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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 L of 1 <br /> BRAUN VIII T-dfri inn <br /> INTERTEC Daily Field Notes <br /> Project No.: 3L// �41)/0/4/4 �� Date: //` 4/47/ Report No.: <br /> Project Name: Ae4 2 c/�K.t`O /4-64-5--7'g, Project Location: it af co ,-e.- ras_,_ "�L <br /> e <br /> Client: /de-44.4,s -- 44'1-'4.---s e` ^ cS� i d�- c` <br /> �j /' Temp/Weather: <br /> Project Manager: Q'�- `'�Q����^c-f"' G4--- Time Arrived: ,..~ Departed: J� <br /> Services Performed <br /> ❑ Compaction Testing ❑ Concrete Testing (Cylinder Pickup ❑ Proctor Pickup ❑ Masonry Pickup <br /> ❑ DCP 4'Other(describe) 6i4-4-14'o (At- <br /> Density <br /> /� <br /> Density Testing L <br /> Areas Tested: ❑ Mass Grading O Building Pod ❑ Wall :ackfill ❑ Slab Subgrade ❑ Parking/Walks <br /> ❑ Utilities ❑ Roadways ❑ Bituminous ❑ e her(describe) <br /> Method: ❑ Nuclear O Sandcone I #of tests: I Fil .ource: ❑ On-site ❑ Imported <br /> Tests taken met specification? ❑ Yes //6 No ❑ Waiting on Proctor results? <br /> Contrador notified of test results? ❑ Yes ❑ No Name of person notified: <br /> Concrete Testing Information <br /> ' <br /> Areas Tested: ❑ Footing ❑ Slab on Grade CIDe ❑ Columns/Piers ❑ Walls <br /> D Pile Cap/Pile Fill ❑ Pavement ❑ Curb&Gutter ❑ 0, er(describe) <br /> No. of placements: Yards per placement: Method of placement: <br /> Set# Cylinder Size Air% J Slump Temp Mix Supplier Spec. Strength Workorder# <br /> Contractor notified of test results? ❑ Yes ❑ No, Nome of person notified: <br /> Overall Remarks/Comments (Explain any concerns,problems or unusual occurrences) <br /> Was everything available to test/observe? OrYes ❑ No Were there any delays? (Explain below if yes) ❑ Yes -No <br /> Was a copy of this eport left on site? ❑ Yes No If so,whomwasit submitted to: <br /> Comments: i'C.-44d10 cf ©/ / G%' U- <br /> r--e-- <br /> . <br /> 17- / <br /> /115- , /7 --IZ be/ 77 , Ailie f 54.—e.- <br /> 1‘7/ ra.-14.--.4 acfref--, <br /> Formed B f <br /> Y: Reviewed by: t,;- Date: 1/1 <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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