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Special Structural Testing & Inspection Schedule
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Wayzata Boulevard West
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0875 Wayzata Boulevard West - 35-118-23-44-0011
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Special Structural Testing & Inspection Schedule
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Last modified
8/22/2023 5:00:03 PM
Creation date
1/6/2020 9:51:49 AM
Metadata
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Template:
x Address Old
House Number
875
Street Name
Wayzata
Street Type
Boulevard
Street Direction
West
Address
875 Wayzata Boulevard West
Document Type
Misc
PIN
3511823440011
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Page 1 of <br /> B R A U N cnn-dtn 4 <br /> NTE RTEC G- JJ'-/I Daily Field Notes <br /> Project No.: LL- 11" 0 r U 1 E,1 - Date(P- /9— 1 / Report No.: 3 <br /> Project Name: V}eVIO SQY►t U✓ PO(i S i rpt c/ Project Location: 11/-Q i10 <br /> c /, <br /> Client: K4" .s - / a / <br /> TempTWeather: � (, �rGtf� <br /> jy <br /> Project Manager: brad Ale-Cc,,rf)°t' Time Arrived: Departed: <br /> Services Performed <br /> NCompaction Testing ❑ Concrete Testing 0 Cylinder Pickup ❑ Proctor Pickup ❑ Masonry Pickup <br /> ❑ DCP ❑ Other(describe) <br /> Density Testing _u. <br /> Areas Tested: ❑ Mass Grading ❑ Building Pad ❑ Wall Backfill ❑ Slab Subgrade ❑ Parking/Walks <br /> O Utilities ❑ Roadways ❑ Bituminous 0 Other(describe) <br /> Method: Nuclear ❑ Sandcone I # of tests: q I Fill Source: , On-site ❑ Imported <br /> Tests taken met specification? k Yes ❑ No ❑ Waiting on Proctor results? <br /> Contractor notified of test results? AYes 0 No Name of person notified: 1 ,,tI- fi <br /> Concrete Testing Information <br /> Areas Tested: ❑ Footing O Slab on Grade ❑ Deck 0 Columns/Pier ❑ Walls <br /> 7 Pile Cap/Pile Fill 0 Pavement ❑ Curb&Gutter O Other(describe) <br /> No. of placements: Yards per placement: Method of placem- t: <br /> Set # Cylinder Size Air% Slump Temp Mix Supplier Spec. Strength Workorder# <br /> 7 <br /> Contractor notified of test results? ❑ Yes ❑ No, Na - of person notified: <br /> Overall Remarks/Comments (Explain any concerns,problems or unusual occurrences) <br /> Was everything available to test/observe? t L.Yes ❑ No Were there any delays? (Explain below if yes) 0 Yes No <br /> Was a copy of this report left on site? Yes ❑ No If so,whom was it submitted to: 7,-u;,4,- <br /> Comments: !-er-Po rmfd "/ ( m 4c -iaii -71 -f (fin 4) 1' nk`c-e ` 'A r budolih�lra ,/ <br /> )�ch )i • Test i 1-✓tP' `jo-b Specs . D ✓ <br /> G Kr <br /> — <br /> 1 <br /> L_ <br /> x <br /> X=Test )ocQ-I-,c s cc//,►✓ari r <br /> rerformed By: /1.� <br /> P-12,71-44,441\ Reviewed by: � Date: 17-12g <br /> This is a preliminary report and is provided solely as evidence that field observations and/or testing was performed. Observations and/or conclusions <br /> and/or recommendations conveyed in the final report may vary from,and shall take precedence,over those indicated in a preliminary report. <br /> • Providing engineering and environmental solutions since 1957 <br />
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