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Home My WebLink About08-7233 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7233 Permit Number: 7233 Permit Type: COMMERCIAL Class of Work: ADD/AL T COMMERCIAL Proposed Use: LIGHT INDUSTRY Square Feet: Est. Value: Improv. Cost: 12,063,003.48 Date Issued: 12/07/2007 Total Fees: 248,748.11 Amount Paid: 160,078.14 Date Paid: 12/07/2007 Work Desc: WAREHOUSE EXPANSION Address: 4330 20TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 13-26-21-0070-08900-0020 Name: NESTLE WATERS NA, INC Address: 4330 20TH ST ZEPHYRHILLS, FL. 33542 E.F. LEA ELECTRICAL CONTRACTORS, J.S. THOMAS MECHANICAL, LLC J.S. THOMAS MECHANICAL, LLC BUlL PLUMBING FEE RADON. WATER CONNECTION COMMERC FIRE INSPECTION FEES ./ FIRE IMPACT FEE v" TRAFFIC IMPACT FEE 99% .:/ TRAFFIC IMPACT FEE 99% -/ ./ TRAFFIC IMPACT FEE 99% 2,799.75 1,603.27 10,276.96 30.00 28,057.75 32,300.88 9,119.38 87,783.28 ,1 . MECHANICAL FEE 1,959.83 SEWER CONNECTION COMMERC 11,569.04 FIRE PLAN REVIEW FEES ._ 9,861.60 POLICE IMPACT FEE 26,133.79 PUBLIC SAFETY 5%./ 2,709.58 TRAFFIC IMPACT FEE 1""'" 326.27 TRAFFIC IMPACT FEE 1%......... 92.12 TRAFFIC IMPACT FEE 1% 886.69 4: I'> to It c., 9. q 1 fft.J;r, f Ul'D~@~J~ f]1)~ q- 17 ~ FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." /-:~~~2t<" PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Licensing Portal - License Search Florida [)epartmen~~t. 'BusineSSi(~b ProfessioRal Regulation Public Services Search for a Licensee Apply for a License View Application Status Apply to Retake Exam Find Exam Information File a Complaint AB&T Delinquent Invoice & Activity List Search User Services Renew a License Change License Status Maintain Account Change My Address View Messages Change My PIN View Continuing Ed Term Glossary Online Help (FAQs) Page 1 of I A . 1 1~ .~ ~l )! - >> DBPR ONLINE SERVICES Home I Help I Site Map 1:38:52 PM 9/10/2008 Data Contained In Search Results Is Current As Of 09/10/200801:34 PM. Search Results Please see our glossary of terms for an explanation of the license status shown in these search results. For additional information, including any complaints or discipline, click on the name. License Name License Name Number/ Status/Expires Type Type Rank Certified THOMAS, CFC1425963 Current, Active Plumbing JAMES Primary Cert 08/31/2010 Contractor CARL Plumbing License Location 4085 NINE MCFARLAND DRIVE Address*: ALPHARETTA, GA 30004 Main Address*: 4085 NINE MCFARLAND DRIVE ALPHARETTA, GA 30004 Certified THOMAS. CMC1249298 Current, Active Mechanical JAMES Primary Cert 08/31/2010 Contractor CARL Mechanical Main 4085 NINE MCFARLAND DRIVE ALPHARETTA, GA Address*: 30004 Certified Mechanical Contractor THOMAS. JAMES Primary CARL Application in Progress Main 4085 NINE MCFARLAND DRIVE ALPHARETTA. GA 30004 Address*: Registered THOMAS. Mechanical JAMES Primary Contractor CARL Application Expired Main 4085 NINE MCFARLAND DRIVE ALPHARETTA, GA 30004 Address*: -- * denotes Main Address - This address is the Primary Address on file. Mailing Address - This is the address where the mail associated with a particular license will be sent (if different from the Main or License Location addresses). License Location Address - This is the address where the place of business is physically located. I Terms of Use I I Privacy Statement I https://www.myfloridalicense.comlwlll.asp?mode=2&search=Name&SID=&brd=&typ= 9/10/2008 Licensing Portal - License Search Fiof~da Depa Busiries Profess; Regulation Log On Public Services Search for a Licensee Apply for a License View Application Status Apply to Retake Exam Find Exam Information File a Complaint AB&T Delinquent Invoice & Activity List Search User Services Renew a License Change License Status Maintain Account Change My Address View Messages Change My PIN View Continuing Ed Term Glossary Online Help (FAQs) ~ 1 ~. ;' :L~l . . . . OBPR ONLINE SERVICES Home I Help I Site Map Page 1 of2 1:13:16 PM 9/1012008 Data Contained In Search Results Is Current As Of 09/10/2008 01:13 PM. Search Results Please see our glossary of terms for an explanation of the license status shown in these search results. For additional information, including any complaints or discipline, click on the name. License Type Name Name Type License Number/ Status/Expires Rank GOOD. Cosmetologist TIMOTHY A CL0228888 Primary Cosmetologist Null and Void, Active 10/31/2002 Main Address*: 3704 N SCENIC HWY APT 10 LAKE WALES, FL 33898 N '1 S . r t GOOD. P . FV0567379 al pecla IS TIMOTHY A nmary Nail Specialist Certified General Contractor Address* : Real Estate Broker or Sales Real Estate Broker or Sales Real Estate Broker or Sales Professional Engineer Null and Void, 10/31/1999 Main Address*: 3704 N SCENIC HWY APT 10 LAKE WALES, FL 33898 GOOD. p' CGC003375 TIMOTHY A nmary Cert General License Location Current, Active 08/31/2010 Main Address*: 3516 BARQUENTINE JACKSONVILLE, FL 32216 PO BOX 44100 JACKSONVILLE, FL 32231- 4100 GOODALE. TIMOTHY Primary WILUAM SL543871 Sales Associate Current, Active 03/31/2009 Main Address*: 615 NORTHEAST 22 STREET #907 MIAMI, FL 33137 Application in Progress Main Address*: 615 NORTHEAST 22 STREET #907 MIAMI, FL 33137 Null and Void, 09/30/2003 Null and Void, Inactive 02/28/2005 Main Address*: 4673 BROOKSDALE ROAD MENTOR, OH 440600000 https:/ /www.myfloridalicense.comlwlll.asp?mode=2&search=N ame&SID=&brd=&typ= GOODALE. TIMOTHY Primary WILUAM GOODCHILD. TIMOTHY Primary RICHARD SL3022853 Sales Associate Main Address*: M 649 SW 2ND CT HALLANDALE, FL 33009 GOODING. 38113 TIMOTHY J Primary Prof Engineer 9/10/2008 Licensing Portal - License Search Certified Building Contractor GOODSELL. TIMOTHY DEAN License Location Address* : Main Address*: Certified General Contractor GOODSELL. TIMOTHY DEAN License Location Address* : Main Address*: Certified Public Accountant GOODWIN. TIMOTHY J License Location Address* : Main Address*: Page 1 of 21 . Page 2 of2 CBC1251642 Primary Cert Building Current, Active 09/30/2008 455 PAIGE DR BIRMINGHAM. AL 35226 POST OFFICE BOX 6257 GULF SHORES, AL 36547 p' CGC1508881 nmary Cert General Current, Active 09/30/2008 17 TANGLEWOOD DRIVE SANTA ROSA BEACH, FL 32459 POST OFFICE BOX 6257 GULF SHORES, AL 36547 Primary AC0020339 CPA Null and Void 12/31/1997 1833 FLAGLER AVENUE, NE ATLANTA, GA 30309 1833 FLAGLER AVENUE, NE ATLANTA, GA 30309 -....-- * denotes Main Address - This address is the Primary Address on file. Mailing Address - This is the address where the mail associated with a particular license will be sent (if different from the Main or License Location addresses). License Location Address - This is the address where the place of business is physically located. I Terms of Use I I Privacy Statement I https://www.myfloridalicense.com/wl11.asp?mode=2&search=N ame&SID=&brd=&typ= 9/10/2008 Licensing Portal - License Search Florida Departmento!, Busjne~~?Q) Profess I Of1a I Regulation Public Services Search for a Licensee Apply for a License View Application Status Apply to Retake Exam Find Exam Information File a Complaint AB&T Delinquent Invoice & Activity List Search User Services Renew a License Change License Status Maintain Account Change My Address View Messages Change My PIN View Continuing Ed Term Glossary Online Help (FAQs) Page 1 of2 h \ wi!' " i"i : ;,tit!t >> DBPR Home I Help I Site Map 1:14:12 PM Data Contained In Search Results Is Current As Of 09/10/200801:13 PM. Search Results Please see our glossary of terms for an explanation of the license status shown in these search results. For additional information, including any complaints or discipline, click on the name. License Name License Type Name Type Number/ Status/ Expires Rank Registered LEA. EROO01024 Null and Void Electrical ERNEST L Primary Reg 06/30/1990 Contractor Electrical License Location 2125 HUBBARD ST JACKSONVILLE, FL Address*: 32206-3729 Main Address*: 2125 HUBBARD ST JACKSONVILLE, FL 32206-3729 Electrical LEA. ECAOOO504 Null and Void, Contractor ERNEST L Primary Cert Inactive JR Electrical 08/31/2000 License Location 2569 WOODFERN LANE JACKSONVILLE, FL 32223 POST OFFICE BOX 3143 JACKSONVILLE, FL 32206 Address*: Main Address*: Electrical Contractor LEA. ERNEST L Primary JR Current, Active 08/31/2010 EC0000504 Cert Electrical Main POST OFFICE BOX 3143 JACKSONVILLE, FL 32206 Address*: Professional Engineer LEAF. ERNEST Primary ~ Current, Active 02/28/2009 61209 Prof Engineer Main Address*: 1017 N. MENARD CHICAGO, IL 60651 Pari-Mutuel General Individual Occupational GIN1636458 LEAL, Gen License Expired ERNESTO Primary 06/30/1999 Individual . Main Address*: 16117 NORTHWEST 47 AVENUE MIAMI, FL 33054 Engineering LEASURE. 1100003464 Intern ERNEST Primary E I t Current, Active GARY ng n ern https://www.myfloridalicense.com/wl11.asp?mode=2&search=N ame&SID=&brd=&typ= 9/10/2008 Licensing Portal - License Search Page 2 of2 Main 205 SW 75TH STREET GAINESVILLE, FL 326070000 Address*: Certified Mechanical Contractor LEAVELL. ERNEST LANIER CMC055474 Primary Cert Mechanical Current, Inactive 09/30/2008 Main Address*: 16346 BUDOWSKY RD BROOKSVILLE, FL 34603 -- * denotes Main Address - This address is the Primary Address on file. Mailing Address - This is the address where the mail associated with a particular license will be sent (if different from the Main or License Location addresses). License Location Address - This is the address where the place of business is physically located. I Terms of Use I I Privacy Statement I https://www.myfloridalicense.com/wl11.asp?mode=2&search=Name&SID=&brd=&typ= 9/1 0/2008 Haskell Co - Warehouse Expansion - Zhills Bottle - Type 4 SQ. FEET PRICE MAIN OR LIVING: 160,327 $ 68.00 THER AREA UNDER ROOF: - $ - OTHER: - $ - VALUATION $ 8,992,496.00 FEE SHEET $ 18,665.00 ADDRESS $ - DRIVEWAY $ - BUILDING: i $ 19,038.30 ELECTRICAL: $ 4,199.63 PLUMBING: $ 2,799.75 MECHANICAL: $ 1,959.83 SUB-TOTAL $ 27,997.50 RADON: $ 1,603.27 TOTAL $ 29,600.77 SEWER: $ 11,569.04 WATER: $ 10.276.96 IRRIGATION: $ - TOTAL: is 21,846.00 WATER METER: I $ IRRIGATION METER $ I Will have to advise Size If applicable FIRE DEPARTMENT FEES PLANS TOTAL: $ 9,861.60 INSPECTION TOTAL: $ 30.00 PERMIT TOTAL $ - TOTAL: $ 9,891.60 PUBLIC SAFETY IMPACT FEES POLICE $ 26,133.79 FIRE $ 28,057.75 5% $ 2,709.58 TOTAL: $ 56,901.12 SUB-TOTAL $ 118,239.491 PARKIMPACTFEESI $ I Not applicable SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - Not applicable Total - T I F 'S: $ 99% $ 1% $ 130,508.62 129,203.53 1.305.09 25% 32,627.15 75% 97,881.47 99%- 32300.88 99%- 96,902.66 1%- 326.27 1%- 978.81 If Not Paid In Total 25% Due at Permit Pickup wl75%due Prior to Premeter I PERMIT TOTAL: I $248,748.11 ~_ Haskell Check Overage @ P/up-Applied to OIS TIF $97,881.47-New OIS TIF Balance l)o{~,,<t) 99% 9119.38 1%- 92.12 AJtcft..,.1t'-- 99%- 87783.28 1%-886.69 -r' ~ 4,.-{ Co Haskell Co - Warehouse Expansion -Zhills Bottle - Type 4 SQ. FEET PRICE MAIN OR LIVING: 160,327 $ 68.00 THER AREA UNDER ROOF: - $ - OTHER: - $ - VALUATION $ 8.992.496.00 FEE SHEET $ 18,665.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 19,038.30 ELECTRICAL: $ 4,199.63 PLUMBING: $ 2,799.75 MECHANICAL: $ 1,959.83 SUB-TOTAL $ 27,997.50 RADON: $ 1 ,603.27 TOTAL $ 29,600.77 SEWER: $ 11,569.04 WATER: $ 10.276.96 IRRIGATION: $ - TOTAL: $ 21,846.00 WATER METER:I $ IRRIGATION METER $ I Will have to advise Size If applicable FIRE DEPARTMENT FEES PLANS TOTAL: $ 9,861.60 INSPECTION TOTAL: $ 30.00 PERMIT TOTAL $ - TOTAL: $ 9,891.60 PUBLIC SAFETY IMPACT FEES POLICE $ 26,133.79 FIRE $ 28,057.75 5% $ 2,709.58 TOTAL: $ 56,901.12 (l.-i. U7/ f SUB-TOTAL $118,239.491 , '" O~ e~1tf1C Qf1L- ~ \ .O~~~ " ~~'r" . '. l At:) r~ ~ e1 i; PARK IMPACT FEESI $ , Not applicable SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - Not applicable I Total -T IF'S: $ 130,508.62 I 99% $ 129,203.53 I 1% $ 1,305.09 If Not Paid In Total 25% Due at Permit Pickup wf75% due Prior to Premeter I PERMIT TOTAL: I $248,748.11 _- Haskell Check Overage @ P/up-Applied to OIS TIF $97,881.47--New 0/5 TIF Balance 25% 32,627.15 75% 97,881.47 99%- 32300.88 99%- 96,902.66 1%- 326.27 1%- 978.81 '1 ! \9. 3'3' ~1'l't;3,.)8 qt~&~z~Cf1 tt-t~ ..o<t> City of Zephyrhills 5335 8th Street Building Department Zephyrhills FL 33540 VENDOR NUMBER:l2264 INVOICE DATE AMOUNT DISCOUNT NET DESCRIPTION SDV041408 04/14/08 88,669.97 88,669.97 32795301 ecp CHECK TOTAL AMOUNT 88,669.97 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: I \ j.... I /I. 7L...... \\ " .A,..- Io-'rJ ;0, ~e \ \ l 'r. ." c- I H os (i 'On U Q L Date Received: ID-3-6, Site: 4330 26+11 S.f- Permit Type: WOrL...~hClU. J~ D. 9 ~n./"V'\ ^", .e-'t"\ Approved withe below comments: ~enied withe below comments: D Approved wino comments: D Q C-\~l... l;~ \Ttl ) lLt"\ N f~ ,3\\ Cs ~~G- . ~ 0\fl 0\<" pll.1~tL ~~ 11/'5/07- ~UA' {)~)"6 ~, IJIn .su.;>r~ ~ ~pl"'c.lU~ h-~~ This comment sheet shall be kept with the permit and/or plans. 'U (~~ ~ If Date ~' ontractor and/or Homeowner (Required when comments are present) -" Page 1 of 1 Billy Poe ---;----.-,---..-----.------...---.--- From: Billy Pee Sent: Wednesday, November 21,20074:12 PM To: 'michael.wheeler@thehaskellco.com' Subject: Nestle Water Plant Expansion Mr. Wheeler, The following items will need to be addressed prior to the City of Zephyrhills stamping the site plan for approval: 1) Provide a copy of the SWFWMD permit. 2) Provide a copy of the Pasco County ROW use permit. 3) Submit the $125.00 tree removal fee. 4) 119 trees will need to be replaced for the trees that are being removed. 5) Perimeter buffer will need to be brought to code. 6) Pond buffer will need to also meet code. 7) All gates shall have a Knox Key switch. 8) The noise level analysis shall be provided to the City. Should you have any questions, please do not hesitate to contact myself or Todd Vandeberg at 813-780-0006. Thank you, Billy Poe 11/27/2007 Page 1 of 1 Karen Miller From: Karen Miller Sent: Thursday, December 06, 2007 8:08 AM To: Todd Vandeberg Subject: Zephyrhills Bottle Water Todd: The building dept is looking to see if you could provide your approval to proceed in permitting the warehouse expansion at the Bottle Water Company. We have been informed they have all the required papers which they will be bringing in except for the R-O-W use permit which is in the process. Thank you. 7(jzren ~iffer City of Zephyrhills - Building Dept 813-780-0020 ext. 3513 813-780-0021 Fax kmi Iler@ci.zephyrhills.fl.us 12/6/2007 Page 1 of2 Karen Miller From: Billy Poe Sent: Friday, December 07, 20079:13 AM To: Karen Miller Subject: FW: Zephyrhills Bottle Water Karen, The following issues have to be addressed before the plans will be stamped for approval: SWF . ~. C~~~,.lnuY'\oJl, ~PP('260cs..Q asco County ROW use er' - "::) +0-. pcoc-e e~ . e.c.~~\.)~ ~ " v.>/U''l~~{.~h ~~~~ \~6U~ ~~I ~ G.O. i{;,.J~- -L) ,~hfo? 01:>:1) U - ~~ . ;~~~~o~~-~~~~~~~~-'~-'--'-'--"~-'-'--"-"'-~"--"'-"--'-"'-'~-'-'--"F;~~:7~'==-~;------~-~'--"'~' Sent: Thursday, December 06, 2007 10:23 AM To: Karen Miller Cc: Billy Poe Subject: RE: Zephyrhills Bottle Water Billy I will need to check with Billy. I believe he is still working on some issues. I will have him get with you. Todd Vande Berg Director of Development City Of Zephyrhills 813-780-0006 813-780-0005 (FAX) tvandeberg@ci.zephyrhills.f1.us From: Karen Miller Sent: Thursday, December 06, 2007 8:08 AM To: Todd Vandeberg Subject: Zephyrhills Bottle Water Todd: The building dept is looking to see if you could provide your approval to proceed in permitting the warehouse expansion at the Bottle Water Company. We have been informed they have all the required papers which they will be bringing in except for the R-O- W use permit which is in the process. Thank you. '1(p.ren :Miller City of Zephyrhills - Building Dept 12/7/2007 Page 2 of2 813-780-0020 ext. 3513 813-78~-002~ Fax kmi Iler@ci.zephyrhills.fl.us 1217/2007 Page 1 of1 Karen Miller From: Osborne, Dwight T. [Dwight.Osborne@haskell.com] Sent: Friday, December 07, 2007 6:44 AM To: Karen Miller Subject: RE: Fee Sheet - Warehouse Expansion Attachments: NWNA Zeph PO WH Exp PH 1 & 2.pdf Karen, See the attached for Summary sheet of the Purchas Order from Nestle for the project. Item 20 Bldg Exp. - PH 1 Base Sum Bid, refers to the portion of the project that we are currently permitting = $8,986,056.00. Phase 2 Replaced Truck Parking will be permitted separately. It would be greatly appreciated if you can pass this information to Bill for recalculation of the permit and impact fees per our discussion yesterday. Please call if you have any questions or comments. Thanks, Tom Osborne Cell 904-449-1101 ....___._....m.__.._~....@._~._.___._.._._._.~__._._.___......._......._...._~.~_.__m.'....___. . _._. _.._._.............~.m_...__.__~......_.mm._ . .._..~.._..........._..m_.._....._ m..._._._....__.m~.__.~....__..._..~._~.~~..m____._....,..._ From: Karen Miller [mailto:kmiller@ci.zephyrhillsJl.us] Sent: Thursday, December 06, 2007 7:56 AM To: Osborne, Dwight T. Subject: Fee Sheet - Warehouse Expansion 7(p.ren. !Miller City of Zephyrhills - Building Dept 813-780-0020 ext. 3513 813-780-0021 Fax kmi Iler@ci.zephyrhills.fl.us 1217/2007 Purchase order: 4522288337 Vendor Number: 100561928 Haskel Company 111 Riverside Avenue Duval Jacksonville, R.. 32202 United States Tel: 904 7914500 Fax: 904 7914699 e-mail: Your reference: Qt Dt 083107 For the attention of: Deliver To: NORTH AMERICA Date: 0911112007 Printed: 09/2712007 Page 1/3 INCLUDE NESTLE CONTRACf AND PURCHASE ORDER NUMBER ON ALL INVOICES SHIPPING PAPERS AND CORRESPONDENCE. INVOICES WITHOUT PURCHASE ORDER NUMBER WILL BE RETURNED. IF THE ORDER ON THIS CONTRACf IS SUBJECf TO ST ATE SALES TAX VENDOR IS SOLELY RESPONSIBLE FOR THE PAYMENT DUE AND SHALL INDEMNIFY BUYER FROM ANY STATE SALES TAX DUE FOR THIS ORDER. Terms of Payment: Due on Receipt Please send All invoices to: Nestle Waters North America Dale Kibby 4330 20th Street Zephyrhills, FL 33540 Ph# 813-783-1959 x276 dale.kibby@waters.nestle.com Item Material No. Vendor Mat. No. Quantity Unit 10 90001427 96,440 each Gross Price Non-Deductible Tax Tenus of Deliv.: Currency: Delivery Date: USD United States Dollar 09/1112007 Our Reference: Purchasing Contact: NW Engineer FL CA Mark Cosby Tel:864-231-1042 Fax: 864-231-1042 mark.cosby@waters.nestle.com Invoice To: Nestle Waters NA #220 6661 Dixie Hwy, Suite 4 LOUISVll..LE, KY 40258 Description Delivery Date & Time PricelUnit Net Value **Bldg Exp. - Stormwater Pond Mods 1.00 USD lEA 96.440.00 0.00 NORTH AMERICA PO NoIDatc; 4522288337 /09/l1f2oo7 Page 2/3 Item Material No. Vendor Mat. No. Description Quantity Unit Delivery Date & Time Price/UnitNet Value Warehouse Building Expansion Project; Stonnwater Pond Modification Lump Sum Price of $96440.00 Delivery Address: Dale Kibby US PL NW Zephyrhills Factory 4330 20th St PASCO Zephyrhills 33542-6703 United States 20 90001436 **Bldg. Exp. - Ph. 1 Base Sum Bid 8,896,056 each Gross Price 1.00 USD lEA 8.896.056.00 Non-Deductible Tax 0.00 Warehouse Building Expansion Project: Phase 1 Base Bid Lump Sum Price of $8896056.00 Delivery Address: Dale Kibby US PL NW Zephyrhills Factory 4330 20th St PASCO Zephyrhills 33542-6703 United States 30 90001436 **Bldg. Exp. - Rplcd Trk Prkg Req. 2,022,907 each Gross Price 1.00 USD lEA 2,022,907.00 Non-Deductible Tax 0.00 Warehouse Building Expansion Project: Phase 2 - Haskell interpretation of replaced parking requirements. Based on a Cost Plus Pricing - Not to Exceed - $2022907.00 NORTK AMERICA PO NoIDate: 4522288337 I 09/1112007 Page 3/3 Item Material No. Vendor Mat. No. Description Quantity Unit Delivery Date & Time PricelUnitNet Value Delivery Address: Dale Kibby US PL NW ZephyrhiUs Factory 4330 20th St PASCO Zephyrhills 33542-6703 United States Total net item value 11,015,403.00 Total including tax 11,015,403.00 PO approved by John Mehanna 09/12/2007 23:17:44 CET Michael Guilmette 09n7/200716:56:58CET 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name ',t::$7l-~ M';'~ . ;t1t:?t2..TfI '54/41 ,:J:)tC., Ow~er'sAddr~ I;;~~~~.r~ ~~~",%,3o ' Fee Simple TItleholder Name I JOB ADDRESS LOT # SUBDIVISION I D NEW CONSTR D ADD/ALTO D INSTALL D REPAIR o SFR 0 COMM 0 OTHER I W AAE= J-Iov:;e L?.x,q+~Jd41 o BLOCK 0 FRAME 0 STEEL 0 OTHER I I /b~,~ 5r Vlf-I<t3/'/Of.A.j;e ~~oA/ SQFOOTAGE I/~~ca::> ~A-.f'O~GHT WORK PROPOSED DEMOLISH PROPOSED USE iYPE OF CONSTRUCTION D BUILDING IS." 3 ,~Jc;c;O I . D ELECTRICAL Is I D PLUMBING Is I D MECHANICAL Is I D GAS 0 ROOFING 0 FINISHED FLOOR ELEVATIONS I I VALUATION OF TOTAL CONSTRUCTION IvE DESCRIPTION OF WORK BUILDING SIZE AMP SERVICE D \;/(/ PROGRESS ENERGY o W.R.E.C. VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES ONO ELECTRICIAN SIGNATURE COMPANY I REGlS'TalED L:!..!..!!.J yWILLE, Z "32202 License# leGe c:a337sl Ie; t~h' 8CZ7AKAt: C'e--.v'?/t. .];lA::.-1 k' y) N I FEE CURRENT ~ License # Ice OO()oSlJ '/ I I , I I , I YfN FEE CURRENT Addl'lllle Addl'llSS PLUMBER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT L.:!.!1U Address MECHANICAL I SIGNATURE . Addrus I ~:~~RE I Add... I License # COMPANY REGlS'TalED Y/ N FEE CURRENT L:!..!..!!.J License # COMPANY REGISTERED Y IN FEE CURRENT L:!..!..!!.J License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set ef Energy Fenns Minimum ten (10) working days after submittal date. Required ensile, CenstnJctien Plans, Sanitary Facimies & 1 dumpsler Attach (3) sets of Building Plans; (1) set of Energy Fenns. Minimum ten (10) working days after submittal date. Required ensita, Constructien Plans, Sanitary Facilftles & 1 dumpster All commarcial requlramenls must meet compliance. Attach (2) sets of Engineered Plans. -PROPERTY SURVEY required fer all NEW constnJction. COMMERCIAL SIGN PERMIT Dll'8CtIana: Fill cut applicatien completely. Owner & Cantr"cter sign back af application, notarized If aver $2500, a Nollce of Commenc.......t Ie required. lAIC upgrecl.. aver $lOGO) Agent (fer the contracter) er Power of AlIemey (fer the owner) would be someone with notarized leller tram owner authorizing sem" OVER THE COUNTER PERMrmNG (Front of Applicatien Only) Rereefs Sewers Service Upgrades . AlC Fences (PlctlSurveylFcatage) DriYewaya-Net ever Ceunter if en public roadways..needs ROW ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 TRACTS 73,74, 87 & 88 EXC THE WEST 10 FT OF TRACTS 73 & 88 - OR 4499 PG 1327 NOTICE OF-COMMENCEMENT 11111111/111111/11111111111111111111111111111111111111/11111 2007169990 . Permit No. Repl: 1134649 Ree: 10.00 Prop.erty Identification No. J"3 -zt; - '2/ ~ 0070 ~cf~/oO - 00<":::<':> DS: 0. 00 IT: 0.00 10/10/07 Dpty Clerk '. THE UNDERSIGNED hereby giVe' informs you that the improvement will be made to Cemlm real property, and in accordance with Section 713.13 of the' Florida Statutes, the following infonnationis provided in this NOTICE. O~ COMMENCEMENT. " '. '.. /":2 ._ 26;.,.,. 2/ - C<:.J7D '-07'-1.00 .....:.DC?c::>c:) l.Descnption of property (legal descrrption:);.-'" . a)-Stre~t~d~: Ze(7h'7',.-j,ulls //C'-"? r ~ tl33c::> 20 f"\ 57: ZpA'T/'k'//c;- /R :~,'3!;:'40 2.0eneral descnptionoflIDpf()Vem~nts:. . /bS,c-"~x:') . ~.JA/o...rC? ACYl/\.<c"(7~~;;~,~~ ~C..I 4/(:>.....--. ~ rrCAYl c.e . d:J-rve 3.0WIier Information .. . .' . 11. /, . . 777 W. ;9VTr1?\.VV14ve, , a) Name and address: ,.A/<?711(?~^k~ ./'Ycrrf"./lrmrt'L.a.: ~rj wi~ . L:T ~g3D b) Name and address offee simple titleholder (if other than owner) / . c) Interest in property .. . 4.ContractorInfoimation . : . J.,;.;" .... ..1 1 .5<>.c:-!<su-h<./.Y/e;:::L 3:22<./2.. a)Nameandaddress:*Ho-':7^(?I1(o, /II ~ver-5,(/e trv'e; . .' '.' . .J . b) Telephone No.: ., ~O'-l -"35--' - Cjq/ ~ 'PaxNo.(Opt.) 9OY47.!> .'?'lff-YS- 5.Surety Infomuition :. . a) Name and !lddress: ".;WJ- b) Arilount of Bond: . c) Telephone No.: 6.Lender a) Name and address: Pax No. (~t.) '~.' . Phone No. . 7. Identity of person within the state of Florida designated ~ oyvner upon whom notices or other'docmnents may be served:. . II a) Name and address: . ~'" Ie '1- . *,66'7 . . . ......- .. . 'b)TelephoneNo.: .... /'<;, - 'B-s - Iq~c::r. Pax No. (Opt.) &/'"3> - 70<- -1'/66 8. addition- to himself; owner deis.ignatesthe following person to receive a copy of the ~ienor' s Notice as provided in: Section . 7l3.13(l)(b), Florida Statutes: . · Z '.' /1.' '.. J . . A. . _ ~ L. . a) Name and addTess: . . ~ C~rp;?e / ({ . "'rJA:?r.5 /0- e /~. ~. /'L$;..>ar;. //c. , k .P2c'2 'b)1"elephoneNo.: / 9oY-3S7 ;.....::yt<9/S '. .PaxNo.(Opt.) _ 90<-/ ~ Y75>"- 7g<i~ 9.Expiration date of Notice of COFencement (the expiration date is one year frq~ the date ofrccor~.unless a different date is specified): . JED PITT"AN.I PASCO COUNTY CLERK . 10/10/07 11: 14am 1 of 1 ; . . . OR BK 7658 PG 106 WARNING TO OWNER: .AN\f'PAYMENTS MADE BY THE OWNERAFfER THE EXPIRATION.OF THE NOTICE OF COMMENCEMENT ARE COl1SIDERED IMPROPER PAYMENTS UNDER'CHAPTER 713, PART I, SECTION 713.13, . . FLORIDA STATUTES, AND dAN RESULT IN YOUR PAYING TWICE.FOR IMPROVEMENTS TO.YOURPROPERTY. A NOTICE OF COMl\fENCEMENT MUST BE RECORDEDAND.POSTED ON THE JOB SITE BEFORE THE FIRST INSPECJ:lON. IF YOUIN'l'EriDTO OBTAIN FINANCING, CONSULT yOuR LENDER OR AN AITORNEY BEFORE COMMENCING WORK OR R)tCORDING YOUR NOTICE OF COMMENCEMENT.' . . STATE OF FLORIDA COUNTY OF PASCO Si~~~tr: Print Name . ThC?!oregoinginstrument~aclm. OWl~edbefOremethis8:LdayOf~~Mhe\.20~bY~. ~ . ~ :.\ 'as ~C'....r.2 \f .' (type of~ortty, e.g. officer, trustee, attomeyJ . in fact) for . . . " (name of party on behalf o. . ent was execu!M). / . . Personally KDown X OR Produced Identificaticlll---,- Notary Si Name (print) FORMSlNOC.rvsd2007 Owner's Addretia Fee Simple TIUeholder Name I Fee Simple TItleholder Addreaa I JOB ADDRESS 12G/'rlYr(lilt.L~ "qA.;2IT i.;3'SO .<071-157: z:{t::~({..L.'::'JrL I LOT# SUBDIVISION I I PARCELID#I/3 -:J.b'-2./-C070 -b7YcC - GCC.--o (OBTAINED FROM PROPERlY TAX NOTICE) E1 ADD/ALT D SIGN 0 MOVE D REPAIR D COMM D OTHER I W AA€ J-icvse: D FRAME D STEEL D OTHER I 165"LCC; "::>~ VIf-r<EJ.100.5>t:3. tb</'A-t':WoA/ WI/1-1 A'e'W C.;07M#C. PROPOSED USE TYPE OF CONSTRUCTION Date Recalved WORK PROPOSED 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-o021 'b4.I<A :tAK-, ='30 Owner Phone Number Owner Phone Number I Owner Phone Number I B D D NEW CONSTR INSTALL DEMOLISH SFR BLOCK ff}0T.M$AWI I tVE BUILDING SIZE DESCRIPTION OF WORK SQ FOOTAGE I,~s}cc.v 4"A--+,o.:e;GHT I 35 \ o D D D D BUILDING 1$, ~I 'l~)c;e:c) I 1$ 1$ 1$ D OTHER DYES VALUATION OF TOTAL CONSTRUCTION ELECTRICAL I I I D I D D AMP SERVICE PROGRESS ENERGY WREC. PLUMBING ... \ '; \ ,,,CC ~ SLc.bS __ ~ !31m 'Db ~.ll..lt.d..o S. w Plan MECHANICAL VALUATION OF MECHANICAL INSTALLATION , i . ~ 2J.,.. SPECIALTY D FLOOD ZONE AREA GAS ROOFING FINISHED FLOOR ELEVATIONS I DNO BUILDER J.--?::-:..~ -" SIGNATURE : ...~~ Addresa (II RiVEt<. $JIJE /JVI-=. Address MECHANICAL I (l - . SIGNATURE .~ Address I OTHER I SIGNATURE Address I ELECTRICIAN SIGNATURE Address l' PLUMBER SIGNATURE f , ' '. ..~ '\ ~ COMPANY I i-\~Yf~:~j\ \ REGISTERED Y I N FEE CURRENT ~ JliCK0;WILLEj~ 32202 License# leGe co 537S I I ;~:~~~ I! ~ ~~E~~R~E~T\' ( ~ 1 I I I I I I I License # 5suL (}.::P:::.~n\Q./,,,,..t-1 1~&2r~R~ License # I COMPANY REGISTERED ~ 13~~N?- License # I I~ Y/N ~~-t- COMPANY REGISTERED COMPANY REGISTERED FEE CURRENT ~ ~ License # RESIDENTIAL COMMERCIAL SIGN PERMIT Attach (2) Plot Plans: (2) sets of Building Plans: (1) set of Energy Fonns Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans: (1) set of Energy Fonns. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. -PROPERTY SURVEY required for ail NEW construction. Dlnoctlona: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Cammancement la required. (AlC upgradea aver $5000) Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITnNG (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on publiC roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiliTIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore. if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County . TRANSPORTATION IMPACT/UTlLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION liEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more. I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowners Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment. Southwest Florida Water Management District-Wells. Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area. I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools. air conditioning, gas, or other installations not specifically inciuded in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes. nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. Name of Notary typed, printed or stamped Neme of Notary typed, printed or stamped ",1111'"" AlJV (j)" ~s """ M/QfELE HOOE t'i :1 MY COMMISSION' DO 389241 . '. ' '1 EXPIRES: February 26, 2009 " . ' Bonded Thru Nolluy Pubic UndInrltIers AJt( MICHELE HOGE MY COMMISSION' DO 389241 EXPIRES: February 26, 2009 Bonded Thru NoCIlry Pubic UnderWItlers NOV/26/2007/MON 04:00 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 p, 002 813.780-0020 City of ZephyrhUls Permit ApplIcation llllikli1g ~ F8lI-81S.78l1-OO21 Dtbl RllClllved Owlllll' Alone NIIIIIbW ~_eNu_1 ~"Iwn"Nllmbar I Qwners N_ o D o o Fee lSlmple lllIehalder AcldraR I ~ JOIJADDRESI 1~~Y~HII.t.~ /l.;MIT <13';0 ~a'tllst: ~~~~r~i1i:.1 LOT' I &UIDlVlIlO" I I pARCEl.IIltI/~-:tl;.~2.J -c>>*70-d7'1t::C -occo 1- - PRGHll1YTAXNCmCI) E3 NEWCON$1'R B ADO/ALT D SIGN 0 MOVE D Ol!MOUSH INBrAlL RI!PAlR PIWI'OSEOOSE 0 SPR D COMM D 0Ttt~ I WA~ U~ e~a,Q1 TYPI! 01' coNSTRtIC'ttON D BLOCK D FRAMfi D STEEL D OlliER I I oe!iCRlf"flON OFWORK 1/6,!;,,~ sr Vlt~e/.l~~ Jb(id~t:)A/ lIV;rl--t ....v~ I.!;vT,l/MC ~'VE I &QFOOTAGI! lk;.sj<<O ~.4.f'~1illiHT I 3>\ I I'., 3,~J~ l VAl.UATlONOFTOTALCONlITI'IUCTION . E I IW.P 8J:RI/lCl! I' I MECHANICAL I' --: I VAUJATION OF MECHANICAl JH81'AllATlO/'l o GAS D ROOfiNG 0 SPIiCIALTY D OT11ER FINIGHED FLOOR ELEVATIONS I. I Ff.OOO;WNJ;,\A1iA WORK PROPOSeD BUILDING ~ BUll.DING PUlMBING o PROGRI!SS ENIORGY D W.R.E.C. NOe.. ~~ Sub5 ~ ~t. \.G ~-m ,oI~ c:IVI!S DNO ~&.o $"; VJ Pla.n I!1.ECTRlCAl. IIJ:U.--- BUll.DiR ~ I COMPANY I ~~ \ ~ cm:J ISlGHATUIU! . lll!GlI1'I!Rl!O Y I N I'll! l' I H AdIhH I ill AIVE~.sI.tJE A~. ~1W'LU5~ 32:lC12. UcBf1&lli k:G~ 0.::,,33751 :::=: 16ee.. ~Jf1~+ .-t ::= lG"&lJ. ~=.Lr~~.1 LlcIn&e , I I I ~~m~~..eJ LPnIll# I('Fe I 4~5'~.31 ~~~ m~~'c..el We.."_'- I~. loR 49 ;1181 I ~ F!!CWENT ~ J ucenself r I if om~ SlCJNAlUR6 Addr... I Rfl8lDENllAL A11l1ch (21 PlllCPIom; (2) sa cilluildi~ PIar1S; (1) Nlot~"'otm8 MInlllllrl'll8/l (IOIW<ll1dng cleva a1lllr ItIbmlllal dIM. R8cNnd on&iW, ~ PAns. $"ry FlldIIlM & 1 dumpller COIlilMQtCIAL AIlach (a) _ at Il,jdine PI-i (1) seI of EI*llY FIlftIIa, MInimum l8n (101 WIlricilll dllY__r wbmill1ll... R_~d DIl5ila, Ccln_ Pl8na. SlIlll18ly 1'8CliIUea & 1 ~ AD camm_ requlfemen18 IIIU8l meet 00lI1Il8Bnca. SIGN PeRMIT - (2) _ of Eneineenld PIIWI. -PROPeRTY $URVIiY ~ """"'1 NEW_ DI_II_= FIN O<II.ppi=MI.., """,pIa\IIly. OWIW & OontIw:lDr '91- of"ppjlo:l8Iian, nalan.d If _ SPOIl, a NaIlaoo of ~_sn! Ja l1oqdhd. (Ale Upar111t118 aver $SIIaII1 - AgWll (fw1he ~ "" P_ of AItomey(farlhe 0WI'IlII1- be lOII\_wlIh nourl1Z8d lell4lrfRlm ownerlllllll1GrilQl1\I........ OVER THe COUNTal P'f.IlJoImlNG (F1'OI1l Of AppJlc8IlOn Dmtl Rerooll ~... $sviGal,lpg_ ' NC F_ (PIOIISUMly/FoolsllII O~I"""'Caunl...trCl'l P\lblc"'aclwalIe.._ ROW 4085 Nine McFarland Dr. Alpharetta, GA 30004 Phone: 770-475-2600 Fax: 770-740-8875 FAX Fax Transmittal Form To Tom Osborne From Tina Cleghorne (tina@jstco.com) Controller Fax# 904-475-7845 Urgent For Review Please Comment Please Reply Date sent: 11/26/2007 Time sent: # Of pages including cover page: Message: Tom: Ric said you are the person I need to send this to. Please let me know if you need anything else, or I need to direct it elsewhere. I appreciate your help ~ Tina Mechanical, LLC Mechanical Contractors November 26, 2007 City of Zephyrhills - Building Department 5335 8th Street Zephyrhills, FL 33542 RE: CFCl425963 Authorized persons for Permits To Whom It May Concern: This letter lists authorized persons to sign/pickup permits for JS Thomas Mechanical, LLC ( Federal ill # 20-0575073) The following persons have our permission: Sam Moss Lance Camp Steve Buice Michael Thomas Robert Hutchins Please call if you have any questions or need any more information Z Ric Rice President 4085 Nine McFarland Drive I Alpharetta, GA 30004 I (770) 475-2500. Fax (770) 740-8875 ACORD... CERTIFICA TEOF LIABILITY INSURANCE OP 10 1~ DATE (MM/DD/YYYY) JSTHO-1 09/25/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Graham-Naylor Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1355 Terrell Mill Rd Bldg 1464 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . Marietta GA 30067 Phone: 770-952-1096 INSURERS AFFORDING COVERAGE NAlC # INSURED INSURER A: Valley Forae Ins CO./eNA 20S08C INSURER B: National Fire/CNA 20893C J. S. Thomas Mechanical, LLC INSURER c: Great American Ins Co. J.B. Thomas ~o., Inc. 9365 Industr1al Trace INSURER 0: Alpharetta GA 30004 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IILTR waRt TYPE OF INSURANCE POLICY NUMBER DATEIMMlDDIYYI P~"/~ UMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - B ~ COMMERCIAL GENERAL LIABILITY 2077716361 09/30/07 09/30/08 ~=:;is lea occurence\ $100,000 n CLAIMS MADE (iJ OCCUR ~D EXP (Anyone IlBfSOn) $ 10,000 ~ BLANKET ADD'L INS PERSONAL & ADV INJURY $1,000,000 ~ XCU Included CONTRACTUAL INCLUDE P GENERAL AGGREGATE $2,000,000 GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 n POLICY [Xl ~~8r n LOC Emo Ben. 1,000,000 AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $1,000,000 f-- A ~ Am AUTO 2077716327 09/30/07 09/30/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY - $ .!... SCHEDULED AUTOS (Per person) .!... HIRED AUTOS BODILY INJURY (Per accident) $ .!... NON-OWNED AUTOS - PROPERTY DAMAGE $ (Pet accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ==i ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $5,000,000 C !J OCCUR D CLAIMS MADE SBU596589901 09/30/07 09/30/08 AGGREGATE $5,000,000 $ ~ DEDUCTiBlE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND Xl~yS~~Ti's I IU~ft A EMPLOYERS' LIABILITY 2077716277 09/30/07 09/30/08 E.L. EACH ACCIDENT $500,000 ANY PROPRIETORlPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 ~~~Mf~~J:~~NS below E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I L.OCATlONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project: NWNA zephyrhills Florida Plant, 4330 20th Street, Zephrhills, FL 33540 CERTIFICATE HOLDER CANCELLAllON CITY080 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBlIGATION OR UABIUTY OF ANY KIND UPON THE INSURER, rrs AGENTS OR REPRESENTATIVE&. AUTHO ~ WM. John Graham III, CIC @ ACORD CORPORA TlON 1988 City of Zephyrhi1ls Fax: 813-780-0021 5335 8th Street Zephyrhills FL 33540 ACORD 25 (2001/08) '\ ..I '1i ......:1, ~WE~ FLORIDA DEPARTMENT OF STATE Division of Corporations November 15', 2007 J.S. THOMAS MECHANICAL, L.L.C. 9365 INDUSTRIAL TRACE AlPHARETT A, GA 30004 Re: Document Number M04000004715 The reinstatement for J.S. THOMAS MECHANICAL, L.L.C., a limited liability company, was filed on November 14, 2007. Should you have any questions regarding this matter please telephone (850) 245-6051, the Registration Section. Tammi Cline Regulatory Specialist .11 Division of Corporations letter Number: 607 A00066025 P.O. BOX 6327 -Tallahassee, Florida 32314 NOV/26/2007/MON 04:00 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 p, 001 ......~........ ...... . .......,............. :::::::::j::::;X' li:;iiiiiii: mmHP 1:1:1' mr .,...................... ":;:::;;;;:;;)i;::H ':;inmmm 'i:!!~ :: 'i:~:l :nH '::1 ,Ci1;y ,of.Z'ephyrhills'. " , ::CONTRACTO.R'''CERTlFICATE.Requil'ements l(lI~l:Ii ,iii~il~E' :lI:U.:;:~ .:;:::t;;;;I,' ....",,!!:!j;lmml!lil;m I,n oi-derto be listed.ln our system we will 'need the. below In~rmatlon: 1) , State Certified lice,nse. QB. "A State Registered 'Licer:tse with pounty Competency ~ . Business Tax ReceipHformerly known as .0000pational License") 4) Worker's Compensation ,'. " , ' . 5},' Gene~1 Liability with the City Of Zephyrhllls as'certificate holdel"* , 6) , 'Fictitious Name (unless, the ,business isLLC..OBA, Ine) , 7) .' Authorization Letter. on your buslnes$ stationery/notarized, listing those . ,..' who are,authori,zed to' sign/pickup permits. . 8) . Address, Business phone and 'fax numbers , '9) ',' $30.00 charge (not applicable for State Certiffed or Registe~d Licenses) . . . . . , , , ., . If you are State eertifie~ orState Registered~ you.wlll only need to supply. Items 3..8; " .. Your d~umentation can. be f~edto 813-780-0021 but would ~ot become valid until ali ' the abOXfe requirements are met. ' "". ~~~. '," . . , "'CertifiG8te Holder Information City of Zephyrhllls ..:.. Building Dept 5335'8th Street, " , .Zeptlyrhills, FL 33542 . Phone: . 813..780-0020' -. . . , ", ~..._----. .-.-,., ..... .... '-- ..--..------.-..