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HomeMy WebLinkAboutWWP273473 (4)---------r------'-�- rur ' Issaquah Plant PO Box /016 Issaquah, WA 98027 (425) 392 6432 Silo 3 Loadout *** CUSTOMER INFORRATION Name: Sh uction Co� Add s P . Bpx 358 O �u- Wo lle, WA 980720358 Phune: 425483000 ' ' Ticket #: Date: 06/07/10 .. Time: 03:05 PM ./ t, JOB INFORMATION 'ID: 1025 .ITEM 999999 Nao.e: STONEGATE LIr/'STATION `Location FIELD AVE NE'� ~ RENTON, WA U�J#: Truck Weiahts ' 99120 lb 38980 lb 60140 lb ' 49"56 Tn 19.49 Tn 30.07 Tn 44.96 Mg 17.68 Mg 27"28 Mg '. 0 lb PMDIXT AND LOAD Name: WSDOT 1/2" L�� 64-22 62..09 Tn � 62.09 Tn ' JMF#: 56.33 Mg 56.33 My ' l ^ ' W.Mastep: al: 60140 "�EQv^r"p,"^."="`"~�^"`=^a°�"`"=..^"G°.","`"-��"�""``�°^""�� HOT ASPHALT MATERIAL SAFETY DATA SHEET OmREVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a .200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES, INC. Issaquats Plant V., 0 13 (:) x 7Q)JA wr-) 98027 (425) 3192 6413(? 1 CUSTOMER INFORMATION n-c1cI-r(-.-)i:ii:*�-: 1::'. 0.. Box .338 �'Wr:)c)dinvjA.1.(---,, Wf-) 9807'C'0338 I..'hane. 4254830f,00 i Truck. and Carr�ey� �n4for-"-A-z— .... . ........ ............... E.301-0 Ticl-f.(--.�t it. 17.5037 Date 0 G / 0 4 / 3. 0 Ti me 01. 49 VIVI JOB INFORMATION I D.- :1. 0 R 5 11T-111 S199999 Tru k Weights 9� . ........ -A-1-1— Gross Tare Met ....... . .. .2 .5. 0 -.5 - 6 , i.�- �'i­­11.'; 300 20 .1 1 b P7. 97 T1.1 '.-.)6 Tn ('-j 1. TI-1 25. 37 IYI 11 11.7(." 1113 IYI I: b................... Legal . ........ .... ....... 0 ]. b PRODUCT AND LOAD TOTALS I 1),.- 17 c) .. ...................... OTODAY . .. .. ................... . . ................ . . .. . .. . ........... W.)DOT 1/2" VINO (.*,4 22 98 1)-) Tn 21.?.. 66 N4 22. 66 Vill W Rcv I d Dyl� 1-aad F�45:7. G i5­W*jk.-CCB # 108542 p . cQ-\1 EM LOYER 0 WA. ST- _QN1 - HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE 3 0 0 R 0 HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating.to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent inju� to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used., Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. {.AKE8IbE INDUSTRIES, -INC. ' ! ! . Issaquah Plant Ticket #: 174 99B PO Box 7016 Issaquah, WA 98027 Date: 06/04/10 . (425) 392 6432 Time: 07:58 AM *** Reprinted 174992 VOID Silo 3 Loadout *** `` CUSTOMER IMFORNATION JOB ID: 004314 � ID: ,1025 ITEM 999999 Name: -- Shoreline Construction Co. ' Name: STONEGATE LIFT STATION Address: P. O. Box 358`` Location FIELD AVE NE & Woodinville, WA 980720358 ` RENTON, WA Phone: 4254830600 - PO#: Truck and Carrier Information Truck Weichts Truck ID: SLC Gross Descript: SOLO � 45680 lb 25740 lb 19940 lb 22.84 Tn 12.87 Tn 9.'-)7 Tn 20.72 Mg 11.68 Mg 9.05 Mg � . 0 lb -----Legal----- 0 lb PRODUCT AND LOAD TOTALS ID: 170 *�_ Name: WSDOT 1/2" HMA 64-22 9.97 Tn 9.97 Tn �����» JMF#: 9 0 . �--~- ' W.Master: otal: 19940 HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and 'cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE INbUSTRIES, INC. Issaquall-_-Plant 1::'(*) BOX 701.6 j,jEiSa(jLkZ-1h, Wo 98027 o(fc,25) *3�.)-fa (*,,il*:�,(�- , .)(. N. )(- ( S J. 1. c) 3 L c) ia d C) u,t; * N. * Dalx-? 0 Time:: :1.1. CUSTOPER INFORMATION JOB INFORNAT .. . ............ ... . .. . ..... . ....... . ............ .1 D;: 004,314 J., D:; 10211'.5 ITEN 999-39 Shor(,-�I:hj(� CC)l-)St*f'UC't:i.C)l'l CO., Namc:-�,.� (31,01,1ECifflH. ,13*1'(.)*T'I(*.)I-,l d r c-, i: i s Fl. C). Box 358 Lac i. o n F­11:4."D ()Vl:-'. 1,11:r ,Woodinvil-4:(-:�., W(.) 980*720_358-' FUHN1,01.4, - WA 4 12 ".5 4 a 13 0 (", Cl) ff) r Truck and Carrier Informatio'n Truck Weigh-k . . ...... . ..... ruck. 11).. Gross Tare Met l.b." -13 0 5 8 0 1. b 29. '78 :1. 5. ­9 1, .1.1 27. 02 M 1� :1. 5 lyl 11 13. 8 7 111:1 M Q) I b cl al 0 1. b PRdbUCT AND LOAD TOTALS D.. 170 2/TQDAY 2/TO DATE .... . ......... .... .......... . ..... . ............. . ... ................ .... 1-1--ame:: WGDC.)T 1.1/2" FlillA Et -A 2(72 30., 4 1. 30. 41 T-1.) 27. 5 9 rl .W.. lylast-'er:: RCIFOUJIMT.,41 f fl�_l /I Y4 R 130580 (�UAL-OPPORT-13NIW-EINIPEOYER 0 ST--.--C-Oi4-T-:-REG-#-L-A-KESI,*2-74JD--n-.E)R...CC'B(�#"1"6"854-2T'r)-t-"---x'l* -HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING KsDhalt -cements and oxidized asphalts require heating to high !eperatures for transfer and application. The resultant high mperature materials ' can' cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these 6hould be laced without openings through which.asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if. needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. I • Have victim examined by a physician. LAKESIDE INDUSTRIES, INC. Issaquah Plant PO Bok 7016 Issaquah, WA 98027 (425) 392 6432 *** 5:i.10 2 LoaUoot *** ^Address: P. O. Box 358- Woodinville, WA 980720358 Phon�� 4254830600 .Tfuck and tarrier Information SLC Ticket #: I 74BBO Date: 06/01/10 Time: 02:55 PM JOB INFORMATION ID: 1025 999999 Name: STONEGATE LIFT STATION Location FIELD AVE NE & `` RENTON, WA It POW: ' `- Gross Tare 29.33 Tn 14.27 Tn 15.06 Tn 26.61 Mg 12.95 Mg 13.66 Mg 0 lb -----Legal----- 0 lb = 2/TO DATE JMF#o 27.19 Mg 27.19 Mg W. Master: Rcvvd By: Load Total: 30120 xmEQUAL OPPORTUNITY E^IPLuxuumWA. azCONT. KEG # LAusu^274JuEOR. ccy# 1085* HOT ASPHALT MATERIAL SAFETY DATA SHEET owREVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves, with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. -11-A LAKESIDE INDUSTRIES, INC. . / Issaquah Plant' _ Ticket #: 174870 °- PO Box 7016 Issaquah, WA 98027 Date: 06/01/10 - (425) 392 6432 �� Time: 01:12 PM *** Silo 2 Lo'dout **^/ CUSTOMER INFORKATION JOB INFORNATICH ID: 102� ITEM 999999 line Co. Nam(--.-: STO�EGATE LIFT STATION Address�'P,'Q. 8ox 358 Lc)cafion FIELD AVE NE & � ''W�ociinville, WA 980720358 RENTON, WA . � - '' ier Information 58600 lb 28780 lb 29820'lb 29.30 Tn 14.39 Tn 14.91 Tn 26.58 Mg, ` 13.06 Mg 13.53 Mg 0 lb. ' ............ ....... Legal ........ .... ...... 0 lb PRODUCT AND LOAD TOTALS -.67 JMF#: 13.53 Mg 13.53 Mg ` W.Master: Bv: � � otal: 29820 --����o�����m�.����'��/����n�x�/08542 HOT ASPHALT MATERIAL SAFETY DATA SHEET OwREVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do -not bandage burn. • Have victim examined by a physician. LAKESIDE INDUSTRIES, INC. Issaquah Plant 1::10 fiox 7016 Is s aq uah, WA 98(;.1427 (42t'j) 139;2 643,? CUSTOMER INFORMATION I D. 00-4131.4 I.: CO. Ad d N V". 0., Dox 1358 Woodinvi.1,1e, 1"JA 9807203,3t." V, 1-1 m.) e 425,4830600 .-Truck and Carrier Information Ticl-e.e-t. 0:: 174883 D, -.x t 0(-.,/01/10 013-2-2 F:,Iyl JOB INFORKATION 1) 1.025 111.11 9 9 9 9 9 Name S'foNf.:,GA*T1::* I L a r:*...::l 1) V 1:-:. 1, 1 E-:* WA (30 ... . ... . ........ .................. .......................................... Truck W iahts . .................. Gross Tare .............. ................. met 7,3440 1. 1:-) :39620 1b 3 3 8 2 (a 1. b 36. 72 Tn 19. 8 1. T 1-1 :1. (.',. 9:1. T 33. 1'-31 rl il 1.7.97 1113 3 4 IYI 0 b ec .1 . .... .. ..1a 0 1 b : -*,-,-,--,*,*-,*,--,--**--*----""**,-, PROD , UC , T -- AN , D LOAD TOTALS ....... . . ....... ........... D:- 170 3/TODAY 3/TO DATE 1-4.Ame.: W113DOT 1/2" I-IfIA 64 FN? ..88 T).) 42.,-.*j,:l rim ./\, ! 42.!-5-:3 N W RC/R1-VJ'W/`BL/CG/C1--1/1 B 1�cv9d -1 oad To-1,a)..: 3,3820 AN� . F I QUAU0'Pp'0RT0NM*ENfPL0YER MAXIA ST*Z6&Y7Kt-6'-W- # 108542 HOT ASPHALT MATERI;�'� S,AFETY DATA SHEET ON REVERSE lb— HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent- injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing'in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BU • Apply cold water or ice pack to asphalt skin burns. N • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. LAKESIDE 1?,�DVSTRIES, INC. Issaquah , Plant H a 274961 PO Box 7016 I`s'�--.;�aqual--i,, Wo 1�8027 Date: 06/03/10 (425) 392 6432 13'ilo 3 Loadout . . ................... - ------ ....... . . ......... . ......... .......... .... 004314 1% 1025 ITEM 9919w) Namen Shoreline-Cohytruction Co. N#ea STONEGATE LIFT'STATIM Addresss P. 0. Box 358- Location FIELD AVE NEV Wob dinville,,WA-980720358 RENTON,-WA Lonea 426AS30600 Pool .4_..p,A=j�er InfomiAtion ..... ............ .... . .......... ......... . ........................ Tmuck Weights - Truck IDa SLC3651-1 . ..... 10720 lb 40420-W GWOO 16 77 52.36 Tn 20.21 Tn 82.15 Tn 47.50 Mg 18.33 Mg P9.17 Mg 15 ---- 7LeMaI0---- 0 -77 ............... R. D, LOAD -, IQTALS .............. .... .. . ... . .... . . . ....... 'Hamel WSDOT 1/2" HMA 64-a2 32.15 Tn 32.15 Tn .JMFUs -1 29. 17 M g 29.17 Ng W. R (:., v 9 d B y . . ....... Load Totalu . . . .. .......... . . .......... . ............ ......... ............. AN EQUAL OPPORTUNITY EMPLOYER m VIA. ST. CONT. REG # LAKESI*274JD m OR. CCB # 108542 HOT ASPHALT MATERIAL SAFETY DATA,SHEET ON REVERSE 643WO HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury -to personnel. Emulsified and cutback asphalts may al§b be heated sufficiently to cause severe bu'rns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face ' -shield should be used. Loose clothing in good condition, should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of"an,arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. Do not remove asphalt from skin. Do not bandage burn. Have victim examined by a physician. (9) ' ", LAKESIDE INDUSTRIES, INC. Issaquah Plant IDO Box lss,�.xquah, Wo 98027 (425) 1392 E,432 i :1. c) 13 L (:)vx d o ut CUSTOMER INFORMATION C0111it"Lt "I:i.O'' Ad d I'D. 0. 13ox '358 1) ­ Woodinvi.]Ao WA 9810720, IDI.-t 4 2 5 4 8 13 (,.*.) 6 010 Truo'k and Carrier 1nfcr.ma.ti.on.__,.._.. 1., 11);" SLC 1301...0 1J.c.,ke't-, 0. 174976� 1).60-.e . 0 G / 03 / 1. 0 T j. mc-�:: OR:: 40 VIN JOB INFORMATION 1::,,[ 1�' 1 1) -AvE:_* 111- 81 wn Truck.Xqi :_gjjk�i Tare_._.. .............. Net ............ . 5,7620 1A) i.?!5 ­c�' 6 0: �'I. b 318 (..*! 0 "1. b 28. 81 T-o 12.88 I'l-I 15.93 -1 26. 14 Ng 1. 1. . G'�.') IVI I , .1. 4. 45 1,1111 0 '1. b .3 ........... ........ Lc.� 1.1 �-:-kl (a 1. b PRODUCT AND LOAD TMTRLS .... . ...... . ...... ............... I ............... ... . ..... . . ............ . . . . . ..... ... .................... . .. . ......................... -,4/TODAY 4/TO DATE ........... . . ............... . 11mvic-)t W:WOT '1/2" 1-010 22 7 8. 'fl-I 78.25 Tvi 70.99 V11:1 102-t) X-) W Load Total,- 3 18610 ......... . ......... . ............ . .......... ...... ......... . ......... . ...... . ........ . . . ............ . .......... . AN EQUAL OPPORTUNITY E'MPLO'�'ER WA. ST. CONT. REG # LAKESI*274JD a OR. CCB # 108542 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. CORLISS RESOURCES Quality Concrete • 14'ashed Sand & Gravel • Crushed Rock "Great Senice Since 1945 " 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 8916692 DATE TIME CUST. NO. PLANT# TICKET NO. 293635 r, ►;n i ] CUST. P.O. NO. JOB NUMBER SELF/DELVD DRIVER TRUCK ID SOLD TO: 19024 )HORELINE CONSTRUCTION CO PO BOX 358 WOOD I NV I LLE, WA 9807c: DELIVERY ADDRESS AND INSTRUCTIONS 1 sdi:�5 UUV14LL 131 SUNSETT 1025 DUVALL to SUNSET RENTON -D DELIVEREDTODATE G.� NET WEIGHT LOAD NO. .