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<br /> SIDRPT Rev 10/09
<br /> BRAUN
<br /> NTE RTEC Special Inspection Daily Report
<br /> City of IOC on v
<br /> Report No.: Date of This Report: - 7 - /
<br /> Project Name: QF,,,,,, Si /7/,,,,-",-, Project No.: 64 - // 0/(j/94
<br /> Project Address: ,e,1,,,,, /44 .,:e /',. t, jr
<br /> Client: /C,47 Client Project No.:
<br /> Project Manager: / ,-.- /7e CG..e4,, Temp/Weather: 2 7
<br /> Type of Inspection: Inspection Coverage:
<br /> ❑ Continuous 0 Masonry ,.2:( Rebar Placement 0 Foundations 0 Special Cases
<br /> L .Periodic 0 Welding & Bolting 6L Concrete Placement 0 fireproofing
<br /> 0 Piles& Piers 0 Tendon Placement ,, Soils
<br /> Did the architect or engineer authorize changes to city approved plans? Yes ❑ (Listed Below) No 41
<br /> Description and location of work completed: 44rwe i 3-2,./A /�% r lam. e__,.,J.,_
<br /> ,��.-cam f 1-.1,7/ ,r /.� /gam i/Z1",-/f.5 7 " �.�..��,y/ 1if"..,.T,! S
<br /> /Y/,r- GK7/ J /� / / J�
<br /> P.. �/� �/�/ter /p��-,�,/ 7/a--
<br /> List tests performed: 7-;-s>-r G ��� ,-.7,;;/:.-,-,-...._:- 41/6/ 7 fx SGS 7/ .3---z//
<br /> ✓o , ///-2-67SS
<br /> • Are there any discrepancies noted from this day's observations? Yes 0 No
<br /> • Are there any outstanding discrepancies on this project? Yes 0 No
<br /> • If yes, see attached Summary Sheet.
<br /> To the best of our knowledge,work inspected was done in accordance with the approved plans, specifications and applicable
<br /> workmanship provisions of the current IBC, except as noted above.
<br /> Signed: Date:
<br /> Print Full Name: �,��, ,f , r a,// I.D. No.: 5309. -.5
<br /> White copy to Braun Intertec file. Yellow copy to Project Site Representative.
<br /> • Providing engineering and environmental solutions since 1957
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