--. Haskell Co - Warehouse Expansion - Zhills Bottle - Type 4 SQ. FEET PRICE MAIN OR LIVING: 160,327 $ 68.00 THER AREA UNDER ROOF: - $ - OTHER: - $ - VALUATION $ 10,902,236.00 FEE SHEET $ 22,484.47 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 22,934.16 ELECTRICAL: $ 5,059.01 PLUMBING: $ 3.372.67 MECHANICAL: $ 2,360.87 SUB-TOTAL $ 33,726.71 RADON: $ 1.603.27 TOTAL $ 35,329.98 SEWER: $ 11,569.04 WATER: $ 10,276.96 IRRIGATION: $ - TOTAL: $ 21,846.00 WATER METER: I $ IRRIGATION METER $ I Will have to advise Size If applicable FIRE DEPARTMENT FEES PLANS TOTAL: $ 9.861.60 INSPECTION TOTAL: $ 30.00 PERMIT TOTAL $ - TOTAL: $ 9,891.60 PUBLIC SAFETY IMPACT FEES POLICE $ 26,133.79 FIRE $ 28,057.75 5% $ 2,709.58 TOTAL: $ 56,901.12 SUB-TOTAL $123,968.691 PARK IMPACT FEESI $ I Not applicable SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - Not applicable I Total -T I F'S: $ 130,508.62 I 99% $ 129,203.53 I 1% $ 1,305.09 If Not Paid In Total 25% Due at Permit Pickup w175% due Prior to Premeter I PERMIT TOTAL: I $254,477.31__ 25% 32,627.15 75% 97,881.47 99%- 32300.88 99%- 96,902.66 1%- 326.27 1%- 978.81 I $ 156,595.841 ?- -Ii l Ll-S Vr>\ lUl wt.<<G~(?.... ~rAN~tCI'J COMM / RES FEE SHEET -1\tv:> V" ~ l)..- (jJ, - . , 4 /).) \) '....., ......-rM L...... ~l. Square Feet: Valuation: Radon: Connection Fees: Sewer: Water: Water Meter: ? . I b~ I ?/27 , 1- ob3 0 ~ '7:> ,...fcl j . Rate JPmputed At: '75'. z.t -.L{use Sy~~~,~~~FeeS) (5 r~L 1 ~L)Il,'\\ l 24-1 gcCo. t)-'::' --1" O? ],7 ~b I ~ \ I "Slot{ .e4" -J O) '].,710, &~<c Size %" 1" 6/11/07 ~ 220.00 All Residentials 320.00 725.00 990.00 Contact Louie for Quote 1.5" 2" 3" &4" Irrigation Connection: Impact Fees: 266.00 Plus Meter Charge Above Based on size J ~, 5"08 l b '">- I S-Co /-10\ /2- ~ Public Safety: 2-8057. ,:;' fi4i- , 'I- l..~:-;-' z.~j ~~, ,'tCf ~...tc$- ;)'loC\ .s~ School: -.&\ A ~\f\ Transportation: Park: I (d) ~ 13 ''1.. 'b\+~:'o :=:: Sf) -. ?r:. " City of Zephyrhllls Water and Sewer Impact Fee Calculation Land Use Type: Bulk Storage Warehouse No. of Square Feet --'..--- /' // t Fees Within City Limits $ 10,276.96 $ ~El,6:3a.6S $ 11,569.04 $ .4?,5Q2.eQ Water Distribution System Wastewater Collection System Wastewater Treatment Plant Ca acit TOTAL N lp\ &,-iJSTlN ~ -z~ l J <b 'iCe ~. c c tside City Limits 12,846.20 25,820.82 14,461.34 53,128.36 Haskell Co - Warehouse Expansion . Zhills Bottle SQ. FEET PRICE MAIN OR LIVING: 160,327 $ 75.24 THER AREA UNDER ROOF: - $ - OTHER: - $ - VALUATION $ 12,063,003.48 FEE SHEET $ 24,806.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 25,302.12 ELECTRICAL: $ 5,581.35 PLUMBING: $ 3,720.90 MECHANICAL: $ 2,604.63 SUB.TOTAL $ 37,209.00 RADON: $ 1,603.27 TOTAL $ 38,812.27 SEWER: $ 11,569.04 WATER: $ 10,276.96 IRRIGATION: $ - TOTAL: $ 21,846.00 WATER METER:I $ IRRIGATION METER $ I Will have to advise Size If applicable FIRE DEPARTMENT FEES PLANS TOTAL: $ 9,861.60 INSPECTION TOTAL: $ 30.00 PERMIT TOTAL $ - TOTAL: $ 9,891.60 PUBLIC SAFETY IMPACT FEES POLICE $ 26.133.79 FIRE $ 28.057.75 5% $ 2,709.58 TOTAL: $ 56,901.12 SUB-TOTAL $127,450.991 PARK IMPACT FEESI $ I Not applicable SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ . Not applicable Total . T I F 'S :1 $ 130.508.62 99%1 $ 129.203.53 1%1 $ . 1,305.09 If Not Paid In Total 25% Due at Permit Pickup w175% due Prior to Premeter I PERMIT TOTAL: I $257,959.61 _-+ 1$ 160,078.141 J \J 25% 32.627.15 75% 97,881.47 99%- 32300.88 99%- 96,902.66 1%- 326.27 1%- 978.81 Nov, 16, 2007 7: 50AM Fire Chief Keith WiOiams No. 0060 p, 1 ZEPHYRHILLS FIRE DEPT Zt:JJHYKHILLS FIRE DEPARTMENT 6907 Dairy Road. ZephymiHs, Fl 33542 Bus (813)780-0041 Fax (813)780-0044 RRESE~EUSERFEES ~ Plan No.: - ~Nome: ---- ~ --- is ~ BUSiness Address: ~ Business Phone No.: Business Fax No.: Contact: . FI'E M.ARM SYS1EM B Sy&Iem AaleptBnce 150 R..r ADcefDnce $SO 0lItB1t ~F"_~W" LPGo ~Gu $SO ~ Tenl10';lr1D' ",...... Fire Pump $60 Fft s~ S50 Systwn ~ : B=-~ : (a8ler lhIuIanlUll) $SO 0 InBpedIon lICh8ll1Ied DBL InS caICelIId _lI18n 24 houn5 8 ConIIn.IcUan Insp. N/C Emergenc;y VehIcle AD ~A ~ ~ TOTALD INSPECTIONTOTAL~ T is'bl, t,p ~d_ ~ GRAMlTOTAL I "s .... $45 $30 ~~ Silting Address: ~~ ~~2 Billing Phone No.: Billing Fax No.: Contad: P!IUIIT FEE ~ SIImdpIpes Fir8 Pump HOOda Fire AIaIm LP GI8 NII1nl GiI8 F~ TIllb- ...._ ~ . Fire WarIla CiImp Fire CCIIfroIIed Burn HaodmuIlt Place ~ AsIembIv Fn P~, ~ WISte T1ra StGnIge GInenItar c KW o.n.rat<< >30 KW BlD-Haard w.- Fumiglllion TenIIng ~ ~AA*d Ha MIII8rtaIs B FALSE AIMM FEE ,. AIIrm NIC 2nd AIIrm NfC 3rd AIInn NIC 4lh AIIrm $100 5Ih AIIIml 5150 eat AIlml $200 $150 $50 $SO S60 1m $60 ISO $50 $SO 5100 S5lO $2S 5100 $60 S50 _11II $2S $SO Ma.... _ AIulHl 5100 150 $100 ~ $SO S50 "00 m-I FALSEALMM PERMIT TOTAL.c=J TDTALc:::=J ~===~~==:s \<t\ r ~ ~ (MI1ftmt CMrDe $25,00 2Jld RMnIpectilln $100 o PIIn RIYIsians DBL 3rd Re-irJIpediGn S2SO 4h ~Inspectton S500 SPRINICI.ER SYSTEMS (........ ckleed until B 0 - 25 HMI'b $SO vIaIIIIions carNded) 26 p1ua HeedI 1100 SPRMO..ER SYSTEMS STMDI9E SYSlEM ~ Hydrv lJndergrounda $45 o P. RI8er S50 H~ Test S65 ....,..'" FIlE PUMP Accepti..oe TetiI $4S perllllM\ o Per P&Jq) 5100 HydmnI FIClW $75 FIRE ALMM SYSTEM BO-25D.w. $50 21 pk& Devio8& $100 SUPPRESSION SYSTEMS BE: :; Bot. S50 KlTCtII:N EXHAUST DHoadIDuct5 OllER B LP......... '*.... Fuel TIUlkIn&lillllion (Per Tank) o ....... 0....... (Per System) o SpnI'f BooIh Date: ,,;~, I 07 :D:> '....or. j6'ay &r/M:II / htL Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 F ire Marshal Kerry Barnett Bus (813) 780-0041 Fax (813) 780-0044 November 21, 2007 I have reviewed and approved the plans for construction for the addition to Nestle Waters (Zephyrhills Plant) located at 4330 20th Street. I have attached the comments for the plan approval. If there are any questions please contact my office at 813-780-0041. 1. Per previous meetings, south entrance road shall have hydrants installed at 500' intervals. 2. Per NFP AI, fire safety practices shall be in place during construction. 3. Per previous meetings, knox key switch required on all access gates. Knox boxes will also be required at locations to be determined later by Fire Marshal. These locations will be different access points in to the building. Application supplied. 4. Fire rated doors installed in 2 hour wall shall be a rating of 1 ~ hours. Pump room door shall also be rated to a 45 minute rating for a 1 hour separation. 5. Install additional exit lighting in EIW corridors at each intersection leading to exterior exit. Exit signs provide additional directions to where these egress points are located. Install additional exit sign at west door north of pump room. 6. Paint lines on floor showing locations of egress where no storage is to be located. Same as existing building. 7. Separate fire alarm plans are required to be submitted for permit. 8. Separate sprinkler plans are required to be submitted for permit. As of this time, already received documentation that current fire pump is capable of performing within guidelines with the addition to the sprinkler system. Advise contractor that FDC connections will need to be placarded in reflective background so that these can easily be located in darkness. 9. Emergency escape plans shall be placed throughout building showing direction of egress travel to nearest exit. 10. Separate plans shall be required for relocation of propane. Permit required. Specs/details required for plan submittal shall be tank information, piping, emergency shutoffs, protection in place, etc... 11. All penetrations in any fire separations, end of sleeves shall be filled with minimum W' fire rated caulk. 12. Emergency shunt for electric required outside the building. Shunt shall be placarded same as FDC's so it is easily read in darkness. 2 13. Contractor responsible for color coding fire hydrants after they have been flow tested by Fire Rescue. Inspections required for total project: 1. Fire line underground pressure test. 2. Hydrant flow test on all new and relocated hydrants. 3. Sprinkler pressure test. 4. Sprinkler acceptance test. 5. Fire alarm acceptance test. Test includes checking CO detectors and fan shut downs. 6. Propane gas line pressure and fmal test. 7. All firewalls/fire partitions shall have screw inspects and finals. 8. Generator test. (witnessed by FM) 9. Fire pump test. (witnessed by FM) 10. Building final. . William A. Burgess Building Official City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33540 September 26, 2007 Tom Osborne Haskell 111 Riverside Ave. Jacksonville, FL 32202 William, At this time, I am submitting the Permit Application and three (3) signed and sealed sets of the permit drawings for the Zephyrhills Warehouse Expansion to the existing Nestle Waters North America - Zephyrhills Natural Spring Water Facility. The warehouse expansion will consist of approximately 165,000 SF of additional warehouse space constructed by concrete tilt-up construction. Also included in the improvements will be the addition of a new entrance drive for truck traffic. At this time we would like to be issued a building permit for the project and approval to commence work immediately with the condition that work will be performed only in existing impervious areas until receipt of approval from the SWFWMD ofthe project. Upon completion of the project, three (3) sets of the record drawings will be submitted to you. Please call if you have any questions or require additional information. Thank you, c;2:#~ ~, Project Manager Haskell Phone # 904-449-1101 or 904-357-4913 Fax # 904-475-7845 Florida Energy Efficiency Code For Building Construction Florida Department of Community Affairs EnergyGauge FLAlCOM 2004 v3.00 -- Form 400B-2004 Method B: Envelope Trade-Off Compliance for Commercial Buildings Effective December 8,2006 PROJECT SUMMARY Short Desc: Expansion Owner: Zephyrhills Address1: 4330 20th Street Address2: Description: Zephyrhills Warehouse Expa Type: Warehouse Jurisdiction: ZEPHYRHILLS, PASCO COUNTY, FL (611600) Cond Area: 1 SF Cond & UnCond Area: No of Storeys: I Area entered from Plans Permit No: 33540 Max Tonnage If different, write in: City: State: Zip: Class: Zephyrhills FL 33540 Addition to existing Building 159403 SF o SF o 10/3/2007 EnergyGauge FLA/COM 2004 v3.00 Compliance Summary Component Design Criteria Result ENVELOPE 6.9 6.9 PASSES LIGHTING POWER 99,826.0 143,462.1 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HV AC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS None Entered PIPING SYSTEMS None Entered Met all required compliance from Check List? ~oINA IMPORTANT NOTE: An input report of this design building must be submitted along with this Compliance Report. 10/3/2007 EnergyGauge FLA/COM 2004 v3.00 2 CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code Date: lJ'Jri/( I). ,l tu t. , d 6- ) Y1 , Prepared By: j[1 0 lUV7 e, eiM-US tlA.. J ~ Building Official: Date: I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent: Date: If Required by Florida law, I hereby certify (*) that the system design is in compliance with the FLorida Energy Efficiency Code Architect: Roland Udenze Reg No: 5114 Electrical Designer: M.1. Fadia P.E. RegNo: 22043 Lighting Designer: M. J. Fadia P.E. n Reg No: 22043 Mechanical D"ign"; Thorn", Em",oo P.'f).,wJ i Reg No; 43930 Plumbing Designer: Thomas Emerson P.E. Reg No: 43930 (*) Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans. Project: Expansion Title: Zephyrhills Warehouse Expansion Type: Warehouse (WEA File: Tampa.tmy) Envelope Compliance Design Load Criteria Zone Heating Cooling Heating Cooling Building 6.60 0.30 6.60 0.30 Total Loads: Desi!!D =6.9 Criteria =6.9 I PASSES I 10/3/2007 EnergyGauge FLAlCOM 2004 v3.00 3 External Lighting Compliance Descripti€?n Category Allowance Area or Length ELP A CLP (WlUnit) or No. of Units (W) (W) (Sqft or ft) I None I Project: Expansion Title: Zephyrhills Warehouse Expansion Type: Warehouse (WEA File: Tampa.tmy) Lighting Power Compliance Space Ashrae Description Area Height No. of Design Effective Allowance ill (sq.ft) (ft) Spaces (W) (W) (W) Warehouse 30,00: Medium/Bulky Material 26,567 36.5 1 18150 18150 23,910 Storage Dummy 2 Storage & Warehouse- 1 1.0 1 1 1 0 ur~11 Inactive Storage Warehouse 30,00: MediumlBulky Material 26,567 36.5 1 16335 16335 23,910 Storage Warehouse 30,00: Medium/Bulky Material 26,567 36.5 1 16335 16335 23,910 Storage Warehouse 30,00: Medium/Bulky Material 26,567 36.5 1 16335 16335 23,910 Storage Warehouse 30,00: Medium/Bulky Material 26,567 36.5 1 16335 16335 23,910 Storage Warehouse 30,00: Medium/Bulky Material 26,567 36.5 1 16335 16335 23,910 Storage Design . 99826 (W) I PASSES . Effective: 99826 (W) Allowance: 143462.1 (W) 10/3/2007 EnergyGauge FLAlCOM 2004 v3.00 4 Project: Expansion Title: Zephyrhills Warehouse Expansion Type: Warehouse (WEA File: Tampa.tmy) Lighting Controls Compliance Acronym Ashrae Description Area No. of Design Min Compli- In (sq.ft) Tasks CP CP ance Warehouse ,002 Medium/Bulky Material Storage 26,567 1 3 3 PASSES Dummy Wall 2 Storage & Warehouse - Inactive 1 1 1 1 PASSES Storage Warehouse ,002 Medium/Bulky Material Storage 26,567 1 3 3 PASSES Warehouse ,002 Medium/Bulky Material Storage 26,567 1 3 3 PASSES Warehouse ,002 Medium/Bulky Material Storage 26,567 1 3 3 PASSES Warehouse ,002 MediumlBulky Material Storage 26,567 1 3 3 PASSES Warehouse ,002 Medium/Bulky Material Storage 26,567 1 3 3 PASSES I PASSES I Project: Expansion Title: Zephyrhills Warehouse Expansion Type: Warehouse (WEA File: Tampa.tmy) System Report Compliance Dummy Dummy Constant Volume Air Cooled No. of Units Single Package System < 1 65000 Btulhr Component Category Capacity Design EfI Design IPLV Comp- EfI Criteria IPLV Criteria liance Cooling System Air Cooled < 65000 Btu!h 13.00 13.00 8.00 PASSES Cooling Capacity Air Handling Air Handler (Supply) - 0.80 0.90 PASSES System -Supply Constant Volume I PASSES I Plant Compliance Description Installed Size Design Min Design Min Category Camp No EfI EfI IPLV IPLV liance I None I 10/3/2007 EnergyGauge FLA/COM 2004 v3.00 5 Water Heater Compliance Descriptian Type Category Design Min Design Max Comp Eff Eff Loss Loss Iiance I None I Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp [Btu-in/hr Thick [in] Thick [in] [F] .SF.F] I None I Project: Expansion Title: Zephyrhills Warehouse Expansion Type: Warehouse (WEA File: Tampa.tmy) Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check Infiltration 406.1 Infiltration Criteria have been met D System 407.1 HV AC Load sizing has been performed D Ventilation 409.1 Ventilation criteria have been met D ADS 410.1 Duct sizing and Design have been performed D T&B 410.1 Testing and Balancing will be performed D Motors 414.1 Motor efficiency criteria have been met D Lighting 415.1 Lighting criteria have been met D O&M 102.1 Operation/maintenance manual will be provided to owner D Roof/Ceil 404.1 R-19 for Roof Deck with supply plenums beneath it D Report 101 Input Report Print-Out from EnergyGauge FlaCom attached? D 10/3/2007 EnergyGauge FLAlCOM 2004 v3.00 6 OJ:. C .- ::s! 'S co OJ:. .5 ~ ...... r./l <Zl .:;;: Il) Il) 0 <Zl ...... ~ c ("') 0 .9 ..c: 0 Il) ...... 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'" <l) ... o ::l i:i: "0 <l) "0 ::: <l) 0- '" ::l r/'J N ...... ::: <l) (.) '" <l) ... o ::l i:i: "0 <l) "0 ::: <l) ~ 0- ... '" = ::l Qr/'J ~i = ... Q ell i~- ... ell ~ G.i u ell =- t"I) G.i = =~ Q N .s DO - N ,..... (5 '= o ";; ::l a ::E "1" o 0-, N C") '-0 C") 00 0/) .5 :<:: 0/) :.:3 c; c; ... ... <l) <l) ::: ::: <l) <1) o 0 ...... ::l o -5 .~ ... o '" ::: <l) ~O/) (.) .5 81: g.2 (.) ;>-. (.) o;l 00 - C") "1" C") - C") '-0 C") I"- C") 0/) ::: "';:: ...<:: 0/) :.:3 ...... ::: <l) (.) '" <1) ... o ::l i:i: "0 <l) "0 ::: <l) 0- '" ::l r/'J N ...... ::: <l) (.) '" <l) ... o ::l i:i: "0 <l) "0 ::: <l) ~ 0- ... '" = ::l Qr/'J ~'5 = ... Q ell '5:>- ...~ ell ~ G.i u ell =- t"I) G.i = =~ ~ = ~ DO - N it:: o --- ::: o ";; ::l ::: o;l ::E "1" o 0-, N C") '-0 C") 00 0/) ::: '';:: ...<:: 0/) :.:3 ~ c; ... I- <l) <l) ::: ::: <l) <l) o 0 ...... ::l o -5 "~ ... o '" ::: <l) '" ;>-.0/) (.) .5 a..E g.2 (.) ;>-. (.) o;l 00 - C") "1" C") - C") '-0 C") I"- C") 0/) ::: '';:: ...<:: 0/) :.:3 ...... ::: <l) (.) '" <l) ... o ::l i:i: "0 <l) "0 ::: <l) 0- '" ::l r/'J N ...... ::: <l) (.) '" <l) ... o ::l i:i: "0 <l) "0 ::: <l) ~ 0- ... '" = ::l Qr/'J ~.l:l ... ~ = ... jell ~~- ... ell ~ G.i u ell =- t"I) ~.s Q N = ~ DO - N it:: o --- ::: o ";; ::l ::: o;l ::E "1" o 0-, N C") '-0 C") 00 0/) .5 ...... ...<:: 0/) :.:3 ";; ";; ... ... <l) <l) ::: ::: <1) <l) o 0 ..... ::l o -5 .~ ... o '" ::: <l) '" .....0/) (.) .5 a:<:: g.2 (.) ..... (.) o;l 00 C") "1" C") - C") '-0 C") I"- C") 0/) .5 ...... ...<:: 0/) :.:3 ...... ::: <l) (.) '" <l) ... o ::l i:i: "0 <l) "0 ::: <l) 0- '" ::l r/'J N ...... ::: <l) (.) '" <1) ... o ::l i:i: "0 <l) "0 ::: <l) ~ 0- ... '" = ::l Qr/'J ~.l:l ... ~ = ... Q ell '5~- ... ell ~ G.i u ell =- t"I) G.i = =~ Q N = ~ DO - N it:: o '= o ";; ::l ::: o;l ::E :; o -5 .~ ... o '" ::: <l) '" ;>-.0/) (.) .5 81: g.2 (.) ;>-. (.) o;l 00 "1" o 0-, N - C") "1" C") - C") '-0 C") C") '-0 C") 00 I"- C") 0/) ::: '';:: ...<:: 0/) :.:3 0/) ::: '';:: ...<:: 0/) :.:3 ";; ";; ... ... <l) <l) ::: ::: <l) <1) o 0 ...... ::: <1) (.) '" <l) ... o ::l i:i: "0 <1) "0 ::: <l) 0- '" ::l r/'J N ~= =.... 71~ >...: &: ~ ~ <iiI;:;' =~ ~~ Q=.. .e-f;; ...... c..:I ell U ... ~eII= == ~.... u!.. ~f;; =..... :l ... U a.: i~ Q.... u= =...... Q .. .... U e is ~I;:;' ...~ -< fI) - - ftI ~ .. ... :: ~ = .. ~c.. - U ~ ~~ == .l:l ;e;~ ~...... ~ =- ~ = .S! .... =- .. "" U ... ~ Q ~ f"l = = ~ .. ..., = = M ~ o ~ ri ~ ~ = ell Cl ~ "" ~ = liIil ~ ... = Q .l:l e ell ~ G.i = ~ .s r-- = = ~ ~ = ... D t- o o ~ o ~ - o II") C"J 0-- - II") ~ II") "": ..<:: t:: o ;z: C"J 00 N 00 t- o o o o 00 C"J 00 t- 0.. 0.. := := I I .=: .:t: E= E= D t- O o ~ o ~ - o II") C"J 0-- II") ~ II") "": ..::: t:: o ;z: ~ o ~ - o ~ D t- O o ~ o ~ o II") C"J 0-- - II") ~ II") "": ..::: t:: o ;z: C"J 00 N 00 t- o o o o - 00 C"J 00 t- 0.. := I ..:= E= D t- O o ~ o ~ - o II") C"J 0-- - II") ~ II") "": ..::: t:: o ;z: C"J 00 N 00 t- o o o o - 00 C"J 00 t- 0.. := I .::: E= D t- O o o o ~ - o II") C"J 0-- - II") ~ II") "": ..<:: t:: o ;z: C"J 00 N 00 t- o o o o 00 C"J 00 t- 0.. :;' .::: E= D t- O o ~ o ~ o II") C"J 0-- - II") ~ II") "": ..<:: t:: o ;z: C"J 00 N 00 t- o o o o 00 C"J 00 t- 0.. := I .::: E= 41 41 41 41 41 ~ ~ ~ ~ ~ = = = = = 00000 -= -= -= -= -= t t t t t = = = = = ~~~~~~~~~~ ~ ~ ~ ~ ~ ~ El El = ~ Q~ ~ ~ 5 >. .;:: E (1) .. E >< 41 := >l.J ~ 0 - =- .... .... o .;:: (1) ~ >< =>l.J ~ =- .... .... o .;:: (1) .. - 41 :><: =>l.J ~ =- .... .... o .;:: (1) .. - 41 :><: lS>l.J N =- .... .... o .;:: (1) ~ t< lS>l.J N =- ..... ... o .;:: (1) .. - 41 :><: =>l.J ~ =- .... D t- o o o o ~ - o II") C"J 0-- - II") ~ II") "": ..::: t:: o ;z: C"J 00 N 00 t- o o o o - 00 C"J 00 t- 0.. := ~ E= = 41 .. -<.... -; rI.l - ...... o Eo- ;c .. - 41 = ... ~'a 'U' ~- e=- = ~~ 011 .. Eo- .f!l > fit ~ o "a C i ~ 1:I.l ~ .... rI.l ;;l .. ~ - E!:. "C 41 "C = -= 1:I.l 41 e: Eo- = o ... - c- ... .. ~ rI.l 41 Q o Z - -; ~~ = = ~..... .s D 41= =- -;E >.... =: ~ :5. =-~ = u'= <;] =E!:. ~I;:;' =~ 41.= Q::.. ~ .... -= rI.l lS ..: U~ - E!:. :II;:;' .. rI.l -<....... : ... - 41 = ... ~'a !! o o C .-. i- e5. = -= -- :52~ ~....... 1:'-. "C 41 "C = -= 1:I.l 41 e: Eo- = o ... - c- ... .. ~ ~ Q o Z ... = 0 = 0 ~o 41-=~ ~r-l~ o -= e::- = = ~~ = .... ~ = ~ = .... D D C"J II") - C"J II") <"\ II") o <"\ II") o t- ~ <"\ ~ t- 'D <"\ ~ 0-- 0-- 0-- - 0-- - o o ~ ~ o 0-- N <"\ o - o ~ t- o o o - o ~ <"\ o o 0\ o ;z: o ;z: l-o--- ,.,; o 0 o 0 -e (1) "0 (1) E = E = ::s ~:= ~ .5 ::: ~.5 ::: ~ E .- CIl E .- CIl := II") >. ::s II") >. _N'O_N'O -< ,....; 0.. -< ,....; 0.. o o ~ u := ... E- o.. :J '0 c::: N - -; ~ 41-= ~r-l o -= 41 .. ..= = = ~~ .s ~ = ~ = .... "'l!I' => => !'ti ~ "'l!I' => => M ~ o ~ ; 41 '" = = ~ ~ .. 41 = r-l r- => => ~ t!:! => .,..; o o .... = 0 <<I 0 ~o ~-a ~ ~ "'" :l~"":; = -= e::- <<I <<I ~~ .s 4i = ~ .s o o .... = 0 <<I 0 ~o ~ -= a ~~~ = -= e::- <<I <<I ~~ = ... 4i = ~ = ... o o .... = 0 <<I 0 ~o ~ - a ~~ ~ = -= e::- <<I <<I ~~ = ... 4i = ~ .s o o .... = 0 <<I 0 ~o ~ -= a ~~~ = -= e:;..- <<I <<I ~~ = ... 4i = ~ = ... o o III t"J on t"J on t"J on t"J on t"J on t"J on t"J on t"J on t"J on C"J on t") ""l <0 M on <0 t") ""l <0 M on <0 M ""l <0 t") on <0 M ""l <0 t") on <0 t") ""l <0 M on <0 r- ~ t") "'1" r- ~ M "'1" r- ~ t") "'1" r- ~ M "'1" r- 1.0 M "'1" r- ~ t") "'1" r- ~ M "'1" r- ~ M "'1" r- 1.0 t") "'1" r- ~ M "'1" 0'\ - 0'\ 6 0'\ 0'\ - o 0'\ 0'\ 6 0'\ 0'\ o 0'\ - 0'\ o 0'\ - 0'\ - 6 0'\ - 0'\ o 0'\ - 0'\ 6 0'\ - 0'\ 6 0'\ - 0'\ o ~ N ~ <0 0'\ ~ N ~ <0 0'\ ~ N ~ <0 0'\ ~ N ~ <0 0'\ ~ N ~ <0 0'\ N Q Q tti ~ '"" Q Q N ~ o ~ ..;1 ~ ~ ~ :l <<I ~ ~ ~ = ~ N <n N <n N on N <n <n <0 ~ r- <0 <0 <0 <0 ~ r- <0 ~ <0 <0 ~ r- <0 <0 6 <0 ~ r- <0 <0 6 <0 ~ r- <0 <0 <0 <0 ~ t") <0 <0 '" <0 ~ M <0 <0 '" <0 <0 M <0 <0 '" <0 ~ M <0 <0 '" <0 ~ t") <0 <0 '" o Z o Z o Z o Z o Z o Z o Z o Z o Z o Z ;...;' ;..; o 0 o 0 "0 <1)"0 <I) E :: E :: ;:l <I);:l <I) .5 d E-.5 d E- E'- 'J'J E'- 'J'J ;:l on ;>-. ;:l on ;>-. _NO_NO < -= 0.. ~ -= 0.. o o ..::.: u ;:l .... f- 0.. ~ o 0::: N r-- Q Q ~ ~ Q ... ~... ,-,'" o 0 o 0 "0 <I) "0 <l) E :: E :: ;:l ~;:l ~ .5 d .0.5 d .0 S .- 'J'J S'- 'J'J ;:l <n ;>-. ;:l on ;>-. _NO_NO < -= 0.. ~ -= 0.. .... o o o :: o:l ~ o o ..><: u 2 f- 0.. ~ - o 0::: N ,,-'" ,,-'" o 0 o 0 "0 <l) "0 <l) E = E :: ;:l ~;:l ~ .S d .o.s d .0 E'- 'J'J E'- 'J'J ;:l <n ;>-. ;:l on ;>-. _NO_NO ~ -= 0.. < -= 0.. o o ..><: u ;:l .... f- 0.. ;::l o et: N "'"""' ;..: o 0 o 0 "0 <l)"O <l) E :: E :: ;:l ~;:l ~ .S d .o.S d .0 E'- 'J'J E .- 'J'J ;:l on ;>-. ;:l <n ;>-. _NO_NO ~ -= 0.. ~ -= 0.. o o ..><: u ;:l .... f- 0.. ~ o et: N ,,-'" 1-0'" o 0 o 0 "0 <l)"O <I) E :: E :: ;:l <l);:l <I.l = ._d E-.s d E- 's 'J'J S'- 'J'J ;:l <n ;>-. ;:l <n ;>-. ::;::t"Jo-C"Jo "'" o..~- 0.. o o ..><: u ;:l .... f- 0.. ~ o et: N ~= =- -~ .~ :>t..l = fI! :S wi-;' =..:::: ~.c =::.. ~~ U';j .= ~- =e:. ~ t..l -c7JJ. 1:1 . C ... U~ - e:. -";ii == ~ ~'O - ~l;;' ... .." <- l.! o ~ ~ .. - ~ = ... :a'a 'Cj' ~- FS~ = ,CI -- :s!c ~- ~ =- t: = .s - =- 'C U .." ~ = ~ D ~ .." = c""" ,CI 0 ~ 0 ;0::: ~ ~ = c N = .... <"l ..... ..... ..... N r..: 00 r- o o .,., r- o o o C! o C! r- \0 .,., \0 N o C! o o o ..... r- .,., \0 N """ o o 0::: """ o o 0::: >-. >.5 a 5 a ::l =0 Q ~ = c N = .... D <"l ..... ..... ..... C'J r- 00 r-: o o .,., r- o o o C! o C! o C! o C! """ o o 0::: ~ .." = c""" ,CI 0 ~ 0 ;0::: ~ ~ = ~ ~ D <"l ..... ..... ..... C'J r- 00 r-: o o .,., r- o 6 o C! o C! r- \0 .,., \0 N o o o o o ..... r- .,., \0 N """ o o 0::: ~ .." = c""" ,CI 0 ~~ ~ ~ = c N 1:1 .... D ..... ..... ..... ..... C'J r- 00 r- o o .,., r- C! o o C! o C! r- \0 .,., \0 N o o o o o r- .,., ..0 N """ o o 0::: ~ .." = c""" ,CI 0 ~ 0 .0::: ~ ~ 1:1 ~ ~ D <"l ..... ..... ..... C'J r- 00 r-: o o .,., r- C! o o C! o C! r- \0 .,., \0 N o C! o o o r- 'r: \0 N """ o o 0::: ~ .." = c""" ,CI 0 ~ 0 ;0::: ~ ~ = ~ = .... D <"l ..... ..... ..... N r..: 00 r- o o .,., r- o o o C! o o r- \0 .,., \0 N o C! o o o ..... r- .,., \0 N """ o o 0::: ~ .." = c""" ,CI 0 ~ 0 .0::: ~ ~ 1:1 ~ 1:1 .... D <"l ..... ..... C'J r- 00 r- o o .,., r- C! o o C! o C! r- \0 .,., \0 N o o o o o 1ft .... .c eft .- ~ en r- .,., ..0 N """ o o 0::: . ~ ... < -;1;' o~ ~ . ~I;' <~ ... .~ - .S: ;:: = :a - u ~ ei: =...... ~~ .." 1:1 . ... ~ .r:S :> U c = 7JJ. ~ .... .." ;;:l ... ~ - = - ~ ~ ~ 1:1 .s - =- 'C U .." ~ = c Z .... c c ~~ = = ~.... 1:1 .... D ~= =- -~ .~ :>t..l = fI! :S wi '5" =...... ~.c =::.. c..f;; . U';j .] ~= =- f;; t..l -c .." 1:1 r.: 8~ - e:. ~l;;' ... .." <- ;: ... - ~ = ... :a'a r! o o u: 'Cj' ~- ~~ = ,CI -- :s!c ~- ~ =- t: = .s - =- 'C U .." ~ Q c Z Il) "0 ~ ... ~c.:I .." ~ go ,CloD ~ ~ ...- CIS[/) ~ ~ = ~ ~ D I,Q N ..... o o C! o "T - ..... ..... 0\ ..... ..... N M C! r- \0 .,., \0 N = = tti ~ ...,. = = N :a o 3 ~ ~ ~ = CIS C ~ ~ = ~ o o o o o r- .,., \0 N Il) "0 ~ ... c.:I ~ o oD ~ Vi r-- = = ~ ~ = ,..; D ODD 0 D ... o o 1:i: >. :;...8 EI 8 EI ;::l =0 Q ~ = ~ = ... N r') o o C! o """ r') "': 0\ r') r') N M C! o C! o C! Q) '" o:l ... o ::: o ~ o:l Vi Q) '" o:l ... CIoIO rIJ = go .I:l~ CIoI o:l ..- IllICFJ ~ ~ = ~ = ... N r') o o C! o ,. r') "': 0\ r') r') N M C! r- 1,0 tr) 1,0 <:'1 o C! o o o r- tr) 1,0 N Q) '" o:l ... o = o ~ o:l Vi Q) '" o:l ... CIoIO rIJ = go .I:l~ CIoI o:l ..- IllICFJ ~ ~ = = N = ... N "': o o C! o """ .- M "': 0\ M r') N .- M C! r- 1,0 tr) 1,0 N o C! o o o r- tr) \l:i N Q) '" o:l ... o = o ~ o:l Vi Q) '" o:l ... CIoIO rIJ = go .I:l~ CIoI o:l ..- IllICFJ ~ ~ = ~ = ... N "': o o C! o """ r') M 0\ M M N M o r- 1,0 tr) 1,0 N o C! o o o r- tr) \l:i N Q) '" o:l ... o = o ~ o:l Vi N M o N "': o o ~ o ,. o C! o """ M M 0\ M r') 0\ M M N M r') r') N M C! r- 1,0 tr) 1,0 N C! r- 1,0 tr) 1,0 N o C! o o o o o o o o r- tr) 1,0 N r- tr) 1,0 N Q) '" o:l ... o = o ~ o:l Vi Q) '" o:l ... o ::: o ~ o:l CFJ Q) '" o:l ... CIoIO rIJ = go .I:l~ CIoI o:l ..- IllICFJ ~ Q) '" o:l ... CIoIO rIJ = go .I:l~ CIoI o:l ..- IllICFJ ~ ~ = ~ = ... ~ = ~ = ... ..-I rIJ .... .... = ~ .... o = z fI.l e ~ .... fI.l ~ r:Il CIoI - OIl = .... ... r:I.:l.= "Cl= Q,l.... -e= e= U= ...~ <1oC Q,l V El El ;:I Q,l o~ >~ .... = CIoI S OIl ~.= e U U~ ... El El ;:I = ... El El ;:I = > ~ ..;l 00 !:l :;... u 0 5 C! .u fij IS .- ~ .e- .- U 0 !~ IllI U D D OIl .S '0 o u -= --- ;::l 05 o o o tr) 1,0 v '" Q) '0 o u ... 8 :.;: E~ '-' rJl Q) 8 ~E :;... ~ gf-E ...- ~ ~:.= > ~ OIl 0] Q ~ ~'g ~ t1 ~ g go.:: g uu-<u - = CIoI ~.- N C. EI = U o 00 o ~ 0 ~ !:l rIJ rIJ = ..;l !ool .... ~ = t' z = ...s CIoI rIJ .- U = !;l ... .... ~ r! CU .... .... ~ .~ fa C CU ~ fa 00 :c - D. .. ! fa ~ - ~ ~ t' IllI U = "" bll 'u ~ IllI IllI C. U IllI U = .S - c. 'C U rIJ CIoI - Q = .. CIoI EI CIoI - C. IllI CIoI 'S == C" I ~ ~ o o o o tr) .- I ~ >. Q. 0- :::l CFJ '-' ... Q) ::0 ::: o:l :r: ... :.;: '-' >. Q. 0- ;::l '1 r-- = = l"i ~ ~ = = N ~ o ~ ..;l fir;; CIoI bll = IllI t.:l ~ .. CIoI = ~ r-- = = C::! ~ = ~ 0 0 ~ ('. - ~- ::l ~~ Q = ca ........ ::l ~ == .:!l ~ = '" ~ Q '" ... ~ E-! -,a- Q ca = - u-... = -.........,,; ... "'.= - = .:IE-! Q U ~ '" =- - .- ... ... =-~ = -"S~ ::l ... - ~ 8 .s Q Q Qca- Q~ 8 ... Q~ ~iO:l Z ~ fI.l ~........ ca ~ ... < cfZ' == ... 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C") ~ 0 - '" u '" ::I 0 ~ ... :z r;;~ '" = ell Q ~u ~ "'1" I ~ o:l ..J ~ ::I 0 - ... 0 =-- :z "'1" El '" - I ... g ~ r'-lu ~ I ~ - ::t ell 'C U ~ 6 - ell ~ U "; .C . '" ~ Q IrJ ~z ~ <I) ... "0 ~ '" .... .... ell 0 ..;l ::: ~ 0 El .D '" ClII CZi Z l"- I Q IrJ -'I z IS I = = = ~ "!I' = = M ~ o ~ ~ ~ ::I ClII ~ ... ~ = ~ r-- = = ~ t!:! = ... Energy Code Page 1 of2 Ford, Matthew I. From: Bill 'Burgess [b_burgess@cLzephyrhills.f1.us] Sent: Wednesday, September 26,20078:54 AM To: Ford, Matthew I. Subject: RE: Energy Code Matt, If were talking about the mechanical wall vents, I would classify them as strictly used for ventilation. Although they will modify the indoor air through ventilation (air exchange) they are not designed too cool or lower the air temperature. So yes I would classify this area as exempt. From: Ford, Matthew I. [mailto:Matthew.Ford@thehaskellco.com] Sent: Wednesday, September 26,20078:17 AM To: Bill Burgess Subject: RE: Energy Code Bill, Thank you for your quick response. I am looking specifically at exemption 13-101.5.3. The addition to the warehouse will neither be heated or cooled, however we will be ventilating the space. This is a mechanical system designed to modify the indoor temperature, but only by moving ambient air through the building. Does this building fall under this exemption? Thank you. Matt Ford From: Bill Burgess [mailto:b_burgess@ci.zephyrhillsJl.us] Sent: Wednesday, September 26,20078:14 AM To: Ford, Matthew I. SUbject: RE: Energy Code Good Morning, The only exemptions can be found in Chapter 13 of the Florida Building Code specifically 13-101.5 thru13-101.5.7. If you have a specific question please e-mail it to me and I will respond. Thanks From: Bobbie Swetland Sent: Wednesday, September 26, 2007 7:19 AM To: Bill Burgess SUbject: FW: Energy Code Bill, I believe this would be in your area of expertise. Thank you. Bobbie 10/2/2007 Energy Code Page 2 of2 From: Ford, Matthew I. [mailto:Matthew.Ford@thehaskellco.com] Sent: Tuesday, September 25,20073:12 PM To: Bobbie Swetland Subject: Energy Code I am trying to contact a reviewer from the building department. I need to discuss an issue with an energy code exemption for a warehouse addition to an existing facility in Zephyrhills, FL. I have tried the phone number listed on the website with no success. Please e-mail me at this address or call at phone number listed below. Thank you. Matthew Ford rL\SKEll Office: (904) 357-4271 10/2/2007 Untitled Document Page 1 of2 Ford, Matthew I. From: Tec'hSupport@fsec.ucf.edu Sent: Wednesday, September 26, 2007 9:44 AM To: Ford, Matthew l. Subject: Your report regarding EnergyGauge is received E!l~xgyG:iyl~--cgy"fld~<:i:loii?:iTi1<:"'iji;i~~--;~ Hi, Your report has been assigned an internal review ID of: 2130. We greatly appreciate your interest in improving the quality of EnergyGauge Softwares from Florida Solar Energy Center. If the information is determined to be a new bug,or a duplicate of a known bug, you will receive a followup email containing a four digit bug number. We will notify you when the bug gets resolved. In the meantime do search our Knowledge Base. Date Created:26-SEP-07 Customer Name:Matthew Ford Customer Email:matthew.ford@thehaskellco.com Status: SUBMITTED Product:FlaCom Specific ProductFLCCSB Version:3.00 Issue:Reports Operating System: Windows XP (Professional Edition) Error Message:I have an unconditioned warehouse which I am ventilating only. I have contacted the building department and have verified that my mechanical systems are exempt. I am unable to generate a report because I do not have a mechanical system to assign to my space. I know that lighting and enevolope compliance is still needed. How do I show the building department using this program that I am in compliance with the lighting and building energy requirements? Steps to reproduce Error: Remarks: This is an automated mail.Please do not reply to this mail. Thanks, EnergyGauge Product Support Services. 10/2/2007 Untitled Document Page 2 of2 '~i Copyright 2002 - 2007. FSEC. All lights reserved. 10/2/2007 Untitled Document Page 1 of 1 Ford, Matthew I. From: tkuoharski@fsec.ucf.edu Sent: Wednesday, September 26,20079:55 AM To: Ford, Matthew l. Subject: Your problem regarding to EnergyGauge software is resolved EneIV\IGauOe@ ............ .... ....... ....~.~..........._..-=-A=.-.~-Ene --c.'arid-.EconomTc.AnarM"SIs'.'SOft\Nare' .. .rgy .... ......... ............. . .. .. ... y ... ..... .. Hello, The problem with PIN 2130 which you have reported is being resolved.To view the resolution of your problem,please go to our Tech Support Website http://dbase.fsec.ucf.edu/pls/egflacom/support and login using your userid. You will be automatically redirected to the page where all your reported problems will be listed. Click on Problem Id:2130 to view the resolution. Or click here to view the bug resolution. Thanks, EnergyGauge Product Support Services. (<:) Copyright 2002 - 2007. FSEC. All1ights reserved. 10/2/2007 Status Check Page 1 of 1 E.nerovGauoe19 ...Il,~,",.._____.. .... .b --'Ene... ,.'arjaEeor.ioti'teAM~ . Si$:S-oft'Ware' . . "'. .rgy.._,.. ... ...... .. ....... .... .:~.. .... . .... ~y .' ~':)~~ ~ Base Artide - HELP:I have an unconditioned warehouse which I am ventilating only. I have contacted the building department and have verified that my mechanical systems are exempt. I am unable to generate a report because I do not have a mechanical system to assign to my space. I know that lighting and enevolope compliance is still needed. How do I show the building department using this program that I am in compliance with the lighting and building energy requirements? The information in this article applies to: . FlaCom, FLCCSB, version 3.00 SYMPTOMS CAUSE RESOLUTION Create the zone (unconditioned) and create another zone conditioned (1 SF) with minimal features (1 W lighting, etc.) create a dummy HV AC system and assign it to both areas. This should take care of the situation. STATUS CLOSED Submitted Date:26-SEP-07 to, Copyright 2002 2007 FSEC. AIJ rights reserved. http://dbase.fsec. ucf.edu/pls/egflacomlsup _ checkstatus _individual?problemid=2130 10/2/2007 JAN-08-2008 (WED) 14:36 Sutter Roofing (FAX)8413774489 P.001/001 2007 -08 SARASOTA COUNTY LOCAL "BUSINESS TAX RECEIPT ACCOUNT NO. THIS TAX DOES NOT ASSURE QUALITY 0(1' WORK 1I1f COrlflltM THAT REGULATORY OR 2300980006194 ZONING REQUIREMENTS HAVE BEEN MET, IT IS THE OWN(!;X'S IU;:SI'(INSIIIILITV TO ENSURE COMPI,IANel'.. MACHINES ROOMS, ,SEATS. ,.. IiMPl.~b~I;S' -, ',' " ", , , ::' ," , ' BUSI~~ai1''rfoOFINC CONTRACTOR - CERTIFIED , .':. BUSINESS ' ACORI;SS : 8284 VICO CT SARASO'r A uninc FI. 34~40-00rJO' PAID-60a5914;0001~do01 HS~' 08/21120'07 1 96~87' SUTTER ROOFING OF FLORIOA , 8284 VICO CT ' SARASOTA FL 34240-0000 ~~ ",' , ," ": - >BAR~ARA~F.ORD~tO~TES, TAX'~~L~ECTOR : MUST BE DISPLAYED IN A CONSP.ICUOUS I'LACl<~ . 101 S; WASHINGTON BLVD;, SAFlASOTA. FL 342:36-6993 VALIDUNTIL,10f1JOS " , ," :", ',(941)'861':8300", : ' , ' " .www.5s.rasolaTaxCollector.com:..In.to@SarasotaTaxCollector.com --------- ---------------.--.- -.--.-.---.-.-- -- --.-- -_.-_._--------~-_. , ACTIVE ' : INFORMATION ONLY: REMOVE OR FOLD BEHIND BEFORE POSTING RECEIPT THIS RECEIPT IS FURNISHED PURSUANTTO CHAPTER 205 LAWS OF FLORIDA AND SARASOTA COUNTY ORDINANCE 91-084, AS AMENDED The law requires this receipt to be displayed conspicuously at the place of business so that it is open to the view of the public and available for inspeC1ion. Upon failure to do SO. the business shall be sUbject to the payment of another full tax for the same business. profession or occupation. ; Payment Is due each year by September 30th. Payment after September 30th is delinquent and subject to a penalty of 101;,/" for the month of October, plus an additional 5% penalty for each month thereafter. The total delinquency penalty shall not exceed 25"/~ of the tax. A 25% penaltY is imposed on any person engaged in any new business, occupation or profession without first paying a Sarasota County Business Tax. . This receipt Is for a business tax only. It does not permit the personlbusiness to violate any existing regulatory or zoning laws of the state, county, or cities, nor does it exempt the business from licenses or permits that may be required by law. This receipt does ,:,ot assure quality of work. All businesses in Sarasota County are responsible for complying with the Sarasota County mandatory recycling ordinance. Local Business Taxes are subject to change according to law. Print Date: 3/5/2008 ~ '~~-;(o;;'H/~ F .h, -~E:. ,. > 0< c: R .......) , . -.. c '.:'H ,u _~:; ~~/ c ',"'s"'pedi'" .-.....a............ . - . '--',' -po' , . :,: ;.~.' '" '~.lIIi) ~. '~ ;:':'~,:;\_:.:",:,' A:'-:'- -":,:,.-:/,':,:., :'..,-:j:'_:;:';;.:~":'':.".;:-,:::,,,,: Final Zephyrhills Fire Rescue 6907 Dairy Rd Zephyrhills, 33542 Phone:813-78~041 Fax: 813-780-0044 ~ InspectionDate: 3/512008 9:35:00AM L~ InspectorName: Kerry Bamett InspectionNumber: 1-113-08-0531 InspectionCause: Periodic InsDected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 OccupancyType: Manufacturing PropertyUseType: Manufacturing, Processing, ( ViolationCounts: 0 Hrs: 1.00 Comments: FINAL ON SECTION 12 OR WEST END. FIRE ALARM AND SPRINKLER SYSTEM PREVIOUSLY APPROVED. ALL LIFE SAFETY LIGHTING INSTALLED AND WORKING. CERTIFIED FIRE EXTINGUISHERS IN PLACE. CONDITIONALLY APPROVED. ITEMS ARE STILL NEEDED TO BE DONE FROM THE CONDITIONAL FINAL ON THE PREVIOUS SECTIONS. Sign Here Page 1 of 1 Zephyrhill~ Fire R~scue 6907 Dairy Road Zephyrhills, FL 33542 (813) 780-0041 (813) 780-0044 Fax 2/2612008 Date Bill To Haskell 111 Riverside Avenue Jacksonville, FL 32202 Invoice Invoice # 08-029 Terms Billed By Inspector Due on receipt LLH KAB Item Description Qty Rate Amount Stand By After Hours Inspection by Fire Marshal Barnett 1 174.16 174.16 ;I], 17 1 ~)..~1~3 G Please remit to above address. Total ft72t:l6 J-'1i ,~) MAKE CHECKS PAYABLE TO: CITY OF ZEPHYRHILLS 6907 DAJRY ROAD ZEPHYRHILLS. r1. 33542 c c.' ."'.. sp. . -+dIf.~ __-=;. -"T---~~ ,.-Or :-: Fire Chief Keith Williams. ZEPHYRHILLS FIRE DEPARTMENtrEF' 6907 Dairy Road, Zephyrhills, FL 33542 Bus (81'3)780":0041 FIRE SERVICE USER FEES Occupancy No.: Plan No.: Business Name: JjLJf! L W~A- Business Address: <../~5 &) ;;M>!:J>. ~ Business Phone No.: Business Fax No.: Contact: PLAN REVlEW.FEES 8 Site Plan NlC Multi-Family/Commercial .06 sf (Minimum Charge $25.00 o Plan Revisions DeL SPRINKLER SYSTEMS B 0 - 25 Heads $50 26 plus Heads $100 STANDPIPE SYSTEM o Per Riser $50 FIRE PUMP o Per Pump FIRE ALARM SYSTEM B 0 - 25 Devices $50 26 plus Devices $100 SUPPRESSION SYSTEMS B~;, : Bother $50 KITCHEN EXHAUST o HoodIDucls ontER B LP Installation per1ank Fuel Tank Installation (Per Tank) o Natural Gas Inslallation (Per System) o Spray Booth PLANS TOTALc=J Comments: INSPECTION FEES NlC NlC $100 $250 $500 $100 Annual 1st Re-inspection 2nd Re-inspection 3rd Re-inspection 4th Re-Inspection (Business closed until violations corrected) SPRINKLER SYSTEMS ~ Hydro Undergrounds $45 Hydrostatic Test $65 Acceptance Test $45 Hydrant Flow $75 per syslem per syslem /I~tPr ~1() J- ~.verv Fax (813)780-0044 ~~ ~-,,,.-. '.... . 1.-:-._<<-- Contractor: ~ k!