 PROJECTNO. 2145A02 ENGINNER SAMPLES TAKEN: 1 set of 4 concrete TEMPERATURE: 60's - 70's PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY BLDG 07-822 SUB -CONTRACTOR PROJECT NAME MWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT - BLDG "D" 79-845 I1WY 111 LA QUfNTA. REPORT" REQUIREMENTS: ICBG FIELD INSPECTION MANUAL/MTGL SOICMANUAL ,-- 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 85 cubic yards of 4500 psi, concrete from Robertson ready mix, design # 62121A. - A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT /.MAN POWER USED: Laser screed, 20 men AREA, GRED LINES, PIECES OBSERVED: Concrete placement - for 4" slab on grade from lines l & 2 to 4 & 5 & A to F 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 type, size, grade, splice lap, spacing & clearance for slab on grade, also monitored placement & consolidation of 85 total cubic yards of 4500 -psi concrete @ building s.o. Sam from ticket # 5653559; slum 3", concrete temperature 72°, locations 800 sq, ft area @ line F - between 3 to 5 �e- 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 I SITE TIME FINISH: 1:30 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: 1 DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATIO RECOMMENDAT ONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: • n MON: 10 / 08 / 2007 I - CBO Certification Number: 1037223 84, 88 Date of Report nn n.1T` •.r A w An. nfIAT A T n QA ATTLT ('.iiv / rrn�niv ('.rrtifiratinn n��mhPr r KiN l Ntuvlc. LVl\!'1LL Jlvll 111 r...j .........� r......-.-... ..... ............. WEIGHMASTER CERTIFICATE —_w ERIOR READY MIX CONC TE L.P. 7 Q 3 THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signa- SERVING SOUTHERN CALIFORNIA IN 8 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. 't ,Weighed at: 72270 VARNER ROAD, THOUSAND (PALMS; 92276- r(760) 343-3418 DATE — CUSTOMER 05 -Oct -07 RIBSE005 NO. - _ _- _, —_ . ORDER NO.T 84254 CUSTOMER P.O. NO. .. _ PLANT NO. 073 '58483 DELIVERY TICKET, NO. > CUSTOMER NAMEr _ NIBBELINK MASONRY `CONSTRUC'T'ION .`� ,'_ ✓ USTOMER JOB NO. Y178 JOBADDRESS_ _ _ 79-815 HViY ill, LA QUINTA -79-815' HWY 1i1 _ - - -- 5470 A334 SPECIALINSTRUCTIONS _ ClisiN GRI�UT. , .. ;LOOK FOR --BLOCK- BUILDING—— 73G1 ON JOB WEIGHMASTER / MIKE QUINTANA /' SIGN. P DUMP— _ SLU P _ 1i3. Ofd NO. _ _ _ �� IRROWbAUER,GA"YID - ORDERED BY QTY ORDEREtabs-•8 irs. vg(D - LOAD QTY CUMULATIVE QTY UOM PRODUCT DESCRIPTION ' PRODUCT CODE UNIT PRICE TAX AMOUNT 9.00 9.00 CY 6 SACK 3/8 PUMP KIX D66P-8 1- � _ QTY TOGO �r� I 4J .:+". 'f ^+ L! Y 9. 0f11 Excessive water is detrimental to concrete C.O.D. TIl@ T.TLT2.-.ARRIV �J. performance. /r ❑ Cash J TOTAL FOR THIS TICKET Gallons to full load, /Slump ❑ Check No. srA / _ FINIS . l,C1 T TOTAL FOR THIS ORDER Gallons to 3/4 load /Slump ❑ Credit /� 1 / 3J Gallons to 1/2 load /Slump Driver Comments STAND-BY TIME,F.,ORi4THIS 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 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." I SRM -145 REV 7/06 Received in good condition by: DELIVERY SUPERIOR "ADY MLX- CONCRETE, L.P. UWRA'.C1 HEADQUARTERS 1508 WAVIISSION RD. • ESC ONDIDO, CA 92029 PHEW E: (760)'745-0556 • FAX: (760) 7=10-9557 FORALL LL YOUR CONCRETE AND ;iCYG1<tt;C,1`.rE NEEDS - N. SAN DIEGO COUNTY CALL: 7(50-745-0556 • ESCONDIDO • 0('I:A"NS1DF F LLBROOK CALL— '760-721-'- I J 1S S. SAN 17IE00 COUNTY (� CALL: 858-695-0666 • CARROLL CANYON f \ • MISSION GORGE • OTAY MESA LAKESIDE CALL: 619-:14.1-75f0 RMAO'NA CALL: 760-7S)- t 181.) RIVER51DI•_'. COUNTY CALL: 951-2773553 + • CORONA � •avITJ:RRIErA \Cil?ANCiA Nr;1v11;T CALL: 95J.-658-1562 C:OACHEI. LA VAL:LBY & IRIGH DESH-R1. CALL: 760-343-341S, • 1 D }i? PALMS • 1NDIO COACTIFLIA • 'r UCCA VALLEY 29 PALMS EL CENTRO CALL: 760_352-4341 TERMS AND CONDITIONS OF SALE; ! SAFETY PRE��CAY"IONS 1. "CIA UTlUN! Pi-Nhly mixed concrete may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. Tn case cif contact kvith eye,,, rinse tivith water immediately and repeatedly and seek medical. attention, Keep children away Pram concrete and other freshly mixed cement products." 7. Customer is responsible to provide an. area or container {'or the clean out of mixer 17-uck chute. Arty discharge to waterCOLMSCS, Street Oulters or slorntdI'alns is a violation Of law. 3. Cistorner acknowledges that he has instructed Superior's driver to uliload materials .in a location specified by Customer, and algrees to dcfe.+td. i.nii.c.tinil'y and hctfci Sttperic,.r. hzti7nlc.sti .l'rnir.; any li.al�ilt:y or claims fr r L9anI<t�e to property as a .result of the movemenis of Superior's truck born the public street io and abOUt the. Clelivery location. Customer Signattwe Mf6� Corporate: -Branch: 2992 E. La *Ave., Suite.A 7313 Carroll Road, Suite G Anaheim, CA 92806 San Diego CA. 92121 `Pel; 714.632,2999 `Pel; 838,537,3999 Fax: 714.632.2974 Fax 858.537.3990 R rURi-REQUIRhMEN I S: IC130 HbLU INNFb(;.IION MANUAUM'I'(iL JUIL 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 Line A — 1 to 4, line 4 — A to C, line 5 — C'to F, line F — I to 5, line C — 3 to 5 REINFORCED CONCRETE APPROVED Y N Y Y Y Y ARCHITECT Verified reinforcine steel for tvpe, size, grade, splice lap, spacing & clearance for perimeter building footing and interior spread footings, also FOR WEEK ENDING Note: # 1, verified ufer ground cable in footing line 5/13.5 Note:-# 2, contractorresponsible for ail dimension, anchor bolt & holdown lay -out SGPA 9/29/07 PROJECT NO. 2145A02 ENGINNER TEST REQUIRED: Slump, temperature, f C . PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE.BERGMAN COMPANY BLDG 07-822 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG "D" 79-845 HWY 111 LA QUINTA R rURi-REQUIRhMEN I S: IC130 HbLU INNFb(;.IION MANUAUM'I'(iL JUIL 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): 78 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, 20 men AREA, GRID LINES, PIECES OBSERVED: Reinforcement inspection, anchor bolt, hWs & concrete placement — interior pad footing's &perimeter building footing •d lines I & 2 — A to F, Line A — 1 to 4, line 4 — A to C, line 5 — C'to F, line F — I to 5, line C — 3 to 5 STRUCTURAL NOTES, DETAILS, OR RFIS USED: Concrete & masonry notes & details on sheets S 1, S2, S3, SD. 1, SD.2, SD.3, SDA REMARKS, INCLUDING MEETINGS. Verified reinforcine steel for tvpe, size, grade, splice lap, spacing & clearance for perimeter building footing and interior spread footings, also monitored placement & consolidation of 78 total cubic yards of 3000 -psi concrete areas noted above Note: # 1, verified ufer ground cable in footing line 5/13.5 Note:-# 2, contractorresponsible for ail dimension, anchor bolt & holdown lay -out Sample - from ticket # 5526003, slum 4 W', concrete temperature @ 73*, locations @ perimeter ft 's line A — between 1 to 4 WEATHER: Clear SAMPLES TAKEN: I set of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, f C . SITE TIME START: 7:00 AM SITE TIME FINISH:. 12:30 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 COMPLIES WITH THE SOILS INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: '1 ^ FRI: 9 / 28 / 2007 ICBO Certification Number; 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number. THIS IS NOT A 71CICET NO. R® R Ia ® 'S NOUMBEOR 643 OPEN 7'DAYS BOX3600,CORONA,CA928783600 ii Il,i 1 ,l I ��il�ll�II�I 0800/834-7551 San Diego 600/870-1220 •c Q2C.i �J 9 #1 RIVERSIDE - 6120 201h. ST .-# 8 SUN.CITY —27050 WATSON RD. #15 VERNON LOS ANGELES - 3365 E. 26TH ST. #22 N0. 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 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 SL ' #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 HWV,18 #7 BEAUMONT - 452 W. LUIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIH. WEST #28 OTAY MESA - 7961 AIRWAY ROAD #35 BIG BEAR LAID: - 42040 BIG BEAR BLVD. PLANT DATE CUSTOMER NO: SOLD TO: I. AP f?AGE TICKET NO., (� 013/27/07 85122 TIDWELL CONCRETE CONSTRUCT j4 VIA4`, rE,�►.3�85 TX CD DELIVERY ADD ESS &,I T UCTIONS STOMER P.O. / JOB Oft.lO _#,_ '�I t��l't a Y 7.11 t 1 �E�1 f Ott �ti!I�S.r BLD 8&C//JEFFERSON LA QUINTA (760) 342-8,300LAST "rKS 15 1' Job Phone : (760)E:75--'8133 IN'iTHE COSTCCI P .1N,+ -OT,` ORDER NO. ME7E1 READING TIME TYPED �•_ TRUCK UC.NO. 40 1 f�flfL�a �f0 G.J/ �3Utit3:LlL� 14 F 1l LOAD NCC SLUMP LUMPTRUCK, DRCCi-KJ,1 FORSYT El, KEN FOUNDATION FOOT I NGS DRUM JOB STA 7.00 � TO JOB 7nREVS: Job -site Cylinder Test: -Q Yes TIME ON JOB MIN. CHECK # 1 ON JOB 7 - Water added on job at El Custom ergs request: STAND BY MIN. CHECK AMOUNT BY START POUR 7 3 �% RATE OF X $ PER MIN. CASH 9 gals to Full Ld.` � AMOUNT BY FINISH POUR gals to 2/3 Ld. $ PLANT MGR SIG gals to 1/3 Ld. CVERmMECHMGE LEAVE JOB / ADJ. Meter 4%4 4 min: per.yd. unloading_time.allow_ed. ARRIVE PLANT Additional water added to this concrete will reduce its strength.. Any Additional unloading time charged at current Koudy truck rate water added exceeding the design water is at the customer's owri risk. TERMS AND CONDITIONS OF SALE +t In consideration of Robertson's del vexing 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 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 attorne to collect payment for the descnbedlnaterials;'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 QTY ORD QTY PROD CODE MIX AND"COMMODITY UOM UNIT PR AMT 10.00 20.00 80.00 1085A WATER ALLOWED 34.0.00 WATER BATCHED TAX 198.00 00 MOISTURE: WATER 110.00 MAX ADD WATER 32.00 CEMENT # 4200. 00 FLYASH # 750.00 3/8 AGG # 3840.4L0 I" AVCS # 15040. 00 W SAND # 14040. 00 WRDA 84 FO 149.00 AGREED TO AND RECEIVED BY CUSTOMER 3000P1/PL 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 D a v i 46BERTSON'S n TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY j TOTAL DELIVERY TICKET THIS Is NOT A TICKET NO, CONTROL NUMBER 5643938 0 OPEN 7 DAYS P.O. BOX 3600, CORONA, CA92878-3600 hone 800/8347557 San Diego 800/870-1220 #1 RIVERSIDE - 6120 201h. ST. ,#2 f MORENO VALLEY - 12890 DAY ST. #3REDLANDS - 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 26 09/27/07 # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH ST. # 9 ARROWHEAD - 29750 HWY 18 #16 ANAHEIM - 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 DR. #12 SAN BERNARDINO - 1955 W. 9TH ST #19 ADELANTO - 12203 VIOLET RD. #13 IRWINDALE - 13631 LIVE OAK LANE . 120 SAN CLEMENTE'- 116 RINCON CT. k #14. PASADENA - 1420 N. LINCOLN AVE. '#21 IRVINE - 16081 CONSTRUCTION CIR. WEST #27 MURRIETA - 26190 ADAMS AVE. #34 LUCERNE- 36555 HWY 18 CUSTOMER NO: SOLD TO: 85122 TIDWELL MAP PAGETICKET N CONCRETE . CONSTRUC 471ZIA3 t.,E�,403938 TX CD DELIVERY ADDRESS 8 INSTRUCTIONS CUSTOMER PO. / JOB.OB LOT # y' 73793 H i i3HWAY 111 /ILftii/lt�:.J ESLD B C/ / JEFF"E RSON LA QUI NTA ( 760) .?,42--8300LAST TKS 71"1,12 Joh Phone : ('760)275--8133 IN THE COS.TCO PK I N LOT 432 ORDER 4 METER 8f OO DING OCA LOAD N08 SLUMP ,:�..�.71Z1 DRUM TO JOB REVS: � '� ` TIME TY,(?ED TRUCK UC NO. 1 .15 NEED 11 E5 V07 JA S SO DAV I IQ FOUNDATION FOOTINGS JOB START : 7:00 Job -site Cylinder Test: ' ❑ Yes . TIME ON JOB MIN,'f •, '. CHECK # ON JOB' } Water added on job at STAND BY Customer's MIN. ;CECK❑ AMOUNT BY START POUR / gals to Full Ld. M RATE of x $ �T PER MIN. f, V CASH .❑ 1 AMOUNT BY FINISH POUR 1✓ / gals to 2/3 Ld. �S 1 r $ ( PLANT MGR SIG 1 gals t0 1/3 Ld. OVERTIME CHARGE LEAVE JOB ADJ. Meter4 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 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 theproject 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 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 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 11/2 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 IIZI- 00 80-00 110.00 1085A 300OP/AL C:Y WATER ALLOWED 340.00. • *10IC5693938* _ #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 - 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 LAKE - 42040 BIG BEAR BLVD. MAP PAGETICKET N CONCRETE . CONSTRUC 471ZIA3 t.,E�,403938 TX CD DELIVERY ADDRESS 8 INSTRUCTIONS CUSTOMER PO. / JOB.OB LOT # y' 73793 H i i3HWAY 111 /ILftii/lt�:.J ESLD B C/ / JEFF"E RSON LA QUI NTA ( 760) .?,42--8300LAST TKS 71"1,12 Joh Phone : ('760)275--8133 IN THE COS.TCO PK I N LOT 432 ORDER 4 METER 8f OO DING OCA LOAD N08 SLUMP ,:�..�.71Z1 DRUM TO JOB REVS: � '� ` TIME TY,(?ED TRUCK UC NO. 1 .15 NEED 11 E5 V07 JA S SO DAV I IQ FOUNDATION FOOTINGS JOB START : 7:00 Job -site Cylinder Test: ' ❑ Yes . TIME ON JOB MIN,'f •, '. CHECK # ON JOB' } Water added on job at STAND BY Customer's MIN. ;CECK❑ AMOUNT BY START POUR / gals to Full Ld. M RATE of x $ �T PER MIN. f, V CASH .