� TONS 4000921 518 CR MINUS P/UF1 TN I JOB TIME IN I JOB TIME OUT I PLANT TIME IN CUST. SIGN X —rt-iG I — — DRVR. SIGN X WEIGHMASTER SIGN X SUBTOTAL An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH " LOWING DATE OF PURCHASE. FINAl,'" - CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL ,ST DUE ACCOUNTS. HBC Scale Ticket 1-04 293635 CORLISS RESOURCES 01,11in t inn � . ;� • I J a,hed Sand & Gravel • Gushed Rock 904Great Service Since 1945" 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 oft Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 8916692 DATE TIME CUST. NO. PLANT# TICKET NO. 293659 SOLD TO: J. 13024 SHOREL-INE CONSTRUCTION CO FAO BOX 358 000DINVILLE, WA 98072 DELIVERY ADDRESS AND INSTRUCTIONS l Oc 5 DUVALL t_a SUNaL l 1025 - DUVALL- @ SUNSET RENTON PLANT TIME OUT OUT I PLANTTIMEIN SELF/DELVD DRIVER TRUCK ID QUANTITY ORDERED GROSS WEIGHT QUANTITY DELIVERED TODAY TARE WEIGHT 51. 05 DELIVERED TO DATE NET WEIGHT 7. 05 LOAD NO. 4 TONS PRODUCT CODE AND DESCRIPTION 4000921 5/8 CR•MINUS P/UP CRTI 28. 55 TN SUBTOTAL CUST. SIGN X DRVR. SIGN X WEIGHMASTER SIGN X -02= An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH LOWING DATE OF PURCHASE. FINA!" CHARGE OF 1.833% PER MONTH (22% [Dr-9 ANNUM) WILL BE CHARGED ON AL ,ST DUE ACCOUNTS. r� cJ- ,kale Ticket 1-04 L V CORLISS RESOURCES Quality Concrete • Washer! Sand & Gravel • Crushed Rock "Great Service Since 1945zwo " 1 800YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 891 6692 DATE TIME CUST NO. PLANTp TICKET NO. i r�( 293676 CUST. P.O. NO JOB NUMBER SELF/DELVD DRIVER TRUCK ID SOLD TO: QUANTITY ORDERED GROSS WEIGHT T DELIVERY ADDRESS AND INSTRUCTIONS R 125 — uUVHL.L to 5UN5i t- - 025 - DUVALL @ SUNSET RIlk NTON QUANTITY DELIVERED TODAY I TARE TE I NET WEIGHT AND DESCRIPTION TONS PLANT TIME OUT I JOB TIME IN I JOBTIMEOUT I PLANTTIMEIN I I SUBTOTAL CUST. SIGN X DRVR. SIGN X WEIGHMASTER SIGN X An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH - 'LOWING DATE OF PURCHASE. FINAL' -CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL AST DUE ACCOUNTS. 2 b 3 b 76 Scale Ticket 1-04 CORLISS RESOURCES Quality Concrete • Washed Sand & Gravel • Crushed Rock "Great Service Since i 945 " 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 8916692 DATE TIME CUST. NO. PLANT# TICKET NO. 0'! -. 0 5 .gin 19024 104 18679E E 307045 CUST. P.O. NO. JOB NUMBER SELFtDELVD DRIVER TRUCK ID . 000001 P I CK LIP SH0.36I SOLD TO: 19024 SHORELINE CONSTRUc,r I ON CO PO BOX 356 WOODINVILLE, WA 98072 DELIVERY ADDRESS AND INSTRUCTIONS 1025 — DUVAL_L II SUNSET 1025 DUVALL t! SLINSE1 RE.hl YON r PLANTTIME IN QUANTITYORDERED QUANTITY DELIVERED TODAY 13. 37 13.37 GROSS WEIGHT 6. 8, ..,%fib TARE WEIGHT 41,620 NET WEIGHT 26, 740 v 2 1 '_"' 13. 37 IODUCT CODE AND DESCRIPTION 41000933 21. i'i_' YC L.I+! C R P/Up 13.37 Ti,,l a ' I JOB TIME OUT PLANT TIME IN SUBTOTAL 1 CUST. SIGN X I �.jrL-- UDRVR. SIGN X WEIGHMASTER SIGN X i An additional`charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH OWING DATE OF PURCHASE. FINAL' 'HARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL. 3T DUE ACCOUNTS. 3 n HBC Scale Ticket 1-04 CORLISS RESOURCES F" . Oualit}- Concrete • Washed Sand & *G;-avel - Crushed Rbc'k "Great Scrvice Since 1945 " d 1 800 YOU POUR P.O. Box 487 -Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 891 602 DATE TIME CUST. NO. PLANT# TICKET NO, 06/02/10 07046 'at» 19024 104 186738 293697 CUST. P.O. NO. _ JOB NUMBER SELF/DELVD DRIVER TRUCK ID 000001 P I CK UP SH0361. SOLD TO: QUANTITY ORDERED GROSS WEIGHT - .19024 98,820 SHORELINE CONSTRUCTION CO QUANTITY DELIVERED TODAY' TAREWEIGHT PO FOX 358 28. 60 41, 6 2 L71 WOOD I N V I LLE, WA 98072 - DELIVERED TO DATE 28.60 NET WEIGHT 57200 9 DELIVERY ADDRESS AND INSTRUCTIONS ' 1025 - DUVALL @ SUNSET LOAD NO. 2 TONS28.60 i 1025 - DUVALL @ SUNSET RENTON PRODUCT CODE AND DESCRIPTION ' 4000921 5/8 CR MINUS P/L.IP CSTC *28. 60 TN Truck Time Report PLANTTIMEOUT JOB TIME IN JOB TIME OUT PLANT TIME IN SUBTOTAL t CUST. SIGN X DRVR. SIGN X WEIGHMASTER SIGN X An additional charge will be made on deliveries less then 12'yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over. 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS:'DUE 10TH OF MONTH LOWING DATE OF PURCHASE._FINAP" CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL. .ST DUE ACCOUNTS. 293697 HBC Scale Ticket 1-04 CORL/SS RESOURCES _ Qualitr Concrete • Washed Saild'& Gravel • Crushed Rock "Great Service Since 1945 " c 1 800 YOU POUR ift P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • F.*X 253 8916692 DATE TIME GUST. NO. PLANT # TICKET NO. 293542 GUST P.O TRUCK ID SOLD TO. OUANTITYORDERED GROSSWEIGHT 1'9Q1c:2F SHOtiEt_ INE CONSTRUCT' ION CO ,�,. UANTITYDELIVERED TODAY TARE WEIGHT PO BOX 358 WOOD I NV I L_L_F . WA 98072 DELIVEREDTODATE NET WEIGHT DELIVERY ADDRESS AND INSTRUCTIONS j @ SUNSE ! 1 OL-5' 00VALt_. LOAD NO. TONS .1'Q1c'5- DU'JAL.L �a S!.)tS>•=-T I" REN IION PRODUCT CODE AND DESCRIPTION oU ANTITY PLANTTIMEOUT I JOB TIME IN I JOBTIMEOUT GUST. SIGN X DRVR. SIGN X WEIGHMASTER SIGN X SUBTOTAL An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH LOWING DATE OF PURCHASE. FINAL" CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL AST DUE ACCOUNTS. 9 3 4 2 HBC Scale Ticket 1-04 CORL/SS RESOURCES Qualiti, Concrete • Washed SN?d & Gravel • Crushed Rock "Great Service Since 1945 " 1 800 YOU POOR P.O. Box 487 ► Sumner, Washington 98390 Concrete Dispatch: Phone 253 8916680 ► FAX 253 8916691 Gravel Dispatch: Phone 253 8916686 ►fAX 253 8916692 293564 CUST. P.O. NO, TRUCK ID SOLD TO: QUANTITY ORDERED GROSSWEIG SHUREt., 1 NE- UANTITY DELIVERED TODAY TARE WEIGH PU BOX .358 WOODINVILI. E.. WA 98072 DELIVERED TO DATE NET WEIGHT DELIVERY ADDRESS AND INSTRUCTIONS TONS PLANT TIME OUT I JOB TIME IN I JOB TIME OUT I PLANT TIME IN I ' I SUBTOTAL CUST. SIGN X DRVR. SIGN X �~ WEIGHMASTER SIGN X An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH ' 'LOWING DATE OF PURCHASE. FINAV - CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL +ST DUE ACCOUNTS. ,CS,��1 ,M� 2 9 3 5 6 4_-- CORL/SS RESOURCES rMom Qualify Concrete • Washed Sand & Gravel • Crushed Rock "Great Service Since 1945" 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 8916680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 891 6686 • FAX 253 891 6692 DATE TIME CUST.NO. PLANT# TICKET NO. _ 29367q CUST. P.O. NO JOB NUMBER SELF/DELVD DRIVER TRUCK ID SOLD TO: 19024 SHUNS L I NE CONSTRUCTION (-.,0 FAO BOX 358 t4OOD I NV I L_l_E, WA 98072 DELIVERY ADDRESS AND INSTRUCTIONS 10c:tj - UUVHLL @ SUMDL.1 1025 — DUVALL @ SUNSEI RENTON PLANT TIME OUT I JOB TIME IN PLANT TIME IN QUANTITY ORDERED GROSS WEIGHT QUANTITY DELIVERED TODAY TARE WEIGHT DELIVERED TO DATE NET WEIGHT LOAD NO. TONS - PRODUCT CODE AND DESCRIPTION 28. 22 CUST. SIGN X DRVR. SIGN X WE15HMASTER SIGN X SUBTOTAL An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH LOWING DATE OF PURCHASE. FINAL'" - CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL ,ST DUE ACCOUNTS 2 y 3 b 7 9 I HBC Scale Ticket 1-04 l John D. Hobson From: John D. Hobson Sent: Tuesday, July 27, 2010 8:27 AM To: Suzuki, Doug; Andry, Alec Subject: Stonegate Conveyance Punch List Attachments: Water Valve Settlement 3.jpg; Asphalt Dimple 1.jpg; Asphalt Dimple 2.jpg; Fire Access Rd 1.jpg; Fire Access Rd 2.jpg; Fire Access Rd 3.jpg; Fire Access Rd 4.jpg; Fire Access Rd 5.jpg; Fire Access Rd 6.jpg; Fire Access Rd 7.jpg; Maill3ox 1.jpg; Sewer MH needing Grout 1.jpg; Sewer MH needing Grout 2.jpg; Water Valve Settlement 1.jpg; Water Valve Settlement 2.jpg Gentlemen, There are still a few items on the punch list that have not been completed and a couple other that were noted during a recent visit. 1. New item —The Blue Fire Hydrant Reflectors have not been replaced yet 2. New item — One of the existing sewer manholes adjusted by Northwest Asphalt needs adjustment bricks and mortar (see attached photo). It is located at Station 26+90 6' Rt. (Sheet 8) 3. New item —There is a dimple in the new overlay near Station 25+40 on the south side of the street (see attached Photo). 4. New item — The water valve box/lid for the fire hydrant at Station 14+15, 24' Lt is settling in NE Sunset Blvd (sheet 3) (see attached photo). 5. The mail box repair is missing paint on the underside of the facia board (see attached photo). 6. The fire access road is still in need of clean-up and crushed rocking of both shoulders from edge of asphalt to fence lines (see attached photos) 7. Submit As -Built drawings. John Stonegate Lift Station Conveyance Improvements Punch List 1. Install Fire Access Road Gates. 2. Place CSTC along shoulders of Fire Access Gate. 3. Cut stump(s) of tree(s) to ground level in Fire Access Road. 4. Ensure 6" depth of top soil at back edge of new sidewalk on south side of NE 26th St at intersection with Nile Ave NE. prior to sod installation (there is currently only an inch of two in some places). 5. Place grass seed on disturbed construction area of Summerwind Storm Detention Pond. (Site of Directional Drill) 6. Replace Valve Covers at Air -Vac Manhole with covers labeled "SEWER". (They are currently marked "water") 7. Install Pipe Supports in Air -Vac Manhole. 8. Remove all remaining filter socks for catch basin in the project area. 9. Ensure all Manholes are Wasser Coated. 10. Clean Tar Balls off roadway. (See attached map). 11. Clean (Sweep) all sidewalks, driveways, roadways, and shoulders of paving and construction debris in both neighborhoods and Nile Ave NE/148th Ave NE and NE Sunset BI. 12. Remove Temporary Striping Tape on NE Sunset Bl. 13. Remove Porta-Pottys from construction site. Sod may need to be replaced under the one on NE 26th St. if it is dead. 14. Repair damage to mailbox between 5315 and 5321 NE 22"d Ct. (see attached photo) 15. Repair Damage to Fence in Fire Access Road. 16. Place CSTC on East shoulder of Nile Ave NE (1481h Ave SE) adjacent to new overlay. (to transition new pavement to existing shoulder. 17. Contact Property Owner at 5309 NE 22"d Ct. prior to repairing his sod and French drain. He would like to have his landscaper do it so that it is under warrantee. His name is Marty Ryberg and he can be reached at mrybergl@comcast.net or cell phone 206-310-2790. 