-,e-t- Billing Address: Billing Phone No.: . Billing Fax No.: Contact: PERMIT FEE $50 $50 $50 $50 $50 $50 $50 $50 $100 $500 $25 $100 $50 $50 $25 $50 $50 $100 150 $100 $50 $50 Splinkler Standpipes Fire Pump Hoods Fire Alann LP Gas Natural Gas F~ Tanks- per1anl< Sparklers Fire Works Camp Fire Controlled Bum HoodIDuct Place of Assembly Fire Protection Aammable Application Waste Tire Storage Generator < KW Generator >30 KW BiD-Hazard Waste Fumigation Tenting Torch Pot/Applied Haz. Materials B PERMIT TOTALc=J $100 . Annual FALSE ALARM FEE 1 st Alarm N/C 2nd Alann N/C 3rd Alann N/C 4th Alann $100 5th AIann $150 6th Alann $200 NON COMPUANCE $150 Annual Annual Annual Annual FALSE ALARM TOTAL I t ('74. i~ I ::L1/.Ca3 FIRE ALARM SYSTEM B System Acceptance $50 Recall Acceptance $50 OTHER ~ Fire WalllSmoke Wall $15 LP Gas $25 Natural Gas $25 per wall per1ank per system $50 ~ Tent 1 0'x1 0' or g~er Rre Pump Rre Suppression System Acceptance B Exhaust Hood/Duct. Re-inspeclion (other than annual) o Inspection scheduled DSL and cancelled less than 24 hours B Construction Insp. Nle Emergency Vehicle Ao $50 INSPECTION TOTALc==J per1ent $15 $45 $30 $50 $50 $50 $50 $30 DBL Date: $50 GRAND TOTAL d~'{::J'" . Insijffictor:. ~ ..JCO <C..- ...v ot- ...;;;. I- Z",-1 Wm<co ::!: 0 1-", W",OCO e::OI-", _01-fR- !jj00 e:: + 0 CJ)CO CJ)ai fR- - + I- CJ) :J e::a.. 8 0 w::!: ~o o::~ ~O w . ...J ~14 ...J ou co <C ~ oj ~ 0 + - Z we:: U::l 0 zOo i= ~~r--; ::looo 0 mfR- CJ) . UJ z~ a.. en + Z ~ - l.O UJ iii n::: '" ~ - fR- U- n::: CJ) UJ 0:: I- ::lC') ~ 0 I W UJ ::!:Wl.t) ...J - C') 1-1-00 l- e:: ~ . en W ~ > 14 UJ 0 Z >- -1W~ 0::1-00 ::l ~ . o ~ I fR- 000 Wo ~- 0::C') O~ s:'" co ~ o "'It o t- o ~ fh fR- ;( $: de Q; d 1 .~ :~ .~ .~ q ~ , \~ :11 ~ ~ ,) I<~ :.<I!! 11 a d ~ ;iff! ,~, ~ 11 ~ 1 W:::: ~ ~ <C '- z~ 2:- '- Q.l ~ - I- :J o ..J ..J <C o - z o i= o W D.. t/) Z - w n: - LL n: W I- <C 3: w ..J l- t/) W Z ...Jt--- c('<t I-t--- 0"- 1-;; t--- -.:l: t--- .,- ..- ER- o o o ER- I- ZN..J Wm<(o :201-lO WNOt--- 0::01-..... -Ol-ER- tijOo 0:: a a d ~ + a CJ)~ CJ)eD ER- a, a ci; fH + CJ) O::D.. ~:2 0::0 OU $; o o ~o: II:: ..... W . Q.~ oER- ClO m ... 0: 0: d ER- + WO:: u:::> ZOO <(ICD o::--lO :::>OER- CJ)~ ~~ + 0: 0: d fH t--- <0 cw:i CD ER- ; a 0: ci ~ CJ) 0:: :::>N o I W ~W~ 1-1-00 0::<(..... WO::~ > ER- o >- 0 ..JWm 0::1-00 :::><(r' OO::N I ER- ~l] ~!ri 0'; 0', 0', d fH w:t:: ::a: Q) <( E Z~ E? Q) ~ FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. 1. PROTECTED PROPERTY INFORMATION Name of property: Z F P'/frl(J.-&LL ~ wAiJ:f) Address: '1330 ;)07/-1 ST ZEPI!Vi2i1r.t..L S' ,i=L. 335 Llo I Description of property: l;..Jr\; A f: f l-lu v se Occupancy type: L -r ~(-I-r :r Nb~'5 r~ cr Name of property representative: C H 4/2 t. E -r; U..F':r L~r y..J So A1 Address: Phone: Fax: E-mail: Authority having jurisdiction over this property: Ki:"' /b'2.. '( BAbJETI Phone: C;; 13-7 'S6-C64 { Fax: E-mail: 2. FIRE ALARM SYSTEM INSTALLATION, SERVICE, AND TESTING INFORMATION Installation contractor for this equipment: "5 r frl A!.;: x c.. K- 1:" ;UN€. t L Address: 4701 O~/< ;: 4-r.fL I3LvlJ iA,s7PII.i=L 33GI6 , Phone: ~(3 (p 2{.,- [;4 <j; 7- Fax: E-mail: Service organization for this equipment: $YmPLli. ><: G)lrAJ)..jf LL Address: L)70i c;/lK [::Ark 8,- v.() -fA /(j J> If {: C 33'- 10 Phone: 'S 13 tc:2(..-5"'4 <'6 J- Fax: E-mail: Location of as-built drawings: #141 T r..rrk.-/VAIJII1:J;;... Location of historical test reports: PAN[L Location of system operation and maintenance manuals: Ih ;fxAlIE Nit tvc k.. A contract for test and inspection in accordance with NFPA standards is in effect as of (/"-'1<:... Contracted tes~ing com~3~ !l L [ I A NC I:.. (:", R L r( 3:275"0 Address' $ I r- ctlLtjD;;:JPlPt..I)Ci= COIJ0- Wo()b Phone~ 1- q 3) C At~Fax: I , E-mail: 32/- 3,-r/- ;i II) Contract expIres: Contract number: Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA 72 Chapter Ref~rence of System Type: Name of organization receiving alarm signals with phone numbers (if applicable): Alarm: I-l DT Phone: I"i:>oo '13'7; .. 30 I G. Supervisory: AbT Phone: 1<600 L/3"'O- 30 11..0 Trouble: A- /) ,"( Phone: (~co L/3 <p .. 3c ICe, Entity to which ahnns are retransmitted: Phone: -.-- Method of rctr;msmission of alarms to that organiza! :Oll or location: --- _.._--- F:;pprinted willl permission from I~FPj\. 72, National File Alarm Code@, COPy,'ir,i1t @2002, I'Jational Fir<? I"rotection Association, Q'.,incy, MA 02169. This ",printed material is 'Il)! the complete and officia: position of tlie National File Protection Associalll'" O!! tlie referenced sullied which is represented oniy by the standard in lis entirety. C,,) 2007 National Fire l'lotection Association Nrf-'A 72 (10.1 of 5) ---~~- .--..,-,.-...--.'.--- - --'-' -.- NATIONAL FIRE ALARM CODE 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) If Chapter 8, note the means of transmission from the protected premises to the central station: B1)igital alarm communicator 0 McCulloh 0 Multiplex 0 2-way radio If Chapter 9, note the type of connection: 0 Local energy 0 Shunt 0 N/A 3.1 System Software Operating system (executive) software revision level: R E.v 0 ,0 I- Site-specific software revision date: d 7 FE f; () 'P o I-way radio ON/A Revision completed by: 1/ r/1t/2Rq() 4. SIGNALING LINE CIRCUITS Characteristics of signaling line circuits connected to this system (see NFPA 72, Table 6.6.1): Quantity: -:; Style: Y Class: J3 5. ALARM-INITIATING DEVICES AND CIRCUITS Quantity: Characteristics of initiating device circuits connected to this system (see NFPA 72, Table 6.5): /7 I~ / Style: r Class: 5.1 Manual initiating devices 5.1.1 Manual Pull Stations Type of devices: arA.ddressable Number of manual pull stations: (0 o Conventional o Coded o Transmitter ON/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors: r-> / '. -"';;;? o Coded o Transmitter IIa-NI A ON/A Type of coverage: Type of devices: o Complete area 0 Partial area o Addressable 0 Conventional o Nomequired partial area Type of smoke detector sensing technology: o Ionization o Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: ~. '---" Type of coverage: Type of devices: o Addressable o Conventional o Coded o Transmitter r.:rNI A Type of smoke detector sensing technology: o Ionization o Photoelectric 5.2.3 Heat Detectors Number of heat detectors: .e o Coded o Transmitter B"NI A Ii).-NI A Type of coverage: Type of devices: o Complete area 0 Partial area o Addressable 0 Conventional o N omequired partial area 5.2.4 Sprinkler Waterflow Detectors Type of devices: 0 Addressable 0 Conventional Number of waterflow detectors: o Coded o Transmitter ~N/A 5.2.5 Alarm Verification N timber of devices subject to alarm verification: ,'\I:1nn verification on this system is: ! J Enabled o Disabled o Sel 1',11' secOllds Repl inled wII: I permission f,' ':t' iiFPA 72, National Fire Alarm (>,de@, Copyrigl,! "):'002, National Fire Protection ".csociation, Cu" MA 02169. This reprinted male: ,Ii ;s not !!1e complete and official ::'"'":::,,,, of lhe National F;18 Protection Association If: ;',0 referenced SUb)8C\ which is represented '" the stiil1dard in its entirety. ,c. ~,):17 National Fire Protection A: "'Jelation {J=,"4 72 (p.2 of 5) -_._- ---~--~-- ------------~-------~~---~-------= -' FUNDAMENTALS OF FIRE ALARM SYSTEMS 6. SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler System Number of valve supervisory switches: -G-- Type of devices: o Addressable o Conventional o Coded o Transmitter mooNl A 6.2 Fire Pump Type of fire pump: o Electrical o Diesel o Addressable o Conventional o Coded o Transmitter ON/A Type of pump supervisory devices: Fire Pump Functions Supervised o Fire pump power .0 Fire pump running 0 Fire pump phase reversal o Engine or control panel trouble 0 Low fuel o Selector switch not in auto Other: 6.3 Engine-Driven Generator Type of generator supervisory devices: o Addressable o Conventional o Coded 0 Transmitter ON/A o Engine or control panel trouble Other: o Generator running o Selector switch not in auto o Low fuel 7. ANNUNCIATORS 7.1 Annunciator 1 e1Local 0 Remote Type: [j'Addressable 0 Directory 0 Graphic ON/A Location: )-r) 4IA- Lo 1$/5 y 7.2 Annunciator 2 0 Local 0 Remote Type: 0 Addressable 0 Directory 0 Graphic ON/A Location: 7.3 Annunciator 3 o Local o Remote Type: o Addressable o Directory o Graphic ON/A Location: 8. ALARM NOTIFICATION 'DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service I Number of single voice alarm channels: Number of speakers: 1/11 Number of multiple voice alarm channels: Number of speaker zones: 8.2 Telephone Jacks Number of telephone jacks installed: Type of telephone system installed: (v/If Number of telephone handsets stored on site: o Electrically powered o Sound powered ON/A 8.3 Nonvoice Audible System Characteristics ofnot(fication device circuits connected to this system (see NFPA 72, Table 6.5): QU;1ll1ity: Slylc: Class: Repl;nt"ri with permission from r'JFPA 72, I~;.;tional Fire AIsrm Code@, Copyright ,,):'002, Nallorlsl Fire Pr":,,,:tiGn Association, Quin-:)'. 1'..1A 021 G9, This repr;"lc.d material is not 0", (01"plele and official pOSition of the I~ational Fil8 P'otection Association on the referenced subjecl ,\'hicl,ls represented only by ThE' slanrlard in its e.;:iloly. @ 2l.;17 National Fire Protection Association NFPA 72 (p.3 o! 5) '------ -- -=-=.o--=-.:~--::::":=-=:"" .=-=-'-- ==------=--=::==_ -==_ .==-__,'.----=-,_~-==__ ::::=':::--"~~C-:-\"',==- ~:-:- -:'-=--.~--::---7S' -, - -==-._--=-c-__==_ -- - _ - '~. - ~ " -=~-. ,', =~---',""..i..-~ NATIONAL FIRE ALARM CODE 8. ALARM NOTIFICATION DEVICES AND CIRCUITS (continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: With visual device Horns: / I Chimes: With visual device Bells: With visual device: With visual device: If Visual devices without audible devices: Other (describe): 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED o Hold-open door releasing devices o Door unlocking o Smoke management or smoke control o Elevator recall o Other o. SYSTEM POWER SUPPLY 10.1 Primary Power Nominal voltage / J () vL T Overcurrent protection: Type -S u t c. E Location (of primary supply panelboard): Disconnecting means location: /3>R.- K1'C. 10.2 Seconda'fV Power Location: r A NE L- Amps Amps Type: BA"Ti f. I? y Nominal voltage: ;) '-1 J . Amp hour rating: ,6 Current rating: Number of standby batteries: (, Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: fL//4 In alarm mode: 1. RECORD OF SYSTEM INSTALLATION Fill out after all installation is complete and wiring has been checkedfor opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) ra'NFPA 72 0 NFPA 70, National Electrif.,al Code, Article 760 llJ1\1anufacturer's published instructi9ns 0 Other (please specify): f/'- 4 J.-i5 <::I:-- So PL c '5 S~stem de~~~s~:e:fere~ed~A standards~ ' '. ___, '7 ~ ~.f) . <,"" SIgned: ~i{;c._. /~t::-- Pnnted name:ST.f}ff[J... ~B8..(NS- Date: 0<- r ":) 0 7> Organization:5:rM{k,.;:: y C- P.::U,JjJ[ l t..... Title:k>/U 411/10 6vPtR.tIr';.o/L Phone: 75 J 3- t '2 f...- 6-'1 S 2. 2. RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: El NFPA 72 0 NFPA 70, National Electrical Code, Article 760 n M f t ' bI I d . rJir'?"Other (please spec'lfy)'. p;( A Ie}> cl- 5 PI.~c C; ~ anu acurer s pu is 1e instructIons u \.. . . ~ o D()cumenta.tiQn ip accord<11:u: ;vith Inspcction and Testing Form (Figure 10.6).')) is attached / \ "~ ,,' . / . c ' c ,'" / p") -J .' 0- c. Sign,.,!,.:~~..'"'-t- '--'j!DA../e ./-- ~ Printed name: J(,c.ifrCI-.)I'-."m ~-NS Date: ,~t/.' 0 ___~ Org~lI1izati(w'~lft7PU / :'-kI.;lJ/-1f(L _~_ Tilk'oI2!:.MA......(S0/;,.;2l./i,i. Phone (~/3G.:7(,-j-'/S;) Reprinted with permission from NFi," 12, "Jational Fire Alarm Code@, Copyright @2IY~. : ;:dional Fire Protection Association, Quincy, !v't. 69. This reprinted material is not the cOI;1plete and official position of the, i'J::-ltional Fire Pr(jiection Association on th) refolc::,eci subject whll'.l1 is represented only by the ~t.:'ll (~:':j III its enlir(~ty. @ 2007 Fire Protectio,'[ Association NFPA i;:.., of 5) FUNDAMENTALS OF FIRE ALARM SYSTEMS 3. CERTJ.FICATI0NS AND APPROVALS 13.1 System Installation Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: ~ /~ Printed name: S:Tr:.Pf./ f,u e,BBrrlS Date: 27 ;::'r::/!.; 0 Z' Organization:' ,-:, J fl1 P(..;:,~c.l6: JJNf; (<-.. Title: FoeF/M,A-.A/'SvPE";(\tC4'ILPhone: <&/3 -~J ~ -5c.(<j, "2 13.2 System Service Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.4 Property Representative I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Title: Date: Phone: Signed: Organizati on: Printed name: 13.5 Authority Having Jurisdiction I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, its approved sequence of operations, and with all NFPA standards cited e' ,;;-' /)" Signed: ( ,rLrri; &)/~-. Date: ~j.:zrNt , ~k fUy;J./~ Phone: I I r'8printed WI!!"~ permission !lOm NFPA ic, tJatio"", fCire Alarm C::ode@, Copyright@2002, I'akmai Fir8 fOrotection Association, UCiil1cy, MA 02169.11:'s ruprinted me"uial is 1 not the com; ,i"", and official position 01 tile tJaliul:Ji Fire Protect. en Association on the referenced ,ui,ject whicl1 is '8presented only by the stai',dard 111 its entirety, L~ 2007 National Fire Protection Association NFPA 72 (p.5 ot 5) r---------~' ~ . ~,'.~('H ~,~/;.- r H . R I - , .9:=" .....1 ' o,S [~~r '-.c /~;~...J~:,.. / ~ ~;/ -~/ __'LOpre:.. . -----------~' :lnspecfioA'R.rt Sprinkler rIt\, InspectionDate: ~. InspectorName: Inspection Number: InspectionCause: Zephyrhills Fire Rescue ,6907 Dairy Rd Zephyrhills, 33542 Phone:813-78~041 Fax: 813-780-0044 OccupancyType: PropertyUseType: ViolationCounts: Hrs: InsDected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 Print Date: 2/27/2008 212712008 10:00:00AM Kerry Barnett 1-113-08-0527 Periodic Manufacturing Manufacturing, Processing, ( o 0.30 Comments: FINAL ON SYSTEM 121N CONJUNCTION WITH FIRE ALARM. HEAD PLACEMENT PREVIOUS CHECKED AND OK. APPROVED AT THIS TIME. RISERS SHALL BE PAINTED AND LABELED. Sign Here Page 1 of 1 Print Date: 2127/2008 ~- :-F ~.1~~<H(RH'[:/;~! !, . E:. R"'''. f .' "'.. 'S l .j .'-'3 ../> ~~r." J (, j/'~ ~_JLO?I~~ . -----~~ :IAs,pection .Report Sprinkler Zephyrhills Fire Rescue ,6907 Dairy Rd Zephyrhills, 33542 Phone:813-78~041 Fax: 813-780-0044 ~lnspectionDate: 2127/2008 10:00:00AM nspectorName: Kerry Barnett spectionNumber: 1-113-08-0527 InspectionCause: Periodic Insoected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 OccupancyType: Manufacturing PropertyUseType: Manufacturing, Processing, ( ViolationCounts: 0 Hrs: 0.30 Comments: FINAL ON SYSTEM 121N CONJUNCTION WITH FIRE ALARM. HEAD PLACEMENT PREVIOUS CHECKED AND OK. APPROVED AT THIS TIME. RISERS SHALL BE PAINTED AND LABELED. Sign Here Page 1 of 1 r~'~'CH(RH~:/:-- F ~~ . R .k~' o..~ l .:.h .llrG ~/:-)':,~/ t ~HO~IC~ , ------~: 2In~"Cfion;Repf.')rt Sprinkler Zephyrhills Fire Rescue 6907 Dairy Rd 'Zephyrhills, 33542 Phone:813-78~041 Fax:813-78~044 InsDected PartY ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 ;:;a InspectionDate: \.w InspectorName: Inspection Number: InspectionCause: OccupancyType: PropertyUseType: ViolationCounts: Hrs: Print Date: 2/27/2008 2/2712008 8:00:00AM Kerry Bamett 1-113-08-0526 Periodic Manufacturing Manufacturing, Processing, ( o 2.00 Comments: PRESSURE TEST ON SYSTEM 12200 PSI. APPROVED AT THIS TIME. Sign Here Page 1 of 1 r~~,Z'<H('HiC[: /~ -- - t. F .. S I' 'c ~~..'J... "1 '--::;'1'_" / . //'-~----, ~/ 'LOPIC~_~ ------------- 'In!;,pection _port Sprinkler Zephyrhills Fire Rescue 6907 Dairy Rd 'Zephyrhills, 33542 Phone: 813-780-0041 Fax:813-78~044 InspectionDate: InspectorName: Inspection Number: InspectionCause: InsDected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 I:!7:J OccupancyType: lJ:1~ PropertyUseType: ViolationCounts: Hrs: Print Date: 2/27/2008 2/2712008 8:00:00AM Kerry Barnett 1-113-08-0526 Periodic Manufacturing Manufacturing, Processing, ( o 2.00 Comments: PRESSURE TEST ON SYSTEM 12200 PSI. APPROVED AT THIS TIME. Sign Here Page 1 of 1 Print Date: 2/2712008 :~~t"H(RHl':/~, F -- ' R' ~~, ....~ l4f" "3 I /.):, L-)-?:,-" " / E:' -// ?-? ,.. ~, _-c LO,I;~ --------~ 'il'l!I~pec1jion\ll~pod Fire Alarm @ InspectionDate: 2/2712008 7:30:00PM InspectorName: Kerry Barnett InspectionNumber: 1-113-08-0528 InspectionCause: Periodic Zephyrhills Fire Rescue 6907 Dairy Rd Zephyrhills, 33542 Phone: 813-780-0041 Fax: 813-780-0044 Insoected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 OccupancyType: Manufacturing PropertyUseType: Manufacturing, Processing, ( ViolationCounts: 0 Hrs: 0.30 Acceptance Test Comments: ACCEPTANCE TEST ON FIRE ALARM IN SECTION 12. ALL DEVICES PROPERLY LOCATED ACCORDING TO PLANS. OVER 75 % OF SYSTEM CHECKED AND ALL INDICATING DEVICES OPERATED PROPERLY. FLOWS AND TAMPERS ASSOCIATED WITH SPRINKLER SYSTEM CHECKED AND OPERATED PROPERLY WITHIN TIME. APPROVED AT THIS TIME. FLOW TIME 34 SEC. ~ Page 1 of 1 ..... The Haskell Company III Riverside Avenue Jacksonville, Florida 32202 tel 904791-4500 fax 904 791-4699 www.thehaskellco.com February 23, 2008 Per our meeting, Haskell will provide a 10' high, solid plywood barrier at column line 13 to separate the section of warehouse being turned over to Nestle Water since all construction on the West half of the expansion is now complete. Haskell will also provide a working fire alarm system, a fire suppression system, and all items needed to comply with life safety. This will allow Haskell to TCO half of the new warehouse for Nestle to conduct business and day to day operations in. Sincerely, 1M ;JrL Michael F. Drawe Project Superintendent Office: 904-697-8026 Cell: 904-545-9140 2/23/08 Date {~ ,~~j 2/'$/08 Date AAC000281 EB0000906 IBOOOOB49 LC26000242 08-0011795 Print Date: 2/2312008 F~R ~~V; E _J~.. . 'W S '~ '-__.-"'~'.' .' E. C:~~:; .........RepoIt Sprinkler ~ InspectionDate: 2/2312008 8:OO:ooAM InspectorName: Kerry Barnett spectionNurnber: 1-113-08-0505 InspectionCause: Periodic Zephyrhills Fire Rescue 6907 Dairy Rd . Zephyrhills, 33542 Phone: 813-780H0041 Fax: 813-78()..()()44 InsDected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 OccupancyType: Manufacturing PropertyUseType: Manufacturing, Processing, ( ViolationCounts: 0 Hrs: 2.50 Comments: FINAL ON SECTIONS 13 AND 141N CONJUCTION WITH FIRE ALARM. APPROVED AT THIS TIME. RISERS SHALL BE LABELED AND PAINTED. Sign Here Page 1 of 1 Print Date: 2/2312008 J-'~"""';" F'- . R. ~~O .~ [_)~_ '-'5 , ,--j~.,,,,,,. ( .I~.""'" Sprinkler ~lnSpectiOnDate: 2/2312008 8:oo:00AM nspectorName: Kerry Barnett spectionNumber: 1-113-08-0505 InspectionCause: Periodic Zephyrhills Fire Rescue 6907 Dairy Rd . Zephyrhills, 33542 Phone:813-78~1 Fax: 813-780-0044 Insoected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 OccupancyType: Manufacturing PropertyUseType: Manufacturing, Processing, ( ViolationCounts: 0 Hrs: 2.50 Comments: FINAL ON SECTIONS 13AND 141N CONJUCTION WITH FIRE ALARM. APPROVED AT THIS TIME. RISERS SHALL BE LABELED AND PAINTED. Sign Here Page 1 of 1 Print Date: 2/2312008 l~;'.""": F h ". R ~~"o~ , -) ~ ,'" ~ '~ .->':.__. E ,.,iIeR 'R8POIt Fire Alarm '<t~~. if ' )~<:~::i~ .~~; .,., \~, Zephyrhills Fire Rescue 6907 Dairy Rd . Zephyrhills, 33542 Phone:813-78~041 Fax:813-7~ InspectionDate: 2/2312008 8:00:00AM ~spectorName: Kerry Barnett spectionNumber: 1-113-08-0504 InspectionCause: Periodic Insoected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 OccupancyType: Manufacturing PropertyUseType: Manufacturing, Processing, ( ViolationCounts: 0 Hrs: 2.50 Acceptance Test Comments: FINAL ON SECTION 13 & 14. 80010 OF SYSTEM CHECKED INCLUDING FLOWS AND TAMPERS. FIRE PUMP ACTIVATED AND PERFORMED. 1 PULL FOUND INOPERABLE AND REPLACED. SUPPLY FANS CHECKED FOR SHUT DOWN UPON ALARM ACTIVATION AND WORKED PROPERLY. THIS AREA IS APPROVED. Page 1 of 1 'napedlen Report Final Zephyrhills Fire Rescue 6907 Dairy Rd , Zephyrhills, 33542 Phone:813-78~041 Fax:813-7~ Insoected Partv ZEPHYRHILLS BOTTLED WATER (000680) 4330 20TH ST ZEPHYRHILLS, FL 33542 Phone: 813-783-1959 Print Date: 2/2312008 1'';;. @nspectionDate:2/23120088:00:ooAM InspectorName: Kerry Bamett I ionNumber: 1-113-08-0506 InspectionCause: Periodic OccupancyType: Manufacturing PropertyUseType: Manufacturing, Processing, ( ViolationCounts: 0 Hrs: 2.50 Comments: FINAL ON SECTIONS 13 AND 14. FIRE ALARM AND SPRINKLER PREVIOUSLY APPROVED. ALL EXIT AND EMERGENCY LIGHTS IN PLACE AND WORKING. FAN UNITS CHECKED AND WORKING. ONCE PROJECT IS COMPLETELY FINISHED WOULD LIKE A TEST AND BALANCE ON FAN SYSTEM. ALSO SINGLE 5" STORZ FDC CONNECTION WILL BE REQUIRED BY PROJECT COMPLETION DATE. PLACARDING FOR FDC WILL ALSO BE REQUIRED AT THAT TIME. AISLES SHALL REMAIN FREE AND CLEAR ON ANY OBSTRUCTIONS IN ACCORDANCE WITH THE PRODUCT LAYOUT PLAN. CONDITIONALLY APPROVED AT THIS TIME. NOTE: OES NOT HAVE 2 SOURCES OF POWER, A GENERATOR MAY BE REQUIRED BEFORE OBTAINING OVERALL PROJECT FINA . ff~~ Page 1 of 1 FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. 1. PROTECTED PROPERTY INFORMATION Name of property: Z-t::pt/v,zH:ru.::$ wAT& J:xPAf\}Sj;o(J P,.h1Sf..1 -rCO Address: 433D J...o-rH ~-r -z,. EPJ!yllltrtt.5 J FL 336'l/0 Description of property: "-.> ~ ~ R. ~ ~ 0 u -S J; Occupancy type: (rc..I-f.T :r~t:>uST~"( Name of property representative: Address: Phone: Fax: E-mail: ~'iZ..lCl"! BARN~ Authority having jurisdiction over this property: Phonel~ 13)7~O-OO'11 Fax: E-mail: 2. FIRE ALARM SYSTEM INSTAllATION, SERVICE, AND TESTING INFORMATION Installation contractor for this equipment: Sz /I1fJlEx Cr/l"J;NIV k;,LL Address: 470 I OAK. f:A-rfL ~L vb -rA-...,PA, P<.. 3~ {. lO Phone: ~ , '3 G ~ t.. ~ L{ ~ ?- Fax: E-mail: Service organization for this equipment: S-:r hi Pl.-Ex (>- R:+.N IV Ii ~L, Address: 470( oA-K. FIf':I.l.,. /3LVI; ~/J1Plll /:=L 33(,/0 Phone: '8/3 ~'). G,. 5"if ~ :7- Fax: E-mail: Location of as-built drawings: Location of historical test reports: Location of system operation and maintenance manuals: A14rt-..>I~lJtlNC{2, 5HoP A contract for test and inspection in accordance with NFPA standards is in effect as of f.I/.JJ<. Contracted testing company:----ALL1:.A^""C~ M.I..Ji.. Address: I q '32. c..A-LA-b:r:lI1"1 PLAC€ LO/oJl-wcc[) J 1::(. :3 .1 7S-C Phone: t3 2. /)- .3 77- ?-. II S- Fax: E-mail: Contract expires: Contract number: Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA 72 Chapter Reference of System Type: Name of organization receiving alarm signals with phone numbers (if applicable): ,LJJ)T ADT t1 b -,-- Alarm: Phone: J ~OO '13 ~- 30ft.:. Phone: Ir5Do43?r 3cJ L. Phone: /1J&C tl3<i5-So/ {p Supervisory: Trouble: Entity to which alarms are retransmitted: Method of retransmission of alarms to that organization or location: Phone: Reprinted with permission from NFPA 72, rJalional File Alarm Code@, Copyright @2002, ~Jalional Fire Protection Association, Quincy, MA 02169. This rep: inled material is not 1110" complete and official position of the National Fill' Protection Association on the referenced subject whirh is represented only by the standard in its eniilety. @ 2007 Natiof'al Fire Prolcoct:on Association 3G24-2-014 Rev. (10/07) (p.l of 5) NATIONAL FIRE ALARM CODE 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) If Chapter 8, note the means of transmission from the protected premises to the central station: o Digital alarm communicator 0 McCulloh 0 Multiplex 0 2-way radio 0 I-way radio If Chapter 9, note the type of connection: 0 Local energy 0 Shunt 0 N/A 3.1 System Software Operating system (executive) software revision level: Rt\J 'to 6:l Site-specific software revision date: J f 1= Ii P.> 0"1) t<.r G, ~E:i:X:A,--tt }-4057403001 "\ ~ 4o).o~ ~cc I ..:T"o ~ ~ O/3~ /;2. 3<::.. 4. ~IGNALlNG LINE CIRCUITS DN/A c. 0 IV {::r. (,.. ~/) [UY,/fr '11- Revision completed by: #lJilU>llJ ;/A~llob Characteristics of signaling line circuits connected to this system (see NFPA 72, Table 6.6.1): Quantity: a Style: f- Class: 13 5. ALARM-INITIATING DEVICES AND CIRCUITS Characteristics of initiating device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: I Style: r Class: 13 5.1 Manual initiating devices 5.1.1 Manual Pull Stations Type of devices: I1r1\ddressable o Conventional o Coded Number of manual pull stations: o Transmitter 0 N/A 7 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors: Type of coverage: 0 Complete area 0 Partial area l1r'Nonrequired partial area 0 N/A Type of devices: ~ddressable 0 Conventional 0 Coded 0 Transmitter 0 N/A Type of smoke detector sensing technology: 0 Ionization ~toelectric '3 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: IV//! Type of coverage: Type of devices: 0 Addressable 0 Conventional 0 Coded 0 Transmitter Type of smoke detector sensing technology: 0 Ionization 0 Photoelectric ~/A 5.2.3 Heat Detectors Number of heat detectors: tJ.4- Type of coverage: Type of devices: o Complete area 0 Partial area o Addressable 0 Conventional o Nonrequired partial area o Coded o Transmitter Id'N/A ~/A 5.2.4 Sprinkler Waterflow Detectors Type of devices: IH'Addressable 0 Conventional Number of waterflow detectors: L( o Coded o Transmitter DN/A 5.2.5 Alarm Verification Number of devices subject to alarm verification: ^ lurm verification on this system is: o Enabled o Disabled o Set for seconds Reprin",o -,'ilh permission from NFPA 72, National Fire Aldrin Code@, Copyright@2002, National Fire Protection f\ssociation, Quincy, MA 02169. This reprinted material is not the complet" a"d official position of the National Fire Protectl"n i\ssociattcn on the referenced subject which IS (Pi" esented only by the standard in its entirety. @ 2007 National Fire Protection Association SG24-2-014 Rev. (10/07) (p.2 of 5) FUNDAMENTALS OF FIRE ALARM SYSTEMS 6. SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler' System Type of devices: ik1\ddressable o Conventional Number of valve supervisory switches: o Coded 0 Transmitter 0 N/ A Lf 6.2 Fire Pump Type of fire pump: Irtlectrical o Diesel (it"}(ddressable o Conventional o Coded o Transmitter DN/A Type of pump supervisory devices: Fire Pump Functions Supervised w1iire pump power ~ire pump running ~e pump phase reversal o Selector switch not in auto o Engine or control panel trouble Other: o Low fuel 6.3 Engine-Driven Generator Type of generator supervisory devices: 0 Addressable o Engine or control panel trouble 0 Generator running Other: o Conventional o Coded o Transmitter o Low fuel DN/A o Selector switch not in auto 7. ANNUNCIATORS 7.1 Annunciator 1 rlocal 0 Remote Type: ~ddressable 0 Directory 0 Graphic DN/A Location: frI/frN Lc 13131.-( 7.2 Annunciator 2 o Local o Remote Type: o Addressable o Directory o Graphic DN/A Location: 7.3 Annunciator 3 o Local o Remote Type: o Addressable o Directory o Graphic DN/A Location: 8. ALARM NOTIFICATION DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: Number of speakers: Number of multiple voice alarm channels: Number of speaker zones: 8.2 Telephone Jacks Number of telephone jacks installed: Type of telephone system installed: Number of telephone handsets stored on site: o Electrically powered o Sound powered DN/A 8.3 Nonvoice Audible System Characteristics of notification device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class: Reprinted witl, permission from NFPA 72, National Fire Alarm CodefEl, Copyright @2002, National Fire Protection Association, Quincy, MA 02169. This reprinted mater;,,! is not the complete and official position of the National Fire Protection Association on the ,eferenced subject which is repres",,,ted only by tile standard in its entirety. @ 2007 National Fire Protection Association SG24-2-014 Rev. (10/07) (p.3 of 5) NATIONAL FIRE ALARM CODE 8. ALARM N01;IFICATION DEVICES AND CIRCUITS (continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: With visual device Horns: j;)... Chimes: With visual device Bells: Other (describe): With visual device: With visual device: /'J- Visual devices without audible devices: 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED o Hold-open door releasing devices o Door unlocking o Smoke management or smoke control o Elevator recall o Other o. SYSTEM POWER SUPPLY 10.1 Primary Power Nominal voltage /:26 vi- T Overcurrent protection: Type Sv fLc...E.- Location (of primary supply panelboard): ""Tt..L h PI..f.oN fi.. P./V'\ Disconnecting means location: 6 R.. K. R.... 10.2 Secondary Power Location: j:: 4 c.. P Amps Amps Type: /) .4,-, .,,, { II ~ _ Nominal voltage: ;... -r Current rating: Amp hour rating: :2 0 Jt( m {:> ;..//2 Number of standby batteries: t-j Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: 1. RECORD OF SYSTEM INSTAllATION Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) ~PA 72 0 NFPA 70, National Electrical Code, Article 760 l31V1anufacturer's published instructions Id"Other (please specify): Pt.4N S k :s PEe. s System ~m refer9fed ~ standards: Signed: ~( to../t/t-::.... Printed name: 5iE.Pflf f\J ~8&1V5 Date: ;). 'J... Ffi& 0 ~ Organization: 5r""F>Lkx"~~c...'- Title: ~o2EMAN Suf>~ Il.llrSoP- Phone: 'f 13 ~;2G.- S~"iJ :;2. 2. RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: rJ.-NFPA 72 0 NFPA 70, National Electrical Code, Article 760 ~anufacturer's published instructions id"'Other (please specify): PL-!J.IV "5 d- :5f>.f.cs o Documen ation in accordaI~ wlhinspec!ion and Testing For~ (Figure 10.6.2.3) is attached Signed: k>JLA---_ Printed name: ~ I EP4JV J2.<;tPJ8r-iN5 Date: ;2:2 F €~ 0 15 Organi/.atiol1: SriA1PtliKCrf'-riV,v"'-L <- _____ Title: Fo2R,.ItA-N->"P..;(vr<,c/''---_ _ Phone: ~ ''3 ~J-~-5<;<r; 2-_ Reprinted wit h.permiSSion from NFPA 72, Natio. nal Fire Alarm Code@,Copy,ight@2002,N8tionaIFire Protection Association, Quincy, MA 02169. This reprinted material is 'J not the complete and official position of the National Fire Protection ASSOCiation on the refu,enced subject which is represented only by the "l~ndard in its entirety. @ 2007 National Fire Protection Association SG24-2-014 Rev. (10/07) (pA of 5) --- ---- . - - FUNDAMENTALS OF FIRE ALARM SYSTEMS 3. CERTIFICATlpNS AND APPROVALS 13.1 System Installation Contractor This syster ~sJ)ecifi~erein h~e~~al~ed and tested according to all NW'A standards cited herein. Signed~~ ~ Printed name: 5"/~/..j.fN I<.tJAAl:,,",~ Date: ;2. 2;(~o 75 Organization: 5r4tPlU<'U1:./J "-J E LL- Title: ~P.~~4fW Sv~ 1.11%. soIL Phone:-e> ( 3-~ J.. frS-'If$ '< 13.2 System Service Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Signed: Organization: Title: Date: Phone: Printed name: 13.4 Property Representative I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.5 Authority Having Jurisdiction Organization: Reprinted with permission lrom NFPA 7:', National Fire Alarm Code@, Cupyright @2002, National Fire Protection Association, QUincy, MA 02169, This reprinted matetlal is not the complete and official position of li,e National Fire Protection Association on the rete'enced subject which is represented only by the ctandard in its entirety. L@ 2007 Natio~al ~ire Protection Association _.___ __ 8G24-2-014 Rev. (10/07) (p.') of 5) tqco / Fire ~ / SimplexGrinnel1 . . Security 1-800-746-7539 FIRE ALARM TESTIINST ALLA TION ACKNOWLEDGEMENT CONTINUATION SHEET NAME/~ t: P+I Y 12. U..,.. II . C; t.dl-rl: Q t:'\l DL1A'~;It'."'\ PtJ^~C 1,('J'\ Isori I I I CAiL#, I I I I 43~t.> :J-OCH ST Z-/i P HY~ t.lzt..L ~ t=L,~?tH~ PG l OF I . - . - , . DEVICE DEVICE LOCATION A TR S NOTE oINf<<fiZONE AlAllMZONE DEVICE DEVICE LOCATION A T S NOTE ANNUN. ZONE AlARM ZONE TYPE L Ou ~ NO. OR OR TYPE L \B E NO. OR OR A A N R B S ffiB'IlONE SIGNAL R S TELEPHONE SIGNAL LE I ZONE ZONE LE I M T M T ZONE ZONE ,P5n .4 ~D.J~ AJIK' :l ,/ PH~ TS !("LS~R. la- !t71-l.j to/" " ~ 4T /04c... 2 y ~i-'f13 FS R.~ <1;:R.. i;J. L-- I Ml.~ f+V trf /Uk' ..'l.. 1/ v- I tJ~ is Q,\<c!L J3 I........ ~/.(,.7 I ;;..~ AV Cr:-r/-. \. <~." '" ~ c".6~ V V.I (\Jfk-\ FS r> - 12 I~ It,....-- I ~l-'<;j :J.-~ , < ':'r c.;c l- V ~~L1'Lll-~C ....1 "12/..., 11- I Ak..2 ,5 0-''''2 ,'-' /I11-'~ v l';..s_~ r./ IJ"j ~ _~"LJ~,u~S (IN_11!:J'').. t/ ~t I. \ IV' '" FS R.~<c fL i4 V J ~/-Jo -3 A-v AX.. c~ - ., ~J'1ln V ~-I",? I.. IN.? ""t2. 112..1::<; (L 1 ~ ;./ J'?1-7:I PS fJf, (" i ,i...'c/u, """ M~I -- P5 tJ ('^L 2..1/Q~ i- 1\11 - FS IR-:rsr~ /.1) J.- 111- ~ l ..,2 AV I^J C^' :21/ ;;z.~ J-- VI INA<:.~ R i="NJ 4-IvT f)ov.JN - ~ H< ~ PS 1J Cd... j/') /2/ J/ 1''i1f1 P5b NA Q.. ,~/ V "VI 1- -?~ fJrv '< c.olvjYl ;)..0/;). / ~~ /VA c. I' .~ 1+\1 <..._/. 17 /?~ J/ I~ :'-4' ~(.~ Av Ill. oA) J f'OLf IliII17 ~ Vj#"). tJ:\c3 :'/~-~ P5 If..A;L{., ~ JtiI //7 I yo"' v'\J#77 Al/ IN 1.J~Lt e.oLhll~ / ~ ~_~ i Nol p~ fuwAI.L CoG 17/ J~ y' 17'11- .,'- A\I .~.. c t20~ 'I~ h.r; v.-'J. 1VfItC.'"I PSD ~ Photoelect1ic Smk Del PS ~ Manual Pull Station B ~ Bell Only TS ~ Tamper Swnch Iv ID. (.. ISO ~ Ionization Smk Del CPS ~ Coded Pull Station H ~ Ham Only WF ~ Water Flow Sw ~-J'. A 1Vvi& .AJAe.. 4 V' P\I- POD ~ Photo. Duct Smk Det RR ~ Rate of Rise HI Det C ~ Chime Only DH ~ Door Holder 7~ 100 ~ ion. Duct Smk Det HT ~ Fixed Temp Heat Det S ~ Spkr Only FP ~ Fire Phone DS IA1""AJAeLl COI iil/< r"h~S DHS ~ Door Hldr & Smk Det MD ~ Mercoid Heat Det AN ~ Audio Visual PJ ~ Phone Jack y SSD ~ Sgl Station Smk Det FD ~ Flame Det V ~ Visual Only NCS ~ Nurse Call Sta. A-v' (V..,.>ftI.A- M~4 ,; ~ SO ~ Beam Det. ~~.- ~ - = ~ _1mB. -, , . - , . . . - . - 1 ALL J=Low<. (~<,T"'{;J) C'L.t iJJ'lN~CALL-'i' 4-;- T A- I'V) I l:JZ T ~ c.. 7" P l\ ~:1 \=:f: A 0<7< C'..t<) M-PLI;, J. ..... r"'-IICTAhnCD r"f""IIDV ur:?4.-?{)O" l ~~ ;1 Information ~..,. .ToBuild On Engineering . Consulting · Testing Structural Steel Report O -; - I 7'-,::''' ate:..L... <.... - (" /J PSI Representative: Client: Project: /i/ tV AlA Project No: 11 7 <i5 - 7 f?t/ 79 Scheduled By: Verification Services Provided: ~ Initial D Corrective Action Follow Up D Framing Erection [li] Structural Weldments; Type: D Bolt Installation and Tensioning ~ Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAl- HOURS: [:llf+ Location of Services Provided: "': I Floor Level (Elevation): k'C:0[ Ii' ;zd< --+ Dee k:: / 0'<-' l' 76. ~/ A -t:: LC Plan Area: Column Line(s) Other: Status of Services Provided: D2f No Deficiencies Noted D Deficiencies Noted; Types, Location: D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented in this report relate only to the items tested. This report shall not be reproduced except in full, and only with the written approval of PSI. NDE test- ing is subjective and subject to inherent limitations of methodology. This report is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent identifIcation of welds and material for location. A-761-0RL Professional Service Industries, Inc. . 1748 33rd Street. Orlando, FL 32839 . Phone 407/304-5560 . Fax 407/304-5561 It's-I Informalion ~~. "To Build On Engineering. Consulting · Testing Structural Steel Report Date: 2 - 7 - 0 ~ J ;) rt/ 4 Project: /L fA . . PSI Representative: 1P1J Client: ~ Project No: (.(,8"- 700 79 Scheduled By: Verification Services Provided: D Initial D Corrective Action Follow Up D Framing Erection lliJ Structural Weldments; Type: t"";! I,.. + (!o is T ') D Bolt Installation and Tensioning ~ Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) 'J..Li I;, 10 - D tv (,-=- Other: Status of Services Provided: ~ No Deficiencies Noted D Deficiencies Noted; Types, Location: D Corrective Actions Required: D Deficiency Added to Punch-List; #'5: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented In this report relate only to the items tested. This report shall not be reproduced except In full, and only with the written approval of PSI. NOE test. ing is subjective and subject to inherent limitations of methodology. This report Is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent identification of welds and material for location. A-761-0RL Professional Service Industries, Inc. .1748 33rd Street. Orlando, FL 32839 . Phone 4071304-5560 . Fax 407/304-5561 l ~~ ;pnfot11U1tion ~~. .To Build On Engineering. Conffulfing · Testing Structural Steel Report "') f -,7;'U Date: 0. - ~ 7/ Client: PSI Representative: U;/;;J)12 Project No: ~7<;( - 70() 7 cr Project: /1/ /i''/;.1 Scheduled By: Verification Services Provided: Qll Initial D D rn D OOJ D Corrective Action Follow Up Framing Erection i Structural Weldments; Type: 1-, 1 (t~ i Bolt Installation and Tensioning Metal Decking Placement and Welding/Screw Attachment Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: ~ r Floor Level (Elevation): t:~ (~,~t Plan Area: Column Line(s) If! :-'5 -f + DFe t J c 0 / I ; Vi~ S I '2- trr cJ -;- A 1;. CG" Other: Status of Services Provided: 00 No Deficiencies Noted D Deficiencies Noted; Types, Location: D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented In this report relate only to the items tested. This report shall not be reproduced except in full, and only with the written approval of PSI. NDE test- ing is subjective and subject to inherent limitations of methodology. This report is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent Identification of welds and material for location. A_ "7t=:.1_IlCI Prnf"<::<::inn,,t ~"rvir." Inrlll~triA~. Inc. . 1748 33rd Street. Orlando. FL 32839 . Phone 407/304-5560 . Fax 407/304-5561 l"~s;fnformation ~..",. .To _Build On Engineerinff · Con$ulting · Testing Structural Steel Report J-)/~_((/ Date: _ -""" (1/ v ~) Client: A' ,I ,( / /f Project: /.' / ~1J / / /-1 PSI Representative: -'{pI (>1/( -i 1 ! c 1'-/7 C/ - 7/1/'77 c7 Project No: 75 Ojl/ Scheduled By: Verification Services Provided: c&i Initial 00 Corrective Action Follow Up D Framing Erection D Structural Weldments; Type: D Bolt Installation and Tensioning [lJJ Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) , L I /1 ~ I ! (,-L- ! , I i(II(-:(!(Jn ., J.- 'r i!"", V r:,.,1 !.