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HomeMy WebLinkAbout25361 RAILROAD CANYON RD_ 05-000013612992 E La Palma Avenue, Suite A, CA 92806Oorpo Td: (714)632-401C (714) 632 -2974 Branch 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elswonh Street, Suite C101, Moreno Valley, CA 92553 Td: (909) 6534999 Fax: (909) 6534666 Brandy: 13010 San Few Road, Unit 1, Sylmar, CA 91342 Td: (818) 833.8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH - GROUT ASTM C1019 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. Set No.: 6 -1751 File No.: Permit No.: 05- 00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength ps) Type of Fracture 7 2J=006 3 X 3 X 6 11.73 38,610 3,290 N/A 28 31152006 3 X 3 X 6 11.59 59,620 5,140 N/A 28 3/15!2006 3 X 3 X 6 11.39 62,050 5,450 N/A 28 H 3115/2006 3 X 3 X 6 9.00 Specified Strength: 3,000 PSI Sampled By KIMBERLY VAN ALSTIN ASTM C172 Date Sampled: 2/152006 Date Received: 2/202006 Location: SOUTTI PORTION OF WALL Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS30OG42 Ticket No.: 4039152 Water added at Site: 15.00 Cement Tynr- Remarks: gal. By PUMPER Mfr 7imc: lain. Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** Concrete Temp: 77 OF ASTM C1064 Ambient Temp: 60 OF ASTM C1064 Slump: 8.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B.(Ben) Lo Chief Engineer O 5300 PSI 3uwsl 1i-w -J 28-day compression test complies with the specified strength. MTGL 0111ce Locations Orange County Corporate Branch: 2992 E. La Palma Avanrre Suite A Anaheim, CA 92806 Tat 710322999 x 714 6322974. Los Angeles Ventura County 13010 San Fernando Road Unit 1 Sylmar, CA 91342 Tet 818.833.8100 Fax 818.833.0085 San Diego Imperial County 7313 Camo7 Road Suits G San Diego, CA 92121 Tel: 858.537.3M Fax 858.537300 Inland Empire 14320 Elsmorth Smu t Suite C101 Moreno Way. CA 92553 Td: 951.653.4999 Fax 951.653.4M6 Central Dispatch 800.491.2990 WWW.miggnc corn May 31, 2006 City of Lake Elsinore - Building and Safety Department 130 S. Main Street Lake Elsinore, CA 92530 40 Geotechnica/ Engineering Construction Inspection Materials Testing Environmental FINAL REPORT Chevron Gas Station_ _ Canyon Hills Plaza 25361 Railroad Canyon Road Lake Elsinore, California Permit No. 05- 00001361 Project No. 2456A01 Log No. 06 -1011 To the best of my knowledge, all of the work performed from November 14, 2005 to February 24, 2006 requiring special inspection and testing of reinforced concrete, structural welding, and reinforced masonry for this structure was essentially in conformance with the approved plans, specifications, approved RFIs, and the applicable workmanship provisions of the California Building Code, as amended by the City of Lake Elsinore. LIMITATIONS Our verification applies to conditions, in the subject areas, observed and/or tested by us as of the date of the report. Our firm is not responsible for work not observed by us or for any changes that may occur outside of our purview, or after our inspections. Our work is considered to be in accordance with the usual standards of the profession and with local practice. Respectfully Submitted, MTGC, Il]C. Q OFESS /p 40 co O M. B. (Ben) Lo C7 No. C 41581 z Vice President — Chief Engineer Exp. 12ts11107 a Registered Civil Engineer 941581 Registration Expires 12/31/07 y clvlt. OF CAUrr Cc: Prohas Enterprises, Inc. April 12, 2006 ANC ELECTRIC License #766964 3990 E. Valley Blvd., C Walnut, California 91789 909) 869 -5556 Ph 909) 869 -5568 Fx Torque Statement Job Address: Chevron Canyon Hills 25361 Railroad Canyon Road Lake Elsinore, CA Y This letter is a guarantee that all panels and breakers are torqued to manufacturer's specifications and ANC takes full responsibility. Breakers in main switch gear feeding panel A,B,D,E,R & SP are all the same. Torque specifications on breakers are: A Phase 275LB. IN. B Phase 275LB. IN. C Phase 275LB. IN. Neutral 325LB. IN. Torque specifications on main higs in panel boards A,B,D,E,R dt SP are all the same. Torque specifications on main lugs are: A Phase 325LB. IN. B Phase 325LB. IN. C Phase 325LB. IN. M: M Wljbl p:16 I:A Torque specifications for 400A breaker in main switchgear feeding panel C W are: A Phase 300LB. IN. B Phase 300LB-11N. C Phase 300LB. IN. Neutral 375LB. IN. Torque specifications on main lugs in panel board CW are: A Phase 375LB. IN. B Phase 375LB. IN. C Phase 375LB. IN. Neutral 375LB. IN. All panels are seismic Sincerely, f May 01, 2006 ANC ELECTRIC License #766964 3990 E. Valley Blvd., #C Walnut, California 91789 909) 869 -5556 Ph 909) 869 -5568 Fx Torque Statement Job Address: Chevron Canyon Hills 25361 Railroad Canyon Road Lake Elsinore, CA This letter is a guarantee that the panel and breakers in the LUBE BAY are torqued to manufacturer's specifications and ANC takes full responsibility. Torque specifications on meter main lugs are: A 275LB. IN. B 275LB. IN. C 275LB. IN. Neutral 275LB. IN. Torque specifications on disconnect switch are: A Phase 200LB. IN. B Phase 200LB. IN. C Phase 200LB. IN. Neutral 200LB. IN. Torque specifications on 200A sub panel are: A Phase 250LB. IN. B Phase 250LB. IN. C Phase 250LB. IN. Neutral 250LB. IN. 6L 2992 E La Pahna Avenue, Suite A, AnaheiIR 92806 Td: (714) 632-2999 Fax: (714)632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax (858) 537 -3990 Branch: 14320 FJsawth Street, Suite CI01, Moreno Valley, CA 92553 Td (909) 6534999 Fax (909) 653-4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax (818) 833 -0085 Report of COMPRESSIVE STRENGTH -GROUP ASTM C1019 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Set No.: 6-1752 File No.: Permit No.: 05- 00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA A Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load 1bs.) Strength psi) Type of Fracture 7 2/23/2006 3 X 3 X 6 11.32 33,450 2,950 N/A 28 3/1612006 3 X 3 X 6 11.39 46,350 4,070 N/A 28 3116 /2006 3 X 3 X 6 1119 48,240 4,270 N/A 28 H 3116/2006 3 X 3 X 6 9.00 Specified Strength: 3,000 PSI Sampled By KIMBERLY VAN AL.SPIN ASTM C172 Location: TRASH ENCLOSURE IST LIFT Concrete Supplier: ROBERTSON'S READY MIX Mix No.: RS30OG42 Tiehet No.: 4284825 Water added at Site: 0.00 98L By Cement Type: Mix Time: min. Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMFZ LAB COPY** Date Sampled: 2/162006 Date Received: 2/20/2006 Concrete Temp: 72 °F ASTM C1064 Ambient Temp: 67 °F ASTM C1064 Slump: 8.50 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGI,, Inc. M.B. (Ben) Lo Chief Engineer 4170 PSI 28-day compression test complies with the specified strength. Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Sei ft.: 6-18& -- - -- — File No.: Permit No.: 05- 00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) 2992 E.18 Palma Avenue, Suite A, Anahe# 92806 Nominal Size Td: (714) 632 -2999 Fax: (714) 632 -2974 Brand 7313 Carroll Road, Suite G. San Diego, CA 92121 Type of Fracture Td: (858) 537 -3999 Fax: (858) 537 -3990 Brandt 14320 ELswwth Street, Suite CIO], Moreno Valley, CA 92553 28.37 Tel: (909) 653 -4999 Fax: (909) 653 -4666 Brandt 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Sei ft.: 6-18& -- - -- — File No.: Permit No.: 05- 00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 MM2006 6X 12 28.37 82,290 2,900 Cone 28 3124/2006 6X 12 28.37 135,290 4,770 Shear 28 312412006 6X 12 1 28.37 1 136,430 1 4,810 1 Conc Specified Strength: 3,000 PSI Sampled By CURTIS VAN ALSTINE ASTM C172 Date Sampled: 2242006 Date Received: 2/27/2006 Location: CAR WASH SLAB ON GRADE Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS30OP42 Ticket No.: 4059729 Water added at Site: 0.00 gal. By Cement Type: Mix Time: 50 min. Remarks: Distribution: PROHAS ENTERPRISES..INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** Concrete Temp: 66 OF ASTM C1064 Ambient Temp: 58 OF ASTM C1064 Slump: 4.75 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGI., Inc. I X/ M.B. (Ben) Lo Chief Engineer 4790 PSI 28-day compression test complies with the specified strength. MTGL, INC. 2992 E La Palma Ave, Sure A Anaheim. CA 92806 Non - Destructive Testing Field Report qoq) P1 No" Canyon Hills Chevron FieldT bete 02/20/06 MgwC M Andrew 32561 Railroad Canyon Rd.. Lake Elsinore. CA address of Pro d Same A S=bte Code 1 SetBoa AWS D1.1 Section 6 Fla.. Na 05- 00001360 taaued By Lake Elsinore Plan File No. Contra= Prohas Enterprism ardih % Williams Chiao Architects LLP Sub CantratYOr Enptnew J.C. Lian Associates MOW (UT, MT. PT. Nq E l6glGtodel U?_ Panametrics EPOCH III Model 2300 Test Block DSC P0 & 70 d Tees V & .625'x.75(' 2.25 MT "R °^' WA -- N/A Floor LocJPc. # Description of Work ACGW R Remarks Roof Entrance M.F. CJP beam to column moment conn. @ top & bottom flanges 2 conn. 14 welds) 4 0 Note any welds repaired as REPAIR in Remarks column above q-d Total Number of Welds (MIT) r NIA WA Total Number of Welds (UT) 4 0 Inspector Name (print): Stephen Tekoseno Continued on the next page Page 1 of 1 Certification Number: SNT TG1A # 1110303 Report Number: I.R.C. Job No: 3Sz- a -- Certification of Compliance Time Start 03:00 prn I hereby oer* that I have &&Waded to the best of my bwwbdge afl of the above Deported work Unbu ofhanvim noted, I have found this work to comply wM the Time Finish: d on a f m AN Field Servkes are based on a lour (4) hour gWm*dpl4w ' ftn4 and of ft gmerning mWmum and after tau hours is an eight (8) ABM hour m&rlmum. In addfon. any inspection extending vf KENNETH J. an nm.nam hour wxI be woad at GREENE ` a NO. 92175 USP~'sk-u- '9S+h Di, PE i akat st.ft" T 1 Corporate: San DiegoAmperlal County: Inland EmpLI2992E. La Palma A . A 7313 Carroll Road, Suite G 14320 Els #, AA treet, Ste. C101 Anaheim, CA 92805 San Diego, CA 92121 Moreno Valle 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax 714.632.2974 Fax 858.537.3990 Fax 951.653.4666 FIELD REPORT TYPE co WORK WSPIXIOR O UXII W, AVAILABLE SOIL RETORT m (N) SPEM l'n IN) APPROVED PLANS (Y) SHDP DRAWING m (N) ARt701ECT FOR vrEE1E 2$' Ca AO k 1 N A S $ NMI No. Ps CONIRACTMB rQ KM FILE NO. PERMIT NO. SU80O.918 :R NA1LE OSPECrgH ADDRESS W P l REPOKMG FLSQUIRQ T5: ICBO FIELD LNSPscriON MNUALMM SOU. MANUAL - REVIEW PREVIOUS REPORTS AND L( WTHFRE IS XON-0ONMORZ,IING WORKATTHE END OFTHE WORK DAY. OR MISSING MIILS, AND RFIS. ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFK3EXCY, YOURS OR A PREVIOUS IMPBCrOR'S. IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBUQT A COPY WTn1 YOUR WF.ER'S REPORTS. WIERI LLS USED BY COh'IRACIOR ( OAMi REMARCH IMPORT NOa OR UATERUL TEST =/— V/—O— 1 CONTRWTOM EOtCPIIFT T I JAWPOINER USED: AREA. GRT.DU1;MP tTBSE,ZVEO r bi ' IN 0 3 2'/ oiv n10 v z Lt s A-,e- a p o r N 1`t. RfldAR16, rX1lOJrY9 AflR70r&S w a lo c. a 1% F a c c- REWORK AS PERCENT OF ALL WORK TODAr PERCENT PR0JEQj COMPLETION- wulm eAez. r— TFiLPHiAl1iR>_ SUIPIES TAM Q TESPS REOtelt: -` SI E T(19 START: SITE TSM FOWL- LUNCH LUNCH PERIOD: - TRAVEL TIME: T VERIFIED BY. 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LSTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AHD / 0 THE VEO D APPLICABLE SECTION OF THE BUILOIN CODE, UN SS OTHERWISE NOTED IN THE DEFICIENCY REPORT A /. - . 