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Page I— of <br /> SIDRPT Rev to/o9 <br /> BRAUN <br /> I NTE.RTEC Special Inspection Daily Report <br /> City of a roma a <br /> Report No.: � .�Autsl ` Date of This Report: 7 t 1 I <br /> Project Name: 01tokn fit��+. S l Project No.: ,�1 OZo!RQ9' <br /> Project Address: -7Q g- O k a Cy�C�_ l Ac�a.ej '" <br /> Client: �<%k Client Project No.- <br /> Project Manager: Jb.1/\ MQ` Temp/Weather: Sy� ($DoE <br /> Type of Inspection: Inspection Coverage: <br /> ❑ Continuous Masonry_.............................. ❑__Rebar Placement.............❑. Foundations_.,,,,_„•_,,,,...,,.,,_,❑,..Special Cases..__..........__....... <br /> Periodic 1Nelding&"Baltin'g'' ❑ Concre`PlacementF'-[1-Fire`'pffiofing"` <br /> ❑ Piles&Piers ❑ Tendon Placement ❑ Soils <br /> Did the architect or engineer authorize changes to city approved plans? Yes ❑ (listed Below) No ❑ <br /> Description and location of work completed: <br /> Q <br /> ` � 9 14 11 <br /> 6�f .3bt4k- f7AU t- y.>e --,. cx..T- QV Ss. <br /> 2 t� <br /> (FAQ K) ! KQ4wk So\h ¢2k ce-Q Qi ;0%0- 4�- r St” <br /> +A-* Vs ( " 1.►p,c�� s� <br /> G4�r•� ���1�.� . �10 d��c �, 'Us ed ex <br /> n <br /> (A <br /> • Are there any discrepancies noted from this day's observations? Yes No ❑ g�'�rh <br /> • Are there any outstanding discrepancies on this project? Yes No ❑ gee 10 &000y, <br /> • If yes,see attached Summary Sheet. <br /> l �,,��� � S�Lg .2 <br /> To the best ot�ourhl e,work inspcted wos\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: _` t'',�j, I.D. No.: IyM0 q1 -W p l.N-SZ <br /> White copy to Braun lntertec file. Yellow copy to Project Site Representative. <br /> Providing engn=mg aced eravironmentul sotutioru since 1957 <br />