24846 PE-1414I
~~~GENERq~~,o
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NORTHWEST
- ~FAM.
`
April 13, 2000 SOILS, TEST/NG & INSPECTI N~GOV`~~ `~~~~UINEFR,s~
STI W.O. # 99322
~Q OFFICIAL PUBLIC DOCUMENT
S ~
pokane County Engineers Office ORIGINAL
1026 W. Broadway Spokane, WA 99260-0170 "AS-BU I LTS"
CERTIFIED RECQBD DRAWINGS
Attn: Mr. Randy Stronks PROJECT
DATE ACCEPTED: '
Re: Riverwalk 10" Addition, Construction Certification Packa
Dear Randy,
Please find the following information which is intended to bE used by you in the certification and acceptance
process for Riverwalk 10' Addition ,
1. A three-ring bound set of inspection and testing reports for the work constructed. Included within
this binder are the following sections which document the scope and nature of the inspection work provided.
A. Correspondence
B. Test Reports
C. Daily Reports
2. A set of mylars and two bond copies for your files. Please note that these mylars are new mylars
("Record Drawings") and should replace or supplement the mylars that you currently have for this
project.
It should be understood that this submittal provides certification for the initially constxucted items associated
with this project. This certification only implies that the items shown were substantially built as designed,
and only valid the day the as-built survcy and visual certification were performed by this engineer. This
certification makes no guarantee that other construction activities associated with overall plat build out such
as home builders or new home owners have not in fact dislodged, destroyed, filled in or in any manner
affected any of the items certified. It should be noted that this letter does not relieve the contractor or
developer from the warranties implied within their bonding documents.
Should you have any questions or comments related directly to the eertification package submitted please
do not hesitate to ca11.
Sincerely, ~ ~L
STI Northwest
~
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" 334~72
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Ja . gan, P.E. ~iREs 06/14/ o t ~
3628 E. Ferry • Spokane, WA 99202 • Phone (509) 534-9711 • Fax (509) 534-9755
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-
C-) SOILS, TEST/NG & INSPECTION
October 20, 1999
STI W.O. # 99322
Sgokane County Engineers Office 1026 W. Broadway -
Spokane, WA 99260-0170
Attn: Mr. Randy Stronks . Re: Riverwalk lOm Addition, Construction Summary
October 11- October 16,1999
K.C. Construction: Contractor
Shorewood Homes: Developer Dear Randy,
This letter transmits the general construction activity that occurred on site during the time listed
ahove. This letter is not intended to replace the construction daily report produced by STI
Northvvest or its staff, but it does transmit the general information concerning the construction
activity. Any item that may be listed below may or may not be in compliarice with the plans and
specifications. This letter is not intended to be a submittal for acceptance. It is for informational
use only. • The sanitary sewer line was installed and bacl~'illed on Riverwalk Lane and Grady Lane.
• Density testing was performed on the backfill. No major deficiencies to report at this time. If you have any questions or comments concerning
any of the items listed above, please feel free to give me a call. . ;
. ,
Sincerely, STI Northwest .
tl ~ -
Bruce A. Howard
Vice President
cc: File
~
3628 E. Ferry • Spokane, WA 99202 • Phone (509) 534-9711 • Fax (509) 534-9755
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~
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~ NORTHWEST •
~
I
SOILS, TEST/NG & INSPECT/ON
October 26, 1999
STI W.O. # 99322
Spokane County Engineers Office .
1026 W. Broadway
Spokane, WA 99260-0170 Attn: Mr. Randy Stronks
Re: Riverwalk 10111 Addition, Construction Summary
October 18 - October 22,1999
K.C. Construction: Contractor Shorewood Homes: Developer Dear Randy,
This letter transnuts the general construction activity that occurred on site during the time listed
above. This letter is not intended to replace the construction daily report produced by STI
~ Northwest or its, staff, but it does transmit the general information concerning the construction
activity. Any item that may be listed below may or may not be in compliance with the plans and
specifications. This letter is not intended-to be a submittal for acceptance. It is for informational
use only. -
• The sanitary sewer line was installed and backfilled on Grady Lane.
• The side sanitary sewer lines were installed on the south side of Riverwalk Lane.
• The water line was installed on R.iverwalk Lane.
• Density testing was performed on the backfill.
No major deficiencies to report at this time. If you have any c}uestions or comrrments concenning
any of the items listed above, please feel free to give me a call.
Sincerely,
STI Northwest
,4 6_t44~
Bruce A. Howard Vice President
10 cc: File
3628 E. Ferry • Spokane, WA 99202 • Phone (509) 534-9711 • Fax (509) 534-9755
.
~
~ NORTHVi/EST
f SOILS, TEST/NG & INSPECTION
November 2, 1999
STI W.O. # 99322
Spokane County Engineers Office
1026 W. Broadway
Spokane, WA 99260-0170
- Attn: Mr. Randy Stronks
Re: Riverwalk 101 Addition, Construction Summary
October 25 - October 29,1999
K.C. Construction: Contractor
Shorewood Homes: Developer Dear Randy,
.
This letter transnuts the general construction activity that occurred on site during the time listed
above. This letter is not intended to replace the construction daily report produced by STI
Northwest or its staff, but it does transmit the general information concerning the construction
activity. Any item that may be listed below may or may not be in compliance with the plans and
specifications. This letter is aot intended to be a submittal for acceptance. It is for informational
use only. • Drywells were installed along Grady Laae, Riverwalk Lane, and the end of Hodges Lane.
• Air tests and Mandrell tests were conducted on the sanitary sewer lines installed below
Grady Lane and Riverwalk Lane. (All tests passed.) No major deficiencies to-regort at this time. If you have any questions or comments concerning
any of the items listed above, please feel free to give me a call: `
Sincerely, STI Northwest
~.'.r. A .
Bruce A. Howazd
Vice President
cc: File
~o .
3628 E. Ferry • Spokane, WA 99202 • Phone (509) 534-9711 • Fax (509) 534-9755
: rr1ti
. ~6EfIE~C
~
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~ N4RTHINEST
SO/LS, TEST/NG & INSPECT/ON
November 3, 1999
STI W.O. #99322
Spokane County Utilities Department
1026 W. Broadway
. Spokane, WA 99260-0170
Attn: Billy Urhausen
Re: Riverwalk lOtb Addition: Bond Reduction Request
Dear Billy,
All work associated with the air and mandrel testing has been completed in substantial conformance
with the plan set and specifications. At the request of our client, Shorewood Homes, we request a
reduction of all associated sewer construction bonds for any related work associated with this proj ect.
I have enclosed copies of the daily field report indicating the test results and when the inspections
occurred. If you have any questions concerning this issue or need any additional information to
reduce the honds, please feel free to contact me.
Sincerely,
STI Northwest
~ .
Bruce A. Howazd Pri.ncipal -
enc.
cc: Tom Anderl, Shorewood Homes
~
3628 E. Ferry• Spokane, WA 99202 • Phone (509) 534-9711 • Fax (509) 534-9755
i..ra w ..pr
~6fNEq,~C
NORTHWEST
~
SOILS, TESTING & INSPECTlON .
November 8, 1999 , .
STI W.O. # 99322
Spokane County Engineers Office
1026 W. Broadway
Spokane, WA 99260-0170
Attn: Mr. Randy Stronks
Re: Riverwatk 10« Addition, Construction Summary
November 1- November 5,1999
K.C. Construction: Contractor
Shorewood Homes: Developer
Dear Randy, This letter transmits the general construction activity that occurred on site during the time listed
above. This letter is not intended to replace the construction daily report produced by STI
Northwest or its staff, but it does transmit the general information concerning the construction
activity. Any item that may be listed below may or may not be in compliance with the plans and
specifications. This letter is not intended to be a submittal for acceptance. It is for informational
use only.
• The subgrade below Grady Lane, Riverwalk Lane, and the end of Hodges Lane was
prepazed and compacted.
• Density testing was performed on the subgrade.
• The concrete curb was goured for Grady Laue, Riverwalk Lane, and.Hodges Lane.
• The concrete was tested and sampled for later break tests. i
No major deficiencies to report at this time. If you have any questions or comments concerning
any of the items listed above, please feel free to give me a call.
Sincerely,
STI Northwest ~ .
Bruce A. Howard
Vice President
~ .
cc: File
3628 E. Ferry • Spokane, WA 99202 • Phone (509) 534-9711 • Fax (509) 534-9755
ti~ . W \w1y
~
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fVORTHWEST •
~
~
November 16,1999 SO/LS, TESTING & INSPECTION
STI W.O. # 99322
Spokane County Engineers.Office
1026 W. Broadway
Sgolcane, WA 99260-0170
Attn: Mr. Randy Stronks
Re: Riverwalk 10' Addition, Coastruction Summary
November 8 - November 12,1999
K.C. Construction: Contractor
Shorewood Homes: Developer
Dear Randy, This letter transmits the general construction activity that occurred on site during tlie time listed above.
This letter is not intended to replace the construction daily report produced by STI Northwest or its staff,
but it does transmit the general information concerning the construction activity., Any item that may be
listed below may or may not be in compliance with the plans and specifications. This letter is not intended
- to be a submittal for acceptance. It is for informational use only.
• CSTC was placed and compacted for Grrady Lane, Riverwalk Lane, and the end of Hodges Lane.
• Density testing was performed on the CSTC.
• Asphalt pavement was placed and compacted for Grady Lane, Riverwalk Lane, and the end of
Hodges Lane.
• Density testing was performed on the asphalt pavement.
• The concrete was powed for the sidewalk on the south side of Riverwalk Lane between Grady
Lane and Hodges Lane and for the sidewallc on the west side of Hodges Lane.
• The concrete was tested and sampled for later break tests.
No major deficiencies to report at this tune. If you have any questions or comments ronceming any of the
items listed above, please feel free to give me a call.
Sincerely,
STI Northwest
ZuA ~
Bruce A. Howard
Vice President
cc: File .