5n T SIpCeN 1 of ICBO Certffiratlon Number Prfm U me ' r V G City / County Certilintbn Number Rev: 7/97 FMTG Corporate: 2992 E. La Palma Av&. A Anaheim, CA 92806 TO 714.632.2999 Fax: 714.632.2974 San DiegoAmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl NA14320Elswtreet, Ste. C101 Moreno VaII 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT of DTMHWX IN J;QNC N 6 (' Sor< REPORT m R SPECS m IRI APPRWW PWIS In JJQ APPROVED JWP DRAWING m (N) ARODiECT FOR WEEK Elmo -- IS— Ft ENWEER a REPOitT No. Ps 1 of 1 CWnRA= S PLAN FRE ND. PERMIT No. OR ffowNAME n'ew re ry ' o N " a C.. C , S t 000 oSPECTW ADDRESS 2-- AMMOF M t""i N Lie N A ' 11s 1 EP0 PECTIOx M/4YUAUali& SOIL MANUAL - REVIHw PREVIOUS REPORTS AND LISTS ff THERE IS .KON-0DNF OJUwRXG WORK ATTHE 1END OF THE WORK DAY, OR MISSING M 1t& AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMrTA COPY WITH YOUR WEEK S REPORTS. T a coxTRACTT;T tLyauoE RESSAROI Rt cRr on µATEFau TEST R TSx3 l= N //(C„5 CONTRACTORS IUMPUM / MAMM" Oft ARM UM TISFS. MEs otISmm 1 Il f tai 2.s STRITCrtiRAt NOTES, CE1Q- OR RUS UWC D aau ata,rrauaarca Tars aZc LoC D1. e cc tj a s T iATFO3C A IfEwistAlm SAMPLES TAKER TESTS REQUIRED: d / SITE TIME START: LUNCH PERIOD: SITETU E FOIM TRAVEL UME: VERIFIED BY- 100 CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES AND /ROVED . SPEEFORS APP LICABLE SECTION OF THE BWLDINGfODE, UN SS OTHER' a. D-4 e to of Rol Pft flame e rTHE SOIL INVESTIGATION RECOMMENDATIONS, NOTED IN THE DEFICIENCY REPORT Ls /d`E63q -q7 OW Certification Number City / County Certification Number Rev: 7197 2992 E la Patina Avenue, Suite A, CA 92806 Tel:- (714) 632 -2999 :(714) 632 -2974 Brandy: 7313 CmmO Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch 14320 Elsuvrth Street, Suite CI01, Moreno Valley, CA 92553 Td: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit I, Sylmar, CA 91342 Td:(818)8334100 Fax:(818)833 -0085 Report of: COMPRESSIVE STRENGTH - CONCRETE ASTM 09 is CITY OF LAKE ELSINORE -BLDG di: SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, RW- A Set No.: 6 -1864 File No.: Permit No.: 05- 0001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 303/2006 6X 12 28.37 82,290 2,900 Cone 28 3/242006 6X 12 28.27 28 3242006 6X 12 28.27 A Specified Strength: 3,000 PSI Sampled By CURTIS VAN ALS77NE ASTM C172 Date Sampled: 2/24/2006 Date Received: 2127/2006 Location: CAR WASH SLAB ON GRADE Concrete Supplier. ROBERT READY MIX Mix No.: RS30OP42 Ticket No.: 4059729 Water added at Site: 0.00 gal. By Cement Type: Mix Time: 50 min. Remarks: Distribution: PROHAS ENTERPRISES. INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY" Concrete Temp: 66 OF ASTM C1064 Ambient Temp: 58 OF ASTM C1064 Slump: 4.75 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer rporate 2992 E I a Palma Avenue, Suite A, CA 92806 Td (114) 632 -2999 ax (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San DicM CA 92121 Td: (858) 537 -3999 Fm(858)537-3990 Branch: 14320 Ebvmnh Street, Suite CIO], Moreno Valley, CA 92553 Td: (909) 653 -4999 Fax: (909) 653 -4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of-. COMPRESSIVE STRENGTH - CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Set No.: 6-1552 — — File No.: Permit No.: 05- 00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON BILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA A Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 V13/2006 6X 12 28.37 98,200 3,460 Cone 28 316!2006 6X 12 28.37 148,490 5,230 Shear 28 3/6/2006 6X 12 28.37 1 147,190 1 5,190 Cone 28 H 3162006 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By MIKE KINGERY Location: EAST WALL Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS30OP42 Ticket No.: 4235507 Water added at Site: 0.00 gal. By Cement Type: Mix Time: min. Remarks: Distribution: PROHAS ENTERPRISES. INC. CITY OF LAKE =INORE -BLDG 8t SAFETY DEPT MANNY GOMMEZ LAB COPY** ASTM C172 Date Sampled: 2/6/2006 Date Received: 2/7/2006 Concrete Temp: 79 OF ASTM C1064 Ambient Temp: 71 OF ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer 5210 PSI 28-day compression test complies with the specified strength. S Corporate: I* San Diegopmperial County: inland Emp 2992 E. La Palma Ave., A 7313 Carroll Road, Suite G 14320 Elswo n Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 Fax 714.632.2974 Fax: 858.5373990 Fax: 951.653.4666 FIELD REPORT TYPE of %= ubmwe OTEMNICIAII AVAILABLE SOIL REPORT M (N) SPECS M IM API"VED PLANS (Y) (N) APPROVED SHOP DRAVANG (Y) IN) AROp1FCi , FOR WEEK PROJECT. No. GI ENSIM 1 C c. REPORT NO. PG OF CONTRACTOR PLAN FILE NO. PERMR NO. SUS.00NIRAC DR PROJECT NAVE ` INSPECTION ADDRESS OF REPORTr\G REOUIREDIES 98: KW FIELD INSPEC I(M MIAA'UALlM TGL SOB. MIANUAL - REVIEW PREVIO S REPORTS AND LISTS IF THERE IS NW- CONPOIUMM WORK AT THE END OFTHE WORKDAY. OR MISSING ? I RS. AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFX3EKCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBM ITA COPY WITTL YOUR WEEK'S REPORTS. BY CMTCO DCUDE RMIL4 AO.OR A 11 CON RACTORSEDUUMAM /MANPOWERUSEDt AREAL GFCD USES. PIECES OBSfRM t STRUCIURAL KOTES. GEDUL. OR RM UWC RfYARILS, f1ilUlrlfBAt&TfJt61v - r de AnAiLt 2 ~ ei & Ag142&0'f ZtoA kqi EQ_ 1(3c S AA*V -h vl l o 4-L.-O REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: j WEADIM SAILOM TAM TEMPERAMM TESTS REDUIRM SITE TIME START- U,D SITE TIME RNWI: /410-0 UDk) PERIOD: TRAVEL TIME. VERIFIED BY. (AW &U 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / OR THE RPROVED NS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 100-1 0-k 24D2/ 15 / o Date of Report ICBO Certification Number Wed` iv Prlat !¢gala City / County Certification Number A lil Corporate: ( San Diego/imperial County: Inland EmIf2992E. La Palma Ave., te. A 7313 Carroll Road, Suite G 14320 Elswo Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.63229 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT a TYPE OF VA= vDISPECTOR 5596 iu, AVARA111k SOIL REPORT (n (N) SPECS m (N) APPROVED PLANS M (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK ENO= PROJECT. NO. Dakmm REPORT NO. PG OF CONTRACTOR PLAY nLE NO. PERMIT NO. SD8CONTRACTOR PROJECT NAY @ziPECi[QY ADDRESS OF PROJECT rwih REPOWMG REOUIREA is: ICBO FIELDvYSPBCFIO.Y AIAxuAL,,%fm SOIL INANUAL- REVIEW PREVIOUS NEPORTS AND LISTSU IFIMRE IS P ONwCONPORNnXG WORK ATTHE 61ID OFTHE WORK DAY. OR NIISSING MRS, AND RFIS, M. FILL OUT AND ATTACH A DEFICIENCY REPORT WHENA DEFICIENCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THEORIGINAL DEFICIENCY REPORTAND SUBAtITA COPY WITH YOUR WEEK'S REPORTS. TER1111S USED BY COXIRAC= al M= RESEARCH ti0 OA YAy6y&iScM s sunnl irn w._ "`Rs TEST REPOliS} nog4' G 20oo CONTRACTORS EMOPUM F YANPOMO US@ AREA, GRID LN,'E5, PtA[ES O1SEWM c STRUCTURAL NOTES, MAIL OR RFIS USBc Rt IJ11t15.rraTmare=2ks 1 Y,ten in C l p irw AJ CJLJkA3L CCT(1 SQ l UILI.[ .,n ry rl Ji I C!C 1 1 a - h 2 REWORK AS PERCENT OF ALL WORK TODAY_ PERCENT PROJECT COMPLETION: WE 1MM n3LPBIATLOIF; SAT IES TJ1RHk I CA tj TESTS REOI0M SITE TI6/E START: `a ` SITE TIME MUSH: j _ LURCH PERM TRAVEL TIME: r— VERIFIED 8Y: `' A/) LrL& kaA D 100 CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND/OR THEOPPOOVE0 PA _ AP PLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 02-1 ILO / a o G TI Gii Date of Report ICBO Certification Number CkAl a, ; a __' iS ........,. Print Ciy /County Certificrtion Number MTG Corporate: San Dtegopmperiai County: Inland Emp 2992 E. La Palma Avq.e- A 7313 Carroll Road, Suite G 14320 Elswo Street, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 T& 714.6322999 Tel: 858.537.3999 Tel: 951.653.4999 Fax 714.632.2974 Fax 858.537.3990 Fax: 951.653.4666 FIELD REPORT awl( P TYPE OF W xuwwm OTECKr.CM AVAnAKk SOIL REPORT (Y) (N) APPROVED PLNTS (Y) (N) SPECS (Y) (N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEK EHM PROJECT. NO. EFSdKF91 REPORT NQ PG CONIAACTOA i - PLAY FILE NO. PERMIT ND. IGA PROJECT RSPECTTDII ADDRESS AVDRESS OF PROJECT r MING REQUUtEiNL -M- KHO ROD INSPECTtO ..1I.FANUALIMMLSOILMANW1L— REVIEW PREY US REPORTS AND TS ERE IS NOT1)ONFORI G WORK ATTHE END OFTHE WORK DAY, OR MISSUNG 201M AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT N A DEFX3&(CY. YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND BAUTA COPY WRH YOUR WEEK'S REPORTS. s ITS TTY COFFRASTOR FORK Rc3EP REPORT N0. OR TTATERUIL TESL REMRM COlfTRA =EG1CPlMITI AKPOWERUSED: AREA, SM LIQL PIECES OBSERVED: STlgtCnaK NOTES` GETA[L.OR RM VSMc REAWRtt3 Qautl lrs r JU 1 U ld 1i -e OVLe_ zk t I- Ca Qvh SPA (Y`i" ` &A 12.9 tot 0 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: YvEiuTmt tql SAMPLES TAKE X 1 3'1.A oi, 3 TESTS fjoia e SITE TUBE START: SITE TIME FINISH: 1 Q 0c LUNCH PEMD: TRAVEL TLYE: VERIFIED BY: tl PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, IONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT OA 0411 1(f1O Date of Report ICBO Certification Number r vq YY1 Vllk,, Lt City / CouMy Ceaffimtlon Number ' , j- Corporate: 0 2992 E. La Palma Ave., Suite A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.6322974 Branch: I • 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 FIELD REPORT Branch: 441 W. State Street El Centro, CA 92243 Toll Free: 877.563.TEST Tel: 760.482.0600 Fax: 760.482.0650 TYPE OF %MAR UbWWMR O TEDO(z .V AVARABLE SOIL REPORT M IN) NvRmn2en SPECS M (N) APPROVED SHOP DRAWING (Y) (N) ARQOTIXT FOR WEEK END= PRWECL EfTAXE l L / REPORT N0. PG OF CAMTRACTOR S PLAN FILE N0. PERMIT N0. SUB-MVMACMR un>-4 S _ I CtVc.. V PROJECT HAME USPECTU)N ADDRESS ADDRESS of PROJECT REPOKMG REQ1UIR&A1EiN` : KDO FIELD MPECTTON MAXLIAIJMTGL SOIL- \1ANVAL REVIEW PREVIOUS REPORTS AND LISTS IFTHERE IS i V-CO.FFOR\MIG WORK AlTHE END OFTHE WORK DAY, OR bUSSI IG M'FRS. AND RFIS, ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFTCIEENCY. YOURS OR A PREVIOUS ENSPECIOR'S. IS CORRECTED. SO NOTE 0.4 THE ORIGINAL DEFICIENCY REPORT AND SUB \1TTA COPY WITH YOUR WEEK'S REPORTS. AWERMLS USED DT CONIRACTUR (U1ClUDE RESFAROI RFFORI X&08 MATERIAL TEST REPORTS): CMITAACfORSBDOWDITFMANPOWER USED: L- Pjt -cIj11 737— DNrc, u nfi n nrzozc g ws J1 -1 AREAL G" USES, PIECES OSSERVW ' STRUCROK TIMM DUAIL OR RFIS USEEk RE MRRS. a%LUA is A ZEnXSC GA1/Isxz>dAy, (%r- %U!° $ 62—U 5/Ya f w /44 CALuA &)C& Ai /-3-jyrw -5f o rLA -jC=rr .c or Lti) Z,/ c isp s s or S7nlKre.. !'12 i 41tZA1v, -To cbrcJU/A16 GrrtGio&,i MV r S- d REWORK AS PERCENT OF ALL WORK TODAY_ PERCENT PROJECT COMPLETION: W'FATHEk 41 ,%A/L TF!lD iATLIAi SORES TAKER /V6,Vjr TESTS RE IUM SriE TIME START: / =0 { M SITE TBWIE FLNOt ( LUNCH PEW. A' TRAVEL TLW: ^, fell' VERIFIED BY. `+ 180 CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS, AND / ORJHE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 06 -rC -,rJ Date of Report ICBO Certlfieadon Number Praq i7ame Cfry / County Certification Number arm= 2992 E La Palma Avenue, Suite A, An A 92806 Td: (714) 632 - 2999(714) 632 -2974 Branch: 7313 Canon Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsw;oM Street, Suite CIO], Morino Valley, CA 92553 Td: (909) 653 -4999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 i CITY OF LAKE ELSIN -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC- A Set No.: 6-1752 File No.: Permit No.: 05 -00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 223!1006 3 X 3 X 6 11.32 33,450 2,950 N/A 28 31162006 3 X 3 X 6 9.00 28 3/162006 3 X 3 X 6 1 9.00 28 H 3/162006 3 X 3 X 6 1 9.00 Specified Strength: 3,000 PSI Sampled By KIMBERLY VAN ALST N ASTM C172 Date Sampled: 2/162006 Date Received: 2/20/2006 Location: 'TRASH ENCLOSURE 1ST LIFT Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS30OG42 Ticket No.: 4284825 Water added at Site: 0.00 gal By Cement Type: Mix Time: Remarks: min. Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE FLSINOR&BLDG dt SAFETY DEPT MANNY GOMEZ LAB COPY*' Concrete Temp: 72 •F ASTM C1064 Ambient Temp: 67 °F ASTM C1064 Slump: 8.50 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. J 4 ZX46 M.B.(Ben) Lo Chief Engineer A eorwaw 2992 E. La Palma Avenuc, Suite A, CA 92806 Tel•(714)632 -2 ax: (714)632 -2974 Brandy 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch 14320 Els%mrth Sues, Suite Cl 01, Moreno Valley, CA 92553 Td: (909) 653 -4999 Fax: Brandy 13010 San Feman& Road, Unit I, Sylmar, CA Tet: (818) 833 -8100 Fax: Report of: COMPRESSIVE STRENGTH - CONCRETE ASTM C39 CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT 130 S MAIM STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC A_. . Seiko-.: 6 -1650 File No.: E I V E FEB 2 2 MW 9 CITY OF LAKE ELSINORE FINANCE DEPARTMENT Permit No.: 05 -00001361 Project No.: 2456AOI Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Sae Actual Area Sq. inch) Load Ibs.) Strength psi) Type of Fracture 7 120!2006 6X 12 28.37 107,980 3,810 Cone 28 3/1312006 6X 12 28.27 28 3/1312006 6X 12 2827 A Specified Strength: 4,000 PSI Sampled By KIMBERLY VAN ALSTIN ASTM C172 Date Sampled: 21132006 Date Received: 2/142006 Location: S.O.G. EAST PORTION OF SLAB AROUND OPENING Concrete Sapptier. SUPERIOR READY MIX Ma No.: C4625P Ticket No.: 16701 Water added at Site: 0.00 gal By Cement Type: Mix Time: Remarks: min. Distribution: PROHAS ENTERPRISES, INC. CI1 Y OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMT.Z LAB COPY** Concrete Temp: 77 °F ASTM C1064 Ambient Temp: 51 °F ASTM C1064 Slump: 3.50 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 4e . 2992 E La Patina Avenue, Suite A, An CA 92806 Td: (714) 632 -2999 :(714) 632 -2974 Branch: 7313 Caul Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch 14320 Elswercth Street, Suite CIO], Moreno Valley, CA 92553 Td: (909) 653-4999 Fax: (909) 653 -4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of. COMPRESSIVE STRENGTH- CONCRETE ASTM C39 a CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHASFEf1ERPRISES DW., A Set No.: 5 -8006 File No.: Permit No.: 05- 00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 1148006 6X 12 28.37 39,920 1,410 Conc & Split 28 V258006 6X 12 28.37 80,970 2,850 Conic 28 1=006 6X 12 1 28.37 1 78,880 1 2,780 1 Cone 56 2=006 6X 12 1 28.37 1 92,550 1 3,260 1 Shear Specified Strength: 4,000 PSI Sampled By JOHN T. MILLER Location: SOUTH END OF TANK SLAB Concrete Snootier. SUPERIOR READY MIX Mix No.: C4625P Ticket No.: 13639 Water added at Site: 10.00 Cement Type: Remarks: gal. By CONTRACTOR Mix Time: min. Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** A ASTM C172 Date Sampled: 12/28/2005 Date Received: 12/29/2005 Concrete Temp: 65 °F ASTM C1064 Ambient Temp: 50 °F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. tie J M.B. (Ben) Lo Chief Engineer 2820 PSI 28-day compression test does not comply with the specified strength. onwrate: 2992 E. La Palma Avenue, Suite A, A,*CA 92806 Permit No.: TeL, (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Project Name: Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch 14320 Elsamrth Sues, Suite CI01, Moreno Valley, CA 92553 9.98 Td: (909) 653 -4999 Fax: (909) 653 -4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 60 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: - PROHAS ENTERPRISES-,-INC. - - - A Set No.: 6 -1753 File No.: Date Tested Permit No.: 05- 00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA 212117006 25361 RAILROAD CANYON ROAD 9.98 LAKE ELSINORE, CA 2,630 A Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 60 212117006 3 X 3 X 6 9.98 26,230 2,630 N/A 60 2121/2006 3 X 3 X 6 9.92 25,640 2,580 N/A 60 H 21218006 I 3 X 3 X 6 9.00 Specified Strength: 2,500 PSI Sampled By TONY FERRIS Location: FINAL LET ® NORTH CORNER Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS25OG42 Ticket No.: 4186334 Water added at Site: 0.00 gal. By Cement Type: V Mix Time: min. Remarks: Distribution: PROHAS ENTERPRISES. INC. CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT MANNY GOMEZ LAB COPY** ASTM C172 Date Sampled: 12/23/2005 Date Received: 1/20/2006 Concrete Temp: 78 OF ASTM C1064 Ambient Temp: 80 OF ASTM C1064 Slump: 8.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGI., Inc. M.B. (Ben) Lo Chief Engineer MTG Corporate: 2992 E La Palms Avenue, Suite A, CA 92806 Tel: (714) 632 -2 Fax: (714) 632 -2974 Brandy 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch 14320 Els%wth Sueet, Suite C101, Moreno Valley, CA 92553 Tel: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Tci:(818)833 -8100 Fax:(818)833 -0085 Report of: COMPRESSIVE STRENGTH - CONCRETE ASTM C39 CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Set No.: — - — File No.: Permit No.: 05 -00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON I -IILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA A Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load 1bs.) Strength psi) Type of Fracture 7 1/2312006 6X 12 28.37 69,050 2,430 Cone 28 211312006 6X 12 28.37 107,770 3,800 Cone 28 2/13/2006 6X 12 28.37 107,020 3,770 Cone Specified Strength: 3,000 PSI Sampled By GEORGE CHAVEZ Location: CONVEYOR TRENCH IN CAR WASH ( EAST END) Concrete Supplier: ROBERTSON'S READY MIX Mix No.: RS300P44 Ticket No.: 405784 Water added at Site: 0.00 gal By Cement Type: 11 Mix Time: 94 min. Remarks: ADMDC- WRDA -64 Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG 1St SAFETY DEPT MANNY GOMEZ LAB COPY" ASTM C172 Date Sampled: 1/16/2006 Date Received: 1/17/2006 Concrete Temp: 72 OF ASTM C1064 Ambient Temp: 68 OF ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 3780 PSI 28-day compression test complies with the specified strength. Branch Branch: Branch: 2992 E La Palma Avenue, Suite A, CA 92806 Td: (714) 632-21c (714) 632 -2974 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 14320 Fls%wth Succt, Suite CI01, Moreno Valley, CA 92553 Td: (909) 6534999 Fax: (909) 6534666 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Seffto:: 15: 1532 ECEIVED F E B 16 2006 PAYABLE File No.: Permit No.: 05 -00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Sae Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 21138006 6X 12 28.37 98,200 3,460 Conc 28 3168006 6X 12 2827 28 3/68006 6X 12 1 28.27 28 H 316/2006 6X 12 1 28.27 Specified Strength: 3,000 PSI Sampled By MIKE KINGERY Location: EAST WALL Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS30OP42 Ticket No.: 4235507 Water added at Site: 0.00 gaL By Cement Type: Mix Time: min. Remarks: Distribution: PROHAS ENTERPRISES. INC. CITY OF LAKE ELSINORE-BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** ASTM C172 Date Sampled: 2/612006 Date Received: 2/7/2006 Concrete Temp: 79 OF ASTM C1064 Ambient Temp: 71 OF ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer A opund= 2942 E. 1a Pahna Avenue, Suite A, An A 92806 Nominal Size Td: (714) 632 - 2999(714) 632 -2974 BraodL 7313 Carroll Road, Suite G, San Diego, CA 92121 Type of Fracture Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsworth Sheet, Suite Cl01, Moreno Valley, CA 92553 28.37 Td: (909) 653 -4999 Fax: (909) 653-4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH - CONCRETE ASTM C39 s: CITY OF LAKE EISINORE -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSWORE, CA Client: PROHAS Ef ERPRISES, INC A Set No,: 6 -1350 File No.: Permit No.: 05 -00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq. inch) Load abs.) Strength psi) Type of Fracture 7 1/31/2006 6X 12 28.37 61,510 2,170 Cone 28 21212006 6X 12 28.27 28 2212006 6X 12 28.27 28 H 221 /2006 6X 12 1 28.27 Specified Strength: 3,000 PSI Sampled By GORDON LEWIS ASTM C172 Date Sampled: 1242006 Date Received: 1/252006 Location: RETAINING WALL FOOTING EAST END RAILROAD CANYON Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS30ON34 Ticket No.: 4214214 Water added at Site: 0.00 gal. By Cement Type: Mix Time: 85 min. Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** Concrete Temp: 70 °F ASTM C1064 Ambient Temp: 80 °F ASTM C1064 Slump: 4.50 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B.(Ben) Lo Chief Engineer A MTG Corporate: 2992 E. La Palma Av*. A Anaheim, CA 92806 Tet 714.632.2999 Fax 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 Inland Empi 14320 Els treat, Ste. C101 Moreno Vall , A 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT Los Angeles/Ventura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE CF W= E3TBDrSMN AVARABLE SOIL REPORT (n (N) SPECS m (N) APPROVED PLANS&O APPROVED SHOP DRAWING m (N) ARCKIT CT FOR WEIN ENDOtG 07-OL, PROJECT. . r REMI 300. PG OF OONTRACIOA ^ KAN flu N0. PERMIT NO. SU8.00IIIAACfOEi PROJECT , utSPECO; ADDRESS ADDRESSOF WPROJ a r REPOKMG REQUIR12k `1S: ICBO FIELD 1NSPE]CrI1OX NANUAUM GjLSOIL. MANUAL- REVIEW PREVIOUS REPORT'S AND LISTS IF TIRERE IS XM-* XFORMM WORK AT THE END OFT HE WORK DAY, OR MESSING MTRS. AND RFIS. ETC, FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFXW9CY, YOURS OR A PREVIOUS INSPE PDR -S. IS CORRECTED. SO NOTT3 QN THE ORIGINAL DEFICIENCY REPORT AND S>tCOFY YOUR WEEK S REPORTS. - 11A1FAIALS USED BY 00%ERWM (MUM M31AROI WOO h'D.OA YATUM TEST REPORTS). 3 000 cytirrebe C08TRACIORS EQO9N8R, YAKPOWER USES / 3 1;,Pyl ,1 oncal :ai2jr wec-r7IL lit hk4- ok AREA, WILD USM aesErtift R P, la o 1 9 ld,° oo f-iy4 i1 Px fi 1-4 l ka of -d 14 vovl '`c/- a r l oCrIr p r b r, e; o C-t 4 Zoaf a C c e 1.'OML OEEW.OR RFIS usm REVARM DfUW=AMFnx C r , For4r • r w-P r{ deo.L a art olr r VL Dose Grir-t REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETIOW Iun a SAJAPLES TA)[Ew TEMN31A11iR>} TESTS WOUIRIMC SRE M E START. 9;00 SITE =a F[.vISN ;2 LUNCH PERI00_ -10- TRAVEL TL1r1E: VERIFIED BY: 1 DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE S AND I OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED sipaa<Lue Date of Report Gord/o Le wry PFEt<t am STIGATION RECOMMENDATIONS. DEFICIENCY REPORT foo a &r2 y - 4 g' ICBO Certification Number City / County Certification Number Rev: 7/97 9pwal 2992 E La Palma Avenue, Suite A, Anal -A 92806 Permit No.: Td: (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Project Name: Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Els%wth Stnxl, Suite Cl01, Moreno Valley, CA 92553 28.37 Tel: (909) 653 -4999 Fax: (909) 653 -4666 Brandt: 13010 San Fernando Road, Unit I, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of. COMPRESSIVE STRENGTH - CONCRETE ASTM C39 t • CITY OF LAKE ELSINORE -BLDG dl: SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Set No.: 5 -7648 File No.: Date Tested Permit No.: O,r- oaa Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 12/162005 25361 RAILROAD CANYON ROAD 28.37 LAKE ELSINORE, CA Age Days) Date Tested Nominal Sae Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 12/162005 6X 12 28.37 71,700 2,530 Cone 28 1/68006 6X 12 28.37 105,130 3,710 Cone 28 1/68006 6X 12 28.37 103,890 3,660 Cone Specified Strength: 3,000 PSI Sampled By DONALD SMITH Location: SLAB ON GRADE (off SOLITH END APPROX. 600 SQ FT. Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS300831 Ticket No.: 3831126 Water added at Site: 0.00 gal By Cement Type: IW Mix Time: 60 min. Remarks: BLDG HAS NO GRID LINES Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG 8: SAFETY DEPT MANNY GOMEZ LAB COPY** ASTM C172 Date Sampled: 12/92005 Date Received: 12112/2005 Concrete Temp: 66 OF ASTM C1064 Ambient Temp: 62 OF ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL., Inc. M.B. (Ben) Lo Chief Engineer 3680 PSI 28-day compression test complies with the specified strength. awatc: 2992 E la Palma Avenue, Suite A, An 92806 Tel: (714) 632 -2999 (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Tel: (858) 537 -3999 Fax: (858) 537 -3990 Branch 14320 Els%wth Sumet, Suite C101, Moreno Valley, CA 92553 Td: (909) 653 -4999 Fax: (909) 6534666 Branch 13010 San Fcmando Road, Unit I, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of: COMPRESSIVE STRENGTH - GROUT' ASTM C1019 ss CITY OF LAKE ELSINORE -BLDG dt SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A - - Set No.: 5-7852 File No.: 0J.. 0o O O / PPermit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 12/222005 25361 RAILROAD CANYON ROAD 9.95 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 12/222005 3 X 3 X 6 9.95 14,030 1,410 N/A 28 1/122006 3 X 3 X 6 9.55 33,260 3,480 N/A 28 1/122006 3 X 3 X 6 9.92 31,620 3,190 N/A Specified Strength: 2,500 PSI Sampled By GEORGE CHAVEZ Location: NORTH CAR WASH WALL Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS250G42 Ticket No.: 4070462 Water added at Site: 20.00 Cement Type: 11 Remarks: gal. By PUMPER Mitt Time: 94 min. Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** A ASTM C172 Date Sampled: 12/15/2005 Date Received: 12/19/2005 Concrete Temp: 68 OF ASTM C1064 Ambient Temp: 68 OF ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 3340 PSI 28-day compression test complies with the specified strength. MTG Office Locations Orange County Corporate Branch: 2992 E. La Palma Avenue Suite A Anaheim, CA 92806 Tet 714.6322999 Fax 714.6322974 Los Angeles Ventura County 13010 San Femando Road unit 1 Sylmar, CA 91342 Tat 818.833.8100 Fax 818.833.0085 San Diego Imperial County 7313 Cano3 Road Suite G San Diego„ CA 92121 Tet 858.537.3M Fax 858.537.3= Inland Empire 14320 Elsvath SUM suite C101 Moreno Va2ey. CA 92553 Tet 951. 3.4999 Fax 95IM46S Central Dispatch 800.4912990 www.mtgbc.com January 12, 2006 Prohas Enterprises, Inc. 41805 Albrae Street 2nd Floor Fremont, CA 94538 Attu. - Mr. -Nick Ooyal -- - — - - RE: Chevron Gas Station - Canyon Hills Plaza 25361 Railroad Canyon Lake Elsinore, California Results of Core Tests - #967 Dear Mr. Goyal: Geotechnical Engineering Construction Inspection Materials Testing Environmental Project No. 2456A01 Log No. 06 -143 Permit No.05- 00001361 As directed on December 29, 2005, our technician obtained three concrete core samples at the caisson located at the fuel pump area, the cores were then taken to this laboratory for compression testing in general conformance with ASTM C 42. The cores were taken due to a low fifty six day compression result set number 5 -7168. Please refer to the following table for concrete core compression results. Sample Diameter in inches Height to Diameter Correction Factor Corrected Strength, psi Strength, psi 1 4.20 2.10 1.000 n/a 3310 2 4.00 2.06 1.000 n/a 3760 3 4.20 2.10 1.000 n/a 3780 Concrete core results meet the requirements of the 1997 UBC Chapter 19, Division II Section 1905.6.4.4 If you have any questions concerning this report, please contact me. Respectfully yours, MTGL, Inc t M.B. (Ben) Lo, CE Vice President, Chief Materials Engineer cc: City of Lake Elsinore aFESS/pN\ BAN l F No. C 41581 d Exp. rbf 3 fi , OF CA\ - \E opal= 2992 E. La Palma Avenue, Suite A, An 92806 Td: (714) 632 -2999 (714) 632 -2974 Bnutc!L 7313 Camil Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Ekmwth Strut, Suite C101, Moreno Valley, CA 92553 Td: (909) 653 -4999 Fax (909) 653 -4666 Brand: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: CO.\iPRESSIVE STRENGTH -GROUT ASTM C 1019 sa CITY OF LAKE ELSINORE -BLDG bt SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. Set No.: 5 -7899 File No.: Date Tested Permit No.: OSr'- 0000/XC/ Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 1=2=5 25361 RAILROAD CANYON ROAD 10.05 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 9 1=2=5 3 X 3 X 6 10.05 28,580 2,840 N/A 28 UIorm 3 X 3 X 6 9.86 33,730 3,420 N/A 28 1/10!2006 3 X 3 X 6 10.82 32,570 3,010 N/A Specified Strength: 3,000 PSI Sampled By KELLY KLUNK Location: 2ND GROUT LIFT, WEST WALL Concrete Supplier. SUPERIOR READY MIX Mix No.: C665P Ticket No.: 12526 Water added at Site: 0.00 gal By Cement Type: Mix Time: 62 min. Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** ASTM C172 Date Sampled: 12/13/2005 Date Received: 122112005 Concrete Temp: 65 °F ASTM C1064 Ambient Temp: 70 °F ASTM C1064 Slump: 8.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc 1 M.B. (Ben) Lo Chief Engineer 3220 PSI 28-day compression test complies with the specified strength. 96M Date Tested Permit No.: 2992 E La Palma Avenue, Suite A, Anah A 928060(714) Project No.: Td: (714) 632 -2999 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 1167006 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsworth Street, Suite C 101, Moreno Valley, CA 92553 3,940 Td: (909) 6534999 Fax: (909) 6534666 Braids: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 3 X 3 X 6 Td: (818) 833 -8100 Fax: (818) 833-0085 Report o1: COMPRESSIVE STRENGTH -GROUP ASTM C1019 00 CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client- PROHAS ENTERPRISES, INC. A Set No.: 5-7851 File No.: Date Tested Permit No.: or .000 0 43 4/ Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA 1167006 25361 RAILROAD CANYON ROAD 9.60 LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 28 1167006 3 X 3 X 6 9.60 37,790 3,940 N/A 28 1/6/2006 3 X 3 X 6 10.74 38,050 3,540 N/A 28 1/67006 3 X 3 X 6 1 9.83 1 35,920 1 3,660 1 N/A Specified Strength: 2,500 PSI Sampled By GEORGE IBANEZ Location: LUKE BAY 1ST LIFT Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS25OG42 Ticket No.: 3831283 Water added at Site: 0.00 gal. By Cement Type: Mix Time: min. Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY`** ASTM C172 Date Sampled: 12/92005 Date Received: 12/192005 Concrete Temp: 65 °F ASTM C1064 Ambient Temp: 70 °F ASTM C1064 Slump: 8.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. l M.B. (Ben) Lo Chief Engineer 3710 PSI 28-day compression test complies with the specified strength. 01/05/2006 10:10 626 - 8210469 JAN- 04- 2006(UED) 16,26 / 1 b N mull a 1 JC LIAN p s r N b/ io 333 r I PAGE 02 P. 002/02 1 v J. r F i 10051 "'L0musTmr 1 TEMPLECrFY,CA.91780 FAX IS1 At, 'imondtbd To: Date: t.Ip K e el st Job No: From: Dian C. Lian -SE. Coples: Y RevVAOFProtect: y,apeH •AiF. y . y ' cow o• Aria C,#A OWA59 1y?-211 -6x94 f f, Number of pages to follow, including FAX Transmittal Verification Number: .626-446-5595 (Tel.) 626.821 -0469 (Fax) C+ e-PE joj w /,PA-* ftAeei A.t I S A774WO f,*- )6+R.uW i8 d r OF LAKE ELJ ivv RECEIVED' JAN 5 - 2005 PLANNING DEPT. IVII Or 69b0TZB -9Z9 91 :91 900Z/90/16 MEI TG Corporate: 29% E. La PaInta Ave. A Anaheim. CA 92806 Tek 714.632.2999 Fax 714.632.2974 San Diegopmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 Inland Empl — 14320 Elsw reet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax, . 951.653.4666 FIELD REPORT rff OOF N'OR1L O T 11 q , AVARA&E SOIL REPORT m (N) S M (N) APPROVED PLANS m (k) APPIWVED SHOP DRAWING m (N) ARCHITECT r 7- FOR WER ENDING FMC - a J REPORT NO. PG OF i casunm s PLAN I LE NQ PERMIT NO. 9 3I Sr PROTECT NAME C a S S _ VA ln* D$W%=''I ADDRESS J ADDRESS OF PROJECT 491c IS REPORTT\'G REQUIRBWAN S: K330 FIELD 1NSPECMV,%iANUAtJMTGL SOILNIANUAL— REVIEW PREVIOUS REPORT'S AND LISTS IFTHEtE IS NOQ%" NPOR% ;11NG WORK AT THE END OFTHE WORK DAY. OR MISSING MIRS. AND RFIS. ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFT ENCY, YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WTTT( YOUR WEEK'S REPORTS. MATERIALS USED BY COYTRACTOR (DKLIIOE RESEARW REPORT NO.OR MATERIAL TEST R1P0015] 00.' /iA11CTOR5 E MIIIIr /lIAr8OIM9R IISfDt AREA. GRID LIUM PIECES OBSERVED: O T 4: . r--Sp %, b A - V or ZS o art' / L IKAgnas 7Z fi APMADVA, 41,41t i Sc?nJs wagnt :X A i AZL>2' / UR11CnRiAL DETAn, OR RFS uSQK Rt5/JRA14. uroltronro At'JgltX6 REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: RTJIIII&T: 0W91cA l! --.-. iFl4P9tA11C#: r SAMPLES TAI M tESTS REOURiM 45WORy 01-Ha l,•; SITE TIME START: % • j+1-a' - SITE T9dE FINISH: v g2 LUNCH PER(DD: TRAVEL TLLM VERIFIED BY- 1 DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE S,QI INVESTIGATION RECOMMENDATIONS, AND / OR THE APPROVED PLANS, SPECIFICATIORS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED 19 THE DEFICIENCY REPORT 2 i 4 iZc oS S OYLSYi - t"ri, scc . Date of Report ICBO Certification Number Pfild ft= City / County Certif Don Number Rev: 7/97 MTG Corporate: 2992 E. La Palma Ave, A Anaheim, CA 92806 Tel: 714.632.2999 Fax: 714.632.2974 San Olego/lmperlal County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empl 14320 Elsw reet, Ste. C101 Moreno Valley, A 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT 7m w = oTECFD`CM y'J / AVARARLE SOIL REPORT (Y) (N) S (Y) (N) APPROVED PLANS M (N) APPROVED SHOP DRAWING (Y) (N) ARODIEGF 414A. FOR WEEK ENDUM 12 -17 -V PROJECT. NO 25y -AOI Evaum C REPORT HO. PG J OF my `v PLAN ME N0 PERfS IT NO. ' OiSPECIM ADDRESS ADDRESS OF PROJECT REPORMG REQTFIRE2%MN 5: ICBO FmD INSPECTION MANUAU.%f GL SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NON-0DI TORM ING WORK AT THE END OF THE WORK DAY. OR MISSING MTRS. AND RFIS. ETC. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFK3LXCXY0URS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WITH YOUR WEEK'S RETORTS. UAMUALS UM BY CONTRACM 034=11111E RESEAR Jl MW SM OR MATERIAL TEST RIPORM CO=WTORS T O'MRJT, MAID'O M US@ AREA GAD LOSS. PLftES D85FR1itIt prp icc S;'iL o A la P,av Z Sc1 + ) F l 1'1 (V l iS C OF 1- ti,n 73m1: aJIV. ie/C !1%4S G'vt lam _ sfB cnwi. toM DETAIL. OR = tmm FitiU1R1<S, prCIU1CY8JI mmm REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: U11ff Irk% & RuyaM wm- 749 F MOLESTAKW — 1E51s RE000rED: — SfTE TIME START 1.1 -V SITE TM E RNMI: Z.ms LUNCH PERIDD: TRAVEL TIME: VERIFIED BY: I DO CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT SipaaDUe Data of Report ICBO Certification Number Phat None City / County CertNfmflon Number Rev. 7/97 MTG Corporate: 2992 E. La Palma Ave.. A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland EmpI 14320 Elswcreet, Ste. C101 Moreno Valley, CA 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT M OF %' OTECMCMAN 101114"-r AVARABLE: SOR REPORT m (N) SPECS m (N) APPROM PLANS (1) (t) APPROVED SHOP DRAWING m (N) ARMWW FOR WEEK ENDING PROJECT. N0. 5(i -AO . AICA E2u • FOOT NO. PG / OF / QnffRW= WD - Awsc. PLAN FU In PERMIT NO. PROJECT NA16E ^ 1Gv nsPEC10N ADDRESS 2S3 / 74 F/ ; — ADDRESS OF PROJECT` Sq RBPORTIXG RMIJIMiLN9S: ICBO FIELD INSPECIIOAI MANUAIn1T •h SOIL MANUAL - REVIEW PREVIOUS REPORTS AND LISTS IFTHFRE IS MN-CONFORMING WORK AT THE END OFTHE WORK DAY. OR MISSING MTRS, AND RF IS. ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY, YOURS OR A PREVIOUS RMECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMITA COPY WrM YOUR WEEK'S REPORTS. UAIERIALS USED BY COk1RA M (OICUMi RESEARGI REPORT A'O.Ot UATERK TEST REIVMT, oavTRAt:1DRS emu I t AREA, TeWA USES, POiES 6s 7WE i A~Z) coNs01;1 >570^2 yr_ l,gpmx If Z,4, -7S of C.va, -, 0*711x MOSR _rwl 7 Av Spo-r; o ?1E,a17 104A 2, M) A uDTM aUNL OR 11TtS tISETc v: i E l AIL OF - RE1rAalts. t>fIIJJxA3J1 Ji S;2E f 1rA C' IAp' C t1grAN S AfV C, iAA! DE/r4 fVJ l r Or --W G REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: q» CjCr4L. 1FlLP0tA1tIR>_ gv • G MURESTAKEIJ: / SC j or 3 Crow) 54-A/1P &5 TESTS 0011RED: — SITE TGIF STMT: IZ • 3 SITE TIME RNISH: • LUNCH PERIOD: TRAVEL TOM VERIFIE 100 CERTIFY THAT i HAVE PERSONALLY OBSERVED ALL OF THE WORK L IMD ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND I OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Z 1 13 , DS soy. ft. - Ty. rGG- Stp== Dab of Raw ICAO Certification Number Pft It= Cam. Er/s; 01,v1.r City / County CertificatIon Number Rev: 7/97 MTG Corporate: 2992 E. La Palma Ave.. A Anaheim, CA 92806 TeL• 714.632.2999 Fax 714.632.2974 San DlegoAmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 Inland Empi 14320 Elswt reet, Ste. C101 Moreno Valley, A 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT rm a%= EITECIOC 9 C XVAXAB1E SOIL REPORT m (N) APPROVED PLANS m (N) SPECS m (N) APPROVED SHOP DRAWIrrG AT43UT EC T N1 A-Ck-7eC7.s. FOR WM ENDING PROTECT. G G % f% REPORT NO. PG 46LAfC . PLAN FILE No. PERMR NO. 2YSti -AD/ SOB-00171RACTOR E /.' : E PROD= NAME svn2l- 019SIM ADIIRFSS ADDS OF PROJECT REPORMG REQUERE2%M7S: IC330 FIELD r TSPEMO: T MANUALJMGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS ?M- CONFORMING WORK AT THE END OF THE WORK DAY, OR MISSING MTRS. AND RF IS. ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS CM A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMTTA COPY WITH YOUR WEEK'S REPORTS. MATERIALS USED BY CONTRACTOR (DELIME RESEItRfaF t IMI 14711 OR UAT6gAL TEST STS): i•+S b2 Ag:R,',rtp 20' (/ t'C AT Z vo i'S OWMACTURS 6DI MI MAN? NER USED: bgsr oot/' ^o%— OF' .Si / c-;yA` i', O' v A — — O,0=- — AREAI GILD USES. PUM OBSUMV. St= iLLts Ar-0 Cd-'F 4'Q A s:G'.. ' 7LS3fi/%3Y S . /.dam a. 7b clt; 'svgs 7i -r i' A i 151 47— -707 Ole, /,S Am isp T ' tDH C,..o o - l . D, Cam+.. RTdrARltS, rxTaamTS M87fYSC 2 c, — s!•3 IREWORK AS PERCENT OF ALL WORK TODAY- PERCENT PROJECT COMPLETIOW WEMN51: NNy T i SAIA LESTAI®t/JU r D)r ? IESiSREOIIR C SITE TRTE START: 11Z.ID'a1e, SITE TIJAE KNISH: S. 5 RSn.- LIN(QI PERtW: TRAVEL TIAM VERIRED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECULATIONS AND APPLICABLE SECTION OF THE BUILDING CODE.- UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT A 120 / zfxZS Date of Report ICBO Certification Number obi•. S . Latc f.,i vrtfE- Name City / County Certification Number Rev - 7/97 MTGL Corporate: 2992 E. La Palma Ave., A Anaheim. CA 92806 Tel: 714.632.29 Fax: 714.632.2974 San DlegoAmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empi 14320 Elswrreet, Ste. C101 Moreno Valley, A 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE M vTmnt 0 TECHN:M AVAILABLE:- SOIL REPORT (Y) (9) SPECS m (N) APPRO EI) PLANS M IN) APPROVED SHOP DRAWNMi (Y) (N) ARdOiE6r FOR WEEK ENDING PROJECT. NO. Est REPORT NO. PG OF IiRACTOR PLAN FILE NO. PERMIT NO. 2544 IRAtIOA PiwE;T N" N. DISPBCT01ADDRESS ADDRESS OF PROJECT R13POWMG REQU][MI N-M IMO FIELD I NSPBCr N MAXUALJATTGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NOX- COXFORMINGG WORK ATTHE END OF THE WORK DAY, OR MISSING MTRS. AND RFIS, ETC., FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICIENCY. YOURS OR A PREVIOUS LYSPWMR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMRA COPY WITH YOUR WEEKS REPORTS. YATTTtIALS U" 1111 CONTRACTOR (WLLIDE RERARCN REPORT 1.0 OR IIA TEST REPORTS}: 1 L ; L qS O S: 716 o zwe Cl S 6"A/- Alp i •t/ r AREA 00 UJ.'FS. PIECES OBSEIMM hcjr -, - Gt JSO /; aAri 0^2 OF A o.= .so a - A-t ,' P7-5-L-504512- /;Wa r STRIICnIAAL &VTR OETAIL. OR RAS USMr. RETMRI6, O1QUd:YB A!lA7ITSC Sc /i7s 3 C oIL SR,.,P S_ REWORK AS PERCENT OF ALL WORK TODAK PERCENT PROJECT COMPLETIONe rAgA m 5-~O .y. 7S -'0 - SAIJPLES TAM / SFT Tuts — SITE T11a STARTVQ % SITE T99 FINISH: 3 • LUNCH PERIOD: TRAVEL TIME: VERIFIED BY: av 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH AND / OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BWLOING CODE, UNLESS OTHERWISE I 4919 zlco /z123/os sly Date of Report fa{/!,/ iE"e. s _ INVESTIGATION RECOMMENDATIONS, THE DEFICIENCY REPORT S,o4LSu - $4 rr c . ICSO Ceri fication Number CALF, 615; ^oilC-- Chy / County Certif Mlon Number Rev: 7/97 r-M-TC Corporate: 2992 E. La Palma AvIle. A Anaheim, CA 92806 Tel: 714.632.2999 Pale 714.632.2974 San Diego/Imperial Courtly: 7313 Carroll Road, Suite G San Diego. CA 92121 Tel: 858.537.3999 Fax: 858.537.3990 Inland Empr 14320 Elsw treet, Ste. C101 Moreno Valley, A 92553 Tel: 951.653.4999 Fax: 951.653.4666 FIELD REPORT TYPE CF VM .SDasPE m OTECIOMIALI Con r AVULABLE SOIL REPORT (Y) (N) APPROVED PLANS M IN) SPECS m (N) APPROVED SHOP DRAWING (Y) IN) ARCHITECT FOR WEEK ENDING 31 -05 PROJECT. NO. 155& - R o I Erb REPORT NO. PG I OF I CONTRACTOR PLAN FR.E NO. PERMIT NO. o5- 000013 (P0 51likQViAACIOA PRAT NAME CJ e-vron DSPiCRRY ADM= PER-T'3&I agalrood Co-nY Rd' Ice. ElS;isrc. ADDRESS OF PROJECT 5MMe, RIEPORTWG REQUIR68113ArI S: ICBO FIELD INSPECTION MANUALMM SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IFTHERE IS NON-CONFORMING WORK ATTHE ERD OF THE WORKDAY. OR MISSING MTRS. AND RFIS, M. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DERCILXCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUB.NU T A COPY WITH YOUR WEEKS REPORTT. MAIHUALS USED BY CO%'IRACTOR (WME RESEN= REPORT NO.OR MATERNL TEST REPODU 17129 Yaro/s of M'k % b c Yloa 5 P / Ooo P5r CONTRACTOIS EOBPMFHT J MA00M USEI t AREA 00 MEL PMMS OBSERVE@ 510x6- on -1 raa/G ol.oye_ t.ndsrr3round fuel f'anKl. STRUCTI.M& NOTES, MAIL. OR RM USW.. REMMUS, DTQODOTO AN7Qfii a65e r-Ye—d ConC.re+C Pots o,+ *aLnk, 5 G ro.a/C— , f% /SO ojx+a neo/ 1 e, 5 Con REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: WEATMM Sunny TTYFFRATURE (p S ° wmaES mm Is Gf Of y TESTS REOOIRED: SITE TTAIE START: 4? 