18. Add additional asphalt around Fire Access Gate to create a 5 foot wide walk way around posts at each end. (This will be a T&M Change order work) RECEIVED Field Density Report - Nuclear Method Report Number: j JV82 6 2010 A.A.R Testing Laboratory, Inc. 7126180th Ave. N.E., Park 180, Suite C101, Redmond, WA 98052 Phone 425.881.5812 Fax 425.881.5441 CITY OF RENTON UTILITY SYSTEMS Client: City of Renton Project Number 10-166 Date: 6/17/2010 Contact: John Hobson Project Name: Stonegate Lift Station Time: Address: 1055 S Grady Way Address: 4808 N.E. Sunset Blvd Renton, WA 98057 Permit Number: Material Data Test Device swndard count I Material Description HMA 1/2" Nuclear Gauge Troxler 3430 019274 Density Count 2303 Layer Thickness 1 112" Test Methods: Asphalt ASTM D2960 Moisture Count 625 Source. Icon Auburn DirectTransmission d Back Scatter Laboratory Test Method Compaction Method: Roller Rice Density ASTM D2041 Test # Locations/Elevations Wet Density % Moisture Dry Density Lab Density % Compaction 1 NE 21st Ct (Cul-De-Sac) 141.9 154.5 92% 2 141.8 154.5 92% 3 142 154.5 92% 4 NE 22nd Ct. (Cul-DeSac) 142.5 154.5 92% 5 140.7 154.5 91% 6 141.9 154.5 92% 7 141.3 154.5 91% 8 NE 23rd Ct (Cul-De-Sac) 141 1545 91% 9 140.9 154.5 91% 10 141.6 154.5 92% 11 NE 24th Ct. (Cul-De-Sac) 141.2 154.5 91% Compaction Requirements 91 % V Conformance _ Non Conformance Remarks/Specifications Distribute Client Distribute Contractor Distribute Other 1 Reviewed By. Blackwell, Mike Distribute Engineer Distribute Architect Distribute Other 2 Tested By: Horton, Tim ID #SI V Distribute Municipality Distribute Other 3 Test results indicate the density of the material at the above indicated locations, at the time and conditions when the test was conducted. All reports are considered confidential and are the properly of the client and AAR Testing Laboratory Inc .Reproduction except in full, without the written consent of AAR Testing is strictly forbid Field Density Report - Nuclear Method Report Number: 7698 A.A.R TestinzLaboratory Inc 7126180th Ave .N E,Park 180;-Swte C101, Redmond WA,98052' Phone 425:881 5812 Fax 425 8815441f L Client: City of Renton Project Number 10-166 Date: 6/17/2010 Contact: John Hobson Project Name: Stonegate Lift Station Time: Address: 1055 S.Grady Way Address: 4808 N.E. Sunset Blvd. Renton, WA 98057 Permit Number: Material Data `-� [- stanaaracqunt� i t�, w14 Test'Device ° r` x .: Material Description: HMA 1 /2" Nuclear Gauge: Troxler 3430 019274 Density Count: 2303 Layer Thickness: 1 1/2" Test Methods: Asphalt ASTM D2960 Moisture Count: 625 Source: Icon Auburn (^ DirectTransmission I�/I Back Scatter i_t.:Laborafory Tesf Method Compaction Method: Roller Rice Density ASTM D2041 Test # Locations/Elevations 12 NE 24th Ct. (Cul-De-Sac) Wet Density % Moisture Dry Density Lab Density % Compaction Compaction Requirements: 91 % ikii Conformance [i Non Conformance Remarks/Specifications 154.5 92% d Distribute Client h Distribute Contractor ❑ Distribute Other 1 Reviewed By: Blackwell, Mike Distribute Engineer Distribute Architect ❑ Distribute Other 2 Tested By: Horton, Tim ID #SI V Distribute Municipality f ; Distribute Other 3 Test results indicate the density of the material at the above indicated locations, at the time and conditions when the test was conducted. All reports are considered confidential and are the property of the client and AAR Testing Laboratory Inc Reproduction except in full, without the written consent of AAR Testing is strictly forbid Field Density Report - Nuclear Method Report Number: 7697 A.A:R Testing Laboratory,Inc 7126180fh Ave N E ,Park 180,;Su1te.C1O1, Redmond, YVA;98053 Phone 425:8815812 Fax 425 8815441 Client: City of Renton Project Number 10-166 Date: 6/17/2010 Contact: John Hobson Project Name: Stonegate Lift Station Time: Address: 1055 S.Grady Way Address: 4808 N.E. Sunset Blvd. Renton, WA 98057 Permit Number: - - _ fUiaterial Data _�3 — - Count. Test Device,Standard Material Description: HMA 1/2" Nuclear Gauge: Troxler 3430 019274 Density Count: 2303 Layer Thickness: 1 112" Test Methods: Asphalt ASTM D2960 Moisture Count: 625 Source: Icon Auburn DirectTransmission Idl Back Scatter Latio�ato TesfMethod Compaction Method: Roller Rice Density ASTM D2041 Test # Locations/Elevations Wet Density % Moisture Dry Density Lab Density % Compaction 1 NE 24th Ct. (Cul-de-sac) Lyons Ave. NE (from 141.1 154.5 91% 145th PI. to NE 24th Ct.) roadway 2 141.3 154.5 91% 3 141.6 154.5 92% 4 141.5 154.5 92% 5 143.6 154.5 93% 6 142.1 154.5 92% 7 141.9 154.5 92% 8 142.8 154.5 92% g 140.9 154.5 91% Compaction Requirements: 91 % [vol Conformance ❑ Non Conformance Remarks/Specifications V Distribute Client `' Distribute Contractor ❑ Distribute Other 1 Reviewed By: Blackwell, Mike Distribute Engineer Distribute Architect J Distribute Other 2 Tested By: Horton, Tim ID #SI d Distribute Municipality Distribute Other 3 Test results indicate the density of the material at the above indicated locations, at the time and conditions when the test was conducted. All reports are considered confidential and are the property of the client and AAR Testing Laboratory Inc. Reproduction except in full, without the written consent of AAR Testing is strictly forbid Field Density Report - Nuclear Method Report Number: 7715 A.A.R Testing Lalioratory; Inc 71-26180t1i Aye: N E Park 180; Suite C10]; R?dmond, WA 98052' 'Phone 425 881.5812 Fax'425 881-.5441 Client: City of Renton Project Number 10-166 Date: 6/22/2010 Contact: John Hobson Project Name: Stonegate Lift Station Time: 8:00:00 A Address: 1055 S.Grady Way Address: 4808 N.E. Sunset Blvd. Renton, WA 98057 Permit Number: Material Data p Test Device I Standard.Count Material Description: HMA 112" Nuclear Gauge: Troxler 3430 019274 Density Count: 2334 Layer Thickness: 4" Test Methods: Asphalt ASTM D2960 Moisture Count: 632 Source: Icon Auburn DirectTransmiss— ion ��/; Back Scatter - I _...orat _.._...._ ' Laboratory .... . Test Method Compaction Method: Roller Rice Density ASTM D2041 Test # Locations/Elevations Wet Density % Moisture Dry Density Lab Density % Compaction 1 Field Ave., 1 st lane (from top down to Hwy. 900). 142.5 154.5 92% 2 142.4 154.5 92% 3 143.1 154.5 93% 4 143.6 154.5 93% 5 141.6 154.5 92% 6 V 143.2 154.5 93% 7 Field Ave., 2nd lane, (from top down to Hwy. 900). 142.7 154.5 92% 8 143.9 154.5 93% 9 141.5 154.5 92% 10 143.6 154.5 93% 11 145 154.5 94% Compaction Requirements: 91 % 14 Conformance D Non Conformance Remarks/Specifications V Distribute Client Distribute Contractor DI Distribute Other 1 Reviewed By: Blackwell, Mike Distribute Engineer Distribute Architect 7 Distribute Other 2 Tested By: Horton, Tim ID #SI J Distribute Municipality ❑ Distribute Other 3 Test results indicate the density of the material at the above indicated locations, at the time and conditions when the test was conducted. All reports are considered confidential and are the property of the client and AAR Testing Laboratory Inc ,Reproduction except in full, without the written consent of AAR Testing is strictly foroid Field Density Report - Nuclear Method Report Number: 7715 A.A.R Testing Laboratory,, Inc 7726.180th Ave: N E ;Park 180 Swte:C101, Redmond; WA 98052. . .hbfie 425.8815812 Fax 425 881:5441 Client: City of Renton Project Number 10-166 Date: 6/22/2010 Contact: John Hobson Project Name: Stonegate Lift Station Time: 8:00:00 A Address: 1055 S.Grady Way Address: 4808 N.E. Sunset Blvd. Renton, WA 98057 Permit Number: Material DataTestSa Deui'ce _ �: Stndard Cont u Material Description: HMA 1/2" Nuclear Gauge: Troxler 3430 019274 Density Count: 2334 Layer Thickness: 4" Test Methods: Asphalt ASTM D2960 Moisture Count: 632 Source: Icon Auburn — T'" ' DirectTransmission Back Scatter Laboratory Test Method Compaction Method: Roller Rice Density ASTM D2041 Test # Locations/Elevations Wet Density % Moisture Dry Density Lab Density % Compaction 12 Field Ave.. 2nd lane, (from top down to Hwy. 900) 13 14 JI/ 15 Sunset Blvd. (center lane) 16 17 18 19 Sunset Blvd. (north lane) 20 21 22 140.9 154.5 91% 141.2 154.5 91% 140.6 154.5 91% 141.6 154.5 92% 140.9 154.5 91% 140.7 154.5 91% 141.3 154.5 91% 143 154.4 93% 143.2 154.5 93% 141.1 154.5 91% 140.8 154.5 91% Compaction Requirements: 91 % ice' Conformance iF1 Non Conformance Remarks/Specifications d Distribute Client Distribute Contractor l'1 Distribute Other 1 --- Reviewed By: Blackwell, Mike Distribute Engineer Distribute Architect Distribute Other 2 Tested By: Horton, Tim ID #SI d Distribute Municipality Distribute Other 3 Test results indicate the density of the material at the above indicated locations, at the time and conditions when the test was conducted. All reports are considered confidential and are the property of the client and AAR Testing Laboratory Inc Reproduction except in full, without the written consent of AAR Testing is strictly forbid RECEIVED Field Density Report - Nuclear Method Report Number: 7691UN 1 2010 A.A.R 'I'estin Laboratory, Inc. 7126180th Ave. N.E., Park 180, Suite C101, Redmond, WA 9805�ITY OF RENTON � Tf>�CfY SYSTEMS Phone 425.881.5812 Fax 425.881.5441 Client: City of Renton Project Number 10-166 Date: 5/25/2010 Contact: John Hobson Project Name: Stonegate Lift Station Time: Address: 1055 S.Grady Way Address: 4808 N.E Sunset Blvd. Renton, WA 98057 Permit Number: Material Data Test Device standard count i Material Description: Glacial Till Nuclear Gauge: CPN MCl DR MD0069642 Density Count: 31312 Layer Thickness 101, Test Methods: Soil ASTM D6938 Moisture Count 8398 Source Native V DirectTransmission Back Scatter Laboratory Test Method Compaction Method Hoe Pack Modified Proctor ASTM D1557 Test # Locations/Elevations 1 Field Avenue at 1601-1605. 2 2505 Lyons Avenue N.E. Compaction Requirements: 95 % Wet Density % Moisture Dry Density Lab Density % Compaction 136.8 9.6 131.6 10.96 Conformance d Non Conformance Remarks/Specifications Compaction percentage was pending proctor vaules. 124.8 133.7 93% 118.6 129 92% vol Distribute Client Distribute Contractor Distribute Other 1 Reviewed By: Blackwell, Mike Distribute Engineer Distribute Architect Distribute Other 2 Tested By: Horton, Tim ID #SI d Distribute Municipality Distribute Other 3 Test results indicate the density of the material at the above indicated locations, at the time and conditions when the test was conducted. All reports are considered confidential and are the property of the client and AAR Testing Laboratory Inc Reproduction except in full, without the written consent of AAR Testing is strictly forbid Field Density Report - Nuclear Method Report Number: 7689 A.A.R Testing J aboratory;-int 7126180th Aire N F , Park 180;.Suite. -1 1; Redmond, WA, 9805f! Phorie.425.8815812 Fax 425 881:5441 Client: City of Renton Project Number 10-166 Date: 5/25/2010 Contact: John Hobson Project Name: Stonegate Lift Station Time: Address: 1055 S.Grady Way Address: 4808 N.E. Sunset Blvd. Renton, WA 98057 Permit Number: :Material -Data." �- tandard Count I Material Description: 5/8" Crushed Nuclear Gauge: CPN MC DR MD0069642 Density Count: 31312 Layer Thickness: 6" Test Methods: Soil ASTM D6938 Moisture Count: 8398 Source: Corliss DirectTransmission ❑ Back Scatter _ T Labora ,Test Methdd . Compaction Method: Hoe Pack Modified Proctor ASTM D1557 Test # Locations/Elevations 1 Field Avenue 1601-1605. 2 2505 Lyons. Compaction Requirements: 95 Remarks/Specifications Wet Density % Moisture Dry Density Lab Density % Compaction. 133.6 4.33 136 4.9 % iV; Conformance ❑ Non Conformance 128 134.9 95% 129.6 134.9 96% d Distribute Client t_ l Distribute Contractor ❑ Distribute Other 1 Reviewed By: Blackwell, Mike Distribute Engineer --I Distribute Architect U Distribute Other 2 Tested By: Horton, Tim ID #SI V Distribute Municipality ❑ Distribute Other 3 Test results indicate the density of the material at the above indicated locations, at the time and conditions when the test was conducted. All reports are considered confidential and are the property of the client and AAR Testing Laboratory Inc. Reproduction except in full, without the written consent of AAR Testing is strictly forbid DAILY INSPECTION DIARY REPORT # DAY: �y�. DATE: 06 1,4°1 Ile) WORK PERIOD: '0040./p.m. to (.OJa.m. 40 1—( WEATHER: p, L TEMP. MAX OF MIN OF PRECIPITATION: 1V WORK ACCOMPLISHED TODAY: S�Son to . �z L.'�f Sf4i.'cn CUhy�auNo �J, dQW p —.2 7-3 4e 73 St/� Cc.nf/xr-/6l __Str;Oti 4t iL Cany ele,-- G4.,,.r•,LCiYas.fi9y ' /trmeO C4<NH•e,(.'L.PLaH kwae,k.`...