~ .
3628 E. Ferry• Spokane, WA 99202 • Phone (509) 534-9711 • Fax (509) 534-9755
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Page No. 1
~ 11I29Is9
u POKANE COUNTY t3TI L IZ'r ES DEPAR'['MEAdT
Fault Sunimary Report
UPPER MH N0 DATE TAPE VCR FAULT 3EVR STATION ACTION REMA,RKS
NO COUNT TYFE CODE TATCEN
194.7/24.4N 11/24/99 853 32 PF oa 12.1 2 ocr,ocK
• 194.7/24.4N 11/24/99 853 304 PF 02 63.6 10 OCLOCK
194.7/24.4N 11%34/99 853 525 PF 02 111.7 / I 2'OCLOCiC
194.7/24.4N 11/24/99 853 746 PF 02, 157.0 10 OCLOCK
19+4.7/24 .4N 11I24/99 853 825 PF 02 166.5 2 OCLOCK
194. 7/'24. 4N 11/24/99 -853 1133 PF 02 227.1 2 OCLOCK 194.1/24N 11/24/99 853 1408 PF 02 38.2 10 OCLdCK
194.1/24N ~1/24I~9 853 1432 PF 02 41.8 2 OCLOCK
19441/24N 11/24/99 853 1726 PF 02 102-.1 2 OCLOCK
194.1/a4N 11/24i99-853 1754 PIF 02 106.7 10 OCLOCR
194.1/24N 11/24%99 853 2031 PP 02 165,1 2 OCLOCK
194.1/24N 11/24/99 853 2140 PF 02 178.7 2 OCLOCK
194.1/24N 11I24199 953 2412 PF 02 228.1 / I
193..6/22-.3N -11/24/99 653 2542 PF 02 6.0 a OCLOCK
193.6l22..3N 11/24I99 653 26-15 PF 02 9.2 / 10 OCLOCK
19,3.6/22.3N 11/24/99 85-3 2643 PF 02 - 13:3 10 OCI,OCK
193.6/2-2.3N 11/24/99 853 2748 PF 02 32.1 a QCLOGK
193.6/22.3M -11/24199 853 3035 PF Oa 86•9 10 OCLOCK
o ~ 193.6/22.3A1. 11/24/99 853 3129 -PF 02 101.9 2, 'OCLOCR
193.6/22.3N 11/24I99 853 3424 PF Oa 155.5 10 OCLOCK
193.6/22.3-N 11/24/99 853 3514 PF 02 171.6 2 OCLOCK -
193.6/22.3N 11/24/99 853 3843 PF 02 239.1 2 OCLOCK
193.6/22.3-A1 11/24/99 853, 3944 PF Oa 254.0 10 OCLQCK
193.6/22.3N 11124/99 853 4220 PF 02 305.1 Z 4CLOCK
193: 4/23 . bN 11l24/99 8'53 5048 PF 02 37.5 1 4C.LOCK
193.4*/23.6N 11/24/99 853- 5110 PF OZ 41.4 10 OCLOCK
193.4/23.6N 11/24199 853 5341 PF 02 93.6 2 OCLOCK
193. 4.l23 . bN 11./24/99 8; 3 . .5457 PF OZ 117.0 / . / 10 OCL4CK
193.4/23.6N 11/24I99 e,53 5716 PF oa 158.2 i i 2 ocLOCx
Total ~x* 78815 3421.7 .
~ -
~ N4RTHWEST ~~~~~•a
° tl SOILS, TEST/NCs & INSPECTION
March 14, 2000
STI W.O. # 99322
Spokane County Engineers Office
1026 W. Broadway .
Spokane, WA 99260-0170 Attn: Mr. Randy Stronks
Re: Riverwalk 101hAddition, Construction Summary
.
March 6 - Marc610, 2000
K.C. Construction: Contractor
Shorewood Homes: I?eveloper
,
Dear Randy,
This letter transmits the general construction activity that occurred on site during the time listed above.
This letter is not intended to replace the construction daily report produced by STI Northwest or its staff,
but it dces transmit the general information concerning the construction activity: Any item that may be
listed below may or may not be in compliance with the plans and specifications. .This letter is not intended
to be a submittal for acceptance. It is for informational use only.
~
• Final STI Inspection - ready for Spokane County walk through •
No major deficiencies to report at this time. If you have any questions or comments concerning any of the items listed above, please feel free to give me a call.
Sincerely,
STI Northwest
Oa.) ce,t U-t._ . .
Jay W. Logan, P.E.
cc: K.C. Construction
Shorewood Homes
CLC File STI File
~
3628 E. Ferry • Spokane, WA 99202 • Phone (509) 534-9711 • Fax (509) 534-9755
. Y~YYrA W rY
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STJ NORTHWEST
ASPHALT RICE DENSTTY TEST
ASTM D 2041 / AASHTO T 209
DATE l~ 1-
PROJECT NAME~,,, w,tLt. ro7"' PROJECT NUMBER `,t ~'r 3 z Z
TYPE OF NIIx:TURE A041 x 32 y
SIZE OF SAMPLE .
rIUMBER OF SAMPLES
TYPE OF CONTAINER (circle one TYPE A,B,C,D,~or . ~
TYPE OF PROCEDURE (circle one(~ WEIGHT IN AIR) -
A MASS OF SAMPLE, g. Z-S 7~,~ c~
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$ MASS OF CONTAINER; g. ~ Z I~, ~
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F VOLUME OF CONTAINER, =3 / W.
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G VOLUME OF SAMPLE, an' / fe. /
H DENSTTY OF SAMPLE, cm' / ft.[A/(A+D-E)] / 15 5, 1
TEST PERFORMED AT 25°C +1.7 or - 2.3 °C (+3 or -5°F) no conection needed. See ASTM.
. VOLUME OF CONTAINER =
DENSITY IN PCF (ft) = DENSITY AT «nj x 62.245. (62.43 X 0.997) RECORD DENSITY TO 0.000 cm' / R' NOTES: '
TESTED BYQZJ3 CHECKED BY: REVIEWED BY:
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~ LABORATORY REPORT PROJEcT: Ri v e►- wA) k1o fi" A fl U
SWNORTHWEST ASPHALT CONTENT PROJECT NUMBER: 7 q 3 z z
3628 EAST FERRY IGMMON METHOD
SPOKANE, WA 99202
34-9711 fax (509)534-9755 .
. FIELD REPORT No. ~ S DATE 'q/r ( /o c SANiPLE LO G # 3 z4
T Y P E OF ACP MMTURE (circle) (PB D E F G A B D E F G A B D E F G
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DATE / TIME OF SAMPLING 11A o IR
METHOD / LOCATION 1 a(N er S tSo ~ ~
PLANT NAME / No. ~ h I u~ d TRUCK No. ,
FEELv TEW.(°F) . 2 5 Z '
am TEM[P.(OF) - y s t
TOTAL TONS r r '
MASS OF SAMPLE AND TARE
(before test) (g) b ~ I 3 .
MASS OF TARE (g) , 3072
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CALIBRATION FACTOR % D Z ,
MASS OF SAMPLE AND TARE
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MAS S OF AGGREGATE Z g 6ga 2 WEIGHT LOSS (g) ~7 Z, g
PERCENT LOSS (g) S, 6 $ BrruNtErr xATIo (io) q 3 , -
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. MATERIAL SAMPLING, & TEST REPORT NO. .
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TOTAL CUBtC YDS PLACED SO C~/ W/C RATIO SAMPLE TAKEN FROM 30 YARDS INTO PLACEMENT DESIGN STRENGTH
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LASID FIELD ID OATE - DATE '-AGE ~ SIZE AREA TOTAL LOAD STRENGTHTESTED NO. NO. RECD TESTED (DAYS) SQUARE IN (LBS) (PSI) BY
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~ NO. NO. RECD TESTEO (DAYS), SQUARE IN (LBS) (PSn BY
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# FlELD DATA BATCH DATA • 4 ~
. MATERIAL SAMPLED _jamlG, ' MIX NO. 3 0 56 6 j4, .
MATERIAL SUPPUER TRUCK NO. "16
DATE SAMPLE TAKEN TICKET NO. ~LD Z,p 3ars .
TIME OF SAMPUNG SACKS CEMENT/CU YD 7 S
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~ WEATHER ~ f0 u6151 ~ . TYPE CEMEPlT .
AIRTEMPERATURE oec- _ BATCHTIME
SAMPLE TYPE CprrCa-e~ END PLACEMENT TIME 10130
• STRUCTURE TYPE ADMDCTURES . Ca I@-,w /A,c,
SAMPLE IOCATION MAX AGGREGATE SIZE
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r ~ . FIELD TESTING DATA ' . !
. TEST FtESULTS SPECIFIED VALUES
SLUMP (inches) ' o; . . ~ ft. 1~AX
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PRQJECT NO.: ~ PROJECT NAME: ELEVATION:
DAV-: y~~ r- ~ ~ - • _ : ~ SAMPLE NQ.:
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MOISTURE CONQITiON ~a
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WEIGHT 0F SOIL & MOL4 . . .
WEIGHT - MOLD rf 1~'.S 6 I S,5 6~S~ S6
NET WET WEIGHT S41L, 10,4 8 lo.gLl 106 ro,9~
130 ~NET DRY WEIGHT SOIL q,a( Z 10 r02 101I 1 I00Z ~
VOL. bF MOLD #075 ,o75 6,7 s D,?r ~
.I ~ ~ 1 4 . ~ • . . _ . _ _ . .
DRY. DENSITY pcf 13Z,3 133.7 13 y, g 136.1
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1MET 1NT., OF SOIL & TARE
DRY WT. OF SOIL & TARE j ,Qg Z. I ~ ?~343 2,10 .
w.~ ! ~ t .._.i.._.-~~-. WEIGHT - TA
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WElGHT - WATER 0.08 0(14 0t18 D.I 6
WEIGHT - DRY SOIL ~ 117 z I tq Z .