❑ 1 AMOUNT BY FINISH POUR 1✓ / gals to 2/3 Ld. �S 1 r $ ( PLANT MGR SIG 1 gals t0 1/3 Ld. OVERTIME CHARGE LEAVE JOB ADJ. Meter4 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 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 theproject 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 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 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 11/2 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 IIZI- 00 80-00 110.00 1085A 300OP/AL C:Y WATER ALLOWED 340.00. WATER BATCHED 180.50 MOISTURE WATER 116.00 MAX ADD WATER 43.50 CEMENT 4# 4220.00 FL'/ASH # 741.00 378 AGG # 3840.00 I" AGG # 15080. 00 W SAND # 14.040.00 WRDA 64 FO 149.00 AGREED TO AND RECEIVED BY CUSTOMER 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, 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 California Department of Food and Agriculture. SUB D A v FROBEff4I5Nk Ut TOTAL WEIGHMASTER STAND BY CHARGE BY DEPUTY TOTAL DELIVERY TICKET . 13tuneh. Csrparates • 7311 Carroll Road,. Suite 0 2992;E-. a Pale. ,. Suite A San Diego CA. 92121 Anaheim, CA 92806 Tel: 858.537.3999 Tel: 714.632.2999 Fax 858.537.3990 ArT M, M Fax: 714.632.2974 w FIELD REPORT AVAILABLE REPORTS PLANS SPECS SOILS SHOPS TYPE OF WORK �' Y Y Y REINFORCED CONCRETE APPROVES Y N ARCHITECT FOR.VJEEK ENDING 9/29/07 PROJECT NO. 2145A02 SGPA PLAN FILE NO. ENGINNER MAL"EK PERMIT NO. BLDG "B" 07- 820 &BLDG "C" .07-.821 CONTRACTOR THE BERGMAN COMPANY PROJECT NAME KOMAR DESERT CENTER SUB -CONTRACTOR TroWELL INSPECTION ADDRESS "c'" ADDRESS OF PROJECT 79-825&79 - 835 HWY 111 LA UINTA BLDG'S B & "v pCARCI{/ DD CI/l/l�fC DCD(1DTC AT(Tl 1 7CTC 1C ��.y y,�.�, yam,,;.:♦ VVJ'I�L, VI\,J l',ILL,Jy J. REP^RT I �UivCs}vii7; u. ivaQiv i iuvv il�uDu ivN ,v4M'I IN .,TR,1 vi, SO L v�iv,v�rwCY THERE IS NONN--CAOD.EFICIEIN NCY, YOURS OR RE VIOUS RdSPECTOR'S, .is CORRECTED SO NOITE ON THE ORIGINAL DEFICIENCY REPORTNAND ATT REPORT. WH NF SUBMIT A COPY WITH YOUR WE REPORT. ^ ncac ADru uFPnRTS Nn. OR MATERIAL TEST REPORTS)' 110 cubic yards of 3000 psi concrete from Robertsoi A-6 15 60 grade reinforcing steel !`n111TD e("rnR FnI1IPTMENT / MAN POWER USED. Mechanical vibrator, 10 men Reinforcement inspection anchor bolt, hd's & concrete AtoD,line D-2 to 8, line 8—D to F, line F-1 to # 1085A 11 Concrete & masonry notes & details on sheets S1, S2, S3, SD. 1, SD.2, Sll Verified reinforcing steel for type, size, monitored placement & consolidation o Note: # I, verified ufer ground cable in Note: # 2 contractorresponsible for all Note # 3, load # 7 rejected due to tempi # I from load # 2, ticket # 5643889, sit # 2 from load'# 8, ticket # 5643938, sit 1 WEATHER: Clear TEMPERATURE: 60's — 70's SITE TIME START: 6:30 AM SD.4 & clearance for 110 total cubic yards of 3000 -psi concrete @ areas noted )oting (0line D - 7 to 8 limension anchorbolt & holdown lay -out ature over 90° & time over 90 minutes ip 3 1/z", concrete temperature na 79°, locations @per np @ 3" concrete temperature @. 840location , pA,,Iir SAMPLES TAKEN: TEST REQUIRED: SITE TIME FINISH: 3:30 PM. lines l &2-AtoF,lineA-2to6,line 6 - and interior spread footings, also eters I & 2 — between C to E 6.: between E.to D 2 sets of 4 concrete Slump, temperature, Fc LUNCH PREIOD• TRAVEL TIME: VERIFIED BY: i I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORKING ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION COMMENDATIONS / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: THURS: 9 / 27 / 2007 ICBO Certification Number: 1037223-84,88 Date of Report City (county Certification number: PRINT NAME: DONALD SMITH 09/19/2007 16:25 16192949534 SGPA SAN DIEGO PAGE 05/05 SEP 19 2007 3:40PM AMLEK ENGINEERS INC. 45 445 P-3 08128/2087 23:25 7683431983 AIAGMEGATES PAGE 02/02 `1 Earth Systems Consultant Southern California s Pmjftt: A-1 Stsadard MIxt/Coachella valley Job Number: ST -5542 -PS Address: Arae% Data - 02 -15-07 b General Contractor: MIX Design P 93C-98.077 Q Cone. Sub.Contraoter: NibbUnk Masonry SuppoorMIX 1e: A-1050503 Concrete Suppler. A-1 Aggregates. Inc. Max. Site A99. 3Ar h Agg. Suppltar: Art Aggregates, he. Design Strength: 2000 psl CementSupplier. Slump: $41-11 _ Concrete Ose: Grvut M20100"Itt Ratio: 0.58 b .: o. $pe016C Abs. Batch 8 4+1 Mate" Type GM* VOL Walpnte Cement 5 sk. Type 111m1 3.15 2.87 564.0 lbs. Fly Ash type F 2.8 0,00 0.0 lbs. A99.A1 1 112" X 314" 2.64 0.00 0.0 lbs. Agg.02 in X14 2.63 0.00 0.0 Ibe. Agg.03 Wr X 118 2.81 6.57 1089.6 Bw Agg.04 Wash Can Sand 2.65 1220 2016.8 lbs. Water 40.2 Gale. 100 3.37 334.9 lbs. Admbc IM Sika 161 643 70.5 50.6 B4.5 7A 2.3 28.2 ozlcu.yd. Admix #2 OzIcu.yd. AirS1 cdcu. d. Totele 2TO-- Cu. Ft. 399&3' 108. dmmnabt rmdatlen AGG. R t 1r2- F Sia• V2' v3/8'-- II4 --sb s18 1N0 1150 Ileo M200 App 0 Ap9.62 0 100 6e Be • ab m 4 0.5 Ae9.113 3S 10D 100 100 100 6? 21 3 2 2 1 1 0.6 AgaM 65 100 100 100 100 100 We 643 70.5 50.6 B4.5 7A 2.3 1W 1W 1W .W 7W av r! w 41 04 la O z 6Mnire Acte: AllanwepMe we" are eaWmwd Surma dry. Reepadkfily m*Whed Fr" mobtura 1s cons?domd Dart CO the lotel water. Earth Systems COnsuttants DiBbihiftn: 2 - A-1 1 -BD 1 - VTA Southam C6/�y� eese�- Craig S. C.E- #382 OT - *. 09/19/2007 16:25 16192949534 SGPA SAN DIEGO SEP 19 2007 3:40PM LEK ENGINEERS INC. 45"445 .J SOPRRIOR READY MIX CONCRETE Bad= 22 Mix Report MU IDA 0664-8 - Compresefea Strength: 2,000 psi THIS DESIGN is BRING SUMITTED FOR APRROVAL. tzsz A4 CONBORlwCE W/Sore snow BS •RE<riowso. COAtraOtcw NIHHRZINP( MRAONRY profact :. XOMAA 102SUT CIMM 9enrce of Conacete SUPERIOR READY MIX CONCRETE L.P. Conatrucuon Type GROUT Placement 3/9" PUMP Weights pas Cubic Yacd (saturated., Surface-Dryl Quentity Density Yield, ft' ASTM C150 TYPE 21/V COPT, lb 566 3.150 2.87 water, lb 305 1.000 6.17 ASTM C33 06 sods, lb 873 2.640 5.30 ASTM C32 WMMM CONCRETE BAND, lb 2,030 2.630 12.37 WJTRR WZWC$tS POEL 322N, or (US) 22.6 1.000 0.02 Total Air,.% 1.0 t 1.0 • 0.27 TOTAL �r�n�a�ssxs 27.00 water/Cement Ratio. lbs/lb 0.69 Slump, Nigh, in 6.00 Loa, in 0.00 Concrete Veit Freight, Pof 142.71 Yield, 1 100.0 MAM ENGISM IIE W QQ PIgQOE A4(�ADi181aA OOAQEIENL(0819N lf1Ei� 1�O181f Y M�1 D�BO Ii011 ilE �tl]0 ff OQItg61B1d N01(EiINN, ®f 3M COi1Dil8 d(11E NDI �4�. OrQE ? 8/30/2007 1 PAGE 04/05 P.2 �rrs� t t' Corporate- r Branch: 2992 E.. La Palm ve. ,. 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 �vul lvmll I a, 1--o" rim'" 11`13rrvu 1 tvim 1vjA1tlUAiJiv1 Ll7L, JV1L M -F NUAL Kt;vltlW YKt;V 1UUS REPOK1'S AND LISTS. 1 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 MATERIALSUSED 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 ]Omen 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 STRUCTURAL NOTES, DETAILS, OR RFIS USED: REINFORCED CONCRETE REMARKS, INCLUDING -MEETINGS: APPROVEDY N Y Y Y Y- ARCHITECT rSamnles oad # 1, ticket # 5525661, slum 2 %2", concrete tem erature 71°, locations interiors read ft 's line C/4, 5, 6, line D/ 4 5, 6 & E/4 oad # 8, ticket # 5643430, slum 3", concrete temperature 81 °, location @ grid line 7 — between B to D.5 POR -WEEK ENDING SAMPLES TAKEN: 2 sets of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, f c SGPA 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 �vul lvmll I a, 1--o" rim'" 11`13rrvu 1 tvim 1vjA1tlUAiJiv1 Ll7L, JV1L M -F NUAL Kt;vltlW YKt;V 1UUS REPOK1'S AND LISTS. 1 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 MATERIALSUSED 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 ]Omen 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, lutes.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 l5rpe, size, grade, splice lap, spacing& clearance for perimeter building footing and interior spread footings,also monitored placement.& consolidation of 110 total cubic yards of 3 000-si concrete 2 sets of 4 concrete rSamnles oad # 1, ticket # 5525661, slum 2 %2", concrete tem erature 71°, locations interiors read ft 's line C/4, 5, 6, line D/ 4 5, 6 & E/4 oad # 8, ticket # 5643430, slum 3", concrete temperature 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 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 WORK COMPLIES WITH THE SOILS INVESTIGATIONCOMMENDATI0 AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATURE: / Gr — TUE S: 9 /18 / 2007 .ICBG CertificationNumber:.1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City /.county Certification number. THIS IS NOT A TICKET NO. CONTROL AM R® �N9� NUMBER OPEN 7 DAYS 0. BOX 3600, CORONA, CA92878-3600 Oonle800/834-7557 San Diego 800/8i0-1 #1 RIVERSIDE -.6120 201h. ST. # 8 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. 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. tr #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. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. #21 IRVINE - 16081 CONSTRUCTION CIR. WEST PLANT DATE CUSTOMER NO: SOLD TO: 2C 0-/18/0'? X85122 iIDWELL Ili�1�111�111 � ,I�Illl�l��e� I1lsillllllllll�IllfIIl ) Illlllli�l q LS4 3 29 3 #22 NO. HOLLYWOOD - 131rtSCS 2 RAYNER RL 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. MAP PAGE TICKET NO. CONCRETE CONSTRUC 5470A3 5643430 TX CD DELIVERY ADDRESS & INSTRUCTIONS CUSTOMER P.O. /JOB OR LOT # 79793 HWY 11 1 1964 4 708085 JEFFERSON : LA QUIN,TO (760) 342--8300LAST TICS 401 Jab Phone : (760) 275-8133 COSTC:O PARKING 3.5" MAXXX INTO 26 483 E ORDER NO. METER READING TIME TYPED TRUCK UC NO. 530 1700.00 10:09 NEED LOAD NO. SLUMP TRUCK DRIVER 8 3.50 1165 1X30 7 JASSO DAV I D FOUNDATION FOOTINGS -tl f• I FLYASH 7$-0 J08 START : 7:00 TAX It DRUM t (� REVS: ! Job -site Cylinder Test: Yes �, I TO JOB Jz TIME ON JOB MIN. CHECK # �• ON JOB / T) Water added on job at STANDBY MIN. CHECK Q _ 4 (' TMJ_i Customer's request: AMOUNT BY , ,,,•ti<. .g . START POUR j gals t0 FUII Ld. RATE OF X $ ❑ PER MIN. CASH AMOUNT BY , 'gals CHARGE FINISH POUR 1 to 2/3 Ld L (/ $OVERTIME CHARGE PLANT MGR SIG gals to 1/3 Ld. LEAVE JOB ADJ. Meter+ M I N 4 min. per yd. unloading time allowed. • ARRIVE PLANT Additipnalwater added tothis concrete will reduce its strength. Any Additional unloading time charged at current hourly truck rate water added exceeding the design water is at the customer's own risk. TERMS AND CONDITIONS OF SALE Inconsideration of Robertson's del ver ng the described material to a place designated by the Customer, the Customer hereby releases and agrees to indemnity and hold harmless Robertson's and its employees from all liability or claims for damage done by them, resulting from the movement of Robertson's vehicles upon or about the delivery location. Customer acknowledges that the descr bed material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to the project on which the material is to be used. Customer agrees to defend, indemnify, and hold Robertson's harmless from all liability or claims for damage relating to said material being inappropriate, incompatible, improper or inconsistent with plans and specifications, or with the ground soils or conditions on the land where the material is utilized, to the fullest extent permitted by law. In event Robertson's retains the services of an attorney to collect payment for the described of the Customer agrees to pay reasonable attorney's fee's incurred by Robertson's. Customer agrees to pay a time price differential Of 1, per month on any amounts owed to Robertson's for more than thirty (30) days. LD QTY CUM QTY ORD QTY PROD CODE MIX AND COMMODITY UOM UNIT PR AMT 10-00 80-00 100.00 1085A 300OP /PL , CY WATER •BATCHtD 2.3Z MAX ADD WATER 39 - CEMENT 4/2i0 DEL. CHARGE FLYASH 7$-0 TAX 3/8 AGG• S O a MGS WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted bye weighmaster, is �, I �r(� .Of SJp whose signature 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 PREVIOUS BALANCE 'l W SAND 13 ya D Professions Code, administered by the Division of Measurement Standards of the -WRDA .64 / California Department of Food and Agriculture. D 1 V EROBERTsoks u SUB TOTAL Y. ,. WEIGHMASTER STANDBY CHARGE BY DEPUTY TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET THIS IS NOT A TICKET NO. CONTROL R® ON NUM13R 5525661 OPEN 7 DAYS I SPhone8 . BOX3600, CORONA, CA928718360000/834-7557 San Die 0 800/870 1 220 • g It IO1C'5525651* #1RIVERSIDE - 6120 20th. 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 ANAHEIM - 201 E. COMMERCIAL SL #23 PARAMOUNT - 1277 E. flOSECRANS 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 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. 419 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. WIS ESTRADA RD. #14 PASADENA - 1420 N. LINCOLN AVE. L #21 JIflWNE - 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. 