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FIELD DATA ON TEST SPECIMENS
-- ASTM C31. C138. C143. C172, C173. C231, C1064 ---
CONCRETE: MORTAR: SHOTCRETE: X CORES: GUNITE:
ADDRESS: 1218 HIGHLAND DR NEWPORT BEACH JOB #: DATE: 10/3112019
JOB NAME: ROSENCRANS RESIDENCE PERMIT #: S2019.0148 ISSUED BY: NEWPORT BEACH
ARCHITECT: TODD LACHER ENGINEER: POOL ENGINEERING INC.
CONTRACTOR: CONSCIOUS ENVIROMENTS SUB: CROWN VALLEY SHOTCRETE
LOCATION IN STRUCTURE: ( PANEL ) STEPS
TRACT: PHASE: LOT #:
CONCRETE SUPPLIER: CEMEX PLANT: #4487-A MIX#: 1524227
TYPE OF CEMENT: 111 V ADMIXTURE: TICKET #: 28609884
SLUMP: 2.00 in. WATER ADDED: 0 gal. AIR TEMP: 63 F
CONCRETE TEMP: 76 F MIXING TIME: 45 min. TIME CAST: 10:00
DATE CAST: 10/0312019 RECEIVED AT LAB: 1 010120 1 9
SPECIMENS MADE BY: JASON CURRIE SPECIFIED PSI @ 28 Days: 4500
LAB #: 150434 CLIENT: ERJ INSPECTIONS
TESTING INFORMATION:
SAMPLE IDENTIFICATION:
1953222
1953223
1953224
AGE DAYS:
28
28
28
DATE TEST:
1 D.W/2019
10+3012019
10130.;2019
SIZE (in.): Height X Diameter
7.500 X 3.750
7.500 X 3.750
7.500 X 3.750
AREA (in.k)--
11.04
11.04
11.04
CRUSH LOAD (Ibs.):
59600
57484
56244
COMPRESSIVE STRENGTH {psi.):
5400
5210
5090
HEIGHT -DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.l:
BREAK TYPE:
III
II
II
C.T.M. USED:
BK
BK
BK
REMARKS:
COMPLIES: X
ASTM C39, C174. C192, C470, C617, C42
DOES NOT COMPLY:
FOR INFORMATION:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOL4R'REC.T INSPECTION AND TESTING.. INC.
SAMPLES CASTBY OTHERS:
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
ZAFAR AHME+44 1
PRINCIPAL ENdlk ER
ASTIR C39 BREAKS: 1=CONE - 11=CONE AND SPLIT - IIt-COLUMNAR - IV—SHEAR - V=SIDE FR.9CTURES - VI -POINTED
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MATERIAL TESTING & INSPECTION
J.b Addro.o
1215 Highland Dr Newport Beach CA
T',vp of Swcwm
ADDRESS : 1537 DAVIS STREET CORONA, CA 92892
INSPECTIONS INC.
EMAIL: pdminisrrorlpn3iorjilwppptipns.cord
The illilU5lr4' �l'dtlBr.
WEB: www.orlinspeciians-com
'
OFFICE: (951)297.58177
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AarmJr Np.
52019.0143
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X Otho, Shotcrete
Codon Staoda,dp 12CI10C ililamia Building CWa\blumas 1 &2
Par requasturourelianian ERJ InsuaoWw feurasaniitha has wnduotad Epaxy lwuactlon.
New Addition:
Provided continuous inspection of approximately 10 cubicyards ofshoterate at4,970 psifor pool remodel. Work
performed took place rear/Bad( of residence .Shotcrete temperature atthe time of placementwas 7n &
ambient temp was 631. Work performed was in compliance with (ASTM C 143 & ACI 5WR-05) Slump,
temperature and water levelswere within tolerance. Ablowpipe was utl¢edto control and remove rebound. All
bars 3r' min clearance fromsoil. All reinforcing steel istied in place andfreefrom any contaminates thatwould
inhibit proper bondwith shotcrete. All clearances were within tolerance priortoo and during shotcrete placement.
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ICC No. 3234467JNB-0731 Owner
51ga11c c< RagV.e, M Apvc{.:nn AW !•pprcv. tq IlepmeIdm
Rosencrans Residence
J.b Addro.o
1215 Highland Dr Newport Beach CA
T',vp of Swcwm
Swimming Pool
Todd Lacher
Pool Engineering Inc
Conscious Enviromen
ROLC' Of Nero ort Beach
ldalclial mde�p Shotcrete
m• gctcri W"
Edarin Jimima
popIi s m.
jMuovarf & S' nad dmumants
AarmJr Np.
52019.0143
10A3+2019
Epo>t7 Hiqh Strength Rohs
Fr. Progfing ]( Rcinrorccd Corcrttc
Ouolhv Control Reno ccd M.r,V
klmdnp
X Otho, Shotcrete
Codon Staoda,dp 12CI10C ililamia Building CWa\blumas 1 &2
Par requasturourelianian ERJ InsuaoWw feurasaniitha has wnduotad Epaxy lwuactlon.