<S fN S�r7S�I` ITLLs--ln /V�Of ,r.f.n0k-,w ?,4 *4.-5 %try Spb i`eti CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 6 0 DAILY INSPECTION DIARY _ REPORT DAY: DATE: O62 rMO WORK PERIOD:. /p.m. to l; a.m.,0lam/ WEATHER: 0, G TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: StOn -e- -7 � ; r Sfo j:on .{C-anvt� e..� c Tc,n.o Y73 S KChc• li'7ti L��.✓.•SAn.,2 �AbO/ '" ��Z rr�tti 9lrE.^ o/;N ✓G Jac.colrvJCsH S '�c wa�/�/ �x 4�y-G Ca cS Lyu( (/- •:'cyroe� / d r/ A/',!F 22,,d1 c T / ki eg Yt/l4GKMC✓J 1 ®� GK1 �71.�:� Si /tio/1C k � I'.s.yY/w.n.ita d'�O/oo.c mcn � OY' �✓�GCNTCG ✓1 ��sc��`d'^t�Y"d/�iH S.OI./.d a/�C -rl �t Aim 1r' ' ro fro cal ? v �c17�an >i? S; Tti wcK�" d✓e✓ J ��VaS�`t�l �,/•,�,a/,/-�cR�io�,S '�o vl�w Gran/Hr/; �^. �iPh �i1ti SynsL�'--c�a�kZol ;'., uaf,� �> % G �n cY•r�' t S i G�C aya /.� � s V .�A.cws!'� CONTRACTOR SIGNATURE �Z,-dx D:3L Z-L INSPECTOR SIGNATURE DATE: d 6 -,2-5 ^/a DAILY INSPECTION DIARY REPORT DAY: 7k(/ DATE: e6 QY Ito WORK PERIOD: 7,000./p.m. to %,Od a.m. p.m f^i WEATHER: , L TEMP. MAX WORK ACCOMPLISHED TODAY: OF MIN OF PRECIPITATION: S�.•/u-l;hi I'dns/ �,O�-P - SRMt L.6d� � �Hc.� _ S ti D /.c l: r� l CO r S % /� �i:.-� c a �. � . f'i e0y�;^S iJ/n c; �.., 7�� �v: � �^ � I'o ✓i l �14 ST f�/ ela�� clzAr,n�%�2ct�;9y S%ideiJnG ,�r67v;,4w 'Ta4l:- ca.ltro� CONTRACTOR SIGNATURE INSP CTOR SIGNATURE DATE: ® 6 -,,LV /b DAILY INSPECTION DIARY REPORT DAY: �1�/r c� DATE: fd 6 /23 /LO WORK PERIOD: ;� /p.m. to 6 ;p01 a.m. � WEATHER: /0, c, TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY: S�ch.ctAY' _ L•Jtij�— JY4-Y4 iclNVcf*g4 �I/Ng2 40--217"34 i"K Cc�Mlly- !; yu,✓ --Sk&n ti . La'4ev- So a � 5 Zcy� /;�►� Co„s t- Q�,� �(/,� a s o�ii �el: Edi/C✓S i N n Gf// oval✓/ua (/ / S 0 7_- ►' .D 3^O c/or7.. -71- /1��.�� t G CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: -Q c • z3-/ 6 DAILY INSPECTION DIARY REPORT JJ DAY: Tv a(, DATE: 416 /ZL //(D WORK PERIOD: 7:3619- /p.m. to �� a.m. WEATHER: L TEMP. MAX � Z OF MIN S-f OF PRECIPITATION: WORK ACCOMPLISHED TODAY: SfONt aH - t CO.4 % %1 e, :✓. ," �--5,0PM-C L4 heV-- < a d re;S 1 covris : u 5-hem-le %ra]'S�'� [0:���e/ for /l/K/%�S'Dl.�%f �1�u✓aw�'G1 �o/ �av;.,s; 'n fvHrVfc✓G!i'•scl Rto/%e7 duns � N�uu. - - 13 ram (A N W ,9s/ l¢- s�A�G� Da ✓;v�ci /f/mil Yy otytylo,, ,�, SycVtyHevw(:/,��� w�Lflf/uN = o� J %%wv� �:.+1i5 it K,N �6,V ibis �', O✓G/�ll f� � L2 LIl � A 7 7 ✓YH NI J/ !�/r.f� '� J� r J�/✓yam /T4a TGL� IDa II: 4. c. fltn-Ae✓ )AfU. 'D 4uws-c'f w` 1.' 7�6> weiek:i ,- Lat �F-412// 01�e S✓nSe-i 144ia eakd o'It0(Ull ly.- \ iC x .3 r10 ew INSl+/J:'f N� e!iV 'i�a�Lyltrl� y19u//CjKSS �I%12 D17 5,eide- l/� 0'rr "%5 ) ►tP y � ���c� AQss��% rtS✓!�s �f�`v��i �yl y � J t t�n� �f G lat/1 4/ 4-4 2,1 ITSD�Lgl7 (]/�iM O/ �j/ YVt/16 iId0% :oGr P/aN�/s1 J•� Ott YM A Qv-w14v., l L 4 q-Z Z IO0 /�' -yVmkwr I/i.N L� /64 SUN S�Gi CONTRACTOR SIGNATURE INSPECTO SIGNATUR DATE: © 6-.ZZ-/Z DAILY INSPECTION DIARY REPORT # DAY: MDATE: 06/2 /!0 .WORK PERIOD:7;3O4j:D.-/p.m. to 4:00 a.m. g. WEATHER: (7, L TEMP. MAX OF MIN OF PRECIPITATION: y WORK ACCOMPLISHED TODAY: 3 '7�O✓l t N d `{ �• �.�-��- s.� G f: Oft Z VHFO w c.y —� �— 3 y 7 3 ow 4,ptL eno:, 5 7- %Y�l.� BD G�K GlJ. !Lt 7�t0/L(:ttL onS•7H� �pr2J! Cr �' /`G 7L �/ /Y�✓hPIZ— XVt � iia!/,C m sH f was wc-4 "e / A yg&2!�j 0 ' t.9 4+ 22L io//i 7140cn h04• 14 ray.G v14d0- tkss� tc�v��: }:o.. 5 Ike wa: 1 -AP- c1�q Q!!i/'<m�..,,i' let�cG(,c�tPH..:'.c� io �4NLG/ fGs � RS✓t:n//' LVoiit' �oy •�H.c �e:q_ c.eS� A4,IC4ists /-IcaW,,- Z - st-r✓; c•c el.+dl Gya/lG<c/ o4 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 06. 2, 1 -( Q CONFIRMATION #: A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (425) 881-5812 REDMOND, WA 98073 FAX: (425) 881-5441 ib- 1(0(0 Wi>�j Ch7A( -kCN\,Q (A AAQ '&QvJCCL UkOA<,AJ\, . . . . ...... ............ 4w ..... 'Am ... ....... .. . ....... - .... ............ ......................... M A 1 00-- -11 (Z) L v\,A9 Ll J,Z cl (42c, rt rh c CA 11-7 L. I D, /., 0- lk-k 1 .6 i rl cl I -70 '7 1 1 It' 1 CONFIRMATION #: A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (425) 881-5812 REDMOND, WA 98073 FAX: (425) 881-5441 1 s4cvn-' CAAk-2. (-� 'k 'j o' P-0 vl�c� CA A 14 C�— V (2 Al (IA .1.68T, .... ..... . ............ .... ..... ........... ...... :.:. . ..................... ..... ............ ............. ............... .......... ............. wwww....,...W..Ww.........W,..............Www......,..W.............�...........W....W.....,......W.W...W.....W.W.Www.w...Www ................. ................ ................ ....... .: xx WT. ........ ...... ..... OR!, . ......... ... ... . .... ..... com ..I: K_q )0 eA l U2 < —fc, OiCr)'/ I C(7 1117,1 L I ( 1 3, 7 Cl 7. -'.)Q I,w0l 4NWQ cl z )(2 DAILY INSPECTION DIARY REPORT DAY: fir: DATE: or /; B //Q WORK PERIOD:7:3o �0/p.m. to 7'Ao a.m. WEATHER: L TEMP. MAX try OF MIN SS OF PRECIPITATION: WORK ACCOMPLISHED TODAY:. .S�cnz ar 1`•c L.-�-� Sf��:a•� Cy�ycc, unc 'I n� GGa[.v�,.27-�°/7� S /i cry /'i, .c eC., f > L y v: f' l S•[r'✓.i.-c •% ✓+/e, � l /'�i�s �siT � � L 4fc! lJl� �4G1� �rb'Z. i 7 j LL t �/t LG I l I'tJ �G yy q✓1 2 3 L w P/ y�f L /J sv'4' N y✓ /h gkg//- E4 :✓ Pr qL1/o r 14rw.a6W.0, 44v"'z", /IJ�'la.ci„l'-r /•' S �� ��aw/ /`✓t0'_�OHVrrn c, wlac �. rt L .Z � �I� /� C� tDln �L'/�c✓ �JGLNaH-S`'Tdin /�i://L /�` A L(/ctc-/ul 1 -ja,1 ✓offer 2 O;ckyr '}cV(-45 4vi'-i n44iwe fA'ge-e /,,�,e CL'., f /% d�✓;.�� G�'�rS; a1.i ^ttra/�%� CL <'e.l,�v-/ / u/� /-c L j?/,G{,� &4 ✓ d 4, D`L/H fN T i1 N �/ / N �` (� J tL• �� Svm:nnsirv'na/ 3 .`ao Gr,., vj'c"( O F yHio Xg rci ,'., r�qo p4✓itia !✓r 2c r6 57 Ale,,-1h La ♦ VS f /PNff.ep� N& /09'4c•f fo Off rV4, 2� tw► X+-c Q f u S1 �jZcT_W114 e1alll2 avtv/ate, P6 4-22- 1 eta, 7 Z214& 25 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: C76 ,1 A /0 ``ono _ .. .. ... ... ',1 .- . � .� - .,. i. . CONFIRMATION A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (425) 881-5812 REDMOND, WA 98073 FAX: (425) 881-5441 1 . ... ..... . ........... . 0 . .................. .. . ................... ..... ..... . ........................ . .... . .......................... ................... :::: ....... ............ .................. ........ ............. .... .............. ........ . - ............ ............. .............. ... . ........... ........... . ................. .... vlm .......... ......... ......... ........ ..................................... V ........ N ............ .................. - T. -7 ILI LI 7- W N1 CA- Z- I L Fo+ -7 KI 7 -Z,'�, (A- ((QU-Nol�,ts( (J- U\�Q CA ............ut .. ............ . .. . .. ........... smaw A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (425) 881-5812 REDMOND, WA 98073 FAX: (425) 881-5441 ..... . . ........ . . ......... .......................... .......... ... ... ...... . . . . . ... .... W. E W.N. .......... .... ......... .... .... ....... ..................................... ..................................... ............. 0 AA ...... rh&c- (j 7, 4n, f1(7,-7,tA-kt-r*\ 5v*rAQ)'kjAj ft'l It f _J I'l 1, r 17, L814 61 L-1 7.1 7 1-1 l,cr I ( 12L 41- DAILY INSPECTION DIARY REPORT # DAY: ,u DATE: 06// 7 /1-6 WORK PERIOD: 7, (G) /P.m. to 7,47 a.m. p.m WEATHER: O, G TEMP. MAX SO OF MIN 0 OF PRECIPITATION: n/ WORK ACCOMPLISHED TODAY: .rito�,t�a't-� L; �f S�ei;On Zrr�,o lw� 5 4or, A-.i-e- i o .,p t�,o % S t>✓iL C ✓vc lL Z 3 o� a Cry h/ ��:ryr.>.r S„ h /V, Gt/ 61 a wk- )✓ie x 1" eel, l f ►l ,1 /G 04 riem raj% 1 CaT b�h4A (6S3g19 13 evi4V l '- N/aG1Gtr / o*t I~DII{J % Aa,, T/wc./[ . 2. ¢Bc.i ):1uAh<. T/}Yvc /< �Z- jk4uck �Qbe/ l i-G''K.✓ha..., 3 ���;o,y►aH� �trai�l � /��Z'�9y,N� Ma-cL,rh4 Q�✓t.+��a�'- p, 5 Jam Jvt .Z 1 SQL% %Lwi,4 S 7 P WAA 7-m,12 309 7 ?oa 1�% 4C Byi Sii�{ �S N�i QSOiA/f LABv» On�/.D�i Qi1 4c3+ ✓GoO2,-•i-eiGY 'l" g/ to SLJ �.,�1 {"�✓ =YcS�; ti� c ri MoNr/ac, ✓�f� / I/�CG!/r, I y a /1/C 4�`' s'/r ,v:,.d Su:, sc�i /%✓y ./% �j t S'�•� 0a <a,. ✓tom T✓'d Z� '� � `OD�„-, /1/O'-`i i�� toff lJ ar. a na;H (lbet,'�' '7�/`kek:n�t ('..G i cn f- m .J r" 4he Moi lO 1�4uo y~/CS a'/-% Sift �•? ��®� ��;�;f�tp� O✓ fL,c l�iu pnvtd! 6y-y l d�'c/�ac, ;r S�oK«;of G tfic.�;�ci frovb, S By�ti d Y.../�e� O� /YFZy'" d-.�u�as �,pauc.�eu�- a// Ga%itSdt�e er f CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 06- j `7-1 0 DAILY INSPECTION DIARY REPORT DAY: DATE: WORK PERIOD: 7;300./p.m. to :pa a.m. WEATHER: `"CG L_. TEMP. MAX WORK ACCOMPLISHED TODAY: OF MIN OF PRECIPITATION: Y Syla>'LtL.n �ti L r�• STa�•`O.n 0.1 VG4, �1r1G c Zpgn 0 w ��'��%" ! i� S'% o i•c. % 7 L Gd N f T f�.o/-ri�,'h� LonS % a,:tin �-a L C�^aw '• SS`vr�µ-Y».osT ,�,y�c1,y�•,����- a...d� z c ,, k"y ✓t rt/ c AoC S : t I - zt �i �S 5 /N -, k, % c mo ✓c./ -%//''D li0 /.(- N2 � ✓-[ � -�o /� ps„ � % jt: � iS OW, i Y'L ?'D✓ , -e ,-,c rG<f f-" � L/CCRf%off, SGr✓%c•c ZY✓c,ks oN s;/z 4-OIaH o!e; wQ*4Lo/as v, Suer 34- t d— e-c i 49,14114ry 1'4.4 H , �LnY ♦Yl•+•� �"N,LU /%Sp�.r/T ©H s, 7t C!P O'�` S�NL �taf'G �J�!NYHaY LY. Ha� �^OO�S %,oy-� �tLn e�I'ovnc/ :�^ ✓.�� 1`0/ Ov/ai/a�, -- C:cw ••Sw�<r��'ka vov,� d-ia�1k�H,,�.�� rcyrrov:ns, as 4�� r c�rc✓:.G� Sf�yofv✓�S ar.o/ a/oi G� Gy.^P o:•nu ly�f C CONTRACTOR SIGNATURE INSPEC50k SIGNA URE DATE: DAILY INSPECTION DIARY REPORT DAY: Tt, T—, DATE: Off,/)5 /fd WORK PERIOD:- .;'; a. ./p.m. to 4,02) a.m./( l-1 WEATHER: c-(— TEMP. MAX OF MIN OF PRECIPITATION: $ � WORK ACCOMPLISHED TODAY: -S 4:4'' S4,g -/;or, Ca�vi t; am c-c 2, tm.4 IAIWP 3 N 7 3 sic a /'L%; n -e_ coals -r �l.t-w� ( � 4v:O �.S/a;rit DL 96dd. Sans At' /J GrL�w�2 l^,�v:.G-SnMt L.v�oy-Sa-yy�2 Sll,i / ti � I M •� �-'/V � �Ts l��n�f L 91i. .P 'S4M.G L0�7s^J"—sp'y%7'L J LrGw S�� S5 M4-4 IL� ew4, cu:tlti 2` S Dk 3 S ANu-/ate NCZt-1 k'�' 1�1flfti a��i�o� OT %;elei !f'vC /d%(fit' �O j ) A%e 20 r % / � L �1 � !� i`Q d 4 n :'�arq /GGcbt✓" i [ An�-O f{ � L C c�� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: Mom DATE: 06/jy /(p WORK PERIOD:`7'30k.�./p.m. to y;Ct' a.m. WEATHER: C TEMP. MAX OF MIN OF PRECIPITATION: /V WORK ACCOMPLISHED TODAY. ,54dii-c e-f{ L^ * S-L-Leln (,ONv<c,CrNC+d_ L1Mn Wujil"27-3473 Sl,trtil,r,.t. CBHS T Cr<w ( �r.:,0— Sa.11. L.lx/- Sn."G ay�wi�Z.L-o":e-S•t.+�t�.Lc/x�—S.e.vrL rem.,�/ + Al.cy As III -A, O L.) 4- O j", 4."ry4z- - i KT Ca S,S /�1a.,lte%t SD�2 35 w:��• 2 'Se-4 /Z.// �OLL/Jojs L %ti.+¢ � Lye: K`(na O:, GBrtG �"c-{t Gr.vb �aJL i-IL� ,•H S �Ct1G t� Rf G dl ti�clO�Jel.�i-GJ2^� B✓1/ ,�i'Caut�L� trB /acL (c•"GSTC 27rofS"`•Gr 7x pp '604 . !stews �f/c►•,tc�pt, as�J�a_ / ree ,`,A 4-4,c, PM tiers✓4e(� r�vicL:tie, Pu/'Rvra�� i✓Iti,"u/. o�nA /�%rGf/GS/l�e/�- Ltnj:ni�ro�T %'�o�y�0✓' OI/a✓�4t� C/S;nh i 61 G/ tiri.��tr' iti fil.eer r -6toet g 4-e- Qz-ea. p M i '/ 1iL�h3 S Al�ws-cG J^ l4G4-ke(/ A rttf6 C(ruSitcd 1110c,4 em 'f6.e- Ald).e Lcer 1t.. � 2 � c„L k ul: rr Or•/�, ,o/un t Cl �dav, Gui✓�7 /i`N C C✓J F•a/al 1s1!/ a-:11 GiY-.i •• h Z � 2 G fir,b -� Gvr,b v- Oy�vlti r ,�. Sf 0t4 „2 [7 IDS nA.,/f Pa�cti ih.clu✓:mq CSTC o2't ;Z 7 s i K" yiaaC _ 32, 2�i Coner-ci-c L�vbd•e,vHcy JS,C CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: p4-/4/-/0 DAILY INSPECTION DIARY REPORT DAY: in DATE: Q(, /(c{ /«} WORK PERIOD: ;3 a. ./p.m. to il" a.m./(0 a-Z- WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 1 Sfohf c L; � S}4 i'ok Go;�v« nk« long k1wP�L7-31/ 3 /��o�'L-Ii i1 -G CONf 9' V'u"T" fiK.S s'"1 � '�{ ✓H "� � "i' t Nil CX } G. I MIL 2 l %rA�' CoH f�al LS! -iL fed �'i sol..l Gr:wul:nJ� 4", ®vtrlati ! R7,2 sati 7 CC.Acrc/t S: c'!cvr a/i� S`i: 5^ .00fcn�ez Co. cr.ci L L4, u ij </ �i5^,0 1. f- 3ac, 13/'OtVin cxauz r►,C Cla:✓„S �or Yvrc.