1.1 09/18 /0 r A5122 . TIDWELL., CONCRETE CONEiTRUC 't,470A31 5!:i256 61. TX CD DELIVERY ADDRESS &INSTRUCTIONS 1, CUSTOMER P.O. / JOB OR LOT # " 79793 HWY Ill 1.3G44 70808 JEFFERSON 1._A QU I N i A ( 760) ._'sjtt'::'._fi. IZII71LAS T TKS •' Job Phone - ('7E:0) 2-75--8 1313 ILOSTCO PARKING 3.5" " MAXXX [lrli'C) 2E. ORDER NO. METER READING TIME TYPED TRUCK UC NO. 5330. 1700. 00 6:00 N, 24 4Z 4 INTO -'!_ANT ERG r LOAD NO. SLUMP TRUCK DRIVER 1 73. 517 401. 441712 Gi' AJ• T DLA JERAMY F OUNDAT I OkI F oot r I N('._3SDRU J013' START TO JOB ! ( ) f) REVS Job -site Cylinder Test: tt ❑ Yes+ TIME ON JOB MIN. CHECK # - . o c r �o ON JOB 7. Z n Water added on job `at STAND BY MIN. CHECK ❑ r —7% Customer's request: AMOUNT BY START POUR // _! �_ gals t0 FUII Ld. RATE OF X $ PER MIN. CASH ❑ ,y W —7 � � AMOUNT BY O FINISH POURS ��+ gals to 2/3 Ld. $ PLANT MGR SIG, / 1:OVERTIME CHARGE ,�„� r �gals�to',1/3 Ld.` ( t '•�"w LEAVE JOB / ' 1• Cpl 1. 1\1 r ADJ.'. Meter 4 min. per yd. unloading time allowed.+' ARRIVE PLANTAdditional water added to this concrete vAllreduceits strength. Any � = Additional unloading time charged at current hourly truck rate y�F 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 y 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, indemnity, and hdld 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. 1 i t Ixl r 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 1 A per month on any amounts owed to Robertson's for more than thirty (30) days. - LD QTY CUM QTY ORD QTY PROD MIX AND COMMODITY UOM UNIT PR AMT• 1171, S210 14 . !r1t 1 situ . +�7, 1 X718 A : ;0►211/i P / PL. GY WATER ALLOWED 340.00 IiDEL. CHARGE ; WATER BATCHED 224. 50 MOISTURE WATER 95. 00 TAX WEIGHMASTER CERTIFICATE i�lA' ��j D WA T1 �' R +!� THIS IS TO CERTIFY that the following described commodity was weighed, �. hERlT q? �� ' jl%1 12111 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 F` L_ Y ASH # -20 . 00 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the /8 AGG 3840.170 CaliforniaDepartmentlol e(1doWXul44jFY SUB 1. " At9(J il 15.12 (Z). 0 01' ' ROBERTSON'S TOTAL WEIGHMASTER W SANT) # 1, 3880. IL 0 STAND BY WRDA 64 F-0 14`x. 00 1 CHARGE BY DEPUTY TOTAL AGREED TO AND RECEIVED_BYCUSTOMER DELIVERY TICKET 7A Corporate: 2992 E. La *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 Si1RMIT A COPY WITH YOI IR WFFK'R 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 @ 81°, locations @ northwest diagonal building footing & 2 — column footing's P, line 7 / C.5 & D.5 WEATHER: Clear SGPA TEMPERATURE: 60's — 70's 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 REPORT REQUIREMENTS: ICBG FIELD INSPECTION MANUAL/MTGL SOIL MANUAL RFVrFW PRFVIntrC.RFPnRTc AMn r ,cTc .rF 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 Si1RMIT A COPY WITH YOI IR WFFK'R 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 footin 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 & masonry notes & details on sheets S1, S2, S3, SDA, SD.2, SD.3, SDA REMARKS, INCLUDING. MEETINGS: Verified reinforcing steel for type, 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 @ 81°, locations @ northwest diagonal building footing & 2 — column footing's P, line 7 / C.5 & D.5 WEATHER: Clear SAMPLES TAKEN: I set of 4 concrete TEMPERATURE: 60's — 70's TEST REQUIRED: Slump, temperature, 17c SITE TIME START: 9:00 AM SITE TIME FINISH: 1:30 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT [ HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS u..J A1VlJ / UK -Itit; APPKUVW PLANS, SPECS, AND APPLICABLE. SECTION OF THE BUILDING CODES, UNO SIGNATURE: y�\\) rl� MON: 9 / 17 / 2007 ICBO CertificationNumber: .1037223-84, 88 PRINT NAME: DONALD SMITH Date of Report City / county Certification number: THIS IS NOT'�A TICKET NO. ® ®N9 ) NOUMTBEOR 6 43351 OPEN 7 DAYS X3600, CORONA CA9287836001lII�� ff ii jj f Ph*0001834-7557 sa Diego 800/87a122o • 2C 51543351* #1 RIVERSIDE - 6120 201h. ST # 8 SUN CITY - 27050 WATSON RD. #15 VERNON-LOS ANGELES - 3365 E. 26TH SL #22 NO. HOLLYWOOD - 13132 RHYMER STREET #29 EL CAJON - 215 CYPRESS LANE 42 -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 FOflEST - 25931 TOWNE CEMRE OR.1 #25 GAflDENA - 301 W. ROSECflANS AVE. #32 UPLAND - 1975 N. BENSON #5 POMONA - 2470 POMONA BLVD. #12 SAN BERNARDINO - 1955 W. 9TH SL #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: , [:, �I-1/1"7. 07 [l"=i1 71[]WEL.L CC]rtICRE`(E [:QP151 �ZUG "a'A�iPitGtitl; TIc N}°,`; TX CD D€LIV.EJT, ADDRE S &INSTRUCTIONS / ' AJ,, Y T ] CUSTOMER P.O. / JOB OR LOT # 1_0 QUINTA ('760) 34E--8300LASl E KS ,lob Phone (760)3412:1-83,72 183,,72 K.OMAR@ COSTEO PARKING ?.,rr MAX ORDER NO3METER READING TIME . PED-TRUCI� LIC N0. 19 w. 0043 LOADINOi SCUMTRU�C(K 4 DRIVER 1 SCHNE I DE. R, FRED FOUNDATION F00T r r,,1GS DRUM JOB I� REVS: Job -site Cylinder Test: Yes' TO JOB/ n TIME ON JOB MIN. CHECK # ON JOB Water added on job at Customer's request: STAND BY MIN. CHECK Ll AMOUNi Ov START POUR gals to FUII Ld. RATE OF X $ PER MIN. CASH ❑ AMOUNT RT— FINISH POUR gals to 2/3 Ld. $ PLANT MGR SIG gals t0 1/3 Ld. OVERTIME CHARGE LEAVE JOB ADJ. MeterlN� MIN 4 min. per yd. unloading time allowed. ARRIVE PLANT Additional water added to this concrete will reduce itsstrength. 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 employee, resufting nom the movement of Robertson's vehicles upon or about the delivery location. Customers from all liability or claims for damage done by them acknowledges that the described material has been chosen and selected solely by Customer without Robertson's having reviewed any plans or specifications relating to theproject 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 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 11/2% 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 1.3.00 8. X710 B.00 1085A 3000, r/GL cY DEL. CHARGE TAX v 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 Businessand Professions Code, administered by the Division of Measurement Standards 'of the California Department of Food and Agriculture. S�JB`• ' ;. eROBERTSON'S Lk t TOTAL 1 a'# WEIGHMASTER -STANDBY CHARGE •� l /,l( i BY DEPUTY I t: TOTAL AGREED TO AND RECEIVED BY CUSTOMER DELIVERY TICKET_ 09/17/2007 16:21 16192949534 SGPA SAN DIEGO PAGE 01/04 ' y r • SGPAARCRITECTURE PLANNING • SAW DIEGO SAN FRANCISCO *Off FAX TRANSMITTAL COVER SHEET C� 40 DATE: — 7-i / VIA: Fax TO: Kelly McCall/The Bergman Companies (909) 627-5425 Steve Kurtz/The Bergman Companies (760) 863-0780 C Clint Knox/Komar Investments, LLC (949) 718-4845 Zoven Hanession/Komar Investments, LLC (909) 517-9042, ❑ RE: Komar Desert Center— Site, Shops & Building A SGPA`Project No. 20612-A-01 /D-01 /H-Ol FROM: b( Mike Ashor ❑ Mike Robnett ❑ Neil Dixon Transmitting herewith please find, for your use and distribution, the responses) to: �aN cRE7'E- . iv1/al pe -.114,v5 %til o cam E- 13Y Thr ;5;,-W0,7VA 6 Thank you C: File No. of pages:_ (including this sheet) If you do not receive all the pages, please call the sender as soon as possible at (619)1 297-0131 FA2000\20013-CCD-60\Co\Rf kKamar.RH nrtd.doc 1545 Hofel Cirda SaLoh, Shoo 200, Son "o, ,CaI'ilornia 92108 Dwid Rsinker, IFA . PresldeM 619.297.0131 (P) 619.294.9534 (f) www sOpo.com 09/17/2007 10:21 16192949534 SGPA SAN DIEGO PAGE 04/04 SEP 17 2007 10:03RHORLEK ENGINEERS IMC. 7445 p.4 89/14/2007 89:39 16192949534 SGPA SAN DIEGO PAGE 04/04 w Sep 14 07 CO.Va p.1 �r:mee,no+s K+,:w,+ao t«�.n o:�snar� ��e � : raa•+-�t{ i .. k 'AAo2 30wls enc • wm • eon w-Towis RMM PM rON CRM - September 13,2W . Tidwell Caned FIE: Mn TCFlW ABATE H BOUTHMM" JPONNIA Dear. JeW Raber%Ws doe$ not mmuthchn ASTM C33 daa#V Mgmpte (314)farmin concrete mlx daWlgm. Sbee 4889 no igabe forluae in concrete is gcmndy rid dabble into SoutNem Ale pWW marWt OAA by Robertson's tsewdfWd underthe Standard Spadticattonfar Public Worm (Grew Beef$. Section 200, Of the Ca mWm Depertlrterd of Trwmportelion (Caltrans) 5t il"d "Nuftsms Secum W. Hath "WHications cad for a r top sial aWmg to (SIZO 07 per A3TM C-3, Table 2 -GmdMg RegWmrm is for Cme Aggmg ms')to Qeu of the sim O7 (3W K No. 4). If 1Ru have myqumtwAk (geese tical free to oentieot nw. Slftesedy, RCBERTSONS f 1 1 t 1 09/17/2007 10:21 16192949534 SGPA SAN DIEGO PAGE 02/04 SEP 17 2007 10:03RM•RLEK EMGIMEERS INC. 7445 p,2 89/14/2087 09:39 16192949534 SGPA SAN DIEGO PAGE 82/84 w' Sep 14 07 08A8n p,3 Ras HoboftWe Bbl -M44= Tw. Ja Oats; WNW Ttea: 3:" PM - - yips 19�Ti� s �I. ROBERTSON'S OfESS 4 ROCK" SAND • BASE MATERIALS READY MIX CONCRETE C3�'131 Data 9f *=7 ;a =107 Canoe U& a2w11; loom" Civil pqoa 785 TradwPfto- kWo OF Conb br. TfQMaa+l! oWwata Qonst Oeac/ ww 3000 Pal 1-Wuh 8b4nDfh ow. 3000 psi we rasw OA7 Skmw 3 3 ' Swk Corte '&30 A Max We ofAgO.: 1 . OMAL.; S42 RoP Typw Bmv pww Un. W.I. 147.3 All MMf5W" ro Mnffle AAM Ari w"m ar iemMeaAaffW UNIV A"M Pmt Send Searnoe : Robortson g Cabaz+on R=k-ga w : RobeReans Csbagn Cement: lend C~ Type HN doEgov meet AST C-3,3 P.O. Baur 3800 CM44 CA 9ZE'T2 um �� la}iBI�Nl9dia8idt OlgBelEIOlOB30�811�1fEiA a�repuna�suoa�aeuroxTr�t�weascoaa3�pr IE+IAI(811�tsq�BiR1EIT0�1ME1181. j IgW6a@I, iit3�IC0ir64SOM1lBIB(O�I. - 09E ( o 7 gr Ana 68�C Asaf,Mtrein bf Glane *Md VMfmDabmgrftTOWMk aM@a W AWf DEMOS PJKMRYM Bakh VYt Ot: Wom G�auamfl� 423 85 its 215 C1 (ASTM G150) FlyAa..CJBWF(A3Ta1 c.618) 75 .15 2a3 i oar Sand 4305 .44'; 2.62 7.98 r. AW- �� _ .._ �. _.s' w c-. aoo EnhappedAfr 1.25% a34 ma 3984 VOL = 2700 AOIt+/lX7ZJRES : - MDA 6s (ASTM 0494) 3.0 craw. 14,9 cr. RemmirThe admuhmmshaddraghmomk to ansa» mmolAm to ow tow -meows 9tre % 1 Y f !f" i' &4- 1/Y 36- No 4 Nb ft No i6 N030 No 80 No 100 Not t i7Y 0 100 95 33 T 1 3 1 1 0 1 0 a 0 0 0 0 is 47 100 100 95 76 38 12 i 0 O 0 0 0 0 ale- 12 f00 t00 10 00 i00 86 18 7 1 1 •0 0 0 WCS 41 10D 100 !OD f00 100 100 St8 80 w f 8 6 .2 !00 !00 100 98 8B Ti 'S8 43 33 25 !8 7 2 1 Send Searnoe : Robortson g Cabaz+on R=k-ga w : RobeReans Csbagn Cement: lend C~ Type HN doEgov meet AST C-3,3 P.O. Baur 3800 CM44 CA 9ZE'T2 um �� la}iBI�Nl9dia8idt OlgBelEIOlOB30�811�1fEiA a�repuna�suoa�aeuroxTr�t�weascoaa3�pr IE+IAI(811�tsq�BiR1EIT0�1ME1181. j IgW6a@I, iit3�IC0ir64SOM1lBIB(O�I. - 09E ( o 7 gr 09/17/2007 10:21 16192949534 SGPA SAID DIEGO PAGE 03/04 SEP 17 2007 10:038*RLEK ENGI14EERS INC. 107445 p.3 99/14/2007 09:39 16192949534 SGPA SAN-DIE60 PAGE 03/04 Sep 14 07 W.1353 p2 RaaR«oeOsaNti tt5t alo-11a0 7o x! oft warm Tom UM PMang— OB'SON'S ESS/0,w� ROCK " SAND' BASE MATERIALS READY MIX CONCRETE %%Vwa%jMAvcbftw hAMMILW Mas}beQ=Aft KIM 17/J1107 Oak 8r1GM? w CFVX 11: M4 AIIX No ig Mo9Q LOVF pm*r Sim 7UaderAhce - halo 0 Iwo contradb . 71~ Cbecxee Garan 7 3 ftw oom 4wopol-pxw1p1ase arab ftoM t (AMC-15W�9 Sftw*h NW: 400 pW 0 0 0A4 SNmA 3S " So* co, owt 044 sh Atex Me of AW 1 " G8m.: 68.61 PU"7ppsr AMPUP Ith KN- 147.5 TitLvos"x eLRa�eueendA r-��reCr�Aoea�cEwraNbnuau 0 %%Vwa%jMAvcbftw hAMMILW Mas}beQ=Aft KIM 7W YYAkr 3or w 3w M4 AIIX No ig Mo9Q Ab 5D UV! !72M 0 Iwo 8s 31 7 3 63 a 186 ftoM t (AMC-15W�9 Fr IAMP-CAM F (ASTM 0.618) 0 0 0 loo 19 100 Q6O swxl 70 38 f350 45 262 8-n 1-brx 3Mw a 0 0 0 0 w 000 1'1t 14 100 fm 1318 44 265 &07 3/6'xfr8 a 0 0 334 11 2.6S 202 water 355 yd. 100 295.7 @9 60 474 Efggp6afAk 1.25 % 6 2 oemeoae 101 100 0.34 9t3 W[■ 73 38x2 4i ftEw 27.00 WW 44 (ASTMC-4" 10 a 3 1 20.0 UL wcewwcc 1 ww � wMMr w M w•°w gft wr ew°v ewwe� Ar ske 96 1 2• t w 1 • 3or w 3w M4 Not No ig Mo9Q Ab 5D No 100 No 11r!• 0 Iwo 8s 31 7 3 1 a I e b o 0 0 0 i' 44 100 100 95 70 38 12 1 a 0 8 a 0 0 918• 11 100 108 100 100 fm 66 f8 2 1 1 a 0 0 wcs 46 100 %w 100 100 100 too @9 60 so 39 f8 6 2 oemeoae 101 100 100 9t3 87 73 Bf 4i 3A 27 I 18 a 3 1 so dsolmee: RioWW's Cabman Root/ sww : p4booeab cabam Ceeted. Farihad Cow* rAw X fElQNff�111M1 MF MCO0ElEMGIOE8198t1N TlW AO�fit'YRL�DIIPflifl�liAU08ffD�0�T 1S11�a960Y 1N$�i 1� IIEIYLI, iCi1B181 AE1!!>EtE COMBIIlOMEMC MOL 09/13/2007 15:35 16192949534 SGPA SAN DIEGO TIEWUL. povsftw*w' rw jar, BERTSON'S -IROC-M.