0-M LUNCH PERIOD: SITE TLME RNISIt /O : 3 O ja m TRAVEL T114E: VERIFIED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE Kly INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED PLANS, SPECIFICATION AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Dc'.0 ' /'Q IQ 8/ o S So 4a y 4 5- y 9 Sigumm Date of Rew ICBO Certification Number City / County Cart ation Number Rer. 7/97 ex= 2992 E La Palma Avenue, Suite A, AnahA 92806 Td: (714) 632 -2999 14) 632 -2974 B 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch 14320 Elswwth Street, Suite C101, Moreno Valley, CA 92553 Td: (909) 653 -4999 Fax: (909) 653 -4666 Branrh 13010 San Femando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of- COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Set -No.: 5 -7574 File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal She Actual Area Sq.Inch) Load lbs.) Strength psi) Type of Fracture 7 12113!2005 6X 12 2837 53,010 1,870 Cone 28 1132006 6X 12 2837 86,520 3,050 Cone 28 1/32006 6X 12 28.37 85,220 3,000 Cone 28 H 1!32006 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By KIMBERLY VAN ALSTTN ASTM C172 Location: S. GRADE BEAM FOR BLDG 110 Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS300831 Ticket No.: 4075108 Water added at Site: 10.00 Cement Type: Remarks: gal. By PUMPER Mac Time: 65 min. Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMFZ LAB COPY ** Date Sampled: 12/62005 Date Received: 12/7/2005 Concrete Temp: 61 OF ASTM C1064 Ambient Temp: 49 OF ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGI., Inc. l M.B. (Ben) Lo Chief Engineer 3020 PSI 28-day compression test complies with the specified strength. 4L- 2992 E La Palma Avenue, Suite A, Aneh 1 92806 Td: (714) 632 -2999 #7714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsworth Street, Suite CI01, Moreno Valley, CA 92553 Td: (909) 6534999 Fax: (909) 653 -4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A 57CiTtQ.'' -' File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON BILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Sae Actual Area Sq.Inch) Load abs.) Strength psi) Type of Fracture 7 12130=5 6X 12 28.37 69,570 2,450 Columnar 28 1/2012006 6X 12 28.27 28 112012006 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By GEORGE CHAVEZ Location: S.O.G.- OFF NORTH WEST CORNER Concrete Supplier. SUPERIOR READY MDC Mix No.: C352P Ticket No.: 13417 Water added at Site: 10-W gal By FOREMAN Cement Type: IVV Ma Time: 90 min. Remarks: ADMIX- WRDA -64 Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG 6t SAFETY DEPT MANNY GOMMEZ LAB COPY" A ASTM C172 Date Sampled: 12/23/2005 Date Received: 12/272005 Concrete Temp: 68 °F ASTM C1064 Ambient Temp: 60 °F ASTM C1064 Slump: 4.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B.(Ben) Lo Chief Engineer MG G'oN C S S''i n/ Corporate: ( San Diego/Impertal County: Inland EmpLA, 2992 E. La Palma Ave. A 7313 Carroll Road, Suite G 14320 Elswoet, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Till 714.6322999 Tel: 858.537.3999 Tel: 951.653.4999 Fax 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT I I till r lffw-bwmG kg_mlm- K-2-0 REM 1l3NSPECnMXMAXUALJJM CILSOILMANUAL - REVIEW PRMOIJS REPORTS AND LISTS IFTHM IS NON-CWFOILNGM WORK ATTHE LND OFTHE WORKDAY. OR MISSINGNITIM AND RFIS. EM, FILL OUT AND AT-rACH A DEFICIENCY REPORT V41EN A DEFK31J YOURS ORA PREVIOUS INSPECTOR'S. IS CORRECTED. SO MGM ON THE ORIGINAL DEFICIENCY REPORT AND iI •1 1, ,. My, E. l I I 60 i t i i • 7A WA • J I I All Jill jj 1;011 All, Oil Air I FAVA 971 713111 SRE TodE START: AQ SITE TIME FIIIISH: no LURCH Pill _tll TPAVEL TIME VERIFIED BY: 1U1 D I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE VIL INVESTIGATION RECOMMENDATIONS, AND / OR PLAHt.S, AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 09c r_ oer 11o7 Dade Of Report 130 Certlffratlon Number Pft Ratan Clty / County Certh atbn Number Rev: 7/97 I SPECIAL INSPECTOR REG TRATION Job Address - 'Q f Cal i . /mot `S Mailing Address E . C_ fe-eigy1.c, , 15; _f__. _. Number & street . Pbow Number - Laboratory 1414 ,9 9 ti IF -- 1-4 AA11.-rs A .p e S c., ft Address A A A e " . _ & • Qty _= State: _. yip All licenses listed below must be currently valfd and legible and attached to this registrations r1r!`rDr rhW- r A i"n....h. r A n.dd X%D -ftn "d Concrite uctile Moment ResWinfz Fm ti Ridnforciniz Steel PrestreisineSteel WeldinLr High Streripth Boltiti ructural-Mason -_ _ Reinforced .Gypsum Concrete - InsulatinLr Canerete.Ril ftray ori Fire Pioofirie Piles,-Drilled Piers, Caissons Spedal-Casei, nusual azards I hereby certify that I am qualified by ttaiping.and.dxperience to perform the inspections for which.I hold the above listed'Speiial Inspectors Licenses.'and anli.provide all certifications required-by-,the City. I will inspect and certify the following procedures: lZ2'i_u c.cd C_ Gr _ S -t(cc esi rte. 407 ,}j C/, lr t --r I will certify not -only to the jQb conditions but that they are in conformance :W..i -th•th%ipprbved.plans. If 4t any time. prWess occurs on the aboye-quntioned job plating. tny arc$(s): of i sp eibilitjr iit ut. ty iiaowledge or approval. I will stop.'tha jobs :pro ssinn3n ¢iat4l with nQtifi trop itfwritigg4ti.,tL superintendent and notify he uitdigg )ivrgion oft sttiratiosr: Aril 'oi!test;:and/or'ipspeiot s: as - itgrbed ti;'ii6o wtli tin a ilabte upon regiust y p B ding. t t '': finvah. uil I?'i'i;tidi _ '" f•I;Vtrill:'i;" , t ` compleie pacicage of testing.and inspection s td. A lette c rp' ifitgE t `tom `qA0 a iti will 1 s` k :fin ril•.:• } :. provided b'yiue upon on. +.. ';is}i' _.- .::s, = • - ° ! c a.;r r+r. Sigaiture 'D' e- This registration is aeccpted and approvQtby _ Plan Check 1•;aginegc:;: t ::;;t c. t ='$_ ®g OtdaL: -_ obi • . "_ ' .:. _ .. _ f k 4 tI M AA 1 1 Donald Smith WWWRM CERTIFIED SPECIAL INSPECTOR Reinforced Concrete Inspector 2000 International Building Code The individual named hereon Is CERTIFIED in the category shown, having been so certified pursuantto successful completion of the prescribed written examination. Expiration date: June 21, 2006 No. 1037223-88 lMrt Not valid un 5s signed by certificate holder. ICC certification attests to competent knowledge of codes and standards. Applicable experience should be verified by local jurisdictions. DONALD W SMITH Structural Masonry Special Inspector 2000 International Building Code The Individual named hereon IS CERTIFIED in the category shown, having been so certified pursuant to successful completion of the prescribed written requirements. Expiration date: November 1, 006 NO. 1037223.80 'a ': A Not valid unless signed y e ificate holder. ICC certification attests to competent knowledge of codes and standards. DONALD W SMITH omraourlm. Structural Masonry Special Inspector 1997 Uniform Building Code The individual named hereon Is CERTIFIED In the category shown, having been so certified pursuant to successful completion of the prescribed written requirements. Expiration date: Nov~ 1, 2 No. 1037223-84 Notvalid unlessigned by certificate holder. ICC certification attests to competent knowledge of codes and standards. Donald Smith CERTIFIED SPECIAL INSPECTOR UBC Reinforced Concrete Inspector 1997 uniform Building Code The Individual named hereon is CERTIFIED In the category shown, having been so certified pursuantto successful completion of the prescribed written examination. Expiration date: June 21, 2006 / No. 1037223.88 r/ Not valid un ess signed by certificate holder, iCC cenifcation attests to competent knowledge of codes and standards. Applicable experience should be verified by local jurisdictions. 431111c: 2992 E La Palma Avenue, Suite A, 92806 Nominal Size Td: (714) 632 -2999 X1714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Type of Fracture Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elmonh Sucet, Suite CI01, Moreno Valley, CA 92553 28.37 Td: (90?) 653 -4999 Fax: (909) 653-4666 Branch 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. Sti No.: 5 -7904. - - - _ -- File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 12127/2005 6X 12 28.37 67,540 2,380 Cone 28 1117 /2006 6X 12 28.27 28 1117/2006 6X 12 1 28.27 Specified Strength: 3,000 PSI Sampled By TONY FERRIS Location: FOOTWGS @ LUBE STATION (PAD FOOTINGS 20 TOTAL) Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS300N34 Ticket No.: Water added at Site: 0.00 gat. By Cement Type: U Mix Time: min. Remarks: Distribution: PROHAS ENTERPRISES. INC. CITY OF LAKE ELSINORE -BLDG dt SAFETY DEPT MANNY GOMEZ LAB COPY** A ASTM C172 Date Sampled: 12/20 /2005 Date Received: 12212005 Concrete Temp: 77 °F ASTM C1064 Ambient Temp: 81 °F ASTM C1064 Slump: 4.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. l M.B. (Ben) Lo Chief Engineer MM 2992 E La Palma Avenue, Suite A, A0r, CA 92806 Nominal Size Td: (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Type of Fracture Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elswarth Street, Suite C101, Moreno Valley, CA 92553 10.05 Td: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 s• CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, II C. File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 9 12/22/2005 3 X 3 X 6 10.05 28,580 2,840 N/A 28 111012006 3X3X6 9.00 28 1/102006 3 X 3 X 6 9.00 Specified Strength: 3,000 PSI Sampled By KELLY KLUNK Location: 2ND GROUT LIFT, WEST WALL Concrete Supplier: SUPERIOR READY MIX Mix No.: C665P Ticket No.: 12526 Water added at Site: 0.00 gal. By Cement Type: Mix Time: 62 min. Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT MANNY GO MEZ LAB COPY** ASTM C172 Date Sampled: 12/13/2005 Date Received: 12/21/2005 Concrete Temp: 65 OF ASTM C1064 Ambient Temp: 70 OF ASTM C1064 Slump: 8.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 144- 41 M.B.(Ben) Lo Chief Engineer owporate: 2992 E La Prima Avenue, Suite A, An* CA 92806 Nominal Size Td: (714) 632 -2999 Fax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Type of Fracture Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Ellsworth Street, Suite C101, Moreno Valley, CA 92553 9.95 Td: (909) 653 -4999 Fax: (909) 653 -4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of: COMPRESSIVE STRENGTH -GROUT ASTM C1019 CITY OF LAKE ELSINORE -BLDG dt SAFETY DEPT 130 S MAIM STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISE% INC. Set File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 12122/2005 3 X 3 X 6 9.95 14,030 1,410 N/A 28 111212006 3 X 3 X 6 9.00 28 1/1212006 3X3X6 9.00 Specified Strengtb: 2,500 PSI Sampled By GEORGE CHAVEZ Location: NORTH CAR WASH WALL Concrete Supplier: ROBERTSON'S READY MDC Affix No.: RS250G42 TTeket No.: 4070462 Water added at Site: 20.00 Cement Type: Q Remarks: gal. By PUMPER Mix Time: 94 min. Distribution: PROHAS ENTERPRISE& INC. CITY OF LAKE ELSINORE -BLDG 6t SAFETY DEPT MANNY GO MEZ LAB COPY" ASTM C172 Date Sampled: 12/15/2005 Date Received: 12/19/2005 Concrete Temp: 68 OF ASTM C1064 Ambient Temp: 68 OF ASTM C1064 Slump: 9.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer Pon= 2992 E La Palma Avenue, Suite A, CA 92806 Td: (714) 632- 2999 ax: (714) 632 -2974 Brandy. 7313 Carroll Road, Suite G, San Diego, CA 92121 Td:,(858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elsworth Street, Suit@C101, Moreno Valley, CA 92553 Td: (909) 653 -4999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of: COMPRESSIVE STRENGTH-CONCRETE ASTM C39 00 File No.: CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT Permit No.: 130 S MAIN STREET Project No.: 2456A01 LAKE ELSINORE, CA Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. Set No.: 5 -7622 - - - — - - - -- - -- Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 12/15/2005 6X 12 28.37 69,980 2,470 Cone 28 1/5/2006 6X 12 28.27 28 1158006 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By KIMBERLY VAN ALSI7N ASTM C172 Date Sampled: 12/82005 Date Received: 12/92005 Location: S.O.G. t °(W CORNER OF BLDG Concrete Supplier. ROBERTSON'S READY MIX Concrete Temp: 67 OF ASTM C1064 Mix No.: RS30OP44 Ambient Temp: 42 OF ASTM C1064 Ticket No.: 4075260 Water added at Site: 20.00 gal By PUMPER Slump: 6.50 in. ASTM C143 Cement Type: Mix Time: min. Tested at: Anaheim Remarks. Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 2992 E La Pahm Avenue, Suite A, CA 92806 Tel: (714) 632- 2gggggg ax: (714) 632 -2974 Branch: 7313 Carroll Rand, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch 14320 E hmuth Straet, Suite C101, Moreno Valley, CA 92553 Td: (909) 653 -4999 Fax: (909) 653 -4666 Branch: 13010 San FcmmWo Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of.- COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE EISINORE -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSLNORE, CA Client: PROHAS ENTERPRISES, INC. A met o.: File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Sin Actual Area Sq.Inth) Load Ibs.) Strength psi) Type of Fracture 7 121162005 6X 12 28.37 71,700 2,530 Cone 28 1162006 6X 12 2827 28 11612006 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By DONALD SM1T H Location: SLAB ON GRADE ® SOUTTi END APPROX. 600 SQ FT. Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS30OB31 Ticket No.: 3831126 Water added at Site: 0.00 gal. By Cement Type: IW Mix Time: 60 min. Remarks: BLDG HAS NO GRID LINES Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG 61: SAFETY DEPT MANNY GOMEZ LAB COPY`** ASTM C172 Date Sampled: 12/9/2005 Date Received: 12/12/2005 Concrete Temp: 66 OF ASTM C1064 Ambient Temp: 62 OF ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL., Inc. 1 M.B.(Ben) Lo Chief Engineer 1111r&MITCL opuraw Branch: 29921:. La Palma Avenue, sane A, 92806 Td (714) 632 -2999 (714) 632 -2974 7313 Carroll Road, Suite G, San Diego, CA 92121 RECEIVED DEC 16 200 Branch: Td: (858) 537 -3999 Fax: (858) 537 -3990 14320 Els%wth Street„ Suite CI01, Moreno Valley, CA 92553 Td: (909) 6534999 Fax: (909) 65346M ACCOUNTS PAYABLE Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 IVI31=5 6X 12 Td: (818) 833 -8100 Fax: (818) 833 -0085 53,010 Report of COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE E SINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A Sct-N`t: - 5-9574 File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Sae Actual Area Sq.Inch) Load Ibs -) Strength psi) Type of Fracture 7 IVI31=5 6X 12 2837 53,010 1,870 Cone 28 1!3!2006 6X 12 28.27 28 1!32006 6X 12 28.27 28 H 1/38006 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By KIMBERLY VAN ALSTIN ASTM C172 Date Sampled: 12/62005 Date Received: 12/7/2005 Location: S. GRADE BEAM FOR BLDG p 10 Concrete Supplier: ROBERTSON'S READY MIX Mix No.: RS300B31 Ticket No.: 4075108 Water added at Site: 10.00 Cement Type: Remarks: gal By PUMPER Mix Time: 65 min. Distribution: PROHAS MERPRISES, INC. CITY OF LAKE EL.SINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY** Concrete Temp: 61 OF ASTM C1064 Ambient Temp: 49 OF ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anahcim Respectfully Submitted, MTGL, Inc. J M.B. (Ben) Lo Chief Engineer Oparatc: 928062992ELaPalmaATd R E 1_ E I V E D Actual Area Sq.Inch) n 14 2999 Tr>ic: (7 -2974 Strength psi) Brarrch 7313 Carrnll Road, suite G, son Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 DEC 16 2005 Branch: 14320 E kwmrth Surck Suite CI01, Moreno Valley, CA 92553 49,870 Branch Td: (909) 6534999 Fax: (909) 6534666 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 a " 1 r iTq PAYABLE Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 ss CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. Set No.: 5 -7168 Td: (818) 833-8100 Fax: (818) 833 -0085 File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 14 1112&42005 6X 12 28.37 49,870 1,760 Cone 28 12/12/2005 6X 12 28.37 59,660 2,100 Cone 28 12/1212005 6X 12 28.37 55,700 1,960 1 Cone 56 119/2006 6X 12 28.27 Specified Strength: 2,500 PSI Sampled By GEORGE IBANEZ Location: CAISSON Concrete Supplier. ROBERTSON'S READY MIX Min No.: RS250N34 Ticket No.: 4029339 Water added at Site: 0.00 gaL By Cement Type: Mix Time: 30 min. Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG dt SAFETY DEPT MANNY GOMEZ LAB COPY" A ASTM C172 Date Sampled: 11/14/2005 Date Received: 11/15/2005 Concrete Temp: 61 °F ASTM C1064 Ambient Temp: 50 °F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B.(Ben) Lo Chief Engineer 2030 PSI 28-day compression test does not comply with the specified strength. rM% TX. Corporate: 2992 E. La Palma Ave. A Anaheim, CA 92806 Tek 714.632.2999 Fax 714.6322974 V.eON G'/¢S sTAii a ry San DtegoAmperial County: Inland Empi 7313 Carroll Road, Suite G 14320 Elsw*reet, Ste. C101 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPE of 2kMSPw= OTECHU M AVA ABLE SOIL RPM WK) SPECS (q(N) APPROVED PLANS I@ (N) APPROVED SHOP DRAWING M) (N) ARCIOTECT I I FOR WEEK DOW _ PROJECT. NO. Q EJTU.'EI3I W. e M7 NO. PG OF CONTRACM PUW ME In 1pmff NO. SUBVBNIRA= PRDJACT NAME 03PECTIO.9 ADDRESS ADDRESS OF PRD= RUPORTDCG MU]RBMEM'M- ICBO FIELD INSPECTION MANUAUMrGL SOIL MANUAL— REVIEW PREVIOUS REPORTS AND LISTS IFTHFRE IS NO.N-0OXFORMING WORK AT THE END OFTHE WORK DAY OR MI=XG &MM ANDRFIS. ETC.. RLL OUT AND ATTACH A DEFICIENCY REPORT WHE C A D8X1&%CY. YOURS OR A PREVIOUS &SPECFOR'S. IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBAQTA COPY WITH YOUR WEEK'S REPORTS. MUMIALS USED BY CI NIIRACTOR (OICUMF RESEUM ROW 911. OR MATfAW RT REP"r 41d: aAAwk- " RA RAIQ p,e Paz aicaur & /, ,S .2 S6 G'I2A- R ,a6 , wtq TSa ty- AAw CMffRWTM EQUIPIAM IMA.WMERUSE?, AREA, GRID LA'FS. PIECES oesawyk of ?Sao 'iPeuT «v N_e eTl ujALL eF STAUCRMAL NOTES, DEVd- CIR RRS USEGC R(cTdRAL AearEs- -':ZPP-CS. REMARIM 19119M J 4.!k DD Psi areaa Az*ced BY PULP, a -ey yo/s_ PZAeE, 13 P 9. o SLu n4 , REWORK AS PERCENT OF ALL WQRK TODAY- vrTJ ntse 70 11FRFSENGE ERGO 'r-11. kc-M IQNq au mP/.&S rl*" sASD'Les a l N -t e*xjvg ! O f C AQ tl*s y TESTS . SITE TTID START— o SITE MEE KNISH: ; 'S- LUNCH PERIOD. TRAVEL TDs: A a VERIFIED BY: I DO CERTIFY THAT LNAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THj4I TION 4COMMENDATIONS. AND / QR OVER PLANS, SP AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 21 is IN&S73a I-- V !j PAWM Date of Report ICBO CeAHkatlon Number ez:L 4'0-- / 6,6--7;?e5 -12 Print Ram City / County Certification Number Rev: 7/97 L'i EV RoN G'yS sTisiie,v q Corporate: San Diegopmperial County: Inland EmpL 2992 E. La Palma Ave., A 7313 Carroll Road, Suite G 14320 Elsworoeet, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 714.632.2999 Tef: 858.537.3999 Tel: 951.653.4999 Fax 714.632.2974 Fax: 858.537.3990 Fax: 951.653.4666 FIELD REPORT TYPEOFVI M OTECKrz" AVAILABLE: SOILRVIORTR(N) SPECS f"(N) APPRMW PLANS go (M APPAOVFD SHOP DRAWING M IN) ARt7OIFCT r I FOR WED(EMM PROJECT. NO. 1A, At 006 1 r Q E» T NQ PG OF CONIRACIOR PLAN F" N0 lrmff W. SO&CO.YtRAC1034 PROJECT RAW s7grilln USPECMIN ADLRSS AODAESS OF PROJECT RHP WMG REQIIIRWIE 713: ICBO FIELD INSPECTIO:t MAh'UALJM7Gi SOIL. MANUAL – REVIEW PREVIOUS REPORTS AND LISTS IF THERE IS NO?F- OONPORM ]MG WORK AT THE ERD OF THE WORK DAY. OR b99SIXG-.W RS. ANDILFIS, ETC.. RL1 OUT AND ATTACH A DEFICIENCY REPORT VAUN A DEFICIENCY. YOURS OR A PREVIOUS I)WECTOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMITA COPY WTTH YOUR WEEK'S REPORTS. MUPOM OSt. f%A a _ V. A ro s in A 41 AJ STRUT W K IMM MIJUL OR RFIS tWx c Jvour NflMN.&S TAJt w wr ov -!W CoR/YE*t o f CAA A *S N TSEPMUM Q - 70 P SIZE Tw START.• /2 6 SITE TW FttliSH: a s LUNCH PERIOD: 4— TRAVEL TLYI: --e3 VERIFIED BY: CERTtFY VE PERSONALLY OB SERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SDI@ INVEUMTION RECOMMENDATIONS, D PLANS, SPECI AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT 1,21 1(5- f -2 S73 a 1-- -8Y oats of PAW ICBO Certification Number Plot turn City I County CertifiMlon Number Rev: 7197 Corporate: 2992 E. La Palma Ave. ,*A Anaheim, CA 92806 Tel: 714.632.2999 Fax 714.632.2974 ni San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 Inland Emp( 14320 Elswo eet, Ste. C101 Moreno Valley, 92553 Tel: 951.653.4999 Fax 951.653.4666 FIELD REPORT Los AngelesNentura County: 13010 San Fernando Rd., Unit 1 Sylmar, CA 91342 Tel: 818.833.8100 Fax: 818.833.0085 TYPE of WM 0M 66Twa=AN AYARABLF: 500. REPORT m (N) SPECS m (M APPROVED N) APPROVED SHOP DRAWING (Y) (N) ARCHITECT FOR WEEICENOW PROJECT. NO EMMMER REPORT NQ PG OF CO(IRWIOR PLAN FILE NO. , PERMIT NO. bY SU54ONIRACHIR PROJECT NAME UbPiCRQ.Y ADDRESS ADDRESS of PROJECT REPORTLXG RHQUIRENM- S: ICBO Fmk INSPECTION MANUAUMTGL SOIL MANUAL — REVIEW PREVIOUS REPORTS AND LISTS n:7HQtE S tYOI F4X)WaDRMM WORK AT Mir END OFTHE WORK DAY, OR MMM _ [R.S. AND RFLS. EI C . Flip. OUF AND ATTACH A DEFICIENCY REPORT WHEN A DFFIGMCCY. YOURS OR A PREVIOUS RZPECDOR'S, IS CORRECTED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMMA COPY WITH YOUR WEEKS REPORTS. MATERIALS USED BY CONTRACTOR (ffKL110E RESEARCH REPORT NO, OR MATERIAL TEST REPORTR R- 5 7 c-n lt.e CONTRACIOMS EOUOM9TT/ AREA. GRID UNM PMOES OBSE1013 t 6-fj STRUCROMI. APOTM Drum. an RMS USEiiC F FOAARta. JUC1J/ 6A+mrns ; Ql : it Gh 7 / 01 REWORK AS PERCENT OF ALL WORK TODAK PERCENT PROJECT COMPLETIONa WFATTtat l nwi9tIUWI>= [ //`/•O ,( SAIWLESTAwt 3 — TESTSREOWIED SITE TW LUNCH PERIOD: sITE Tua riNlsFi•''3D TRAVEL TWX: VERIFIED aY. 1 DO CERTIFY THAT I HAVE PERSONALLY 0 ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THEW I"T,1dAT1dk RECOMMENDATIONS. AND / OR THE APPROVED T AND APPl1CAB THE BUILDING CODE, UNLESS OTHERWISE NOTED IN TH CIENCY REPORT Sip 00 el ICBO Certification Number G6 u„ 1 4sw PCIN Name v OW City / County Certification Number Rev: 7/97 MTG Corporate: 2992 E. La Palma Alva A Anaheim. CA 92806 TeL• 714.6322999 Fa)c 714.632.2974 San Dlego/Imperlal County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fafc 858.537.3990 Inland Empil 14320 Elsw reet, Ste. C101 Moreno Valley, A 92553 Tel: 951.653.4999 Fax, . 951.653.4666 FIELD REPORT MAIM, I A , I F, 11 I 1 1 • I I o. 1 ' r7je ... iIcw Ii )! w 1. G / Tf i 11 RI1PORMG REQUHURkIE1i 1i FIEW INSPEIi 1(tAXIJALJMTGL SOH-NIANUAL — REVIEW PREVIOUS REPORTS AND LISTS I S WORK i II Sli COPY • 77 7' •:' ink le bi I i I I I f I i I i I I I I I SITE TOME START: DOW SfT TYNE TRAVEL TIME VERIHED BY. 100 CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE AND / OR THE OVED PLAN SP CATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTE 1 Z /O? /C' Date of ReW Prim INVESTIGATION RECOMMENDATIONS. THE DEFICIENCY REPORT 5C1 L00-7 a ICBO Certification Number City / County Certification Number Rev. 7/97 Corporate: San Diego/Imperial County: Inland Empir 2992 E. La Palma A "*A 7313 Carroll Road, Suite G 14320 Elswo eet, Ste. C101 Anaheim, CA 92806 San Diego, CA 92121 Moreno Vall 92553 Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 r Fa)c 714.632.2974 Fa)c 858.537.3990 Fax 951.653.4666 FIELD REPORT a4q ( o TYPE OF V;= UrSPE670it OTEDLTM AVARABLE: SOM REPORT (h (N) SPECS () (N) APPROVEI) PLANS m (N) APPROVED SHOP DRAWING m IN) ARCHM , FOR WEEK ENDING Q1 - fU -v b PROJECT. NO. t J - , ; a n, REPORT NO. PG OF CQNrAACTdI j Y PLAN FILE NO. PERMR NO. I W&ODNIRAt70A PROW NAME . INnECTt0.9D . ADDRESS OF PROW c753 Lot R&I oM REPORmc REQtmmtEN iS IC60 FIELD DmPE(.'TTO, r J%1&%1WftATGL SOIL MANUAL- REVIEW PREVIOUS REPORTS AND LISTS IF7HERE IS 44O,F.CONIORWING WORK ATT RE END OF THE WORK DAY, OR b1ISSING 16MS. AND RFIS. ETC.. FILL OLIT AND ATTACH A DEFICIENCY REPORT WHER A FM offidED. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMITA COPY WTrH YOUR WEEK'S REPORTS. S trY C1pTiRAt:Tgt (ORLIDE RESEARCH RTPOAT NO. OR MATEIM TEST REPOTS) FINTRACTORS bbft AREA. 6RID ULE5. PIECES 085ERVER SrACCTIMNI. NOTES, GRAIL Ol. RNSUUk REAIAAtS. trat/a re a4-1 Did MALA Q1 TUMP u hie REWORK AS PERCENT OF ALL WORK TODAY: PERCENT PROJECT COMPLETION: wEATFOR : A 1 n.4.x TDOE3 AIM SUMES mm TESTS RED SITE Tud START SITE TDaE FUttSFt I LURCH PERIOD s 7RAvEI. TLMi: — VERIFIED BY: 100 CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE'SdIL INVESTIGATION RECOMMENDATIONS. AND / OR THE AP ROVED P S, SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT r' nox10(0 / U Ll 1 'b LOO-1 ) Date of Report ICBO Certification Number > wMme Chy / County Certification Number Rev: 7197 A 00= 2992 E la Palma Avenue, Suite A, Anah A 92806 Td: (714) 632 -2999 0(714) 632 -2974 Branch 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Brandt: 14320 F]swaorth Stnxt, Suite CI01, Moreno Valley, CA 92553 Td: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of COMPRESSIVE STRENGTH- CONCRETE ASTM C39 CITY OF LAKE ELSINORE-BLDG cis SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. Set No.: 5-7377 File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 11/3012005 6X 12 28.37 67,780 2,390 Cone 28 1221/2005 6X 12 28.37 112,260 3,960 Cone 28 1221/2005 6X 12 28.37 109,770 3,870 Cone A Specified Strength: 3,000 PSI. Sampled By ASTM C172 Date Sampled: 11/23/2005 Date Received: 11/282005 Location: SAMPLE TAKEN DURING PLACEMENT AT THE N END OF CAR WASH FOOTING Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS300831 Ticket No.: 14068239 Water added at Site: 0.00 gal By Cement Type: II/V hfix Time: 70 min. Remarks: Distribution: PROHAS ENTERPRISES. INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY" Concrete Temp: 72 OF ASTM C1064 Ambient Temp: 75 OF ASTM C1064 Slump: 4.25 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. 