� QUc.� �(/�v/G tikV-L YE-✓oLits2� O.n� iN[%�G'� L4� �-� �-�: i tRtO�f'f' CONTRACTOR SIGNATURE C I PECT R SIGNATURE DATE: —�— T (iWf�-.Z� •- I - �- -- -- - - - -! -'J� %K��Cei -�._!_�✓�_I?y,�'i.T�__-1-- - l I-t --- - F fix _._E-26—, x _ p �_f. _t.*icti — -- -- - --- --- ---- --- - — ---- ----� - -- . Sri ~� C7 - - - - 1 -- - - '— - ..?jam - - '- - - - • - - - - - - --- _ ___ � - .. - - -—�----- - , _ s� �s _ � . • ._ _ ids - - - — -- -- - -- JAY s9•S�� - - - --- - - - -- - -- 'L-7 {r�G���' - - - — -- -OS-�b�S�N<r : — — 3 - — - — -- - D - - TOiGI.- o- --- SANITARY SEWER SYSTEM LOW PRESSURE AIR TEST PROJECT: S- ",,, c, , � L; y S"c", Con V., a.,cZ„l, re,,- IS WW/2•.l)-3`i73 DATE: 6 4 - o ti - l D INSPECTOR: / rK . M i5�"4 �e -e- LOCATION LENGTH PIPE MATERIAL PIPE SIZE PRESSURE TEST TIME RESULT TO FROM s7 ;9 x 3 s-v r 20' sr af4 dIsSri m n Sion PCc i•ni-'a� PaKv, 3 O S' L 1- t D y S " l 6 �,'� �9 55 t 24rj L- L; ; S�wfiOn shy /s ,? 01 v 6' j o� y'•i V. STD 2 s r-Ln Qlow o s�.st+ N LF W-157- u p;v Vn[.- 9 " G v �lO ✓-o do N�'ZGtis� 3 � i � � �= L- yov . rl.� '� � 1 3 7 of �` � 5^l✓t ,• N �a sS S1f�zs-��n ST)9 datacenter/forms/pbpw/utilitysystems/ww/sspressure.doc 02/2002 bh DAILY INSPECTION DIARY REPORT DAY: rp DATE: 06 /1/ /16 WORK PERIOD:'?,3eQ./p.m. to �t,�:� a.m. p.m t-1 WEATHER: C.- TEMP. MAX OF MIN OF PRECIPITATION: �(I WORK ACCOMPLISHED TODAY: .�y-o'l Cor,-4,m 2 UIWP--27 .3y yo 51 It 0a l�/ �/ ✓i S D ��/ f 0 H L 41 i2l'L c vd-ek /e areq CONTRACTOR SIGNATURE & 2 f7 R C 16 INSPECTOR SIGNATURE DATE: ©6!:l ( ^/ 0 DAILY INSPECTION DIARY REPORT # DAY: �"j,;/ DATE:06/lO //0 WORK PERIOD: 7:30C. ./p.m. to WEATHER: [ L TEMP. MAX OF MIN °F PRECIPITATION: Y SLvw�-rS WORK ACCOMPLISHED TODAY: S�1-rviro�rnfy L;�r-l- S•,�a-f-'o:� CoHvtic„ar,��c �yT,o WGU�-�7•-3'773 Crc�v I c- --s�L4hee-5amr- nn Yu�rfZ L,,:�-scrrNc LaGo;�-Sri.=,rz Svb /V. v(/ 4se1.a/�- . - /1't�>'�. Ld✓10 Vae11 - ' 3 0 i1./n / : //C-c .� � c r s y� o.+ m o/ •e p � 6 N s % � •e /� I�: c �• %�'� a of i�� ( i^ �i racy �t-�� 4 a''' :11 •cy' �fiel /r/off: K a ✓'� Off/' f{✓� o: � SD: �� �Lra/� � TrB,'V< <oh �ro�fo�'S G�' v.�yc� cri ` ,G�ni.E�� 0 ✓Zyh / f' c+vi A -LE 2 NAi j L1/LT R!LM ! Q e� / nrh." d kaP T'< :rr dl 1✓1 �I2 TDNf GRT G! tG , r, nr 60 poi Ovtr l,W = 2 C� lcc+a 9VO-Ci f o O O f C,w4,n r/Ovfn /,ru Vic✓ 4 r ClsDisnl��i,� 5 -�L, CONS? ca"' %JCdl 0 Fc/ct N,o; tIn fJ i, 14 1-I ,2. 1 f3 {''G vt 1 Yet c c /' ►.cr; r-4, •�1�Gi h t ui 0 %oic--I Iit 6 e1 ¢ f ij4i s x; 5 l: n . S /�1 /-1 Z 1 !; eoa 1 e •per' �,e r a r. a� G h w i f i L= lg-,zz a W, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: pC ^/ 49_/62 DAILY INSPECTION DIARY REPORT -DAY: '(" �,;� DATE: ®G /1O /10 WORK PERIOD: a.m. /p.m. to a.m. /p.m. 2 -� WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: So <,��,G WW10-2-7 3Y73 T h s �, ✓, � c. 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Lo h_i- 1 ; _ _Trtih_� y, q3��.� yL i f'e,5 't�dv�v6r✓�^- -j t0 _ I- X Is0 °` iGJ! _��-3 Tl- j �>� Ix tsy6_='� - r�_o{ cl_..�3 I-i_i--!I__' ' �_ � ►.'z}�f �8_•2_�,�/' � �--� �--�—I- '_!_i,�sP�� `_�41�ak %nCI�oG:>tr�_Gs_TG:— -- 1—--------a----I .__ I I I , DAILY INSPECTION DIARY REPORT DAY: DATE: 0(, /(94j //p WORK PERIOD: 7,36�0.1p.m. to a.m./O. /-/ WEATHER: e L TEMP. MAX WORK ACCOMPLISHED TODAY: OF MIN OF PRECIPITATION: SfG/l-e-:ya4 ,SZR!%On GOhST a)0r- Sant-L cYGW Z' L iv .o'S9rnL Lal�cr-54+tnc 7 a e,w l i n SiA !; AIEZO-"'f �r6yN ct/�h c a;o✓aG1,Silk ZS>Gb ,P��� ��-h.�t;vim '7Y�ncGbuk4lL-yta4-;yL 4 LCfc r 6 " G f i^�w „Z tea/l;r�o, FJ',l=o•rr G ��; W cs r art A/A;� 2.0"4'k S7' 1570 TZtul h s k/l Ce;aa os ><c. Q[nc i' dy tl 6'�Z+/ Z - / y'tn.y� l7cc�F� !I - h n �� ✓G G C-le � G � }iG Wi *1d.`dZ. AAt.4- iv[ ey;dd/t rUo oLJia;,.,W T oe-c 10_s)g/J.c✓ 1 t0441 sHy Lt- �oT . 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X La 1I a t,`�u d L ah i =10'f- C c 5 7'r9 rt r,,,,1 /t,oa;✓r/f v.� low.: ftd /2'� c-pelc S?cRm. x,,V6 5 i 14 :Z c1r30 Dort=/l i�l•c� on 0.L M7'XFL - f& OL mfxi`L_ a.2 Si,4 ?e-O.O { n ,ate 57;9 3Ot17 kS_'WcrlLl Ot tee Y_air S1o116WJlk ij{i/<✓fi gtor -Z Lowe✓ fl.a.. el", 1 31 E D to hnee_ ye rn:55 e.I L'�✓f ct 27�-ela 13.,k cilr-s4.� �p1 % %,S Lick/ RlSD S?401{d 1/'-c-4 -jeo✓ Y^aat c' 4141 cui:.vY i Y 9��`!}V SC N� Z�� 5 "T �L.a� eve Pr�2 J Ft d 6vNfrkciGrs 5vrvc„ Gyiw ✓:s 5; �� fa��, ^�^ t, an4; Y; cS �VC C 9 d0 S/J2Ke,'m CONTRACTOR SIGNATURE 6z.a, -Z�,;)2t INSPECTOR SIGNATURE DATE: 0 (o —0 0-/0 DAILY INSPECTION DIARY REPORT # DAY: DATE: 06 /QZ llO WORK PERIOD: /p.m. to 13o a.m./ 1- WEATHER: Sjiactsri -G',G TEMP. MAX OF MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: Soy-��.,a�� L`-�•� S�ti•f;oK COKycc,G,.,[� Tw:o Ww�-�z•7-3Y7.� �vGcr/( C�•'�� Skvric/ LrGu/-Sctwl� CYtsv� Loy:•y-sa.Mc GvGw`54yr►L �✓GW 1 c o✓�� nvtci inSiRll v'h " FvlG( Yka-N �,lauil, prt E^rc(Gt %f�/G rlccn �Q5% D�? 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S 2 V4rr V4Ly:,Mn Vt./ye- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0(,-0-7-(6 DAILY INSPECTION DIARY REPORT # DAY: DATE: 06/Oti l t0 WORK PERIOD: 7!3040./P.m. to 7"cd a.m. i—i WEATHER: �j, L TEMP. MAX OF MIN OF PRECIPITATION: Y AM — Al 4M. WORK ACCOMPLISHED TODAY: •- l ,'4 ST ✓ lic/s/ Co;n V!sq a•cac-e. _ Az2 S L.Pi{i�iN .- C�CINi 7 C_Yti-«fib ( ""/Vol' '4 L G,rG✓� Z l:�v.'� -Sa,rc 0-14k Qdcucr- ^-Q-t' z�- Sgr/v 7rcnG�ltS L �v;� - Sarv� w,un AO.�•c✓^ S4hjL �/4yo ,2 - 1/ca ev Trvc (c-f e-1 N e an s:-efoo/ah ctg-c, wvrkcdl Iai-4 nlit o� Gr`�h a��•c�rJok Q i G�liG✓ /C. •G,Ph: ✓ d f �OCX! f �: �OL, 4 � l � � �iS �/': fft! c rew0L Ne rti: )Lt4V( tr-nc'11- 1:K.t ��vrk t, ._�s�srd%aa rays%jfd' 9r'ti.rf%e. � 7.'�'O �,.� :.yea/i..<r irn�OrC✓elli pa;,,, S•ia✓/�� cy-G�li .S�ar�ri/i Gxe�uaf:.,ti ,/ Sry e� NE 22"A 7 s. G •� �Jn!/'rs- C oAG�1C 7—c U /DC �c. 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NL2-Li " -r- t rtr.44-V;ag el bs/e-Aec nl u/: i%-r- --ra,cKl,oc L 1 Z rJ•�!° / "7r<Kc•l/ASS ee„,al���� irePa t4�N back recwi•c�f :le/e w�fk Svxa!(yGaw�sr a+u,•1. 6a�/C rcol d Co✓Lrc,J' G1�ta.yAf:oe3 ;,w /VL1,4 w:ik' 0y-YH;441, ' CONTRACTOR SIGNATURE SOR 19 54w4r Fy,,,'L M,%aA 6 cl4 4 F gt,2.� Z4�- INSPECTOR SIGNATURE DATE: d 6 - 43-/0 DAILY INSPECTION DIARY REPORT {{ DAY: DATE: 66 /02/!d WORK PERIOD: 7,3d a�. 1./p.m. to 5�3D a.m.�.m�. p-- I WEATHER: G L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: .I I. ca Z�..�to wcup^2-7-3i173 S �O✓ a / M -c COr I 4i a - S•�.vi Z Ixan dA;V4r- San. e- V, e. 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Ii;�r L�:' S 1 %N�c o//o^c,a `" F ✓►'��; N Pauµ of ' f 3 is Or'dQ itG( /,"-W 42Ve he'd a" L RsA�,I� 5Tw of -60 / t- l /so A2Y'AC - i�/G Sca ew J.30.; j� -� >7rZ-:Ld4tc-r H•See,4ti Io• % Op aucn n4j;eS O SOR 19 A:..Lr rV,---. 04.,- PS -)� `eU,, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: o,( - tl2-/ 0 DAILY INSPECTION DIARY REPORT # DAY: %�y.L DATE: 06/O/ ll0 WORK PERIOD:/p.m. to a.m. i-X WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: A n n i ie C ovn +Lc� n ri c, -Zn C t GN/ ( E / u'O '- Scr.yl a r+, k r Oo cy[,� - Sa.y1 � � ✓GfJ z � ��- Sant -ryLar+-�OEu�cy - Sa1v( �G V., iv►Gty 17 3oly 5-0 {rgy 2 !yvr ks Zywiil $.e,J -T),1 %L Go-lwl 1,1p aVLd+/+ GC.+�%Nv 1 ate;„h Fi" l=orce. r"10( xvzL Ali (� � f<✓vser( 00-11/ w4 ajl' /i f. bnr�oLY1 c� 7� �veNG L� fC! � Hof% ` f T/+l /O % 9tDP .. �/J��ti'[ !h }O 9. tem: �lav� 3C�-C✓' ) . G Irtw H:>`+mie t G �~dG- S; </� le:..ei ST 1� 15Y -y�,s,,. ✓rd1 y '!ry/Ove it Z }�ervtc0 1;H;n6J iiar�e� /a"✓:f T eyew evS 44�%/e1k r Lfi'le .Z 2-"Z.0 6 d S ✓7 18-�3y S Tap L < rk, � P_A S-rg 2 (f00 7 Cnt�v Z 0: rn-i,'anetl h- .Oe� s&i+j4>-e/( 4�e a4-0Z-to �cucr� Sec+��y n4,k;. IN Ale2-4"" Cyv-e-d w;f-l. 321—/ 14=ei5' abo el /"dreL me;&, Ale S:olc 3�- :P«-, 1'oup C� 2 Ytaw r',�w ka�dl oluc, � 1+r5) Ei�s-/.ts cslS� L'�t Ceya�'�..✓i JC:v h,r� T'} �✓� Storm �l/av/o� crS it�nch 17oxYS ��+ b�fti LKCa�a-,4;cL,S S-dc S�e.ut:+ / f^-e, L+ to SS Cc N+'ae /; d" L✓l&Vreo' aN/ 7�0 f: � c- S >lw 40 Orwan �- �'" 1YLa �ti'ia/S (A-PG-� �o✓ F/''YGG7/i6hO( OlSP4.- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: ©6 01 -/0 1 DAY: % v -,(— WEATHER: DAILY INSPECTION DIARY REPORT DATE: 04 /ol /(O WORK PERIOD: 7,3o(0./P.m. to b.;30 a.m./0. ;a.Z TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Cent-g. ce- S4ar,,r-/it,-L CoH Di, P✓c- cc)co snk io r CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: ©g_t_In DAILY INSPECTION DIARY _ REPORT DAY: DATE: 05-/o2%//0 WORK PERIOD: ;3D0./p.m. to 613va.m./& / — WEATHER: 0, c-, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: S�oHcc,af� G©:tiy o,v,c Z � .d 2 3`i73 e-e<-!/454l — Sa.�. v G/tcc.#2--S4,H -L Ll tiLl/� � Sj+O ►�C �iN2 '�Of15T CCNf�rIV.G `l ibf J'O/liN 4J ��I�G"G {�✓�aiN �C✓�% dh ��G%�/Ir!/ 6" ,e"11 A-C. ti,/1 5 l B�oO ►"LW # � /j J,O✓w/•`int �NS T GDM i, N(/t(// / h 57�9�/,y�h rol'G-G �ig.yr .sUvti'�-t C N Lhe:�S Pt� dac k%/f r7p-p-(>'" e,e -rzi�`%�G End 2 }Su db5trvc/o, iyYycc, ere-,(., oA Si�� 4'*iz D7C Ba,cGg/ /VYZ�I�� ST eeii0 G; b; Sccz-4,/ LYG,r(l !i'!-o Go fO✓ iyl %�•G $s�rhG / !ty'ur foci �: a�i (/fil.`T%"tS m.c� oN S�7-c. w:41n '704A Ao'-t- 1"1; IG.c � � cD„ lic�Ulor abo u�" v / : l � �� Go � �; v1S � c� a rca a`f APoDoS•�<f' yip �turn�'��iz5 6 p;r, 1 U1 r.ucr Forte-c M,-;u 6yd L b 9-0 11b Aict~ ;,.,clv�i'��, GS7'C I.3ci9.6 �nu� 1�} j� — u� S Dkn l — G 5 TG d- �uw1� `✓uc 1�iC��c�S Lf�uc %h•t&4 �,y v4-7y CONTRACTOR SIGNATURE INSPECTOR -SIGNATURE DATE: 6 S 2 % —/0 71 -----�—I ! �� � I o !ti ttifti Con✓ Anima � ,, iWkil�. 1.7-3y�3 � r ►4s k�/f- l e}G 1, i (c5 .6 �_ �3-,2�'' GO c`. I I ISk6rvin_t' Cihft�v�lon Ti+fjOehoY+ RIy� /i'1!!'�1e o�f1� _ �cw� -- � A- - - -_ - - - - —� - - --- t _ _ 0 1 'i 3 �; ►i _ I 0 12 0 I1, i = I ! ,- -•- �13- - - - - -- - - - - 7 X :-- -- -- - - --- . I 7_.59:1 - --- - --- - s an_tsia /z Car.✓<�j u_rt��-G G 110� 1',a�c-�-- - - ! -- 1� _x '17 =?o=j - i� = ��2',7 --I-- - - - -- - -- -YQL+ S_:vHSv7 tQv- - - ---✓-- --- ---- - - ', /s 1-$OL��-� 31 oil _13S y-_ 9_ -_L_' Q -- .- - - -- - - - -- -5 s M +1 r-0''C e Wes+, N -- --- - - -- -- - S�„sc-i - __8_x_�.b.=sae =_ q __-.zi: ► _ _ �--- ----: - - ---- - _ �_ �. - - --- - --- - -= - - --LZ`X 2r. — -- - -- -- -- _'�_ ,-- ' :230 - 9Z0' �- _ f 0�:2_ - -- - S 1 or< / L_ _Gea $�✓/a;_un - - - - — - .. f 06 -- - --I - /fc. 4' 1"-7 -_'rF_lE7e.E�o ��c'- _ _3 � 8il_,?� 2 = _Co 3(A • Z: _s_y.. foiz. �5�...s�'_ - - - - - .- - - "- -- - - _. - --- -.-•- - - -- -� 1- - -- - . 3Slo-� ai- 1=rE`D_Ry�('Su�r7a2w....�� - -- - - _ . - - - ;--•- ---1--�Yve[S�.STo /;7/,7_. , I If om s itae : l or ?' y_S.�pc c �or�i2o» y '-A'. c -' ya!fK CadU✓trrJ anit Zwi�1 ivl vo1777 3�173 I42,-1-0 I a,� r�_=_►� rvw� zs� Z-�—I : 1 _7z_y i-----i--; --i i i—i kL �Aig, d14 os.� ?_1 0! 10 .-r— AS.P1.:I�P��:17_',n�l✓/)'n I --I !-S�,oV� n�v. CoKv� Hn�'c_10✓ojticf,u�;►� ,L�7- 3LI3—__--� —. — Lc"15— STp 6-2 116. -- 5.?.