- 4 6,41-4.0 Iaa RM ji-Mo: PAGE 03/04 .2 ymo. ;we OwMiT -Ire I �71 . mrs 46' 18B gis 12 ZlW zil gkodAlg- e Samd I ax 3.0"irm, .1 Iaa RM ji-Mo: PAGE 03/04 -Ire PAGE 03/04 VW.:;c 2700 AF -Ire ED R 46' 18B gis 12 ZlW zil VW.:;c 2700 AF �j R W E �j 09/13/2007 15:35 16192949534 SGPA SAN DIEGO SGPA ARCHITECTURE w PLANNING • • FAX TRANSMITTAL COVER SHEET DATE: Y VIA: Fax TO: Kelly McCall/The Bergman Companies (909) 627-5425 Steve Kurtz/The Bergman Companies (760) 863-0780 C Clint Knox/Komar Investments, LLC (949) 718-4845 C Zoven Hanessian/Komor Investments, LLC (909) 517-9042 RE: Komar Desert Center — Site, Shops & Building A SGPA Project No. 20612 -A -01/D -01/H-01 . FROM: )4. Mike Ashor D Mike Robnett 0 Neil Dixon Rdvr4' e.e Transmitting herewith please find, for your use and distribution, the responses) to: 57 �� l � 433• ��', p Thank you. C: File ;cs, O { No. of pages: _ (including this sheet) PAGE 01/04 SAN DIEGO ■ SAN FRANCISCO If you do not receive all the pages, please call the sender as soon as possible at (619) 297-0131 F:\2000\20013.CCD.60\Ca\Rfl s\Komer.RA.xmt.do 1545 Haul Circle South,, shrdio 200, Sort Dieso, CaMorrsa 92108 Dovid Reinlmr, AIA . Presiderd 619.297.0131 . (p) 619.294.9534 (ij www sgpe.com 09/12/2007 11:14 1 89/12/2007 10:33 1 719237 09/'12/2007 09:48 90 8779808 I TIDWELL CONCRETE CON HIM iMnTn WEVERNAEUSER • T "d F3V -ON PAGE 06/06 PMS pc/ac PAGE 01 N L" .® O 4a oorrm A s-cP m `7NIddIMS S7W 0.OW1 Wd%=Z aOE* bT "dM n a j a a W N v 3 I p t t 3r� , d 7 O I � g g I o; m I W � _ w a y j I I+ ~ a 0 v b o d i I I� T "d F3V -ON PAGE 06/06 PMS pc/ac PAGE 01 N L" .® O 4a oorrm A s-cP m `7NIddIMS S7W 0.OW1 Wd%=Z aOE* bT "dM CERTM M MU TEST ids" PORT CUBM EA MEEEMMEUSM GU'n/FGWTA3tn ' B Ai t4df� SAl nillill t�11 1$ Inc -7-25-07 Y.OM 03, MATIOD SP760 78702-00 g 10233370 10$na"£ COLUM, CA 92335 = Nil rR PiGmmy sew OLLOF MUNQUIX NDZWW LEL OREGON Sliffi mije .it91 t xfm3)4mv39 PAM 1 DP 1 PO ]UMRR(S)= 21137913 CeRTF150 BY: • ALL M64/FIRry FIND RAHSlE3!>,C7URMI PRaMsS*s FM TSiB MTJMIAl.S OLi'MSO IM SNS TJM90 SUcTRS- 'i 1 e-�&Af-4444 ca►m DUXMASSUA%Ab,*VANAWR 707q KURPHY, O-A.M. �,H�.r.•ar 3ra fel. l:;l I t i •- ,,t:i I � r ' i I •? � �a t ! t � t �� iii t i 1 i 1, � I . _ • �� s � �■�� w iii �� ■��'■�■� iii �� PO ]UMRR(S)= 21137913 CeRTF150 BY: • ALL M64/FIRry FIND RAHSlE3!>,C7URMI PRaMsS*s FM TSiB MTJMIAl.S OLi'MSO IM SNS TJM90 SUcTRS- 'i 1 e-�&Af-4444 ca►m DUXMASSUA%Ab,*VANAWR 707q KURPHY, O-A.M. 09/12/2007 i1:14 1 09/1212ULIt 11:30 09/12/2687 09:48 e -ti -I a TIDWELL CONCRETE CON 17 9237 HUB INDIC 9 79809 WEYERHAEUgER 16 PAGE 04/06 PAGE 04/06 °4L.E 03 w si p n C CUST>Y-1CR ULYER8AEMR 0 W/EwrAm WIC C3, S2ATION SP760 7WD2-00 Ur COLD , to sz.Us nr.nI Iw./ rfvJuu::TIC39k r-Av 13%f g4j 'WBRB 420/60 GRh= Ag 15 GR 4e0 Jhho ISD M31-02 sse I -2I 'AjL4} RCRM 42Q/60 GADS PO [dOI U(S ): 1039607 COTIREMMIL TM RSPORt made steel roHinp �ni11s, inc. wT` a- 2--07 w oEt tE E>ew BLL Nam 102387 � Hf POGEF6flHM24 (E3Ts*4KMS9 PAM i OF 1 ,=a. ODma flOM. iJT Bii� bgp_ ®� O aP+tPBER9 cL6Eu6 14 as L60 CK cm w N IQ 96 180 O& OK {gyp CETM PIED BY: b a li*d- ME-TrNr- END MAn1 FWrURIFIG pjnC6SES FOA nM IOZERMS OO M cilitQ Nf im�:�H1Ydi0F� W4� KSD CN 'QBE UHI£Ev ®719'fe5. 'Hoes HrRp", . b 09/12/2007 11:14 89/12/2007 10:30 09/12/2007 09:69 P- - 1 176 9237 90907798®B TIDWELL CONCRETE CON HUB INDIO • t,tvrouwn errs PAGE 02/06 PAGE 02/06 M 82 C dY E From: Robertson's 951-280-1430 To: Jeff • Date: 9/13/2007 Time: 3:42:58 PM ROBERTSON'S ROCK * SAND * BASE MATERIALS READY MIX CONCRETE Page 2 of 4 Q�QFESS/p,\ RAIG P,�,�c CO w �XP 12/31/07 k Date: 8/15/2007 CIV11. Concrete Mix Design #: 62121A STgTF OF CA��F��\� Project. 81785 Trader Place -Indio 1 2" 1112" Contractor.' Tidwell Concrete Const MIX DESIGN PROPORTION No 16 Description: 4500 psi 1 " pump / place Slab Volume Strength (Pc): 4500 psi WIC ratio: 0.44 Slump: 3.5 " Sack Content: 0.44 sk. Max. Size of Agg.: 1 " Gal/sk.: 80.68 Pump Type: Boom pump Un. Wt: 147.5 At i rnAlraFTF is miyicn Amn nFl n/FQFn im ArrnPnAMCF WITH ASTM C -9d 0.69 Aggregate Wei hts are SSD, Moisture in Aggregates Must be Considered When Determining Total Mix Water 1 2" 1112" AGGREGATE GRADATIONS 1 " 314" 12" 3/8" No 4 MIX DESIGN PROPORTION No 16 Batch Wt. %used Sp. Gr. Volume Contents: 100 95 33 7 3 1 0 0 Cement (ASTM C-150) 1 0 567 85 3.15 2.88 Fly Ash -Class F (ASTM C-618) 100 100 15 2.33 0.69 Sand 0 1350 45 2.62 8.26 1-1/2"x 3/4" 100 0 0 2.67 0.00 1"x#4 1 1335 44 2.65 8.07 318"x #8 100 334 11 2.65 2.02 Water 35.5 gal. 295.7 6 2 4.74 Entrapped Air 1.25 % 100 98 87 1 73 61 47 0.34 27 Wt = 3982 3 Vol. = 27.00 ADMIXTURES: WRDA 64 (ASTM C-494) 3.0 oz/cwt 20.0 oz. Remark: The Droiect enaineer should review this mix to ensure compliance to the project specmcauons Size % 1 2" 1112" AGGREGATE GRADATIONS 1 " 314" 12" 3/8" No 4 No 8 No 16 No 30 No 50 No 100 No 200 1 12" 0 100 95 33 7 3 1 0 0 0 1 0 0 0 0 1" 44 100 100 95 70 38 12 1 0 0 0 0 0 0 3/8" 11 100 100 100 100 100 96 18 2 1 1 0 0 0 WCS 45 100 100 100 100 100 100 98 80 60 39 18 6 2 Combined 1 100 1 100 1 100 98 87 1 73 61 47 36 27 18 8 3 1 Sand Source: Robertson's Cabazon Rock Source: Robertson's Cabazon Cement.- Portland Cement Type 11 Fly Ash : Class F (951) 685-2200 ext 360 P.O. Box 3600 Corona, CA 92878 Aggregates meet ASTM C-33 Fax (951) 493-6446 o - From: Robertson's 951-280-1430 To: Jeff • Date: 9/13/2007 Time: 3:42:58 PM • RO-BERTSON'S Q�OFESS1pNq l ROCK * SAND * BASE MATERIALS COQ READY MIX CONCRETE CM UL 07 24231 Date. 911112007 XP 12/31/07 Concrete Mix Design #. 1085A CIVIC �, Project 81785 Trader Place - Indio slgTF OF CAI�F��\ Contractor. • Tidwell Concrete Const 2" MIX DESIGN PROPORTION Description: 3000 psi I" wlash . Sp. Gr. Volume Strength (Pc): 3000 psi WIC ratio: 0.57 Slump: 3.5 " Sack Content. 5.30 sk. Max. Size of Agg.: 1 to GaUSk.: 6.42 Pump Type: Boom pump Un. Wt.: 147.5 dl 1 rnmroFTF IC MIYFn amn nm nlFRFn IN drrnRndNCF WIT14 ASTM C -9d Entrapped Air 1.25 % Page 3 of 4 Aggregate Weights are SSD; Moisture in Aggregates Must be Considered When Determining Total Mix Water % 2" MIX DESIGN PROPORTION AGGREGATE GRADATIONS 1" 3/4" 1/2" 3/8" Batch Wt %used Sp. Gr. Volume Contents: 423 85 3.15 2.15 Cement (ASTM C-150) Fly Ash -Class F (ASTM C-618) 75 15 2.33 0.52 Sand 1304 41 2.62 7.98 9.-4!7!1.. WAH _ ..— _—_.0 A 0 0 Entrapped Air 1.25 % 1" 47 0.34 Wt.= 3984 Vol = 27.00 ADMIXTURES: 1 0 0 WRDA 64 (ASTM C-494) 3.0 oz.1cwt. 14.9 oz. 0 0 Remark: The oroiect engineer should review this mix to ensure compliance to the orolect specitications Size % 2" 1. 112" AGGREGATE GRADATIONS 1" 3/4" 1/2" 3/8" No 4 No 8 No 16 No 30 No 50 No 100 No 200 1 1/2" 0 100 95 33 7 3 1 0 0 0 0 0 0 0 1" 47 100 100 95 70 38 12 ' 1 0 0 0 0 0 0 3/8" 12 100 100 100 100 100 96 18 2 1 1 0 0 0 WCS 41 100 100 100 100 100 100 98 80 60 39 18 6 2 Combined 100 1 100 100 98 1 86 1 71 1 58 43 1 33 25 16 1 7 2 1 Sand Source: Robertson's Cabazon Rock Source : Robertson's Cabazon Cement.- Portland Cement Type IIN Fly Ash : Class F (951) 685-2200 ext 360 P.O. Box 3600 Corona, CA 92872 Aggregates meet ASTM C-33 Fax (951) 493-6446 9 From: Robertson's. 951-280-1430 To: Jeff Date: 9/13/2007 Time: 3:42:58 PM iF • September 13,'2007 Tidwell Concrete Attention: Jeff RE: 3/4" TOPSIZE AGGREGATE IN SOUTHERN CALIFORNIA Dear Jeff: Robertson's does not manufacture ASTM C-33 size #67 aggregate (3/4') for use in concrete mix designs. Size #67 aggregate for use in concrete is generally not available in the Southern California industry. All aggregate manufactured by Robertson's is specified under the Standard Specification for Public Works (Green Book), Section 200, or the California Department of Transportation (Caltrans) Standard Specifications Section 90. Both specifications call for a 1" top size aggregate (Size #57 per ASTM C-33, Table 2 "Grading Requirements for Coarse Aggregates") in lieu of the size #67 (3/4'x No. 4). If you have any questions, please feel free to contact me Sincerely, ROBERTSON'S Monica Parada Quality Control Page 4 of 4 From: Robertson's 951-280-1430 To: Jeff Date: 9/13/2007 Time: 3:42:58 PM TSON"11%. ROBEj&R September 13, 2007 Tidwell Concrete Attention: Jeff RE: 3/4" TOPSIZE AGGREGATE IN SOUTHERN CALIFORNIA Dear Jeff: Robertson's does not manufacture ASTM C-33 size #67 aggregate (3/4') for use in concrete mix designs. Size #67 aggregate for use in concrete is generally not available in the Southern California industry. All aggregate manufactured by Robertson's is specified under the Standard Specification for Public Works (Green Book), Section 200, or the California Department of Transportation (Caltrans) Standard Specifications Section 90. Both specifications call for a 1" top size aggregate (Size #57 per ASTM C-33, Table 2 "Grading Requirements for Coarse Aggregates") in lieu of the size #67 (3/4!'x No. 4). If you have any questions, please feel free to contact me: Sincerely, ROBERTSON'S Monica Parada Quality Control Page 4 of 4 �1 From: Robertson's 951-280-1430 To: Jeff Date: 9/13/2007 Time: 3:42:58 PM r ROBERTSON'S ROCK *,SAND * BASE MATERIALS READY MIX CONCRETE Page 2 of 4 Q�OfESSIpNq� �� A I G C-0 P,S� Fac CD �� m w (951) 685-2200 ext 360 P.O. Box 3600 Corona, CA 92878 Fax (951) 493-6446 �XP 12131/07 Date: 8/15/2007 CIV11 Concrete Mix Design #: 62121A sl �P qTF OF CA1�F�� Project: 81785 Trader Place - Indio Contractor. -Tidwell Concrete Const Description: 4500 psi 1 " pump / place Slab Strength (rc): 4500 psi WIC ratio: 0.44 Slump: 3.5 " Sack Content: 0.44 sk. Max. Size of Agg.: . 1 Gal/sk.: 80.68 Pump Type. Boom pump Un. Wt.: 147.5 ALL CONCRETE IS MIXED AND DELIVERED IN ACCORDANCE WITH ASTM C-94 Aggregate Wei hts are SSD; Moisture in Aggregates Must be Considered When Determining Total Mix Water MIX DESIGN PROPORTION Batch Wt %used Sp. Gr. Volume Contents: 567 85 3.15 2.88 Cement (ASTM C-150) Fly Ash -Class F (ASTM C-618) 100 15 2.33 0.69 Sand 1350 45 2.62 8.26 1-1/2"x 3/4" 0 0 2.67 0.00 1"x#4 1335 44 2.65• 8.07 3/8"x #8 334 11 2.65 2.02 Water 35.5 gal. 295.7 4.74 Entrapped Air 1.25% 0.34 Wt.= 3982 Vol. = 27.00 ADMIXTURES: WRDA 64 (ASTM C-494) 3.0 oz1cwt 20.0 oz. Remark: The project engineer should review this mix to ensure compliance to thero"ect specifications AGGREGATE GRADATIONS Size % 1 2" 1112" 1. 3/4" 1/2" 3/8" No 4 No 8 No 16 No 30No 50 No 100 No 200 11/2" 0 100 95 33 7 3 1 0 0 0 0 0 0 0 1" 44 100 100 95 70 38 12 1 0 0 0 0 0 0 3/8" 11 100 100 100 100 100 96 18 2 1 1 0 0 0 WCS 45 100 100 100 100 100 100 98 80 60 39 18 6 2 Combined 100 100 100 98 87 73 61 47 36 1 27 18 8 3 1 Sand Source: Robertsons Cabazon Rock Source : Robertson's Cabazon Aggregates meet ASTM C-33 Cement: Portland Cement Type 11 Fl Ash . Class F (951) 685-2200 ext 360 P.O. Box 3600 Corona, CA 92878 Fax (951) 493-6446 From: Robertson's 951-280-1430 To: Jeff • Date: 9/13/2007 Time: 3:42:58 PM 0 Page 3 of 4 ROBERTSON'S Q�OFESS/pNq l ROCK * SAND * BASE MATERIALS �� ?AIG py/l F�� READY MIX CONCRETE CZ <, rn W (951) 685-2200 ext 360 P.O. Box 3600 Corona, CA 92872 Fax (951) 493-6446 C24231 Date: 9/1112007 XP 12/31/07 Concrete Mix Design #: 1085A sj C10. �P Project: 81785 Trader Place -Indio ATF OF CAI�F�� Contractor. Tidwell Concrete Const Description: 3000 psi I" wlash Strength (Pc): 3000 psi WIC ratio: 0.57 Slump: 3.5 ". Sack Content. 5.30 sk. Max. Size of Agg.: -1 " GaUsk.: 6.42 Pump Type: Boom pump Un. Wt: 147.5 ALL CONCRETE /S MIXED AND DELIVERED IN ACCORDANCE WITH ASTM C-94 Aggregate Weights are SSD; Moisture in Aggregates Must be Considered When Determining Total Mix Water MIX DESIGN PROPORTION Batch Wt %used Sp. Gr. Volume Contents: Cement (ASTM C-150) 423 85 3.15 2.15 Fly Ash -Class F (ASTM C-618) 75 15 2.33 0.52 Sand 1304 41 2.62 7.98 �. 1/0." — 01.411 — --- n -1 C7 A. OA Entrapped Air 1.25 % 0.34 Wt.= 3984 Vol. = 27.00 ADMIXTURES: WRDA 64 (ASTM C-494) 3.0 oz./cwt. 14.9 oz. Remark: The pro'ect engineer should review this mix to ensure compliance to the project specifications AGGREGATE GRADATIONS Size % 2" 1 1/2" 1" 314" 1/2" 3/8" No 4 No 8 No 16 No 30 No 50 No 100 No 200 1 112" 0 100 95 33 7 3 1 0 1 0 0 0 0 0 0 1" 47 100 100 95 70 38 12 1 0 0 0 0 0 1 0 318" 12 100 100 100 100 100 96 18 2 1 1 0 0 0 WCS 41 100 100 100 100 100 100 98 80 60 39 18 6 2 Combined 100 100 100 98 1 86 71 58 43 33 25 16 7 2 1 Sand Source: Robertson's Cabazon Rock Source: Robertson's Cabazon F7gregates meet ASTM C-33 Cement: Portland Cement Type 111V. Fly Ash : Class F (951) 685-2200 ext 360 P.O. Box 3600 Corona, CA 92872 Fax (951) 493-6446 Frow FUSCOE ENGINEERING To:17608630780 08/30/2007 10:37 #143 P.001/003 08/29/2007 15:30 1519234 SGPA SAN DIEGO - PAGE 01/03 8QPA ARCH;4EMMAND PLANNING SAW O1E00.8AN MANCISCO 1545 NOTEI CINCLE 5. STUDIO 200 SAN DIEGO, CA 92108 P.611-291.0131 F.619,294.111534 19WW3910A.001d Dare August 28, 2007 TO Bob Strong Fusme Englneeftg 16795 Von Kerman Avenue, Sulte 100 Irvine, California 92505 PRON COPY TO We Ashor File TRANSMITTAL -5;rzv A a 760 .. V11 Fax: 8494741305(3 pages) a Wt #7* Sz/S PROJECT Komar Desert Center Site Development RETAIL P"jECT No. 20612A-01 Wuxeo-usE HOSPITALITY RE Submlttel ' iEOUGATION -Attached 4s one copy of the following Subrnittlals: Submittal #04220.7 titled "CMU Wall Footing Concrete Mbc Design' and Submittal 904220.8 tided °CMU Wail.Grout Mix Design" -for your revMew and comment Bob, please make five additlonal copies and return with previously sent CMU Submftlal. Please return by September b, 2007. FUSCOE ENGINEERING, INC. SHOP DRAWING REVIEW Prof. N0. 