New Addition:
Provided continuous inspection of approximately 10 cubicyards ofshoterate at4,970 psifor pool remodel. Work
performed took place rear/Bad( of residence .Shotcrete temperature atthe time of placementwas 7n &
ambient temp was 631. Work performed was in compliance with (ASTM C 143 & ACI 5WR-05) Slump,
temperature and water levelswere within tolerance. Ablowpipe was utl¢edto control and remove rebound. All
bars 3r' min clearance fromsoil. All reinforcing steel istied in place andfreefrom any contaminates thatwould
inhibit proper bondwith shotcrete. All clearances were within tolerance priortoo and during shotcrete placement.
i[rns: li-rax[[ - anl.:ulv:l un:.[—H. P.."1.`1.1.'11y[:!-[u'rr[`nr[a[.'.I11-1I1':el:[:vav4Y:r[. .�[uJblU n[:r.Cra-.Ir uraV.rv:L
MI u[) --r 9Ybe!I x['![I'IrlI:.l bpl[-u aYap..ia.-a.4..1a1•...............
[r' i - :I'i..!.
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9 N]T MET TIME IN I TIPAE OUT �qT HOUBS rGTIIQ
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hh mspdelohs arc Eau -d rn p : hcu mnm�m and cmc' a hr - g tta.t rnnaum
ICC No. 3234467JNB-0731 Owner
51ga11c c< RagV.e, M Apvc{.:nn AW !•pprcv. tq IlepmeIdm
ERS/
INSPECTIONS INC.
The Industry Leader.
MATERIAL TESTING & INSPECTION
ADDRESS: 1687 DAVIS STREET CORONA, CA 92862
EMAIL: administration@erjinspectlons.com
WEB: www.arjInsibections.com
OFFICE: (951) 207-6608
DAILY FIELD REPORT
2016 California
Permit No.
S2019-0148
09/27/2019
X Epoxy High Strength Bolts
Fire -Proofing Reinforced Concrete
Quality Control Reinforced Masonry
Welding
Other
Per request of our client an ERJ inspections representative has conducted Epoxy Inspection.
New Addition:
Provided continuous Observation and Inspection of Epoxy placement per approved plans. #3 deformed rebar drilled
minimum of 4" embedment depth at 12" o.c. for new addition of baja steps, benches, light, skimmer, and floor of
swimming pool remodel. All holes were cleared of all debris that would inhibit epoxy bond by using compressed air
and a spiral wire brush. All dowels secured using Simpson Strongtie Set XP Epoxy. Do not apply load for minimum
24 hour cure time per manufacturer specifications. Work performed in backyard of residence.
Terms: 10 days, all reports will be held until amount is
Institute legal action for the collection of a debt Incume
field report presents a summary of observalions and t
connector, his employees, or agents. The contractor s
of defects discowuml in his work. It is understood that
The work Inspected
W MET
0010 NOT MET
The rrreequiremeents of the approved doamants
VVL_....
Signature of Register Inspe
in NII. Services billed at 4 and 8 hour minimums, with a 2 hour charge for rancelki inns. Should ERJ Inspection, Inc. be required to
the result of the acceptance of this service ticket, ERJ Inspections Inc. will be entitled N attorney fees and costs Incurred in said suit. This
I by RAJ Inspections, Inc. construction inspection personnel. Our work does not include supervlslon or direction of the actual wank of Me
be Informed Mat neither the presence of our field representative nor the observation and feeling by our firm shall excuse him In any way
irm will not be responsible for job or she safety an this project
Econtinued on next page 1 of 1
TIME IN
Rosencrans Residence
Job Address
1218 highland Dr Newport Beach Ca
Type of Structure
Swimming Pool
En ineer
Todd Lacher
Pool Engineering Inc
Contractor
Conscious Enviroments
City Of Newport Beach
Material (arade-typej Epoxy
Inspector's Name
Edwin Jimenez
Pro ect Specs
Approved & Signed documents
2016 California
Permit No.
S2019-0148
09/27/2019
X Epoxy High Strength Bolts
Fire -Proofing Reinforced Concrete
Quality Control Reinforced Masonry
Welding
Other
Per request of our client an ERJ inspections representative has conducted Epoxy Inspection.
New Addition:
Provided continuous Observation and Inspection of Epoxy placement per approved plans. #3 deformed rebar drilled
minimum of 4" embedment depth at 12" o.c. for new addition of baja steps, benches, light, skimmer, and floor of
swimming pool remodel. All holes were cleared of all debris that would inhibit epoxy bond by using compressed air
and a spiral wire brush. All dowels secured using Simpson Strongtie Set XP Epoxy. Do not apply load for minimum
24 hour cure time per manufacturer specifications. Work performed in backyard of residence.
Terms: 10 days, all reports will be held until amount is
Institute legal action for the collection of a debt Incume
field report presents a summary of observalions and t
connector, his employees, or agents. The contractor s
of defects discowuml in his work. It is understood that
The work Inspected
W MET
0010 NOT MET
The rrreequiremeents of the approved doamants
VVL_....
Signature of Register Inspe
in NII. Services billed at 4 and 8 hour minimums, with a 2 hour charge for rancelki inns. Should ERJ Inspection, Inc. be required to
the result of the acceptance of this service ticket, ERJ Inspections Inc. will be entitled N attorney fees and costs Incurred in said suit. This
I by RAJ Inspections, Inc. construction inspection personnel. Our work does not include supervlslon or direction of the actual wank of Me
be Informed Mat neither the presence of our field representative nor the observation and feeling by our firm shall excuse him In any way
irm will not be responsible for job or she safety an this project
Econtinued on next page 1 of 1
TIME IN
1 TIME OUT
1 ST HOURS OT HOURS
9:00 am
1:00 m
1 4
All inspections ar based on a 4 hour minimum and ver 4 hrs = 8 hour minimum
ICC No. 8234467/NB-0731 owner
Agency, cert & No. Approved by _ Representing _