--2ofs `� I`�� P;��%l osif os- 2s:-10 - - - — — — s-T--� -- --- -ir s DAILY INSPECTION DIARY REPORT DAY: \/V 41 DATE: 0 0 WORK PERIOD: b./p.m. to _L;3 a.m./ WEATHER: C L TEMP. MAX OF MIN OF PRECIPITATION: L *7 gl".11 — S�ccvfV5 WORK ACCOMPLISHED TODAY: +c 0 t- v-t a qi, --e- lo,7�--7,ay,4--17--3q73 -f-e I; c- jr-c .,, 1- 2 c- :I-% ve ce k AJ F-; e(,,t HIV jvl" Qf 5-f1l 13-tOO 54,,4=-A /iq"kq lvod'f/ 4-- uylsewel !.;il,5 A!q 174 1 6 c;l!, leedn em 5;,ve +2d"', le(aiv'l,� /,'01, t- X lfv,,-S b4lf ",A IV0-;Vt hrkic.11-rc s4,43 4 V Y,; /I -ell v em, e 5114 i 6+,Y 7, cl I r clNnnd I - 2 ipi e rr- i -c- 65 le, k 5 1 Y 19 +3 8 -,v �'; AL ' + . -r -e- v 1-< . r 1` 4 P v C, 50,9 1 3 �(o LE 2?L CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: L . <2 3-- a6- I 0 DAILY INSPECTION DIARY REPORT 4i DAY: Ti,4 DATE: Oj / S/i6 WORK PERIOD: ;3c �/p.m. to a.m./( WEATHER: 0 TEMP. MAX OF MIN OF PRECIPITATION: L_l WORK ACCOMPLISHED TODAY: S t c ri V c4 r L IT q, w.e-12 7 •• 3' 73 Lrtw Z0.15r Co.-,4 it'lS�all;�9 6-C._-G v,,; A4,-Jl, Giy /4✓E i2 -'004,, C✓Cty Y;i - 4-cke ;,n lo(QLed Sh%t'f /; �.,f ��✓-Concf'i�,� X/!VG L )On S:ti.•a l ✓!c:/ L't:G 4/t'1 /�C 2:31'eAlp Er;t- av If �oCs: T"� lnC fJ RL41 li l7%• 3�,z0 bA ��L l�•�l '4^�r�rr�'„�. '= /Vc.'7�iVL ? � /✓ tr�- i HC tM;Y �-+,� � lt�'�'� %0 � G� �/<Ncl/ CritA.�-s/ r•c�/C �7v•c- �+ /c•o,�[ a � /� L for 0.�1,�:f:g��� iA,dc+.,,� took oi��tw s� Zl� � _J• �c m C� � c•,. i o;u PVC sPJ2)A s'«',eie ago 1. CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 0 5—,2.3^- Id DAILY INSPECTION DIARY REPORT DAY: j v•c- DATE: WORK PERIOD: a.m./p.m. to a.m./p.m. z WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 51C:�KC,4�c �cnvc�4.,.e Imv wu-P'-..Z%— 3.3 C leICU J1 Z T Erizf M 0;14 Snuff ti dr �-aLni t R/ccks Oki c iJ%or_/< t � c� s � � ( �// ; s �+;11�ti �p �:0 l�� •P;ss Sa:: ✓�, .; :, s ��,�, 0; ��� � � s��-r s L7 N � �t5 �'S' i Ll •t C I• � r�.Nc � /.N-f- � S �{� .Z I '�' � G .._ zil '� SG� AI� TKS �';Hti du f;fit 1ocK T✓t.hc /� cc,v� oG�l:c,. 7-K5 t /1%f;vt Mu All +✓;4 / e e��L�:,_ ,y;�;y� 7 E �,e zz ' a� �D ivisl�i% {.aii�%nc. IGriG/�7 i�H�i G�+L<«'I iNS�gJ�il,�, J%J'T'� x Si li l gr f76 lt-�f '7; /tel v-Ir fr<;,eA Cr.-;y=PC- J 0;61 cf'VG SDiK I ?? CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: L?j j •Jn DAILY INSPECTION DIARY REPORT # DAY: I� 8y1 DATE: Of 1,2 ra WORK PERIOD:71) 30(a.m�l/p.m. to 7,0,� a.m. 7 �` WEATHER: JO, (, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: hAfA/ i�c�.l.h� LOrrSr Y G. e �;/1'yr�+ -� S/iyk-c• C1'C-W 1 34CI,t_w.cr5 �✓Grfi Z. 2 �tae,s.t✓S '3'� CTde�sr�cr f �e:✓Isc �G L %Cw-s;t l CONS'% SSA✓�Cd� ;, JuN.i'LT /It,;_L, 9 e4.00 rA LZ Y+1A �l Q/o,r h &,-, 4VIP . glr,ka E,�, ay 13", �friti5��!/t0� L' ii/s�ti GFi x (� Mer-f h c � �5'y SGVr✓ ma •.n i .� 5 �» s��' +fie ✓ />�.� sS �r � its/:.�, a „�I 7411,014- 7' yy /05z l Vae%s✓ +aw;Si:..� fzf7L waf4i rwer4L, fO n ri4- bcLk }-D GrQ644 , (2; co D„" dscrK LvQS eil lti;s lm:,- f ;Sbt9 Jf'L Fa, � �h /�r_�f.�,•ol �' Vc. �,.�/,.lv,`l5 3a dl,�►� S"Tf� 104-4/1 U-:Y1SdOnll AO,re �Ahickepi/-/- in a!✓i� :e;hI bl,'k, jog'k-c" ri/;7A /G7 Qd S�Rs��a' Gso�slf Y-�5ior��i0l� Y: eD n�, + 6�M 6 G,C' 6V fell 9"P,*7A utts-t w,44V/�-t r 4' ! x o - t .' nI,2 ou. # hnz kr;)l w"wk Ago 0,,-Avfj ;brO'1&11414 4r,0VAd Cx;ff)aa f2eIA4 dt ci".44r✓ C. ill; 1:-6 44-11 Na4;V-t,- jA e ,c h L " k 0110 N*:+;ms 0�9 0a, PVL ,S0P. iLF 7)�, 41L�L CONTRACTOR SIGNATURE INSVECTOR SIGNATURE DATE: ©S- DAILY INSPECTION DIARY REPORT DAY: M 6N DATE: OS /L'( llo WORK PERIOD: a. /P.m. to '7.'�u� a.m. Z'Z WEATHER: e L . TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: C /'•Gal/ 10 Z CrrOr4 �' GDw %0ac-6{�!2irp c/�-WIT: JA Ll/LS ON wG G.i 1 �d•C vt Sa V�i+ ON L,,,o"s 4y c� lG,rr:l l `� O, /i ��%1'H�y)or� i ✓1 L N>l, 14 oy c✓ �� Cie 5a 3� d- ,/ Ss v 1!; c -c. t 61 R C!, v� c• A f� A ley ,O; O-ti GR/l a Llin G,/;S 4Y - La 9.0 cnty .2rni/.n fh,iAes//` v.9 h.�cl�, ��'✓ c�L YL.O.+: rc� �1. �� � '� %� t.Pi 'i � v f G/n et/» � [2 -r Lyfi��-✓ lM n, vt -�6' M c,rt •f i •C ✓'t /a: ✓ �o.�/,•�-t. Lon�inwN �G %sa .�;�z bas�i- -i�z br{Rl� Noyr�e� r.��(9�, ' / v ldSS o�S�trv��1 �IiD py„i �O/ �ih-t- s00i/✓�� CONCi'K� bIOL/L ON jJ I 10 li,4 OLK�O Ce , ao Qom, Sao l ati ;k� p JV t X?, :R � s o Y4rt 1 <4 , 4- CONTRACTOR SIGNATURE (�VLjH�e7 .2S 11;a eV(, C-y©a !L2119 L is f"a 0<<Br a INSPECTOR SIGNATURE DATE: ®.5-- DAILY INSPECTION DIARY REPORT # DAY: � DATE: (T /:21 WORK PERIOD: 7:30a.m./p.m. to 4,'ce a.m. A,. 2- WEATHER: %) (_ TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: S •f-e n -e- ve. J' /C/o'7 ci e- Z. Sere- t' 1 861- .1 L' lam( G(/�' S 4P:/G l il1 f C dHi Y �' fi J Gl/SOi�S (~ cai107yRL CSYb) k1w,'j i, Vzc- -7/., c� s ire w, S 5 lh ►t 2-Z l -f 5 s M H-9£� 219 1:ounc�r��Fl:�� s cr,;fti Wafe✓ce s),or . X /Vo-c �'ka% mcc%c ;Ksfo/1;.,� A/cw/5 ee,1 c;.,� -Gtc:S %ns, �Scwcv 44 Lowe, t ✓of4;k1X 50%u/ 490 rcAn Ale-w b'� ierc'e�n,a,� ;n4a /5i� .svn/sod e;�f;KV'oj c)s � lwlwAtstve•�o„� • 3�-/��re�r.� SS/hil -�1,6 �! r' V (��+✓1 -! 4,YA h •, ;��r! Odi/. 4r OM c 7 Ae/,;oq r n +-Q 4--y', L(�3 Ci cs4N �G is (.�/.7 /, ntti OJvn i4LL usmc•� -}oG�sa = }•o✓Gt 4-c 1.7" o�u t. �o Vf, /i •%L. fo.i lCfs leL4,k<': /l1 df �0-yc C.'aye,V CHS- cl,I -j m,lx �Jnz-ch,d .rel e:' ew4.1-t -:time-%,.✓� �::+5�a/frd� �i t'jY� i rw� new5�mP 2-ig :4rg,em NMI CIP4St %-✓ ram; /J 1,4,,Ss4,,,A. Xviek Ges Labe✓ hrS Koj„e./sv 30A 4 z 6f t ea- F,,-r."i No ing4S , Zero c� 1 Z % sc•�'N % :�%. c OG ^a/Ber Ka:•kaI 3L6 6 eL 120 pallet/ 7 Z Dej , MnL n/Y S f/rno,I��r1�r fos:lla ec�/..,rr: St/y;c2. 'jN✓c.%G �'/ � �in;la /t-c.,t;S �la...�✓ L ! I Ire fr z' L, -4/..tea e✓ SSG t4sil.li .7:se�✓ Zi cax0 ua.& S,�b cc dseior V a e. ¢µV41k _2 z W. "., .u�for j2 ela� JN''t1�"a fog CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: e S -2Z 1 -/6 DAILY INSPECTION DIARY _ REPORT DAY: DATE: WORK PERIOD: 7,tx /p.m. to 4f; � a.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: cc.�r�t�d�7-31173 �-l^trry '� % ��l..rc �:.� L g�ci`{c.ot �:u, ; ti.�,-I�orG:rvi•ax: n � �� G �1OC7 t,�-�'f� Ova 67� i%rG Q�c+:.•: �.a O: f viv AIL Gi5/✓l,nl� i Y rfi;'t�L <.-,cG.Lyos�+� -/-✓Lnc� i-iS�.Ili.t� �:�-L �a.c�,�l� fti ii L, Y1 ,Gv f : d.t. r a w•..i � •, c_ -1 .:� ; n 1.`f fi S f c � fd/l 2v. =i�l. � �� �- /� 9- z NFt /� (J i tGa FWt� �I Qa F i✓ S t "7c-,cW ; c- ceniro f /o/ ,e%a-N . &4 Y' i<;rO 21--�-t2c Egg- ; .-I r T aL 4h 7 ty a; /i �64 / (� %S-<rir � 2cL5 41•.• =t✓� U NLJ>"�7�ci �9r.� fc..h; ./.'/���/� s c• >< at, �sIJ h i ✓c r- Ale NZ' %!rr Ale,, f/tru /L:, .34 C / r- i 1 J Q4e, 9, 0;e, PU'G C q0© SDR 18. 'ems 1'1,: ,. l 60 L- J __�tN✓clC I-/CKY1.S /day ;11-ailrials s 4ClQ'ry,S o✓ CDairgc.yDr Zl--zw Gtccl urdrk Ae f'o0,6c �19l�t4irclr /d�g�c' of�acke", J CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: aS//A1 //a DAILY INSPECTION DIARY REPORT DAY: �1,� DATE: 05 /,20 /fb WORK PERIOD:_ a.m /P.m. to ,17L a.m. /G�l 1+— ]; WEATHER: TEMP. MAX OF MIN °F PRECIPITATION: y WORK ACCOMPLISHED TODAY: c K-4v 1 - Saa^ C k-C64, 2 Svb ; rw�;sl;lloT.cPtrcr f4 c, C ✓`Gtt. �' % S ]z0/1�iH-[ Cs„f � CoN�:._ t� � K`��a/J;tic. Stw•c,y .�as � a.r Lo 4,+e. %l VfG SAN CGI _r �l/•L '�v ]'�iki._ ✓ i�r:..�, %;nt ;n Hlw /s /I YY�a:�n 0"-GI1%eceMa li�� +Gf�S•�`rr�Cy�_ �/e`S•tWe✓/Y.c:h�P.lfTi 6tt.l�:,,t '�:�+CSewt✓ Y'VHS �/ai EGA/C,^-/C,�S;►4%YML-1S/.��(p12.( 9M f�wrcy' aw s.1,r_ rTe;,:,•.co( CG�.��✓a��CO h/YSk�re v�/bGsif•t�60�i�" rah/1 A/h,4J:off, 55 /hl� 2l P3 Gen>'raG•itY �p�^,rl�x T �c4<Gt Syni��' 9ttD✓-ty' �i(tCl` D 1 c�T�S�raf 1(,'�01y� ,c/4w" J,1)p Ga.Sduc t.c.;4 Sgi,.d%Gf SSG}24-0ea CA4 die--r_ u.:d h 0e, 4 Vy 2- fogev*tiA IA-" < 14 ixLc4f D 'iU ifi .sit �'o G iit �,'„ �� ; i' �GY• 0��.[p w: a ], i- P 04. ii 03 2"7 E��7:S1:�.�� 1'v c- CIO,-) 5 0A l it �i etLer %y: t'1 e� •n , ` J' N t, �,�✓L• C /"tti+'re CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: aS'--20-/ DAILY INSPECTION DIARY REPORT DAY: DATE: M' 11-7 lio WORK PERIOD:_ a. /p.m. to S; a.m. / WEATHER: G TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: S �Bk'f LAN Ve/.Li enGt {1..1�P �� 1 -3 S�eArl.tiNi C.dNC n •%�q � S! rw .� Sv%i /L<r+y�._�;i='lt0 c�ki.y-•sstsw/-c LR/o��'-�ar.:�l C✓YiLV � � �1r.6/'..t.lrreL G<'N,SY C0�+7�:++tir� %n��<(�we. i'LLtiG✓ LQi �' d:n fo.rSt'� off ii�cU� x l-�3D Not 41.<c'1f crV4,. .oi 4FnW os0' finsAtks CU;rN.',Git 5710 1Lt4tO Csh1� 3Ttj lS-f02. T y`L1l iC- (0A,)r0f — S4"lw 1hiy4 ,xzw -Y f,#A e✓.,rh; is / RIM �44 5�44 Ll:3o 1-s/419 'lr,,,h -COT + C/'!Gw*ZL S hP1,t/:si (-,oe &.1/o K,'s-L kr0( dl-e^ )inr G 570 Ve7dM Ce JL= ra'/ mix A<eJS {G/ OV—e" 1,F C.0 4i/c.s71" k^Sfdd 0 ugK f%2S CONTRACTOR SIGNATURE Z5 2�t 2��7,4 INSPECTOR SIGNATURE DATE: a S - /q, / 0 CONFIRMATION #: A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (425) 881-5812 REDMOND, WA 98073 FAX: (425) 881-5441 1 0 0 - k (.0 c ,I'( 4 I - �l p V361 . . ... .............. . ........ ... . ................................ .............................. ..... ...... ....... . .... ....... ......... x ..... ......... - .......... w .4. Mxlm ... .1 . . (s A. ... .. . ............................ :::� ... .............. m <-SA lt(400 AA tj 4 1;0 qcz -61 Lin, I .... . ................ DAILY INSPECTION DIARY REPORT DAY: ' ut DATE: 0 /1g //c7 WORK PERIOD:_? O./p.m. to 1j1,30 a.m./�. WEATHER: G L TEMP. MAX OF MIN OF PRECIPITATION: y WORK ACCOMPLISHED TODAY: Sf011•G wG -G �N l/f 401L L td�4 .27-3V73 Cdu S'r d✓: D `mot c..�;� i n ,�v� t .� (/ %•i - IOrr�s � e�; � � i� G rtur �- .eo fist` - S.? .+� L G✓'�W � I S 4r•tr/: „{ [v.a5 T Lan f: �'tsitic� jw3�-s//i a.G �e•W'[✓ r�SI•f on Sy;.rse'f J/f 4 r S/ O 3 T 30 c: h di S f l4 / w* i c L �" la i7 h,*a,� ", •t (/N 101C Cry "// lA/a Ste✓✓.(-e. S74 1ift06 /l/i- w,2.f•w- 4s,`G.S /a✓ ea'PAZ 4,b4,4,W . M9,41 = Z:oo•svH hc,,,/ e4--^.r( f� •;rtii. 3:a��,�� 9 A✓e✓ C G j.i.4� —,iei. l pG 7k tw, ^.t.lsl�-lL e, <o, jeo / — z. 1- lt,t < •W S � : h-S�nlft✓l 55 IVY —Zf 7 Z S4Cle /:nti a-.1.t} }- 7- iNSn %✓ : h u,,q ^ Gd':r: Or_h o.q•!" G .'L /�C �G�1 S i :I- )74 •e-)cC4(VO-L-/ rtGiasw:.,o D: t c:, ilvci'T side- eev�,-, dAn'-i., sy<-/ S"l eg as eve✓ n: ; bt o7r� ✓oar/ N/ 3fi � i/a,a �i-F :•d5 1 ( CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4l DAY: M,p in DATE: (j�- /! /]Q WORK PERIOD: ` (�. /p.m. to 't`;'xi a.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: Al WORK ACCOMPLISHED TODAY: S fo.� LtQ �t cDAvcc, c.ill C _OQ Low)? r.2 7 — *7Y 3 �D✓:O ,,,-i' t/twlS'v�rcfi/�1/� L�J:,f{1,[n� crtw�" 2 ttf�,zGrt,ST i D S. N �:i H- ) E aolY.v 10 —12- c. A o j, .-, - l t✓c !< � �Q L Ppe. 0,0"TJa %✓%✓✓SAC .Z G i Z f/ L ttLa f�G, i 1rlta.v,e✓ Swcc,D�c✓ / I ��Cn,n�lu W:4}2-0 �oa.�c✓ i (o l yoilz✓ 1 2-iz�.( di' af' .j 2:e4e.,' 1 k 1d Ws✓IL&Ii- Zy4ec✓ i t sLrv;c,r ?v��K l ICawen�su ie 2Z8 Lxeava1(vv I StHyj C.c J N�/c�/� ,LA her Lrtw l IVolf,04 /Y✓l�' z,,hre L00,Lw-'02- AIL- 14-''fZ ✓ , % �i s. a.t✓ Q�."�Ciy % i/.,�.''-�1�t,.� /c�,5 i Gct� t �:.,v•c/1 ir,5�a//f/z.; St:cry Fcisf dr, Slir.►fe-�' r1 i►, (�a�/„ 4 0 S % Ayini" M /i T %0-c 1 j4ci *4 — dera e- 9Y,c✓ld w`fi t, S tc S A-C.4f f ,WAd hAA;e,,,45 s7A,f is ST24 /3¢06 C--2 574 Ile 70 =4y11C fro AHsti/G/ i.rsl /JxLcfCI6A %Oe- Geayfs +GolJaf ";.JC lHf�,711tCd .� f4Af1,,� j '1`4 ✓ C !� P{f y^�f�-. % iLl�!// f.4%'i%.+"ffAdly,, , of i%SG/JIiT�O•G S/Ji� uccrs% ��15.�t CQSR c,®T/ S�ict'f .�r1tS PM CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 65I; 7//0 DAILY INSPECTION DIARY t DAY:. DATE: 10-f- -7 /10 WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: REPORT a.m./p.m. Z ' S' 1�en L .