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i <br />� <br />� '� � A�.J � C� <br /> � ._ „ <br /> , _,. <br /> . ., , . � , <br /> I � :... x r .. . ..�.... <br /> t . x <br />� " Daily Field Notes <br />� <br />� <br /> Project No: Date: ' Report No: <br /> Project Name: Project Location: <br /> Client: `� � � � Temp/Weather: <br /> Project Manager: Time Arrived: Departed: <br /> ❑Compaction Testing ❑Concrete Testing ❑Cylinder Pickup ❑ Rebar Inspection ❑Proctor Pickup <br /> ❑DCP ❑Other(describe) <br /> Areas Tested: ❑Mass Grading [�Building Pad ❑Wall Backfill ❑Slab Subgrade ❑Parking/Walks <br /> ❑Utilities ❑Roadways ❑ Bituminous ❑Other (describe) <br /> Method: ;Q`Nuclear ❑Sandcone Number of tests: Fill Source: [�]On-site ❑Imported <br /> Tests taken met specifications? ❑Yes ❑No �Waiting for Proctor results <br /> Contractor notified of test results? Q Yes ❑No Name of person notified: <br /> Areas Tested: ❑ Footing ❑ Slab on Grade ❑ Decl< ❑ Columns/Piers ❑ Walls <br /> ❑Pile Cap/Pile Fill ❑ Pavement ❑ Curb& Gutter ❑ Other(describe) <br /> Number of Placements: Yards per placement: Method of placement: <br /> Set# Cylinder Size Air% Slump Temp Mix Supplier Spec.Strength Work Order# <br /> Contractor notified of test results? ❑ Yes ❑ No Name of person notified: <br /> Was everything available to test/observe? ❑Yes ❑No Were there any delays?(Explain below if yes) ❑Yes ❑No <br /> Was a copy of this report left on site? [�,Yes ❑No If so whom was it submitted to: <br /> Comments/Remarks: <br /> } � - � . : � , i. � � � <br /> 7 � �,i Z'' , . _ , y � r; �� . ��" � i-L`C? ��( t.- � ( t , <br /> t <br /> . . � � . � , � � <br /> t�/ ) ] � � �rt � �� �'l �t��/� Y��lli� i`� . <br /> � � ' ) P i ° t � . � � � �,t a,(- �,ild(�`i1�;��t"1 <br /> f <br /> r <br /> Performed By: "�'� E-`' � ` � � � Reviewed By: Date: <br /> This is a preliminary report and is provided solely as evidence that field observations and/or testing was performed.Observations and/or conclusions and/or <br /> recommendation conveyed in the final report may vary from,and shall take precedence over,those indicated in a preliminary report. <br />