Z ,17-
- -
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M4ISTURE OF DR Y WEIGHT)-
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MAX MUM JENS TY' & MO SCURV~
PROJECT N0. :90-a PROJECT NANE A1VERWA19 ~p'T14 N ELEVATIV-~
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COMPACTION IEST , SIZE ►
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MOISTURE CONDITfON lOO 200 13 WEIGHT OF SOIL dc MOLD 25.So Li o ;
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. MOISTURE OF DRY WEIGHT)
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~ STI NORTHWEST ~
INSPECTION LOG
PROJECT NAME: R1 v e rw ckl I c I Di~L- PROJECT NUMBER: 3 Z Z
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INSPECTION TYPE: C=CONCRETE D=DENSITY I=INLET/DRYWELL M=MANHOLE P=PRESSURE TEST
SS=SEWER PIPE S=STORM SEWER W=WATER PIPE
C),
STI NORTHWEST
INSPECTION LOG
9' 3 2 z
PROJECT NAME; /2 v{r &,joqc.w_ ioTt` PROJECT NUMBER: 9
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SS=SEWER PIPE S=STORM SEWER W=VVATER PIPE
' - . • ~6~~(c~y . '
. . r ~ _ ~ :
. . . . . N ORTHVIIEST • : :
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DA,ILY FIELD REPORT - - _,r.t Name Date: . - . '
Project No. Report N o.: - '
~9~er 933 Z. ~ .
o ~lr.nvai i ime s a F F S irt'
- ~00 p ; ~ . lot 3G :
Client - Local Representauel' phone number
- ~~c~/'e o.s! . . tencra cO~ctor
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er
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M~~~~Equipmentusea . . .
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ST1 F[ELD REP ENTA'T~VE CO R'S REPRESENTATIVE
This document. and re~ferenced addenda are to be consldered preliminary untiI~r+evefwed and signed bythe S11
const~uction engineet andlor STI Or.oJect manager. /
-iD 3`00 .
R EWED. Y : DATE STI PROJIECT MANAGER: DA7'9 . •
pqjmdi DeficiencY RePort No: O:Iformsl~blfieldreppnl5
- ~ _
P - 6 O @,OG"~RA(C
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. : NORTHWEST .
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DAILY FIELD REPORT -ect Name Date:
'Io~►1 A.di d I o Ig Iq q Project No. Report No.: 2-
Arnvai 3 i ime &F F s 1Tt' -
550 F l~~~h t~ pwIZ ~~O~z;o 0 3D ~ 3; 30
C~~ I Local RepresentativeJ phone number
~ h O V~ w o te ~Jt ~ N+~ ~ S K TO 4 N~✓e ~
tsenerai ~ontractor _ ~eprese anfbvone number
G C~~Sf, o P
syOr STi Project Manager/ phone number
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Page _
No. of
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Manpawer 8 Equipment Used 6?,erW~~e Hiticc~~ E1c YDd L e~cCave4 +n~ w~w~,eel ~~~or, i~~~fac Ex~soeXcwvu-~vr,
C'AT Rso to6Ld,ev
Commentu
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c«„~eea a~renu~► Atr r (V~ o v~ s~ ~t 0 w~'e rs ~ Ms e c~- a k d~ s s v~ a jh
Pe~'SPeci ~ot~s Probienes I ~ ~
and their Sotutlonc) i VI S'~i oi T t o H. 4T 7Le- T 1 i,e1 e J 0 V V A V et v4A~ + In e Co v+ +rvt c,~v v- ti a d`
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(-ot, f~
STI FIELD REPRESENTATIVE CONTRACTOR'S REPRESENTATIVE
This docwment and referenced addenda are to be considered preliminary until reveiwed and signed bythe STI
constr tion engineer and/or STI proJect manager. ,
E WED BY: DATE STI PROJECT MANaGER: DATE
0:lf
.
r'esponding Defciency Report No: ormslstilfleldreppm5
. . .
. . • e ~C~
NOR-THWEST c ve Yw A i ic c o f-i- .
Date Inspector's Daily Report No.: ~
STI Project No. q 7 3 2 Z iiage ivo. z. oY L Comments: (Work Campleted Appar+enUy q y d ~ A( fLe d c~ed T~e C~ v~~G`~iJ trs ~o~vSo a H e ~ Zta vti Ckp d
per Specifications Problems / ^
and their Solutians) ~ P b e d0~ c K q R k { 4 e h C p v~P -f -~..e
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-
STI Field Rep STI CE STI PM Contractor's Rep
~ • • ~ ~
NO HWEST, TESTING & INSPECTIQN
. • - .
~ . ~ . - NUCLEAR GAUGE TEST RESULTS
Job Name~ ~W.e ,,w,, I Dt~, 5TI Job No.' q 3 Z Z W.O.
Field RePort No. Z Date:_ 10 /g Cl Tech:,D, 1,4,
.
Page 3 of Lf , DS-- ~ 6 6.5
-7 17 5 3 S: .
Test Location Ft. Below Wet Moisture Dry Max. Percent Pass . Retest
No. Pi ve&~wa 1 kL-C1 he SG. DensitY (Perceat) Density Density., b.Compaction. o~c of DT
_ , :
' ~ ~ • Elevation (PC~ (PCF} ~ Fail No.
s-3f go 136-s lz7,s" t36~s qa F ,
Z -3,0 13-712 3,39 132! ,`7 7/I . `'l7 .
?j 5-4 -j- 5-0 ' q,0 13519 3/ 3 j I 3), I 1t
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No. Descnption S,'ample location ~ Max.Density Opt. Moisture
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~ RIVER WALK I Oth ADD ~ . . . ~ . . . . 99322 ~ Z, ~ .
` wEST ~ .0 A►TE; ! d~g1~ ~
~~T` NORTH ,
~ 534-9711 _ PAGE, OF
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- . ~ - NORTHWEST . : . .
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DAILY FIELD REPORT
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I~,_,,__ct Name ' -Date: . . . ~ ~ .
Zsvco wAll~t. t DrL_
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Page No. . of
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N[anpower& Equipment u►s~eci ~ - ~
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'ihis document and refer+enced addenda am to'be cons[dered preCuninary untD r+evetwed and slgned byttie Sn .
~ construction engineer andlor STI project manager.
fE%EWED BY: ~ DATE . STiP 'OJllttCC?'MANACERs QATE
O;tEornutstllfieldrep.prn 5
nd'iq De~iciencY RePort No: ~
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RIVER WALK I Oth ADD . . . . . . . 99322 ,
FIEL~ ~~~~~RT # 3 ~
Tl NORTHWEST DATEt
.
jW
q,. ~~1.1 ~ PAGE 3 OF,3
53 9 .
e „ . • r0~ ~i~
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~ . ~ NORTHWEST : ~ _ : - -
. ~ ~ . . .
. . ~ . ~ ~ DAILY FIELD REPORT . - ~ ~ ~ :
It Name ' -~Date: . - ~ .
!l t 0Ga"" Lv,*L
Project No. . . - Report No.: . . • ~ - '
~ 9 9
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Page No. . 1 of
Manpotiver & Equipment Used ~ - ~ .
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S'FI FlELD REP ATiVE CnNTRACTOR'S REPRESENTATIVE
This dacument and refcrenced addenda aro to'be consktered pmruntnary untD mvehved and sfgned bythe 577
~ construction engineer and/or 5T1 proJect manager. ~ . .
~ r • .
EYIEWED : ~ DATE STt PR ~JEET MANAGERc DATE ~
O:Vornu%stMeldrep.pnt5
~s,r.spond'ing DeSclency Report No: ~ .
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Project Name Date: . .
2i~ ,-I a r` /O-J8-9'9
Project No. Report No.: ~vr3ZZ .
~her Arnvai i ime ? e, F F S ?r t-' SN .ti ~ Z. 36
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~eneraf CorYtractor - ~epresee~phone numiFer
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Manpawerr & Equipmettt Used
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STi FIELD REPRES ATIVE CONTRACTOR'S REPRESENTATNE
This document and refierenced addenda ar+e to be consideroed preliminary until r+eveiwed and signed bythe STi
construction engineer and/or STI project manager. .
t f t> AJEV WED BY: DATE STI PROJECT MANaGER: DATE
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Project Name ~ Date:
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General dontractor - 3',fe-Represenf5hve! phone number
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Page No. ~ of ~
Manpawer & Equipment Used
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STI FIELD i(EPRESEN7'AnVE o,• . COtVTRACTOR'S REPRESENTATNE
This document and referenced addenda are to be considered preliminary until reveiwed and signed by the STI
cons~ruction engineer a/or STI project manager. .
tREVIEWED BY: DATE STI PROJECT MANAGER: DATE
(,,)mpondin De~icien Re ort No: O:lformslstilfieldrep.pm5
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Page ~ of 3 , DS= 21,CqS MS= ! 7 5 3(
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Test Location Ft. Below Wet Moisture Dry Max. ~ Percent Pass . Retest
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F-IELa REPORT #
JFT/ NoRTHwEST D. .
. 534-9711~ a. _ PAGE 3 . PZ3
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lwirt N'ORTHWEST
DMLY FIELD REPORT
~r ct ~Name, Date:
.
Project No. ~ . Report NQ : ~ .
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STt F1ELD REP ENTATIVE CO R'S REPRESENTATM ~
This doctoment. and neaer+~nced addenda ar+e to be considered pretfminary unt,1 nveiwed and slgned by the STI
construction engtneer and/or ST[ Oroject manager. ~ . .
~ ~ ~ . .
ktMD BY•-
. DATE . STI PROJIECf MANAGER. . DAT9 .
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Subconrtra"'ctor STI Project Managefl l5hone number . • +L~It~~ l~oe.~a.?Q
Page No. I of Manpower & Equipment Used
33o Gomments: , .
