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� . �� Insp.No. Date� Sheet: <br /> 1 05/13l13 1 <br /> Bracken W�ther Time: Temp <br /> E N G 1 N E E R I N G Clea� 10�00 AM HV�F <br /> ProjecUTask: <br /> 713-002 <br /> Present Rob DeLoach from Bracken Engineering and Vanselow Property <br /> Foreman Jessie Jacobs and CFI crew <br /> UNDERPIN MONITORING FIELD REPORT <br /> ITEMS COMPLETED: Pin#'s(w/Photo) <br /> � Removed Surface Obstructions/Cored Slab <br /> XQ Excavated 1-2(23-24) <br /> � Subsurface Obstruction Encountered <br /> � Required elimination of obstruction(see notes� <br /> � Required orientation of pin to be changed�see notes� <br /> � Required relocation of pin�see notes� <br /> � Footing preparation/mod�cation <br /> � Saw Cut/Chiseled/Bushed <br /> � Placement of steel(as called for) <br /> � Placement of steel(not called for) <br /> � Pin Installation <br /> CheCk115t: (place an X in box if completed) <br /> � Met with site Foreman: Jessie Jacobs � Verified vertical angle of pin installation(<5°) <br /> � Recorded excavation at pin locations � Ver�ed spreader beam was centered on bracket <br /> � Noted and recorded information on deviations � Ver�ed direction of spreader beam for interior pins <br /> � Recorded footer preparation for pin locations � Dimensioned footers and slabs <br /> � Recorded placement of steel spreader beams � Dimensioned as-built pin locations <br /> � Recorded installation of pins � Approximate date for lift: <br /> � Recorded pin installation pressures � Took photos of work done <br /> � Verified flush connection to face and under footing � Took photos of deficiencies 8�deviations or damage <br /> GENERAL OBSERVATIONS/COMMENTS: <br /> •While on site CFI was excavating pins 1 and 2 <br /> The purpose of this site visit was to establish and verify that the construdion activities observed and recorded were in substantial <br /> complia�ce with the contract documents as well as acceptable industry standards.Portions of the information found vvithin this report <br /> were obtained and provided by the contraetor Therefore, Brecken Engineering,Inc.reserves the right to revise or update any of the <br /> observations,assessment and/or recommendations as condkions change or additional information becomes available. <br /> Report by Reviewed by Attachments: � <br /> RLD JCB Photo Proofsheets 7�3.002 <br /> 2701 W_Busch Blvd.,Suite 200,Tampa,Florida 33fi18 T 800.971.7252 F 813.243.9530 <br /> BRACKENENG INEERING_COM <br />