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Footine Oualitv Assurance Observation
Per the client's request, a representative of CTL Thompson has visually
observed the fooling forms under construction at the site referenced
below. The following summarizes our observations and opinions at the
time ofour visit.
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MINEROMM
Client: PLso Ve 41 Site Address: 9JV 4n1'4.w If.' /An: �s 1-1
Aso- colt:,s, co
Job#• WYoloss.aoz Lot:A%0-16Block: q Filing:
Foundation Plan Information
Plan By: GT[, T40ana.son
Date: 2 Ol //I Jobll: WYOI93s I
Fig sizes:
Pad sizes
Concrete on -site? ❑ yes, eno, (+/- % ftg poured —�
Are the footing forms free of loose material, frost, water and
or ice, roots, eti ❑ no
Are the Footing / Pad form sizes in general conformance to
the above foundation plan? E7yes, ❑ no
Is the footing/pad reinforcing steel in -place or on site per the
above foundation plan? Xgyes, ❑ no
Weather: orw.n ~SSIF
�Notes: 1
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Summary of O inions
ff\It is our opinion that the
general conformance with
referenced above.
footing formwork is in
the foundation design
❑ It is our opinion that the footing formwork differs
significantly from the foundation design referenced
above (tad observation required).
Corrective action:
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Field Representative
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Date
Date
CTL I Thompson, Inca 1 1103 Old Town Lane, Suite 201B, Cheyenne, Wyoming 82009
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Reinforcing Steel Ouality Assurance Observation C T L I T H O M P S® N
Fer the client s request, a representative of CTL Thompson has visually
observed the reinforcement within the formwork under construction at
the site referenced below. The following summarizes our observations
and opinions at the time of our visit.
Client: X se V, 1.4 G Site Address: f,So l asu ll 0. 4 ,%.469 1—`l
Fia_4- C 1Ve-s , co
Job #: Wv0103S - 002 Lot:M13-J6Block: 9 Filing:
Date: zz/Al Contact: Clete Sc4z.-yak Subdivision: 91d *® % a3®.-*
Reinforcing Plan Information
Plan By: cif 7iw�ls.s®;,
Date: A4041 Job#: wY®teas �2
Reinforcing Type(s):
❑ footing
❑ grade beam
❑ structural slab
❑ column
Arfoundation wall
❑ pier cap
❑ slab -on -grade
❑ other
Wall / Grade Beam Reinforcing Steel
Grade
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Vert./Ties
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3
4
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Grade
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Lateral
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B
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AA -Installed —Location
❑ Not Observed
• Max/Min wall height observed: 3 / .:?
If void forms are required, are they installed as
recommended?
❑yes ❑no Required thickness: in.
Concrete on -site? ❑ yes ,Yno (% poured
Weather: S VVF
Notes
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Summary of Opinions
Mk -It is our opinion that the reinforcing steel observed
was in general conformance with the plan.
❑ It is our opinion that the reinforcing steel observed
was not in general conformance with the plan.
(tad observation required).
Deficiencies noted:
Field Representative _
�o.0O Ur4(�Z,,.
812,211,9
Date
Date
CTL I Thompson, Inc. I 1103 Old Town Lane, Suite 201B, Cheyenne, Wyoming 82009
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