8hopOwg. Date By X"NO CEPTIONS TAKEN n- 0RFIEC7`I1D1N3 NOTED O SUBMIT SPECIFIED ITEM E] REVISE AND RESUBMIT ❑ REJECTED Reviaw is onlyfor general conformance with the design concept ofthe projeet and general compllancrt with the lnformation included in the Contract Documents. Any action shown is subject to the requirements of the drawings and specifications. Contractor is responsible for correlati.rtg and confirming dimensions on the Job site; - techniques of construction; coordination of his work with that of other trades and performing the work in a safe and satisfactory manner. P.i�CO6�p91111T11 dee From:FUSCOE ENGINEERING To:17608630780 08/30/2007 10:37 08/29/2007 15:38 1619234 SGPA SAN DIEM* Aug 29 07 01 :9p .,, 08129roT 110 10:30 FAX 9062917308 aim: FfaM FXMMO ft anpw ROBERTSON'S f a. ROCK • SAND *BASE MATERIALS READY MIC CONCR•E #143 P.002/003 PAGE 02/03 P.2 ftw.� cry oaa9r &AMOY — ��T- *Rm 1031mT a pftba KomwDmmwtC%Ww 2 fftry ! a JaV®raw Alma -!a OF Con&aci r. taw!8dlleft"C6fintnromm Dowoo n: m= poi 318" Gtmw Sbare* M. -P000 pal WAC MAIM 0.71 UNW,8 ' Srok Cc~ aw sR. imw. &7w o1 3171 " : - 800 pimw 7yw- . Z' Nyle prm>tp IM. YK 138.4 ALL Md=WB�roto lNo wrrXAVU C -W ata SSD IYlomew fn MM be CwmWW MAW gglMdft TOW M& Mier V& s Gr, 664 100 313 287 Coonwit (ASM C-150) HyAdr~CAsea F(asTM c-i;YB) . 0 0 292 0.017 Seed- 1935 70 202 11.84 1-i 1/2"x 3!4' 0 0 71:67 0.00 1"x 44 0 0 2w 0.00 sr x #o Vo 90 Z65 107 r 48.0 gal. 3919 641 EiAr�ppedAk 3% 0.81 1Alr� X798 VOL a 27.00 AMI/OMMES : MWA 64 (ASTM C-04) 20 a:wwn 16.9 ca mquw mice !A w n. taug iiAOUPUMfe 1 1 f' Sial"IY 318" X84 Ab Ab18 Ab30 Ab 100 - 9i5 33 7 9 a 0 0 0 D 0 o f !!IN, 70 + 1 0 0 a 0 +0 1317 . 1170 i8 i ! 1170 100 Too 100 00 al s0 i81170 i00 !00 100 M 7� 1 sand Sowots: Rdwtwn Coal Cam m : ' Palldw Catroflsi! Tjpv wV =I- Ash . tmage a SHOP DRAWING REVIEW 1014 "0 WIMPnONB TAKEN O MAK€lCUfflUb%=jRM 8UBMR 8PECFM ITEM O REVISE AND RMJBMR O REJECTED Rs,ftwM aMy1b►Oensial eerRorntbrw wnh the destpn eerteaptal lira pn>)ke an0 oenerel eanphmoo wbh the h lo... Included In the ConVem Dacwmnta, Any mtim+ shown h subject to the requirements of the drMftg ane specWalomrn. Cont 1"m M weponelbk to -=-t . 0.o - ting ancl=* t dimensions onthe Job era; bahrdques of eonatn '9 coordination of his work with putt olannr oadn and 1 f fhe work Ina soft aro rurtlsftetorynwr,ee Frow FUSCAE ENGINEERING To:17808830780 08/30/2007 10:38 #143 P.003/003 08/29/2007 15:30 1619234 SGPA SAN DIEGO PAGE 03/03 Aug 28 07 0138p �. oei:riot ss� io:SO F" 1092017308 boom Y " .,y..,,....,� p.3 .xtrr- low ttooeS, 11k� ROBERTSON'S ROCK • SA "m BASE MATERIALS READY MIX CONCRETE r>aft, Mae mocoejonN ^ No TUOA;p Albs Cowtelllso.' Cemv/Q (ASTMF160j I',ty Ael1�C10ss P µS7iM C�lPJ ialq�9cL' KolfaaiOW■RContw 2M Y III i tf011:o11Awe -Le OLWM N HIS 18 Caf>ftrt;e P. IF jgDplbM.60w*xw n VaAbim 1.7? 443 p buL' II0o0 Pall" - 1356 46 SO>l wm 2nd: am Pd 0s119iClolldQe 470 i -14•x yip- 4 - 80r.0 conbnr 436 917 Max. Sloe alAggi.: 1 ` Sam: 7.81 PW* Type: .. Puce A& up. wt 146.8 aiROR J11010—M in ltlis t b� *?MTaW Albs Cowtelllso.' Cemv/Q (ASTMF160j I',ty Ael1�C10ss P µS7iM C�lPJ 1!1R 94B 42 N HIS 18 &r. &18 2,93 VaAbim 1.7? 443 9allti 1356 46 282' 9.58 i -14•x yip- 0 8 2.67 O,op f-xiM 1787 52 ass 1411.311 2/8'x8# 0 0 P.BB O.OD waw 348 gat 287.4 461 E11ba) pWAlr 1.25% 024 VA 3N2 VOL • 2'1.00 A09=11 UP=� MIP1GIt 6r1 (ASM 0:0 3.0 m w . !a9 at Rdn two tMao MM aft 19 tetrtit.. .twee o Cmeb" e t- 20r fAr 2Mr ftf RON Nalff No 30 NOW 174- -a lion as 7 3 1 o 0 0 0 0 0 0 1e 57 1001 1 11 AO 38 12 0 0 O 0! 0 0 0 1 !oo lois r !8 ! 1 O YYCS H T00 '100 f00 h 1+A 88 H4 6C 6 oD 100 81 81 99 29 ! a 9 f FUSCOE ENGINEERING; sans ani ; liaeMm/nlr�cH�lQaen /c/��,t1 Ah 2 By 7N110 Xi EPTIONS TAKEN CORR6C US W= BMIT SPECIFIED ITEM 0 REVISE AND RESUBMR 0 REJECTED Review b only for gsneret cc to... am with the dplgn oabepl etUr j�lttleaRalle general compliance wUh the Information Included In the C1 Dectararte. Arty action shown to subject to the requirements of the drsvMW end spedrasidaim Contractor is responsible for correleting and conffm* g dIrnenetons on the job ft technutues of construction, coordination of his work with diet of GVw - ' Ola psrlorming On work In a ass end satWaotory mamas X8/16/07 2x6 STUDS AT 16':- O.C. KOMAR DESERT CENTER - SHOPS HIGHWAY 111 AND JEFFERSON LA QUINTA, CA 92253 TYPICAL REVISIONS TO - DETAILS 1/S6, 6/S6, AND 7/S6 FOR A TWO POUR CONCRETE SYSTEM PER CONTRACTOR'S REQUEST - la� a: U H 1 "=1'-0 NOTE: FOR ITEMS SHOWN BUT NOT NOTED e1 1-#5 CONT. . a #4 AT 24" O.C. 30" a ° a �• 9 -4Av a . a v •n 2-#5 AT TOP & 1'-6" BOTTOM, CONT. 0 08/16/07 0 KOMAR DESERT CENTER - SHOPS HIGHWAY 111 AND JEFFERSON LA QUINTA, CA 92253 TYPICAL REVISIONS TO - DETAILS 2/S6 & 8/S6 FOR A TWO POUR CONCRETE SYSTEM PER CONTRACTOR'S REQUEST 2x6 STUDS AT 16" O.C. U.O.N. PER 1/S WHERE OCCURS ANCHOR BOLTS PER- --� 1 /SO.2 (MIN. 5/8" DIA. A 48" 0. C.) - i P.T. SILL PLATE - PER 1 /SO.2, TYP. (MIN. 2x6) l z #4 AT 24" 0. C. 30" I J V 2—#5 CONT. AT— TOP & BOT. SHEAR PANEL WHERE OCCURS PER PLAN, TYP. -#5 I . WASHER PER 1/50.2, Z TYP. E.N. APRROVED COMPACTED GRADE d d cZ ZO q.,' dev a d i I -a v Vv � - - oa a. 5 v e Q :4 I•� 7'-0" MIN TO DAYLIG T EDGE OF FDN. BEYOND PER 1/S6 _ 08/15/2007 16:36 1 TIDWELL CONCRETE CON Tidwell Concre� Construction, Inc. 81785 Trader Place Indio, CA 92201 Phone (760) 342-8300 Fax: (760) 342-8341 To: S7� �..� From: 15ga S t 7 a/ Fax: C-, cmc.\ c��— o� go Pages: 9l9, Phone: Date: Re: CC: G�. PAGE 01/10 08/15/2007 16:36 1 TIDWELL CONCRETE CON PAGE 06/10 • • GMce Construction Products W.A. em" a ca - C—. M WrW 9MftM 1VWun • Uve"Mf& CA 9"60 4/24/2007 Todd Dragna Robertson's Ready Mix 200 S Main St. Corona, California 92882 Project Name: Various Locations Product Selected: WRDA® 64 7 926-443.97M WWWORO "Wee0 com This is to certify that the WRDA® 64, a(n) Water Reducer, as manufactured and supplied by Grace Construction Products, W.R. Grace & Co. - Conn., is formulated to comply with the Specifications for Chemical Admixtures for Concrete, ASTM: C494, Type A, D AASHTO: M194, Type A, D. WRDA® 64 does not contain calcium chloride or chloride containing compounds as a functional ingredient. Chloride ions may be present in trace amounts contributed from the process water used in manufacturing. The foregoing is in addition to and not in substitution.for our standard Conditions of Sale attached. Mike Gardner Western Region Technical Services'Manager 08/15/2007 16:36. 1 TIDWELL CONCRETE CON PAGE 05/10 F E&DW,AI,TERS KIPt otrRC@'$ Addtng Vuue to &wW ^' ASTM C6.18 -0S / AASHTO M 29_5-00 Testing of Pomona Fly Ash Type of sample: 3200 ton Rcport Date: May 24, 2007 _ Date of sample: 2/27 — 3/1/07 MTRF I.D. 489PT Sample Label 20.07 ASTM / AASHTO limits ASITM Test Chemical Analysis Clnss F Class C Method Silicon Dioxide (SiO2) 60.49% Aluminum Oxide (A120)) 18-74% Iron Oxide (Fe203) 4.99% Sum of Constituents 84.22% 70.0% min 50.0% min D4326 Sulfur Trioxide (SO,) 0.77% 5.0% max 5.0 % max D4326 Calcium Oxide (CaO) 8.28% D4326 Moisture Content 0.16% 3.0% max 3.0% max C311 Loss on Ignition 2.36% 6.0% max 6.0% max C311 (AASHTO M 295-00 req.) 5.01/0 max 5.0% max Available Alkalies, as Na2O** 0.96% C311 (AASHTO M 295-00 rcq.) 1.5% max 1.5% max Phrical Analysis Fineness, % retained on #325 - -23.72% 34% max 34% max C311, 0430 Strength Activity Index — 7 or 28 day requirement C311, C109 7 day, % of control 95% 75% min 75% min 28 day, % of control 101% 75% min 75% min Watcr Rcquirtmcnt, % control 95% 105% max 105% max Autoclave Soundness 0.07% 0.8% max 0.8% max 0311, C151 True Particle Density 2.35 ** Supplentmalary Optional Chemical Requirement (ArnQlable AlAvli) was n -moved by ASTM C618-0/ Heodwarers Rerour see certifies that. to the best of its knowledge the test data listed herein was iterated by applicable ASTM methodr and meets the requirements of ASTMC6l8-0S,for Class F fly ash. MTRI: M 4 an klv, AAe"70 N19 Materials Testing S Research Facility 2650 Highway 113 S.W. Toorsvllle. Georgla 30178 P: 770.684.0102 F: 770.684.5114 www.hcadwaters.com . 08/15/2007 16:36 1 TIDWELL CONCRETE CON PAGE 04/10 • ,, MITSUBISHI CEMENT CORPORATION 5808 State Hwy 18 Lucerne Valley, CA 92356 CERTIF'ICAT'E OF TEST Source: Cushenbury Plant Date: Jul 31, 2007 ASTM designation: C150 Type II & V low Alkali - sulfate resistance cement. Production Period CALTRANS Specification : Section 90 - 2.0) for Type 11 modified and V. From: 7/1/2007 NDOT Specification : Section 701 - 3.01 for Type It and 11V. To: 7/30/2007 Chemical Composition : ASTM C -Iso limits gest Type II Type V Results Silicon Dioxide (SiO2) 20.0 - Min. 21-1 Aluminum Oxide (AL203) 6.0 -- max 3.9 Ferric Oxide (Fe2O3) 6.0 ---- Marc. 3.9 Calcium Oxide (CaO) - - 63,3 Magnesium Oxide (MgO) 6.0 6.0 Max. 2.7 Sulfur Trioxide (S03) 3.0 2.3 Max. 2.0 Loss on Ignition 3.0 3.0 Max. 0.9 Insoluble Residue 0.75 0.75 Max. 0.10 Total Alkali (0/nNa2D+0.658 * K20) 0.611 0.60 Max. 0.46 Tricalcium Silleate (C3S) - -- SS Tricaleium Aluminate (C3A) 8 5 Max. 3.7 C4AF + 2*C3A - 25 Max, J9.2 PHYSICAL RESULTS: Blaine 1'ineriess (meters squared per Kg) 280 280 Min. 359 Autoclave Expansion (Percent) 0.80 0.80 Max. 0.02 Time of Set Initial Vicat (mins) 45/375 45/375 Min. / Max. 1.35 Air Entralnment (Percent by Vohune) 12 12 Max. 6.3 Compressive Strength Test: MPa psi MPa psi MPa PSI 1 Day -- -- -- -- - 11.5 1664 3 hay 10.0 1450 8.0 1160 Min. 23.5 3414 7 Day 17.0 2470 15.0 2180 Mm. 33A 4845 28 Day Jun -2007 --- -- 21.0 3050 Min. 47.5 6890 This cement has been Rampled and tasted in accordance with ASTM standard methods and procedures. All test results are certified to comply with tate type specification designated above. No other warranty b made or implied. We are not responsible for improper use or workmanship. MITSUBISHI CEMENT CORPORATION Cushenbury plant Tom Gepford Chief Chemist 013/15/2007 16:36 1 TIDWELL CONCRETE CON PAGE 03/10 . ROBERTSON'S - Compressive Strength Results Speo'd rc = 4500 psi @ 28 days Reg'd rcr = 4979 psi, the larger of [1) or(2) Below [1) rcr = rc +1.34ks = 4500 [2) for = rc +2.33 ks - 500 = 4500 Number of tests 22 Modification Factor (K) 1 Maximum Mix # 62121 A Minimum 4835 Standard Deviation (s) 357.5 Project 81785 Trader Place - Indio + (1.34 ' 1 •357.5) 4979 + (2.33. 1 ' 357.5) - 500 Date: 8/15/2007 Subject Strength History MSA, in.: 1 Source of Aggregate: Robertson's Cabazon EgSack: 7.1 Cement, Mitsubishi ' Mineral Admixture: Flyash _ Chemical Admature: WRDA-64 Sot # Cast Dat�28day' 1 28 day 28 Day Range n In Cum Avg Cum StdDev Cum CoVar Moving Three 2 Avg Co 3 1 05/08/01 5640 5670 5655 30 5655 2 05/11/01 5210 5110 5160 100 5408 350.0 6.5 3 05/11/01 5130 5110 5120 20 5312 298.0 5.6 5312 4 05/11/01 5730 5900 5815 170 5438 350.1 6.4 5365 5 05/11/01 5340 5300 5320 40 5414 307.7 5.7 5418 6 05111/01 5250 5350 5300 100 5395 279.1 5.2 5478 7 05/15/01 5230 5320 5275 90 5378 258.8 4.8 5298 8 05/15/01 5750 5450 5600 300 5406 252.1 4.7 5392 9 05/15/01 6010, 6200 6105 1905483 331.6 6.0 5660 10 05/15/01 5580 5330 5455 250 .F 5481 312.8 5.7 5720 11 05/16/01 6120 5900 6010 220 5529 337.0 6.1 5857 12 05/16/01 5070 5300 5185 230 5500 336.2 6.1 5550 13 05/16/01 5640 5430 5535 210 5503 322.1 5.9 5577 14 05/17/01 4860 4870 4865 10 5457 353.3 6.5 5195 15 05/17/01 4920 4900 4910 20 5421 368.6 6.8 5103 16 05/17/01 5200 5250 5225 50 5408 359.4 6.6 5000 17 05/18/01 5190 5030 5110 160 5391 355.4 6.6 5082 18 0583/01 5200 5210 5205 10 5381 347.6 6.5 5180 19 0523/01 4980 5040 5010 60 5361 348.3 6.5 5108 20 05/23/01 4950 4950 4950 0 5341 351.3 6.6 5055 21 05/24/01 5050 4950 5000 100 5324 350.4 6.6 4987 22 06/01/01 4820 4850 4835 30 ' , 5302 357.5 6.7 4928 23 24 25' 26 27 28 29 30 Speo'd rc = 4500 psi @ 28 days Reg'd rcr = 4979 psi, the larger of [1) or(2) Below [1) rcr = rc +1.34ks = 4500 [2) for = rc +2.33 ks - 500 = 4500 Number of tests 22 Modification Factor (K) 1 Maximum 6105 Minimum 4835 Standard Deviation (s) 357.5 CoefTcient of variation 6.7 + (1.34 ' 1 •357.5) 4979 + (2.33. 1 ' 357.5) - 500 4833 08/15/2007 16:36 1 TIDWELL CONCRETE CON ROBERTSON'S ROCK *.SAND ' BASE MATERIALS READY MIX CONCRETE PAGE 02/10 ORO C',�&C2,42311�==a CM W Date: 8/152007 AXP 12/31/07 �o/ Concrete Mix Design #: 62121A `q C1 VIS �P Project* 81785 Trader Place - Indio Contractor. Tidwell Concrete Const Description: 4500 psi 1' pump / place Slab Strength (fc): 4500 psi WIC ratio: 0.44 Slump. 