-,- r (~ ::-:::... --. vi :jr:>CL /!V'lf5/;; '-f.,.; i ,~ . /6 10 1;;') I Other: Status of Services Provided: i:pJ No Deficiencies Noted D Deficiencies Noted; Types, Location: D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D [$J Reference Attachments to this Report 'll Remarks: /yl(J L7vr=C! <,e" [1///) f'C:~C5 , / J I / I / ; <1 c; (';q.--, --I ( : -! ,"--- 11"': - . +~_...j''''./ . -:;" J I ' / f i/1e h) t'Ci/e 12. !':;; c.e'" P (r7 , ( ,7 1)/ > /J~' ,.1. t.,- _ ._ ,'" t, ,. (..... , r 70 Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented In this report relate only to the items tested. This report shall not be reproduced except in full, and only with the written approval of PSI. NDE test- ing is subjective and subject to inherent limitations of methodology. This report Is not to be construed as a guarantee or warranty of the materials or welds tested. Client Is responsible for the permanent Identification of welds and material for location. ......_&.___:___1 1"'\___:__ I_~.._.&._:__ 1_... ~ ....,....0 1)1'].."" ~...........+ ..r\..I"'""....,... C'I 'J:t')Q'J:Q. Chnno An7/t:ln.d.3;I:;An .I=~y .4n7/~n.4_1:;1:;F;.1 1;J~ il: Information ~.,. .10 Build On Engineering . Consulting. Testing Structural Steel Report Client: Project: Ai lJ /../ A PSI Representative: Scheduled By: 5' Project No: Verification Services Provided: rn Initial D Corrective Action Follow Up D Framing Erection [CD Structural Weldments; Type: !;, -( le-{- D Bolt Installation and Tensioning ~ Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: IJ ('- Floor Level (Elevation):k C()f( }('~.I ..; CC'{iVll?CiiOC"15 Cell //1-1(05 12 to 16 J Plan Area: Column Line(s) Other: Dee Ie 1(; 1<5 2 f ... Status of Services Provided: D 00 D D D D No Deficiencies Noted DefiCiencies. ~oted; TYt~S~ L.ocation:. ._ ..... () I ~ t rl:,,'. (c ( '" C (C~ 0 t)eG" C" 0/rc:"fT L ("CY + /;C1tf'VI t'Ci/l t~{'" !lf~ ev;c(rior.5. Corrective Actions Required: Deficiency Added to Punch-List; #'s: Deficiency Removed from Punch-List; #'s: Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented In this report relate only to the Items tested. This report shall not be reproduced except In full, and only with the written approval of PSI. NDE test- ing is subjective and subject to inherent limitations of methodology. This report is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent identification of welds and material for location. . _..1_._ -' _ r-. '"''''.........''''' r"\L___ .11"\""'''''''' l:'t:cn _ L_U An"'7lf)nA .era.. l'" 1!}ll Infomzation ~..,. .To Build On Engineering . Con~ult;ng · Testing Structural Steel Report Date: / ~ ,,:,7' ,.<,,/ Client: Project: A/;,)J) A :::- :-;i,,,. I, \ . i\ ;. Project No: <;{ 7~' ~ 7((::7'1 PSI Representative: 1-I 7 It/cfd Scheduled By: Verification Services Provided: rn Initial D Corrective Action Follow Up D Framing Erection r . I I C&I Structural Weldments; Type: ~_. ,-,1 ! (" T D Bolt Installation and Tensioning D Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) J~' Ct_!/~ l"j. ' . )(j/ (;)1 f \...__\ :2 t;~ 16- ,~ .J /~j ( ;) CL', Other: Status of Services Provided: D 00 No Deficiencies Noted Deficiencies Noted; Types, Location: ,I ._ - l' V ! ! .; t,--:, '7r ~ Cet r:(" c~c r c~ <5t C)5 '" ;//~ , L. i.'" 1/1(- L.., ~,cJ '1- I L- \ \ ;'; ~: ,.I""IL\I",) I b(, ,j 1. !--1/' it' ~ (_~1 I~(,i (, ,,! (' !'5,C I l ,"'- (1/("C;'t eel:: .1/ ' D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented In this report relate only to the items tested. This report shall not be reproduced except in full, and only with the written approval of PSI. NOE test- ing is subjective and subject to inherent limitations of methodology. This report is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent identification of welds and material for location. ^ -"C-i ~Ol D.....f"",,;....n,,1 <:"n,;,." Inri""'ri",, In" . 174R ::l::lrc1 Street. Orlando. FL 32839 . Phone 407/304-5560 . Fax 407/304-5561 La.}~ ., Information I!!."'. .To Build On Engineering . Con,ulting · Testing Structural Steel Report Date: I - I L/ - (' (/ f: \..' () Client PSI Representative: /, ---:-,..--"._!. I I !.... - ~ i/ V t T li' i l . c:; ~111 >,~lkcP Project No: r"/ ....., <;<' - 7:) I c..-' Project// (I.' Scheduled By: Verification Services Provided: ~ Initial D Corrective Action Follow Up D Framing Erection D Structural Weldments; Type: D Bolt Installation and Tensioning 00 Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) I (/"Y)ij ec,v'l?v1 c e t.U - l> /) I .t.) / 0'..6cx......CJ I A -to CC- Other: Status of Services Provided: ~ No Deficiencies Noted D Deficiencies Noted; Types, Location: D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented in this report relate only to the items tested. This report shall not be reproduced except in full, and only with the written approval of PSI. NDE test- ing is subjective and subject to inherent limitations of methodology. This report is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent Identification of welds and material for location. ^ "7C~ f"\DI Or~fo~~;~n",1 <:on,;.-o Inn..,,'r;o" In" . 1741\ ~~rrl ~tr""t . Orl"nrln FI ~?R~9 . Phone 407/304-5560 . Fax 407/304-5561 l.....~Fl Infonnation I'::!!.....,. <070 Build On Engineering . COJ'JSulting . Testing Report of Structural Steel Inspection Date: 1/10/2008 Client: The Haskell Company Project: Zephyrhills Warehouse Expansion- Bottled Water Plant Inspector: MW Project No. 878-70079 Report No. 54 Type of Inspection Services Provided: m Initial Inspection TOTAL HOURS 5 o Reinspection REINSPECTION HOURS o Visual Inspection of Framing Erection m Visual Inspection of Weldments; Type: Fillet m Verification of Bolt Tensioning o Visual Inspection of Metal Decking Placement and Welding/Screw Attachment Location of Inspection Services Provided: Floor Level (Elevation) Plan Area: Column Lines: Other: Status of Inspection Services Provided: o All Found to be Acceptable m Deficiencies Noted; Types, Location: 1.) Welds shall be free of slag per AWS 01.1 2.) Lack of fusion anf slag inclusions were noted 3.) Loose bolts were noted D Reinspection Required: D Deficiency Added to Punch-List; #'s o Deficiency Removed from Punch-List; #'s D Punch List Items Still Outstanding; #'s Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any reinspections that may be required Respectfully submitted, Professional Service Industries, Inc. Celt' a n of Authorization No. 3684 / yas . Seale, P~E ~ . Branch Manager /1;22, '{)?{/ Florida License No 638 n...__ -t l-~;;l InfornUltion I:!!.""'. oowBuild On Engineering. Consulting · "Jesting . Report of Structural Steel Inspection Date: 1/12/2008 Client: The Haskell Company Project: Zephyrhills Warehouse Expansion- Bottled Water Plant Project No. 878-70079 Inspector: MW Report No. 55 Type of Inspection Services Provided: D Initial Inspection TOTAL HOURS 7 []] Reinspection REINSPECTION HOURS D Visual Inspection of Framing Erection []] Visual Inspection of Weldments; Type: Fillet []] Verification of Bolt Tensioning D Visual Inspection of Metal Decking Placement and Welding/Screw Attachment Location of Inspection Services Provided: Floor Level (Elevation) Plan Area: Column Lines: Other: Corrective action follow up verification of joist, weld, beam and joist girder connections @ column lines 217.26-A to CC Status of Inspection Services Provided: D All Found to be Acceptable []] Deficiencies Noted; Types, Location: 1.) Grease was not applied to bearing surfaces at expansion joint, column line 21 A to CC per C2/S503 2.) Beam to panel connection at expansion joint column lines 21 & CC shelf angle welded to both panels D D W D Reinspection Required: Deficiency Added to Punch-List; #'s Deficiency Removed from Punch-List; #'5 Punch List Items Still Outstanding; #'5 Items, 1,2 and 3 from report #54 have been corrected Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any reinspections that may be required Respectfully submitted, Professional Service Industries, Inc. tion of uthorization No. 3684 , as. eale, P.~. ?ta....--- Branch Manager I (22 0 ~ Florida License No. 387 1':1............. ... llr'}$ ;11nfomlation ~~. .ToBuild On Engineering · COlI$ulting · Testing Structural Steel Report Date: I - Ie - elf Client: PSI Representative: ';7 eD~V''- --if! /1 t v v' t, i~ Project No: C:;;7 '3'- 70::)7~ Project: 't/A/4/ A Scheduled By: Verification Services Provided: OOJ Initial D Corrective Action Follow Up D Framing Erection r--. ! J. 5QJ Structural Weldments; Type: 'r~! If'! [EJ Bolt Installation and Tensioning D Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) Other: Status of Services Provided: D OOJ No Deficiencies Noted Deficiencies Npted; Types, Location: J )r/ ~:; 5 ~lj;/ LSP1 er ACe):) P/.I 1.,),<0 Ie 1/' Iff p D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented In this report relate only to the items tested. This report shall not be reproduced except In full, and only with the written approval of PSI. NOE test- ing is subjective and subject to inherent limitations of methodology. This report is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent identification of welds and material for location. 0__'___'___' "'__.'nn 'n""r'.;~r 'nn . 17A.A "''''.n c:,.."" . n.l"nnn 1=1 ~?R~A . Phnn.. 4n7/~n4-""Rn . FAX 407/304-5561 ( " l-)~.rnfonnation ~..,. .To BuiLd On Engineering . Consulting. Testing Structural Steel Report Date: ) - .3 - () ?( Project: /'! ,') it! ~ Client: jJJ,> 01+ e' Project No: Scheduled By: PSI Representative: Verification Services Provided: L'nJ Initial D D D D D rnJ TOTAL HOURS: REMEDIAL HOURS: Corrective Action Follow Up Framing Erection Structural Weldments; Type: Bolt Installation and Tensioning Metal Decking Placement and Welding/Screw Attachment Other: A J/l c! ^,,-,'i f,f'J if;. Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) Other: :)'-,0 ) r 2- -", Status of Services Provided: D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: D csa No Deficiencies Noted Deficiencies Noted; Types, Location: (:')['crr-f r/i/(/1'1/IVI AV'c:..L.,/9,,... b1Jltc; u)prre 1/\01("'; ,<t ~ .s .- ':" 2 t- Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any verifIcation of corrective actions that may be required. Results documented In this report relate only to the items tested. This report shall not be reproduced except In full, and only with the written approval of PSI. NDE test- ing is subjectIve and subject to Inherent limitatIons of methodology. This report is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent identification of welds and material for locatIon. .._ .I.._..._~__ 1__ 4"'7An ,.,""'_.... C"'.a.___... _ 1""\..1_.....1... l:1 ~t")o~n. Dh......... Jln"7"'nA_&:.I:~n . C'~v An7/'=1nA_.::e:;,~1 ~ 5 U T T E R ROOFING FIRESTONE SINGLE PL Y TPO ROOFING AND SHEET METAL SUBMITTALS PROJECT: ZEPHYRHILLS WAREHOUSE LOCA TION: 4430 20th STREET ZEPHYRHILLS, FL 33S'f)... SUBMITTED TO: Tom Osborne, Project Manager The Haskell Company 111 Riverside Avenue Jacksonville, FL 32202 PREPARED BY: Jim Brelsford, Estimator Sutter Roofing Co. of Florida 8284 Vico Court Sarasota, FL 34240 DATE: State Roofing Contractor License # CC C029599 Monday, October 22, 2007 .'DADEt BUICDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION MIAMI-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375-2908 NOTICE OF ACCEPTANCE (NOA) Firestone Building Product Company 310 E. 96th Street Indianapolis,1N.46240 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modifY, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Firestone TPO Single Ply Roof Systems over Steel Deck LABEL1NG: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal ofNOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request ofthe Building Official. This NOA revises NOA No. 04-0810.02 and consists of pages 1 through 10. The submitted documentation was reviewed b~~e L. Acebo (J'-Q. ~ 8 NOA No.: 05-0803.02 Expiration Date: 11/27/07 Approval Date: 05/18/06 Page 1 of 10 Membrane Type: Single Ply, TPO, Reinforced I Deck Type 21: Steel, Insulated Deck Description: Minimum 22 ga. Grade E steel deck secured to supports space at maximum 6 ft O.c. with ITW Buildex Traxx/5 spaced at 6" o.c. Side lap fastened with ITW Buildex Traxx/l spaced at 24" O.c System Type D(2): Membrane mechanically attached over preliminary fastened insulation. All General and System Limitations apply. One or more layers of any of the following insulations. Base Insulation Layer ISO 95+ GL, ACFoam II, E'NRG'Y IT, Multi-Max FA Minimum 2" thick Insulation Fasteners (Table 3) Fastener Density/ff N/A N/A (Optional) Top Insulation Layer Insulation Fasteners (Table 3) Fastener Density/ft2 Dens Deck Minimum W' thick N/A N/A FiberTop C or E, High Density Wood Fiber, Sturdi-Top/High Density Wood Fiber Minimum W' thick N/A N/A Note: All insulation shall have preliminary attachment, prior to the installation of the roofing membrane at a minimum application rate of two fasteners per board for insulation boards having no dimension greater than 4 ft., and four fasteners for any insulation board having no dimension greater than 8 ft. Barrier: Membrane: None. Firestone UltraPly TPO (45-80 mils) Reinforced Membrane attached to deck through the preliminary attached insulation as specified below. Membrane is mechanically attached using Firestone lID Fasteners and HD Seam Plates spaced 6" o.c. within minimum 6" wide laps. Laps are spaced at maximum 114" o.c. and sealed with a minimum 1.5" wide heat weld. Fastening: Maximum Design Pressure: -52.5 psf (See General Limitation #7) 8 NOA No.: 05-0803.02 Expiration Date: 11/27/07 Approval Date: 05/18/06 Page 8 of 10 +- E j[ (\) co ::> \.) <J\ L c2 C C C "0 -D "~ J1 ~ a .i? ~ -, L \l) J:: a Q) c ::> U +- \.) ci a +- U 1: \.) ~ a '5 ~ (J) t/) La U "in 8& ~ 10 Q. J:; C'tl J:: C j[ j <J\ \l) <J\+' c <J\ a (\) t ~ ~~~ N a ~ "t tj \.) \I) L C .i? .c ~ ~ +- ~ "", (\) Q. "c (\) j[ L a E 0.. ~ x :5<( Q. 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Cl 0"'" ..= tJ ~ _::l >-~ _lG Q ~g o Z TECHNICAL INFORMATION SHEET 08/0112~~~ Ytrestone BUILDING PRODUCTS COMPANY UltraPlyTM TPO (TPO 96, 120, & 148) Firestone Item Number: See Product List \!) PRODUCT DATA DESCRIPTION: Firestone UltraPI/M TPO is a flexible Thermoplastic PHYSICAL PROPERTIES PER ASTM 6878-03 (CONT.): Polyolefin roofing membrane that is produced with polyester weft inserted reinforcement. This heat weldable TPO membrane is available in .045 mil (1.1 mm) and .~il (1.5 mm) thicknesses in 8' (TPO 96), 10' (TPO 120) and 12'4" widths (TPO 148). Additional thicknesses are available on special orders. Available in white (tan or gray on special orders), this reflective membrane is suitable for a variety of low slope applications. METHOD OF APPLICATION: 1. Firestone UltraPly TPO membrane is installed as continuous roofing or waterproofing layer on the roof. Rolls are overlapped (Side Laps and End Laps) prior to the heat welding of the seam areas. 2. Install the UltraPly TPO Roofing System in accordance with current Firestone UltraPly TPO specifications, details and workmanship requirements. Please contact Firestone Roofing Solutions Department for additional information. PHYSICAL PROPERTIES PER ASTM 6878-03: Property Test Method Tvpical UNAGEO PROPERTIES: Thickness, min. in (mm) 45 mil Sheet Overall 60 mil Thickness Over Scrim ASTM 0 4637 .045" Membrane (Optical Method) .060" Membrane Breaking Strength Elongation at Reinforcement break Tearing Strength ASTM 0 751 .045" (1.143 mm).:!: 10% .060" (1.52 mm).:!: 10% 0.018" (0.457 mm).:!: 10% 0.024" (0.609 mm).:!: 10% 350 Ibf (1560 N) Brittleness Point Linear Dimension Change Ozone Resistance Factory Seam Strength Puncture Resistance ASTM 0751 ASTM 0751 (8"x8" specimen) ASTM 02137 ASTM 0 1204 (6 hrs @70o C) ASTM 0 1149 ASTM 0751 FTM 101C Method 2031 ASTM C 1549 ASTM E 408 ASTM E 1980 PASS (no cracks) 65 Ibf (289 N) 265 Ibf (1174 N) .79 .92 95 30% 86 Ibf (382 N) -50oF (-460C) :1:0.15% Solar Reflectance Solar Emittance Solar Reflective Index Property Test Method Tvpical AGED PROPERTIES: Breaking Strength ASTM 0 751 366 Ibf (1628 N)* Elongation at Reinforcement Break ASTM 0 751 30%* Tearing Strength ASTM 0 751 86 Ibf (382 N)* (8"x8" specimen) Weight Change ASTM 0471 1% (Membrane) (change in mass) AGED PROPERTIES: Ozone Resistance ASTM 0 1149 PASS (No cracks) Weather resistance ASTM G 151/ G 154 (Retained Values) Visual Inspection PASS Breaking Strength, % min. 90 % retained Elongation at Reinforcement Break ASTM 0751 90% retained Resistance to Xenon-Arc Weathering ASTM G 151/ G 155 PASS *ASTM 0 6878-03 requires retained values of 90% or original breaking strength and elongation and 60% for tearing strength. PRODUCT DATA: Width 5 ft (1.52 m) 6 ft 2 in 8 ft (2.43 m) 10 ft (3.04 m) 12 ft 4in (3.66 m) 5 ft (1.52 m) 6 ft 2 in 8 ft (2.43 m) 10 ft (3.04 m) 12 ft 4 in. (3.66 m) Lenoth 100 ft (30.48 m) 100 ft (30.48 m) 100 ft (30.48 m) 100 ft (30.48 m) 100 ft (30.48 m) 100 ft (30.48 m) 100 ft (30.48 m ) 100 ft (30.48 m) 100 ft (30.48 m) 100 ft (30.48 m) ..006""" PRECAUTIONS: 1. Exercise caution when lifting, moving, transporting, storing or handling membrane rolls to avoid sources of punctures and possible physical damage. 2. Contact Firestone Roofing Solutions Department for specific recommendations regarding chemical or waste product compatibility with Firestone UltraPly TPO Membrane. S723-RFS-012 TECHNICAL INFORMATION SHEET 08/01/2~~;- - LEED INFORMATION: r,restone BUILDING PRODUCTS COMPANY Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 25% Wellford, SC UltraPlyTM TPO (TPO 96, 120, & 148) <8> .......... Subject to ltIe condtions of Approval vA'len Installed as described in the current edition of the FM Approval Guide . IBlI!I&llI WHITE <>."'."'<': C~US Membrane for Roofing Systems As to an Extern. Fire Exposure Only 6'., See UL Oireetory of Products Certified for C.,.da And UL Roofing M8Ierials And Systems Directory R9S1S ~ CR C Ci"K)I,RO()f llyn;';G c.;Ol'N(;II. @J CHARTER MEMBER Cool Roof Rating Council Product Identification Number. 0608.Q008 (For White Membrane) This sheet is meant only to highlight Firestone's products and specifications. Information is subject to change without notice. Firestone takes responsibilty tor furnishing quality materials, wtUch meet Firestone's published product specification. As neither Firestone itself nor its representatives practice architecture. Firestone offers no opinion on, and expressly disclaims any responsibility for the soundness of any structure on which Ita products may be applied. If questions arlae 8S to the soundness of a structure, or its ability to support a planned in&1allation properly, the Owner should obtain opinions of competent structural engineers before proceeding. Flf'estone accepts no liability for any struchJral failure or for resultant damages, and no Firestone Representative is authorized to vary this cisclaimer. Firestone Building Products Company A Division of BFS Diversified Products, LLC 310 E. 96th Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-0 12 TECHNICAL INFORMATION SHEET 04/01/2~~~ - y...estone BUILDING PRODUCTS COMPANY UltraPlyTM TPO Flash ing Firestone Item Number: W56TP03017 DESCRIPTION: Firestone UltraPllM TPO Flashing is a non-reinforced thermoplastic polyolefin membrane designed to be used in roofing applications where Firestone pre-molded TPO accessory products are not appropriate. PREPARATION OF SUBSTRATES: 1. Substrates must be clean, dry, smooth, free of sharp edges, fins, loose or foreign materials, oil, grease, and other materials which may damage the membrane. 2. All rough surfaces which could damage the membrane shall be repaired prior to installing the membrane, as specified. 3, All surface voids greater than 1/4" (6.4mm) wide shall be properly filled with an acceptable fill material. METHOD OF APPLlCA Tloo Install the Firestone UltraPly TPO Unsupported Flashing material with the appropriate heat welding equipment in accordance with current Firestone UltraPly TPO specifications, details and workmanship requirements. ThiS sheet Is meant only to highlight Firestone's products and specifications. Information Is subject to change without notice. Firestone takes responsiblily for furnishing quality materials, which meet Firestone's publshed product. speciftcatlon. As neither Firestone Itself nor Its representatives pradice archit ecture, Firestone offers no opinion on, and expressly disclaims any responsDiBty for the soundness of any structure on which its products may be applied. If questions arise as to the soundness of a structure. or Its ability to support a planned installa tion propel1y, the Owner shouk:t obtain opinions of competent strudural engineers before proceeding. FU'eStone accepts no 6abllity for any structural failure or for resuttant damages. and no Flr8Stone Representative is authortzed 10 vary this disclaimer. ~ PRODUCT DATA PHYSICAL PROPERTIES: Property Test Method Tvpical .060 +/- 10% 1780 psi (12.3 MPa) 750% min 161bf (71 N) -400 F (-400 C) min Membrane Thickness Tensile Strength Elongation at Break Tearing Strength Brittleness Point ASTM [)'638 ASTM [)'638 ASTM [)'638 ASTM 1004 (Die C) ASTM [)'2137 Properties After Heat Aging Tensile Strength ASTM [)'638 Elongation at Break ASTM [)'638 Tearing Strength ASTM 1004 (Die C) 1550 psi (10.7 MPa) 650% min 12 Ibf (53 N) PRODUCT DATA: Material: Color: Size: Thickness: Thermoplastic Polyolefin (TPO) White 24" x 50' (7.3 m x 15.2 m) rolls 0.060" (1.52 mm) :t 10% STORAGE: Store material in its original unopened packaging away from sources of physical damage or chemical contamination. PRECAUTIONS: 1. Exercise caution when lifting, moving, transporting, storing or handling membrane rolls to avoid sources of punctures and possible physical damage. 2. Contact Firestone Roofing Solutions Department for specific recommendations regarding chemical or waste product compatibility with Firestone UltraPly TPO Membrane, LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 0% Wellford, SC Firestone Building Products Company A Division of BFS Diversified Products, LLC 310 E. 961h Street, Indianapolis, IN 46240 Sales: (BOO) 42B-4442 . Technical (BOO) 42B-4511 www.firestonebpco.com S723-RFS-013 TECHNICAL INFORMATION SHEET 08/01/2~~~ - T...estone BUILDING PRODUCTS COMPANY UltraPly TPOTM T.Joint Cover Firestone Item Number: W56TP03014 (White) W56TPOG014 (Grey) W56TPOT014 (Tan) DESCRIPTION: Firestone UltraPI/M TPO T-Joint Covers are made from a flexible non-reinforced thermoplastic polyolefin membrane. They are designed to cover and seal all T-joints formed at seam intersections for UltraPly TPO membranes greater than .045" (1.1 mm) thick. PREPARA TION OF SUBSTRATES: Prepare T-Joint area by removing all dirt and debris from membrane surface. Clean the surface area of the field sheet and the T-Joint Cover with Firestone Splice Wash SW-100 or a Firestone approved membrane wash prior to installation of Firestone TPO T-Joint Covers. METHOD OF APPLlCA TIOII Install the UltraPly TPO T-Joint Covers in accordance with current Firestone Ultra Ply TPO roofing specifications and details for membranes greater than .045" (1.1 mm) thick. PRODUCT DATA: Size: 4" x 4" (101.6 mm x 101.6 mm) with 1/2" (12.7 mm) radius corners Thickness: 0.060"(1.52 mm) + 10% PACKAGING: UltraPly TPO T-Joint Covers are packaged with 100 T -Joint Covers per box This sheet is meant only to highlight Firestone's produdS and spedfications. Infonnation is subject to change without notice. Firestone takes responsibility for furnishing quality materials. which meet Firestone's published produd specification. As neither Frestone itself nor its representatives practice architecture. Firestone offers no opinion on, and expressly disdaims any responsibHly forthe soundness of any structure on wh ich its products may be applied. If questions arise as to the soundness of a structure, or its ability to support 8 planned installation property, the Owner should obtain opinions of competent structural engineers before proceeding. Frestone accepts no liability for any strudural failure or for resultant damages, and no Firestone Representative is authorized to vary this disclaimer. \!) PRODUCT DATA PHYSICAL PROPERTIES: PropertY Test Method Membrane Thickness Tensile Strength Elongation at Break Tearing Strength Brittleness Point ASTM 0-638 ASTM 0-638 ASTM 0-638 ASTM 0-1004 (Die C) ASTM 0-2137 Tvpical .060 +/- 10% 1780 psi (12.3 MPa) 750% min 16 Ibf (71 N) -400 F (-400 C) min Properties After HeatAging (166 Hours at 2400 F) Tensile Strength ASTM 0-638 1850 psi (12.8 MPa) Elongation at Break ASTM 0-638 650% min Tearing Strength ASTM 0-1004 (Die C) 121bf (53 N) STORAGE: Store material in its original unopened packaging away from sources of physical damage or chemical contamination. PRECAUTIONS: Exercise caution when lifting, moving, transporting, storing or handling Firestone UltraPly TPO T-Joint Covers to avoid sources of puncture, physical damage or chemical contamination. Contact Firestone Roofing System Solutions Department for specific recommendations regarding chemical or waste product compatibility with Firestone UltraPly TPO T-Joint Covers. LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 0% Wellford, SC Firestone Building Products Company A Division of BFS Diversified Products, LLC 310 E. 96th Street, Indianapolis, IN 46240 Sales: (800) 428-4442. Technical (800) 428-4511 www.firestonebpco.com S723-RFS-014 - TECHNICAL INFORMATION SHEET 11/01/2~~:- 'F.restone BUILDING PRODUCTS COMPANY UltraPlyTM TPO Small And Large Pipe Flashing Firestone Item Number: Small 1" to 3-1/2": Large 4" to 8": W56TP03012 W56TP03013 DESCRIPTION: PRODUCT DATA PRODUCT DATA: PiDe Boot Size OlD of Penetration Pieces/Carton Small 1" to 3 1/2" 25.4 mm to 88.9 mm 4" to 8" 101,6 mm to 203.2 mm 10 Large 10 Firestone Ultra Ply ™ TPO Pipe Flashings are specifically designed to be used in roofing applications for flashing of NOTE: Clamps are included. round penetrations. Each pipe boot will fit various penetrations and shall be cut at the correct place to insure a tight fit before installation. PRECAUTIONARY DATA: METHOD OF APPLlCA TIOO: 1. Penetration shall be clean of prior flashings or foreign material. Select the pipe boot size that corresponds to the outside diameter of the penetration to be flashed. Cut out a circle on the outside of a level ring of the pipe boot that is smaller than the penetration. Cut the extra material from the pipe boot base around the indented circle. Heat weld the boot into place and install the clamp and sealant per current UltraPly TPO specifications. PHYSICAL PROPERTIES: Material: Color: Sizes: Clamp: Thermoplastic Polyolefin White Small and Large All stainless steel - quick release - worm gear type This sheet is meant only to highlight Firestone's producls and specifications. Information is subject to change wilhoul notice. Areslone takes responsibjJlty for furnishing quality materials. whk:h meet Firestone's published produd specification. As neither FIrestone ilseJf nor its representatives pradk:e architecture, Firestone offers no opinion on, and expressly disdaims any responsibility for the soundness of any structure on which its products may be applied. If questions arise 8S to the soundness of a structure, or its abUIty to support a pfanned Installation properly. the Owner should obtain opinions of competent structural engineers before proceeding. Firestone accepts no 6ability tor eny structural fa~ ure or for resultant damages, and no Firestone Representative is authorized to vary this disclaimer. 1. Refer to Material Safety Data Sheets for all applicable components of Ultra Ply Systems. LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 0% Wellford, SC Firestone Building Products Company A Division of BFS Oiversified Products, LLC 310 E. 96'" Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-015 TECHNICAL INFORMATION SHEET 07/01/2~~~ T.restone BUILDING PRODUCTS COMPANY TPO Inside/Outside Corner Firestone Item Number: W56TP03011 (White) W56TPOG011 (Grey) W56TPOT011 (Tan) PACKAGING: DESCRIPTION: Firestone TPO Inside/Outside Corners are made from a flexible non-reinforced thermoplastic polyolefin membrane and are specifically designed to be used in roofing applications for flashing inside and outside corners on curbs, parapets and scuppers. They may also be used as a square tube flashing, up to five inches square, by using four outside corners. TPO Inside/Outside Corners come pre-cut into individual corners for ease of application. PREPARATION OF SUBSTRATES: Prepare TPO Inside/Outside Corner areas by removing all dirt and debris from the membrane surface, cleaning the surface area of the field sheet and the inside and outside corners with Firestone Splice Wash prior to installation of the TPO Inside/Outside Corner. METHOD OF APPLICATION: Round off all corners prior to heat welding into place per current Firestone UltraPly TPO Specifications. Care should be given during the heat welding process in order to prevent heat build up that could burn or damage the TPO molded corner. PRODUCT DATA: Overall Size: Corner Size: 9" x 9" 3" x 3" x 3.25" (76.2 mm x 76 mm x 82.5 mm) with .5" (12.7 mm) radius on all edges of the raised corner 0.045" (1.14 mm) min Thickness: This sheet is meant only to highlight Firestone's products and specifications. Information is 5ubjed to change without notice. Firestone takes responsibility for furnishing quality materials, which meet Fiestone's published produd specification. As neither Firestone itself nor its representatives practice archltedure, Fire~one offers no opinion on, and expressly disclaims any responsbillty for the soundness of any structure on which ~ products may be applied. If questions arise as to the soundness of a strudure, Dr its ability to support a planned Installation property, the Owner should obtain opintons of competent struduraJ engineers before proceeding. FIreStone accepts no liability for any strudural failure Dr for resultant damages, and no FlJ"8Slone Representative Is authortzed to vary this disclaimer. PRODUCT DATA Firestone TPO Inside/Outside Corners are packaged with 20 pre-cut corners per carton. PHYSICAL PROPERTIES: lllembrane Thickness: Tensile Strength: Elongation at Break: Tear Resistance: Brittleness Point: ASTM 0-638 ASTM 0-638 ASTM 0-638 ASTM 0-1004 (Die C) ASTM 0-2137 .045 +/-10% min 1780 psi (12.3 MPa) 750% min 111bf(49 N) -40. F (-40. C) min Properties After Heat Aging (166 hours at 240. F) Tensile Strength: ASTM 0-638 1850 psi (12.8 MPa) Elongation at Break: ASTM D-638 650% min Tear Resistance: ASTM 0-1004 (Die C) 9 Ibf (40 N) STORAGE: Store material in its original unopened packaging away from sources of physical damage or chemical contamination. PRECAUTIONS: Exercise caution when lifting, moving, transporting, storing or handling Firestone TPO Inside/Outside Corners to avoid sources of punctures, physical damage or chemical contamination. Contact Firestone Roofing Solutions Department for specific recommendations regarding chemical or waste product compatibility with Firestone TPO Inside/Outside Corners. LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 0% Wellford, SC Firestone Building Products Company A Division of BFS Diversified Products, LLC 310 E. 96th Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-016 TECHNICAL INFORMATION SHEET 09/01/2~~~ y...estone BUILDING PRODUCTS COMPANY ISO 95+ GL Flat and Tapered DESCRIPTION: Firestone ISO 95+ GL flat and tapered roof insulation consists of a closed-cell polyiso foam core laminated to a black glass reinforced mat facer. Flat and tapered ISO 95+ GL provide outstanding thermal performance on commercial roofing applications, while providing positive roof top drainage to eliminate ponding water when tapered I SO 95+ GL is used. All Firestone polyiso insulations use EPA accepted blowing agents and qualify under the Federal Procurement Regulation for Recycled Material. Flat and tapered ISO 95+ GL with IsoGard Foam Technology incorporates a HCFC-free blowing agent that does not contribute to the depletion of the ozone (OOP-free). ADVANTAGES: 1. Outstanding thermal performance. 2. Meets FM 4450 and UL 1256 for direct-to-steel-deck applications. 3. Compatible with ballasted, fully adhered and mechanically attached single-ply, modified bitumen and built-up roofing systems. 4. Available in flat boards 4' x 4' (1.22 m x 1.22 m) and 4' x 8' (1.22 m x 2.44 m) in thickness ranging from 1.0" (25.4 mm) to 4.0" (101.6 mm). 5. Available in tapered boards 4' x 4' (1.22 m x 1.22 m) and 4' x 8' (1.22 m X 2.44 m) with slopes ranging from 1/16" per foot (.5%) to Yo" per foot (4%). SPECIFICATION COMPLIANCE: ASTM C1289, Type II, Class 1 UL Classified FM Class 1 Approved Manufactured in an ISO 9002 Registered Facility CAN/ULCS704 METHOD OF APPLICATION: Insulation shall be neatly fitted to all roof penetrations, projections and nailers, No more insulation shall be installed than can be covered with membrane and completed before the end of each day's work or before the onset of inclement weather. Note: See Firestone Technical Information Sheet 950 for Insulation Attachment Patterns. ISO 95+ GL FLAT AND TAPERED MUST BE INSTALLED USING: Fasteners and plates, hot asphalt or Firestone approved insulation adhesives. For ballasted systems, the top layer of Firestone insulation may not be mechanically attached. STORAGE AND PRECAUTIONS: 1. Keep insulation dry at all times. 2. Elevate insulation above the deck or ground. 3. Cover insulation with waterproof tarps. 4. Combustible. Refer to MSDS for more information. 5. Do not install over wet, damp or uneven substrates. PRODUCT DATA Insulation Thickness (Inches) (mm) 1.00 25.4 1.25 31.7 1.50 38.1 1.75 44.5 ......, 2 2.00 50.8 ~; 2,30 58.4 2.50 63.5 2.80 71.1 3.00 76.2 3.25 82.6 3.50 88.9 3.75 95.3 4.00 101.6 L TTR* R-Value 6.0 7.5 9.0 10.5 A 12.1 /~t/ 14.0 15.3 17.2 18,5 20.1 21.7 23.4 25.0 *Long Term Thermal Resistance (LTTR) values provide a 15-year tirne-weighted average in accordance with CAN/ULC-S770. POL YISO PHYSICAL PROPERTIES Physical ASTM English Metric ~ Test Values Values Compressive Strength* o 1621 20 psi 138 kPa Density D 1622 2pcf 32 kg/m3 Dimensional Stability D 2126 <2% <2% Moisture Vapor E96 <1 Perm <57.5 Transmission ngl(Pa'$'nf) Water Absorption C209 <1 % by <1% by Volume Volume Service Temperature -1000 to _730 to 2500 F 1210 C *25 psi (172 kPa) available upon request. LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Locations: Average 19% Average 15% Aurora, CO Bristol, CT Corsicana, TX Covington, KY DeForest, WI Jacksonville, FL Salt Lake, UT Youngwood, PA P~Mk- ~~!