1 M.B. (Ben) Lo Chief Engineer 3920 PSI 28-day compression test complies with the specified strength. Report of- CONIPRESSWE STRENGTH - CONCRETE ASTM C39 CITY OF LAKE ELSINORE-BLDG dt SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client- PROHAS EMPERPRISES, INC. A Set No.: 5 7622. _ -._ -- -. -- — File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Stu=2992 E La Palma Avenue, Suite A, 92806 Load Ibs.) Td: (714) 632- 2999 (714) 632 -2974 Branch: 7313 Canon Road, Suite G. San Diego, CA 92121 1211512005 Td: (858) 537 -3999 Fax: (858) 537 -3990 Bnmch: 14320 Elsawdt Street, Suite CI01, Moreno Valley, CA 92553 2,470 Td: (909) 653 -4999 Fax: (909) 653-4666 BraaI 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 T&(818)833-8100 Fax: (818) 833-0085 Report of- CONIPRESSWE STRENGTH - CONCRETE ASTM C39 CITY OF LAKE ELSINORE-BLDG dt SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client- PROHAS EMPERPRISES, INC. A Set No.: 5 7622. _ -._ -- -. -- — File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq. Lneb) Load Ibs.) Strength psi) Type of Fracture 7 1211512005 6X 12 28.37 69,980 2,470 Cone 28 115/2006 6X 12 28.37 99,090 3,490 Cone 28 1158006 6X 12 28.37 103,090 3,630 Cone Specified Strength: 3,000 PSI Sampled By KIMBERLY VAN ALS17N ASTM C172 Date Sampled: 12/8/2005 Date Received: 12/92005 Location: S.O.G. ,NNW CORNER OF BLDG Concrete Supplier. ROBERTSON'S READY MIX Concrete Temp: 67 OF ASTM C1064 Mix No.: RS30OP44 Ambient Temp: 42 OF ASTM C1064 Ticket No.: 4975260 Water added at Site: 20.00 gal. By PUMPER Slump: 6.50 in. ASTM C143 Cement Type. Mix. Time: min. Tested at: Anaheim Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE-BLDG 6t SAFETY DEPT MANNY GOMEZ LAB COPY" Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 3560 PSI 28-day compression test complies with the specified strength. A 001= 2992 E Ls Palma Avenue, Suite A, A 92806 714) Nominal Sae Td: (714) 632— 632 -2974 Brandt 7313 Cowl] Road, Suite G, San Diego, CA 92121 Type of Fracture Td: (858) 537 -3999 Fax: (858) 537 -3990 Brant 14320 Elsworth Street, Suite C101, Moreno Valley, CA 92553 28.37 Td: (909) 653 -4999 Fax: (909) 6534666 Brandt: 13010 San Femando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of: COMPRESSIVE STRENGTH- CONCRETE ASTM C39 CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC A Set No.: 5 4006 - -- _ –. – — — - File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Sae Actual Area Sq. inch) Load Ibs.) Strength psi) Type of Fracture 7 V42006 6X 12 28.37 39,920 1,410 Cone & Split 28 1252006 6X 12 28.27 28 1252006 6X 12 28.27 28 H 1252006 6X 12 28.27 Specified Strength: 4,000 PSI Sampled By JOHN T. MILLER Location: SOUTH END OF TANK SLAB Concrete Supplier. SUPERIOR READY MIX Ma No.: C4625P Ticket No.: 13639 Water added at Site: 10.00 gal. By CONTRACTOR Cement Type: Mix Time: min. Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOM EZ LAB COPY** ASTM C172 Date Sampled: 12282005 Date Received: 12/29/2005 Concrete Temp: 65 OF ASTM C1064 Ambient Temp: 50 OF ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 1097, Fri FIELD REPORT CFAs rT.iTb•V r'1 Corporate: 2992 E. La Palma A* A San Diego/imperial County: 7313 Carroll Road, Suite G Inland Emp 14320 El treet, Ste. C 10 1 Anaheim, CA 92806 San Diego, CA 92121 Moreno Vall CA 92553 Tel: 714.6322999 Ted 858.537.3999 Tel: 951.653.4999 Fax 714.632.2974 Fax 858.537.3990 Fax 951.653.4666 FIELD REPORT SITE TIME START: '91,49 © SITE MAE FUML LUNCN PERIOD: —e— TRAVEL TUNE: -*=% VERIFIED W. ally J'* UO ' I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE VIL INV IgKnON RECOMMENDATIONS. AND r OR THi4pom PLANS. SPEcIFlCATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE CIENCY REPORT ire Date of Report 00 Cer itkation Number 4; Joe Name City / County Certiftalon Number Rer. 7197 IUKPORTIXG REVIEW PMIOUS REPORTS IFTHERE IS NON-COMRMIM WORK 1 . •fit 1 • `S 11 / // 1 •- • 7 I. - I. i o • Y REPORT E . 7 rl YOURS ORA ... .. : t i . .. •,, 71 ` I / , . ; I. DEFICIENCY • REPORT ' i I : i II• ' i /r OPT I I i a I . / / / . i I i /./ i a,. 1 fl "934 i it # i i. t il l ri1;iitsll N ll I U 4 .1 1 I SITE TIME START: '91,49 © SITE MAE FUML LUNCN PERIOD: —e— TRAVEL TUNE: -*=% VERIFIED W. ally J'* UO ' I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE VIL INV IgKnON RECOMMENDATIONS. AND r OR THi4pom PLANS. SPEcIFlCATIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE CIENCY REPORT ire Date of Report 00 Cer itkation Number 4; Joe Name City / County Certiftalon Number Rer. 7197 Report of: COMPRESSIVE STRENGTH - CONCRETE ASTM C39 File No.: CITY OF LAKE ELSINORE -BLDG dt SAFETY DEPT Permit No.: 130 S MAIN STREET Project No.: LAKE ELSINORE, CA Project Name: Client: PROHAS ENTERPRISES, INC. Set No.: 5 -7965 05- 00001361 2456A01 CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal she 2992 E La Palma Avenue, Suite A, CA 92806 Load Ibs.) Td: (714) 632 -2 : (714) 632 -2974 Branch 7313 Caaoll Road, Suite G, San Diego, CA 92121 1213012005 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320I1sssvrth Shwk Suite C101, Moreno Valley, CA 92553 2,450 Td: (909) 653 -4999 Fax: (909) 653 -4666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 6X 12 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of: COMPRESSIVE STRENGTH - CONCRETE ASTM C39 File No.: CITY OF LAKE ELSINORE -BLDG dt SAFETY DEPT Permit No.: 130 S MAIN STREET Project No.: LAKE ELSINORE, CA Project Name: Client: PROHAS ENTERPRISES, INC. Set No.: 5 -7965 05- 00001361 2456A01 CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal she Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 1213012005 6X 12 28.37 69,570 2,450 Columnar 28 112012006 6X 12 28.37 100,090 3,530 Conc 28 11208006 6X 12 28.37 103,680 3,650 Conc Specified Strength: 3,000 PSI Sampled By GEORGE CHAVEZ Location: S.O.G: OFF NORTH WEST CORNER Concrete Supplier. SUPERIOR READY MIX Mix No.: C352P Ticket No.: 13417 Water added at Site: 10.00 gal By FOREMAN Cement Type: TIN Mix Time: 90 min. Remarks: ADMIX- WRDA -64 Distribution: PROHAS ENTERPRISES. INC. CITY OF LAKE ELSINOR&BLDG 8t SAFETY DEPT MANNY GOMEZ LAB COPY** ASTM C172 Date Sampled: 12/23/2005 Date Received: 12/27/2005 Concrete Temp: 68 °F ASTM C1064 Ambient Temp: 60 °F ASTM C1064 Slump: 4.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. M.B. (Ben) Lo Chief Engineer 3590 PSI 28-day compression test complies with the specified strength. torporaw 2992 E. La Palma Avenue, Suite A, A CA 92806 Nominal Size Td:(714)632 -2999 ax: (714)632 -2974 Branch. 7313 Carroll Road, Suite G, San Diego, CA 92121 Type of Fracture Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Eltworth Street, Suite CI01, Moreno Valley, CA 92553 28.37 Td: (909) 6534999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit I, Sylmar, CA 91342 28 Td:(818)8334100 Fax:(818)833 -0085 Report of.- COMPRESSIVE STRENGTH - CONCRETE ASTM C39 s CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC Set No.: 6-1261 File No.: Permit No.: 05- MO1361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 IR3l w 6X 12 28.37 69,050 2,430 Cone 28 2/132006 6X 12 28.27 28 2113/2006 6X 12 28.27 Specified Strength: 3,000 PSI Sampled By GEORGE CHAVEZ Location: CONVEYOR TRENCH IN CAR WASH ( EAST END) Concrete Supplier: ROBERTSON'S READY MIX Mix No.: RS30OP44 Ticket No.: 405784 Water added at Site: 0.00 gat. By Cement Type: 11 Mix Time: 94 min. Remarks: ADMIX- WRDA-64 Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG dt SAFETY DEPT MANNY GOMEZ LAB COPY" ASTM C172 Date Sampled: 1/16/2006 Date Received: 1/17/2006 Concrete Temp: 72 OF ASTM C1064 Ambient Temp: 68 OF ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGI., Inc. M.B.(Ben) Lo Chief Engineer MOr,= 2992 E La Palma Avenue, Suite A, '' CA 92806 Td: (714) 632 -2999 max: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Mmwth Street, Suite C101, Moreno Valley, CA 92553 Td: (909) 653 -4999 Fax: (909) 6534666 Branch 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of. COMPRESSIVE STRENGTH - CONCRETE ASTM C39 File No.: CITY OF LAKE ELSINORE-BLDG & SAFETY DEPT Permit No.: 05-00001361 130 S MAIN STREET Project No.: 2456A01 LAKE ELSINORE, CA Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A_ -- - A Set No.: 5 -8006. - — -- -` Age Days) Date Tested Nominal Sae Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 1148006 6X 12 28.37 39,920 1,410 Cone & Split 28 1!258006 6X 12 2837 80,970 2,850 Conc 28 1858006 6X 12 28.37 78,880 2,780 Cone 56 2828006 6X 12 2827 Speed Strength: 4,000 PSI Sampled By JOHN T. MILLER Location: SOUTH END OF TANK SLAB Concrete Supplier. SUPERIOR READY MIX Mix No.: C4625P Ticket No.: 13639 Water added at Site: 10.00 Cement Type: Remarks: gal By CONTRACTOR Mix Time: min. Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE-BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY" ASTM C172 Date Sampled: 1288/2005 Date Received: 12/29/2005 Concrete Temp: 65 °F ASTM C1064 Ambient Temp: 50 •F ASTM C1064 Slump: 5.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGI-, Inc. 1 M.B. (Ben) Lo Chief Engineer 2820 PSI 28-day compression test does not comply with the specified strength. f 2992 E La Palma Avenue, Suite A, 92806 Nominal Size Td: (714) 632 -2999 - (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Type of Fracture Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 Elswmth Sueet, Suite C101, Moreno Valley, CA 92553 28.37 Td: (909) 653-4999 Fax: (909) 6534666 Branch: 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 28 Td: (818) 833 -8100 Fax: (818) 833 -0085 Report of. COMPRESSIVE STRENGTH-CONCRETE ASTM C39 s• CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROHAS ENTERPRISES, INC. A SeLNo - S-7909 File No.: Permit No.: 05- 00001361 Project No.: 2456A01 Project Name: CHEVRON GAS STATION - CANYON HILLS PLAZA 25361 RAILROAD CANYON ROAD LAKE ELSINORE, CA Age Days) Date Tested Nominal Size Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 12127/2005 6X 12 28.37 67,540 2,380 Cone 28 1/17/2006 6X 12 28.37 102,900 3,630 Cone 28 I /17/2006 6X 12 28.37 106,710 3,760 Cone Specified Strength: 3,000 PSI Sampled By TONY FERRIS Location: FOOTINGS @ LUBE STATION (PAD FOOTINGS 20 TOTAL) Concrete Supplier. ROBERTSONS READY MIX Mix No.: RS300N34 Ticket No.: Water added at Site: 0.00 gaL By Cement Type: D Mix Time: min. Remarks: Distribution: PROHAS ENTERPRISES. INC. CITY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT MANNY GOMEZ a #LAB COPY** A ASTM C172 Date Sampled: 12/202005 Date Received: 12/21/2005 Concrete Temp: 77 °F ASTM C1064 Ambient Temp: 81 °F ASTM C1064 Slump: 4.00 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc. j M.B. (Ben) Lo Chief Engineer 3700 PSI 28-day compression test complies with the specified strength. Corporate: at 2992 E. La Palma A Anaheim, CA 92805 Tel: 714.632.2999 Fax 714.6322974 San DlegoAmperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 fax 858.537.3990 Inland Em ' 14320 EIS Street, Ste. C101 Moreno Vale CA 92553 Tel: 951.653.4999 Fax 951.653.4666 FIELD REPORT TYPEof oMVECTON OTECIa x1Al1 o AYaaA C sal REPORT m (I!) SPECS m (N) APPF0VEO RAMS m (M APPROVED SHOP DRAWING m (N) ARCKM FOR WEEK ENDING y iO PROJECT. NO. O EIMUMER REPORT IA PG OF CONTR CIOA PLAN FRE NO. PERMIT NO. 4 SR&CWffRACMA PRDW NAME DSPECTIMI ACORiSS ADORFSS OF PROJECT i 141,06-0 REPOR'MG REQUIRE3it3t 7 5` .- ICB.O US RE PORTS AND LISTS IF TWERE IS NO.X- ODM1L%flNG WORK AT THE ERD OFTM WORK DAY. OR MISSING )IRS. AND RFTS. ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WFIEN A Dom. CY, YOURS OR A PREVKM DMECTOR'S. IS CORRECTED. SO IaMON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT COPY WITH YOUR WEEK'S REPORTS. MUEf JAM tM BY CONTRACTOR (CICUIOf BESEAROF REPORT NA OR MATERIAL TEST REPORTSk CMIFRACIORS EOICPM'HITIMATPOMM USTTE AREA, GXD USES. PM= OBSOMM sTA1xnJRJa GOTFS.OEFA4.Ira RJE REHARIS. allU 77 AMrIUM r- M1 a REWORK AS PERCENT OF ALL WORK MDAY: PERGENT PROJECT COMPLETIONe bUnIE t TEMPERATTIRf: SAMI%fS TAKER TESTS REOIKR® SITE TIME LUNCH PERIOD: SITE TOE R)nSH: TRAVEL TUE. VERIFIED BY' 100 CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SJIL INVESTIGATION RECOMMENDATIONS, AND / OR THE , SPECMTIONS AND APPLICABLE SECTION OF THE BUILDING CODE. UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Gate of Rmdld ICBO Certification Number Pdm CHy I County Certification Number Rev- 7197 r+ MR ;I TG Corporate: 2992 E. La Palma l te. A Anaheim, CA 92 Tel: 714.632.2999 Fax 714.632.2974 San Diego/Imperial County: 7313 Carroll Road, Suite G San Diego, CA 92121 Tel: 858.537.3999 Fax 858.537.3990 Inland Em 14320 EI Street, Ste. C101 Moreno V , CA 92553 Tel: 951.653.4999 Fax 951.653.4666 FIELD REPORT NK of O TECIMMAR AND / OR THE APPROVED CATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE MUM' SOIL REPORT M (N) SPECS m (N) APPROVED RAM M (N) APPROVED SHOP DRAWING to (N) ARCIOTECr IV FOR WES(EIDWGI /—/ O PR Ci.ND. 0 er 4 01 d2 E1N7NOD HI • REPORT NO. PG OF CONTRACTOR PLAN FRE NO, PERINT NO. Stt&ODNTRACIOA Pl1OfiCT NAVE usPTZrm>r ADDRESS 6 / o? ADDRESS OF PRWECT f RBPORTF\C REQUIREMi M400WAUM Ck SM-NIANIAi L - IMVMW -PREV I C Aff Vbblft AND LISTS WITESM19 I TT-0O) R.SiI?NG WORK ATTTE END OFTTE WORK DAY. OR MSSING MTRS. AND RFIS. M. FILL OUT AND ATTACH A DEFICIENCY REPORT WHEN A DEFICFENCY. YOURS OR A PREVIOUS INSPECTOR'S. IS CDRRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMTA COPY WITH YOUR WEBM REPOM. NIA18114S USED BY WNTRACW FOJJU RESEARW RMW M OR MATt3 M TE57 REPORTS}: e 2 as v WITTRAt1DA5 „/AKA07Y91US e AltFl ItR[D IDN-. PD:WS ollsl 6 gZa ,& r°,ge ST9.E> C C STRUCTURAL NUFES. DEVIL OR Rib USH¢ RHdJ1 M HUU=W WU WSk d 00#e a do s F19WMK AS PERCENr OF ALL WORK TODAY-' PE '10NO 0O C III(Je1A wM. 62'/-0- SANNPILESTAKBt –1/ - 6 r Z TESTS RIiDITOtfO_ 01rc sfm TOME START: SUE TW F5 Jr URIM PERIOD TRAVEL Tlhm VERIAED a I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE SOIL INVESTIGATION RECOMMENDATIONS. AND / OR THE APPROVED CATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED IN THE DEFICIENCY REPORT Date of Report ICBO Certlfktion Number G 0-9 Chy / County Certification Number Rer. 7197 poratc 2992 E La Palma Avenue, Suite A, CA 92806 Td: (714) 632-ax: (714) 632 -2974 Branch: 7313 Carroll Road, Suite G, San Diego, CA 92121 Td: (858) 537 -3999 Fax: (858) 537 -3990 Branch: 14320 I3txmth Street, Suite C101, Moreno Valley, CA 92553 Td: (909) 6534999 Fax: (909) 6534666 Brandy 13010 San Fernando Road, Unit 1, Sylmar, CA 91342 Td: (818) 833 -8100 Fax: (818) 833-0085 Report of: C041PRESSIVE STRENGTH-CONCRETE ASTM C39 s CTIY OF LAKE ELSINORE -BLDG 8t SAFETY DEPT 130 S MAIN STREET LAKE ELSINORE, CA Client: PROW ENTERPRISES, INC. A Set No.: 5 -7377 File No.: Permit No.: Project No.: 2456A01 Project Name: CHEVRON GAS STATION- CANYON HILLS PLAZA LAKE ELSINORE, CA Age Days) Date Tested Nominal Sae Actual Area Sq.Inch) Load Ibs.) Strength psi) Type of Fracture 7 111311=5 6X 12 28.37 67,780 2,390 Cone 28 1221i2005 6X 12 28.27 28 1221!2005 6X 12 28.27 A Specified Strength: 3,000 PSI Sampled By ASTM C172 Date Sampled: 11/23/2005 Date Received: 11/28/2005 Location: SAMPLE TAKEN DURING PLACEMENT AT THE N END OF CAR WASH FOOTING Concrete Supplier. ROBERTSON'S READY MIX Mix No.: RS300133I Ticket No.: 14068239 Water added at Site: 0.00 gal. By Cement Type: IIN Mix Time: 70 min. Remarks: Distribution: PROHAS ENTERPRISES, INC. CITY OF LAKE ELSINORE -BLDG & SAFETY DEPT MANNY GOMEZ LAB COPY" Concrete Temp: 72 OF ASTM C1064 Ambient Temp: 75 OF ASTM C1064 Slump: 4.25 in. ASTM C143 Tested at: Anaheim Respectfully Submitted, MTGL, Inc 1 M.B. (Ben) Lo Chief Engineer rmTG wo Corporate: San Diego/Imperial County: Inland Ern 2992 E. La Palma A . Ste. A 7313 Carroll Road, Suite G 14320 Elsw,,.1 Street, Ste. C101 Anaheim, CA 92866 San Diego, CA 92121 Moreno Valley, CA 92553 I Tel: 714.632.2999 Tel: 858.537.3999 Tel: 951.653.4999 1 Fax 714.632.2974 Fax 858.537.399D Fax: 951.653.4666 R FF FIELD REPORT I FZ W'?-5 MOM 79 75 1 1.'1 I 1 "' 1• '•111' 1 7'I.' K YY_ WolZ I i T —/ 1 1 R FFaffm I FZ W'?-5 MOM 79 75 IFTMME IS MM-CONFORMING WORK ATTHE END OFTHE %VRK DAY. OR MISSING MTRS, AND RFIS. ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT I WHEN A DERaENCX YOURS Oft A PREVIOUS •' •/7 71 S1 NOTE • IN THE ORIGINAL DEFICIENCY 'O' D I COPY WffH YOUR WEEK'S S' / ' I Siam i i I LL wit ii I I 9//i 77Acl , li I it SITE T04 LUNCH PERIOD: SITE TDri TRAVEL TIME 100 CERTIFY THAT 1 HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK COMPLIES WITH THE S AND / OR THE APPROVED PLANS. SPECIFICATIONS AND APPLICABLE SECTION OF THE BUILDING CODE, UNLESS OTHERWISE NOTED r Date of Report r PdM Nmro THE DEFICIENCY REPORT ICAO CaMicadon Number ' CNy / County Certification Number a Rev: 7197 rimim Branch: 2992 E La Patm#!Ee. , Suite A • 7313 Carroll Road, Suite G Anaheimq CA 92806 San Diego CA. 92121 Tel: 714.6322999 Tel: 858.5373999 I= 714.6322974 Fax 858.537.3990 FIELD REPORT TYPE OF WORK A-615 60 Wade reinfmcing steek 6x6x10110 WWF AVAI.ABLE REPORTS PLANS SPECS SOILS SHOPS RE -BAR APPROVED Y N Y Y Y Y ARCHf1ECT FOR WEEK ENDING GRID LINES PIECES OBSERVED: WHI.IAM CIIAO 12/03/05 1 PROJECT NO. 2456 -AO 1 ENGINNER RF1 # 3 also 6 x 6 x10 /10 wwf for slab on grade PLAN FIE NO. J.C. LIAN STRUCTURAL N DETAELS, OR RFIS USED: CONTRACTOR F1 F2 PERMIT NO REMARKS INCLUDING MIEBTNGS: PROHAS ENTERPRISE Verified minibreinit sted & wired welded fabric for lap 05 -00001361 areas noted above. No deficiencies noted. SUB-CONTRACTOR PROJECT NAME 3 -BAY LUBE BUILDING INSPECTION ADDRESS ADDRESS OF PROJECT WEATHER: Clear SAMPLES TAKEN: None 25371 Railroad Canyon Road Lake Elsinore REPORT REQUI (EM S: ICBO FIELD INSPECTION MANUAI/MTGL SOIL MANUAL REVIEW PREVIOUS REPORTS AND LISTS. IF THERE IS M&CONFORMING WORK AT THE END OF WORK DAY, OR MESSING MM AND RFIS, ECT., FILL OUT AND ATTACH A DEFICIENCY REPORT. WHEN A DEFICIENCY, YOURS OR A PREVIOUS INSPECTOR'S, IS CORRECTED, SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMIT A COPY WrrH-YOUR R'IMK'S•REPORT_ MAlERIA1S US® BY CONTRACTOR (INCLUDING RESEARCH REPORTS NO OR MATERIAL TEST REPORTS): A-615 60 Wade reinfmcing steek 6x6x10110 WWF CONTRACTOR /MAN POWER USES, GRID LINES PIECES OBSERVED: Re-bar hissImWon — for foundation / basement level for tmu walls with 3 15 continuos 64 footing with # 5's @ 8" o.c. inside & # 5's @ 16 "o.c. outside Per details on F2, also thicken interior spread foofiM with # 4's Q 12" o c.e.w. top & bottom per RF1 # 3 also 6 x 6 x10 /10 wwf for slab on grade STRUCTURAL N DETAELS, OR RFIS USED: F1 F2 REMARKS INCLUDING MIEBTNGS: Verified minibreinit sted & wired welded fabric for lap spfice, clearance for cmu walls, spread footings & slab on e areas noted above. No deficiencies noted. WEATHER: Clear SAMPLES TAKEN: None IEMIP kATURE 60's TEST REQUIRED: None SITE TOWE START: I :00 PM SITE TMIE FINISH: 1:30 PM LUNCH PREIOD: TRAVELTEWE- VERIFIED BY;o I DO CERTIFY THAT I HAVE PERSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK CObVLIEOV14 THE SOILS 04VES710A = 10t6l ATI AND / OR THE APPROVED PLANS, SPECS, AND APPLICABLE SECTION OF THE BUILDING CODES, UNO SIGNATUR FRI: 12 / 0 2 / 2005 ICBO Certification Number: 1037223 -84, 88 Date of Report PRINT NAME DONALD SMITH City / county Certification number. San Diego Corporate: Z 2992 E. La Palma AJ A Anaheim, CA 92806 Td: 714.632.2999 Fax: 714.632.2974 KA San Diego/imperial County: I19and Em 7313 Carroll Road, Suite G 14320 Els Street, Ste. C101 San Diego, CA 92121 Moreno Valley, CA 92553 Tel: 858.537.3999 Tel: 951.653.4999 Fax: 858.537.3990 Fax 951.653.4666 FIELD REPORT . g0P<D TYPE OF _ OTEDDIXIAd r C e AVAILABLELE: SOIL ROM m m (N) S P1) APPROVE PLANS m (N) APPROVED SHDP DRAWING m (N) ARCKITM FOR WER EtiDWG ECL N0. EiStlMM , REPORT RM PG caviRAC1DR y IT PLAN FILE XM. P/ ,1 (,— VJ SUB -MMACM PROJECT 1ADDRESSOFRAk-0DISSUIWI ADDRESS 3 - 16- Za ke aj ZanN4 REPORTMMV REQQIt MAI TS: IC8O FIELD INSP6 Mk.4 NIANUAUN17YiLSOILMANUAL— REVIEW PREVIOUS REPORTS A.ND LISTS i1:7NFRE IS NONZ MNWtMI#IG WORK ATTHE END OFTHE WORK DAY, OR MUSSING MTRS. AND RFIS. ETC.. FILL OUT AND ATTACH A DEFICIENCY REPORT WHE N A YOURS OR A PREVIOUS tNSPWIOR'S. IS CORREMM. SO NOTE ON THE ORIGINAL DEFICIENCY REPORT AND SUBMITA COPY WrTH YOUR WEEK'S REPORTS. MATERIALS USED BY O OSIRACR 7 MAAIL TEST RT ti 49 '/ C0.(IRACTIMEMCKWIT /MAR:OWERUSER p ARFJI 6R1D lG'FS. PCECES j9r0.9 147i>, s STMXTI RAL N04FS. DETAIL. OR RM USEik RE#M M MMUM AINTUM v REWORK AS PERCENT OF ALL WORK TODAY- PERCENT PROJECT COMPLETION: WEATHIR TEMPU03URE: SAMPLES uxm UMMMIU & SiTE TiME LUNCH PERIOD: SITE Ti1IE FINISH: TRAVEL TIME: VERff0 BY: M 100 CERTIFY THA PSONALLY OBSERVED ALL OF THE WORK LISTED ABOVE AND THAT THIS WORK CDMPLIES WiTH TH SO INVESTIGATION RECOMMENDATIONS. AND I OR TH IS. SPECIFICATIONS AND APPLICABLE SECTION OF THE M)ILDING CODE, UNLESS OTHERWISE NOT I THE DEFICIENCY REPORT Date of Report ICBO Certlilation Number City / County Ceri fiWIon Number Rev. 7/97 STMCTWM TECI-NOI-OGIMbatILTANTS INC. 651 ARROYO DRIVE, SAN DIEGO, CA 92103 619) 2% -2096 FAW03) 2% -2ft PROJECT: CHEVRON, 1234 RAILROAD CYN., LAKE ELSINORE, CA SHEET: Al OF Al PROJ. NO.: 231 -4484 DESIGNER BT DATE: 02 -02 -06 CLIENT: ULTRASKzNS ELECTRICAL. ADVERTISM CODE: 1997 UBC / 2001 CBC WIND: Basic Wind = 70 Exposure = C Wind governs qs = 12.6 Cq = 1.4 Design Wind Pressures (psf) : 0 ' -15' 18.70 15 '-20` 19.93 AREA FORCE ARM MOMENT 93.0 .1738 5.17 8979 107.0 2133 13.33 28430 200 3871 37409 FOOTING SOIL PRESSURE = 150 x 2 x 1.33 = 399 PSF/FT UBC TABLE 18-1 -A VALUE x 2, PER FO N QQ 1 P= 3871 LBS H - 6`6 ET B = 2 50 FEET •- v ............... Ell" r-11 S1 = S x D/ 3= 1058.25 JLV 264 A = 2.34 x P / (S1 X B) _ ELEVATION 3.42 A D= .5xA(1 +(1 +4.36XH /A) ".5): 7.96 FEET A ft cTFORMULAPERUBCSECTION1806.8l%.- W! 1 TYP' 2'- 6 "DIAMx 89- COLUMN PIPE STEEL - ASTM A53 GRADE B S = 37409 X121(1.33X22000)= 0 "DEEP 0 © Nip TYP. 15.3 @ 0.0 FT 8.0 °PIPE w= 28.6 #Ift t= 0.322 " @TYPICAL SADDLE DETAIL GENERAL NOTES FOR POLES AND FOOTING I. CONCRETE F'ca2500 PSI. SPECIAL INSPECTION NOT REQUIRED. 2. PIPE STEEL ASTM A53 GRADE B. 3. SKIN CABINETRY SHALL BE FABRICATED IN THE SHOP OF AN APPROVED FABRICATOR. 4. SOIL PASSIVE PRESSURE BASED ON 1991 UBC TABLE 18 -1 -A CLASS 4 OR BETTER SPECIAL INSPECTION NOT REQUIRED. (IF SOFT OR SANDY SOIL, COLLAPSING OR UNSTABLE SOIL, ORGANIC MATERIALS OR GROLNDWATER ARE ENCOUNTERED, IMMEDIATELY CONTACT THE ENGINEER OF RECORD FOR ADDITIONAL FOUNDATION REQUIREMENTS.) 5. PROVIDE SLOPE AWAY FROM BASE OF POLE. 5 1 --Z- P1 lbsrran URAL TECI. oLOGIIII05NStJLTANTS INC. 651 ARROYO DRIVE, SAN DIEGO, CA 32103 PIS) 296 -20% FAX(619) 2% -2i96 PROJECT: CWEVROK 1234 RAILROAD CYN., LAKE ELSINORE, CA SHEET: BI OF Bl PROD. NO.: 231 -4488 DESIGNER: BT DATE: 02 -02 -06 CLIENT: ULTRASIGNS ELECTRICAL ADVERTISING CODE: 1997 UBC / 2001 CBC WIND: Basic Wind = 70 Exposure = C Wind governs qs = 12.6 Cq = 1.4 Design Wind Pressures (pso : 09-15, 18.70 AREA FORCE ARM MOMENT 27.9 522 2.79 1457 60.0 1.122 8.58 9630 88 1644 11087 FOOTING SOIL PRESSURE =150 x 2 x 1.33 = 399 PSF/FT UBC TABLE 18-1 -A VALUE x 2, PER FOOTNOTE 3 & 1612.3.2) P = 1644 LBS H = 6.74 FEET B = 2.50 FEET S1 = SxD /3= 700.27 A= 2.34xP /(S1 X8)= 2.20 D=.5xA0+(1+4.36XH/A)".5)- 5.27 FEET FORMULA PER UBC SECTION 1806.8.2.1 2l- 6 " DIAM x 5 ' - 6 "DEEP COLUMN PIPE STEEL - ASTM A53 GRADE B S = 11087 X12/(1.33X22000)= 4.5 @ 0.0 FT 5.0 "PIPE w-- 14.6 #Ht t= 0.258 " wmal r i n A ELEVATION U- ql?- I A NOTES FOR AND FOOTING: _ Stt E ION NOT REQUIRED. 2. PIPE STEEL ASTM A53 GRADE B. _ -• 3. SIGN CABINETRY SH - FABRf A''D IN -'THE ROB 4. SOIL PASSIVE,,_ Agk ,ON.d931 UBC TABLE 18 -1 -A k 4"OR ETTER. SPECIAL INSPECTION NOT REQUIRED- (IF SOFT OR SANDY SOIL, COLLAMING OR UNSTABLE SOIL, ORGANIC MATERIALS OR- GAbUNDWATER ARE ENCOUNTERED, IMMEDIATELY CONTACT THE ENGINEER OF RECORD FOR ADDITIONAL FOUNDATION REQUIREMENTS.) 5. PROVIDE SLOPE AWAY FROM BASE OF POLE. June 9, 2006 Mr. Stymy Goyal vlr. Nick Go3sl Vintners Distributors, Ina. 4109 Albrae St. Preemont CA 94538 To All Patties Concerned; FREY r3 MOSS STRUCTURES Re: 25371 Railroad Caayon Rd Lake Elsiwore, CA FMS Job G5B0023 The referenced three -bay modular lube building was 10talled in accordance with the signed and sealed permit drawings and the applicable codes. Please contact our En&eering Manager, Mr. Ed Dugan at 770 -483 -7543 LNt 116 with any quegtions. Sincerer, V e613. Moss, PE Frey--Moss St<uctnres, Inc. ISM eMWAY.311M OKwiMMMI ww.POyC=&C i ZO'd 5d:ll 9002 6 ear L909- COO-CIC"I PH TJOAWSO FX M.aUhW PH SM531.M FX 5OWSAM9 SSON A3ad Date 8• Z•IS Inspector Comments 0 IMF Wllll IRTen-M, F, Yam .1,0 :.dl: Progress Inspection Chy or Isbc etr me Address: l `C.l /1/ fir- Permit # A=0941sgYr",— 130 S I,fmm S=a Isle EWnom W 92530 9SQ 674.3121 931)171 -1418 Fax Date 8• Z•IS Inspector Comments 0 IMF Wllll IRTen-M, F, Yam .1,0 :.dl: February 9, 2006 CITY OF LAKE ELSINORE PLANNING DEPARTMENT 130 South Main Street Lake Elsinore, CA 92530 Re: CANYON HILLS MARKETPLACE, LAKE ELSINORE, CA BUILDINGS 9 & 10 SIGNAGE (CHEVRON) kv* as3 /P) Dear Sir or Madam, Sud'kay phvor&s, INC. 5465 Morellmme Drive, SuIIe 260 San Diego, CA 92121.4714 Rmw W/546-3000 Fax: 6561546,009 www.sudbeffyproper6es.corn Please be advised that the signage plans for Canyon Hills Marketplace, Buildings 9 and 10, have been reviewed and approved by CHMP, LLC. Please consider this letter as authorization for Ultrasigns Electrical Advertising and /or its agents to submit the signage package for this project to the City of Lake Elsinore for its review. Should you have any questions, please do not hesitate to call me at 858.546.3000 extension 530. CTS:sah Sincerely, CHMP, LLC A California limited liability company By: Sudbe Proders, Inc. Its Man er / By: Gatlin T. Sudberry Vice President egayy a 1a4rity o Radlis