�<, �-r. CQt•1V-Ga, G1.n [ -� 1 �.,.,., � GUCUP�-� ?" �� 2 3 G µaw � Z S•�r� j; y:.. C�,ST G X Ca V�,-�c� �a r �ja,+� �:'�" QlE21,41- 5T f714 2-7-z15,6 A,c kM : &Q /O !r h d%cv ., rn vK 6e"b) b- "+ A * Z 7,yo z ks eylZ4 at/ �ndv Vv+d-cy GI�EIycr7' 2sxcaayaf�o� ) ✓+ ,S: s,0#4 2� %mv, aY 15rkPrsen9 c- Loil s✓fpI t.y/ f4Za l Sl, ee�4 TO II 1 �2..✓� � r � vv> CY 7i-�. .2 �I"tNfil�f /LChtiYs�:OLt .SaT�Y�i 7a,S��1..•t L L� S 7LrI1��s✓2o1 f eN�Y,7/ 5 7" � L� CONTRACTOR SIGNATURE Z-'a ,ZL - INSPECTOR SIGNATURE DATE: Or = / ) ~•./,t!� DAILY INSPECTION DIARY DAY: F n DATE: J //'Y// U WORK PERIOD: a.m./p.m. to T WEATHER: tyf(� TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: REPORT a.m./p.m. y!/W17 G1/7Gf Set -ye,- Cis? Una✓/ �/ �rJ/- U lit /��.�5 Ge -5-zz a ht �� C `Q7r � 'moo � x� �i---� �JtL.��• ,�, C -7 e, A he r,- ,e t�"R0-pi *� / rn-? a4ze CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �� DAY: l$� DATE: S /�3/�O WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: Q /eZ-ri.. TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: S//Ol[r�//7cs ec7i7S T/L t� C.T! t, Al I' "�- �O;J-,'et .' ��d9y1L L �Lf�i77d?n.�'� •� S�YJ� `%%4in /•�E S�e'c�ti /�'!S %�/� Of� COalt-4r74,C-S Sefor` 7- ,f s Xh S'2> FAST/ /-er7a4A 00/ ��'1 i'l!� u- SS�� .�` uu a2 `4 -h f G/ /�G 7G.2 Zr a 7UA , .Q C G coy , t 44n=- .s s.,�` 1� '' �1 - �sd,;� 11 V, Q e h T, b -e 2e <)%, %Af- / V.441 ✓E /!I, .e 4 � CI_S C'8 .4 _5 T•n r h %�.2� �' 11 A iQn /JbL jo 14 2y ri f:-iL-P-e tC MGry, R ev r 4 A & ==s =, C3/I S, % Th,f, T r r%r -b!e #l, jTv-s r s Z Ti,'!Y h Pxc AL e� a� Sia4=icy s v i T�Y7� S L y T%�-t-� � Lam:-..I✓►.�� � S oc- L F 1Z 148Is SS Mav%WciL- Gr,t+ Y05- CONTRACTOR SIGNATURE 777 4 � 14 INSPECrfOr SIGNATURE 14) DATE: CONFIRMATION #: A.A.R. TESTING LABORATORY, INC. P.O. BOX 2523 Phone: (425) 881-5812 REDMOND, WA 98073 FAX: (425) 881-5441 1 10-166 e'lra&— e Agn"07, eelke 10�000A t. MO. Ar As DAILY INSPECTION DIARY REPORT DAY: IV(---ri DATE: .S //z //v WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: s TOrstC 7� L �� S M4 oil v e y AL" C c' ep 146 02 cs C On.S Tit vim. T'. G --r 09I0or CuClL. �.�•t-� .f C(►1.y �ir� r-�i 5.41r� G' [r O'^�P/ UY�.O-I �' t� i S T� �7 �f/C L O i rt t�(- L_ zCi ` LQ CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REP RT # DAY: ��-S7��o•,� DATE: S /it /jo WORK PERIOD: a.m./p.m. to a.m./p.m. `t Z WEATHER: GV ke`C as, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 4 LI- 57L �1y�1yt .:./LH[ L- _, /,)/Ol.�srY! y/� G uL t2 L C,ay ryrn. r--k _ �a 1 & 11 � � T. C • Sk ,v►.a s Pe- 2 o o - Z;4 k i i4 n. r S I 0,ge r 4 4 r S4iC v� Y,. � er.P2 L Sy y N— Lo a D l i ,45+ o - (_4d2rQSDh4-4 P6 r r— 04, 0.1�-r�G7�� rsr� S� •� s 7 l4/vg5 - .4/Z c Logic/ I .Q .47A�101 C - /b L-. /7 PI �'/ G ///✓ 1 tc (1 c: - C k'Oi Q ks A 1 S," e- GnC) / ai— F� ST �.n �_..�c.a L - / ' ' S. ;�.— _S"tc.ur/ n.. ,e.c,L,., / .ti ,. is r9e,o C'.ss7- Tv Seel -7'b 5 •zw -s sue Tv C&& H• L h}_ F 1ocuSf Inr v►�.Yc—� 121.4CrD S h P� � o v t� r,i►�,1 • c� T. � A rr. ,c � d ifi►s►.r. ono � vs s r�L. � o h CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: T om+►-y DATE: /1t /10 WORK PERIOD: a.m./p.m. to a.m./p.m. Zog 2 WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: � soo (71 "1, y ► V--s \ V rvyl -&a I � tie wl 0 LT 72-44, se CONTRACTOR SIGNATURE INSPECTOR SI NAT E DATE: DAILY INSPECTION DIARY REPORT 4� DAY: Y'Av, ,y DATE: WEATHER: �u,�,a-STTEMP. WORK ACCOMPLISHED TODAY: S / IU / (O MAX OF WORK PERIOD: a.m./p.m. to MIN OF PRECIPITATION: a.m./p.m. To ,4 �-E L .► S �� C c,. ✓ e v aM c C 6 �th�Y ac.46 M C1�� ► ► �..� t at V �J 'w1 P in., I S Tn , S aY% Lz- IQ as zQ;s-N IF'n n u W b S i4 E I7 r+ • �.� Ei WuaJ42 w . (2. O, t D r c t2-s � b.,. G . /� v Jr _.s.4 --1 rs e S ae� CONTRACTOR SIGNATURE ::IW Ivy INSPECTOR SIGNATURE DATE: (i) LAKESIDE INDUSTRIES, INC. IS'yagL4ah Plant PC Box 7016 Issaquah, WA 98027 (4r:25) 392 6432 rae ,fir 5( t( +• Silou2 L..Ocicjrrt,i'G •}F;i..x. _.......................CO.OS®G�9_.............. 004314 i`•I%:lmes ::i11(:YI''ea.:Lne Construction Co. Woodinville, WA 980720358 Phones 4254830600 XDes:>crr•:i. pt e 'T'N'l Ticket Hs' 174-44663 T3_•tte s 05/24/10 Times 02s 45 PI-11 JOB INFORMATION ID-. 102'.5) ITEM 999999 Names STrahlr:GAT%_•: LIFT STATION Location FIELD AVE NE & F2EN T'ON, WI'1 POttl Tr pi yeinhis d"sroa _!are_, `:7`:)�:280 1 b ;3�J'.';80 :I. b 9 (�l(%1~ 1.I:) Tn 45.03 Mp 1. 7e Ta; ITtIyr' 27.. 08 Nq 0 lb 0 lb 1l/TQH Fff I/TAD. % gilT Names W;3X)O T 1. /r2" h•1i" A 64-•-22 29.85 5 Tn 29.85 01 WeM< Rev' ti X:ry ::.._�C15NRffWLAKESF274jD L Lad Totals ,:;`:7�700AN EQUAL OPPORTUNITY ED4PLOYER ■ WA. ST. ■ OR. CCB # 108542 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAPS IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. .� LAKESIDE INDUSTRIES, INC. ILA Issaquah Plank 0.- 17-4641 N'[:) 1."(:)x '7[ 1.C, Issaquah, WA 98027 T),.a•t.eu r%l'?f'c?'::;/:.0 (/+R5) 3'.) .'. 643%' 'T:i.m03::26 F-TI ?eat x `:i:i.:I. to I._tJ4:tCI0 t t. is tc x .......CUSTOMER INFORMATION JOB INFORMTION 1: ):} 1.025 :l' TI-:IYI... _')'.�3'J':1r• r:).. Id.:tntc�:: £�tttarc�:l.:i.�tt� [rCn1 �1 rt!.C: t :i.C>rt Ca. hlail ey:: S*T'0l%ll;:. •,f•1'I'Ii_ I._J:F-"'I' 0CICl•rI 0.. T:;ryx 358 i..i:7C:c'al:7.tai1 1':I:f L X} OVl:i: NE 8� Wr5(:)d i. viva 11.�W+,, WA 'WW) 7F3t•).:3,5/; RF.' l'TT)FI, WA } Truclk and Carrier Information 3 uck Weiahts_....._._....._.._._......._.:.._.........._.._. f....l: Jf} ,, _ f3i..[::1::......_...._......._ ..........................__... _......_.........._ ............ _.._._........ ts'r�►ss..........._......_ _ .Tai Tare _.. Net ............__.._.._...._..._.....; _.._....._.._........_..�.... _....._..._....___........... T3E:5S.:>c: r 1. l:)'t::: T FI T 139140 117 :395)8() J. h 5':')LJ60 1.1:> 44., 97 I'Ir1 1 r. 95 r111 27.. rac' 11111 (a :I.b.... ....... .... w.l...e11at:I......... ... ....... 0 1b w.. PRODUCT AND LOAD TOTALS __ _ _....._..._...._...__....._._..._..._......._.�__._..._...... _.__........_.._.._ ...._._......__._ ._ ...._.._....._......_.............. ....... ..................... I D :I. -7 0 2/TODAY 2/TO DATE i•I;�Illt:':; l.�Jf3t)!J'T' :!./i�r" I-IlYlfl �:,�+..-f'c' l+•.•+,.'"� �T'rl ..�T•t•t 4:.T.. 4J... I'll L Cl.i ' Y W..I'la�>•Ler:;ItC'/F:It/.l'W/X:�t_/[:'[a/C'1�1/t._%t Rey ti T; rtad 'Tral,�:ta. 1-59PS(:0 r n y� AN EQUAL OPPORTUNITY EMPLOYER ■ WA. ST. CONT. REG # LAKESI*274JD ■ OR. CCB # 8542` HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt; chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. CORLISS RESOURCES I Ouadih- Concrete • Mashed Sand & Gravel • Crushed Rock e _ "Great Service Since 1945 " d 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • •FAX 253 891 6642 DATE TIME CUST.NO. PLANT# TICKET NO. ' 05/26/ 10 1 1 0 1 O a11i 1.9LA24 104 186529 2 9.3.4 9 4 COST. P.O. NO. JOB NUMBER SELF/DELVD DRIVER TRUCK ID 000001 PICK UP SH0317 SOLD TO: 19024 SHORELINE CONSTRUCTION CO PO DOX 356 WOOD I NV I LLB=, WA 980-72 DELIVERY ADDRESS AND INSTRUCTIONS 1025 — DUVALI_ @ SUNSET 1025 — DUVALI. @ SUNSET IMF NT ON PLANT TIME OUT I JOB TIME IN I JOB TIME OUT QUANTITY ORDERED GROSS WEIGHT •31. 85 QUANTITY DELIVERED TODAY ' _ TARE WEIGHT ' DELIVEREDTODATE NET WEIGHT 1. 00 , LOAD NO. 1 TONS 1.00 PRODUCT -CODE AND DESCRIPTION 11001328 DUMP FEE TRT LOAD 1.00 LD ANT TIME IN SUBTOTAL F � CUST. SIGN X` DRVR. SIGN X WEIGHMASTER SIGN X ' i An additional charge will be made'on deliveries less then'12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH 'LOWING DATE OF PURCHASE. FINAP• CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL AST DUE ACCOUNTS. HBC Scale Ticket 1-04 .293494 (9) LAKESIDE INDUSTRIES, INC. ,Issaquah Plant Ticket #: 174675 PO Box 7016 Issaquah, WA 98027 Date: 05/26/10 (425) 392 6432 Time: 02:55 PM *** Silo 3 LoadoutCUSTOMER *** INFORKATION _______ JOB INFORKATION ___ ID: 004314 ID: 1025 IT[M 999999 Name: Shoreline Construction Co. Name: STONEGATE LIFT STATION Address: P. 8. Box 358 Location FIELD AVE NE & Woodinville, WA 980720358 RENTON, WA _ Phone: 4254830600 Truck and CaTTier Information Descript: TNT 103700 lb 39620 lb 64080 lb � 51.85 Tn 19.81 Tn 32.04 Tn 47.04 . M g . g 17 97 M . g 29 07`M' 0 lb -----Legal----- 0�lb. ^`{ -~ ~-` PRODUCT AND LOAD TOTALS ' 1v1: 1/0 Name: WSDOT 1/2" HMA 64-22 JMF#: 70.32 Mg 70 W.Master: Bv: tal: 64080 --'-----A EQo,h,�,,os/UNuYmm,�oru/mwx� m'm-ok"Cco#/0o42 HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. CORLISS RESOURCES Quality Concrete • Washed Sand & Gravel • Crushed Rock - "Great Service Since 1945 " 1 800 YOU POUR P.O. Box 487 • Sumner. Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 891 6686 • FAX 253 891 6692 DATE I TIME I CUST.NO. I PLANT# I TICKET NO. 1A(,1510 JOB NUMBER SOLD TO: j 90Z'4 SHORELINE CONST RUC T I RN C11 PO BOX 356 WOOD I NV I LI_E, WA '3001,' DELIVERY ADDRESS AND INSTRUCTIONS 10eb — UUVOLL @ SUNSEI 10c'"3 - DUVALL @ SUNSET RENTON SELF/DELVD DRIVER QUANTITY ORDERED QUANTITY DELIVERED TODAY DELIVERED TO DATE LOAD NO PRODUCT CODE AND DESCRIPTION COST. SIGN X 1 DRVR. SIGN X WEIGHMASTER SIGN X 293475 IGHT 'HT IT SUBTOTAL An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH' 'LOWING DATE OF PURCHASE. FINAN` -CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL ,ST DUE ACCOUNTS. 293475 G HBC Scale Ticket 1-04 CORLISS RESOURCES O_ualih- Concrete • Washed Sand & Gravel • Crushed Rock "Great Service Since 1945 " d 1 800 YOU POUR " P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 891 6686 • FAX 253 8916692 DATE TIME GUST. NO. PLANTN TICKET NO. 293474 05/&:S/ 1CA 06:54 am 19024• 104' 1.86509 CUST. P.O. NO, JOB NUMBER SELF/DELVD DRIVER TRUCK ID 0001,71Q) 1. PICK UFO SHO.&61 SOLD TO: 1 - ' 024 SHORELINE CONSTRUCTION GO PO BOX 358 WOODINVILLE, WA ' 81372' DELIVERY ADDRESS AND INSTRUCTIONS 1025 — DUVALL +n SUNSET iQIP'fj - DUVALL_ ra SUNSET Rlr Cz TON PLANT TIME , QUANTITY ORDERED GROSS WEIGHT 26.00 QUANTITY DELIVERED TODAY TARE WEIGHT 1.00 41, 62CA DELIVERED TO DATE NET WEIGHT 1.00 LOAD NO. t TONS i . 00 PRODUCT CODE AND DESCRIPTION 1100 1328 DUMP FEE ' T&T LOAD 1. OIZA LD • 9 E OUT PLANT TIME IN SUBTOTAL CUST. SIGN X DRVR. SIGN X WEIGHMASTER SIGN X An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current- hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE10TH OF MONTH .LOWING DATE OF PURCHASE. FINAP CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL. ,SST DUE ACCOUNTS. 2 � 3 4 7 4 HBC Scale Ticket 1-04 LAKESIDE INDUSTRIES, INC. Issaquah Slant Ticket ON 174654 PO Box 7016 Issaquah, WA 98OR7 Dates 05/26/10 (485) 392 64::32 Times 09:07 AM atat•1t Silo o .:3 I...o at:IC7ut at.x..x. ..._._.:................. �.. ���g®B'II�� %pll�!1���ils�� I®G�fl � JG)� 1B�C�®STY®RU._._...._...__._.....................___.. C li) : ]:1 . :I. (111? i ITEM 999999 Names 94t:7•rc• l i. ne Construction Co. Names STONEG ATE LIFT STATION f'Iclt:l•res<.s s P. 0. Box 358. Location FIELD AVE: NE & Woodinville, WA 980720358 8 Rf: NTON , WA Trucle n Descripta SOLO POIa or055 are pt 59260 lb 29020 lb 30240 .1.1:7 29.63 Tn 14.51 Tn 1.::5..:1.2 0- i ._ 0 :I.L) 0 lb PI�t�DQJGi �9+1I)iD lLG�� �GT RCS 1 /IGDAY 1 /3 O ID�TIE Name 4,ISDOT 1/2" I-INA 64••-2 2 15.12 Tn U, 15.12 Tn JlVlF$firs .1.3. 72 t''W 13.72 2 Mg W. Master ftt;__....._...._.._.. Load Tota 1. s :3�1%240 ...._....._.__._.._..._....