4. Sack Content, 7.10 sk. Max. Size o1Agg.: 1 " GaVsk,: 5.00 PUMP Type: Boom pump Un. Wt.: 147.5 ALL CONCRETE IS MIXED AND DELIVERED IN ACCORDANCE WITH ASTM C -B4 Awmaate Weiahts are SS9 Moisture In Aaa%mtcs Must ba Considered When Derermininn Tefar My Wamr Contents: Cement (ASTM C-150) %J Batch Wt. %used SP, Gr. Yolum 567 85 3.15 2.88 Fly Ash -Class F (ASTM C-618) No 8 100 15 2.33 0.69 Sand 0 1350 45 2.62 8.26 1-1/2"x 3/4" 1 0 0 2.67 0.00 1"X #4 0 0 1335 44 2.65 8.07 3/8"x #8 70 334 11 2.65 2.02 Water 35.5 gat. 295.7 0 0 3/8" 4.74 Entrapped Air 1.25% 100 100 100 0.34 18 Wt = 3982 1 Vol. = 27.00 ADMIXTURES: 46 100 100 100 100 WRDA 64 (ASTM C-494) 3, 0 20.0 oz. 80 60 39 Remark: The nroieet enoineer should review this mix to ensure eomnlianep to the nMIPr_1 Snnri47eaHnne Size %J 2° 1 1/2" 1- 3/4- 12" 310" No 4 No 8 No 16 No 30 No 50 No 100 No 200 1112" 0 100 95 33 7 3 1 0 0 0 0 .0 0 0 1" 44 100 100 95 70 38 12 1 0 0 0 0 0 0 3/8" 11 100 100 100 100 100 96 18 2 1 1 0 0 0 WCS 46 100 100 100 100 100 100 98 80 60 39 18 6 2 Combkrsd 100 100 100 98 87 73 61 47 36 27 18 1 8 3 1 Sand Swr ; Robertson's Cabo2on Rock Soutre : Robertsons Cabezon Cement: PwUand Cement Type II Fly Ash: Class F (955 1) M. -22M ext 360 P.O. Box Aggregates meet ASTM C-33 Fax (951) 08/15/2007 16:41 1 TIDWELL CONCRETE CON Client: Robertson's Plant: Banning/Cabazon Plant 10. TESTRESULTS FO CO R E G .1 112 -Inch Maximum Aggregate (37.5 mm) SSPWC Size No. 2 a: Grading - Sieve Analysis (Standard U.S. Sieves) - (ASTM C 136) t eve Size E crce t Passing 2" (50 MM) 100 1 1/2" (37.3 mm) 94 1" (25 mm) 34 3/4" 09 mm) 9 1/2" (12.5 mm) 3 (9.5 mrn) 2 b. Deleterious Substances Material Finer Than No. 200 Sieve 0.3 Percent (75 µm sieve) Clay Lumps and Friable Particles 0.15 percent Coal and Lignite 0.0 percent Abrasion (B Grading): Loss After 100 Revolutions 8.0 percent Loss Afler 500 Revolutions 31.0 percent c. Soundaess(Combined Coarse Sample) ' Sodium Sulfate Sowidness 0.90 percent (Loss After 5 cycles) d. Potential Reactivity (ASTM C'289) Composite Coarse Sample Chemical Method: Considered Innocuous Rc = 75.0 tnm/L Sc 32.0 mrn/L e. Bulk Specific Cnavity and Absorption SSD (ASTM C: 127) Specific Gravity 2.7 0 Absorption 1.0 percent � b i PAGE 05/05 N. 1� Page No. 7 Job No. 07110-7 08/15/2007 16:41 1 ,TIDWELL CONCRETE CON w Client: Robertson's - Plant: Banning/Cabazon Plint '9. TEST RESUL-TS FOR COARSE AGGRP-GATES I -Inch Maximum Aggregate (25 rrum) SSPWC Size No. 3 a. Grading - Sieve Analysis (Standard U.S. Sievcs) - (ASTM C 136) Sieve Size Percent Passing l 1/2" (37.5 nun) 100 1"(25 mm) 92 3/4" (19 mut) 71 1/2" (12.5 mm) 35 3/8" (9.5 mrn) '.14 No. 4'(4.75 mm) 3 b. Deleterious Substances Material Finer Than No. 200 Sieve 0.5 percent •(75 jLm sieve) (ASTRI( C`1 17) Clay Lumps and Friable Particles (ASTM C 142) 0.83 percent Coal and Lignite (ASTM C 123) 0.0 percent _ Abrasion (B Grading): (ASTM C 131) Loss After 100 .Revolutions 9.1 percent Loss After 500 Revolutions 38.1 percent c. Soundness (ASTM C 88) (Combined Coarse Sample) Sodium Sulfate Soundness 0.90 percent (Loss After 5 cycles) d. Potential Reactivity (ASTM'C 289) Composite Coarse Sample Chemical Method: Considered Innocuous Rc = 75.0 mm/L Sc - 32.0 mm/L e. Bulk Specific Gravity and Absorption SSD OSTM C 12 7) Specific Gravity 2.69 Absorption 1.0 percent PAGE 04/05 10 Page No. 6 Job No. 07110.7 08/15/2007 16:41 1 TIDWELL CONCRETE CON PAGE 03/05 Client: Robertson's Plant: BanninglCabazon Plant 8. TCST RF.SUI��S FOR COARSE AGGREGATES 3/3 -Inch Maximum Aggregate (9.5 mm) SSPWC Size No. 4 a. Grading - Sieve Analysis (Standard U.S. Sieves) - (ASTM C 136) Sieve Size Percent Passins 1/2" (12.5 nun) 100 3/8" (9.5 min) 90 No. 4 (4.75 mm) 3 No. R (2.36 nm) 0 No. 16 (1.18 mm) 0 b. Deleterious Substances Material Finer Than No. 200 Sieve 0.3 percent (75 pm sieve) (ASTM C 117) Clay Lumps and Friable Particles (ASTM C 142) 0.48 percent Coal and Lignite (ASTM C 123) 0.0 percent Abrasion (C Grading): (ASTM C 13 1) .Loss After 100 Revolutions 7.1 percent Loss After 500 Revolutions 28.0 percent c. Soundness (ASTM C 88) (Combined Coarse Sample) Sodic n Sulfate Soundness 0.90 percent (Loss Auer 5 cycles) d. Potential Reactivity (ASTM C 289) Composite Coarse.Sample Chemical Method: Considered Innocuous e. Bulk Specific Gravity and Absorption SSD (ASTM C 127) Specific Gravity Absorption Re = 75.0 mm/1,., Sc = 32.0 mm/t_ 2.74 1.0 percent 40 Page No. 5 .lob No. 07110-7 08/15/2007 16:41 1 TIDWELL CONCRETE CON PAGE 02/05 Client: Robertson's Plant: BanninUCabazon Plant 7. TEST RESULTS EO --R FINE AGGREGATE Washed Concrete Sand a. Grading - Sicve Analysis (Standard U.S. Sieves) - (ASTM C 136) Sieve Size P—ercentY Passing 3/3-'(9.5 mm) 100 No. 4 (4.75 mm) 99 No. 8 (2.36 mm) 77 No. 16 (1.18 mm) 53 No. 30 (600 pna) 32 No. 50 (300 µnn) 16 No. 100 (150 µnn) 8 Fineness Modulus 3.15 b. Deleterious Substances Material Finer Than No. 200 Sieve 3.7 percent (75 pm sieve) (ASTM C 117) Organic Impurities (ASTM C 40) Lighter than Standard (Satisfactory) Clay Lumps and Friable Particles (ASTM C 142) 0.5 percent Coal and Lignite (ASTM C 123) 0.0 percent c. Soundness (ASTM C 88) Sodium Sulfate Soundness 3.98 percent (Loss After 5 Cycles) d. Potential Reactivity (ASTM C 289) Chemical Method: Considered Innocuous Rc= 115 mm/L Sc = 24.0 in n/L e. Bulk Specific Gravity and Absorption SSD (ASTM C 128) Specific Gravity 2.70 Absorption 1.70 ,perCCnt Page No. 4 Job No. 07110-7 08/15/2007 16:41 1 • Clicnt: Robertson's Plant: Banning/Cabazon Plant TIDWELL CONCRETE CON PAGE 01/05 Page No. 3 Job No. 07110-7 S. LABORATORY EQUIPMENT a. Sample Splitter - Martufacturcd by Soiltest b. Aggregate Sample Splitter - Manufactured by Gilson Company c. Fine Aggregate Shaker - Manufactured by Soiltest d. Coarse Aggregate Shaker - Manufactured by Gilson Company c. Fine Aggregate Sieves - U.S. Standard Sieves Manufactured by Gilson Company f Coarse Aggregate Sieves - U.S. Standard Screens Manufactured by Gilson Company g. Los Angeles Abrasion Machine - Manufactured by Soiltest h. Prying Oven - Industria) Oven Model 333 Manufactured by Grieve Oven Corporation i. Scale - 120 pounds, Modcl No. HV-60KA2 - Manufactured by AND Corporation j. Scale - 30 pounds, Model No. HW- I5KA2 - Manufactured by AND Corporation k. Scale - 25 pounds, Model No. GP -12K - Manufactured by AND Corporation 1. Digital Scales - 6100 grain capacity - Manufactured by AND Corporation 6. SAMPLING The concrete aggregates were sampled by a representative of C.H.I.. Incorporated at the Robertson's Banning/Cabazon Plant on Fcbmary 8, 2007. 08/15/2007 16:36 1 Client Plant: 2 • Robertson's Banning/Cabazon Plant T I DWELL CONCRETE CON PAGE 10/10 S,- S-� Page No. 2 .rob No. 07110-7 OBJECT To ascertain the conformance of Robertson's Banning/Cahazon Plant, Concrete Aggregates with the requirements of ASTM C 33-03 "Standard Specification for Concrete Aggregates". The properties of the concrete aggregates including grading and quality of fine and coarse aggregate are compared to specified requirements to determine the compliance of the aggregates. 3. LABORATORY The tests were perfonned by C.H.J., Incorporated, Colton, California. The laboratory is qualified to test concrete aggregates and is in compliance with ASTM E 329-03 "Standard Specification for Agencies Engaged in the Testing and/or Inspection of Materials Used in Construction" and was examined by the Cement and Concrete Reference Laboratory of the National Institute of Standards and Technology in September 2005. 4. REFERENCE DOCUMENTS . ASTM STANDARD (Current 2006 ]Edition) C 33 Standard Specifications for Concrete Aggregates C 40 Standard Test Method .for Organic Impurities in Fine Aggregates for Concrete C 88 Standard Test Method for Soundness of Aggregates by Use of Sodium Sulfate or Magnesium Sulfate C 117 Standard Test Method for Materials Finer than 75 -um (No. 200) Sieve in Mineral Aggregates by Washing C 123 Standard Test Method for Lightweigbt Particles in Aggregate C 127 Standard Test Method for Density, Relative Density (Specific Gravity), and Absorption of Coarse Aggregate C 128 Standard Test Method for Density, Relative Density (Specific Gravity), and Absorption of Fine Aggregate C 131. Standard Test Method for Resistance to Degradation of Small -Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine C 136 Staudard Test Method for Sieve Analysis of Fine and Coarse Concrete Aggregates C 142 Standard Test Method for Clay Lumps and Friable Particles in Aggregates C 289 Standard Test Method for Potential Alkali -Silica Reactivity of Aggregates (Chemica) Method) D 75 Practice for Sampling Aggregates 08/15/2007 16:36 1'TIDWELL CONCRETE CON PAGE 09/10 MATERIAL TEST REPORT ON CONCRETE AGGREGATES CONFORMANCE WITH THE REQUIREMENTS OF ASTM C 33-03 .FOR ROBERTSON'S BANNING/CABAZON PLANT BANNING, CALIFORNIA TESTED BY C. I -I. J., INCORPORATED COLTON, CALIFORNIA JOB NO. 07110-7 0 08/15/2007 16:36 C] Addition Rate The iddition rate range of WRDA 64 is 1.95 to 390 mIJ100 kg (3 to 6 fl o7JI00 lb) of cement. Pretesting is required to determine the appropriate addition rate for Type A and Type D.perfornnance. Optimum addition depends on the other concrete mixture com- ponents, job conditions, and desired performance characteristics. Dispensing Equipment A complete line of accurate, auto- matic dispensing equipment is available. WRDA 64 may be' introduced to the mix on the sand or in the water. TIMELL CONCRETE CON • Compatibility with Other Aditxtures WRDA 64 is compatible in con- crete with all air -entraining admixtures such as Darex" 11 AEA and Daravair*. Due to the sliF air -entraining properties of WRDA 64, itself, the addition rate of air -entraining admixture may be reduced by about 25%. EACH ADMIXTURE SHOULD BE ADDED SUARATIrLY. While WRDA 64 comains no calcium chloride, it is compatible with cal- cium chloride in concrete mixes. Again, each should be added sep- arately. Packaging WRDA 64 is available in bulk, delivered by metered tank trucks, Mid in 210 L (55 gal) drums. It will freeze at about -2'C (28'F), but will return to full strength after thawing and thorough agitation. PAGE 88/10 Architects' Specfficgtion for Concrete Wafer-Peducing Admixture Concrete shall be designed in accordance with ACI Standard Recommended Practice for Selecting Proportions for. Concrete, ACI 211. The water: -reducing (or water - reducing and retarding) admix- nrre shall be WRDA 64, as manufactured by Grace Construction Products, or equal. The admixture shall not contain calcium chloride. It shall be used in strict accordance with the man- ufacturer's reconitnendations. The admixture shall comply with ASTM Designation C 494, Type A water-rcducing (or. Type D water-rcducing and retarding) admixtures. Certification of com- pliance shall be made available on request. The admixture shall be considered part of the total water: The admixture shlaU be delivered as a ready -to -use liquid product and shall require no mixing at the batching plant or job site. ii�% Vlslt our web site at w6w.graceconstruction.eom �� pruVetl an reepe" paper W. R. Gracc & Co -Cann. 62 Whittemore Avcnuc Cambridge, MA 02140 wnnA, Dom nal DO, 0;r me mivo.d hoh—k. of w. n. 1:.ee. h rin.f_ N. 1��rtCss0r;4f.M.n.liln 1--Q 6e bd AIr'nlemla..daaaslln..A.y�oe.ia..draNrrv•dl MMM,nd h IRW Wdrcea.i c•roAdu .a.douiu� hI v.rifinr:.r. Im an.h, ru. wrna rhe r�}s m h.tond. oh.a .rd iD sm�:awn.. wwnnxa►vmm o, myw. a wy�m:+.ik ..u. o.ndldan. nr uY. wlrh apNy r..D wwb Iol d fR m. N•• .p0.nrrer vmmrmArion .n tint i. avabd flv aw r� ek4i won10 IarM'TT br,NrPW :Y .ph1. , R. Crmre a en �.irmti mnrwr A.00r, tpd.:w 4A �nrNL 1. r 5wry,°W.n Gn.ab ux. rrl ehfnnm now way nia. lA,mw. rmdr ri.rrf,C Twv rodw, fry N er.e,:d h► Wt a w mt+.d. vmdoa r4uw. to USA. ma DAxrw_,m GRACE Constnrction Products 06/15/2007 16:36 1 P R O D U C T Description WRDA" 64 is a polymer based aqueous solution of complex organic compounds. WRDA 64 is a ready -to -use low viscosity liquid which is factory pre-oiixed in exact proportions to minimize handling, eliminate mistakes and guesswork. WR.D.A 64 contains no calcium chloride and weighs approximate- ly 1.2.1 kg/L (10.1. NO). Uses WRDA 64 produces a•concrete with lower water content (typical- ly 8 to 10% reduction), greater plasticity and higher strength. It is used in ready -mix plants, block and concrete product plants, in lightweight and prestressed work . wherever concrete is produced. Advantages WRDA 64 offers significant advantages over single component water reducers. Water reduction and setting times arc more consis- tent due to the polymer compo- nents. WRDA 64 also performs especially well in concrete con- taining fly ash and other pozzolans. TIDWELL CONCRETE CON PAGE 07/10 I N F 0 R M A T 1 O N R Water -Reducing Admixture ASTM C 494, Type A, and Type D The use of WRDA 64 produces a plastic concrete that i4 more workable, easict to place and more finishablc than plain or other admixtured concrete. In the hardened state, WRDA 64 con- crete has higher compressive and flexural strengths at all ages than untreated or conventional admix- tured concrete. The greater degree of plasticity achieved, compared with conven- tional water -reducing admixtures, allows improved finishability. Finis hoblilly Finishers have stated that the cement paste, or mortar, in WRDA 64 admixtured concrete has improved trowelability. The influence of WRDA 64 on the fin- ishability of lean mixes has been particularly noticeable. Floating and troweling, by machine or hand, imparts a smooth, close tol- erance surface. Gpfija Construction Products 013/15/2007 16:43 1 TIDWELL CONCRETE CON PAGE 01/07 Client:' Robertson's Plant: 'Banning/Cabazon Plant Ism Paste No. 8 Job No. 07110-7. 