(Work CanvIeftd aPPmenY ~t~'1 t?t C~ O Ki - S~~ i,► ~ ek ,bv wta i KfsrMl hAA., aLt"
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STI FIELD REP ENTATi1/E CONTRACTOR'S REPRESENTATIVE
This document and refierenced addenda are to be considered preliminary until reveiwed and signed bythe STI
construction engineer andlor STI project manager. f .
RE IEWED BY: '
DATE STI PROJIECT MANaGER: DATE - .
~ ~ .
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5ubcortbnctor . - . . , ect Mana e - o~re number 'i- V - .
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Page No. , of ~ . . . . -
Manpawer & Equipment Used fej; t. c a.a-ez a"%
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ST1 FIELD RMIRESENTATIVE CONTRACTOIrS REPRESENTATIVE Thts document-and refer*nced addenda are to'be consklered preGminary untl-revelwed and signed bythe STI
conltructton engineer andlor STI project manager.
U . ,
R VIEWED BY: . DATE STI PROJECT MANAGER: DATE-
.
0.-lfortnststilfieldrep.pn~5
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DAILY FIELD REPORT
Date Inspectors Dafly Report No.: -
ct 9 - ~
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Comments
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~ EWED BY: . DATF ~ STI PROAC'f' MANAGER: -DiAT9- ~ . :
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~ DAILY FIELD REPORT - - i _
I~,a Lct Name, Date: .
►
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Projec~ No. . Report No.:
C?q3ZZ . vieather Arnvak i ime / ~ i a ~ ' - FFS Tt
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Oeneraf ~":ontractor - - SRe'Represeniiihvhp one nwnber, .
<< C - : ~ ~ A ►1J . ~crt~w s .
Sut~con~a~tor - - STI Piioject ManageTil' olirane number - .
Page No. ! of 3. . ' . .
Manpower&Equipimertt Used " -
ee FoereSb,tic, . .
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Convttents: ' ~ r
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_STI FiELD REP ENTATIVE ~ ~Cn R'S REPRESENTATIYE Thts document-and MfOrOnced addeitda are to:be constdered prelimtnary unt7lweiwed and sEgned bythe STi
construction engineer andlor STI Oroject manager. , -A . .
.
9y
EVMD B:. DATE STI PROJECT MANAGER: DATt
° ~nD~iC1 • O:Itornulstiitieldrep.p~n5
~ Ntspqln J ency Report No• . • - ~
- . .
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NORTHWEST . . . ~ ~ -
. . . ~ ~
. ~ SOILS, TWTING & INSPECTIQN
. . ~ .'a ~ N.
~ ' '
~NUCLEA,R GAUGE TEST IRESULTS
Job Name: ; c` STI Jo6 No.~ 9 9 3Z _ -Z~ W.O.
Field Report No. Date: _1_,q R _ Tech: 1,5,z .
Pa e of DS= 3,~ f~SB MS = r?~ b~
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Test ~ Location Ft Below Wet Moisture Dry Max. ~ Percent Pass . Retest
No. SG. Density (Percent) ~ Densifiy Density. Compaction Q~. , of DT
Elevation (PCF) ~ (PCF~ Fail No. ~
t Z9, b►3& . a
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RIVER WALK I Oth ADI) MOMM". 99322
FIELD REPORT # ~ ~ .
~ ►~TI NORTNWEST D►TER
~ 534-9711 PAGE 3 OF 3 . . . ~
~ )6mm
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N'ORTHWEST
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~ DAILY FIELD REPORT . . . _ . . -
wrv°J~ct Namo, ~ ~ - Date:
Pro]ect No. ~ ~ - Report No.: ~
993z
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Thts document and WerOnced addenda are to.be considered prelimminary uart,lrevetwed and sIgned bythe STt
construction engineer and/or STI Oroject manager. ~ . ~
i~ ~ ~ • - ~
~ E EWED BY.. ~ DATE STI PROJIEC'F MANAGE • DA'iE- :
L~'.__~spqndn9 Defic:iencY RePott No• ~ o.:Uornu~st~eldrep.pm5
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NORTHWEST
~ ~ SOILS, TESTING & INSPECTIQN
. .
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~NUCLEAR GAUGE TEST RESUI,TS
Job Name: I oTt, STI Jo6 No. 9 Z . ~
, 3 Z W.O.
Field Report No. ~ 2 . Date: 11 _ Z_~ g _ Tech: DZ ~
~
, .
Page z of DS= .348 5 g MS= 171
. - . ~ `7-
Test Location Ft. Below Wet Moisture Dry. Max. ~ Percent Pass . Retest
No. SG. Density (Percent) ~ Density Density ...Compaction or,. of DT
Elevation ~CF ' ~
. (PC) Fail No.
c"! Cte sAq- kk-vr, sc ~ I 39►~0 4144 1 Z$. ~ I34.o
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' ~ ~ . ~ ~ sOILs, TESTMG & INSPECTIQN
. .
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NUCLEAR GAUGE TEST RESUI,TS
Job Name: STI Jo6 No. 9 g 3 ze W.O.
,
Field Report No. ~ Z Date: Tech: ~,,z a.
Page 3 of DS= ,3 &g5 g MS= ~ -71% 7 -
. 1 ~ - . t .
Test Location Ft BeIow Wet Moisture I?ry Max. Percent Pass . Retest
, No. SG. Density (Percent) - Density Density :~,C~mpaction Q~ of DT
' - . 1~ ' S • . . _ ' •
Elevation (PC~ (PCF"j~ ~ Fail ~ ~ No.
/(o __37tco Z. T unllly Sro 13`(• `1 6,15 131 • 8 13 G•a -7 t~ .
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DAILY FIELD REPORT
i . .
Pr ject Name. Date:
1 ~ .
Project No: ! Report No.: ~
22- - 13 . . . .
~ Arnvai i ime JaFFS~Tt' ~ .
S~u K/ ~ .S . . / Z ~ .S ~ • t - 30 -
~ - . . ~ .ocal Repmmtativel phow Itumber ~
~ SG%. orc wcAnd I-lem~s
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S mwaw ~ . ~ . . ~ STi PMectManageW pkone nuniber
Page No. f of ~ . . - . .
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Thts document and refer*nced addenda am tobe considered prelWnary urrtaYWetwed and stgned bythe STI
conStruction engtneer and/or STl Oroject manager. ~ . ~
-9 9
~ RMEWED BY:. ~ DATF STI ROJEC'F MdNAGER: DAT9
~ . ~~~~eidrep.~ms
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Tj NORTHWEST FIELD REPOR,T # /-3
MATERIAL SAMPLING & TEST REPORT NO.
a .
PROJECT /C veir' w~4 I Ec /o PROJECT # ~j ~3Z Z REPORT DATE
~ FIELD DATA . I ' BATCH DATA ±
MATERIAL SAMPLED Cd µJc re-k- • MIX NO. 3 Z I I 11
MATERIAL SUPPLIER /4i x TRUCK NO. 67
DATE SAMPLE TAKEN TICKET NO. ! 6 1~ 1903
TIME OF SAMPIING SACKS CEMENT/CU YD 51 -7-5
~ WEATHER TYPE CEMENT ~ ~ r t> c(+
AIR TEMPERATURE 3'-5- ~ BATCH TIME I e' / 4
SAMPLE TYPE GD+o G ,~7Acf/ END PLACEMENT TIME
STRUCTURE.TYPE c..~r_6 ADMIXTURES 46", qOO;z
SAMPLE LOCATION jZT MAX AGGREGATE SIZE
WATER ADDED (GAL) ~
TOTAL CUBIC YDS PLACED W/C RATIO
SAMPLE TAKEN FROM -30 YARDS INTO PLACEMENT rDESIGN STRENGTH
~ .
~ FIELD TESTING DATA ~
TEST RESULTS SPECIFIED VALUES
SLUMP (inches) 041A x
CONCRETE TEMPERATURE (F) Sb~~ c?a'r-
. AIR CONTENT • S < < °~4 ^ 6,57
~ .
WATER ADDED (gal) • , ~ S~/ ~ ~ G~ f
WATER/CEMENT RATIO _ _ , e ~ 4 ~ MAx _ : ,a . _ LABORATORY TESTING DATA - ~
LAB ID FIELD ID DATE DATE AGE SIZE AREA TOTAL LOAD STRENGTH TESTED ' NO. NO. REC'D TESTED (DAYS) SQUARE IN (LBS) (PSI) BY _
2z ll-12, 6xIZ 4?8,~6
I-Z-e . zP f
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~
~ . . .