__._...._.._..._..... AN EQUAL OPPORTUNITY ENIPLOYER ■ WA. ST. CONT. REG # LAKESI*274JD ■ OR. CCB # 108542 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. CORLISS RESOURCES Ouuli_ v Coric•rele • Washer/ Sand & Gravel • Crushed Rock "Great Service Since 1945 " i 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 891 6692 DATE TIME T. NO. PLANT# TICKET NO. - 05/25•/ ILA 10 e 00 am 19024 104 1864.59. 2934.24 ' CUST P.O. NO. ° JOB NUMBER SELF/DELVD DRIVER TRUCK ID ' 000001 PICK UP SH0361 SOLD TO: r QUANTITY ORDERED GROSSWEIGHT 19024 26.00 97,140 SHORELINE QONS"I.RUC.'l ION CO QUANTITY DELIVERED TODAY TAREWEIGHT PO LOX 358 '" 27.57 42,000 WOOL' I N V I LLE, WA 98072 ' • DELIVERED TO DATE c�7. 57 NET WEIGHT 55140 9 . DELIVERY ADDRESS AND INSTRUCTIONS 1025 — DUVALL try SUNSET LOAD NO. 1 TONS i=7.57 1025 --' DUVALL @ SUNSET R{ =NTON PLANTTIMEOUT I JOBTIMEIN JOBTIMEOUT I PLANTTIMEIN 5!8 CR MINUS P/UP CSTC: 27.57 TN SUBTOTAL CUST. SIGN X DRVR. SIGN X - WEIGHMASTER SIGN X o An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH LOWING DATE OF PURCHASE. FINAI' CHARGE OF 1.833% PER MONTH (221% PER ANNUM) WILL BE CHARGED ON AL ,ST DUE ACCOUNTS. 293424 HBC Scale Ticket 1-04 CORLISS RESOURCES 5 I • — Oualih- Concrete • Mashed Sand & Gravel • Crushed Rock "Great Service Since 1945 " 1 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 ' Gravel Dispatch: Phone253 8916686 • FAX 253 891 6692 DATE TIME - CUST. NO. PLANT# TICKET NO. 293455 05/25/10 01a13 prl 19024 104 186490 GUST. P.O. NO. JOB NUMBER SELF/DELVD DRIVER rTRUCK ID 000001 PICK UP y SH0361 SOLD TO. P QUANTITY ORDERED GROSSWEIGHT 19024• �• SHORELINE CONSTRUCTION CO � QUANTITY DELIVERED TODAY TAREWEIGHT PO BOX 3.,5 1 r 1. 00 ;:. 42,000 WOOD I NV I L_Li` , WA ' 980 I2 _ i DELIVERED TO DATE NET WEIGHT 1 LA0 DELIVERY ADDRESS AND:INSTRUCTIONS r. 1 LOAD NO. TONS 1085 �DUVALL @ SUNSET 2 1.00 1025 _ bOALL' L SUNSET RENTON v PRODUCT CODE AND DESCRIPTION :11001328 i7UMi1 FEE TAT LOAD r 1 .0 LD uck Time Report PLANTTIMEOUT JOBTIMEIN JOBTIMEOUT PLANT TIME IN SUBTOTAL CUST. SIGN X` - DRVR. SIGN X WEIGHMASTER SIGN X An additional, chage will be made on deliveries less then 12 yards. Loads quoted by the yard; are sold by volume, approximately 1.35 tons- er' a dIt dum delays over 10 minutes will be charged at the current hour) truck rate. Not responsible for damages beyond p Y Y , P• Y 9 Y P. 9 Y the ;curb._TERMS.: DUE LOTH OF MONTH r .LOWING DATE OF PURCHASE. FINAN"- CHARGE;OF•1.833% PER MONTH (22% `PER ANNUM) WILL BE.CHARGED ON AL SST DUE ACCOUNTS. 2 5 I` HBC�caleTicket 1-04 �-• "`-r _ %fr -: _ J CORLISS RESOURCES - Qualiri, Concrete • Washed Sand & Gravel • Crushed Rock "Great Service Since 1945 " 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 891 6692 DATE TIME i ) CUST. NO. PLANTJt TICKET NO. 293456 CUST, P.O. NO. JOB NUMBER SELF/DELVD DRIVER TRUCK ID 1,00000 i .1 ;si-1U.:s6 1 SOLD TO. 190�4 QUANTITY ORDERED GROSSWEIGHT 940 )HORELINE CONSTRUCTION CO 00 BOX 358 QUANTITY DELIVERED TODAY TARE WEIGHT +� , oillo WOOD I NV I LLE, WA 980-72 DELIVERED TO DATE NET WEIGHT DELIVERY ADDRESS AND INSTRUCTIONS LOAD NO. TONS 10i:�5 -' DUVALL !d SUNSET 1025 — DUVALL @ SUNSET PRODUCT CODE AND DESCRIPTION REN TON TIME CUST. SIGN X \ I 1 DRVR. SIGN X WEIGHMASTER SIGN X SUBTOTAL An additionaltharge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH LOWING DATE OF PURCHASE. FINAL' - CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL 1ST DUE ACCOUNTS. 293456 C C HBC Scale Ticket 1-04 CORLISS RESOURCES = Quality Concrete • Washed Sand & Gravel • Crushed Rock. "Great Service Since 1945" 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 8916691 Gravel Dispatch: Phone 253 8916686 • FAX 253 891 6692 DATE TIME CUST. NO. PLANT# TICKETNO. 104 293472 CUST. P.O. NO. JOB NUMBER SELF/DELVD DRIVER TRUCK ID PICK UP I I SHO361 SOLD TO: UL)AN I I I Y UHULHEU UHUJJ WtIUHI 19024 97, 960 SHORELINE C'0NSTP.11t` T T l7N t 0 QUANTITY DELIVERED TODAY TARE WEIGHT PO BOX 358 42,000 WOOD i NV I LLE ;AH J60 DELIVERED TO DATE NET WEIGHT 55, 960 DELIVERY ADDRESS AND INSTRUCTIONS LOAD NO. TONS 27. 9EQ 10e5 - DUVAL.L_ @ SUNSET 1025 -- DUVALL Ld' SUNSET PRODUCT CODE AND DESCRIPTION RENTON PLANT TIME OUT I JOB TIME IN I JOB TIME OUT I PLANT TIME IN SUBTOTAL CUST. SIGN X DRVR. SIGN X WEIGHMASTER SIGN X An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH' 'LOWING DATE OF PURCHASE. FINAP' -CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL AST DUE ACCOUNTS. 293472 HBC Scale Ticket 1-04 CORLISS- RESOURCES OuaGty Concrete • 0ashed Sand & Gravel • Crusher/ Rock d "'Great Service Since 1945" 1 800 YOU POUR P.O. Box 487 •Sumner, Washington 98390 Concrete Dispatch: Phone 253 891 6680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 891 6692 DATE TIME CUST. NO. PLANT# TICKET NO. 05/25/ 10 03:39 put 19024 104 186506 293471 CUST. P.O. NO. JOB NUMBER SELF/DELVD DRIVER TRUCK ID 000001 PICK UP SHO361 SOLD TO: OUANTITY ORDERED GROSSWEIGHT 1 ` 024 SF•IOREL_IINIE.COI'ASTFRLiCTIOI,I CO PIP BOX 358 WOOD I NV I LLE, WA 98072 DELIVERY ADDRESS AND INSTRUCTIONS 1025 — DUVALL @ SUNSET 1025 — DUVAL.L @ SUNSET RENTON PLANTTIMEOUT • I JOBTIMEIN JOBTIMEOUT I PLANT TIME IN WEIGHT 2. OL71 42,000 DELIVEREDTODATE NET WEIGHT 2.00 LOAD NO. 4 TONS 1.00 PRODUCT CODE AND DESCRIPTION 11001328 'DUMP FEE T&T LOAD 1.00 LD SUBTOTAL CUST. SIGN X L / _ DRVR. SIGN X WEIGHMASTER SIGN X An. additional c�arge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current- hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH .LOWING DATE OF PURCHASE. FINAN-- CHARGE OF 1.833% PER MONTH (22%• PER ANNUM) WILL BE CHARGED ON AL ,ST DUE ACCOUNTS. 2 4 HBC Scale Ticket 1-04 y LAKESIDE INDUSTRIES, ING: =:•' ;`' Issaquah Plant Ticket 02 174677 PO Box 7016 :Ca<.<1:qu_ah, WA 98027 Dates 05/26/10 xxac Silo 3 I_obc:lout, •te•x••x 4. GpSTONER I j�OR�d 1 I9N JO)i3 I WORMAT I ON ; 004314 IDS s 1025 5 ITEM 999999 Name:;: Shoreline (:c:3ristr•ue:•l-::ion Go. Names STTONl:i:(:AT{: LEFT STATION Address sn P. 0.. Box 358 Location ion FIELD 1. D AUE NE c� Woodinville, WA 980720 358 RENTON, WO Truck IDS SL_C: Gross Tare met. ..._.._..._.,._.... ._. _.__._..._._.._......._.. _..._......__......_ I)L'. sc:�•r` i pt s SOLO rl`:)0 40 lb 29080 lb 29960 1 1) 29.52 2 Tn 14..54 Tn 14. 98 Tn 26.78 Mg 13.19 Mit 1.:3..' 9 __ _ __6?®3DUGT ACID LOAYD TOTALS • 5/TODAY 5/TO EDATE Names WSIDOT 1 /r " 1••1I' A 6 4••••i. 2 92.49 Tn 92.49 Tn W., 11a:A'.:ii:E''r` {tif, ),E( iJAL O PORT. 1IT1YEITPLOYER i WA". ST:•CGNT--REG•# LAKESI*274]D-m-0R CCBr#tY08542 ()A -;a,' .� 2996' HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. � INDUSTRIES,INC. ^ LAKESIDET' . . . ` Issaquah Plant ^ Ticket #:4673 PO Box 7016 Issaquah, WA 98027 Date:'`' /10 (425) 392 6432 Time: 01 4 PM _ U.N.N. Silo 3 Loadout *** ID: 004314 I.D. 1025 ITEM 999999 Name: Shoreline Construction Co. NSTONEGATE LIFT STATION Address: P. O. Box 358 Location FIELD AVE NE & ' Woodinville, WA 980720358 RENTON, WA Ph4254830600 P'O� � ` Truck M. SL-C 591189060 b 0120 lbDescript: SOLO 0 ' 29.59 Tn 14.53 Tn 15.06 Tn 26. ! 4 Mg 13. 18 Mg 13. 66 Mg - -- V 0 lb -----Legal----- 0 lb 1*70 3/ToDAy 3/TO DATE ` JMF#: 41.25 Mg 41.25 Mg W.Master: Byx tal: 30120 =�=���epp�����m�����������m����mu�- HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. (9) LAKESIDE INDUSTRIES, TNC. ` ' .Issaquah Plant Ticket 174750 PO'Box 7016 WA 98027 Date: 05/27/10 (425� 392 6432 Time:: �M T12:Q5 ���� -- -- � *** Silo 3 Loadout ***CUSTOMER INFORMATION JOB INFORMATION ` ` Name: Shoreline Construction Co. Name: STONEGATE LIFT STATION Address: P. O. Box 358 Location FIELD AVE NE & Woodinville, WA 980720358 RENTON, WA . '�Phone: 4254830600 PO#Truck and P=ier Information Truck Weig!jtj� Gross Tare Met Descript: TNT 100820 lb 40960 lb 59860/lb 50 41 Tn 20 48 Tn 29.93 Tn 18.58��g 27.15 Mg .................... 0 lb �ZeODLUCT AND LOAD TOTALS ' �u� �'w ' ~ Name: WSDOT HMA 64-22 29.93 Tn 29.93 Tn . JMF#: 27.15 Mg 27.15 I'll ' -- ^ / W.Master: Bv: tal: 59860 ---''---'n�z�o,u�v,,nu'nmurEm,u/`u^mxu�x/:'C"NcuEG�'#o,^Ew-z/4Jum"vuCCo#,m,e HOT ASPHALT MATERIAL aApETYDATA SHEET OmREVERSE , . HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply -cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. CORLISS RESOURCES Oualiry Concrete • Mashed Sand & Gravel • Crushed Rock /too "Great Service Since 1945 " 4 1 800 YOU POUR I P.O. Box 487 • Sumner, Washington 98390 . Cot. .,;'Dispatch: Phone 253 8916680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 8916692 DATE TIME CUST.NO. - IPLANT# �TICKETNO. 05/ 26 / 1.0 1 1 0 39 9024 104 186536 2 9 3 5 01 000(1)01 SOLD TO: 19024 SHORELINE"CONSTRUCTION CO PO BOX 358 WOOD I NV I I_I_E, WA 980-72 DELIVERY ADDRESS AND INSTRUCTIONS 10 5 — DUVAL.L @ SUNSET 1025 -- DUVALL @ SUNSET RENTON.. SELF/DELVD DRIVER- TRUCK ID PICK UP. SHOu65 QUANTITY ORDERED GROSS WEIGHT 97,8810 QUANTITY DELIVERED TODAY - TAREWEIGHT 61. tZ�O 40,180 DELIVEREDTO DATE NET WEIGHT 57, '700 400LA921. 4 I TONS 28.85 5/8 CR MINUS P/UP cs"rc 28.85 TN JOB TIME OUT PLANT TIME IN SUBTOTAL CUST. SIGN X DRVR. SIGN X •^"+.r.... WEIGHMASTER SIGN X An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH LOWING DATE OF PURCHASE. FINAI`• ' CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL ,ST DUE ACCOUNTS. HBC Scale Ticket 1-04 293501 LAKESIDE INDUSTRIES, INC. Issaquah Plant F'0 )-40x 701(:, WA tt a( yF 13 :i '1 to ::3 1._ o.i.i •J (:? (d'(: **-)(- ........ C'USTO ' NER -- I N*IF®RNO .IO.H 1) ; 0(1l•t::31. to I`•Ifill e:-. Sh.1.1 Co.. fl(:I(:IP.. ' (.).,• 1- (ax 1351:1 W(:,od i.hv:i l ].(-!., Wfa 980 rc Q),*Ki13 'T':i.n}t!;; (,.3 3,; 12 F11 JOB INFORMATIOM r3T01,41:iGATL. I•\I: NT(31,1 y W .) .Truck _. _.............. and Carrier Information _..._......._.._.._............_...._._._..._....._._.._._.............__..... __.. M.._...._ _..._.._.._..........__......__ Truck Nekahts .__ _....... _........ _......._.....__._..._...._.._. T'r (.(c:k :I:i1a l...C:::3:1.'7F' Gross_..... Tare met !.)t:•!�il`.: 'i•7. 1a�:: ;:. T'H'T 103640 '11.; :39(-:'20 1.b 4( 2Q) Lb 'i:L,. L'�i:? T1'} 1.`:�.. ��:L 'T'}} ,32., 0:1. 'T'n 'r 0 1. tr111 :I.'"r 97 I`'I m 29.. 04- 1Y1 rl PRODUCT AND LOAD TOTALS I`.:: :1.70 2/TODAY 2/TO D........... {d•::u}'� ! :; Wl,3D(.)T 1/2" F•1iYlf-1 (:,'+ i? '`. (. I. d `:)�t 'T'}'} (:,1. u `31.t f -- W,,l�l ir'r:, ir^,4•l n Tl I:. , Z�..., i c f 'Y't5 f:<:t:L t,�Ot�20 -•••-•••••••••••--• •,1•- ••EQUA•L•OPPOR• •L•NITT•EMPLYER ■ •\X%A: ST-•GONT:••REG•#•L:AK'E•SI�'74JD••r•OR. CCB * 1•b8542 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 - PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm .(8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician., CORLISS RESOURCES Quality Concrete • Washed Sand & Gravel • Crushed Rock "Great Service Since 1945 " 1 800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 8916680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 891 6686 • FAX 253 891 6692 DATE TIME CUST. NO. PLANT k TICKET NO. 293554 CUST. P.O. NO. JOB NUMBER I SELF/DELVD I DRIVER SOLD TO DELIVERY ADDRESS AND INSTRUCTIONS QUANTITY ORDERED QUANTITY DELIVERED TODAY I T SH0317 EIGHT 105,100 ;HT 40,880 DELIVERED TO DATE NET WEIGHT 84, 220 LOAD NO. TONS 3i?. 1 1 PRODUCT CODE AND DESCRIPTION SUBTOTAL 1 i LQ,--- CUST. SIGN X, ` DRVR. SIGN X WEIGHMASTER SIGN X An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH LOWING DATE OF PURCHASE. FINAP CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL -kST DUE ACCOUNTS. 2 9 3 5 5 4 HBC Scale Ticket 1-04