1 l . EVALUA:TIO' OF TEST RESULTS a. Fine Aaaregate - Washed. Qoncrgte Sand Grading - 'eve Analysis ASTM C 33-03 (1) SSPWC 2006 (1) Concrete aggregates produced in Southem California are generally produced to meet the grading requirements of the Standard Specifications for Public Works Construction or other local or state requirements. Requirements acquirements Test Results U.S. Standard Sieves Percent Passing Requirements 3/8" (9.5 mm) ' loo 100 100 No. 4 (4.75 mm) 95-100 95-100 99 No. 8 (2.36 mm) 80-100 75-90 77 No. 16 (1.18 mm) 50-85 55-75 53 No. 30 (600 µm) 25-60 30-50 32 No. 50 (300 µm) 5-30 10-25 16 No. 100 (150 µm) 0-10 2-10 8 Finwess Modulus 2.3-3.1, 3.15 (1) Concrete aggregates produced in Southem California are generally produced to meet the grading requirements of the Standard Specifications for Public Works Construction or other local or state requirements. Deleterious ASTM C 33-03 Subsiatrces Requirements Test Results Material Finer Than No. 200 Sieve (75 µm sicvc) 5.0 percent maximums 3.7 Percent Organic Impurities Aust lighter than standard st Lighter than Standard Clay Umips and Friable Particles 3.0 percent maximum 0.5 percent Coal and Lignite 1.0 percent maximum!"' 0.0 percent Cosicrete subject to abrasion shall have a maximum of 3.0 percent materials finer than the No. 200 sieve (75 )inu sieve). ** Concrete wheae surface appearance is important shall have a maximum of 0.5 percent 08/15/2007 16:43 . 1 Client: Robertson's Plant: ' Bannitlg/Cabazon Plant TIDWELL CONCRETE CON PAGE 02/07 Page No. 9 Job No. 07110-7 a. Fined - Wasbed Concrete Sand Cont'd Parameter Soundness Sodium Sulfate (Loss After 5 Cycles) Potential Reactivity ( ASTM C 289) Chemical Method ASTM C 33-03 Requirements 10 percent maximum Must not be considered as potentially reactive TestLkesults 3.93 percent Considered .innocuous Rc = 115 mm/L Sc = 24.0 nun/L b. Coage Aggregate - 3/8 -Inch Maximum A gate (9.5 mm) SSpW�Se1�4 Gra ing - Sieve Anal sy,�i ASPM C 33-03 (1) SSPWC 2006 (1) Concrete aggregates produced in Southern California are generally produced to meet the giadingrequirements ofthe Standard SpcciOcation6 for Public Works Constntction or other local or state requirements. . 0 Size No. 8 Size No. 4 Requirements Mairetnents Fest Resulll U.S Standard Sieves Percent Passing 1/2" (12.5 mm) 100 100 110 3/8" (9.5 mm) 35-100 85-100 90 No. 4 (4.75 mm) 10-30 0-30 3 No. 8 (2.36 mm) 0-10 0-10 0 No. 16 (1.18 nun) 0-5 0-2 0 (1) Concrete aggregates produced in Southern California are generally produced to meet the giadingrequirements ofthe Standard SpcciOcation6 for Public Works Constntction or other local or state requirements. . 0 08/15/2007 16:43 1 TIDWELL CONCRETE CON PAGE 03/07 0 Client: Robertson's ASTM C 33-03 Pate No. 10 Plam: Banning/Cabazon Plant Requirements Job No. 07110-7 b. Coarse A Raegaw - 3/3 --Jnr, Maximuxti A e elate (9.5��m1. S$PWC Size No. 4 Cont'd Deleterious ASTM C 33.03 12 percent maximum Substance.S Requirements Test Results Material Finer Than No. 200 Sieve (75 µm sieve) 1.0 percent maximum 0.3 percent Clay Lumps and Triable Particles 2.0 to 10 percent maximum 0.48 percent Coal and Lignite 0.5 to 1.0 percent maximum* 0.0 percent Abrasion Loss After 500 Revolutions 50 percent maximum 28.0 percent * Concrete where surface appearance is important shall have a maximum of 0.5 percent 0 0. 0 ASTM C 33-03 Parameter Requirements Test Results Soluidness Sodium Sulfate 12 percent maximum 0.90 percent (Loss Aftcr 5 Cycles) .Potential Reactivity (ASTM C 289) Must not be considered Considered Innocuous Chemical Method as potcaitially reactive Rc = 75.0 mm/L Sc = 32.0 mnO, 0 0. 0 08/15/2007 16:43• 1 TIDWELL CONCRETE CAN PAGE 04/07 Client: Robertson's J'os� Page No. 11 Plant: Banning/Cabazon Plant Rc uiaerpents Job No. 07110-7 c. Coarse Ag=regatc - 1-lnch��cimum Apereeate (25111M) SSPWC Size No. 3 Grading„- Sieve Analysis 0.0 percent 50 percent maximum 38.1 percew ASTM C 33-03 (1) SSPWC 2006 Size No. 56 Size No. 3 Requirements_ Requirements Test Results JI.S. Standard Sieves Percent Passing 1 1/2" (37.5 mm) 100 100 100 1" (25 mm) 90-100 90-100 92 3/4" (19 nun) 40-85 55-85 71 1/2 " (12.5 mm) 10-40 35 3/8" (9:5 mm) 0-15 8-20 14 No. 4 (4.75 mm) 0-5 0-5 3 (1) Concrete aggregates produced in Southern California are generally psodueed to meet the grading requirements of the Standard Specifications for Public Works Construction or other local or state requirements. Deleterious Substances Material Finer Than No. 200 Sieve (75 pin sieve) Clay I..umps and Friable Particles Coal and Lignite ' Abrasion Loss After 500 Revolutions ASTM C 33-03 Rc uiaerpents Test Results 1.0 percent maximum 0.5 percent 2.Q to 10 percent maximum 0.83 percent I.0 percent maximum* 0.0 percent 50 percent maximum 38.1 percew '� Concrete where surface appearance is important shall have a maximum of 0.5 percent 08/15/2007 16:43 1 Client: Robertson's Plant: Banning/Cabazon Plant TIDWELL CONCRETE CON PAGE 05/07 Page No. 12 .lob No. 07110-7 c. Coarse Aggregate - I -hmb Maximum Aggregate (25 mm) SSPWC Size No. 3 Cont'd Parameter. Soundness Sodium Sulfate ( Loss .After 5 Cycles) ASTM C 33-03 Requirements 12 percent maximun) Test Results 0.90 percent Poteniial Reactivity (ASTM C 289) Must not be considered Considered Innocuous Chemical Method as potentially reactive Rc = 75.0 mm/L Sc = 32.0 mm/)_. d. Coacse Aegre�at_e - 1 112 -Inch Maximum Aggregate (37.5 mm) SSPWC Size No. 2 Grading - Sieve Analysis ASTM C 33-03 (1) SSPWC 2006 (1) Concrete ngagregates produced in Southern Cali fornia are generally produced to meet the grading requirements of the Standard Specifications for Public Works Construction or other local or state requirements. d Size No. 4 Size No. 2 —Requirements Requirements jest Results U.S. Standard Sieves Percent Passina 2" (50 nm)) 100 100 100 1 1/2" (37.5 mm) 90-100 90-100 94 1" (25 mm) 20-55 5.40 34 3/4" (19 mm) 0-15, 0.15 9 1/2" (12.5 mtn) 3 3/8"(9-51)1111) 0-5 0-5 2 (1) Concrete ngagregates produced in Southern Cali fornia are generally produced to meet the grading requirements of the Standard Specifications for Public Works Construction or other local or state requirements. d 08/15/2007 16:43 1 'TIDWELL CONCRETE CON PAGE 06/07 Client: Robertson's Plant: . Banning/Cabazon Plant Page No. 13 Job No. 07110-7 d. Cparse Aggregate - 1 1/2 -Inch Maxi um A greeate (37.5 mm) SSPWC Size No. 2 Cont'd Deleterious ASTM C 33-03 Substances Requirements Tem Results Material Finer Than No. 200 Sieve (75 Rm sieve) 1.0 percent maxbrum 0.3 percent Clay Lumps and Friable Particles 2.0 to 10 percent maximum O.l 5 percent Coal and Lignite 1.0 percent maximum* 0.0 percent Abrasion Loss After 500 Revolutions 50 percent maximum 31.0 percent * Concrete where surface appearance is important sball have a maximum of 0.5 percent ASTM C 33-03 Parameter .9e9ui tents 'Soundness Sodium Sulfate 12 percent maximum (Loss Atter 5 Cycles) Potential Reactivity (ASTM C 289) Must not be considered Chemical Method as potentially reactive • Fest Results 0.90 percent Considcred Innocuous Rc ^ 75.0 mm/L. Sc = 32.0 mm/L • 08/15/2007 16:43 1 Clicnt: Robenson's Plan: 13anning/Cabazon Plant TIDWELL CONCRETE CON PAGE 07/07 3 Pagc No. 14 Job No. 07110-7 -CON CL INS The Washed.Concrete Sand, 3/8 -inch (9.5 mm) Maximum (SSPWC No. 4),1 -Inch (25 mm) Maximum (SSPWC No. 3), and 1 1/2 -Inch Maxinwm (SSPWC No. 2) Aggregates from the Robertson's Banning/Cabazon plant meet the quality requirements of ASTM C 33-03, "Standard Specifications fol - Concrete Aggregates" and the size grading requirement of ASTM C 33-03 and/or the 2006 Standard Specification for Public Works Construction. QapfESS7p .. No. r -14323r Respectfully submitted, * &p. 9-3D4)7 C. H. I., INCORPORATED Date: March 28, 2007 George Battey III . Registered Civil Engineer No. 34323 Registration Expires 09/30/2007 HGN/GB:rc Distribution: Robertson's (4) John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of- Banning £ Banning .;. Beaumont 44. Calimesa g. Canyon Lake Coachella .;. Desert Hot Springs Indian Wells Indio 44. Lake Elsinore La Quinta Moreno Valley Palm Desert Perris 4. Rancho Mirage .;. Rubidoux CSD. .;. San Jacinto Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson. District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire .Protection 77-933 Las Montanas Rd. STE 201 Palm Desert, CA 92211-4131 (760) 663-6886 FaX (760) 663-7072 Date La Quinta Building Department aml I /. i � 1 The Riverside County Fire Department is granting the fire clearance for the following location /`7 — Please call if you should have questions. 760-863-8886. Thank You espectfully, Jas Stubble Fire Safety Specialist John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning A. - Beaumont Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs Indian Wells Indio Lake Elsinore La Quinta Moreno Valley. Palm Desert 4. Perris Rancho Mirage P,. Rubidoux. CSD San Jacinto e _Temecula Board of Supervisors Bob Buster, District 1 John Tavagtionc, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of .Forestry and Fire Protection 77-933 Las Montanas Rd. STE 201 Palm Desert, CA 92211-4131 (760) 863-8886 Fax (760) 863-7072 Date Silly La Quinta Building Department RE 6nd ( - Nse4 L46t-o7- (3P-- 041 The Riversi -i 3 County Fire Department is granting the fire clearance for the following location I Please call if you should have questions. 760-863-8886. Thank'You Respectfully, Ja Stubble Fire afety Specialist John R. Hawldns Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canyon Lake Coachella Desert Hot Springs 4 - Indian Wells . Y Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Penis 4. Rancho Mirage Rubidoux CSD San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 77_933 Las Montanas Rd. STE 201 Palm Desert, CA 82211-1131 (760) 863-8886 Fax (760) 863-7072 Date 5 Q La Quinta Building Department RE Vt)mj r IV4 -(4K W� C LAO -07- SP -61a The Riverside County Fire Department is granting the fire clearance for the following location I'll — Please call if you should have questions. 760-863-8886. Thank You Respectfully, Jas n Stubble Fire Safety Specialist John R Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of: Banning Beaumont Calimesa Canyon Lake .;. Coachella - Desert Hot Springs Indian Wells Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Perris Rancho Mirage ❖ Rubidoux CSD San Jacinto .; Temecula Board of Supervisors Bob Buster, District I John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection .77-933 Las Montanas Rd. STE 201 Palm Desert, CA 922114131 (760) 863-8886 Fax (760) 863-7072 Date S % La Quinta Building Department RE �Uirl 0,go P p-0�3 The Riverside pCounty �Fire Department is granting the fire clearance for the following location Please call if you should have questions. 760-863-8886. Thank You Respectfully, Jaso Stubble Fire Safety Specialist John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of. Banning Beaumont Calimesa .. Canyon Lake Coachella -0- Desert Hot Springs g. Indian Wells 4 - Indio Lake Elsinore La Quinta Moreno Valley Palm Desert Perris Rancho Mirage Rubidoux CSD San Jacinto Temecula Board of supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 77-933 Las Montanas Rd. STE 201 Palm Desert, CA 92211AI31 (760) 863-8886 Fax (760) 863-7072 Date S La Quinta Building Department REI'h P U$ T l$ Wb 0 C a- o7— —O The Riverside County Fire Department is granting the fire clearance for the following location % q "' 7 1� lnn/ rl Please call if you should have questions. 