HomeMy WebLinkAboutCONCRETE TEST 1 - 19-00780 - 500 N 2nd E - DL Evans Bank Environmental Services Geotechnical Engineering Construction Materials Testing Special Inspections
1230 N Skyline Drive, Suite C Idaho Falls, ID 83402 (208) 529-8242 Fax (208) 529-6911
www.mti-id.com mti@mti-id.com Revised May 2016
Jessica Aguilar Phone: (208) 363-8400
DL Evans Bank Fax:
890 West Main Street Other: E-REPORTS ONLY
Boise, ID 83702
Project: D.L. Evans, North 2nd East, Rexburg, ID
Permit #:
Project Manager: Derrick Fontes
MTI File #: E200068c
INSPECTION/TESTING REPORT
Our representative(s) performed work on the above referenced project. Attached you will find the corresponding
inspection and/or test reports. Please refer to the attached reports for details and locations of our testing and
inspection services.
If there are questions concerning the attachment(s), please contact the project manager at (208) 529-8242.
Respectfully submitted,
MATERIALS TESTING & INSPECTION, LLC
cc: Larry Skelton; Kai Risung; Tom Lennon; Jim Turner; Kristina Teichert; Josh Morgan
Attachments:
6/4/2020Page 1 of 2
rpt004rc
Idaho | Montana | Nevada | Oregon | Utah | Washington | Wyoming
mti@mti-id.com • www.mti-id.com
Environmental Services Geotechnical Engineering Construction Materials Testing Special Inspections
MATERIALS
TESTING &
INSPECTION
REINFORCED CONCRETE INSPECTION REPORT
Date: _____________ MTI File #: __________________ Project Name: ____________________________
Contractor: ____________________________________ Permit #: ________________________________
Inspector: _____________________________________ Weather: ________________________________
Rev. May 14, 2018
MTI personnel performed:
Continuous Special Inspection Periodic Special Inspection Reinforcing Steel Only Inspection Concrete Testing Only
Reinforcing Steel
Inspection reinforcing steel placement at location:
Concrete Placement
Observed placement and consolidation of concrete.
Concrete placed at the following location:
Monitored loads for correct mix.
Mix I.D. #: __________________________________
Supplier: ___________________________________
Total # of cubic yards placed: __________________
Concrete Sampling and Testing
Performed ________ Air Content Test(s)Sampled at:
Performed ________ Unit Weight Test(s)Pump Chute Both Other: ____________________
Performed ________ Slump Test(s)Placed by:
Cast ________ set(s) of ________ cylinders Pump Chute Both Other: ____________________
Sample #s: _________________________________ Mechanical Manual Other: ____________________
Work Inspected was: in compliance except as noted reinspection/retesting required
Notes:
NOTICE: Our firm’s professionals are represented on site solely to observe operations of the contractor identified, to form opinions about the adequacy of those operations, and to report those
opinions to our client. The presence and activities of our field representatives do not relieve any contractor from its obligation to meet contractual requirements. No one except our client may rely on our findings and opinions. The contractor retains sole responsibility for site safety and the methods, operations, and sequences of construction.
This Report is Preliminary.
observation was performed. Observations and/or conclusions and/or
Inspector: Date: shall take precedence over those indicated in a preliminary report.Note: The recording of false, fictitious or fraudulent statements or entries on this document may be punishable as a felony under Federal Statute.
Reviewed by:
___________________________
Contractor Initials
This Report is Final.
conclusions drawn from this report should be discussed with and
evaluated by the professional involved.Date:
Inspected reinforcing steel placement for element (e.g. beam, column, oor slab, footing, etc.):
Cast ________ set(s) of ________exural beams Consolidated by:
A preliminary report is provided solely as evidence that field
recommendations conveyed in the final report may vary from and
A final report is an instrument of professional service. Any
6/3/2020 E200068c D.L. Evans Bank
Construction Solutions
Kenneth Olehy/Jason Silva Sunny
4
Walls.
Grid lines 1-13/J-C ,H-C
4
Same as above.
4
454516c-4
Burns
13.00
1
1 4
1
1 5 4
20-01179 to 20-01183 4
4
6/3/2020
4
6/4/2020Jocelynn Silva
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