~
REV. 8/97 O:IFORMSIGEOTECHIMATERIAL RPT.DOC
~ CENTRAL F IE-MIX CONCRETE CC _ ` ; CUSTOMER
, PO Box 3366 Spokane,Wa. 99220 PO Box 9575 YalCil'Yla,Wa.sssos
Dispatch Direct (509) 533-0208 Dispatch Direct (509) 248-2046
Bus. Office (509) 534-6221 Bus. Office (509) 248-2041
M1 _
~
919 Harns Rd PaSCO,wa.99301 . W: 2500 Sefbce WaY. Coeur d'Alene, Id.83814
Dispatch Direct (509) 545-8510 Dispatcti Direct (208) 664-2333
Bus. Office (509) 545-8405 Bus. Office (208) 664-2111 wATER ADDED AT
~ CUSTOMER'S ONIN RISK
Waming:lnjurious to eyes.Causes skin imtation.Contains Portland Cement. ADDlTtoNAL WATER ADDED TO THIs
Read the following warning betore using: Contact with wet unhardened CONCRETE WILL REDIJCE ITS, STRENOTH
concrete mortar, cemeM or cement mixtures can cause skin irri4ation severe~ LIMMMWARRANTY
chemicaf bums or serious e e damage~. Avofd contact wdh eyes and skin. ~.The oniy iiabiiry ot centrai Pce-Moc BuYe rs agent agrees to accept responsibilityfor
Wear waterproof toves, a ful~y-button~d long-sleeve shirt, full-Ien~F1 tfOUS@fS' i ~ncvete Co. tor produd defed Es red~ed sfrer►gth due to T added above design.
and ti ht-fittin e e protection when workin with these mater'rals. f you hav~- . ue retum of the purchase price. In
'to sta d in we co crete use wate~roof boos that are ti ht at the to and hi h'^o a~t snau ce~,trai Pre-nnoc ca,►-
enough to k~p conc[ete from flowin into them. If fnlshing concrete w~ crete Co. be i~bie tor any direct Arrived at job v~fi ~ irxh skunp•
~ eaindirect, incidental or consequen-
kneepads to rotect knees. Aftef co ct with an~r of these materials, wash tial damages resuking from the use q~ ~ ~ ~ ~ .
off immediatel~ wrth fresh, clean watef. Indirect oolitact through clothing is as of the products or arisin out or
dangerous so~ promptly rinse these materials from cbthing 5eek immediate breacfi of anywarraMy. All c~arins ro. ~
medtcal attention if ou have persistent or, severe discomTort.ln case of eye damages or shortages mustbe made Other addt'ons
contacct, flush with R~en of water for at teast 15 minutes. Consuft ph}~Sician ~nin 24 novB of delivery.We do
immediate(y. KEEP OUT ~F REACH OF CHILDREN! USER A(iREES TO CONVEY THtS not assurrse responsibilityr tor any Test cylinders taiam
WARtdINOTOALLPERSONSWHOMAYUSEaRCOMEINTOCONTACTWI'T?IWETNNHARDENEDI damage beyond the wrb line.
CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. . . RECENED
. BYX
LEAVE PUWT ARRIVE JOB SITE START DtSCHARGE FINISH D13CHARGE LEAVE JOB S1TE ARRIVE PLANT ' Buyer's Agent~receipt~ot concrete
' ~ . kj . ~ - . ~ ■ and approval of any added items.
jUR-SS,
COMMEfYTS
Order No. Cust. No. CPM or Customer Job Customer PO / Phase Code TICKET NO. Driver CPM Project No.
. .
~~c:~ 1. Pc:? :~4 . ~ _ 10141403 . Iqy C.
~ D
Customer Delivery Address r Date
W 7 f\1k'I. FFt COn, W?!. 1T AM PAFtk:FR-60 k a ON T iVDIANA 04-NOV-99
Dellvery Instruttlons Map Zone
W T I_1- RI..1id ThlTI) THFW- . - - ~ . . 26 .26
C..o:.f QtY Delivered Qtv Order Qtv Product Code UOM Product Descriotion Unit Prics ~~-NmouM
j 0e 00 20.00 80Q 10 32111j4 CNT Y 3000# :?14 " Ci"I ~ . .
10. 00 9 9 9.9 ~q F~F(_';I.lI..A7ORY "---;1_IRC-H - - - ~
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lad... - . . . P~ - --...:::~.r.~.. _ . .
; Mix N
Sales Tax
3~~ o. ,:M8c;;0esct~
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t'~ i~) i°`-~:::: TOTAL DUE
Y-i~:~~~:.~:l:;4.:::~~,i'~f~ 1 . . _ C _.7 _
.~.:-:.Qr...-:--._.:: :..............:.....:..:r.........:......: : .
~ ......r...:--=-- • - - .-:::::-:::.:.:..~r.:.:- - -
'~-~~~~~~JQ-~..~_.!1 ~ ~ ~ ,1R-a-=-s-s-~ s.~-s s ~-~-s ~s s ~ S S S S-S•~-,.
i BATi:: H#: 59T I i:KET j~ TRt MS: WATPRI Yr_r3: -25. 0 ORDEFc:. 90
; A~ ;scF~ ~ATF TARt~+E'T A_•,MO I'~T AI'~~I T X T~t 7 M:~ = TAk~~•I= T A~:T~JAI.. ;.~1~A"fl~~
, TARF ; ~ Ni-Ji' 7 F RO
CSqNn 6974 l H 72. 57a CA!. C. ]LIMOp 00 l, 0 Ci 7 0 I N TCIL
~ FSANn- 19358 1..9 1=512 a'2 `.1. M A8o AFA 100 "l. 90 O1 90 1 N "j O1._
/4" 32478 1. S. 3 2'-'_) p I%
. ~
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TARF 4=. -rAkF -~Fr~~
W Z •/p .
• TARF' l ~ TAkE= 7FRO
I _F t S '4000 I._B :;=:9~- r: p WA7F R ~ 1. 846 1_14 854 t N T0+_
FL YASH 51000 L Fi 49 _ H.WATFR # i 14,92 I..S i6. ti8 Ot_IT'fOl.
• TAFcF 7F TARE ZF-FcO
WATE'Fc AL LObJEI) AT _IORS x TF ~ FND 1" T ME= ]a: 14 = 56
.
P r, .a.. < - . • - , ~
45.. . - • • '
• ' , . .
. -
PROPERTY DAMAGE WAIVER AND RELEASE ~`1GWa Reg. # 223-01 CE-NT-RP-M311 J8 Id Reg #5894-AAA-1-2-3
DearCustomer: : Date . . .
The operator of this piece of heavy equipment, in 'presenting this WAIVER and RELEASE'to you for your signature, is of ttie opinion that the-operation:of thES-machinery in the'manner required to. ,
perform our contract with you may popsibly caus~~ii~age to the preimises or property.
, , ._.s
, . . . , . - . . .
It is our wish to help you in every way ttmt we can, but in order to do this, the operator' is asking that you sign this WAIVER and RELEASE. - ~ In consideration of'the performance of Central Pre-Mix Concrete Co. of its contract with me, I, the
undersigned, hereby WAIVE all claims against Central Pre-Mix Concrete Co. anci its employees for damage to the premises, building, utility pipelines or cables, telephone lines, driveway or oth@r appurtenances, at: ' w ~ •
. .
and RELEASE Central Pre=Mix Concrete'Co. and its employees from any liability. Further; as additional consideration; I, the undersignedt~gree to IDEMNIFY and liold harmles's 'Central Pre-Mix Concrete Co, and its ernployees for any and all damage to the premises which may be claimed by anyone to have arisen out of the performance by Central Pre-Mix Concrete Co. and .--its employees of this contract. . , .
. , Operator's IVanne Equipment Useci Signature of Owner or its Agent - . _ . . _ . . - . . , - ~ ; , . _ .
; : fi. . . 1114L0ADJNG . - . 3 . .
: Free unloading time 7 1!2 minutesper cubic yard of concrete. Charge thereafter'at posted
truck time rates. This concrete designed in accordance with specifications indicated below.
. ,
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RIVER WALK I Oth ADD 99322
FIEL.a REPORT # . ~
. DATEt
NORTNWEST ,
534-9711 . P~~~ ~ 0H
o~.a ,
• ~ .
N~O~RT~HINEST
-
DAMY FIELD REPORT . . - . . . . -
. . - . . . .
rct Nama - Date: . ~ .
Z~J<r ~.vl~Ik /O~ . ~r ~ ~ ~ , • .
Project No. ~ . . Report No.:
`T 9 3 ZZ ~ L4 ~ . . .
~r - o l` Arrnakfl imo o F FS ITt' ~ . .
3o srv~w . .3~" . ~ •/oz a
C.Gent ~ ~ ~ . ~ ~ resentatr~one n~
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b~eneraiCom~ractor ~ ~ ~ ~rese~~nv~np one n~an~er - ~ . ~ ~
czrJ. ~ r z I Ns k i • ,
Suti~o
- it~c~ar STI Prfoject ManageW PtWe number
Page No. ~ of
.
Manpmer& Equipment Vsed
C011'r'tlefitS
(WotkCoetWlebedApp=ently
PerSPecm cawons probiws . .
andtlwtsolutbes) !?'Ld QuI _-~p GI r~~ ~.,vn o~ •
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. ' # .
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, S77f.lF].D RESDffATiVE CONTRACTOR'S REPRMENTATIVE ~
Th1s document and refa*nced addenda arae to-be considered pt1eLiminary unGrevetmd and signed bythe ST!
constructlon engineer and/or STI Oroject manager. ~ . ~
11-15 99 ~ ~ . .
~ EVYED B.. ~ DATF ~ ST1 PR J~C'f' IVIANaGER: QAT~ ~
= - o:ltornu1st11fleldrep.pni5
:~r.esPQndng DdicqencYRePort Nos _ . .
, . .
,
, -
NORTHWEST
FIELD REPORT # MATERIAL SAMPLING & TEST REPORT NO.
PROJECT v~r ~ p T~ PROJECT # 9' q 3 Z Z REPORT DATE
~ FIELD DATA BATCH DATA ~
MATERIAL SAMPLED Co ~lc~cit- • MIX NO.
MATERIAL SUPPLIER TRUCK NO. Q44
DATE SAMPLE TAKEN TICKET NO.
TIME OF SAMPIING /Q ; p C3 SACKS CEMENT/CU YD S , -7-5-
~ WEATHER ~No~j TYPE CEMENT CCAf b
AIR TEMPERATURE 36 id BATCH TIME R.'Jz
SAMPLE TYPE , 4 /n,4c t4 END PLACEMENT TIME /O 30
STRUCTURE.TYPE C(.A lb ADMIXTURES .6*;i3 Ard¢
SAMPLE LOCATION SQ~-00 LT MAX AGGREGATE SIZE
- WATER ADDED (GAL) ~
TOTAL CUBIC YDS PLACED (rno W/C RATIO
SAMPLE TAKEN FROM 33 YARDS INTO PLACEMENT DESIGN STRENGTH 3~'7
FIELD TESTING DATA ~
TEST RESULTS SPECIFIED VALUES
` SLUMP (inches), MAx
CONCRETE TEMPERATURE (F) SS ~F , .~oF - or-
. AIR CONTENT - • ' . WATER ADDED (gal) • , _ 3 S'4 ~ z`t 49 jov/ .