760-863-8886. Thank You Respectfully, VJantubble Fire Safety Specialist John R. Hawkins Fire Chief Proudly serving the unincorporated areas of Riverside County and the Cities of Banning Beaumont Calimesa ee Canyon Lake 4. Coachella Desert Not Springs Indian Wells Indio Lake Elsinore La Quinta Moreno Valley Palm Desert 4. Penis Rancho Mirage Rubidoux CSD 0. - San Jacinto Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashley, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 77-933 Las Montanas Rd. STE 201 Palm Desert. CA 922114131 (760) 863-8886 Fax (760) 863-7072 Date 5-7 La Quinta Building Department RE VPMd r Oen 4 Cem�r 906 F LAO -0-7- UP -01N The Riverside County Fire Department is granting the fire clearance for the following -- 779 _� IwV III Please call if you should have questions. 760-863-8886. Thank You Respectfully, I Jas Stubble i Fire Safety Specialist . I r Corporate: San Diego/Imperial County: Inland Empitu. " 2992 E. La Palma Ave., Ste. A 7313 Carroll Road, Suite G 14320 Elsworth Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 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 FIELD REPORT TYPE OF WORK INSPECTOR ❑ TECHNICIAN ` ' j ' : AVAILABLE: SOIL REPORT(Y)IN) APPROVED PLANY) N) SPECS (Y)IN) APPROVED SHOP DRAWING (9N) ARCHITECT FOR WEEK ENDING J ENGINEER f j _A M ` 1A I REPORT NO. PG OF CONTRACT Gr t PLAN FILE NO. _73-1-7119 ERMIT NO. 31 " g1 SUB—CONTRACTOR PROJECT NAME INSPECTIONIADDRESS ADDRESS OF PROJECT t —7q 1.0 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. MATERI USED BY C NTRACTOR INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): CJA/V_InL4 MAO 3I1`� X 41 car cs &&L!5 3 1� CO CTOR)�SUIPMENT / MANPOWER USED: Ic(�SC—t� S 1 X% �. ✓u�.� yX1111;I�y(, `A -r _� s AREA, G&D LINES, PIECES OBSERVED: -rte STRUCTURAL � TURALL. DETAII EO: REMARKS, INCMUDING MEETINGS. iii-' c aeIL 7 e, P_o A L 6� Sc r:,[ v o'7- L,%/�S &4,- � • L� �,�-��. REWORK AS PERCENT OF ALL WORK TODAY PERCENT PROJECT COMP) ETIONG WEATHER: C ! 6.A TEMPERATURE: SAMPLES TAKEN: —' TESTS REQUIRED: SITE TIME START 4m - SITE TIME FINISH: LUNCH PERIOD: ------TRAVEL TIME:' VERIFIED EI . I UU CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND�10 THE APPROVED PLAN , PEC IFICATIONS 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 elk A-Corporate: 2992 E. La Palma Ave., Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Eiji San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 i . Inland Empires. 14320 Elsworth Street, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE OF WORK INSPECTOR ❑ TECHNICIAN IV ( q&- AVAILABLE: SOIL REPORT (Y)(N) SPECS (Y)(N) APPROVED PLANS (N) APPROVED SHOP DRAWING&IN) ARCHITECT qq R'1 FOR WEEK ENDING PROJ . 0 ENGINEER REPORT NO. PG OF CONTRACTOR PLAN FILE NO.PERMIT NO. SUB - C TR CTOR PR JECT NAME /0 ,tA- e- s—.— r- 4f (5..%&c- tL_ 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. MATERIAL§,USED BY CONTRACTOR (INCLUDE RESEARCH REPORT NO. OR MATERIAL TEST REPORTS): 0 65E�1e.� r C `l Lij E LQ i N!(I— 7- ZQ-2 :,011-oe CON CTORS EQUIPMENT/ MANPOWER USED: Im ABF4.rGftet1NES; PIECES OBSERVED: L-69LaAzZ-- C. A5,mT s a, n ,46- STRUCTURAL NOTES. DETAIL, OR RFIS USED: REMARKS. INCLUDING MEETINGS: REWORK AS PERCENT OF ALL WORK TODAY PERCENT PBOJECT COMPI ETIOM WEATHER: G (��L ~_ TEMPERATURE: SAMPLES TAKEN: TESTS REQUIRED: SITE TIME START: SITE TIME FINISH: LUNCH PERIOD: TRAVEL TIMVERIFIED BY - I VU UtHI IFY 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 % Date of Report O 6 ICBG Certffication Number City / County Certification Number Rev: 7/97 L6/L :nay iagwnN uollea!Rlia'J AlunoO / A!3 OWN luud IagwnN uo!le3119u80 0801 podoU to ale0 amleu6!S pp// � �,%' ;. 000 1UMU A3N3101130 3H1 Ni 0310N 3SIMU3H10 SS3lNn '3000 Maim 3H130 N01103S 318VOIlddV (INV S OI3103d5 S Vld 03A0UddV 3H1 y0 / 0NV 'SNOIIVON3WW003H NOIlV911S3ANI 110S 3H1 H1IM S31ldV403 MHOM SIHl 1VH1 ONV 3A08V 031SI1 MOM 3H13011V 03AU3S80 AllVN0SH3d 3AVH 11VH1 MID330 00 I - o op �A8 03131)AA :3WI113AV8l :OOIU3d HOW ' •HSINI3 3WIl 311S ly IS 3WIl RIS. 1 � 03wn03U S1S31 :34niVU3dW31 :N3HV1 S3ldWVS tl3H1V3M -'r�✓1 l✓�/-C I�!�7 la 5x'7FT, 0L. 50 sem, )/ai?--IA 'S9NU33W 9NIMON1 'SNUM3tl :03Sn SI3U UO'11V130'S31ON WkInionU1S I /bw-_,:w tem .%�!�� 7�p+ �� vs� �e�,� ✓1�J'� � ��'C _�1 C�N' �. f�/ ' �,`!"n ce/`.i: ' � '• A3AU3Sf10 S331d 'S3NIl 01U9 'V3tlV v, ' :03sn H3MOdNVW I1NMdIn03 S8013VU1NO3 �' ' r'I4' /✓'�'.cy' > :"� l'=i;�! _ (c'i /r/"'.� j; 7 ,%I' �'z'%/✓� t..� _?fd'/G//v'Z.�^% �/�,'c?L.%' ,�i (S1tlOd3U 1S31 lVItl31tlW UO'ON 1tlMU HOUV3S3U 30nlONI) UM U1N00 Aa 03SfrilV1H31VW S.LNOdn S.x33M 'dno i H.LIM kdOJ V .LIW anS (INV ISOdMI ADN31OL330'IVNIOMO 3H.L NO 910N OS'031391 NOD SI 'S.�I01O3dSNI SfIOlA321d V SIO SIMOA 'AJN31JId30 V N3HM INOdn k3N913LtI3G V HJV.I-LV (INV InO111A''J.L3'SMd QNV'SdJ.IN ONISSIW UO',kV0 )MOM 3H.Ld0 0N3 3H.L XV MOM'JNIMOANOJ-NON Sl MGH.L 3I S.LSI I ONV SL'dOd3d SnOlA371d M31AMI-'IVIINVW'IIOS'IDIW/'fVf1NVW NOII33dSNI O131d 0801 :S:LN3W3Uln03N ONI.L'dOd32i Qn3f0tld JO SS3000V SS3UOOV N01133dSNI RON 1331'OUd U013VH1Nw-anS 0 ON INH3d 'ON 311! 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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 FIFL n RFPnPT TYPE OF WORK REINFORCED CONCRETE AVAILABLE REPORTS PLANS SPECS SOILS SHOPS ARCHITECT AREA, GRID LINES, PIECES OBSERVED: APPROVED Y N Y y y�21 SGPA FOR WEEK ENDING REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice Up, spacing & clearance for slab on grade To the best of my knowledge, verified sand sub -grade to 4" below finish floor with laser @ 4 s uare foot intervals 10/06/07 PROJECT NO. ENGINNER MALEK PLAN FILE NO. CONTRACTOR PERMIT NO. THE RERGMAN COMPANY I -7-R22 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PROJECT BLDG D 845 HWY 111 LA QUINTA REPORT RFOTTTRRMFNTC• T('nn vMT n TKWDr r"rrnM r..TAArrr.. 1. v1. VL JV1L IV!l11V V[w "VIEW 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 WI'T'H Vol rR WPPTC'e DrDnD r MATERIALS USED BY CONTRACTOR INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: AREA, GRID LINES, PIECES OBSERVED: r STRUCTURAL NOTES, DETAILS OR RFIS USED: REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice Up, spacing & clearance for slab on grade To the best of my knowledge, verified sand sub -grade to 4" below finish floor with laser @ 4 s uare foot intervals .rz Jnrinn. W CH117L,1C. L1eaz J/'1lVlrt'["LCJ 1H'T�G1V. , TEST REQUIRED: TEMPERATURE: 60's — 90's . SITE TIME START: 2:30 PM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: . TRAVEL TIME: :VER.IF.JB- I DO CERTIFY THAT I HAVF. PFR CONAT r v nnQr7D\/Cn ATT INVESTIGATION COMMENDATI S AND / OR THE APPROVED PLANS SPECS, AND APPANUIkIALICABLE SECTION HIS{ C TH THE SOILS LJILDING S SIGNATURE: �, THURS: 10 / 04 / 2007 ICBG Certification Number. 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: Mrc�. Corporate: 2992 E. La P 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 REQUIREMENvs: iCBO FIELu INSPECTION MANUAUM7"CiL 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 TYPE OF WORK AREA, GRID LINES, PIECES OBSERVED: AVAILABLE REPORTS PLANS SPECS SOILS SHOPS REINFORCED CONCRETE STRUCTURAL NOTES, DETAILS, OR RFIS USED: APPROVED Y N Y Y Y Y ARCHITECT Verified reinforcing steel for type, size, grade, splice lap, spa6ing spacing & clearance for slab on grade To the -best of my knowledge, verified sand sub -grade to 4" below finish floor with laser @ 4 square foot intervals FOR WEEK ENDING SGPA 10/06/07 PROJECT NO. 2145AO2 ENGINNER TEST REQUIRED: PLAN FILE NO. MALEK CONTRACTOR PERMIT NO. THE BERGMAN COMPANY. 07-822 SUB -CONTRACTOR PROJECT NAME TIDWELL KOMAR DESERT CENTER INSPECTION ADDRESS ADDRESS OF PRdJECT BLDG D 845 HWY 111 LA QUINTA REPORT REQUIREMENvs: iCBO FIELu INSPECTION MANUAUM7"CiL 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): A-615 60 grade reinforcing steel CONTRACTOR E UIPTMENT / MAN POWER USED: AREA, GRID LINES, PIECES OBSERVED: STRUCTURAL NOTES, DETAILS, OR RFIS USED: REMARKS, INCLUDING MEETINGS: Verified reinforcing steel for type, size, grade, splice lap, spa6ing spacing & clearance for slab on grade To the -best of my knowledge, verified sand sub -grade to 4" below finish floor with laser @ 4 square foot intervals WEATHER: Clear SAMPLES TAKEN: TEMPERATURE: 60's — 90's TEST REQUIRED: SITE TIME START: 2:30 PM SITE TIME FINISH: 3:00 PM LUNCH PREIOD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOILS INVESTIGATION 1COMMENDATI SAND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATUTHURS: 10 / 04 / 2007 ICBO Certification Number: 1037223-84, 88 Date of Report PRINT NAME: DONALD SMITH City / county Certification number: TYPE OF -WORK ARCHITECT ENGINNER CONTRACTOR 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. 92I21 Tel: 858.537.3999 Fax 858.537.3990 REINFORCED CONCRETE SGPA MALEK AVAILABLE REPORTS APPROVED (Y)(N) FOR WECK ENDING PLAN FILE NO_ PLANS SPECS SO _ SHOPS Y) (Y) (Y; (Y). 9/29/07 PROJECT NO. 214 t SUB -CONTRACTOR INSPECTION ADDRESS THE BERC:MAN COMPANY TIDWELL BLDG "D" L PERMIT NO. PROJECT NAME ADDRESS OF PROJECT RI.11 G 07-822 KOMAR DESERT CENTER 79 — 845 HWY 111 LA QUINTA REPORT REQUIREMENTS: ICBO FIELD INSPECTION MANUAJJMTGLSOIL MANUAL LIS. IF THERE IS NON -CONFORMING WORK AT THE END OF WORK DAY, OR MISSING MTRS. AND RFIS, ECTT.F FILL OUT AND ATTACH A DEFIVIEW PREVIOUS ORTS CI NCY 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. qr MATERIALS USED BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO. OR MATERIAL TEST REPORTS): 78 cubic yards of 3000 psi concrete from Robertson ready mix, design # 1085A A-615 60 grade reinforcing steel CONTRACTOREQUIPTMENT 1 MAN POWER USED: Mechanical vibrator, 20 men AREA, GRID LINES, PIECES OBSERVED: Reinforcement inspection, anchor bolt, hd`s & concrete placement — interior pad footing-s & perimeter buiiding footing Ca3 grid lines 1 & 2 — A to F, Line A —1 to 4, line 4 — A to C, line 5 — C to F, line F — I to 5, line C — 3 to 5 STRUCTURALmoTEs, DETAILS. OR RFIS USED: Concrete & masonry notes & details on sheets S 1, S2, S3, SD. I, 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 rnorritored placement & consolidation of 78 total cubic yards of 3000-psi concrete Q areas noted above Note: # 1, verified ufer ground cable in footing (a) line 5B.5 Note: # 2, contractor responsible for all dimension. anchor bolt & holdown lay -out Sample - from ticket # 5526003, slump a, 4 i5", concrete temperature g 73°, locations perimeter itg's line A — between 1 to 4 V1'EA T HER: TEMPERATURE: Clear 60's — 70's SITE TIME START: 7:00 AM LUNCH PREIOD: SAMPLES TAKEN: 1 set of 4 concrete TEST REQUIRED: SITE TIME FINISH: 12:30 PM TRAVEL TIME: I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AN INVESTIGATION RECOMMENDATIONS AND / OR THE APPROVED PLANS, SPECS, AND APPLICAB SIGNATURE: l) r PRINT NAME: DONALD SMITH FRI: 9 / 28 / 2007 Date of Report Slump, temperature, �y4 ORK CO1ES WITH SOILS ON OF THE BUILDING CODES, UNO ICBO Certification Number: 1037223-84, 88 City 1 county Certification number: www.mtglinc.com �f MTGL Project #: Permit # 0 78 Report # PG DF Corporate: 2992 E. La Palma Ave. Ste. A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 Doh: 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 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 ]AM �} �7 p DATE f/}► • ARCHITECT TI EARRIVE7� TIME EPARTED ENGINEER T AVE ... LUNDH TIME • CD GTOR ,y ` Yr 1ST \J S.0 t(JO ell „Y IIJSPE DuR A➢DRESS OF PROJECT 74-P . /41.6 [/l On, C v I & Cc�. =a sct TYP F INSPECTION C • ❑ BATCH PLANT ❑ MASONRY ❑ FIREPROOFING ❑ CEILING WIRE ❑ NGINEERED 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 ❑ MATER]I UI BY' N - CTp (INCLUDE RESEA�G1jRt 0x. NO. OR MyTEA/ TESTREPORTS): 1 i' jos / CONTRACTORS EQUIPMENT/ MANPOWER USED: AREA, GRID LINES, PIECES INSPECTE 1-1 n •a f 011 c j e, (/fn YG �.. © t 0 cis ii/i L . STRUCTURAL NOTES, DETAIL, OR RFIS USED: REMARKS, INCLUDING MEETINGS: REWORK AS PEFJ,CENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETE: THE WORK WAS rr. WAS NOT ❑ Inspected in accordance with the requirements of the DSA/OSHPD/PROJECT approved documents. MATERIAL SAMPLING WAS 7 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 a the DSA/ HPD/PR r ECT ap.+roved do Samples Weather: atu e ment mp i &arse. 7Q Spe• al 1nsp %r et P. c-s ))�� Print Name Certification #: /7r.97 Verified by: