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Page ( of ) <br /> BRAUN SIDRPTRev to/ov <br /> INTERTEC <br /> Special Inspection Daily Report <br /> City of (3f-or)v <br /> Report No.: Date of This Report: <br /> Project Name: {�^-5/ Project No.: 64 - f/ 01(j/94 <br /> Project Address: 142 41-- 1 _rte <br /> Client: Ld4, Client Project No.: -- <br /> Project Manager: /7t � ,G y Temp/Weather: '- <br /> Type <br /> Type of Inspection: Inspection Coverage: <br /> ❑ Continuous 0 Masonry -j Rebor Placement <br /> 0 Foundations 0 Special Cases <br /> ® Periodic ❑ Welding&Bolting 4-Concrete Placement <br /> 0 Fireproofing <br /> 0 Piles&Piers ❑ Tendon Placement &7k Soils <br /> Did the architect or engineer authorize changes to city approved plans? Yes 0 (Listed Below) No..Q, <br /> Description and location of work completed: / - CO 6/ <br /> List tests performed: 1/�`�,� <br /> .7 sz-T t✓a 5 ///-2-9/U <br /> • Are there any discrepancies noted from this days observations? Yes ❑ No - <br /> • Are there any outstanding discrepancies on this project? Yes 0 No-a <br /> • If yes,see attached Summary Sheet. <br /> To the best of our knowledge,work inspected was clone in accordance with the approved plans,specifications and applicable <br /> workmanship provisions of the current IBC,except as noted above. <br /> Signed: Date: 'e1 SJ-// <br /> Print Full Name: S�Q7l I.D. No.: 5309.eg,`f <br /> White copy to Braun lntertec file. Yellow copy to Project Site Representative. <br /> 5.1 <br /> • Providing engineering and environmental solutions since 1957 <br />