WATER/CEMENT RATIO
LABORATORY TESTING DATA ~
LAB ID FIELD ID DATE DATE AGE SIZE - AREA TOTAL LOAD STRENGTH' TESTED NO. NO. REC'D TESTED (DAYS) SQUARE IN (LBS) (PSI) BY
a
6x (2
~ i z - ~ 2S ~
v iq ~ .
~ . .
. ~
. REV. 8197 - O:IFORMSIGEOTECH\MATERIAL'RPT.DOC .
•
c
~ CENTRAL ( IE-MIX CONCRETE C~. CUSTOMER
~ w
♦
PO Box 3366 Spokane,Wa. 99220 Po eox 9575 Yakima,Wa.sBSOs
Dispatch Direct (509) 533-0208 Dispatch Direct (509) 248-2046
Bus. Office (509) 534-6221 Bus. Office (509) 248-2041
Mj
~..x919 Harris Rd P1SCO,Wa.99301 W. 2500 Settice Way, Coeur d'Alene,ld.83814
Dispatch Direct (509) 545-8510 Dispatch Direct (208) 664-2333
Bus. Office (509) 545-8405 Bus. Office (208) 664-2111
wATER ADDED AT
~ CUSTOMER'S O11yN RISK
Warning:lnjurious to eyes.Causes skin irritation.Contains Portland Cement. ADDITIONAL WATER ADDED TO THIs
Read the following warning before using: Contact with wet unhardened CONCRETE YYILL REDUCE ITS STRENOTH
concrete mortar, cement or cement mixtures can caus~e skin i~ri~ation, severe LIMITEDWARRANTY
chemicat burns or serious e e damage. Avoid contact with eyes and skin. T►►e oniy uabiiiry of cenvai Pro-nna Buyers agent agrees to accept responsibility for
Wear water~ p, roof gloves, a ful~y-buttoned long-sleeve shirt, full-lengtfi trousers COnaet° C°. ror produd defat is reduced sfrength due to water added above design.
and tight-fittmg e e rotection when workin v+nth these materials. ~f ou have ~e retum of tt~e purchase price. In
y y no eveM shall CenUal Pre-Mbc Con-
to star~d in werconcete use waterproof boos that are tight at the top and high crete Co. be liable ror any direcc, Arrived TqW irxh skxnP•
enough to kee concre4e from ftowing into them. If fimshing conc{ete, wear ;,,airect, inGaenrai or cor~sequen-
kneeds to otect knees. After cflntact with any of these materials, wash tial damages resul6ng from tfie ~e q~
off imtnediate~y w►th fresh, clean water. Indirect contact through clothing is as of the producLs of arising aut of dan erous sopromptly rinss these materials from clothin . 5eek immediate • breac,otanyw,rTa►,sy.nnciaimsror
mcal attention if You have persistent or severe discom~ort.ln case of eye damagesorshortagesmustbemade Other add~ions
contact, flush with plen~ of watef for at least 15 minutes. Consuft physician w~n~~ za hours of del'rvery.We do
immediately. KEEP OUT F REACH OF CHILDREN! USER ACiREES TO CONvEr TMIS not assume responsibility tor any ~ T~ C~1 .
WARNINGTOALLPERSONSWHOMAYUSEORCOMEINTOCONTACTWRHVYET(UNHARDENED) damage beyond the curb line. .
CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. REC
B YXEP4D
LEAVE PLANT ARRIVE JoB SITE START DISCHARGE FINISH DISCHARGE LEAVE JOS StTE ARRNE PLANT Buyer's Agent ipt of concrete
. ~-j . ~n . . • ~ and approval of ny added items.
C o
~ / • / • ~~C~f • • ■
DRNERS'
COMMENTS
Order No. Cust. No. CPM or Custorner Job Customer PO / Phase Code TICKET NO. Driver CPM Project No.
JJ ~8334 ~121203030 GARY S
Customer • ZBKER-nn ivery Address Date
WTNKLFR GO__ WTLL_TAM - QN INDIANA 05-Nav-99
DeOvery InsVuctlons Map ZoRe
WILL RUN iiVTO THEM 26 26
P'Cw_-'QtV Delivered atv Order Citv Product Code UOM Product Descriotion Unit Price wmount J
1 0. 00 60.00 80.10 3211 14 CNTY 3000#31411CM
10.00 399999 REGULATORY SURCH
:
Slum -.rr
- - - -
. .
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Truclc :
C ~Se:•>:~~•::;: ;.P ~artT:* r~
~oad:Mix No. P ~Yp~:~C ..lJ---... SalesTax .
:l.. Pb . ~
: r:>:
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. . . DUE
TO AL
1 t~.' l:iR~944~ a
:~:-00 3:11 14"'~~~..`~ - ..r~:"'C..M,
. . ~
Batch 14Ticket Water Trims:Water/yd3:- 20.0'Order:. 55
Aggregate Target Actual Status MQ35t Admix 7rims: Target Actual Status
~"are Zero s are Zern
CSAND 7f~3~ L b 71 EQi Out T o 1 3. 3i~ GALC I UMO. Q~0 ~t Oz 0 I n To 1
FSAND 15486 Lb 15400 I n To 1 3.0% M. R. AEA 100 90 Oz 90 I n To ]
3/4" 32829 Lb 32720 In 701 1. 0%
.
7are Zet^o - LARRY Tare Zero
Tare Zero Tare Zero.
LF--1 4000 Lb 4005 In To2 C. WATER *1 1555 Lb 1510 OtitTo]
FLYASH 5000 L b 4980 I n 7 01
Tare Zero Tare Zero
Water allowed at „iobsite: 29 Gal End Time 8:52:31
~i •
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1 ' . .
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~~~~EROTY, DAMAGE WAIVER AND RELEASE
a -•t V
.
Wa Reg. #223-01 CE-PVT-RP-M311J8 Id Reg #5894-AAA- 1 -2-3
DearCustomer: -Qate
• . y. .
The operator of~this piece of heavy equipment, in presenting this WAIVER and RE~ASi"to'you-for
your signature, is of the opinion that the operation ofthis machinery fin the manner required to
perform our contract with you may possibly cause damage to the premises or property.
I± is our wish to help you in every veray that we cant,butin ocder to do this, the operator is asking
that you sign this WAIVER and RELEASE. ,
9n consideration of the performanee of Central Pre-Mix Concrete Co, of its contract with me, the
undersigned, hereby WAIVE atl claims against Central Pre-Mix Concrete Co. and its erdnptoyees for
damage tp the premises, buslding, utility pipeiines or cables, telephone lines, drivevvay or other ,
ap.purtenanees, a#:
. = _
R. i . • ,
and RELEASE Central Pre-Mix Concrete Co. and its empioyees from any liabilsty.
~
f r
Further, as additional consideration, I, the undersigned, agree to IDEMfVIFI( and hold harrntess
- ,
Central Pre-Mix Concrete Co. and its employees fot any and a{t damage #o the premises which may ,
be claimed by anyone to have -arisen out of the performance by Central Pre-Mix Concrete Co. and
its ernployees of this contract.
C7perator'S Name Equiprnent Used Signatture of Owner or its Agent
,.a... _ . ~ ..,......,.o,.~...._... .,1.,.....,__.,,,_.. . . . .
~ UNLOADQNG
~ Free unloading time 7 1/2 minutes per cubic yard of concrete. Charge thereafter at posted
truck time rates. This concrete designed,in accordance with specifications indicated below.
. . , . . . . . . . . . . _ . . . . . _ 1 . Qu.._...... . . . _ . . . . .
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~ RIVER WALK I Oth ADD 99322
~ 1-4 . ~
jWT/ NoRTHwEST ~ DATER ~f- s-9 ~
534-971.1 . P~~~ ~ ~ ~lzD
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NORTHWEST" ~ ~ - : . ~ -
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DAILY FIELD REPORT
rrvject Name Date: . ~ ~ .
~ /2 i v-c ww)+-I f; ~ o7t,
Project No. ~ . . Report NQ :
Arnvai iimo T aFFSnt'
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7on. 4 .V . C>rc v . .
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. STI F.iELD REPRES CnNTRA=R&S REPRESENTATNE ~
Thi.s document and refer*nced addenda am to be considered preltmtnary untl nvdwred and signed bythe STI
construction engineer and/or STI l1r.oject manager. ~ . ~
~ ~ .
REVtEWED B:. DATE . STI PROJECT MdNAGER: DA'1E -
~:L~s ndin Deficien ~ o:ltornss%stil~ieldrep.pm5
. P~. g , cY Report Na . . _ ~ ~ -
~ ~ ~ • /
T V N4RTHWEST . . ~
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SOlLS, TESTING & INSPECTIQN
, . .
. . ~
. .
. . - ~ . . - NUCLE.A,R GAUGE TEST JR-E-SULTS.
Job Name: '
STI Job No. ~ q 3 z z W.O.
Field Report No. Date. /o Tech.
'pzr
Page ~ -z of 3 . . DS= _3 ~
~ l . ~
Test Location Ft. Below Wet Moisture Dry Max. Percent Pass . Retest
No. SG. Density (Percent) Density Density,. ,;,Compaction o.k of DT
Elevation CF
(P ) (PCF)~ Fail No.
cs-rc 3 3- 4.-77-` r Z7- 9 r37, c
138,7 . 3.q~ (33,4 ~13 7.,'1 9& ~ ~ .
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Na. Description ~ Sample location Max.Density Opt. Moisture
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DAILY FIELD REPORT
*Cct Name, ~ ~ . Date:
ProJect No. ~ . - Report Na.: ~
ArnvafTi . .
me ~ a F FS ~Tt'
~ C(o«c,t SO° . ~ •Z3o . ~ ~~a ~ ~
~ Local Represeritativd} ptione number . .
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Sartor STi Pi'bjeat Manage em
Piorre number
• 7--rU S..icA rd.
Page No. of
Manpawer& Equipiment used
Comt11erit5:
~
(W«ic canplebed a~ppmently
perSpeciBcadons ProMettes .
lYW d1E'~fSOb1~Ot1S~ I°C~ t~ e•-~r .r77-7;'r. Y'P'7'66Y it,! .~y . +a 7;
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. sn FIa~ ~MESOCTarnrk CONITRACTOROS RF.PRESEHT'ATIVE ~
This document and refin
Vnced addenda ane to'be consklered preliminary untl-reveiwed and signed bythe STI -
construction engineer andlor STi Oroject manager.
• . , r .
E1~IEI~YED BY. . ~ DATE ~ STI PROJIECT MANILGER: DAT~~
otosMnding Defcien Re rt No: ~ o:Vornulstiifieldrep.pm5
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RIVER WALK I Oth ADD 99322 ~
~~PORT# /A :
NoRTHwEST DATE; 534-9711 ?AGE Z OF z
~ ~ .
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N'ORTHWEST ~ : - - - -
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DAILY FIELD REPORT
~-vf ect Name, Date:
.
rr
'R!~,~e~wa 1- 9.' `t ci .
Pr+oject No. ~ - Report NQ.: ~
`~q3z~Z /-7 - . ,
. i~eatt~er ~ ~ .M Arnvai j ome ? a F FS IT~ ~ ~ .
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Cio~at, l ~O . . . ~ ~ ZS ~ . , .
C~iemt ~ . - . . . . local Rep number .
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DeneraTLontractor ~ - - ~ rese W phone nurnber
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Ti Pi~]ect Manage~ otirorte nurYiber
• -z-nlt/~l~l ~ ~ . J-25I'ccce 140wA-e-D
Page No. of
1 3 . . - . ~ ~ -
Manpawer & Eytdpment used ~ . -
~ -f~ou b~~P ,~Y'uwt ol t~S ~ o~r'a~~f~ r ~rr~ptT r/t~-~ ~ea~cr ` ~r✓~~~ 'S .o-rrtU~t.t.S'
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S'T1FIFLD RESENTATIVE . CONTFlACTOR'S REPRESENTATIVE ~
This document and reierrqnced addenda ave to be considened preQminaryuntil rwehwed and signed bytho STI
construction engineer andlor STI loroject manager.
t . .
. . ~ ' ~ •
~9
EWED BY: . ~ DATE STI PROJIECT MANAGER: QAT9,
d~i11D~iC~@I'1 ~ o:ltormslsNlfieldrep.pms
. . . -
pQli9 . cY RePort No:
r•
NORTHWEST
. N C
~ ~ - SOILS, TWTING INSPECTIQN
-
- , ~ ~ .
J,.,
J~ . . .
. . . : . ~ ~ NUCLEAR GAUGE TEST RESUL- TS
,
Job Name: aTf,- STI Job No. * C? 3 Z z W.O.
Field Report No. /7 Date: rl_C?-C77 Tech:
~ Page ~ of 3 , DS-- 3~~ 3 MS- 17 -13 5-'
. . 1 . ~ T .
Test Location Ft Below Wet Moisture Dry Max. Percent Pass . Retest
No. SG. Density (Percent) Density Density ompaction ~ o~ of DT
Elevation (PCF ' '
) (PCF) Fail No.
' ct~l - o c- s~c - P044~t- c s~ s6 / 3$, S, -7~-
S. O(o 133- 7 ~ ~f g P '
-3 wtST ~ (90<l 5.3Z 133.0 ~ 9'7 P
9 ( I+oo cT ~3~. 1 5.'~ i. 131.Z 9Co ~ .
s l 3 2: O
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. 8.6' 4.34 c 3Z. z p
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~o SS+ SC> Z7- /41, g 'of- 58 177 f
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1 r 54~-sa rzr- ~ l44,5 Q1 37, 9- .Fr-7
~ ►l Z ~ ~:r^ s r~..n .~.3cl 135, Z1. 1719 1 ~ P
l3 57tS0 L r . cas.q ~.Z 7 1 zg.8
.58 fsa /27- 143 .3 99 r 3~• ~ ~ `l
•SaM le No. Description Sample location Max.Density Opt.lVioisture
. . , ,
419 c sac S Po , Co . Pvo c.j}~o,. s roe- ~o► Ip -7. A
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DA.ILY.FIELD REPORT
*Ject Name* Date: ~ . ~ ~ .
ProJect No. ~ . Report No.: ~ -
`t~3zZ
Weath" Arnvai i ime T o F FS ITt' ~ . .
730 . c70p 8 ~
Client . ~ ~ .T`~ocal Representative~ phone number . .
s f-~r ~ u~~c~ f-~v ~st ~,c /o r•-r ( - ~ . .
tieneraf Zontraator He . r d phone number- .
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Suticon'~ractor - STI PLraieet ManageW phoKe nuniber
Page No. ( of : . •
Manpawer&Equipmettt Vsed ~ . -
ComrYlents ~ . . ' , . (YVorkCo~y~tebedl~lppa~tly ~ ~ c~~v-s ~-r 7'0 .,~ect~ ~ r'~trr /~a ."vs r>rN(~ ~'(c~
Pe~SpectBcatiot~s Probletns . .
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,
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_ STI FIELD RESEN'Y`ATIVE CONMCTiOIrS REPRESENTATiVE
Thts doccunent and mq;er6
negd addenda am to'be considered preQminary until'revetwed and signed bythe ST1
constructioh engineer and/or STI project manager. ~
. - ~ •
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7 R kiEWEDD B.. ~ DATE . STI PROJECT MANaGER: DATE ~
~
O:1(orn~slstilfieldrep.pm5
. esR41ndng DeficiencyReport Na: ~ . . _
,
. . ,
NORTHWtEST... «
SOILS, TE,STING & INSPECTIQN
,
~
- ~ - NUCLEAR GAUGE TEST RESUI,TS
Job Name: STI Job No. Z - 4
W.O. .
~ ~ ~ 43z
Field Report No. Date: /1_ r o_~~ . Tech; D~
R~3ZZ
Page z of ~ - . DS= MS- .
. . . - ~ . r
Test Location Ft. Below Wet Moistlire Dry Max. ~ Percent Pass r. Retest
No. SG. Density (Percent) Density Dens- . ity ,Campaction ot. of DT
- , . - . -
- ~ ~ A 0Y Elevation (PCF) (PCF) ~ ~ ~ ~ Fail No.
r .
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o. Description Sample location Max.Density Opt. Moisture
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NORTHWEST
. SOILS, TESTING & INSPECTIQN
.
EAR G~.UGE TEST R:E
. NUCL , , SULTS
7~ STI Job No. 9~~z2 W.O.
Job Name: 7
Field Report No. 1$ Date: _C-~ 9 - Tech: vzil .
Page ~ of ~ . DS= MS= -
Test Location Ft Below Wet Moisture Dry Max. ~ Percent Pass . Retest
No. SG. Density (Percent) Density Density .,,.Compaction o~~ of DT
• ~ ' " Elevation (PCF) ~ (PCF) pG~ Fail No.
1.53.4-
i 7 S ~-5b rrr- M l.
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310
No. Description Sample location Max.Density Opt. lvloisture
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,
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f-~ fct Name ,~4 . Date: .
~'`VPr- wq~,~ l D A,~l~
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Project No. 9y Report Ho.: . ~ ~ , .
VVEMier Arnva[l'ime 1.9Te~FFS1Tt'
, v ve-r cQs~ co o/ ~sc c. lqk"M /O,'~ O f . _ ~~~5
qient Loca! Rep ' al phone number '
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Generai totttractor i e epreseniEa~ve~hp one number
. C. 6~ n S TrctC,~"d0 v1 .
s STI P" ect Manase hone nu ber
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Page No. oi C ~ ot
ManpoM►er ~ uipment used vi~2~ C r Pw, ~ S',* Q~ l~ p-a 7a r'~ r'o '(/6 ~~~0~-y
-
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per ftomems 1 1 - ~ 4&5
'~nd ~ ~o ~i !~Q G I f,V: .~2 t~,Pi~(,~i 'f o ^ a Aejo /'0 c fC It Z/71441
s~~~~ - 1 ~:t avik a/- ~Gte /4.0 ~ a T P ci r ,~,d~t ~ 1~ ,/e•~ 7'~ ~ exceft(ew Z00~11t- ;,Olme.~a-~lv Q~~~d• _,~~Q.cs~r~~~~
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STI FIELD REPRESENTATIVE, b~ CONTRACTOR'S REPRESENTATtVE -
This docianent and referenced addenda are to be consideir+ed pretiminary unto mveiwed and signed bythe STi construction engineer andlor STI project manager. -
t LIL-t
#EEWED BY: , DATE STI PROJECT MANaGER: DATE .
I~ -~tspqncGng Defiiciency ReportNo: 04ormstistjltietdreppm5
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Date /0. Nat~ 9~` Inspector's Daily Report No.:
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STI Project No. ~ ~3:z F'age Ho. . otr ~
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Comments: - -
(WoticCampleted Apparently 14ar IIV 06t,0 Tb PZWi/LjOtts- ) ~ia~Q~; ~ ° 5'&ZO d
per Specifications Problems i ' - I e
Rd their Solutior~s) ' C! CP~'l e41L, l~~,S E ~ F rF~ ~j S►~
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DA.ILY FIELD REPORT ~ . . . _ . . _ .
ct Name~ ~ ~ Date: - . ~ - .
~ T~
/~iucrwdl.lc / o . ~ ( ~ ~
ject No. ~ , . Report No.:
Arnvai i ime T o► F F S wr
~ • S~.~v ~ Jr
t.oca! Rep n~mber . ~ ~
`~~nera~ontracitor ~ ' ~ ~ . ~ t @ norte nwttber .
STI Pe4ect Managei faorre nuniber . - ~ . .
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.
Page No. r of ~ . ~ .
.