~J~ll;:'~ This sheet is meant only to highlight Firestone's products and specitk:atlons. Information is 5ubjed to change wilhout notice. Firestone lakes responsibility for furnishing quality materials, which meet Firestone's published JWducl specification. As neither Rrestone itself nor its representatives practice architecture, Firestone offers no opinton on, and expressly disclaims any responsbility for the soundness of any structure m which tts products may be applied. If questions arise as to the soundness of a structure, orits ability to support a planned installation property, the Otmer should obtain opinions of competent strudural engineers before proceeding. Frestone acceptsno liability for any strudural failure or tor resu18nt damages, and no Firestone Representative Is authorized to vary this disdaimer. Firestone Building Products Company A Division of BFS Diversified Products, llC 310 E. 96th Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-066 TECHNICAL INFORMATION SHEET 07J01J~~~~ r,..estone BUILDING PRODUCTS COMPANY All-Purpose Fastener Firestone Item Number: Red 1-1/4": 1 -5/8": 2-1/4" : 2-7/8" 3-1/4": 3-3/4": 4-1/2": 5": 6": 7": 8": White* 1-114" : 2-1/4": 2-7/8": 3-1/4": 3-3/4": 4-1/2" : 5": 6": 7": 8": W56RAC4200 W56RAC4201 W56RAC4202 W56RAC4203 W56RAC4204 W56RAC4205 W56RAC4206 W56RAC4207 W56RAC4208 W56RAC4209 W56RAC4210 W56RAC4199 W56RAC4215 W56RAC4216 W56RAC4217 W56RAC4218 W56RAC4219 W56RAC4220 W56RAC4221 W56RAC4222 W56RAC4223 *Firestone is not responsible for, nor guarantees that the white coating will remain on the fastener during or after installation. Because the coating on Firestone's white fasteners is removed to some degree during the installation process, Firestone suggest; that 1) the building owner be made aware of the expectations of the white fasteners and that re-painting of the deck may be required after roofing is complete or 2) any deck painting take place after the roof is installed. In this case, any color of screw will work. DESCRIPTION: Firestone All-Purpose Fasteners are used in roofing applications for the attachment of roofing insulation and base sheets in combination with Firestone Insulation Plates and attachment of Firestone Batten Strips, Seam Plates, Termination Bars, and other accessories to steel and wood substrates where approved by Firestone Technical Specifications. The Firestone All-Purpose Fastener is Factory Mutual (FM) approved. METHOD OF APPLICATION: Using the #3 Phillips tip provided, and a variable speed drill, engage the fastener into the deck as noted below, taking care not to over or under drive the fastener. Threads must engage the decking material per Firestone Technical Specifications. PRECAUTIONS: 1. Eye protection must be worn during the installation of the fasteners. Note: All-Purpose fasteners may notwork as expected through existing roof systems or unusual substrates. Consideration should be given to using Firestone HD fasteners in these instances. This sheet is meant only to highlight Firestone's products and spedfications. Information Is subject to change without notice. Firestone takes responsibility for furnishing quality materials. which meet Firestone's published produd specification. As neither Firestone itself nor its representatives practice ard1i1:eclure. Firestone offers no opinion on, and express!y disclaims any respons~ility for the soundness of any structure on whidl its products may be applied. If questions arise as to the soundness of a structure, or its ability to support 8 planned installation properly, the Owner should obtain opinions of competent strudural engineers before proceeding. Firestone accepts no Dabllity for any strudural failure or for resultant damages, and no Firestone Representative is authorized to vary this disclaimer. PRODUCT DATA Prooertv Material: Thread Size: Threads/Inch: Thread Design: Fastener Tip: Fastener Head: Pullout in New 22 ga. (0.76 mm) Steel Deck: Grade C (Grade 33): Grade E (Grade 80): Pullout in New 3/4" (19.0 mm) Plywood Deck: Corrosion Resistant Coating: Screw Lenath 1-1/4" (31.75 mm) 1-5/8" (41,28 mm) 2-1/4" (57.15 mm) 2-7/8" (73.03 mm) 3-1/4" (82.55 mm) 3-3/4" (95.25 mm) 4-1/2" (114.3 mm) 5" (127.0 mm) 6" (152.4 mm) 7" (177.8 mm) 8" (203.2 mm) Typical color is red. Minimum Perfonnance SAE 1022, heat treated steel .235"(6.5 mm) 13 Symmetrical Drill point #3 Phillips drive 360 Ib (163.3 kg) 400 Ib (191.4 kg) 400 Ib (181.4 kg) Red epoxy applied by Electrocoating Thread Lenath Full Full Full Full 3" (76.2 mm) 3" (76.2 mm) 3" (76.2 mm) 4" (101.6 mm) 4" (101.6 mm) 4" (101.6 mm) 4" (101.6 mm) Pieces/ Plastic Pail 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 500 500 Steel Decks: Determine required screw length as follows: Select fastener length to penetrate through the deck a minimum of 3/4" (19.1 mm). Select fastener length to penetrate into or through the deck a minimum of 1" (25.4 mm). LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: Wood Decks: 25% 0% Bryan, OH <8> - Firestone Building Products Company A Division of BFS Diversified Products, LLC 310 E. 96th Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-076 y...estone BUILDING PRODUCTS COMPANY Insulation Fastening Plate Firestone Item Number: W56RAC4190 DESCRIPTION: Firestone Insulation Fastening Plates are specially designed to be used with Firestone All-Purpose, Heavy- Duty, Concrete Drive and Stainless Steel Fasteners in roofing applications for attaching insulation as required by Firestone Specifications. METHOD OF APPLICATION: Position insulation plates over insulation as specified by Firestone Specifications. Attach plates to roof deck using the appropriate Firestone fastener. Install plates ribbed side up with the "Firestone" identification visible. STORAGE: Store in unopened original containers protected from the weather. PACKAGING: 1,000 plates per pail 48 cartons per pallet PRECAUTIONS: 1. Do not overdrive or underdrive fastener. 2, Plates are designed to anchor roof insulation only. 3. Avoid field seams directly over insulation plates. 4. Cannot be used with Firestone HD Plus Fasteners. This sheet is meant only to highlight F1restone's products and specifications. Infonnation is 5ubjed to change without notk;e. Firestone takes responsibOily for furnishing quality materials. which meet Firestone's published produd. specification. As neither Firestone Itself nor Its representatives practice architecture. FlI'8Slone otreJs no :~~~~~: ~rgu=:~~:~~~~~n=i"afo~::;~~~~r:::~~=reaO~~~: ~~~ may properly, the O\Nner should obtain opinions of competent strudural engineers before proceeding. FlfeStone accepts no liability for any structural failure or for resultant damages, and no Firestone Representative is authorized to vary this disclaimer. .B~~tII:I?~}.~~~1~;1tE~~;:~~ti~X~:j~~.~~~J~~!I~~~~~i~:~~~!:~~~., Prooertv Minimum Performance Material: Material Thickness: Galvalume@ AZ50 .017" (.43 mm) - .023" (.58 mm) Meets FM No, 4470 criteria 400 Ib (181.4 kg) (min.) from center hole 3" (76 mm) Corrosion Resistance: Pull- Through Resistance: Diameter: Note: Galvalume@ is a registered trademark of BIEC International, Inc. LEED INFORMATION: Plate with "Firestone F" Identification Post Consumer Recycled Content: 30% Post Industrial Recycled Content: 0% Manufacturing Location: Bryan, OH Plate with "Firestone T" Identification Post Consumer Recycled Content: 8% Post Industrial Recycled Content: 17% Manufacturing Location: Cleveland, OH . Subject to the condtions of Approval when installed as described in the current edition of the FM Approval Guide Firestone Building Products Company A Division of BFS Diverslied Products, LLC 310 E. 96'h Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-099 TECHNICAL INFORMATION SHEET 11/01/~~~~ T,restone BUILDING PRODUCTS COMPANY Heavy-Duty Fastener Firestone Item Number: Red 1-1/4": 2": 3": 4": 5": 6": 7": 8": 10": 12": 14": White 1-1/4": 2": 3": 4": 5": 6": W56RAC4230 W56RAC4232 W56RAC4234 W56RAC4236 W56RAC4237 W56RAC4249 W56RAC4239 W56RAC4240 W56RAC4241 W56RAC4242 W56RAC4243 W56RAC4390 W56RAC4391 W56RAC4392 W56RAC4393 W56RAC4394 W56RAC4395 DESCRIPTION: The Firestone Heavy-Duty Fastener is specifically designed to be used in roofing applications which require additional corrosion protection and additional pullout resistance. The Heavy -Duty Fastener may be used for attachment of roofing insulation, and base sheets in combination with Firestone Insulation Plates, or for attachment of Firestone Batten Strips, Seam Plates, Termination Bars, and other accessories to steel, wood, concrete and other decks where approved by Firestone Technical Specifications. METHOD OF APPLICATION: Using the #3 Phillips tip provided and a variable speed drill, engage the fastener into the deck as noted below, taking care not to over or under drive the fastener. Note: If pre-drilling of the deck substrate is necessary, use a hammer drill in impact mode with a 7/32" (5.56 mm) carbide drill bit. Install fasteners by using a variable speed drill at a maximum of 1,500 RPM. PRECAUTIONS: 1. Eye protection must be worn during the installation of the fasteners and during any drilling operation. <8> - Subject to the condiUons of Approval when installed as described in the current edition oflhe FM Approval Guide This sheet is meant only to highlight Firestone's products and specitk:ations. Information is subject to change without notice. Firestone takes responsibility for furnishing quality materials. which meet Firestone's published product sped1lcation. /4s neither FlI'8Slone itself nor Its representatives practice architecture. Firestone offers no opinion on, and expressly disclaims any responsibility forthe soundness of any structure on which its products may be applied. If questions arise as to the soundness of a structure, or its ability to support a planned installation properly, the Owner should obtain opinions of competent structural engineers before proceedilg. Firestone accepts no labill)' for any structural failure or for resultant damages, and no Firestone Representative is authorized to vary this disclaimer. PRODUCT DATA ProDertv Material: Thread Size: Threads/Inch: Thread Design: Fastener Tip: Fastener Head: Pullout in New 22 9a. (0,76 mm) Steel Deck: Grade C (Grade 33): Grade E (Grade 80): Pullout in New Structural Concrete: Pullout in New %" (12.7mm) Plywood: Corrosion Resistant Coating: Minimum Perfonnance SAE 1022, heat treated steel .275" (6.98 mm) nom. diameter 13min. Buttress thread Drill point design #3 Phillips drive 595 Ib (270 kg) min. 650 Ib (295 kg) min. 700 Ib (317.5 kg) min. 360 Ib (163 kg) min. Red epoxy applied by Electrocoating Thread Piecesl Cartonsl Screw Lenath Lenath Plastic Pail Pallet 1-Y." (31.75 mm) Full 1,000 40 2" (50.80 mm) Full 1,000 40 3" (76.20 mm) Full 1,000 60 4" (101.6 mm) 3" (76.20 mm) 1,000 60 5" (127.0 mm) 4" (101.6 mm) 1,000 40 6" (152.4 mm) 4" (101.6 mm) 500 60 7" (177.8 mm) 4" (101.6 mm) 500 60 8" (203.2 mm) 4" (101.6 mm) 500 60 10" (254.0 mm) 4" (101.6 mm) 500. 24 12" (304.8 mm) 4" (101.6 mm) 500. 24 14" (355.6 mm) 4" (101.6 mm) 500. 24 .Packaged in cardboard cartons due to fastener length and may require lead time of 30 days. Determine required screw length as follows: Steel Decks: Select fastener length to penetrate through the deck a minimum of 3/4" (19.1 mm). Wood Decks: Select fastener length to penetrate into or through deck a minimum of 1" (25.4 mm). Concrete Decks: Select fastener length to penetrate into deck a minimum of 1" (25.4 mm). LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 30% West Chicago, IL Firestone Building Products Company A Division of BFS Diversified Products, LLC 310 E. 96'h Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-077 y...estone BUILDING PRODUCTS COMPANY HD Seam Plate Firestone Item Number: HD Seam Plate: W56TPOPL03 DESCRIPTION: Firestone HD Seam Plates are specifically designed to be used for the attachment of Firestone Ultra Ply TM TPO membranes to approved substrates. Firestone HD Seam Plates are to be used with Firestone HD or All-Purpose Fasteners into 22-gauge steel, wood or structural concrete decks (HD's only). The plates are packaged in a clear plastic sleeve for easy handling. The sleeve has an easy-open pull-tab with serrations that runs the length of the sleeve, METHODS OF APPLICATION: With A Screw Gun: 1. HD Seam Plates may be installed with a conventional screw gun. Plates are positioned within the seam area with "Firestone" logo up and the Eyehooks TM against the membrane. The stacked plates allow for the installer to carry 56 plates at one time which are all oriented in the same direction to make it easier to layout. Once placed in the correct seam location, the plate is attached with All Purpose or HD Fasteners and a screw gun. With the AccuSeam™ Tool: 1. Remove the weight from the plate magazine by lifting out. Remove one tube of stacked plates from the pail and tear off the perforated edge. This will expose the stack of plates all oriented in the same direction. Remove and slide the plates into the magazine with the Firestone logo facing up (Eyehooks down). Replace the weight and you are ready to start. 2. Drop a fastener into the feed tube, turn the screw gun on, and push the tool all the way down until the fastener is properly seated in the plate. 3. Pull the screw gun back up, move the tool to the next position, drop in your fastener, and repeat step 2. This sheet is meant only to highlight Firestone's products and spedficatiOns. lnfonnation is subject to change without notice. FlfBStone takes responsibility for fumishilg quality materials, which meet Frestone's published produd spedfication. As neither Fll'estone itself nor its representatives praClice architecture, Firestone offers no ~~~;'i~: ~rgu=:X'::r:~~~~~nn:~i~afo~~~n::~~~:U':~80~~~~~~~~ may properly, the ONner shoukt obtain opinions of competent slrudural engineers before proceedilg. Fll"8Stone accepts no lability for any structural failure or for resultant damages, and no Fi'eslone Representative is authorized to vary this disclaimer. :;.(t)"~ ".. ...... .........r..-. , '.' -~.,' , ~... . 4, ..., .}.W!!~!tr..J!1 I ~ -. ~._. --- - NOTE: )lccuSeam Tools can be purchased from ITW Buildex. The AccuSeam "boot" attachment can be purchased by owners of AccuTraclll> III tools upon request (must have tools with serial numbers of 12134 or higher). Training on the AccuTrac Tools is recommended prior to use. PHYSICAL PROPERTIES: Material: Galvalumelll> - Sheet Steel AZ50 or AZ55 0.037" (.94 mm) 0.265":1: 0.003" (6,73 mm :I: 0.076 mm) Pull Through Resistance: 700 Ib (317.5 kg) from center hole Meets FM Requirement - Less than 15% red rust in 15 cycles of Kesternich Testing (DIN 50018) Material Thickness: Hole Diameter: Corrosion Resistance: PRODUCT DATA: 1. Plates are labeled: "Firestone." 2. Plates are circular shaped, 2-3/8" (60.3 mm) maximum diameter. 3. Plates have four (4) inner and four (4) outer Eyehook™ extensions for additional holding power. PACKAGING: Plates are packaged 18 sleeves/plastic pail (1,000 pieces). There are 40 pails/pallet. Note: Galvalumelll> is a registered trademark of BIEC International Inc. Eyehook™, AccuSeam ™ and AccuTraclll> III are trademarks of ITW Buildex. LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 21% West Chicago, IL . Subject to the concitions of Approval vmen installed as descnbed in the aJrrent edition of the FM Approval Guide Firestone Building Products Company A Division of BFS Diversified Products. LLC 310 E. 96th Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-101 TECHNICAL INFORMATION SHEET 02/01/~~~~ "...estone BUILDING PRODUCTS COMPANY UltraPlyTM TPO Cut Edge Sealant Firestone Item Number: W56TP03001 (White) W56TPOT001 (Tan) W56TPOG001 (Gray) DESCRIPTION: Firestone UltraPI/M TPO Cut Edge Sealant is a polymer based sealant used to seal all cut edges of UltraPly TPO membrane where the polyester reinforcement is exposed. It is available in white, tan and gray. METHOD OF APPLICATION: Surfaces that UltraPly TPO Cut Edge Sealant is to be applied must be clean, dry, free from loose and foreign materials, oil and grease. The following are recommendations for application: 1. Wait before applying UltraPly TPO Cut Edge Sealant: Wait until the welded seam is cool to the touch before applying the Cut Edge Sealant. 2. Clean seam area: Clean the area of the seam with Firestone SW-100 prior to treating the edge with Cut Edge Sealant. 3. Prepare sealant: Transfer the Cut Edge Sealant from the one gallon can into the squeeze bottle provided using the attached spout. Trim the tip of the bottle off to provide approximately a 1/8" (3.2 mm) diameter opening. 4. Apply Cut Edge Sealant: Apply approximately a 1/8" (3.2 mm) to 1/4" (6.4 mm) diameter bead of sealant to all cut edges of UltraPly TPO with exposed reinforcement. PHYSICAL CHARACTERISTICS: 1. Excellent resistance to ozone, ultraviolet and general weathering. 2. Excellent resistance to heat, cold and water. 3. Excellent adhesion to UltraPly TPO sheet. Propertv Base Polymer: Colors: Solvents: Viscosity: Weight/Gallon: Specific Gravity: Flash Point: Volatile Organic Compound (V.O.C.) Content: Tvpical Performance Synthetic Rubber White, Tan, Gray Aromatic and Aliphatic 2,000 - 3,000 cps 7,941bs/gal (.952 kg/L) .952 790 F (260 C) 6.12 Iblgal (734 gm/L) This sheet is meant only to highlight Firestone's products and specificaUons. Information is subject to change without not~. Fi~tone takes responsibil~ for furnishing quatlty matenals, which meet Fll'eStone's published product specification. As neither Firestone itself nor its representatives practice architecture. Firestone offers no opinion .on, and 8XJl!llSSIy dlsdaims any responsibility for the soundness of any structure on which Its products may be applied. If questions arise 85.tO lh~ .soundness of a structure, or its ability to support a planned installation properly, the ONner should obtaV'l oplmons of competent structural engineers before proceeding. Firestone accepts no liability for any structural failure or for resuhant damages. and no Firestone Representative is authorized to vary this disclaimer. r,..e$tone Ultra Ply TPO' Cut Edge Sealant W56-TPO-3001 DONQT 15I! RlMsPllCESOA WIT" I!:PDM 'F...e$tone .UI~_ Nc>>ucn '.'. "_~..-_n'Lt:.o......v....[.n, ~"'" -.........-' .,. '. . CC)to(TDn'S, 1 CALLOH\3.7G UTVtS. PRODUCT DATA COVERAGE RATE: 1 . Coverage rate of : 1/8" (3.2 mm) Diameter Bead: 1,500 LF (457 m)/gallon (3.785 L) 400 LF (122 m)/gallon (3.785 L) 1/4" (6.4 mm) Diameter Bead: SHELF LIFE: 1 . Shelf life of one year can be expected if stored in original sealed container at temperatures between 600 F and 800 F (160 C and 270 C). If exposed to lower temperatures, restore to room temperature prior to use. 2. Shelf life will be shortened if exposed to elevated temperatures for a prolonged period of time. STORAGE: 1. Store in original unopened containers at temperatures between 600 F-800 F (160 C and 270 C) until ready for use. 2. For optimum use, rotate your stock to ensure stored material has not exceeded the shelf life of one year. PRECAUTIONARY DATA: 1. Flammable. Keep away from fire and open flames during storage and use. Do not smoke when using. 2. Red caution labels required when shipping. 3. Avoid contact with skin. Neoprene or nitrile gloves should be worn when handling. 4. Use only in well ventilated areas. 5. Do not contaminate with foreign materials. 6. For professional use only. 7. Review Safety Data Sheet prior to use. 8. Keep out of reach of children. 9. Dispose as a hazardous waste in accordance with local state, and federal regulations, ' Recommended cleaner is rubbing alcohol followed by soap and water. LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 0% South Bend, IN Firestone Building Products Company A Division of BFS Diverslied Products, LLC 310 E. 96th Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-113 y'...e$fQne BUILDtNG PRODUCTS COMPANY U ItraPIY™ Bonding Adhesive Firestone Item Number: W56TP03005 DESCRIPTION: Firestone UltraPI/M Bonding Adhesive is a solvent based contact adhesive designed specifically for bonding Firestone Ultra Ply TPO 96 and 120 membranes to approved insulations in addition to wood, metal, masonry and other acceptable substrates. Note: Not for use in adhering Firestone TPO XR membranes. METHOD OF APPLICATION: 1. Surfaces that will receive Firestone UltraPly TPO Bonding Adhesive must be clean, smooth, dry, free of sharp edges, loose and foreign materials, oil, grease, and other contaminants. 2. Stir the adhesive thoroughly (to achieve a uniform mix with no sediment on the bottom and no marbling evident) before and during use. Apply Bonding Adhesive at about the same time to both the exposed underside of the sheet and the substrate to which it will be adhered so as to allow approximately the same drying time. Apply Bonding Adhesive evenly avoiding areas of accumulation. Apply the Bonding Adhesive with a solvent resistant paint roller, and roll the adhesive onto the mating surfaces. When applying Bonding Adhesive, ensure complete uniform coverage of both surfaces that will be adhered. Care must be taken not to apply Bonding Adhesive over seam areas. 3. UltraPly Bonding Adhesive can be dispensed by means of Garlock Power Roller or Garlock Spray Equipment. Other equipment may be used as recommended by the manufacturer for application of this adhesive. Garlock 25T Power Roller: 4 CFM Compressor, 60-80 P.S.1. Air Pressure 25-Gallon Tank (2) 3/4" Hoses X 30' Long with Swivels (2) 18" Roller Head Assemblies Garlock 314 Glue Machine: 1 Gallon per Minute Flow, 4,000 P.S.1. Rated 1" Intake Pipe 25 or 50 Feet of 1/2" Hose suitable for Solvent Based Adhesives and/or Cleaning/Flushing Solvents Tip Size: .023"-.031" Ground Machine to Approved Source Garlock Commander 2120 Assemblv: 5 Gallon per Minute Flow, 1200 P.S.1. Pressure (minimum) 50-100 Feet of 1/2" Hose suitable for Solvent Based Adhesives and/or Cleaning/Flushing Solvents Tip Size: .023"-.031" Ground Machine to Approved Source ~ f"..... , ----------- ';':. :'. ! ~(! \{v.....on.i' ~. UltrClPl'l ~ ~~~-~~ ~.. \VS.Il-TfiO'3Il9S' ", r! ~~.~~~~.. :'> .- ~~f;'_~::'';;T'' ..,,~.,..'.:,~lc.~I~ :. . ,:., " PRQD.V(~T,iDA1;-A.:. . ;, .' ",.;/ Notes: Spray applied bonding adhesive requires back rolling with 9" wide solvent resistant roller (medium nap) to insure 100% coverage of the adhesive on the substrate and membrane. 4. Allow Bonding Adhesive to flash off until tacky. Touch down on the Bonding Adhesive surface with a clean, dry finger to be certain that the adhesive does not string. As you are touching the adhesive, pushing straight down to check for stringing, also push forward on the adhesive at an angle to ensure that the adhesive solvents have flashed off and is ready throughout its thickness. If either motion exposes wet areas or sticking when the finger is lifted, then it is not ready for mating. Flash off time will vary depending on ambient conditions. 5. Starting at the fold, roll the previously coated portion of the sheet into the coated substrate slowly and evenly so as to minimize wrinkles, To ensure proper contact, compress the bonded half of the sheet to the substrate with a stiff push broom using heavy pressure immediately after mating. PHYSICAL PROPERTIES: Base: A blend. of Polychloroprene and SBR rubbers Color: Yellow Solvents: A blend of Acetone, Hexane, Toluene and Xylene Viscosity: 3,300-3,800 cps, with RV.F. spindle @ 10 rpm WeighUGallon: 6.6-7.4 Ib/gal Specific Gravity: 0.7909-0.8868 V.O.C, Content: 633 gmlL *Available in 5 gallon (18.9 Liters) pails. COVERAGE RATE: 1. A coverage rate of 45-60 square feet per gallon (1.10-1.47 m2/liter) may be obtained depending on the substrate. Some insulation surfaces are more uneven and porous and will result in a lower coverage rate while smooth non-porous substrates will result in higher coverage rates. Rates are based on roller application to both mating surfaces. 2. Very porous substrates (rough wood, concrete block) may require two coats of Bonding Adhesive, to ensure proper adhesion. This can be determined by testing a small area. Check by adhering a small piece of UltraPly membrane to the porous substrate to verify the bonding strength. S723-RFS-059 SHELF LIFE: 1. Shelf life of one year can be expected if stored in original sealed container at temperatures between 600 F and 800 F (160 C - 27" C). If exposed to lower temperatures, restore to room temperature prior to use. 2. Shelf life will be shortened if exposed to elevated temperatures for a prolonged period of time. Ytrestone BUILDING PRODUCTS COMPANY STORAGE: 1. Store in original unopened containers at temperatures between 600 F - 800 F (160 C - 270 C) until ready for use. 2. For optimum use, rotate your stock to ensure stored material has not exceeded the shelf life of one year. U ItraPly ™ Bonding Adhesive PRECAUTIONS: 1. Review Material Safety Data Sheet specified on the bonding adhesive container label. 2. Flammable. Keep away from fire and open flame and other possible ignition sources during storage and use. Do not smoke when using. 3. Read caution labels. 4. Avoid prolonged contact with skin. 5. Use only in well ventilated areas. 6. Do not contaminate with foreign materials. 7. For professional use only. 8, Keep out of reach of children. 9. Thinning is not allowed. 1 O. Review Firestone TIS Number 1705; Recommended Guidelines For Application of Roofing Adhesives To An Occupied Building, PHYSICAL CHARACTERISTICS AFTER APPLICATION: 1. Excellent resistance to aging. 2. Good resistance to heat, cold, and water. 3. Excellent tack time for versatility of installation. LEED INFORMATION: Post Consumer Recycled Content: Post Industrial Recycled Content: Manufacturing Location: 0% 0% South Bend, IN ~ ~~"/~ c~us Cemenls and Coatings for Roofing Systems As to an External Are ExposlXe Only 61P2 See UL DirectOl)' of ProdJds Certified for Canada And UL Roofing Materials And Systems Qirectcwy R9516 Subject to the conditions of Approval when instated as described in the current edtion of the FM Approval Guide This sheet is meant only to highlight Ftrestone's products and specifications. Information is subject to change without notice. Firestone takes reaponsiblity for fumishng quBitly materials, which meet Fireatone's published product specllcation. As neither Fir.stooe I.en nor its representatives prectice archhctute, Fnatone offers no opinion on, and expressly dildelma any responsibility for the sounMeN 01 any structure on which its products may be applied. If questions ariae as to the soundness of a 8b'ucture, or its ability to support a planned installation properly. the C>Nner shoulcl obtain opinions of competent strucllJral engineera before proceecIng. Firestone accepts no liability for any structural failure or for resultant damlgea. and no Fi'eatone Representative is authortzed to vary this disclaimer Firestone Building Products Company A Division of BFS Diversified Products, LLC 310 E. 96" Street, Indianapolis, IN 46240 Sales: (800) 428-4442 . Technical (800) 428-4511 www.firestonebpco.com S723-RFS-059 ~ s U RO .-1 T T E R OFING Sutter Roofing Companies FAX TRANSMITTAL SHEET SUTTER .ROOFING-TAMPA OFFICE 8811 MAISLIN DRIVE TAMPA. FL 33637 PHONE: 813-868-0800 FAX; 813-868-0500 DAlE: 1/9/08 F)0{~ 813-780-0021 NUMBER OF PAGES: 5 1'0: Jackie FROM: Tad Denny RrF: Zepbyrhills Warehouse Project COMMENTI MmSAGE: Jackie. Here should be the last of the information required for Sutter Roofing to be added under Haskcll Construction's permit fur the Zepbyrhills Wa;~,~tber. is any questions or concerns please feel free to contact me a\41-915- _664. Thank you, , Tad Denny If you bave any questions orneed any additional information, please feel free to call me at 813-868-0800 X-212 oryou may cmuil me attdcnny@;uttclTOofing.com 500/100 'd 00s0898EI8(Xl:lj) DUHOOlj Jauns 6E:60 C03M)8002-60-Nl:lr NOV/21/2007/WED 01:50 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P.001 1'City lofZe'phyihill~:' , . . :P~oDc:',(813).7S0.0020. . '~:;~~=o.oo2l ' . ",," ,.~\' . r- ' . '70' '. ' ~. .r~... . m ___________________-------------------------~---------____w ____~ I. 1 . 1 , , 'J 1 I 1 , I 1 I , .: : . I I, .1 , I 1 , 1 I , I 'I 1 , I I 1 I I I I '" '1. I , 1 , 'I .1 I . 1 , 1 1 ,I' , I, 1 , '. .'.1, J , I 1 ' " . ~ :. " , . ", .,' . I. . ' I '. '. ., . ". '.' : " . , ' ' ".,' , ,I ' I, . ',. :: L_,...:~~-:.:...:.:-'.;..-.-..:,~.;.-:-~::.-----~--~,.;..;.:-~'~..:-~--..:.--.-:.,.~-~.~ ~':".:.--.:...:~.~~-:...--~--J : ~OM.Jackic 1 I~ Tad I . : FAX4I:813-S6S.0S00 1 :"DATE: '11':21~07 " 1 I 1 : MESSAGE: 1 ' ' I Att~"ed ~th1his coverletter is the contractOi's~~ for registc:ing here 'in the City. " , . . This iDfOImarlnn:could, b~faxcd back to thc.phone4# listed abovc. Because of no fee 'FAX#: 813-'l80-0021 .# OF P.AGES: 2 involved. Thankyou, , Jackic .' .... . .' . " . , : ' . , . I "', .' ," , ' , . .' -..-..........- ',' . --'..-'--- - .---=--..:...:.....:.- " " .._.J....,~... ..--.-' 6E:60 (03M)8002-60-N~r "-_.:..- 500/200 'd 00S0898EI8(~Bd) _ fiUq.OO~ Janns 88:53 12IB6/2881 TO :1941SS68115 FROM ::UUILDEBS nOfICE CORP PAGE BBt at 881 .i$. BUILDERS NOTICE I A vital tool to the construction industry, WARNING! FLORIDA'S CONSTRUCTION LIEN LAW ALLOWS SOME UNPAID CONTRACTORS, SUBCONTRACTORS, AND MATERIAL stJPPLmRS TO Fn..E LIENS AGAINST YOUR. PROPERTY EVEN IF YOU HAVE MADE PAYMENT IN FULL UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT WE ARE PAID MAY RESULT m A LIEN AGAINST YOUR PROPERlY AND YOUR PAYING TWICE. TO AVOID A LIEN AND PAYING TWICE, YOU MUST OBTAIN A WRITTEN RELEASE FROM US EVERY TIME YOU PAY YOUR CONTRACTOR lU06/2007 BATCH1 26998 1 FILE COpy BY:JH WORK ORDER' 1767115 I Builde~s Not~ce Corp. 708 S Aa.d~ew8 Ave Ft Laude~d.le, FL 33316 Builde~s Not~ce Corp. 1-800-550-5436 . ...~~ :.. " ,,';":.. _' . I . NOTICE TO OWNERAND NOTICE TO CONTRACTOR CERTI 7101 0412 3440 1606 57" TO: GREAT SPRING WATERS OF A~lUCA IRC /NESTLE WATERS NORTH AHnICA IRC /I<I!S JEFFREY 777 W PUTNAM AVE GREENWICH CT 06830-5091 The IDJdcrsigned hereby infoans you that it has :fumished or is Nmiabing lIcrviccs or mataiaJs as follows: Forim~~o~~~~~ as: ZEPBYRBILLS WAREHOUSE 4330 20 ST ZEPHYlUIILLS TR 73-74, 87 & 88 ZEPHYRHILLS. COLONY CO PB 1155 SEe 13 T 26 PC 21 PASCO COUNTY n. WD 44'9/1327 12/00 (TR) * NOTICE or COMMENCEMENT O/~ BOOK & PAGE: 7658/106 Under an order given by: u..~...... ,ulV ~_ THE ~LL COHPno.. ~ .J'~ L..<i..... Florida IIIw pl1:sall:Ies "'tr s"ng of UlIs Notice and t1ISllIclS your right to mIlke D8YIMIIIB lI'Idet your co~t In accordlml:tr "It! SecUon 713.08 Florida Slabhs. PuraUllnt to AorId.Salule 713.1&(1) pie... fume" . copy or yolK dinlCt. contract w*h Ute contractOr. ResponslblHty for l:Op)' colb 1:1 ac:knlnWledgcel. Request for SwomSlatemllr\t of AcCount must bD fljjdresMd ClI: . SUTTER ROOFING CO OF FLORIDA, 8284 VICO CT, SARASOrA FL. 34240-7844 IMPORTANT INFORMATION FOR YOUR PROTIiCnON Under florida'S law. those ..tlo wGllt on yOUl' pmperty or plOlltde materllllll and ere not pllld have. rI~t to enforce lhelr d.m far payment against yolI" property. This claim Is IInown as a constructlon Den. If yolI' conIractOl' fells 10 pay SlIbCOrA/'8UOI'I or malerlel :uppl81S Of nealecIa to mi. other IegIJlv reqlired pa~5. the pe.ope who .AI owed money may look 10 your property for pIIymer1, EVEN ,~ YOU HAVe PAlDYOURCONTRACTOR IN FULL PROTECT YOURSELF RECOGNIZE !hat IIIls Nolie. to Owner mey resullln a Uen 1Ig8lnsl. yolI" proplll1y URea alChose wupplyIng . NolIce 10 Owner hllW been paid. LEARN more 1IbcM the Constructllll1 Uen Law, Ch.,.r 713. P1IIt I. FIolldll Statutes, lIl\d lIle meaning or Illls notice t1'/ corUc:\ing ar aIlome)' or lhe Florida Department or Busi ness end Prafeaione' RqUlatiOll. Ir . paymert bond edslS 10r IhIs project. this notice ftII seNe u !he pftllmjnlrY notICll of Inlenllon to man d.lrn agllllllt """ such bond($l. Request for a coW 0' lhe bOncl(s) ~ hereby made. with aclcnowledgmelll ar responslbllfty for COP'! COcl' ~lIre 10 flJmIsh.the reQllf:Sled copy ITllIIY heve IlMfw cOIllOquenc:es as descnbed~~ SlaM., 713.z3,113.2.'~ 255.05 ~ER~~Rho1 0412 3440 1606 5744 SUTTER ROOrING CO or FLORIDA GREAT SPRING WATERS OF AMERICA 8284 VICO CT INC/NESTLl. WATERS NORTH SARASOTA Ft 34240-7844 AMERICA INC/KI~ JEFFREY 777 W PUTNAM.AVE GREENWICH CT 06830-5091 [CUST-CUST GEN.CONra] THE HASKELL COMPANY FIRM: By;: lames . A~ . CaFme! -. '., - 1G ~..,; A'. -.::i - eJ " ent .... m. iI'.. ,..._.."~.;r.dl {GENERAL CONTRACTOR] Tm: HASIa:LL COMPANY 111 RIVERSIDE AVE JACKSONVILLE FL 32202-~9S0 SOO/EOO'd OOSOB9BEIB(X~~).: .-.. DU ~ :l-oo~ j anns 6E:60 (03f1))B002:60-N~r Form W-g Request for Taxpayer Identification Number and Certification Give form to the requeSter. Co not send to the IRS. Enter your TIN In the appropriate bDl(. The TIN provided must match the name ghlan on Une 1 to avoid backup withholding. For Individuals, this Is your social security number (SSN). However, for a resident allen, sole proprietor, or disregarded entity. seo the PM I instructions on page 3. For other entitleI'>, It Is your employer identlllClltlon number (EIN). If you do not have a number, see How to get a nN on page 3. Note. If the account ;s in more than one name, see the chart on page 4 for guidellnos on who$e number to enter. Under penalties of perjury, I certify that: 1. The number shown on this form is my corroct taxpayer Idontlflcation numbor (or I am waitIng for a number to be issued to me), and 2. I am not subject to backup withholding becauso: (a) I am exempt from backup withholding, or (b) I have not been notlfled by the Intemal Revenue Service (IRS) that I am subject to backup withholding as a result of a f01llure to report 0111 interest or dividends. or (c) the IRS has notified me that I am no longer SUbject to backup withholding, and 3. I am a U.S. per:;on (Including II U.S. resident alien). Certification Instructions. You must cross out Item 2 above If you have been notifl.,c:l by the IRS that you are currently subJect to backup withholding because you have faMed to report all Interest and dividends on your tax return. For renl estate tran~ctlons, Item 2 does nor apply. For mortgago Interest paid. acquisition or abandonment of secured property, cancellation 01 debt. contributions to an Individual retirement arrenQament (IRA), and generally, payments other than interest and dividends. you are not required to sign the Cartlflcaticn, but you must provide your correct TIN. (Seo he Instructions on page 4.) Sign Signature of Here u.s. person ~ (ReV. Janusry 20051 ClIP""",..,t Dr lIle Treltury lrlllmal R...enlle Str\ItCe N Name las shown on your Income tu reluml ~ SUTTER ROOFING CO OF FLORlOA a. Business mUTlD, II dmerent 1rom above c o ClI<Il a:~ .. u OS i~ A:~ I;: '0 Cl a- Il) ~ II) O IndlvlduaV Check approlll'llllo: box: Sole proprtelOr Add~ (number. strool, "nd BpL or suite no.) 8811 MAISLIN ORIVE III Corporation Clly, :;1,,10, and ZIP codo TAMPA, FLORIDA 33637 Ust account number(a) hero 10Ptlonal) er Identification Number IN Certification Purpose of Form A person who is required to file an Information return with the IRS, must obtain your correct taxpayer identification number (TIN) to report. for example, Income paid to you, real estllte tram:actlons, mortgago interest you paid. acquisition or abandonment of secured property, can collation of debt, or contributions you mado to an IRA. U.S. person. Use Form W-9 only If you are a U.S. person (indudlng a resident alien), to provide your correct TlN to the person requesting it (the requester) and, when applicable, to: 1, Certify that the TIN you are giving is correct (or you ara waiting for a number to be Issued), 2. Certify that you are not subject to backup withholding. or 3. Claim exemption from backup withholding If you are a U.S. exempt payee. Note. If a requester gives you a form orher than Form W-9 to requost your TIN, you must use the requester's form If It Is substantially similar to this Form W-9. For federol tax purposes you are considered a person if you are: . An individual who is a citizen or resident of tho United States, . A partnershIp, corporation. company, or association created or organized In tho United States or under the laws of the United States, or 500/1700 'd 00S0898EI8(XI::l.:l) O Exempt Irom backup withholding Aeque:;tllf'G n~ml!l and addreaa (opllon",11 o PllI1"et'Shlp 0 Othor" ..... .... _. no - no ulol' $ocur1ty numbar 14- LLLI or Date .. - ?-t::J$ . MY estate (other than a foreign estate) or trust. See Regulations sections 301.770' -6(a) and 7(a) for additional information. . Foreign person. If you are a foreign person, do not use Form W-9. Instead. use the appropriate Form W-B (see Publication 5'5, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonrosldent allon who becomes 3 resldont alien. Generally. only a nonrosidentaJlen individual may use the terms of a tax treOlty to reduce or ellmlnato U.S. tax on certain types of Income. However. most tax treaties contain a provision known as a "saving clause." Exceptions specified In the saving clause may permit an exemption from tax to continuo for certain types of Income even after the recipient has othelWlse become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who Is relying on an exception contained in the saving clauso of a tax troaty to claim an exomptlon from U.S. tax on certain types of Income, you must attach Ok statement'to Form W-9 that specifies the following five itemS: 1, The troaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the Income. 3. The article number (or loctltion) In the tax treaty that contains the saving clause and its excoptions. car. No. 10231)( , Form W-g (Rev. '.2005) 5UHOO~ Huns 6E : 60 (0311)) 8002:-60-NI::lC ' : STATE OF FLORIDA DEPAR'l'ldENT OF BUSINESS AND PROFESS:CONAL REGULAT::I:ON CONS'l'RUC'l'J:ON DiDUSTRY LICENSING BOARD ~940 NORTH. MONROE STREET . TALLAHASSEE FL 32399-0763 (850) 487 -~39S StrrTER, STEPHEN F SUTTER. ROOpmG CO 8284 neo COURT SARASOTA OF' FLORJ:DA FL 34240 l . ,. I~' .:'~lF f;': '.!~tsr...:. . ,ili.'ci..:.~,)~:;, WA,,~I~'\b' "";';;.I;~::l '~(" ":I"~WJ~'t."V~";7E1~l'~': ::"'~Fr.~ :"'~' '1:1'" '-'- ;~C!ii ~tts~~,'.: ~~ ..' " .~ ~:!i:;"~ "M:o.;_W.~ , '111' ,,;;r.~ .. .... itIC:J ;-~~.A'AtAi"'~~~ c:) . . ~,.I,," '.(:... ......:.. .:..C!i~."" :" '..,....,......,;C~~:;~J\.~~ ."": ....;.:.~..:.:-=: = .~~:.~. ~ .~:. ~:-...:;.:..'~<; ..;.;...~::.:.':. . '"'.~~. .., .;~....'f' ~.. _ :,CC~;2.9SQQ ,::::~:,..:: /0t1-'/1..4j.:O.G-, O&O,031G,~_O ~" "!'IIo . .1r.- ~. :i:.~~\:" 0'''':;' '_':., ":, ....,.. :.. ~ I'" '. "'I.~~l . ,;t\l" -:....:;.....~ . .j:,,:!- .:~l"",g',-.",-,;,,-, ,'. .., ....., .,....,.~.. _"'''''~\-'' .' ~J~" ~1I... ... ..'.,~.""._......".._.. .,~, "..._....",,{I!~:,. ..,..~.( I~.~!: :-~ ". . .'_:SP:::I:R,9.Q~;q1G~;!::.~~~O~~ ~:- ..~:- . ~ . ..::.. ~S~E~~'~;F-~;.' .'::-'::~.?t:'i'Jl! ;.!<<~ ,'~~\ ...~~~L.. 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F:i;~ .~~\f7~?:,t.f."~ '~L. . ';', . i:i ~i;~; ~!:fi'J:.; I"!;":~:-~"IO:~RETARY '.\ '. . :'i:~i'~ ~~.::~ .... ..~ .'a: ~I '..":.... 'i.t..: . I..: .: ::."l;.~ ............ 5'00 I 5'0 O='d 00SOB9BEIB(Xl:l.:l) JiU n.oo~ j anns OU :60 (03~)B002-60-Nl:lr l ~,~ -I Information ~..,. .To Build On Engineering ~ Consulting · Testing Date: -5 - {, - 0 6' Project: j,/ ,.j /./ =,c' ;)11 c: h',} 1<; ./': i --r1 PSI Representative: ~}/1 (:,,)e/;("1./' Scheduled By: Structural Steel Report Client: Project No: 87'6' 70C) 7, Verification Services Provided: ~ Initial D Corrective Action Follow Up D Framing Erection o Structural Weldments; Type: h'll e i D Bolt Installation and Tensioning D Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: ,\ Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) Other: 'J-' H s5 ' .~. ea V-v1 r~"J(I"-;;' ) Sf"",j. , 'r-i;;~i" ,c r -< /,("'C '{I , _, A-i +- 7_'-'1+)1 L./)i/I t-1 !:r: . itS! J,/I _~ j It i i (...- --'. --'~. . It! Status of Services Provided: 00 D "'-. D D D o No Deficiencies Noted Deficiencies Noted; Types, Location: Corrective Actions Required: Deficiency Added to Punch-List; #'s: Deficiency Removed from Punch-List; #'s: Punch List Items Still Outstanding; #'s: Additional Information: Reference Attachments to this Report - . Note: Contractor is responSible for scheduling allY verification of corrective actions that may be required. Results documented in this report relate only to the items tested. This report shall not be reproduced except in full, and only with the written approval of' PSI, NDE test- ing ;s subjective and subject to inherent limitations of methodology- This report is not to be construed as a g/;.1rantee or warranty of the materials or welds tested. Client is responsible for the permanent identification of ",felds and material for location, I \ I L [ Rr:;marks: d __.__. ~~.......... ....._.. Af"\"7/t]f\A c:c::t:.1 (r~;~1 Information ~.a7. .To Build On Engineering. Consulting · Testing ,Structural Steel Report Date: '-I - l.t - OK Client: Project NoJ3CfO) g 7f) - 7ttT7<=; PSI Representative: project: /11M/A Scheduled By: Verification Services Provided: RJJ Initial n Corrective Action Follow Up C1 Framing Erection 551 Structural We\dments; Type: ~i II ei D Bolt Installation and Tensioning o Metal Decking Placement and Welding/Screw Attachment o Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: f'"\ / Floor Level (Elevation): \1-: eyf Plan Area: Column Line(s) ~/ -;-+ -j c:. if ,Jet':' ~Ct! I I!., e 2.~) { 01/ vi r' ZI :(VI :7 l.-Jft, r' \ Co! i, (2.\ - r-t; ;,\ I I Other: (:-.1 it! Vl t ,?.Z t( -/15 T' D(>-/ J{'~iA .-2 I 'i,> :210 - h -tr) = f Status of Services Provided: ~ No Deficiencies Noted D Deficiencies Noted; Types, Location: Corrective Actions Required:_ Deficiency Added to Punch-List; #'s: Deficiency Removed from Punch-List; #'s: Punch List Items Still Outstanding; #'s: ~ n Cl n C\ Additional Information: [--I Reference Attachments to this Report -- ----- I ; \ i I L_---- ~- ----- --------- Not.; Gontm.M i, ,.,pon,/Ole (0, "he"oOn9 ony ve,iti"tton of owective ocOon' that may Oe ,.qui,ed, Re'U'" docnmented in thfs ,"po" ,da'e onty '0 .he item' lealed, TOi, ,"p'''' ,hall not no ,"pcodueed except in .,,11, and only with .he weiUen app'M"' of PS', NDE .esf. tno " ,uOj~ttve and suOject fo tntteren' limitaUon' ot methodotogy, This ,"port i' not to Oe oon"""d a' a guamoten 0' W",' anty ot .he N'__' ;~ ,~"",("ln~ible for the permanent identification of welds and materia! for location. Remarks: ------------ --- - - _.- -- --------------- ----- __............. ,,,:c-i l no ~;l Information ~~. .To Build On Engineering" Consulting · Testing Structural Steel Report .' /' - -; &, - ,r-' (~/ Date: t- ---- {{/ V ,/} , ~ /.., 1 11 It.\ Project: /G' (fl../ J'" 1 Client: Project No: (::;90) ,'?7'f:--;eD79 PSI Representative: ::;2 ,0 P (i il/~'fj-I' '1~1 i .: \.._'1 ,j ,_J ; ___<1\/.4 if t,-j' /; / /1.",.. /,-' "/ .'/ Scheduled By: Verification Services Provided: ~ Initial r-l Corrective Action Follow Up Cl Framing Erection !5(7l Structural Weldments; Type: n Bolt Installation and Tensioning n Metal Decking Placement and Welding/Screw Attachment r-l Other: TOTAL HOURS: REMEDIAL HOURS: "--I i 1; ,+- ',I '"-," , \ "c Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) r,,> ! /\. CiJ '1 Other: \I' /:7 -+ - / ' 'C(il j,,/y Cc I C - I c! 7> r f' i-I f) (;,- I r d tr / e IA/1,;/ (Oc,f CC [1 {/1 ~C 1TCn1~ ! ! '( t. II ~'-I 't ;2 i_/; .c: ~', ~-<(r - B 1e> T I ') -;; (2 -to D ~,"__/ ,_~" {5 ---,J ,...... ~I / .-J /" /--A - .0 Ie! C Status of Services Provided: r?d No Deficiencies Noted D Deficiencies Noted; Types, Location: Il Corrective Actions Required: \--1 Deficiency Added to Punch-List; #'s: n Deficiency Removed from Punch-List; #'s: r-1 Punch List Items Still Outstanding; #'s: Additional Information: Reference Attachments to this f-~eport Remarks: _ Note: Contractor is responsible for scheduling any verification of corrective actions that may be required, ResultS documented in tllis report relate only to the items tested. This report shall not be reproduced eKcept in full, and only with the written approval of PSI. NDE test- ing is slJbjective and subject to inherent limitations of methodology. This report is not to be construed as a gdDr.1piee or wao'anty of the materials or welds tested. Client is responsfofc for the permanent identiticiHion of wcfds and material for 10catiuIL . ,,_ .r.r'\. r-r-,~" _ C,..,v Iln7nn.d_I;'\R1 l~!: .1 Inf01mation ~~. .To Build On Engineering. Consulting · Testing DAILY FIELD REPORT TESTED FOR: Mr. Russell Neudeck The Haskell Company 111 Riverside Drive Jacksonville, Florida 32202 PROJECT: ZephyrhiHs Warehouse Expansion - Bottled Water Plant DATE: March 31,2008 REPORT NO.: 878-70079-130 Brief resume of work accomplished this date: Cylinder Pickup As requested, a representative of our firm arrived on-site and picked up one (1) set of previously cast concrete specimens. The samples were returned to our office for testing. The results will be forwarded subsequent to testing. Should you require additional information, please do not hesitate to contact our office. Technician: SM Respectfully Submitted, Professional Service Industries, Inc. Nyasha S. Seale, P.E. Branch Manager The Haskell Company _ Matthew Lantzy, Michael Wittman, Mike Drawe; NCG - Barbara Willis Orlando (Failures Only) l ~s .,lnjoT11UJ1ion ~.,. .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST rESTED FOR: RUSSELL NEUDECY THE HP.SKELL COMPANY III RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYF,HILLS v~~.EHOUSE EXPAl\lSION - BOTTLED v~.F_TER PLNT March 28, 2008 PSI REPORT NO.: B7B-70079-l31 DATE: FIELD DATA: LOCATION OF PLACEM::f'-lT ISOI.J'-.TED COLUMN FOOTINGS - 3 ON S. SIDE OF BLDG. &: 3 ON E. SIDE OF BLDG. 7B 75 March 29, 200B PSI\Mlv) B . E. T . EE IVIIX SUPPLIER DELlVC:RY TICKET NOJTRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER NIX 9346 30 lLsSKELL DATE PLACED TIME SLUMP, IN. AIR CONTENT. % AIR TEMPERATURE, OF CONCRETE TEMPERATURE OF DATE RECEIVED IN LAB FIELD OATh SUBMITTED BY MIX DATA SUBMITTED BY March 28, 200B 01:25 pm 6 1/2 NOTf" APPIICARI e ASTM STANDARDS UNI FSS OTHeRWiSe INOICATFO' 51 UMP' r,43' AIR CONTENT- C?31IFXCLUDING SEC 6\ TFMPFRATURc, C106^' CYliNDeR.' C31 /FXrl UOING ser 101 ?I, SAMPliNG' C17? COMPRESSION TEST RESULTS ASTM C39: C1231 I I I COMPRESSIVE \ SPECIMEN TEST TOTAL CYLINDER \ CYLINDER TIPE OF BREAK. LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO (DAYS) TEST (LBS.) (IN.) (SQ. IN.) (PSIi ASTM C39 p.. 7 04/04/08 74543 6.01 28.37 2630 Type 2 B 28 04/25/08 C 28 04/25/08 D H HOLD SPECIFICATIONS 28 3000 REMARKS: ~ Cylinders made by PSI representative. Cylinders picked up by PSI X representattve. Tesl results comply with applicable specifications. Cylinders made by Archilecl's or Contractors representative. Cylinders delivered to PSllaboralory. Test results do nol comply with applicable specifications. T'~C~HNICIA!; : MM Respectfully submitted, Protessional Service Industries, Inc. cc: 'T'IIe:: lL1l.SKELL CO. - I"1i'~';'IHEW IJJ<fTZY; MICHEl'-.L vH'ITI'J!g.N!\1 i ]v!J:KE U}"'\,'E; NCG - BARBP..PJ'. \,ILLIS (PJ>..ILURES ONLY) OEL~.l\lDO THESE TEST Rf:.SULTS APPL ',' 'Jt'IL Y TO TH;=:. i:: SAMPLES TESTED ANC' tJJAY NOT BE II~U1CATIVE OF 1 ~ I;: :.:t.:7iK~ CONCRETE PLACEM~t~T. REPORTS 1,,\/:, !~OT B~ REPROlJUCED. EXU::.rT H-i !'UU_, v,,';--;'H::,UT WRITTEN ,:OL..Rt~ISSlOt,j BY PROFES.SION/~l ,1..!:lIJSTR1ES.INC N'{~L,SI{A S. SEALE / P. F . FUFF).!'. LICENSE NO 6:::870 , _ _ r-"11..-I ".,~...... -1 . W'.,..l....,...n t=1 '>A""7. PI.. '". -'?7IRhR.q',C'I, . F"x 7~7/RRR-00!14 l '^s.l Information ~ti;1I. .To Build On Engineering. Consulting · Testing REPORT OF FIELD COMPACTION TESTS DATE: 3/19/2008 PROJECT NAME: Zephyrhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave. Jacksonville, FL. 32202 PROJECT NO: 878-70079 REPORT NO: 126 Project Specification: (1) (2) (3) 95% of ASTM D1557 (Modified Proctor) 98% of ASTM D1557 (Modified Proctor) 100% of ASTM 0698 (Standard Proctor) Elevation Max Moisture Dry Wet Comp- No. Date or Location Density Density Density action Meets Death Ibslft3 % Ibs/ff Ibslft3 Specs? % FOUNDATION SOILS - CONTINUOUS WALL FOOTINGS - PHASE 1C 0= BOTTOM OF FOOTING (SPEC #1) 1 3119/08 0-1 50' E. of existing E. staircase next to dock #14 109.5 6.2 108.3 115.0 98.9% Yes 2 3119/08 0-1 100' E. of existing E. staircase next to dock #14 109.5 5.8 107.6 113.8 98.2% Yes 3 3/19/08 0-1 25' N. of SE comer of phase 1 C 109.5 4.7 107.4 112.5 98.1% Yes 4 3/19/08 0-1 25' N. of SE comer of phase 1 C 109.5 5.2 108.1 113.7 98.7% Yes DEPTH OF TEST REFERENCED IN FEET Respectfully Submitted, Professional Service Industries, Inc. Certification of Authorization No. 3684 Tech: RB yasha S. Seale, P .E. Branch Manager Florida License No. 63870 These test results apply onlylo the specific locations noled and may not represent any other location or elevations. Reports may not be reproduced, except in full. without L/, - Ie'. D V permission by Professionel Service Industries, Inc. 7 r::-l o ACC:-; _ Dh...n,..... 7f"J7JQt::Q_Ot:;'Jh . I=~v 7:)7!;..<'-"R_iln0t1 l 'lS-l Information ~..,. GTo Build On Engineering. Consulting. Testing DAILY FIELD REPORT TESTED FOR: Mr. Russell Neudeck The Haskell Company 111 Riverside Drive Jacksonville, Florida 32202 PROJECT: Zephyrhills Warehouse Expansion - Bottled Water Plant DATE: March 4,2008 REPORT NO.: 878-70079-121 Brief resume of work accomplished this date: Cylinder Pickup As requested, a representative of our firm arrived on-site and picked up two (2) sets of previously cast concrete specimens. The samples were returned to our office for testing. The results will be forwarded subsequent to testing. Should you require additional information, please do not hesitate to contact our office. Technician: RB Respectfully Submitted, Professional Service Industries, Inc. Nyasha S. Seale, P.E. Branch Manager The Haskell Company - Matthew Lantzy, Michael Wittman, Mike Drawe; NCG - Barbara Willis Orlando (Failures Only) :'.uf"'''',lonal Service Industries. Inc.' 16550 Sell"", P,kd,. Suite l' Hudson. FL34667' Phone 727/0,c'iFJ 9526' F"x 7;'7/868-0094 lAoS ., Infonnation ~~. .To Build On Sngineering . Consulting. Testing REPORT OF FIELD COMPACTION TESTS DATE: 3/3/2008 PROJECT NAME: Zephyrhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave. Jacksonville, FL. 32202 PROJECT NO: 878-70079 REPORT NO: 120 Project Specification: (1) (2) (3) 95% of ASTM 01557 (Modified Proctor) 98% of ASTM D1557 (Modified Proctor) 100% of ASTM D698 (Standard Proctor) Elevation Max Moisture Dry Wet Comp- No. Date or Location Density Density Density action Meets Death Ibs/fl3 % Ibs/ft3 Ibs/ft3 Specs? % SLAB ON GRADE - STORAGE BLDG. 0= TOP OF SLAB ON GRADE (SPEC #2) 25' S. & 30' W. of NW corner of storage bldg. W. 1 3/3/08 0-1 loading dock 116.0 6.9 105.5 112.8 91.0% Yes 25' S. & 60' W. of NW corner of storage bldg. W. 2 3/3/08 0-1 loading dock 116.0 8.3 115.3 124.9 99.4% Yes 50' S. & 30' W. of NW corner of storage bldg. W. 3 3/3/08 0-1 loading dock 116.0 7.2 115.7 124.0 99,7% Yes 50' S. & 60' W. of NW corner of storage bldg. W. 4 3/3/08 0-1 loading dock 116.0 7.7 115.0 123.9 99.2% Yes DEPTH OF TEST REFERENCED IN FEET Respectfully Submitted, Professional Service Industries, Inc. Certification of Authorization No. 3684 Tech: RB vas a S. Seale, P.E. Branch Manager Florida Licen;.e No 63870 These le,1 re,ull, apply only to the specific localions noled end may nol represenl any olher location or elevations. Reports may nol be raproduced, excepl in full, wilhoul 3 2. r . Z()/ permission by Professional Service Industries, Inc. !'UD l ~~ ;1 lnfonnation ~..,. .To Build On Engineering. Consulting · Testing REPORT OF FIELD COMPACTION TESTS DATE: 3/3/2008 PROJECT NAME: Zephyrhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave. Jacksonville, FL. 32202 PROJECT NO: 878-70079 REPORT NO: 120 Project Specification: (1) (2) (3) 95% of ASTM 01557 (Modified Proctor) 98% of ASTM 01557 (Modified Proctor) 100% of ASTM 0698 (Standard Proctor) Elevation Max Moisture Dry Wet Comp- Meets No. Date or Location Density % Density Density action Deoth Ibs/ft3 Ibs/ft3 Ibs/ft3 % Specs? SLAB ON GRADE - STORAGE BLDG. o = TOP OF SLAB ON GRADE (SPEC #2) 25' S. & 30' W. of NW corner of storage bldg. W. 1 3/3/08 0-1 loading dock 116.0 6.9 105.5 112.8 91.0% Yes 25' S. & 60' W. of NW corner of storage bldg. W. 2 3/3/08 0-1 loading dock 116.0 8.3 115.3 124.9 99.4% Yes 50' S. & 30' W. of NW corner of storage bldg. W. 3 3/3/08 0-1 loading dock 116.0 7.2 115.7 124.0 99.7% Yes 50' S. & 60' W. of NW corner of storage bldg. W. 4 3/3/08 0-1 loading dock 116.0 7.7 115.0 123.9 99.2% Yes DEPTH OF TEST REFERENCED IN FEET Respectfully Submitted, Professional Service Industries, Inc. Certification of Authorization No. 3684 Tech: RB yas a S. Seale, P.E. Branch Manager Florida LiCente No 63870 These lesl results apply only to the specific locations noted and may not represent eny other tocation or elevetions. Reports may nol be reproduced, except in full, without ::3 2J' ~()/ permission by Professional Service Industries. Inc. jr.J() ',r>.n':ll Qnl\,">o Inrh.drip<:: Inr" . 1f'r:;.c;n Sr.!iF-i': r':iurl Suite 1. Hudson. FL34667. Phone i27/BG8-9526. F,...x 727/868-0094 l-~;l Information ~.,. .To Build On Engineering. Consulting. Testing DAILY FIELD REPORT TESTED FOR: Mr. Russell Neudeck The Haskell Company 111 Riverside Drive Jacksonville, Florida 32202 PROJECT: Zephyrhills Warehouse Expansion - Bottled Water Plant DATE: February 29, 2008 REPORT NO.: 878-70079-119 Brief resume of work accomplished this date: Cylinder Pickup As requested, a representative of our firm arrived on-site and picked up two (2) sets of previously cast concrete specimens. The samples were returned to our office for testing. The results will be forwarded subsequent to testing. Should you require additional information, please do not hesitate to contact our office. Technician: SM Respectfully Submitted, Professional Service Industries, Inc. Nyasha S. Seale, P.E. Branch Manager The Haskell Company - Matthew Lantzy, Michael Wittman, -Mike Drawe; NCG - Barbara Willis Orlando (Failures Only) . Professional Service Industries, ie,c. . 16550 "cheer Blvd_, Suite 1 . Hudson, F' 34667' Phone 727/868-9526' Fax 727/86i:H!Cn4 l-g ;1 lriformation ~.,. .To Build On Engineering. Consulting. Testing REPORT OF FIELD COMPACTION TESTS DATE: 2/27/2008 PROJECT NAME: Zephyrhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave. Jacksonville, FL. 32202 PROJECT NO: 878-70079 REPORT NO: 116 Project Specification: (1) (2) (3) 95% of ASTM 01557 (Modified Proctor) 98% of ASTM 01557 (Modified Proctor) 100% of ASTM 0698 (Standard Proctor) Elevation Max Moisture Dry Wet Comp- No. Date or Location Density Density Density action Meets Death Ibs/ft3 % Ibs/ft3 Ibslft3 Specs? % SLAB ON GRADE - STORAGE BLDG. 0= TOP OF SLAB ON GRADE (SPEC #1) 1 2/27/08 0-1 20' E & 40' S. of NW comer of storage bldg. 116.0 12.5 113.2 127.3 97.5% Yes 2 2127/08 0-1 20' E & 70' S. of NW comer of storage bldg. 116.0 13.3 113.1 128.1 97.5% Yes DEPTH OF TEST REFERENCED IN FEET Respectfully Submitted, Professional Service Industries, Inc. Certification of Authorization No. 3684 ~.P'E Branch Manager Florida Licen70' 63870 The.elesl resulls apply only 10 the .pecific locations noled and may not repre.enl any other location or elevaUons. Reports may not be reproduced. except in full. withoul 3 7 /?)~ permission by Professional Service Industries, Inc. . -&/ Tech: RB Profess;,',!,,"! Service Industries. Inc. . 16550 Scheer Blvd , ~;lIJle 1 . Huds[)n. FL 34667. Phone 727/868 :1:)21) , Fax 727/bhi, 00R4 l.'~ _lInformation ~~. .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: February 19, 2008 PSI REPORT NO.: 878-70079-114 FIELD DATA: LOCATION OF PLACEMENT SLAB - 25 'N. OF AA-7 60 70 February 20, 2008 PSI\RB B.E.T.ER MIX SUPPLIER DELIVERY TICKET NOJTRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 8267 40 HASKELLF1000F7000 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, DF CONCRETE TEMPERATURE DF DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY February 19, 2008 05:25 am 5 NOTF' APPLICABLE ASTM STANDARDS UNl ESB OTHERWISE INDICATFf)' SI UMP' C14.~' AIR CONTENT' C?31 fFXCI UDING SF-C 6)' TEMPFRAruRE- C1084" CYLlNOERS- C31 (FXCI UOING SEe 10 1 ?). SAMPliNG- C17? COMPRESSION TEST RESULTS ASTM C39; C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE 1YPE OF: BREAK, LABORATORY IDENTlFICA TION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 49 7 02/26/08 86230 6.00 28.27 3050 Type 2 B 28 03/18/08 C 28 03/18/08 D H HOLD SPECIFICATIONS 28 4000 REMARKS: .K. Cylinders made by PSI representative. Cylinders piCked up by PSI X representative. Test results comply with applicable specifications. Cylinders made by Architecrs or Contracto~s representative. Cylinders delivered to PSI laboratory. Test results do not comply with applicable specifications. TECHNICIAN: RB Respectfully submitted, Professional Service Industries, Inc. cc: THE HASKELL CO. - MATTHEW LANTZY; MICHEAL WITTMANl'J; MIKE DRAWE; NCG - BARBARA Wn~LIS (FAILURES ONLY) ORLN;r:O THESE TEST RE.SULTS APPLY ON\. Y ~D THr: SPECIFIC SAMPLES TESTED AND MAY NuT BE INDICATi>1f-: or- THE ENTIRE CONCRETE PLACEMENT. RE'PORTS MAY NOT BE REPRODUCEO, EXCfPT IN FULL. WITHOUT WRITTEN PERMISSION BYPROFtSSior-lAL SERVICE INDUSTRI!':S, INC. NYASHA S. SEALE, P.E. FLORIDA LICENSE NO 6387lJ Professional Service Industries. I"c . i I,S50 Sche'" Blvd., Suite 1 . Hudson, FL 34f;r;7 . Phone 727/Afi8-9526 . Fax 727/868-0094 l.~~;l- Infonnation . ~~. .To Build On Engineering. Consulting. Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: February 14, 2008 REVISION #1 PSI REPORT NO.: 878-70079-106 FIELD DATA: LOCATION OF PLACEMENT SLAB - 10 I W. & 30' N. OF COLUMN CC-12 OF STORAGE BLDG. DATE PLACED February 14, 2008 SUPPLIER B.E.T.ER MIX TIME 03 ': 15 am DELIVERY TICKET NO.fTRUCK NO. 8087 SLUMP, IN. 5 1/2 MIX NUMBER AND PROPORTIONS 40 HASKELLF1000F7000 AIR CONTENT, % CEMENT AIR TEMPERATURE, OF 52 WATER CONCRETE TEMPERATURE OF 65 FINE AGGREGATE DATE RECEIVED IN LAB February 15, 2008 COARSE AGGREGATE FIELD DATA SUBMITTED BY PSI\RB ADMIXTURE MIX DATA SUBMITTED BY B.E.T.ER MIX NOTE' APPLlCABI F ASTM STANDARDS UNLESS OTHERWISF: INDICATED- SLUMP' C143" AIR CONTENT- C231 IFXCLU01NG SEe 6\- TEMPFRATURE' C10B4- CYLINDERS' C31 (EXCLUDING SEe 101 ?)- SAMPLING' C172 COMPRESSION TEST RESULTS ASTM C39; C1231 SPECtMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSt) ASTM C39 A 41 7 02/21/08 94574 5.97 27.99 3380 Type 2 B 28 03/13/08 138003 5.96 27.90 4950 Type 2 C 28 03/13/08 140642 5.98 28.09 5010 Type 5 D H HOLD SPECIFICATIONS 28 4000 REMARKS: ~ Cylinders made by PSi representative. Cylinders picked up by PSI ~ representative. X Test results comply with applicable specifications. Cylinders made by Architect's or Contractor's representative. Cylinders delivered to PSI laboratory. Test results do not comply with applicabie specifications. TECHNICIAN: RB Respectfully submitted, Professional Service Industries, Inc. Certifi Au~11orization No. 3684 ,/j _~~1!-:;/ . CO ~ . c/Nyasha S. Seale,-P.E. Branch Manager --"( 20_~/ Florida License No.-t;' 870, cc: THE HASKELL CO. - MATTHEW LAN'T'ZY i MICHEAL WITTMANN i IVIIKF. DRAvlFi Nee BARBARA WILLIS (17ILURES ONLY) ORLANDO THt::SF TFST RESULTS APPLY ONLY Tn THE SPEClr:: SAMPLES TE.sTUl .A.NO MAY NOT BE INDICATIVt:. OF THE Ef.n !F1!:: CONCRETE. f"'! j,Cr::MEt.JT. REr'd~T~: t.,J,h\' r~OT BE REPRODUCEn, EXCEPT IN F-ULL, WITHOUT WR!! -n....:N l~t:PM1SS!ON BY PROFESSIONAL SERVICE INDUSTRIES, PS! A-?OO~.4N F Professium,: c,c;'-'Jic:J, Industries, Inc.' 165:'1) Scheer Blvd., Sl"i" i . Hudson, F! ')4667' Phone 727/868-9S2i3' I-ax 727/868-0CQ; I. _'}g_lIriformation ~.,. .ToBuild On Engineering. Consulting. Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: February 14, 2008 REVISION #1 PSI REPORT NO.: 878-70079-107 FIELD DATA: LOCATION OF PLACEMENT SLAB - 40 I W. OF COLUMN CC- 9 OF STORAGE BLDG. 50 65 February 15, 2008 PSI\RB B.E.T.ER MIX SUPPLIER DELIVERY TICKET NO.rrRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 8098 40 HASKELLF1000F7000 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, OF CONCRETE TEMPERATURE OF DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY February 14, 2008 04:40 am 6 NOTE' APPLICABLE ASTM STANDARDS UNLESS OTHERWISE INDICATED' 51 UMP' C14::\' AIR CQNTFm. C231 (FXCI UDING SEe 8)- TEMPF-RATURE' C10B4' CYLlNDFRS' C31 (EXCLUDING SEe 101 ". SAMPLING' C177 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN,) (PSI) ASTM C39 A 42 7 02/21/08 82123 5.98 28.09 2920 Type 2 B 28 03/13/08 117118 5.97 27.99 4180 Type 2 C 28 03/13/08 131745 6.00 28.27 4660 Type 5 D H HOLD SPECIFICATIONS 28 4000 COMPRESSION TEST RESULTS ASTM C39; C1231 REMARKS: ~ Cylinders made by PSI representative. Cylinders picked up by PSI ~ representative. X Test resulls comply wllh applicable specifications. Cylinders made by Archilecrs or Contractors representative. Cylinders delivered 10 PSllaboralory. Test results do not comply wilh applicable specifications. TECHNICIAN: RB Respectfully submitted, Professional Service Industries, Inc. Certify:~ofAu~,horization No. 3684 /(/;iV~/J il ~,P.E. / r/~y' Branch Manager :.z)?:':'/O~ Florida License No. 63S.f(; cc: THE HASKELL CO. MATTHEvJ LANTZY; MICHG:F.L WITTMANN; MIKE DRAWE; NCG - BARBhRA WILL-;:; (FAILURES ONLY) ORLANDO THESE TEST REsU~_1:: l,iTLY ONLY Te' ThL ~. r::ECIFIC SAMPLES TESTED AND MAY N,: IT t1~ INDlCATIV:::-: "~ ENTIRE CONCRETE PlM.:EMENT REPORTS MAY NOT BE kLf=lRODUCEO, [;':U::~-I I;~ FULL. WITHOUT WRITTEN PERMISSICI'~ 8Y PROFESSi; ;~~/,i_ ~~'H\lICE INDUSTRIES. II~"- PSI A-2DO-4N F Prolessional Servict, Industries, Inc. . 1 Gc,GO Scheer Blv:;., Suite 1 . Iludson, FL 3~6[,7 . :'1', 1f' 727/868.9,,26 . Fax 727/868-009" l"~ _lInformation ~~.~To Build On Engineering. Consulting. Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: February 14, 2008 REVISION #1 PSI REPORT NO.: 878-70079-108 FIELD DATA: LOCATION OF PLACEMENT SLAB - 10 r E. & 10 IN. OF COLUMN CC-6 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, OF CONCRETE TEMPERATURE OF DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY February 05:35 am 5 3/4 14, 2008 SUPPLIER DELIVERY TICKET NO.fTRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX XXX 40 HASKELLFI000F7000 52 65 February PSI\RB B.E.T.ER 15, 2008 MIX NOTE- APPlICABLE ASTM STANDARDS UNLF::SS OTHERWISE INOICATFn'SllJUP' C143' AIR CONTE:NT. C?31 fEXCI UnlNG SEe fI)- TEMPERATURE- C1064- CYIINDE"RC:' C31 r~XCLUDlNG SFC 10 1 ?1- SAMPLING- Ci7? COMPRESSION TEST RESULTS ASTM C39; C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 43 7 02/21/08 85275 6.00 28.27 3020 Type 5 B 28 03/13/08 124633 5.98 28.09 4440 Type 5 C 28 03/13/08 134510 5.98 28.09 4790 Type 2 D H HOLD SPECIFICATIONS 28 4000 REMARKS: ~ Cylinders made by PSI representative. Cylinders picked up by PSI ~ represenlative. X Test results comply with applicable specifications. Cylinders made by Architect's or Contractor's representative. Cylinders delivered to PSI laboratory . Test results do not comply with applicable specifications. TECHNICIAN: P.B Respectfully submitted, Professional Service Industries, Inc. ce,rt1'~te of Authorization No. 3684 /};; / c.a:3 ~SflaS. seale;p.E..1,'-;/K Branch Manager "'? /~ </;;;. r.? <-----" aI. ~ - '7' \ Florida License NO/38TO C/ - cc: THE HASKELL CO. - MATTHEW L.l.v-l'l /''''; MICHEAL WITTMANN; MIl'.:b DRAWE; 1'T~3 - BAl'BARA WILLIS (FAILCJi<ES ONLY) ORLANDO 111;::;SE TEST RF"SUL T5 APPLY ONLY TO THE S!'!:CIFlc S.!.,MPI ES TESTED AND t.il-.j' NOT BE INDICATIVE OF THE FNTIRE Cot~;~F:ETE PLACEMENT. f<LPORTS MP",' W:'T FF: REPRODUCED, EXCEPT!N FULL, WlTHG'-...:T WRITTEN PE:RM:.<'~:;r'H BY PROFESSIONAL ~T.RVJCE INOU:J1 f~IES, INC. PSI A-200-4N ;' i-'rofessional Se:'v,,:c lr;clIstries, Inc, . 16550 Sci leer Blvd., Suite I . I-;uclwn, FL 34fib/ . Phone /27/868-9526 . ['ax 127/868-0094 l-~.llnformation I:t!...,. ..70 Build On Snglneering . Consulting. 'resting Report of Structural Steel Inspection Date: 2m2008 Client: The Haskell Company Project: Zephyrhills Warehouse Expansion- Bottled Water Plant Project No. 878-70079 Inspector: MW Report No. 117 Type of Inspection Services Provided: D Initial Inspection TOTAL HOURS 5 D Reinspection REINSPECTION HOURS D Visual Inspection of Framing Erection m Visual Inspection of Weldments; Type: Fillet (Joist) D Verification of Bolt Tensioning m Visual Inspection of Metal Decking Placement and Welding/Screw Attachment n Other: Location of Inspection Services Provided: Floor Level (Elevation) Plan Area: Column Lines: 24 to 26 - D to F-2 Other: Status of Inspection Services Provided: m No deficiencies noted D Deficiencies Noted; Types, Location: D Reinspection Required: D Deficiency Added to Punch-List; #'s D Deficiency Removed from Punch-List; #'s D Punch List Items Still Outstanding; #'s Additionallnfonnation: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any reinspections that may be required Respectfully submitted, Professional SelYice Industries, Inc. Ce .. I of Authorization No. 3684 ,'~.' / r 1><. {/ P E! ;1 ~as . ec:Te:.. '! I ~ Branch Manager S. ~'.//{)r Florida License No. 6t"6:7\S P;,ge 1 l"'~;llrifonllation 1:t!!.'fiWII'. ..7bBuild On Engineering. Consulting. Testing Report of Structural Steel Inspection Date: 2/12/2008 Client: The Haskell Company Project: Zephyrhills Warehouse Expansion- Bottled Water Plant Project No. 878-70079 MW Report No. 118 Inspector: Type of Inspection Services Provided: m Initial Inspection TOTAL HOURS 5 o Reinspection REINSPECTION HOURS o Visual Inspection of Framing Erection m Visual Inspection of Weldments; Type: Fillet o Verification of Bolt Tensioning m Visual Inspection of Metal Decking Placement and Welding/Screw Attachment n Other: Location of Inspection Services Provided: Floor Level (Elevation) Roof Plan Area: Column Lines: Joists and deck 8 to 3 - A to CC Other: Status of Inspection Services Provided: m No deficiencies noted o Deficiencies Noted; Types, Location: D Reinspection Required: o Deficiency Added to Punch-List; #'s o Deficiency Removed from Punch-List; #'s o Punch List Items Still Outstanding; #'s Additional Information: o Reference Attachments to this Report o Remarks: Note: Contractor is responsible for scheduling any reinspections that may be required Respectfully submitted, Professional SelVice Industries, Inc. ". c;, ~'''''(J;J' 'n of Anl/,,",.'on No, 3684 ~~ /.~ . /NYa~~.~. ~/ 0- Branch Manager .s . 29t) Florida license No 81.:- Page 1 l !'!!l:-l Information ~~. .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE 1 FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: February 041 2008 REVISION #1 PSI REPORT NO.: 878-70079-84 FIELD DATA: LOCATION OF PLACEMENT SLAB - 120 I W. & 5 "S. OF NE CORNER OF BLDG. 65 75 February PSI\PSI B.E.T.ER 051 2008 SUPPLIER DELIVERY TICKET NO.fTRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 7614 40 HASKELLF1000F7000 DATE PLACED TIME SLUMP. IN. AIR CONTENT, % AIR TEMPERATURE, of CONCRETE TEMPERATURE of DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY February 03:50 am 5 1/2 041 2008 MIX NQTF- AJ=lPLlCA8LF ASTM STANDARDS UN! ESS aTHFRWISF INDICATED' SLUMP' C143- AIR CONTENT- C?31 fEXCI LJDlNG SEe 6)' TEMPFRATURE' C1064" CYLlNDF-RS: C31 rEXCLUDING SEe 10 1 21- SAMPLING- Cin COMPRESSION TEST RESULTS ASTM C39; C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 26 7 02/11/08 84119 5.97 27.99 3010 Type 6 B 28 03/03/08 123301 5.99 28.18 4380 Type 5 C 28 03/03/08 125010 6.01 28.37 4410 Type 2 D H HOLD SPECIFICATIONS 28 . 4000 REMARKS: . ~ Cylinders made by PSI representative. Cylinders picked up by PSI ~ representative. X Test results comply with applicable specifications. 'Cylinders made by Architect's or Contractor's representative. Cylinders delivered to PSllaboralory. Test results do not comply wilh applicable specifications. TECHNICIAN: PSI Respectfully submitted, Professional Service Industries, Inc. c~ of AL!fhorization No. 3684 /~gf~ i: A --'<~ Nyasha S. Seale, P.E... / . I Q Branch Manager 3 719 6 Florida License NO.6 8fo cc: THE I-Ui,SKELL CO. - !ofl.ATTHEW LANTZY; MICHEAL WITTI'1lJ'lN; MIKE DRAWB; NCG - BARBARA WILLIS (FAILURES ONLY) ORLANDO I HESE TEST RESULTS APPLY ONLY TO "iE SPECIFIC ~::.cJ..'" "_ES TESTED AND MAY NOT H[ INDICATIVE; O~- THE ENTIR~ :,,{ Jt:'_RETE PLACEMENT. ~~FrCJ!~TS MAY NOT BE H!=PRODUCED, EXCEPT IN FULL, WiT!-iO'.jT WRITTEN PERMISS[Ot~ iW PROFESSiONAL SERV!cr: :J~;:-'u~;l R:E~, INC rJrrfr.cc..',~,n:=l1 ~pn/i(:I~ lnrlll!'=:trip.s Inr. . 1RSSn Sr.hp.i.~r H\vd. Suite 1 . i [iJOSon. FL 34667. Phone /L:'.'/hilH-9~?6-. Fax 727/868-0094 L...... s;1 Information ~.". .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: February 04, 2008 REVISION #1 PSI REPORT NO.: 878-70079-85 FIELD DATA: LOCATION OF PLACEMENT SLAB - 25 'N. OF COLUMN BB-18 05, 2008 SUPPLIER DELIVERY TICKET NO.rrRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 7623 40 HASKELLF1000F7000 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, of CONCRETE TEMPERATURE OF DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY February 06:00 am 5 1/2 04, 2008 65 75 February PSI\RB B.E.T.ER 10 GALLONS MIX NOTE" APPLICABLE ASTM F;TANDARDS UNI FSS OTHERWISF INDICATFn- SLUMP' C143- AIR CONTENT- C231 (EXCI UOING SEe B1' TEMPERATURE' C10B4- CYLlNnFRS' C31 fEXCI UQING SEe 1012)' SAMPLING' C172 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (SQ. IN.) (PSI) ASTM C39 A 27 7 02/11/08 87461 5.99 28.18 3100 Type 4 B 28 03/03/08 125135 6.00 28.27 4430 Type 6 C 28 03/03/08 131092 6.00 28.27 4640 Type 2 D H HOLD SPECIFICATIONS 28 4000 COMPRESSION TEST RESULTS ASTM C39; C1231 REMARKS: . ~ Cylinders made by PSI representative. Cylinders picked up by PSI ~ representative. X Test results comply with applicable specifications. Cylinders made by Architect's or Contractor's representative. Cylinders delivered to PSI laboratory. Test resutts do not.comply with applicable specifications. 'J'r~"HNICIAN: RB Respectfully submitted, Professional Service Industries, Inc. ~c;iur.r ~tho'izat;on ~o.., 368,' ~~Jl_ ~ .. Nyasha S. Seale, P.E. /j Y Branch Manager :? 7 [)~, Florida License No. 381:- cc: THE HASKELL :::0. - W\TTHEW LANTZY; MICI~ EAL WITTfvlANN; MIKE DRANE; NCG - BARBAR]\ \HLLIS (FAILURES ONLY) OFiL,ANDO THESE TEST RESULTS APF:_'r TO THE SPECIFIC SAMI--LES TESTED AND MAY NOT BE 1~1: :j:;:. :IVE OF THE ENTIRE CONCRETE PLACEMENT. REPORTS MAY NOT BE RFPr-;ODUC C, EXC~PT IN FULL. W:-r i~CIUT WRITTEN PERMISSION BY l~h;-::! -ss:mJ....L SERVICE INDUSTRIES, INC. P,njp",,,,iN,~1 ~p",i"p Inrh,,,,j,,,,, \"" . 1RSSO Stet","'r Blvd.. Suite 1 . HudsOll, F: 3'1(;fi7' Phon', 727/868-9526' Fax 727/868-Q()rj~ l.~~;l Infonnation ~..,. ~To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: February 04, 2008 REVISION #1 PSI REPORT NO.: 878-70079-86 FIELD DATA: LOCATION OF PLACEMENT SLAB - 15 'N. OF COLUMN BB-15. 5 70 78 February 05, 2008 PSI\RB B.E.T.ER MIX SUPPLIER DELIVERY TICKET NO.rrRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 7640 40 HASKELLFIOOOF7000 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, OF CONCRETE TEMPERATURE OF DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY February 04, 2008 07:30 am 5 NOTE" APPUCABLF: ASTM STANDARDS UNLESS OTHE=RWISE INDICATED" SLUMP' C143" AIR CONTENT- C231 (EXCLUDING SEe B)- TEMPERATURF" C1084" CYliNDERS' C31 fEXCLUnlNG SEe 10 1 21" SAMPLING" C17? COMPRESSION TEST RESULTS ASTM C39; C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN;) (sa. IN.) (PSI) ASTM C39 A 28 ~7 02/11/08 100128 5.99 28.18 3550 Type 2 B 28 03/03/08 130262 6.02 28.46 4580 Type 5 C 28 03/03/08 145292 6.01 28.37 5120 Type 2 D H HOLD SPECIFICATIONS 28 4000 REMARKS: ~ Cylinders made by PSI represenlative. Cylinders picked up by PSI ~ representative. X Test results cDmply with applicable specifications. Cylinders made by Architect's Dr CDntracto(s representative. Cylinders delivered 10 PSI laboratory. Test results dD nDt comply wtth applicable specifications. TECHNIC LU.11 : RB Respectfully submitted, Professional Service Industries, Inc. Certilca:i, Of, A1forization No. 3684 ,/~. ~~ -'~Yi,;'sha S. Seale, P.E. )~' '8/ Branch Manager -7/7 0 Florida License NO.-5G8 _ 0 cc: THE HASKELL CO. - MATTHEW LANTZY; f'1TCHEAL WITTfJ}}'li'1N; MIKE GRAWE; N('(~ - BARBARJI. vJILLIS (FAILUf<LS ONLY) ORLANDO TEST RESULTS APPL Y U!>.JL Y TO THS ~i 'r;CIFIC SAMPLL:Y .-:~ n=.o AND MAY NOT BE lNQICATIVE Of I He ~r,'TIRE CONe!'.'.'-)!- PLACEMENT. lJAY NOT BE REPROlJ!JCED, EXCEPT IN FULL, WITHOLJ' V.),, :TEN PERMISSION BY Pf~~JFESSIONAL Si,RVICE 'NDU:='Tf\ii=~. "'.-. I""' A.?nn_dN F Profes,,,o.,,,i Service Indu:;!ries. Inc. . 16550 Sci;per Bivd , Suite 1 . HlJrJ:;,I:l, FL 34667' Phone 727/86li.Qc,:?f, . Fax 727/8(i8-0094 1- -~;l Information ~~. .To Build On Engineering · Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE I FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: February 04, 2008 REVISION #1 PSI REPORT NO.: 878-70079-87 FIELD DATA: LOCATION OF PLACEMENT SLAB - 35 'N. OF COLUMN BB-13 70 75 February 05, 2008 PSI\RB B.E.T.ER MIX SUPPLIER DELIVERY TICKET No.rrRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 7656 40 HASKELLF1000F7000 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, of CONCRETE TEMPERATURE of DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY February 04, 2008 09:35 am 6 10 GALLONS NnTF' APPLlCABLF. ASTM STAt>JDAROS UNI ESS OTHF:RWISF INDICATF:D- SLUMP' r.:143- AIR CONTFNT' C?~1 fEXCI UDIN(.; SEe 8)- TEMPERATURE- C1064' CYliNDERS' C~1 IF)(ct UDING SEe 101 ". SAUPLlNG' C17? SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK. LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.] (IN.) (SO. tN.] (PSI) ASTM C39 A 29 7 02/11/0B 82988 5.99 28.18 2940 Type 2 B 28 03/03/08 113650 6.01 2B.37 4010 Type 5 C 2B 03/03/0B 114906 5.9B 28.09 4090 Type 6 D H HOLD SPECIFICATIONS 2B 4000 COMPRESSION TEST RESULTS ASTM C39; C1231 REMARKS: .!.. Cylinders made by PSI representative. Cylinders picked up by PSI .!.. representative. X Test results comply with applicable specifications. . Cylinders made by Archilecrs o( Contracto~s representative. Cylinders delivered to PSI laboratory. Test results do nol comply with applicabie specifications. cc: THE HASKELL CC. - MATTHEW LANTZY j MICEE1\I HTTTMANN; MIKE DRAWE; NCe - BARBARA WILLIS (FAILURES ONLi) ORLl'.NCJO Respectfully submitted, Professional Service Industries, Inc. Certi j , of Authorization No. 3684 '-~// \ -r . '/ ~ t~ a . ale, P.E. I ~ Branch Manager :3 I? 0-0 Florida License No. ~8 0 TECHNICIAN: RB 1 H:::sE TEST RESULTS APPLY ONt _1' ~:--rt: SPECIFIC SAMPLES Tf:-.STED AND ~.,iJ\Y I-.iOT BE INDICA :'''"c or THE ENTIRE CONCRETE PLACEMENi. RLPORTS MAY NOT BE REPRODUC:[~ ~c A ;::::.r'-:- IN FULL, WITHOUT ':mITTEN PERMISSION BY PRor-:;~~:-CI~.\I_ SFR'JICE INDUSTRIES, INC. ----- Prc;!",,~ional Service Industries. [!lC. . 16550 ScheH b"Jd.. SUite 1 . Hudson. FL 3.ltii;? . Phone 727 IR68-9526 . Fax 727/868-0094 [.I"",g ., Information ~~. .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE uACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: December 03, 2007 PSI REPORT NO.: 878-70079-33 FIELD DATA: LOCATION OF PLACEMENT TILT PANEL #D-19 60 87 December 04, 2007 PSI\BM B.E.T.ER MIX SUPPLIER DELIVERY TICKET NO/TRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 6121 40 HASKELL R DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, DF CONCRETE TEMPERATURE DF DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY December 03, 2007 05:06 am 5 NOTE- APPLICABLE ASTM STANDARDS UNI F:SS OTHERWISF INDICATED' SLUMp. C143- AIR CONTEIIJ"T' C?31 (FXCLUDING SEe 8). TEUPERATlJRE- C1064' CYLlNnERS. C31 (EXct UOING SEe 1012)' SAMPliNG' C17' COMPRESSION TEST RESULTS ASTM C39; C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 14 3 12/06/07 82058 6.01 28.37 2890 Type 2 B 7 12/10/07 109226 5.98 28.09 3890 Type 5 C 28 12/31/07 D 28 12/31/07 H H HOLD SPECIFICATIONS . 28 4000 REMARKS: .!. Cylinders made by PSI representative. Cylinders picked up by PSI .!. representative. Test results comply with applicable specifications. Cylinders made by Architect's or Contracto~s representalive. Cylinders delivered to PSI laboratory. Test results do not comply with applicable specifications. TECHNICIAN: BM Respectfully submitted, Professional Service Industries, Inc. cc:: TEE HASKELL CO. - MATTHEW LANTZY; MICHEAL WITTMANN; ["EKE DRAWE; NCG - BARBARA WILLIS (FAILURES (,NLY) ORLANDO THE),:: -; r-;[SULTS APPLY ONLY TO THE SPECIFi\.: :";././,PLES TESl E!~ -".r'iO MAY NOT BE INDIcATIve OF THE ENl!,{~_ i:,)r~CRETE I")~ J.'-:::MENT. REPnh:~ I..._;~Y !)IJT BE REPRODUCED, F"c;EPT IN FU ,~., WITHOUT WR1TT:~;~ I~ERMISS10N BY PROFES'':;iONAL SERVICE IN:JUSTRIEs, .~' "N"YASFA S. SEf'..LE, P. E_ FLORIDA LICENSE NO 63870 Profec,s;o[.,;,i ~)nr..Jice Industries, Inc.' 165",1 Scheer r""u. Sullo 1 . Hudson, FL 34667' Pi,uIOe 727/808-8J~6' Fax 727/86B-0094 l- ~ oS ., Information ~~. .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: December 03, 2007 PSI REPORT NO.: 878-70079-34 FIELD DATA: LOCATION OF PLACEMENT TILT PANEL #E-8 60 81 December 04, 2007 PSI\BM B.E.T.ER MIX SUPPLIER DELIVERY TICKET NO.fTRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 6130 40 HASKELL R DATE PLACED TIME SLUMP, IN. AIR CONTENT. % AIR TEMPERATURE, of CONCRETE TEMPERATURE of DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY December 03, 2007 12 : 03 pm 6 NOTE- APPLlCABI F ASTM STANDARns UNLESS OTHERW1SF. INDICATED' 51 UMP' C143' AIR CONTENT- C231 fFXCLUDING SEe 6)' TFMPERATURE' C1084' CYLlNDFRS' C::!.1 (EXCLUDING SFC 101 ?\. SAMPLING- e17? COMPRESSION TEST RESULTS ASTM C39; C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE 1YPE OF BREAK. LABORATORY IDENTIFICA TlON AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 15 3 12/06/07 68034 6.01 28.37 2400 Type 2 B 7 12/10/07 96509 6.03 28.56 3380 Type 2 C 28 12/31/07 D 28 12/31/07 E H HOLD SPECIFICATIONS 28 4000 REMARKS: ~ Cylinders made by PSI representative. Cylinders picked up by PSI ~ representative. Test results comply with applicable specifications. Cylinders made by Architect's or Contracto~s representative. Cylinders delivered to PSI laboratory. Tesl results do not comply with applicable specifications. TECHNICIAN: BM Respectfully submitted, Professional Service Industries, Inc, cc: THE HASKELL CO. Iv1.n.TTHEW LANTZY i MICHEAL \',ITTMANN i MIKE DPAWEi NC-G - i3ARBAIU~, WILL:'S (FAILURES ONLY) ORLANDO THESE lES: RESULTS Af"!--L.Y oNLY TO n-w ~;;';i=~IFIC SAMPLES TESTED AND MAY NOT 6r': ::~Ji~ATIVE or Ti .~ I::NTIRE CONCRETE PLACEMENT. REPORTS M.^.Y NOT BE RePRODUCED, EXU-i'-': If~ f-'_iLL. WITHOUT WR1TTHl PERMISSION tJ',' PROFESSIOnr.' ,-.~--~,_"'J!CE INDUSTRIES, INC. ~yASHA S. SEALE, P.E. FnrnDA LICENSE NO 63~i70 Prolessic< lell Service i'ldustries, lilC. . 1 G550 Scheer Blvej, Suite 1 . I-Judson, FL 34fj67 . Phone 727/868-9526 . Fax 727/868-0094 l-~ ;1 lnformntion ~..,. .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: November 28, 2007 PSI REPORT NO.: 878-70079-26 FIELD DATA: LOCATION OF PLACEMENT TILT PANEL # E-9 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, OF CONCRETE TEMPERATURE DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY November 28, 2007 03:17 am 4 1/2 1.7 65 OF 82 November 29, 2007 PSI\BM B.E.T.ER MIX SUPPLIER DELIVERY TICKET NO.rrRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 5958 40 HASKELL R NOTE' APPLlCABI E ASTM STANDARDS UNLESS OTHERWISE INDICATED- St UMf>' C143- AIR CONTENT' C231 IFXCLUDING SEe A). TEUPFRATURE. ~10S4' CYLlNnFRS' C~1 IFXCLUD1NG SEe 1012" SAUPUNG' C172 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK. LABORATORY IDENTlFICA TION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 9 5 12/03/07 106688 6.01 28.37 3760 Type 2 B 7 12/05/07 110106 6.03 28.56 3860 Type 5 C 28 12/26/07 D 28 12/26/07 E H HOLD SPECIFICATIONS 28 4000 COMPRESSION TEST RESULTS ASTM C39; C1231 REMARKS: ~ Cylinders made by PSI representative. Cylinders picked up by PSI ~ represenlative. Test results comply with applicable specifications. Cylinders made by Architecfs or Conlracto~s representative. _ Cytinders delivered to PSllaboralory. Test results do not comply with applicable specifications. TECHNICIAN: Bto1 Respectfully submitted, Professional Service industries, Inc. cc: THE HASKELL CO. - MATTHEW LANTZY; MICHEAL WITTMANN; MIKE DRAWE; NCG - Bl\RB.~.RA WILLIS (FAILCRES ONLY) ORLANDO rhESE TEST ;:':i::~":: J:';; APPLY ONLY TO THE SPE:C1FIC SAMPL~;,; : !:'Si"c:O AND Mr. Y l~nT BE INDICATIVE OF THF: -':NTIRE cor~::::Pt_; r_ PLACEML:.r: REPORTS MAY r'k'T U f-<.":'RonUCED, EXCEPT IrJ fULL, WITHOU"; WRITTEN PEi-./,~",:SSiOt~ BY PROFESSIONAL ~,r--RVICE INDUSTHI[:S, INC. NYASHA S. CEALE, P.E. FLORIDA L~, CENSE lL' 63870 Profession31 SerV;IY Indl'stries, 111~.' 16550 Scheer Blvd., Suite 1 .I!udson, FL34667' Phone n7i868-9526'1 'lX. l27/8R8-0094 l-1Ioo,g ;1 Information ~.,. .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: November 28, 2007 PSI REPORT NO.: 878-70079-27 FIELD DATA: LOCATION OF PLACEMENT TILT PANEL # E-3 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, OF CONCRETE TEMPERATURE DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY November 28, 2007 04: 31 am 6 1.9 65 OF 85 November 29, 2007 PSI\BM B.E.T.ER MIX SUPPLIER DELIVERY TICKET NO.rrRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 5969 40 HASKELL R 10 GALLONS NOTE' APPLlCARI E ASTM STANDARDS UNLESS OTI-IFRwtSF INDICATED' SLUMP' C143' AIR CONTENT' C231 (EXCI UOING SEe Bl- TEMPFRATURE' C1084" CYLlNnFRS' C~1 (EXCLUDING SEe 101 ". SAMPLING- C17? SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTlFICA TION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 10 5 12/03/07 93066 6.00 . 28.27 3290 Type 2 B 7 12/05/07 98268 6.00 28.27 3480 Type 2 C 28 12/26/07 D 28 12/26/07 E H HOLD SPECIFICATIONS 28 4000 COMPRESSION TEST RESULTS ASTM C39: C1231 REMARKS: X Cylinders made by PSI representative. Cylinders picked up by PSI ~ representative. Test results comply with applicable specifications. Cylinders made by Architects or Contracto(s representative. Cylinders delivered to PSI laboratory . Test results do not comply with applicabie specifications. TECIINICIAN: BM Respectfully submitted, Professional Service Industries, Inc. cc: THE HASKELL CO. - [vJTcTTHEW LANTZY; MICHEAL WITTJV'll'\.NN; MIKE DRl-\.WE; NCG - BAImARA v!~:LLIS (FAILURES ONLY) ORLl\~,mO THESE TEST Rf::SULTS APPL Y O!~I_',' ro THE SPLC!f-::;' /~MPLES TESTED AND MAY NOT BE INDICi..-.i'JE OF THE Ei. ~ CONCRETE PLACEMENT. i'<FPORTS MAY ~0T BE REPRODUCE:D, EXCEPT I~~ \',.; rrlOlIT WRlTIEN PE~'v\ISSION BY PROFESSIONAL S[f:"'-'IC~: ;I'j '~J::TR[ES, INC. NY]'..SHT~ S. SEALE, P. E_ FLORo'U)'.. LICENSE NO 6387U Profession",! ~:c,rvice Industries, Inc. . 1 bSSu';ch,'er Blvd., Su,te 1 . HudSi 111, FL 34667 . PIKI"" 7?7/R68-9526 . Fax 727/868-0094 l-'S ., Information ~.... .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: November 28, 2007 PSI REPORT NO.: 878-70079-28 FIELD DATA: LOCATION OF PLACEMENT TILT PANEL D-18 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, OF CONCRETE TEMPERATURE DATE RECEIVED IN LAB FIELD DATA SUBMITIED BY MIX DATA SUBMITIED BY November 28, 2007 06:04 am 6 1/4 1.9 63 OF 83 November 29, 2007 PSI\BM B.E.T.ER MIX SUPPLIER DELIVERY TICKET NO.rrRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 5979 40 HASKELL R 15 GALLONS NOTE- APPLlCARI E ASTM STANDARDS UNl ESS OTHERWISE INDICATFO'SI UMP' ~143' AIR-CONTENT- C?31 (FXCI UDING SF.:C 8\-TEMPERATURE" C10A4" CYUNDFRS' C31 (FXCLUnlNG SFC 101 ". SAMPL lNG' C17? COMPRESSION TEST RESULTS ASTM C39; C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN,) {Sa. IN.) (PSI) ASTM C39 A 11 5 12/03/07 91332 5.99 28.18 3240 Type 2 B 7 12/05/07 93418 6.02 28.46 3280 Type 5 C 28 12/26/07 D 28 12/26/07 E H HOLD SPECIFICATIONS 28 4000 REMARKS: ~ Cylinders made by PSI representative. Cylinders picked up by PSI ~ representative. Test results comply wilh applicable specifications. Cyiinders made by Archilect's or Conlraclo~s representative. Cylinders delivered to PS I laboratory . Test results do not comply with applicable specifications. TECHNICIAN: EM Respectfully submitted, Professional Service Induslries, Inc. cc: THE HASKELL CO. - I"lATTHEW LANTZY i !VIS ('HEAL WITTMANN; MIKE DRAWE i NCe - BAREJJJ], WILLIS (FAILURES CNLY) (,RLANDO THt:.~:,F i E:.ST RESUI ;~ /-.1'1': Y ONLY TO THE SPECIF!C SAMPLES iTS 1 ~~~; ;.J,jD MAY 1'1'::'11< INDICATIVE OF THE ENTIRE CONCRETe' 'c.L..CEMENT. REPOfHS MAY NOT \3E i-J,f-i:'F-\.:'"'nIJCEO, EXCEPT IN FIJI l", WITHOUT Wi~,i iTEN PERMI5~i!Ot..j tJ"{ !)/10r::::SSIONAL SERVIC:::'. INDUSTRIES, INC. NYASHA S. SETiliE, P.E. FLORIDA LICENSE NO E3G70 Protessional Sel vice !, "Il'sl, :"S, Inc. . 1 (i550 Scheer fj1vd., Suite I . Hunson, Fl_ 34667 . Phone 727mSG.9526 . Fax 12/ 'cr68-0094 l-~ -I lriformation ~..". ~ToBuildOn Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: November 28, 2007 PSI REPORT NO.: 878-70079 -29 FIELD DATA: LOCATION OF PLACEMENT SLAB - SE CORNER OF BLOW MOLD SLAB 29, 2007 SUPPLIER DELIVERY TICKET NO.rrRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX 5995 40 HASKELL DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, OF CONCRETE TEMPERATURE OF DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY November 07:40 am 5 3/4 28, 2007 66 80 November PSI\BM B.E.T.ER 15 GALLONS MIX NOTE- APPL1CABI F. A~TM STANDA.RDS UN! FSS nTHE=RWISE INDICATEn. SLUUP' C143- AIR CONTENT- C?31 (FXCLUDING SEe f1\' TEMPFRATURE- r.10B4' Cvt INDERS' C31 (EXCLUDING SEe 1012\- SAMPLING- C17? COMPRESSION TEST RESULTS ASTM C39: C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 12 7 12/05/07 89210 6.01 28.37 3140 Type 2 B 28 12/26/07 C 28 12/26/07 D H HOLD SPECIFICATIONS 28 4000 REMARKS: .!. Cylinden; made by PSI representative. Cylinden; picked up by PSI .!. representative. Test results comply with applicable specifications. Cylinden; made by Architect's or Contractors representative. Cylinders delivered to PSI laboratory. Test results do not comply with appliceble specifications. TECHN ICIl'.N: BtJ! Respectfully submitted, Professional Service Industries, Inc. c'C: THE HJ\SKELL CO. - MATTHEH LANTZY i MICHEAL WITTI'1i'~\TN i MIKE DRAWE; NCG - BARBARA WILLT,; (FAJ:LURES ONLY) ORLANDO il-lESE TEST RESULTS APPLY ONLY T<J "Ii,!:: ::;PEC1FlC S/.N.i-I Co:; TESTED AND MAY NOT BE INDICATIVE ur -;"~jE ENTIRE ,- Ir',r:-~,rTE PLACEMENT. c;;~t-"-...-,R_TS ~AY NOT BE REPRODUCED, Ex(.!::.PT IN FULL, 'A ~-'.U:J V;lRITTEN PERMISSION BY PROFESSIOf\.'AL SERVICE H':C. HYASHA S. SEALE, P.E. J,'I...ORIDlc ',"TENSE NO 63870 I)".cfessinnal Servl~~ Industries, inc. .16500 Scncr,r Blvd, Suite 1 . Hudson, FI :14667. Plionu 127/fliiR-9526' Fax 727/868-0094 l '^!!: ;1 Info111U11ion ~..,. .To Build On Engineering. Consulting · Testing REPORT OF CONCRETE COMPRESSION TEST TESTED FOR: RUSSELL NEUDECK THE HASKELL COMPANY 111 RIVERSIDE AVENUE JACKSONVILLE, FL 32202 PROJECT: ZEPHYRHILLS WAREHOUSE EXPANSION - BOTTLED WATER PLNT DATE: November 28, 2007 PSI REPORT NO.: 878-70079-30 FIELD DATA: LOCATION OF PLACEMENT ISOLATED COLUMN FOOTINGS November 29, 2007 CLIENT B.E.T.ER MIX SUPPLIER DELIVERY TICKET NOJTRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FINE AGGREGATE COARSE AGGREGATE ADMIXTURE B.E.T.ER MIX XXX XXX DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, of CONCRETE TEMPERATURE of DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY November 28, 2007 NOTE- APPLlCARI E ASTM STANDARDS UNLFSS aTHFRWISF INDICATEO' SLlltJP' C143- AIR r.oNTENT" C?31 fEXCI UDING SFC 6\- TFMPERATURE" C10B4" r.yt INOERS- C31 (EXCLUDING SEe 10 1 2'" SAMPLING" C17? COMPRESSION TEST RESULTS ASTM C39; C1231 SPECIMEN TEST TOTAL CYLINDER CYLINDER COMPRESSIVE TYPE OF BREAK, LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA STRENGTH AS SHOWN IN NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) (sa. IN.) (PSI) ASTM C39 A 13 7 12/05/07 85953 6.04 28.65 3000 Type 2 B 28 12/26/07 C 28 12/26/07 D H HOLD SPECIFICATIONS 28 3000 REMARKS: 1l Cylinders made by PSI representative. Cylinders picked up by PSI 1l representative. Test results comply with applicable specifications. Cylinders made by Architect's or Contractors representative. Cylinders delivered to PSI laboratory . Test results do not comply with applicable specifications. TECHNICIAN: CLIENT Respectfully submitted, Professional Service Industrir<s, Inc. cc: THE HASKELL C0. - MATTHEW LANTZY; MICHFru~ WITTV~; MIKE DRAWE; NCG - B!\RBAJ<;"_ vELLIS (FAILURES ONLY) ORL.I1-NDO THESE TG,;- F..:=sULTS APp: Y U-.lLY TO THE SPECIFIC SAMPLES TESTED AN:"'~ I.'AY NOT Be It.,r",iCATIVE OF THE ENTIRE CONCRETE PLAC[~;,1l.:.NT. REPORTS 1v',,\Y NOT BE REFROOU, '-~_.I, EXCEPT IN FULL. wnHOUT WR1TIEr-i PERMISSION BY PHOFrsSl0NAL SERVICE INO'...;~TRIES.INC. NYASHA S. SEALE, P_E. FLORIDA LICENSE NO 63F-/u Professional Service Indu,\rius, Inc. . 16550 Scheer Blvd., c",ite 1 . Huds"", f'1 34667' PhOll8 727/868-9,,26' Fax 72718:10-0094 ~ Or ~~;l Information ~..,. .To Build On rJglneering . Consulting · Testing Structural Steel Report SI Representative: Client: -, I' .,"--' 3.te: L - L.. - (~,,?: . "JI) A / Ii rOJect: I. I,U /V .f'-\ Project No: <f17 <i{ - 7rYJ 79 .cheduled By: Verification Services Provided: ~ Initial D Corrective Action Follow Up D Framing Erection UiJ Structural Weldments; Type: D Bolt Installation and Tensioning ~ Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAl.. HOURS: [: rlr1 Location of Services Provided: Floor Level (Elevation): ,. k('(+ Other: /( '1/.-:'-+ Deck: 0-1 ~- '.r-,. / I' ~'. I ,{i. / ,A -ft~ (C Plan Area: Column Line(s) Status of Services Provided: oz( No Deficiencies Noted D Deficiencies Noted; Types, Location: D Corrective Actions Required: n Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: 1-1 I Reference Altachments to this Report Remarks: D L Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented in this report re/Clte only to the items tested. This report shall not be reproduced except in Itlil, and only with the writ/e/O approval 01 PSI. NDE test- ing is subjective and subject to inherent limitations of methodology. This report is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for tile permanent identification of welds and materia! for location. < ~..~~ ~~ CI "'O"',q . Phone 407/304-5560 . Fa^ 407/304-5561 VI, l o#~~f~ Informntion ~..,. .To Build On Engineering. t;onsulting · Testlng Structural Steel Report Date: J - 2.0 ('(/ \.,- ,:~.) Client: C/ --r c/ _ -; r').P; 7 0'1 Project No: V I D I,. v f PSI Representative: .-j \ \ r At, project: /i/ . Scheduled By: Verification Services Provided: eN Initial an Corrective Action Follow Up D Framing Erection D Structural Weldments; Type: D Bolt Installation and Tensioning !)ill Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) - -. i J, I__-~-~!; i -t ~)f( iC C/,I f l'v'l [5 J 7'// /& Other: i( (, (: I)T) r ;;p" t:'/ /, ( ,. I/', -f(' ',.2 f ,/ !I - Status of Services Provided: It) No Deficiencies Noted o Deficiencies Noted; Types, Location: o Corrective Actions Required: CI Deficiency Added to Punch-List; #'s: o Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: l;iJ Reference Attachments to this Report Remarks: /l/t ('f('''(1 ----------,.. .-" ,j I ~ .'- .ll{; (/Ie: i ')(f1.'( .. . ~, P /> /! (,j it' r I I , . -j I ("~ !''' .:.0 )? -. - - Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented in this report relate only to the items tested. This report shall not be reproduced except in full, and only witll the written approval of PSI. NDE test- ing is subjective and subject fo inherent limitations of methodology This repor( is not to be construed as a guarantee or warranty of the materials or welds tested. Client is responsible for the permanent idencification of welds and material for locali.ln. ,. r. ~~o.,n . PI'~n" 407/304.5560 . Fax 407/304-5561 (' l '!!:;l Informotion ~~. .To Build On Engineering · Consulting · Testing Structural Steel Report Date: / - Z ,7' -( Client: A' . .,i/ Project: / f,' li/i' i ,\.~ t .' \ , : \ .~; Project No: ~? 7'X' - 7(i:7c~1 PSI Representative: -}/ ,7 11)M Scheduled By: Verification Services Provided: rn Initial D Corrective Action Follow Up D Framing Erection r: ' f i . t [&I Structural Weldments; Type: j." f' D Bolt Installation and Tensioning D Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): .!.. r..",(''-; Plan Area: Column Line(s) i---' .. ~:'i c' 'f(: "(to - ,,'_'! ,I,:" ,r'''- ,,/' {--L- Other: Status of Services Provided: D ~ No Deficiencies Noted Deficiencies Noted; Types, Location: i, /: ;> '71 !cc::,l f'J cc i c c< 05 I )' J '7( l"l( It :) u'( ;3 C i v" J(' (/L) f' S"; L./, ' /, ,../L/Jc l'1 r"(} '1"' ! 'i/\ l S S ~~( 1"'1 L~ ,.j I (/~ "7 f i" \.,1 r L'J"' .2 I. D Corrective Actions Required: n Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Refenmce Attachments to this Report n Remarks: Note: Contractor is responsible for scheduling any verification of conective actions that may be required. Result,: documented in this repnrt relate only to the items tested. This; <. port shall not be reproduced except in tull and only with the written ;;pproval 01 PSI. NDE test- ing is subjective and subject to inherent limitations of methodology. This report is not 10 be construed as a guarantee or war,ontv of the materials 01 welds tested. Client is responsible for tile permane'!t identificatIon of welds and material for iocation. A.761-0RL Professional S81,;;,;e Industries. Inc. . 1748 33rd Street. Or;;mdo, FL 32839 . Phone 407/304-5560 . F"x 407/304-5561 l "''!~;rnformation ~.,. .To Build On Engineering. Consulting. Testing Structural Steel Report Date: I - / L! ' (';{ r'"/'7<z - {) I (,j Client: Project: /;i' / PSI Representative: Scheduled By: ! ~,l i___' -~'~ t' j; to-- t '~. l....! I j ! c. ~.101 '. lkc{) ,11/"'1/ I ; I /, i./ I~ Project No: Verification Services Provided: [Xl Initial D D D D 00 D TOTAL HOURS: REMEDIAL HOURS: Corrective Action Follow Up Framing Erection Structural Weldments; Type: Bolt Installation and Tensioning Metal Decking Placement and Welding/Screw Attachment Other: Location of Services Provided: (~/r/) :! eo [/' P v1 C (' , ~.(/ " ()11{~,G Floor Level (Elevation): Plan Area: Column Line(s) Other: A f~ r/ , J 'l.": L--C...--- Status of Services Provided: ~ No Deficiencies Noted D Deficiencies Noted; Types, Location: D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information : l-l Reference Attachments to this Report Remarks: - Note: Contrilr.tor is responsible for scheduling any verification of corrective actions Ihat may be required, Results documented i/1 this report relate only to the items tested. This report shall not be reprclltlced except in ful/, and only with the \\/ itten approval of PSt. NDE test- ing is subjective and subject to inherent limitations of methodology. This report is not to be construed as 2 ::uarantee or warranty of the materials or welds tested. Client i~ responsible for the permanent identificat;an of welds and material for IOC:llion. A-761-0RL Professional Service Industries, Inc. ' : 748 13rd Street. Orlando, FL 32839 . Phone 407/304-5560 . r ax 407/304-5561 l....~;l Information ~~. 87bBuild On EngIneering. Consulting · Te8ting Report of Structural Steel Inspection Date: 1/12/2008 Client: The Haskell Company Project: Zephyrhills Warehouse Expansion- Bottled Water Plant Project No. 878-70079 Inspector: MW Report No. 55 Type of Inspection Services Provided: D Initial Inspection TOTAL HOURS 7 []] Reinspection REINSPECTION HOURS D Visual Inspection of Framing Erection []] Visual Inspection of Weldments; Type: Fillet []] Verification of Bolt Tensioning D Visual Inspection of Metal Decking Placement and Welding/Screw Attachment Location of Inspection Services Provided: Floor Level (Elevation) Plan Area: Column Lines: Other: Corrective action follow up verification of joist, weld, beam and joist girder connections @ column lines 217.26-A to CC Status of Inspection Services Provided: D All Found to be Acceptable []] Deficiencies Noted; Types, Location: 1.) Grease was not applied to bearing surfaces at expansion joint, column line 21 A to CC per C2/S503 2.) Beam to panel connection at expansion joint column lines 21 & CC shelf angle welded to both panels D D []] D Reinspection Required: Deficiency Added to Punch-List; #'s Deficiency Removed from Punch-List; #'s Punch List Items Still Outstanding; #'s Items, 1, 2 and 3 from report #54 have been corrected Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor ;s responsible for scheduling any reinspections that may be required Respectfully submitted, Professional Service Industries, Inc. I tion o((',ufhorization No. 3684 / / 1...' / as. eale, P.~. ~C?- . l313flCh Man:~~ i 1.22, OJ Florida License ~.O. 387 Page 1 l....~.llnformation I:!!"';;;;;;'. ..70 Build On Engineering. ConsultIng. Testing Report of Structural Steel Inspection Date: 1/10/2008 Client: The Haskell Company Project: Zephyrhills Warehouse Expansion- Bottled Water Plant Project No. 878-70079 Inspector: MW Report No. 54 Type of Inspection Services Provided: m Initial Inspection TOTAL HOURS 5 D Reinspection REINSPECTION HOURS D Visual Inspection of Framing Erection m Visual Inspection of Weldments; Type: Fillet m Verification of Bolt Tensioning D Visual Inspection of Metal Decking Placement and Welding/Screw Attachment Location of Inspection Services Provided: Floor Level (Elevation) Plan Area: Column Lines: Other: Status of Inspection Services Provided: D All Found to be Acceptable m Deficiencies Noted; Types, Location: 1.) Welds shall be free of slag per AWS D1.1 2.) Lack affusion anf slag inclusions were noted 3.) Loose bolts were noted D Reinspection Required: D Deficiency Added to Punch-List; #'s D Deficiency Removed from Punch-List; #'s D Punch List Items Still Outstanding; #'s Additionallnfonnation: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible for scheduling any reinspections that may be required Respectfully subrn:lted, Professional Service Industries, Inc:. Cerf . a n of Authorizati01l No. 3684 .; ~1 / ~. " yas'na . Seale. P := / . j(1 . Branch Manager rJ.;;2 [' is ' Florida License No! 638P(} Page 1 l_}~;l:Infonnation ~.,. eTo Build On Engineering. ConsuHlng · Testing Structural Steel Report Date: ! - / C - (,'/5' ! "A ,'>1./ /7/, '1 Client: PSI Representative: c /7 '2' ~ 70-;7 c, Project No:;P' ,j ( Project: Scheduled By: Verification Services Provided: [)[J Initial D Corrective Action Follow Up D Framing Erection em Structural Weldments; Type: T I If' '1 [EJ Bolt Installation and Tensioning D Metal Decking Placement and Welding/Screw Attachment D Other: TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) Other: Status of Services Provided: D [Kl] No Deficiencies Noted Deficiencies Noted; Types, Location: I ),)~;5L1~t 1/ ~p "I z L i-I ( !r~ ,- cT, ~ - I r-c/S IOv1 "t' C ">'f L c7'J5 E ,iy; /7;; ,) err c D Corrective Actions Required: D Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report Remarks: l Note: Contractor is responsible for scheduling any verification of corrective actions that may be required. Results documented in this report relate only to the items tested. This report sf).';i! not be reproduced except in full, and only with the written approval nl PSI. NUE test- ing is subjective- and subject to inherent limitations of methodology. This report is not to be COilS trued as a guamntee or warranty of the materials or welds festE!d. Client is responsible for the permanent identification of welds and material for focation. ..;-?61-0RL Professional Service InuustriAs, Inc. . 1748 33rd Street. Orlando, FL 22839 . Phone 407/304-5560 . Fax 407/304.5561 l-'}~;lltifonnation ~..,. .To Build On Engineering. ConsuHlng · Testing ,-~'- , ) \ ' " .V 1 .I Structural Steel Report Date: ) - ,3 - () 7{ PSI Representative: Client: jJ II' v1f e <7 Project: 1/ , Project No: Scheduled By: Verification Services Provided: ['l[] Initial D Corrective Action Follow Up D Framing Erection D Structural Weldments; Type: D Bolt Installation and Tensioning D Metal Decking Placement and Welding/Screw Attachment [XI] Other: A ,'I ,/ t "C' ,7"' /r; f'h TOTAL HOURS: REMEDIAL HOURS: Location of Services Provided: Floor Level (Elevation): Plan Area: Column Line(s) ,r J ::J (- if ! r 2- L/ Other: Status of Services Provided: D 5U No Deficiencies Noted Deficiencies Noted; Types, Location: ')["0'(:"-1 (r"/1/1'1/1V1 AV1L.-~,,..;>r b~?(f.:; r:{ ~s ('",eN 2 I V I,UP v e 1/1 0-1 t'J D Corrective Actions Required: o Deficiency Added to Punch-List; #'s: D Deficiency Removed from Punch-List; #'s: D Punch List Items Still Outstanding; #'s: Additional Information: D Reference Attachments to this Report D Remarks: Note: Contractor is responsible fur scheduling any verification of corrective actions that may be required. Results documented in this report relate only to the items tesfbri. This report shall not be leproduced except in full, and only with the written approval of PSI. NDE test- ing is subjective and subject to in/wrent limitations of methodology. This report is not to be construed as a guaranft.:e ot' warranty of the materials or welds tested. Client is responsible for the permanent identification of welds and material for location. A-761-0RL Prof"ssional Service Industries, Inc. . 1748 33rJ Street. Orlando, FL 32839 . Phone 407/304-5560 . Fax 407/304-5561 If /f ~ t.l LC ..,,-,. 7 .~..", CLIENT J I" t DATE i-'~: " , .' .' ' ~ " y 7 ~, f ?'} PROJECT-NAME I " -,' L i ....' ~ /" .' ; r l,z PROJECT NO. I .. f-'- I J :.- ,.... WEATHER ( i , , ./. !( '" (! ( ON SITE TIME ! / ) ;7/) I ( .. ':,? FIELD CONTACT , ! 1 I( C. TRAVEL TIME C) ..-' , SCOPE OF FIELD WORK ('i /J~ U I II " f : ( ! , r'>- . ., ") r -' I 'C' ~ ;:/ f Y7 " ( ( i V'( Ic.- ./ Record of Field Observations and Tests: /: -, { ..; ," /' ,r" ~. " r -/"-l (/~- ~' #' " / , " " , , I ,f' I ,,' , ; ,. /. .t.;( .;.~/ /' . .' .. ; .~ , ,~- 1;,-' $ , " f-(' , " " , " , ", f " f / . i ,- ) !"' . C. ) I, ,.. j' )0- f f , I ~/ , / ; ; .J- .r' JI~ / /' /' ; j -7 _./., -,r / . i " , /, / / ;' / ,. . .' , i f r'---; _.,,-- .,.. .. ,/( -,"-" '0 / l L' /" :t";."~ i - I / /.'" " "/ {:, ; <,.... ; , .. .t ; ! - / ? I / ,- , l ! /l , -r .. " { , .' /l~''} ;' ., r I " j -"~. " I t/ ? ; ,- " (-~ If : <. -tD (J"), I' " j , ; ..-~'-. l , .- : Tecllnician: y ) , T' FIELD REPORT RECORD i f -_.~ lQsi] Copies to: i , , -. .~ ---- -~..-'-".._~,.~., -' -.-----' ,---- Professional Service Industries, Inc. CLIENT PROJECT NAME FIELD CONTACT ~<,. ~ -', SCOPE OF FIELD WORK ". .i ; /' "" -~ i{~ / , F.' ,/-~-;j: to; ~~_. ,-'--; Record of Field Observations and Tests: """~ J -' ~ ' n .' I ("/./' Technician: !,A; i! i Copies to: ( 0: / I .r' r'~' / ~ ?r . - ,.r ( . ,r , ....~ DATE ..:<r... , PROJECT NO. -.i, ~ , , " , ,.- WEATHER '- """..,' '"" ON SITE TIME TRAVEL TIME ~,~ " - ~ .' FIELD REPORT RECORD IQsJl ! Professional Service Industries, Inc. . ,....--~_..............,....... I l ~ )'0~ CLIENT \ \! " K -\ \ DATE c.::'1 \-..v", ':', I::' \ '-.-J I I PROJECt NAME Z~D \" ~ V-~, \\ <, \ \~ \~\L. "\=> , p.~ l' PROJECT NO. ,~ t \ \ WEATHER ON SITE TIME FIELD CONTACT t-/\ \' J< E. TRAVEL TIME SCOPE OF FIELD WORK Record of Field Observations and Tests: ~ \~b' t-~ f- c~ .( \.0 ~Q ~ \ A. \'~.c~ <.. ~wJ. \ f.:. ....J E:',\ ,..\ 1::.S ':: \-,c- c.. ~ ~........;..:. -~,~ Z \ 1'\.\-, c..<-e....\ t:. M-' L \ .-\,0 is n ~ ~,2., ,1 ~ r".. k .., ("',~ - 1.11\+. .<,,.... 'T2 C. < .,\.-\-=. \ -.:~('~ ~ ," '"" -\--: ..J <'t-- r ...- \ "",.j ~,C ' .~) \.'1 J'-\., c:::''i=- ~~" <" ~ le",- A . \ , ., ,.t p. \ \.~r- c;: qc::, I \ """'"' \,.1 A \ .....l-L ,.-.. 2..5. ~ (:":'. . .v_,'~ {~ ..-1 ~~ :::, r- \...- ~~ ..... . --- --------- --- Technician: ":~:,' '\ ,.,\ ~~'\ ( ! ~ Pt,;. ,., FIELD REPORT RECORD -- _._-~ I \\ Copies to: )-/! ~ .~~. - ~ '" '._,"::./ \._\c:". ~ \:'~ f- . , [rr-fl Information _.~.._--,.._-- ------------.-- t:!.~. .ToBuiLd On Engineering. Consulting. Testing CLIENT H (1 {I-- r.: L L DATE .>- / ~ -- 0"7t , i~) " l~ . ~ I /'2; & 7 T 1..- 11.- t' vUAlhf< f5 "'7 11 ... 7do_f1 PROJECT NAME L - H ( L '-S PROJECT NO. WEATHER C L c.J \,J(/ Y ON SITE TIME 7. S- , 2, 0 FIELD CONTACT IfV') I k fi- TRAVEL TIME SCOPE OF FIELD WORK ~I('t A /;35' IJ . rv'7 lIf..~"e <1 , (){; . ; . ) , ~ /1 (J Y\L} O{) ~ ; \J c/ . I ... J / . Record of Field Observations and Tests: , , /? c. f', TL ,..- /l r- IE r-o ~ I' ,.:: k:r€- IJ;J tJ r:J --- Tr:: 5 -r (;vC C CJ,vG /(, pL. ,,1e- /:.. 1::/ I/,J , D 7" CJ .- :;. S*,. i./ 5Lr:JB c:. 0 '- (j /""111/ /.,. /~I.:-S I- - ~I -r 1':' ~ . / 112"0 5" s'" -- ;iL.S/ " c.. t:t S 1'- C '/. D f((J fL/?. t IQ - .,. / ~ LYL..5 !.-;-, .> PI c..Afi-.O J~ c.. 'i LIS. L /'I.5J ~-!6~oq '6 SE- TS Technician(""~ .'.4/" "--,, ., FIELD REPORT RECORD .?~' /- - '~":.; . ._~'-..-. -.--------- IpSi] Copies to: _m__ . --- Professional Service Industries, Inc. - . - ,....--...-...................... ,-! ,~,.. .. CLIENT ',. t'c- DATE i /' .: " c , ....-"'r f .. PROJECT ! l" ( ~' '.'-. , PROJECT NO. -) " NAME , "" " .. , ! , , ; -.'. ~,", WEATHER t_ { , ,{ - ON SITE TIME .~-- <- CONTACT ", , ,~ ,1- , TRAVEL TIME " FIELD i ' . .' ~-1 i" ~. " ,. " , , SCOPE OF FIELD WORK ;.' ."'f ( ; " -- , J.. " , J ","e-- 'j , " " ," " Record of Field Observations and Tests: . " - - " t , / /' r(~;~; > ~i~,;7.' -;~/ iJ:.-( , -,< " . 'f f !-" - 1 f I J ,? f" i ,. ( , L.... .'~' f1 " .! , .f , , ;i..__...._. t - /--:' ..:-: , I , f , 7 .'ot, , , ( , , ,,'! I r , Of'" , , j j ,. , ,'- II' " f ~ .. ,; 0- f " (', t f f ... ..../ [' j;.-'"'-. , {.~... , --.. - , (,- ~.~ , " / .. : , " .t' ~ ! , .4,'-.. <it. " f /- , '-" v' ,< (: ! / ~ " - : Technician: i ; , FIELD REPORT RECORD r 12Si) Copies to: ! , ..... .~7C .".......--.'"-- ,..._--- " ----_.~. -' Professional Service Industries, Inc. r--- ._ ._ l.~....... ................. ~. _ ,r ~' , r ,.-' .- "( CLIENT i r)!!-i ~ ~- DATE ,- , ( , - ,-"~'- . - PROJECT INAME -'i , , " , -- , t /i.. PROJECT NO, '7 t )......;. '; \ ;--~ l .. , , I .,' t WEATHER , {. , ". .- ON SITE TIME ~/-/ t." FIELD CONTACT t.' t It :: . , / ; TRAVEL TIME { " i ,. -'~~ " I , SCOPE OF FIELD WORK r> ~'~-" O.J{~ ! , ( '1 ,~. ) --' .\/ / ;-r~" f....tt II ,.,.-"\ ~ "-) /)-~1rt.,--"J.. " Record of Field Observations and Tests : i~l \ t \/j ( 0'" l( (' ( " , " l--f~~ - t , ( -t-,. J (' <: t- , f."f , ,- r vt I ~ . ; ~ .' , ,. r ; I , - , . , , .( , " j , i' ~"",... ..... , . 1':-' I '--r', ( tj , 1'- , ,". .. ","-- f''': .l' jo' ,,,;;'- ! ,~'j <~ r ,is t-r: (" i , i .- ...~ , 'I f" .' - . " - I 1 r , f.-' I , ;r:-' .,~~ ) ^/. ; .. .. , t , . . i,," ~.f i- I ( " .r k i { /( f.r c. r"'~ .C .-:- ( r \ C( ( ),r '- I ,,' r"..... i j - - Techniciaro: t.'\ : IT FIELD REPORT RECORD I. - l"'~;l Copies to: ---..--'--' ~.,. ,---) .- ~- .. -"- - Professional Service Industries, Inc. .,"- ......... I ,-.. _._ . ,.................................._r ,~ ,,"'f...,. . --- "\, "'"':' -'---.- ~. " CLIENT DATE - j ~ . PROJECT NAME ;' .; PROJECT NO. ~I .,... WEATHER ? .. ON SITE TIME /\ FIELD CONTACT I I- ; "' V ; f ,if '.' / TRAVEL TIME ...." t..... SCOPE OF FIELD WORK F D, -r "<>". I / /_~'Jj'[ - C;, / ~ i \ t', Record of Field Observations and Tests: 1) ./ ~ ... i" i , '~, -I-i ) ~. ... 1 .:. -. -./ I . { ~" -' -. ~-,-..'. of'_ ii,' <.~. (' .') /, )''f I Copies to: ," '. ...~ . FIELD REPORT RECORD ~-l ..~. .... ~.-;JI.\.-.. _'..~V" Professional Service Industries, Inc. Technician: \l\lh;j~ ('''''H "ffi,...a .. Valin"! e.r\n\l Tprh .. Pink r.nnv r.nnt!Clr.tor L.~ ~;7J Environmenjol II' ~. Geotechnjcol ~..;;;;JIJ II Construction Consuliing . EngJrieenng . Testing FIELD CONCRETE TEST REPORT PROJECT NAME:t.-~p~1,r~.1I ~ ~<. ~t I. .....J PI"", ~ TECHN]C1AN:~ t'~).- PROJECT NUlvIBER: \ LOCAT)O'!'J OF J'LACEMENT: \ _I sPLUM~ r-I FOOTING I :=7 SLAIi o CELL FILL .J i-CURB ': OTHEl: (5PECIFV) 1- \' DATL PLACED, . 'f -I '1- o~ ITII"'IE .'.~NlPL.ElJ, I \ML.-'..5lJEED SLUMI', IN::...- ;s.5;TM C-17'2 \.-.11<. CONTENT, .,~, _ \AS'Ti\.l C-T"?3 J C.~l \CONCRETE TEMPERkTURL IF): ,ASTM C-IUb-l . [r-IR TEM'PERATURL. ~)' w.c;.:niEk; \DATE CY'_INDEIl.5 RECEIVED IN LAB: \ FIELD DAT;-, SUBMTTTED 'B'i, fVfIX DATA SUB/Y'[TIIED BY, LA llORATORY 1D NuMBER . TEST ~I'EClMEtI AGE ID al>IYSJ \ \ A /r' , ,.1 .B ~ L'j I \'\~"">- _ -P.'i l..T1"S 1 'C ),. b 'D C 0 be> ~ ~\~ If \ 1.- a \~ \ I~ \ 1 \ I \ \ nCATlO~ OF CASTfD CYLlNOU' ~ FIELD DATA OocL ?:+< ~ ~ -h-rv- ~'7t,-7ao7a, ;J~ jSUPPLlE,C ~.( k... y>'\,\c7 ,\1V1D':' DES.GI....A.THJf..; NU....: y 0 t',.., "".... (::' ~ I <>()\) .; - 7 "'6 ~ \TIlUO~ N[L' is ~AM\ ~. 'I'M \ \ \ \ \ I 1 DELIVER',' TICk-r::T N(~-, .hATCH TIME.: '. i \ ,uuu~'.u. TIME-of' >d,O! ". A..M . 71 ' , PM 1 WAll CUH1C">AllDS: I () 'f t J j""....n'UUlDED: ~ . AI1THOiUZUlB\: TI'!'L OF CONCIEI'E., JllDltMoU. '\\oj !::ILIGHT1o\"T rJ 'Ctl;CIT ;!om:: D 'OlllER LABOR.,tJORY TEST DA.TA COMPRESSfY"'E STRENGTH P-ESULTS ASTM C-39 llAn OTTEST ,\ '1-}q \ J- 1'1 i J; ~~~ \ \ I : \ " L j I I,." j/ L-.-. , sheal ~nil.'rlil :uul ~bL':;lr TO"U.L .LOolO {U!5.; 'C'{l.1NDEIl. DIAMEIBl. ClN.:\ 1 \ \ \ \ I \ 1 t j \ \ C'\'UND1!ll ,uu:;. lSQ.1N.l , \ 1 \ \ \ COM:I'Jt65IVL smENCrH /PSI) '1 1 \ 1 \ \ PROJECT5PECIFICATION ,1'SI): \ V060 ~ UJlumrulr T\"p{: 'OF IlRUK \ \ 1 \ - ; 1 1 \ I \ \ \ CLIENT ),~\. \i " ~'- \,,-<!, \ PROJECT NAME "2..1' <,,-, " V', 1: l0 V'-("( ~.\!).I ',,- FIELD CONTACT AY\, \c..<< SCOPE OF FIELD WORK ~>- ( ,11<:) '14 A ..: \ {"},j , ';<1:.. Record of Field Observations and Tests: ~..-'. \;-,"'.J, , t i ". ,:,->,'"'1.. ;t'. ~ ~ (~_.>\ ..,. e,(, "i A"" f \", r " r. -, ~ " ) "2 t! t.4 - j (~l -,; :/'. " c" { r ,~",.~ " '<. .., ~>-,; ;<"4O<t, ," .'" ... ...... Technician: l ./j ./ 1/,',.., ;1-1 _~"i1 ,11 " /~).....J Copies to: ) " i;> " i , 4(< .,4"'...l ~-~ ! h \. t) d DATE t...! _ I~ - :>l. . PROJECT NO, 9'J':;l,. WEATHER ( It"", ON SITE TIME . 'i TRAVEL TIME ~,':'; ~ - ,~)r ~~";,.. ~ . ~-:\ ;;:.' ,- \..ki'~,~~ ~ II:' .; -''''.dC',.) ." .....,.-~, :~~ '".~ FIELD REPORT RECORD lpsil {~;~-7~ . ",:._1# 0............ r',....,.,fr'")rtr't. Professional Service Industries, Inc. -"'--" .--.-------...........-.- _.._'---..------- ----. -~._.~---_-.....--- -...-.---- \\~5l( '-- . \\ " ~ - / Lf- ()r CLIENT DATE .-, _.i ' \' \..J t tt r PROJECT NAME L~_ t t)\-" '-I \ \._, \j' PROJECT NO. i j ; ( I WEATHER l ~ ",d._,/, , ON SITE TIME \ '{ 1'-. "'- FIELD CONTACT TRAVEL TIME 2 t.. v AV\"l.lrc' ? '3 "- SCOPE OF FIELD WORK '- \:.)t , )C~.,-f ( ) "3 " 0 " :j i'- \ Record of Field Observations and Tests: vi\) i' I ..- r ,-' -4, ow-- .(?.,..,..~./.t/;J"'S y'C vr' '- \..' ,..-..0 (. r :J \ I \ t <t" -.. .- Technician: Srv' FIELD REPORT RECORD -- . - Ill.siL-- Copies to: ---..-.--. ---- .,- - .,- --.--.-.------- Professional Service Industries, Inc. ,~~, -I'~'(-" r\:_I, r......._____., ,-..r.........f,...r::\r>tnr ;L1ENT t-tG-S kc \ ~ DATE 4-'i-e>JI lROJECT NAME Ze-f~~ ~,\ ~ \.,)Ja...\.l\i PROJECT NO.17 'd - 706 7Ci WEATHER C 100CA'-1 . ON SITE TIME ;;L 0 V\^-l ^- FIELD CONTACT TRAVEL TIME lL---....- L{)WVi "'- SCOPE OF FIELD WORK o...x- ('" \ ,j..(?. cL- :20 I d.e.f~'.\.(cL I ,1./ 0 pIllA- ~ Record of Field Observations and Tests: - ~ Iv 3 ~,.,~ of G'J \ \'J\CJ.vs- fw-- 0 f\A- f~~'''' Q u3 {)OUI"'"" ~c.- <I : : Technic'ian: ~iJv\ FIELD REPORT RECORD ~- fiiKiJ Copies to: __. ..~. -~----_.- ~rW1. _ ___ - Professional Service Industries, Inc. CLIENT , ! RROJECT NAME FIELD CONTACT ) I> SCOPE OF FIELD WORK ~,*,'" ; j^,r ~'~1' ~'P ! / ~ r ,[ / ,:f~~ .'J ~c'''' Record of Field Observations and Tests: < ( ..-- :, .,.-( , i . r' I . v i ..t~ " ...; f f ,2 .' f "" \ ) - '-I .. ! / ! ,,;;' Technic:C1!l: . ' Copies to: _ /- 'i r~ : .' "i' .. J _/! Ii..~u~l f ! / ..' I i,i';-' ,., .r f"'" I ~. , ,/'. , _l_:..s" i- '-f + i ! .... -f '/_11_...0__.., ,..........1.- DATE -"t~J ,;? ." /" PROJECT NO. . l' , ,r: ,....... ~-;:{ i i WEATHER i""- ON SITE TIME TRAVEL TIME :i , ' ....'::\-.. ' .,' i .' !' ,--1 ,;.r!~" ,J ',,".> "'\ ,'.1-". /.., ,.( FIFLD REPORT RECORD 19j:;Z J:!..ti:I. , .. .. Professional Service Industries, Inc. n;.....I, r',............. (>."r"'\t-................+r-..- , " 11- , co- CLIENT , DATE ..'--" ,..~ ; ;r ---- PROJEC-r: NAME ., .' , ," ' . , PROJECT NO. , , . WEATHER t'" f , " ; J ON SITE TIME Lj- ,-h, /.t ~ .-, ,,-. FIELD CONTACT TRAVEL TIME L ~-..-' /. ~.. SCOPE OF FIELD WORK , " f 1'- I') ( , /', l'l.-'-; .^ '} ,_JL-/'1 , ; Record of Field Observations and Tests: r' , , "..- : , Ii ; .. ; " ; i , : ; , . g\ i ! ~.. , , ! r ,<, -' j-- "..\: J.' -- Technician: ;. . -~I FIELD REPORT RECORD .-~- IQsil Copies to: -- . . . " .' ~_.--_._- - -- . Professional Service Industries, Inc. v~II~... r~rnl Tcrh. _ Pink \.oov Contractor / , ~. , .,- ...... CLIENT l~ ..lL: DATE I "4 'C}:;( , . i,.-'.... , , ,-..1. - pROJECT NAME .i.-: v,) iJ., \.(. . r:-~\>~~ t\ PROJECT NO. D '-. 0 - ) ''"; ,- h\"",\ - 1\ , I L-<:i , .~ . '..,.,,,,, ; \1 WEATHER \ r ~-""l , ? ON SITE TIME j :.. r'Y\ ~_. - - I-i: . FIELD CONTACT TRAVEL TIME ;'~~ -) SCOPE OF FIELD WORK '1 u.....[r ",.t.J ;2.),;. J\. p ~y :..)1 i_. ;:1;..1'>1 Record of Field Observations and Tests: "~-p ',> I ,( {'1,') \< . , f :Ji.i ')~-{_l i. t"}") ~~ t.i, 3> S.. i , "- ....." f:,,-- J ..) <:: ,_I i .1 y_"\ ;~:. J"r f ." ,.,. '......,. ) '\;- .i.." ./ F' ......l/ \", ~ (: i .\~, ~ t \J-. 1~ +J i i '. \. '-' ,..,.. t, " - \q - I...) ~--~'. t..,...j(j..~ /\ i ~.. 'J .. / '"'Ii ~-..- '-~ ", '. i " I , FIELD REPORT RECORD Technicia!i: ,. " i - ....., , --- --.-.--- 1;;'8/1 Copies \J to .-. ',_ .....,:0......:.....,;.1 -,.~.~ - .- __.___u - Professional Service Industries, Inc. r-~'~' , , /. ( \ \f\thitn. ('r",-\\/ nffi,....(""'\ Vr'..:ir-.,}.: ,............~\I T",......h Di.....l" r'..--.....", 0,.....n~.-.-..nf.......... , . ... CLIENT #1 DATE "'", - ; " PROJECT,NAME /, : r , PROJECT NO. ; WEATHER ON SITE TIME I ( " ,,- FIELD CONTACT ' , TRAVEL TIME SCOPE OF FIELD WORK I ! , ,. L/ ;- -' ( . J Record of Field Observations and Tests: /" , , Ii { ;r .~ " > i ; f , ,~ " J / ' : f L/ j , . ! . 't { I - f , , \ ,: ; Technician: RELDREPORTRECORD , l;;.sil Copies to: -- --- -- -- --------- ~--- ----.-- -~--_._. ------- Professional Service Industries, Inc. ""' __ _""T""__I- n:.....L. f',-..r\\I r('\ntr~rt("'\r .~ ' ( [, j' -~ -.-'" I '1 - 0 ..., CLIENT \ ",:0 \ \ DATE ,.. - 1) PROJECT NAME Lef kl'k.\\ ') W.o. \.<-. I~OJ~ l.~.. Lv PROJECT NO. t, 7 :;, ~ 700/1 Ii i I....::.~ L Iii.. WEATHER C Ie". / (~, .'\ --8, 0 r-'J, tJ ..-' ON SITE TIME 01 FIELD CONTACT (V\ k.~ TRAVEL TIME ;;. ,)' SCOPE OF FIELD WORK O-.n 'u..J p,Jv D-<[i i:--_ !..J _ ",:>\1 &;..,...'" - ~ "'~ Record of Field Observations and Tests: ~)s. \ ( c{> s- \ r /. ..) r ,) k J \ ()~,. f.v"d'l ~('''')' ~ )1" J..; D ~..... :K c. '). -" ()^ {)--- , G vi.... ~. h.<-(... !.i l'w~, {(... \v..nl" ,. v) {\.A ()() .c;:: -?',; 0/\ /tJ ..c:,,, ") 1:----v("-. ~ l' (" c 1'-'1.. f>f ,\ ..... J .h-, . ~I.; I ] A ~ i l.; ? ?, 1" '. ; '1 '1(), ~.A. Jt~ ( ~~ Ii (,.o L\.~ ? I ,0 ~ Ju, J.") -(...' 'N () (.'1. /) h. ~t ;oj __ I, , ." t.:-, \'v...... it... /A. l;, '" H A ,..... (''ll; >( L \,..) ~ ( '-I -. C ,- L ~ C.., j .> (j........- . .>(" f). r ' , I )! J V..Jc k L.-'''' l I. '3 y' .,.; '- C.^. ~ .'1"- 0.~ c.- , .. -_._- J ! ~: '. "' FIELD ,f\EPORT RECORD Technician: . ;..,. . -'~ .' ---- ----- ------- lQsil .....~;. , . Copies to: :JL/ ,--,;.. 1~1 /../\'" ~')'-.,.J -...- - . - ---~ --~- ~. ----'- w_~~. __ Professional Service Industries, Inc. n;......I, 0..........., ("'ro."'tr........tf"\r , ? f_ 0- b CLIENT \~l 'jU DATE - () ., " i ~ L " \: ~, ! :~t;:._. ~ .c>. ~, 1 ~ 7o()~'l/ ~ROJECT NAME r ~ ,..,-,,; , ~ \ \.'\./ ," , l G PROJECT NO, ~ 11 , / WEATHER { I ({:.......j/ '1'" '] S ...>0\ ON SITE TIME ..' ) .~ (.,/ FIELD CONTACT (1"1 iCe TRAVEL TIME ;:2 'S' SCOPE OF FIELD WORK c"'-,{ . i '),"'-' (,...._l~ D~ /' --; L<J q3l 'f _ ~j -.L.J I Record of Field Observations and Tests: ') .( ( k: , ./ \ :> ~.<~ ) f( '" \ :.-c....l -j f... \..-<' \.,' ',,1 ~, -, ..... ., k.. " ~( i r -j f. - ,,~.t "'-/ \-c.. / -I 5-t' \ eve. , ilJ'- c./J. i,; i .",\ ~... , , ..J . ( ~-~ : . < ,,} ; .. , 'j " I t ),1 '1 , C'~. .;:l.- '-i (j: I,) ! ( j , 1 \. '." \ ~l-< C' I '\ CL--') C 1.....-' ('i "' r AtA''"~ OJ \ AWl ( uJ l,.,.i, , I '> II, , ^ / , I "" J (IV" r, ;.., L <' ,,{ i')( ~ i~.-I , "- ;\ I I ~-:.. ;";'),', " . y....[ r- '" ,'r.r: ( \ It.> If - i..A... 'v'" :' -\ ;; {.\. I -H-' , , t:'" ~ .. 1:;'[ k, i H c/ (\ \ / ,. j ) , \ i. .,_-'l..' I ) " "- t~, L . ,. f - i.~. i Ii .. --.. . Technician: .J r ,'" FIELD REPORt F~ECORO .' .. Ii1.SiL, COp!8S to: ,(..- (vi. :1/1 . '--~, I \./". '" - ----~ .. _._~-- -- Professional Service Industries, Inc. \Afhi+...... rrH....~' (\ff;r'n \1.--,11(""\\1\1 rAnt' To,.....h _ Pi,-,L l'..n\l ('ru,t-r~,.....tf"\r '.',..--,., CLIENT , '\ \ L I' ,', '-- ~ (, \1 i .'-'''. ,.-' t......... DATE :J. 4 . D{. PROJECT NAME L q~ k " ('h \ \;. ,.,.j, "k., {~)(., HI, \ C l) J PROJECT NO. "6 J ~. 700/9 WEATHER C\ C(A./' 6,~$ ON SITE TIME s. S- or FIELD CONTACT (It''! .$.( TRAVEL TIME ~ ~~ SCOPE OF FIELD WORK J ~,?'-' ,I....... {i- . ..J -t- eJ- ~ Y"\ .- TJ-{ f.' (f>-.- ~~ I V'" ~ I'>, P'. Record of Field Observations and Tests: I:) <. \ ..:> \ (e (' ,)^ S. 'y c.. ~ rt ',., \ kJ-, MfA.. \4 " S ( I" u ( (e .-,( rt L r \i C "'-I ", ~~.(:. .~~ v ') .,,-1,; I' S \,'-~:; ~ ~'~ ~) \.(.\ "'fh_\ t c...... ..--l' ,-:--.. \Cl ~\ ~''1 \. Yo(" . (~.p~ ~,.~. . , ,j 7/ ' .. .s: IG, ~ C'\.l<, /,0J.(0 r i5<,t~ (0 L,_...., ef:...-jO tw', ;If''''>~v LJ., W.....H .tv ~yJ~~.\ C"-..- (C-I""k....1 Vvl'5 I 1"'7.:..> f -,\,,,,'1 (.",~ \ ,- I-- ! ;. \ _\ ... : bi-.J<,"''' (..,,, ( ,f, k "'\.I . C c' J .......~. I~ ~ - ). \ I'-~' ... \ ~ ' ~~'i C / --' , ~-~, ,.-( , i ;) \.) {' $..)0-'.-' '1,..,.1 r..A..,.v..l.5, , .<', ! ./ Technician: t~:........__ . C::opies to: ~~\...., ni-J ,,-<--' -;,';;<--' FIELD REPORT RECORD lR.sil ____ Professional Service Industries, Inc. \^/hito r,.....,n\l nffif"'O _ Vollf"'\\AI r"n\! Tr.roh Din), r',.....r." r""'.........r'"'"fr"\Y' -- CLIENT ' " .' DATE 1-- j -, C f-,t , f-:' '^"i*-' t.; -, 'It-... L,..} ~ . -:7 -it!L - (';~ '7 ';::';::.? PROJECT NAME ~ L , '" ;...;o,.....J/ ,., PROJECT NO. -"-, - <~ :?<'"j , " ; " WEATHER L L- (/ C .>/ 7 -- ON SITE TIME ... ~ ') - FIELD CONTACT rt-l ! /~' (, TRAVEL TIME -- ~, n /;) ''';! , ,. f,"'-.J - r, ......H\ 4 -. I'L 'i fL ('4i " SCOPE OF FIELD WORK /2. ~, -' ';> L~./ f -" , , Record of Field Observations and Tests: . ,") ,- D/ - !3 ,:) h j r l) .I',,;,.r: ! /' " , ( /~ T r <' .,. /J"~ t:J / C C'LS; ), /7 It::'? ./ / i / i -' , .-:':, I r7 i' ; [....1 ~ ",4 .'1 (': 1/ ~,<; ", F1 L,..:..~-' .P"') G rJ , 0>.) ,<{ l ( ~? ,,':' C3 r i / I A .~ " ~.< ,. ;, ~',. l :' , r <1 - - -, r/. ri:!. ~. -' , /2 j- rJ-1 / /! rf' :S / -, /) -, 5~ ,1 .' /! b L /'9 T /1 () F ": /J " (, J - r.-~"" ,(.- - '6 ,h 'T-_~' L c c>r L.' , ' j -~.- - .. "......"j ( FIELD REPOF~T RECORD Technician: ) 1 ,0" IQsiL__ Copies tu: .-.-----...-- -- ------ -- -- -~- .- Professional Service Industries, Inc. 'Mhita rnn\l nff'f"G _ Valln\,,, r"n\l Torh _ Pink ('"., 1\1 (':()ntr:=1r.tnr l "r~:; ;rnfOrmatiOl ~..,. .Ye Build On Engineering . Consulting · Testing FIELD; REPORT CLIENT LOCATION I~ \"- r;(\ --if : i ;; \ ! PROJECT NAME CONTRACTOR \ OWNER ~~'.; \..\ t .. -~ PROJECT NO. WEATHER ( ~ / DATE PRESENT AT SITE (""".,. , j -' FIELD CONTACT \ , >. ",fIlI_~ , SCOPE OF FIELD WORK: .> L- 'it' i , ' , RECORD OF FIELD OBSERVATIONS AND TESTS: ) " \ k I . , ' .. .. .' . ' .- - ; . . -,~~ .. " , The information presented in this report is preliminary in nature and presenter! for informational purposes only. The final report shall be conclusive as to PSI's findings. The information included herein is not to be used for acceptance, complicJlce, or contractual purposes. Fhis information is subject to review and change. COPIES: Respectfully submitted, Professional Service Industn9[;, Inc. D~I l=\.onn.17h I?\ .. -' " CLIENT 1-1 fi ( l<. DATE I - ....., I (~:.) ~ I i " .-L- D .- ,. , ;/ 1-1 [] -- - PROJECT ,., '7~'?d -7"'1~ PROJECT NAME - J L C (; ./ . .' NO. 't:> -:,1'"", S ,i " , I ~-'- ~ i- ',- -, f L". (~ /" WEATHER p, c. L 1 ..l.) l::.,!'" '-/ ..-, .~ ON SITE TIME ...:- f"l''7 ) ':?- ,~. FIELD CONTACT ,t ~' TRAVEL TIME (,,~ .> S- .' /', .,.-. - SCOPE OF FIELD WORK {/ i f:t {J ,,, 0/ t r / S v . l .j; ( ," '-c. (":. l~' " ; I , ~.~" , i L t~." j.,.,-;'j ,..... r ,. ,;,\<c\ ~'. ;,.,...ri~ , ! {' " \",,-, ;...." - " 0' , " ~ Record of Field Observations and Tests: ~ > (i' f -...., , r' P T ; ,.", " I .T . ..:.:.... I .- // , . I ..;;; , ,1", : .. / r-..,.' f d' -'" .. , ,.J~->" ,. ,.; /' ~ ,.1 0 E J: ,:-" r ')t;--:MI - 8 i:- T' T c.. 12:., L ~..jo(,; ;.' i.. , ~, f~ 0 I L <::.." )( .N j'j ,. ,...... - ) .. -'" I ~: ' " -' ,~ J -"...-) L /..-' , ... " . ..... - (:: <::. (~j <.~~ f 0 M 1.2 r: i? 'T' I ;' -' , /' " ,.. i.,,~ ""~. ;- . , <.. ...-" f "'~ ,~' ", ,-' .. F I. .0' 11 , / J' ~,/ " /" i ,;t'":''; l " -P, .. I '.- (/ ; .- .,' ~ j''' .:""\.' , v-..-i .' 1- 't i.. , f . " , , r T /-") j--'"r< J ;> , """ .. 0' /- ~~ ' / , A "j a:~; z ") / rJ.i ;:, ./ rq n 7 ...., C - --; y l ~ - " ! ~,.. I -> , , ,I --, L... , " ,~-I t ,- - -- /! .- / ,1 '. ;... ~'.,I' L /_: ~ / - ,,, (~_. -.... J ..., c.-. ....... , .~ '- ~>-- .' r' -..... .-' J I /: , ~ /' "-" / >" L -> i I '. '-- I ./~/' ,I '-, ',-yo- 1_- .. - -. Technician: FIELD REPORT RECORD --. lpi:;l Copies to: - - --- ~~. - --. ---.. ---- Professional Service Industries, Inc. '^,hit., r."n\l (lffi,...., _ Voll",^, r.nn\l T"'f"'h _ Pink' r."n\l :~nntr"'f"'t"r PROJECT NAME 'Z. - I-I" - i,_1 (2 Ai.... .r_ .--< "_.,, V _ VV I~ T 1- ,'" DATE '-:J- 3 - 0 g sO v 7'?r PROJECT NO. -; ,....r. L""..: ....".,c, E ; CLIENT 1 .,~ " :y"\ , ;' ..~' ,~-7/ ,-'! ._'::>"\ :. i . I f '"' WEATHER J < Pi ' /J ON SITE TIME ;: (J .. FIELD CONTACT rh I A r- fJ (('. ~, TRAVEL TIME :J t S- SCOPE OF FIELD WORK ./~., ...---- - ;...) ; ~,1 . D/. /~. /0 L/ !J ~. --. 'A'~ /~) " f' r j, - , _ t.--fP'-1,,1. Pu 1Y7? 111 a.,~ ~~ -- !~ I'V"!. .(.., : J r'':", ~lj J6\ -- S ::,7 /- <:.. 0 rJ t..J'I, C '/.. Tit.. i...l L ,<. A- Ir.; "l "1, ~ "C:" Lf r'-' Record of Field Observations and Tests: i ,r;~ 0'''/ !?)T i:-( '. r J /;' CO II';:; T" /J< r ,b, "" j,.., -b J i {j,:' J ,. _'__' - I ~ ...5 rl - J </ ..p / ,c' ,,,,,-, 1 CO /J c:~ /2 Ie:' T [ ;:.:z 4(' --' t:;: j/v TfL!" /('7 /,-y, /'J I: .:;'[ -c r .,./ - J,,::, /. - ( , - .""-~ ~7~ l r ,: Cr'?~'~ , Technician: ~ " . -- <i-'~'f .( ; /L Vi.,. ,___ FIELD REPORT RECORD lasi] Professional Service Industries, Inc. Copies to: \^,hitw ('nnll nff;('0 _ Y,;:;linw rnn\l T,;:;rh _ Pink rnm/ rnntr::>rtnr , - - . "'---.- CLIENT H' " ( DATE ; ! i, , , '. .." ; PROJECT NAME i i:, .', ~ . ,- ~ ~ - j. t' ; j PROJECT NO. .. .,.. I" WEATHER , ( ON SITE TIME TRAVEL TIME ., FIELD CONTACT c. , ,~) .. SCOPE OF FIELD WORK ( " )- i J ') , , / ,l,\ ~ i) , /}"'1 ,. I , Record of Field Observations and Tests: - - ,~. -; -:} : , J .- f I ,f ~. '- - Technicic:lll: il FIELD REPORT RECORD ~_._- --- IQsi] Copies to: ----- -'.------ - - --.---- .- -- ~_._- Professional Service Industries, Inc. r;.~~ \^fhitn rtl.r\\I nffi,....o _ VL,iln\~1 rAr"\\J Ta,....h _ Dinv rr\n\l rn~11-:.::rtnr CLIENT I PROJECT NAME FIELD CONTACT {I; . i SCOPE OF FIELD WORK i> .,-...,., . .........-.1' /--, :'\,.,....... - Record of Field Observations and Tests: '}:)\ i If l i ; ~ \ 1 J Technician: Copies to__ '" .c .,:- fJO: "} ; f '" lie 'J.~. r...... ._ /"""'\u:__ -"I ~. :~ Ii II/t) /! ;r'\.... ,,,.J .Fr".;.: f I ! '\/.......lI.......u, (""__\' Tn,.,.h /-;7 /.<1 l i .' FIELD REPORT RECORD l.'R;l ~.... -- Professional Service Industries, Inc. P;nv ('nn\J r.nntr~rtnr '. , , CLIENT 1 DATE J / --.-' r --, ,~ PROJECT NAME f , -- PROJECT NO. .t, ~ ! . . t WEATHER i ON SITE TIME . : .-'-1- -,~'\ FIELD CONTACT t , TRAVEL TIME -. L -_.~ SCOPE OF FIELD WORK i ~ " ., , -' ., -- c' ~ Record of Field Observations and Tests: r> ;-,,--, " ~ - ( ( t- , ) /- ,. ~.< j , t .- ; , ; ,~! - { ,..,-, , '/ -- c , , I" .' { \i , Ir~j',- t.i~\.)j. -tv'"'" / -- \.-]:" \..! ,. A/i -.t~ L/, ),,- ( r ~. ~ t--; ;1 '.- '- ) I , {-! l I -f ( ,~, C." c_,t- .p /1 ) ft' (/,: L ; 1- ( , '0_ , " , ~ir ~ hl-' l", " f ( '--\ ) ----- -- Technician: FIELD REPORT RECORD .~--- --- --"- 12Sil Copies to: -' -- -- - .-- -,--------- .._.~- ------ Professional Service Industries, Inc. '^Jl.-...:+n 0,.........\1 nUi......_ Vr'\lln\" (........."'..'\1 Tnr-h _ Dinlt- r"n\l l':nnh-::...r-'inr .....--..&1. , .# CLIENT I \ DATE /, I ( " -" ,', PROJECT NAME / '. j i : i -+ t ; PROJECT NO. ~', . i : . .- WEATHER ON SITE TIME l ' / i't'-; FIELD CONTACT TRAVEL TIME ,'. SCOPE OF FIELD WORK . ! . -. ( ft , , ~ -- .' , .. l,,," .' ;,- Record of Field Observations and Tests: . .--. Technician: FIELD REPORT RECOrW - t~~.l Copies to: -------- --- I:!!.~. .-.-.- .-.- ---- " ' .. Professional Service Industries, Inc. r' 'MhitA I'.nml nffirA _ \,pllnw I'.nn\l TArh _ Pill'" I:nn\l I'.nl-h ::!r.tnr I-i t i ,I 'j CLIENT i DATE I PROJECT NAME i PROJECT NO. l' , i , WEATHER ON SITE TIME ,.i (..) ~ FIELD CONTACT i ! ,:, TRAVEL TIME . j . .' SCOPE OF FIELD WORK / . .' ;', ~; ~. ' ,.' " , r : -" ,. ...,'" : " ,/\ " ;,' t', i Record of Field Observations and Tests: I r t, r , ,- f ,. I i ., j , f , ,. , i . . . ~ ;t , .. J I, i [ \ : ) , .' .,.'. ;' I , , . I -< . I I; I ! , (' I ! , /-f (" 1-\ c -" .~ :,<" ; . " -", { / ,c i , ,;; " \':;' , L .' f) ( ; . / , ~~', ; j i .. .f-" ---- ,. I Technician: FIELD REPORT RECORD ---- -' ._-- - IPsil I Copies to: "--..-.-- ---- --- ---- --.--.- -- --- Professional Service Industries, Inc. \A/hitt:> l.nn\l nffirt:> _ Yt:>llnIM" ,-,11\/ Tt:>rh - Pink- r'nml r'nni r::.rtr,r l ft.!!; -1 Information ~~. .To Build On Engineering. Consulting · Testing REPORT OF FIELD COMPACTION TESTS DATE: 1/14/2008 PROJECT NAME: Zephyrhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave. Jacksonville, FL. 32202 PROJECT NO: 878-70079 REPORT NO: 53 Project Specification: (1) (2) (3) 95% of ASTM 01557 (Modified Proctor) 98% of ASTM 01557 (Modified Proctor) 100% of ASTM 0698 (Standard Proctor) Elevation Max Moisture Dry Wet Comp- No. Date or Location Density Density Density action Meets Depth Ibs/ft3 % Ibs/ft3 Ibs/ft3 Specs? % PIPE BACKFILL - 36" RCP o =SPRINGLlNE OF PIPE (SPEC #2) 1 1/14/08 0-1 116' N. of Str. #6 111.0 7.3 109.6 117.6 98.7% Yes 2 1/14/08 1+2 129' N. of Str. #6 111.0 8.0 111.3 120.2 100.3% Yes 3 1/14/08 2+3 120' N. of Str. #6 111.0 4.6 109.3 114.3 98.4% Yes SLAB ON GRADE - LOADING DOCK 0= TOP OF SLAB ON GRADE (SPEC #1) 4 1/14108 0-1 10' S. & 6' W. ofthe NE comer of bldg. 109.5 3.9 107.5 111.7 98.2% Yes 5 1/14/08 0-1 32' S. & 10' W. of the NE comer of bldg. 109.5 8.8 107.8 117.3 98.5% Yes 6 1/14/08 0-1 62' S. & 6' W. ofthe NE comer of bldg. 109.5 5.0 107.0 112.3 97.7% Yes FOUNDATION SOILS -ISOLATED COLUMN FOOTINGS 0= BOTTOM OF FOOTING (SPEC #1) 7 1/14/08 0-1 Column line BB-7 109.5 4.6 105.5 110.4 96.4% Yes 8 1/14/08 0-1 Column line BB-9 109.5 3.8 104.6 108.6 95.5% Yes 9 1/14/08 0-1 Column line AA-7 109.5 4.9 107.6 113.1 98.5% Yes 10 1/14/08 0-1 Column line AA-9 109.5 5.3 108.0 113.7 98.6% Yes Tech: MM Respectfully Submitted, Professional Service Industries, Inc. Certification of Authorization No. 3684 ~ala,p.E Branch Manager Florida ~~~1 No. 63870 IP :"'1. withou' -1; Og-- DEPTH OF TEST REFERENCED IN FEET These test results apply only to Ii'll..' specific locations n"led and may not represent any L.(I;er iUCcdiIJ,., or eitwalions. Reports may nol be reproduced, excel' permission by Proressianal ServiLt" Inl':~Jslries, Inc. - , " - -.-- I - I ';> -()<?f CLIENT _. DATE L-- II / /,' ),(//'1 i - , )- Pi - ",-- ! I <::: Y/7:, vc>:iCfYftOJECT ?l7S: - 7.:27/0 PROJECT NAME .. " L- ,.... ~.. . r c: I.. i 7e") i ; I t' s? 1.' NO. , , . ~.c . WEATHER ON SITE TIME FIELD CONTACT TRAVEL TIME SCOPE OF FIELDWORK (/;;r(-(~I - ,-I .. -I .. ~ I (("" r~ ( I I 'I - : .. '//I;rJU //0<- cr- I :-:~ (\ .. , Y" : j- (,r I P v'\ /'; - c/ - ) fr- i ,t::_~-r r-;;I ("-'('1 - ,t i./IPc1 j'e' VI I I-.'t...... , "1- ) (>- If I pr C(', 1 ? /C'~ , , , I .. 2& i ' i_,-' .,- J I / < .. .4 7('> cr: ('/ ,.:") 4' Record of Field Observations and Tests: r)d;; , 'p, , , .' 1-rY .. , - c_, , I J r I''''/~' "";'J If;. j) it: Ivo.<. f" ;- ..... L. JrT-h F t!? <. n'+ i? Yi It, e'l"'; C C.., I \ -' r c/o <c {/"t- ,- /.'" ,S , d Col )! -(./ V :;;< ~1 A /(. rr' ~2 /<, , ,,...: I Dr-I r;,.... :::z / I ;2, __.r- { \. (/{ ! 7, I/.<.>t /i ,--, ,",' ( ("'/'(>! (~'I,.-c/1;c ',' ':':.' y-'/ c.?~ l r./~ I/,JI"/If (,r) /,~, e- c' -1 7" ! , fd, 11 i ) I -; )--3- cC (> ,,1/11 p 7~ ' J-" I I - (.::: i, c- i f')P! "' "",d ..,. , ~ (> {/! /1/C' S ~ '/ >'?11i I f :--I i~ - I~ VI r I 'f [I Ir-1 ;J ! 1(' C"0- l'l( <J f' ~t'PV7 (' or/,r rc -; (Or-l , /("'~ If I - - t/ " \ / ...J /i -. , , ./ '.. - -_.-- -- -- Technician: --~-_.- FI E L 0 REPORT RETORD Copies to: -- -------- -- -- --- -_._.~.- -_.~ .~--- (jfgjJ Professional Service Industries, Inc. ~.g. CLIENT J-/ rei 5/"-, .r': I ' DATE I -II -D ''i? { ~ ..... L--. . . ~7CO ......, - /-/ i J....... PROJECT NAME .i- LL S, ~...; ~p j T!../~C fA.J ..4 1/:'. ~J... PROJECT NO. 7 (")/) 7'7 . - WEATHER C L ,- /-::J .rZ. ON SITE TIME I I' <9 , -- FIELD CONTACT m {I". / TRAVEL TIME ::2 · S SCOPE OF FIELD WORK rial< t.iL 4: 4 I J-:> F /0 ~. ~ " 36 .,/ - I ... Record of Field Observations and Tests: - e K Cf' , () ,.,....J ~/rl:'. '-:::0 /( f I rz. c.. // I~ s r/ ,vt; oF- ~o N <.~,.{: TIC... .:;- f!1 c L /.? I fV yt<.v c'_ /<.:., o l.P L. I..:; /-or-JP !~G et-4 T /~ C' /t ~ s;. 13/9/.- 7; '7 ::5 0 t:. y, OK 17)f n..k. P I s J..:::- -r , ~ / If!) , C 'H/:L f<. /7 ~/L/':::' L. . 3<6' CA s --- - J 'N --r r: Sf c. ''; L s J ArvO 3 9 '7"t'J ;q t.. (_ () J US,#G- L CJ /::.- 17. >< c.. ~ $f L...t!;,rJ c...~ hrc .- Technician: q'-./ ./}/l./ -.. FIELD REPORT RECORD I '.._-~:.7. · . .-..-.----..... - Ips:l Copies to: ---- --. -- . ._- -------- "--~..- --. - Professional Service Industries, Inc. n:.-I, r-"""""""f r,-,ntr":l.0tn," -----. l-~ ;1 Information ~..,. .To Build On Engineering. Consulting. Testing DAILY FIELD REPORT TESTED FOR: Mr. Russell Neudeck The Haskell Company 111 Riverside Drive Jacksonville, Florida 32202 PROJECT: Zephyrhills Warehouse Expansion - Bottled Water Plant DATE: January 11, 2008 REPORT NO.: 878-70079-52 Brief resume of work accomplished this date: Concrete Placement As requested, a representative of our firm arrived on-site at 4:40 am and cast one (1) set of concrete cylinders placed in the truck loading dock platforms. The results will be submitted under a separate cover subsequent to testing. Should you require additional information, please do not hesitate to contact our office. Technician: BM Respectfully Submitted, Professional Service Industries, Inc. Nyasha S. Seale, P.E. Branch Manager The Haskell Company - Matthew Lantzy, Michael Wittman, Mike Drawe; NCG - Barbara Willis Orlando (Failurf;s Only) '- -' '.. J CLIENT /-J ,1 .S: /< L L. DATE I - /0 -c -..,.. J, ,- I '. PROJECT NAME /- 1-/lL L c; /3 ~ ~.-' ..;"'"7 ~(l 7" f -t, PROJECT NO. 8 7~:':: ~'7C)(!;' 7C /- _. ), ,~/ U"'..- WEATHER ") CL r.. !J ./ c;; "";.,,i .' ON SITE TIME , $J . M ....., ~.._-~ FIELD CONTACT I J:... J 2- TRAVEL TIME ....- , s e. . ~ ~ .~ SCOPE OF FIELD WORK A/L /2_ J ::2. . I. PJ'r. J: () ~ Record of Field Observations and Tests: 1Z E (?r , . C)rJ , /T ,\', J- :::-',.-'/'; [) [ rJ ,:!> -' 7 1../- .,..- / > r J "'../ L" gJ- -rn :,/ " /", J2:,r; y / f{J1 f i::.<.' ,-, /'ZrJ 4 -; Lr-;t'J /'l/J 6/? PL?/' <::;<J / ~ <; 7/7 J L/<:: D~c/<.~ 50-i./LI -rI~ ?; ~ :P45.f (;;J 1"~' :::.1'1.. t!,c?t/ T'r /l.... ~f /Y1' .tP- 7/lL/L / d .<7 . 4 p . , -- FIELD REPORT RECORD Technician:/')- ,~u -~.~.. ._--,_. . --- ---- IQsil Copies to: -- -- ~- ------ .- ._.~--~-~ Professional Service Industries, Inc. \/\Ihitc> rnml nffit"C> _ y""II"IM ('(In-! Tp~h - Pink C:onv Contractor ~,. ....,-~ .."--'." _._...,----~.- ".......----,-,~~..---~~'-. -,---~.,. ,-..' ~.,,"~"- ---~,.-....,..""~~--.,.."..-~,-";." -~--.----, -----~--~_...,--.,-~-.". "~--_.~-_..- - - ....< ~ ./ CLIENT lJ /"J ,> ,> / DATE J - I t) -, -~ ~, -; J PROJECT NAME - F! i ,: I, ,'" .,~ ~/'-") 17 " PROJECT NO. ! 'ry "r -;1.- 0 -,.. / ", ,! -- ~ WEATHER I', .,.... L ?:-:J " '- >' ON SITE TIME , '7:J . M f 2. -' FIELD CONTACT L.. .IL TRAVEL TIME ~ :::. .?'".", I -' SCOPE OF FIELD WORK /J J~ I "? . j, > ,_.-, I ,... I' .a/ /. ,,7 ,.'-" .{..;.."~ I. , U ../ ~ ....' ~- Record of Field Observations and Tests: .-- . 17 i p, () l:) / - J-n 1};;, ,t" .r..- , .r ) /'"~) .y I 1" i , j.-, ,)! I >. I .' J. I ..' I ~-.- , F t .r ~j r I J" ~"l Y'/>' I~_:- ./~~ -' -' 7'/'"'f' L. p,.~:JC: ,i'r....:. .~..., 0- I..f 'i / -, i. ,- i /-'.) f / -< "~ ",I ,J<_ ,- '/l' r ,I }.~ }11 :;.:~ j (:-)" [y i~ <><; .() ,.,,, i:. .,<~ I, r"' r -' / I po-?, !'f p _ "I;;~..:~""-./ , I~-:' " i> " , , - FIELD REPORT RECORD TeC!lnician: /;7'L_/' __"'1.-~. .,..- --'~...._~..--- --..---... .,~"- [QsiL Copies to: .------ ----- -'-"- ---- -~._-- -".._~----~- Professional Service Industries, Inc. 'r~ ~"', .'''''' \11.11_:.1._ r""o~_.. AU;.......,. V~II~,,, ('''0''\\1 TCr'h _ Pink l:nml l:nntrrtctor l""~ ;1 lriformation ~~. .To Build On Engineering. Consulting · Testing REPORT OF FIELD COMPACTION TESTS DATE: 1/10/2008 PROJECT NAME: Zephyrhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave. Jacksonville, FL. 32202 PROJECT NO: 878-70079 REPORT NO: 51 Project Specification: (1) 95% of ASTM 01557 (Modified Proctor) (2) 98% of ASTM 01557 (Modified Proctor) (3) 100% of ASTM D698 (Standard Proctor) Elevation Max Moisture Dry Wet Comp- Meets No. Date or Location Density % Density Density action Specs? Death Ibs/fe Ibs1ft3 Ibs/ft3 % SLAB ON GRADE - TRUCK BAY PLATFORMS 0= TOP OF SLAB ON GRADE (SPEC #1) DEPTH REFERENCED IN INCHES 1 1/10/08 0-2 Center of platform dock #43 116.0 6.4 110.2 117.2 95.0% Yes 2 1/10/08 0-4 Center of platform dock #41 116.0 4.5 111.5 116.5 96.1% Yes 3 1/10/08 0-10 Center of platform dock #39 116.0 3.8 113.0 117.3 97.4% Yes 4 1/10/08 0-12 Center of platform dock #37 116.0 3.2 116.7 120.4 100.6% Yes 5 1/10/08 0-12 Center of platform dock #35 116.0 2.9 110.3 113.5 95.1% Yes 6 1/10/08 0-12 Center of platform dock #33 116.0 2.8 112.4 115.5 96.9% Yes 7 1/10/08 0-12 Center of platform dock #31 116.0 3.9 110.7 115.0 95.4% Yes DEPTH OF TEST REFERENCED IN FEET Respectfully Submitted, Professional Service Industries, Inc. Certification of Authorization No. 3684 Tech: BM yas a S. Seale, P.E. Branch Manager Floridapic -~s. 63870 These test results apply only tc II" 'pecific locations noted and may n~t repre.enl eny other location or elevations. Reports may not be reproduced, except in full, Without./ ';:22 '0 t..... pennission by Professional Sec"ice lnduslnes, Inc. .., " .- j , CLIENT DATE - <.. (" -'~) -- .- PROJECT NAME , PROJECT NO, /,f;- " WEATHER i ./ ; ON SITE TIME i. i-. FIELD CONTACT ! n l' TRAVEL TIME ...--.-, SCOPE OF FIELD WORK 0, " - " ~ - " , Record of Field Observations and Tests: t {" ~] c.- ~ .- , .tt \ , , i 'i! +, fut:,+td;~l~ .' , i i'/: " if.' 1 , t.. ," , " -/ .' '. j rr;:yl) ; oC, J , I , " , r , , / 1..;;+.' ,,', " J i .' ; , i t'; I ( ( ; " l I " I ~ '{ , Technic.ian: , FIELD REPORT RECORD Copies to: l;;.sil ---. --, ----'- --,'-- ---..-------- Professional Service Industries, Inc. White COpy Office - Yellow COpy Tech - Pink COpy Contractor ~ L"'~;l lriforrnalion , ~~. .To Build On Engitleering . Consulting · Testing REPORT OF FIELD COMPACTION TESTS DATE: 1/4/2008 PROJECT NAME: Zephyrhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave, Jacksonville, FL, 32202 PROJECT NO: 878-70079 REPORT NO: 48 Project Specification: (1) (2) (3) 95% of ASTM 01557 (Modified Proctor) 98% of ASTM 01557 (Modified Proctor) 100% of ASTM 0698 (Standard Proctor) Elevation Max Moisture Dry Wet Comp- No, Date Location Density Density Density action Meets or % Death Ibs/ft3 Ibs/ft3 Ibs/ft3 % Specs? L1MEROCK BASE COURSE _ ROADWAY 0 = TOP OF BASE (SPEC. #2) DEPTH OF TESTS REFERENCED IN INCHES 23' S, of centerline of S. driveway & 17' E, of 1 1/4/08 0-8 centerline of 20th Street (10") 121.0 10.5 115,7 127,9 95.7% Yes 2' N, of centerline of S, driveway & 103 1/2' E. of 2 1/4/08 0-8 centerline of 20th Street (10'~ 121.0 7,5 119.5 128.5 98.8% Yes DEPTH OF TEST REFERENCED IN FEET Respectfully Submitted, Professional Service Industries, Inc. Certification of Authorization No. 3684 Tech: MM yasha S. Seale, P.E. Branch Manager Florida L~'cen ~o 3870 These test results apply only to the specific tocations noted and may not represent any other location or elevations, Reports may not be reproduced, except in lull, without I '22 '7..a/ permission by Professional Service Industries, Inc, ~ . -. t ~,.,'~ i . 1.'-' , . \" .-J CLIENT \ , I, DATE -, - ,-, PROJECT NAME i ".', " j ~, ---~ , ., PROJECT NO, , , c WEATHER c' ( ON SITE TIME ? I 1"1..., FIELD CONTACT \\ V I' TRAVEL TIME ? of') , . SCOPE OF FIELD WORK \ ; \ , ~_.., -",:,,"f " , } l ~1 i -' 11 '--I I f"~ '. , j \ Record of Field Observations and Tests: \ " \ ; f,..'" 'Ii ; (:, ." ) , , i I I j~" \ ,. ;i... , , , ... , ' " f ! ?I'. , LJ 1\ \ ~b+ i r-, , i I -~ \... V;{ V\r f cl P I{ h- I - I( I ('~ II (q '. !n c . \ ) \V\ Z I , " .) J I, J ' - +" <') r ~" f ; / vII) , V\ \ v'- " 1''- ,/'{ ! ," {(-''''-> ' " " f Technician i !, j, FIELD REPORT RECORD . l.2sil Copies to: ~--------,--- -..-.----- ----- ,. ,~, -~_.._--~ Professional Service Industries, Inc. White Coov Office - YRllnw Coov Tech - Pink CODV Conti actor ' "m.... , '~ " , I ,~~. -CLIENT , DATE l J PROJECT NAME ,"'4- , PROJECT NO. " ; , .. WEATHER ! ON SITE TIME FIELD CONTACT I " TRAVEL TIME :? () , .. --'. , ,,- SCOPE OF FIELD WORK j '" r ( ~ .. , ) Record of Field Observations and Tests: ~r)"'''i .( ,"\", ....'; f'r~ i -- ) I, ) '"~- ~ " , ," \ i .' " J I, , I , r " , ,; f "" c } : , i " ' , , J ,.r- - , , , " : ,~ \ , J...- .. '.... ,,'\ i'C , , L ! f i \ i , I, .1 ,I , \ ,,- l . ~'- , ! ~-' 1 ',t i , ... .~ ( , ," i I,; i ( -<' . ~ , .- ~ I ;" , . jf>./ ,- Technician: FIELD REPOrn RECORD Cc'pies to: lD~'1 .- -~.--.. -, ~..,. -"" ~-'-'--- ,- Professional Service Industries, Inc. Whitp. l.nr1'J Offir.p. " Yellow CODV Tech Pink Copv Contractor l""~ ;1 Inforrrwtion ~~. .To Build On Engineering. Consulting · Testing DAILY FIELD REPORT TESTED FOR: Mr. Russell Neudeck The Haskell Company 111 Riverside Drive Jacksonville, Florida 32202 PROJECT: Zephyrhills Warehouse Expansion - Bottled Water Plant DATE: January 3,2008 REPORT NO.: 878-70079-47 Brief resume of work accomplished this date: Field Density Testing - CanceJ/ation As requested, a representative of our firm arrived on-site to perform field density testing of base course. However, areas were not ready for testing and testing was cancelled. Should you require additional information, please do not hesitate to contact our office. Technician: MM Respectfully Submitted, Professional Service Industries, Inc. ,--_.~----~-_.:--------_..._-------- ,- -Nyasha S.Seale,'P.-E.-- Branch Manager The Haskell Company _ Matthew Lantzy, Michael Wittman, Mike Drawe; NCG - Barbara Willis Orlando (Failures Only) In.~;l Information ~~. .To Build On Engineering. Consulting · Testing REPORT OF FIELD COMPACTION TESTS DATE: 1/3/2008 PROJECT NAME: Zephyrhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave, Jacksonville, FL, 32202 PROJECT NO: 878-70079 REPORT NO: 46 Project Specification: (1) (2) (3) 95% of ASTM 01557 (Modified Proctor) 98% of ASTM 01557 (Modified Proctor) 100% of ASTM 0698 (Standard Proctor) Elevation Max Moisture Dry Wet Comp- Meets No. Date or Location Density % Density Density action Specs? Depth IbsJft3 Ibs/ft3 IbsJft3 % FOUNDATION SOILS .CONTINUOUS WALL FOOTINGS 0 = BOTTOM OF FOOTING (SPEC. #1) 1 1/3108 0-1 435' W. of NE comer of bldg, expansion 123.5 9.8 117,9 129.5 95.5% Yes 2 1/3/08 0-1 572' W, of NE comer of bldg, expansion 123.5 11.5 122.2 136.3 99.0% Yes DEPTH OF TEST REFERENCED IN FEET Respectfully Submitted, Professional Service Industries, Inc. Certification of Authorization No. 3684 Tech: MM yasha S. Seale, P.E. Branch Manager Florida License No, 63870 _ ~ _ _...~ ~__._.~ _~'........ ~__....=~.... m.".~._ ._.~. -~ I ?7~ 10/ penmlssion by Professional Service Industries, Inc, ! I ,/1(}5 c 4- ~l , /,',r I ~,... ~.., ""'" -::-'1', CLIENT ; ) I DATE / .;,::.6': ,- ~;f' ; < 7, ; / l ; I '";? :;;<;:/, p"""l'" PROJECT NAME io. ; Fi I If , ,'.":' J'" i,--, / ./'IH/ PROJECT NO. . (,..,{.~, / I I WEATHER ,//1 ;:;'({ ( , , Lf /jw ON SITE TIME I (/{ \ ifl, ' . ~') 0 FIELD CONTACT I,:.l) TRAVEL TIME , SCOPE OF FIELD WORK (_f ( '-/ .;' ,.-./l't - ! )-:<;;'- fI. ""~. ,I I~' ~A ; }: ',J ." ... { , , , , J Record of Field Observations and Tests: (5 ]" /-",", ...- iiLt. , .," I.""l"i l t-_;It / i_,.j i ./ j f . ,)' i , ; J 1z) /F -,-,"1-' ( "1' l. I 'f "''7)( Jt ./";: if I ,'( . ). , '", ,,\ .-' .~ ..--; ~ '1!kll V!N{II'\ ~, , ) . " - \ ,'}J , ~. ~ \ { V' it ~'/\i' t ) f ,~t I ,- r. (' ,- :~fl '7 14 ,', , " ; '-f'i, I". --" f ..;1/ i",l. :e ,. 4- '. I , ... / I L.,,,'^ , , , j / I I ~ " ~ /1 - " I W " .f"('\ ,;J, ~).x: rl ~ l\:,'\ )F !..,' " f j ,...'-' - i . ,-,.( , , il2 i r ," , I ; I , " r it , v; (: ./""'i 't:.. c.f (i.r , l_3t l .-} i I .- ,,7 I " i I I '1 ) , ~_. I , I ,- '" ,f II ! ~>: il, ;, /v / , .-. crt " -- ( -, i ) I ! ..~ t ; i : i ) j . I ! " .- ! ! f .-' , FIELD REPORT RECORD Technician: It ; --- lR-sil r' . to: ' L , uoples ~._.- - -' ~...~- -'.-- ~_...._. ._-_.__._-~~- ,~ Professional Service Industries, Inc. jt' White Copy Office - Yellow Copy Tech - Pink Copy Contractur ..-==--' l""'~ ;1 Information , ~~. .To Build On 'Engineering. Consulting · Testing DAILY FIELD REPORT TESTED FOR: Mr, Russell Neudeck The Haskell Company 111 Riverside Drive Jacksonville, Florida 32202 PROJECT: Zephyrhills Warehouse Expansion - Bottled Water Plant DATE: January 2,2008 REPORT NO.: 878-70079-44 Brief resume of work accomplished this date: Asphalt Monitoring Cancellation As requested, a representative of our firm arrived on-site to monitor the placement of the asphalt at the referenced project. Due to low temperatures, asphalt could not be placed and placement was cancelled for the day, Should you require additional information, please do not hesitate to contact our office. Respectfully Submitted, Professional Service Industries, Inc. 'Nyasha -S.Seale;P.E. Branch Manager The Haskell Company _ Matthew Lantzy 1 Michael Wittman, Mike Drawe; NCG - Barbara Willis Orlando (Failures Only) ../" CLIENT t\ (A> V, ,< \ \ .......~ DATE ) /- J. ,) 8 PROJECT NAME '.""'''i L.'- P. r>'i'.. -~ ,", ., PROJECT NO. l j r"' ;' J ~ WEATHER C\e..-, ON SITE TIME ":J. c FIELD CONTACT p'\ kL TRAVEL TIME c.,J <:.:;' SCOPE OF FIELD WORK r" '^- i d .C'; / Record of Field Observations and Tests: 'i.e. , It' , \. Technician: Copies to: __JA"'_" " FIELD REPORT RECORD IR~jl Professional Service Industries, Inc. 4'[ ..;,C _..,n __~_.__ _ _ White Copy Office - Yellow Copy Tech - Pink Copy Contractor L~~;l Information ~~. .To Build On , Engin~ering · Consulting · Testing DATE: REPORT OF ASPHALT DENSITY TESTING 12/21/2007 PROJECT NAME: Zephryhills Warehouse Expansion - Bottled Water Plant TESTED FOR: Russell Neudeck The Haskell Company 111 Riverside Ave, Jacksonville, FL. 32202 PROJECT NO: 878-70079 REPORT NO: 42 Elevation Max \ * Density Comp- No, Date or Location Density (lbs/ft3) action Meets Depth IIbs/ft3) % Scec ? ASPHALTIC CONCRETE - DRIVEWAY FIRST & SECOND LIFTS (S-1 LANE CONSTRUCTION) BACKSCA rrER (SPEC. #1) 250' E. of centerline of 20th St. & 2' N, of 1 12/21/07 BS entrance centerline 145.0 137~9 95.1% Yes 100' E, of centerline of 20th St. & 7' S, of 2 12/21/07 BS entrance centerline 145,0 139.5 96,2% Yes 116' E, of centerline of 20th St. & 81/2'N, 3 12/21/07 BS of edge of pavement existing roadway 145.0 140.4 96,8% Yes 82' W, of edge of existing pavement & 3' N. 4 12/21/07 BS of new driveway 145,0 137.8 95,0% Yes Project Specification: (1) 95% of Maximum Laboratory Density Note: The Max. Density (lbslll3) is the PSI iaboratory density obtained from the asphaltic concrete sample obtained from the PURCELL laboratory for date of 12/21/07, These tBst results apply only to the specific locations noted and may not represant any othBr location or elevations, Reports may not be reproduced, except in fuil, without pannission by Professional Service Industries, tnc, Tech: MM/BM Respectfully Submitted, Professional Service Industries, Inc, Certification of A 'z ion No. 3684 sa, Seale, P .E. Branch Manager Flmida~;; JiB?O .. '--- DATE CLIENT (''! " " - i , _i(!~L' ~ PROJECT NAME ! - - ir PROJECT NO, I~f? /'"' WEATHER F J/,i - " ON SITE TIME II li/ I . FIELD CONTACT TRAVEL TIME - SCOPE OF FIELD WORK , .' , , ~ . . 1" ' -t"',/"; \ Record of Field Observations and Tests: " /;l - i;. " , , , , , \ , -- , ,; i ., , f . ~ i , i ; i " I i , ... " i ~- -) (.,.t \ '. \ ~ . ; Technician: FIELD REPORTRFCORD Copies to: " lQsil --------- ---- --- ~.._-- -~.- ---- Professional Service Industries, Inc. ~'"f' White Copy Office - Yellow Copy Tech - Pink Copy Contractor - , H . . CLIENT r.<: . "DATE ":l. -' J C. ,',.>-/ (i. i i '" i ' " Le.J\ i; . PROJECT NO, 27;;. - "") '1 PROJECT NAME I !, ~, " l. j (, ,-) I WEATHER ( le,-" ~' ? .1--- ON SITE TIME ') CONTACT (V) L TRAVEL TIME ;) .'fof<'" FIELD ' f.-{ J SCOPE OF FIELD WORK :.:: .--, -',; ,- (.>.. / ,J.,;..: r " ,.', ....L '- .),~ i'~1 Record of Field Observations and Tests: l/ '-, t \-::- , i ,- '" ,~ ,- ,- . ;, d ~ d , ,) - J " f ' i:~.~'/ \ '1 t"", ..' , .' .- p, .. Technician ." FIELD REPORT RECORD ~ , ~ ".. ls.siL..,_-'-- Copies to: - _._._'~- .. , .. ,- f // ,-I /(, . .. '". Professional Service Industries, Inc. L p' /t. .- ,- --_.._--'~ -' ,/ ... 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ON SITE TIME -' FIELD CONTACT { i TRAVEL TIME ~ " , - 1 SCOPE OF FIELD WORK ()J(,vpJ 9:30 - ,1}p:t r-kd la {+,v1 Record of Field Observations and Tests: ~I C1:~1':~~~'"1' ~~~ ::~{o foLK - ..f a... <;" It..ftlp I~ (<J( 5l~('aJ" ~ , Technician: FIELD REPORT RECORD -, IR-Sil Copies to: --- -- ----.-.- .. ---- -....--.----- -_..._-~~..- Professional Service Industries, Inc. - - . White Copy Office - Yeliow Copy Tech - Pink Copy Coniractor Record of Field Observations and Tests: (2 i_ J (), '. j f .r"d! -J l or -J ,t ....:.. l) I c:. () /J I .. r /? ,"', j G. :p i <~ j (~ ,,){'. ~ l( " J <, L ~-.,..i / " :' 17 l ...-- ~: j[ S' ;, ~-- ~ G " j ,>r {: l'( I. r'/ r- I /')..] (, / / f;~~ /<.::. I ~/~ ;,.../ '1/ L ,/ ,: L/I< / 'J '2 ~ (:;:. 1- - /i/ '- ...;.. L.. I ~ i (' / i~_.~ .I r..::, - s <~c. c. i' , ... "V,i (.<r- /'/4'.:: Copies to: _ FIELD REPORT RECORD IQsiL~ Professional Service Industries, Inc. Technician: White Copy C)ffice - Yellow Copy Tech - Pink Copy Contractor r CLIENT 1-./ I ~ ,<,A~/7. PROJECT NAME _ - / i... I FIELD CONTACT YV?) /<,'! SCOPE OF FIELD WORK /"' //" '--""'""'i "~ ;~..~ / '/ ;:. r" / i ....(. i Record of Field Observations and Tests: {( I" I '''', /r-, I ..' / .,"1 /-) / c, i '-' .......... (..." " )) ... J I (',-r' .- ,., , ." (["..) -; "Y- i __, I .. _~~ I I ,'., : (/,/ /1 L ;. 3 /.. - '-ti ~'_ 'y L " . r,,;i'} TechniCian: 1'. / _, '~~l.."~'" C:;npies to: _'_ ,/ J: '-' 11- '-- !) ~~ --' DATE I -,' -.., _ z.... " -" ' -..'- ....1" I /'-") ~ ,( PROJECT NO. WEATHER (V) , ." -.- .I / ,I --- ,,":;j __ 1..-. ON SITE TIME ) , ~ '} . .~- TRAVEL TIME o c., -, D /:- I~ / r(? 6 ij <:; ! ,,/ I / f __~ ;".,..-:: ".~. J J, - f /'2() /'"' / +, .- '-. " U/':) .//",7' .-p/ .." '- l"'~ i I I-',j r /l.i.[';C -'F/L l ,...... I ,;-:.-)/'/ h .:: .s (); :: (J - / '7 /) /, /,9 /.. ~',(j;:'7 ~ / ."1 (~' ;/-/ J~ r --+- -........~....~ . 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' " "V} ,....\ p ,- ) ... ! j ! (I - .~,. , "'. , , i/ . .. I 5 cr, ' " ..., , A'li ;;; ..., 'r_~." , ' ; ;..4,...,' ) ..."t , t.) , 'f 10 , .- , r " ,. , , . A I '/ i I , " j, f , ~ l " < ') !/:.;' . ," , ' ~.::+\. " r, I 1"-1 , ; t ~J",,.:" \ , ' .t.", ; { j I i \ --.--....-- ,-, ~---~~_._- ___.on - Technician: i FJELD REPORT RECORD Cories to: lilfJil , 'u _..~ - j t.....-..---.. -. -.---.- -_....__._~-- ~,' --.---. -~---_.._- Professional Service Industries, Inc. VVhite Copy Office - Yellow Copy Tech - Pink Copy Contractor t' " ... --., I I Ie' .. " CLIENT DATE '" . , " PROJECT NO. -) /' ~, PROJECT NAME , !. ",' '.., WEATHER , ON SITE TIME .. ... FIELD CONTACT ; , ) TRAVEL TIME SCOPE OF FIELD WORK Record of Field Observations and Tests: / ) z~' .. --/ -) .,-~? --:? S ,Cr,-/ , ,/' ./ <, l i .. t. ,f ,,' , ~;.-'. l ,i ~7 '../ : J .' c, -- Technician: ./f ( FIELD REPORT RECO,RO -- IQsil~..____~_ Copies to: -- -_.~ - ---- .~._-~--- - ---- ----' -, .. Professional Service Industries, Inc. ,...~..'..."- White Copy Office .. Yellow Copy Tech Pink Copy Contractor '\ \ ' . .\\ CLIENT -r-....'\~'<.r-. \ DATE \ J l'::, ~...., " ! _' "-.d! J PROJECT NAME ---/~I~ f'..,\ ...__\~,I\\ ,/-.. r .r \ f ',. , , ' I (, .: ' - , -, , , \ \ r"'"l":[:: ~ -'--- ..-. ,;:- ~ ~~ .\".,1, ' , IA,...;"!" PROJECT NO. P...'''''' '\ .J .. "'l0 \:::J{':'-i WEATHER ON SITE TIME FI ELD CONTACT I lI\,v_ (S";,\>,\ , \ \ r, =_ \. 1,-,-) ,.- '\ , / -HA-;:;) If..E: \ \ J TRAVEL TIME SCOPE OF FIELD WORK Record of Field Observations and Tests: ~~.. (' \ I ,t __ "- t:'" r ""1:"\_~.. t.."!,,:..- -,~, \\^T 'r,.: '-- \ -.......~.o;:,~! ..., Q..... '\.~"" .. < ,\ ",~ \~ '.J(- \ ~ C'., <.. I -\.rC"t',' \ _Co., r--~ .J..'t...;~\ t-:, ;--:, C t", t: ",t , \ :-" \ t'. \..- (' ..~ (:5'"\- . :...-t ~_" ''T1 \ ~" .... -- ,~ ...-~, "'t"'" '(,: r T-. . ;~~~_ ,___:";,.,,:, (,\ V {''', '. .;;,f'~f-- j \: ,! 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ON SITE TIME (h "":' - FIELD CONTACT i I',", , TRAVEL TIME ,..:...... ~ .::' . a ,I"'" ") -., "'I I .- -' - SCOPE OF FIELD WORK ~ " ~':1j ,........,., 'I / ", r , /~ VI . <~..., / ( I i ----) ,/,., ,..., " I '" .. I I , ! j I ,-I I ...... ! 4-., .--"....-. j , ,- "---' "/ ..' -,.. " I Record of Field Observations and Tests: J ) , j 1--' J c {. (7" ..1 ".) .~ i i J / / , or, ;' ~ . .I I , ) - .. ,i .. ~, -- ~~, :l " L_>> _''i } C / " l . .:I l.- I / - .' ........ I "I ) I ...., Lf ! / f i .- r' ,~ f "J , -)./ - l.-y r ...) -.-' I ! '- . I '......~ I- t! .' ";,/ --~"'. .. .."'1 .-,- c' ; I ,~...- I' .- "-,," - ~-' - '7 .:;- (~/<~ /' .,~ - - J ,- // /.'.C;..-....,. t) ./' ! } " {.I';~ / j .,;. ~. ij - .; " " -' (V? " r':-: ,<~ i c f I '4 r ."'" ~,., "- / / - .. ./ .--, i- T5- L .x:J c, / " .e.-' "'..~ - , .r - A ...,1 --~- (; , .-. '/ ,..- r -"" / I ~, 1:-- I ,rC " (. .r " REPORT RECORD Technician , /' FIELD ----- Ill.siL__m_-- Copies to: -- ~._-- ---_.-- ----- ---------.. Professional Service Industries, Inc. - White Copy Office - Ye1luw Copy Tech - FJiilk Copy Contr8ctor CLIENT l } ./ ! ;' PROJECT NAME - -- FIELD CONTACT r,/' I" SCOPE OF FIELD WORK .....". ~~,,!'--.i li. Record of Field Observations and Tests: .....- ; ;' Technician: Copies to: _ /'i _('r ,'''-' " .,~. ",-,,"' ..' r DATE l I _ .: J ...--. -"'" ~:::~ PROJECT NO, WEATHER ON SITE TIME ,-. " -... TRAVEL TIME " ~.-' ,,, ,.__ P' Y i. , ,. ,. "" j Jj I / -' , ..' FIELD REPORT RECORD It:~.', It!.YG. _ ,. Professional Service Industries, Inc. White Copy Office - Yellow Copy Tech - Pink Copy Contractor CLIENT I!,' ( -;.- PROJECT NAME 2- FIELD CONTACT ~., .... SCOPE OF FIELD WORK r , (1, Record of Field Observations and Tests: JZ ;:::' J....f ,,,/ ( I I <. i / /,-/) (....;1" "1 /5, IS -~ ~ J/l Technician: Copies to: ~ ) Ji"'-.,J! ) ".. ""':(./ p ,/ ,c " (); () BD-:' (' , . / r .' ,'/lrl () /~,,,,' , ,C' l 1'/ " (';~ - L) ... ,"' , Cj'c, (,) PI ,,....:"~ DATE I J --~:;,,, {"J.- " PROJECT NO, ''-(: .... ,...7>....,_. WEATHER ("1'1 C ~- ."./ ON SITE TIME I J ' TRAVEL TIME_. ' T~r J 1- 2() 1/ !' e'c.. ,,- ," ~"",. > , .~ ) J '. .~ " ."' :1 I / ;: ~ ,"" " T " r7 - ') - .:., '- / n '.. _J '" ." r ,r" ',,, )2~ .L f d' ~~ :....~.;!' ,.~ ,--.. ._ ............., ..I-l/ .(-- -. ...- .-", e: ~) L) ~%: c.; ,,-<: c ~-) I /''', ;'- .) -i'~' .,,,,\./', ;; I, ,)"" ,. ./. oJ -' } " FIELD REPORT RECORD IQsil _,_ Professional Service Industries, Inc. I i J White Copy Office - YeiimN Copy Tech - Pink Copy Contractor ~-'-- /,.,f " \ ) ~r5ATE I / - , ') CLIENT LJ.,._~,,,,;,~ ~""~'kl''''~'''' PROJECT NAME ~~-) <......., (' PROJECT NO, 't: 7 "" WEATHER c.' L l .F"- , ON SITE TIME ..r>-j ,.... FIELD CONTACT TRAVEL TIME ,~) i r-- ~ ":) SCOPE OF FIELD WORK rj:< d' / " /._ -' ~<4:. '2 _/ -'? .:...:"? 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