Manpawer& Equipment Vsed . ~ ~
~ fc
Z f~ er.~' a~vLt' K C
Cionti11el1tsz
VftkC=n0le.lWaPP'~Y Q N-_s'i tt- Tc7 Tr,~- costi)crr~ s i o~~ fc g~ c 1~r~ ~ 4trrr•
Pe~ sPe~cadoes Probi~t~a .
ltldtfteffSio~O~ (.c>~rtlfC~<M /,3 'Sc~1►^ C ~~qc~~ '~oI'a~~'• ~stJ vrr~irc'?'• /~o/~ y~s..,c. ~k ~►u1f~~~~
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~ S71f'lE1.D REP EN"~`~A71VE CO R'S REPRESFNTATIVE
ev
Thts document and refer*
nced addenda ar+e to.be considered-preffminaryunt7-revehwed andsigned bythe STI ~
construction englneer andlor STI OroJect manager.
r ~ .
QCT R EWED BY: . DATF ER: QAT9-
-j~-s
~ . O:VortnslstjV4eldrep.pmS
~
. PQl~ n9 Defici ency Report Nw.
. . . _ .
1 ~
. ~
CENTRAL fIE-NiIX C4NCRETE C( CUSTOMER
.
1 O Box 3366 Spokane,Wa. 99220 PO Box 9575 Yakima,Wa.sBSOs
: Oispatch Direct (509) 533-0208 Dispatch Direct (509) 248-2046
° Bus. Office (509) 534-6221 ~Bu
s. Offce (509) 248-2041
-
~ i`1919 Harris Rd PaSCO,wa.99301. W. 2500 Seltice Way, COeur d'Alene,ld.83814
~ Dispatch Direct (509) 545-8510 Dispatch Direct (208) 664-2333
8us. Office (509) 545-8405 Bus. Office (208) 664-2111 wATER ADDED AT
CUSTOMER'S OWN RISK -
Warning:lnjurious to eyes.Causes skin irritation.Contains Portland Cement. ADDITIONAL WATER ADDED TO THIS
Read the following warrong before using: Contact with wet unhardened CONCRETE W1LL REDUCE ITS STRENGTH
concrete moRar, cement or cemer~t mixtures can cause skin ir~ifation, severe LIMRED WARRANTY
chemicaf bums or senous e e dama e. Avoid contact with eyes and skin. n►e onry iiabiiiry ot central Pre-Mnc Buyers agent agrees to accept responsibiiiy for
Wearwate roof loves, a ful~i-button~d long-sleeve shirt, full-len~ trousers f°r produd defect is reduced sfrengtfi due to v+rater added above destgn.
and tight-ft~in~q ey~e protection v~rt~en workin with these materials:~f you have th e rofum af the purchase price. In
to sta d m we concrete uss waterproof boos that are tight at the top and high ete~Cos bel' li bie1o~ n~y d~ ec~, Arrived at job Wth nch slump.
enough to keep concrete from flowing into them. If firnshing concrete, wear ipdirect, incidenrai or oonsequen-
knee pads to rotect Imees. After contact with any of these materials, wash tial damages resu~ing from the use ~ ~ ~
off tminediatei with fresh, clean water. Indirect contact throuqh clothing is as of the producta or ans►►,g ouc or A~ ~ ~
dangerous so promptly rinse these materials from clothing 5eek immediate bteach~anyvrarranty. Alldaimsfor
medcal atterrtion if You have persistent or severe discomTort.ln case of eye damagesorshoRagesmustbemade Other addftions
contact, flush with plenty of water for at least 15 minutes. Consult phYsician vvftin 24 nouis of delnery.Wa do
IR1R1edt8t@Iy. KEEP OUT OF REACH OF CHILOREN! USER AC3REES TO CONVEY THIS not assume re.tponsibility for anY ~ Test cylinders talaen
WARNINOTOALLPERSONSWHOMAYUSEORC0IAElNTOCONTACTNRTNWET(UNHAROENED) damage beyond the curb hne
CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. RECEIVED
LEAVE PUWT ARRNE JOB S1TE START DISCHARGE FINISH DtSCHARGE LEAVE JOB SITE ARRIVE pLANT B Y)( Buyer's Agent receipt of concrete
' • • • • and approval of- any added items.
■ ■ . . ■ ~ .
DRN S.
.
COMMENTS
Order No. Cust. No. CPM or Customer Job Customer PO / Phase Code TICKET NO. 'Drivw CPM Project No.
41 18334 - 1,021213178 LARRY H
Customer Delivery Address Date
Dellvery Instructions aP ne
GO I tV ON I ND I ANA 26_B 26
~ ~ .
`I ~ or QN Delivered QN Order Qty Product Code UOM Product Description Unit Price Amount J
10.00 10.00 10.00 305566 5. SSK 3/4" + AEA
1-00 491790 HOT WATER
1.00 491 104 CC 1/ '
10-00 399999 REGULATORY SURCH
-
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30556
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Patch 5Ticket Water Tr,ims:Water,/ yd3:-- 20.0 Order:. 41
Aggregatt Tat^get Actua1 Status Moist Admix Trims: Target Actiial Status
~
CSAND 542;'Et i T n To 1 3. ar~ CAI._C T liM 2.~0 Y• ~c)J~ [r]z Z e 1~t38 I n To 1
FSAND 12852 Lb 12760 I n To1 3. 0'd lYt. B. AEA 100 X 54 Gz 54 I n T'o 1
,%014" ~8963 Lb 29~d80 I n To 1 1. 0i~ M. P. WRA 1~"~0 % 0 Oz 0 In To 1
6" :2296 Lb 32240 1n To 3 1. 0%
Tare Z er,o LARRY Tare Z ero
Tare Zero Tare Z ero
LF-1 5170 Lb 51E5 In Tol C. WA7ER *3 1732 Lb 1730 In Tol
Tare Zero Tare Zero-
Water.allowed at jobsite: 24 Gal End Time 9:08:23
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PROPERTY~~,D,AEIIIAGE VlIAIV~R;-AND RE-L:EAS-E . . =
Wa Reg. # 223r01: CE-NT-RP-M311J8 id Reg #5894-AAA- 1 -2-3 Dear.Customer: Date
. 7he operator of this piece of heavy equipment, in.presenting this WAIVER and RELEASE to-you for
your signature, is of the opinion that the operation of thiW'pchinery in the manngr required to
-perform our contract with you may possibly cause darri.age tQ the,premises or pr'operty.
- - - - ~ It is our wish to hetp you in every way that we can, but;in,"order to do this, the operator is asking
that you sign this WAIVER and RELEASE.
. , _ .o . , .
4 ' • , h . . .
In consideration of the performance of Central Pre-Mix Concrete Co. of its contract with me, I, the : undersigned, hereby WAIVE all claims against Central PrLv-Mix Concrete Co. and its employees for
_ d'amage to the premises, building, utility pipelinesor cables, telephone lines,; driveway or other appurtenances, at: . . . . ~ . ~ _ . - : : _
- . . _ az_i - • . . - . , .
and RELEASE Central Pre-Mix Concrete Co: and its employees from any liability. °
.
_ _ Further, as additiona{ consideration, I, the undersigned; a'gree to IDEMNIFY and hold harmless
Central Pre-Mix Concrete Co. and its ernployees for any and all damage to the premises which may be claemed by anyone to have arisen out of the performaqce by Central Pre-MixConcrete Co. and
. ,
its employees, of this contract. • _ _ _ . _ J
Uperator's Name Equipm*ent°Used,. ''-Signature of Owner or its Agent
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` IJNLOADING .
Free unloading time 7 1/2 minutes per cubic yard of,concrete. Charge thereafter at posted
truck time rates. This concrete designed in accc~rdarice with specifications cndicated below.
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= NORTHWEST FMLD REPORT # 2 ~ . MATERIAL SAMPLING & TEST REPOKT NO. 0-
U.rir wA Lk PROJECT # qq Z REPORT DATE j 1= ((-`~9
PROJECT L2
~ FIELD DATA BATCH DATA I
MATERIAL SAMPLED ~1 C, , - MIX NO. 3 4 5 S~o~,
MATERIAL SUPPIIER Prr TRUCK NO. -46
DATE SAMPLE TAKEN _ly- U TICKET NO. / p Z6 3 7{
TIME OF SAMPLING SACKS CEMENT/CU YD 7,6'
~ WEATHER TYPE CEMENT
AIR TEMPERATURE BATCH TIME ~~•O,~
SAMPLE TYPE COrtGre-l~- END PLACEMENT TIME / O=.30
STRUCTURE.TYPE • s ~~,p.r4 (k AOMIXTURES
SAMPLE LOCATION s-/ ~z-.C,(~ MAX AGGREGATE SIZE 3~4
~
~m,r/ WATER ADDED (GAL)
f
TOTAL CUBIC YDS PLACED W/C RATIO
SAMPLE TAKEN FROM YARDS 1NT0 PLACEMENT rDESiGN STRENGTH 3 QOO ps t
~ -
~ FIELD TESTING DATA ,
TEST RESULTS SPECIFIED VALUES •
~ i/
SLUMP (inches) il
~/4x
0
CONCRETE TEMPERATURE (F) 63 0/C SOo~ _ ~0 ~
- AIR CONTENT -4 • -6~o- 6, .S°4 .
WATER ADDEO (gal) • _ Qi'4/
i
WATER/CEMENT RATIO ~ d~ • s!='~ff~'C _
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LABORATORY TESTING DATA . ~
LAB ID FIELD ID DATE DATE AGE SIZE AREA TOTAL LOAD STRENGTH TESTED NO. NO. REC'D TESTED (DAYS) SQUARE IN (LBS) (PSI) BY
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REV. 8/97 0:1FORMSIGEOTECHIMATERIAL RPT.DOC
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~ ~ RIVERWALK10th ADD 99322
~EP~ORT#
NORTHWEST ~ DATE; /r-r ~-c??
5349I 1~ ~~~,q M OF I
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