Site Info
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Project
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Client
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Date
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Foundation No.
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Date of Drilling/Excavation
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Date of Placement
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Drawing No.
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Revision No.
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Mix Design
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Batch Plant Identifier
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Batch Ticket Number(s)
Foundation Details (Remarks, Initial, Date)
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Design Pier Diameter (ft)
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Theoretical Concrete Volume (Yd3)
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Constructed Pier Diameter (ft)
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Length Drilled/ Excavated Soil (ft)
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Depth Rock Encountered (ft)
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Length Drilled/Excavated Rock (ft)
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Cutting Match Boring Log (Y or N) If No, Describe
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Actual Concrete Volume (Yd3)
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Field Added Admixtures (Type & Quantity)
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Sheer Key Installed (Y or N) If Yes, Note Elevation
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Earth Grade Elevation (ft)
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Top of Concrete (TOC) Elevation (ft)
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Total Pier Length (ft)
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Causing Utilized___Temp___Permanent (LF)
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Method of Construction (Wet/Dry, Dewatering req'd, Slurry type, etc.)
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Reinforcing Steel
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Vertical#___@___
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Splice Installed (Y or N), If Yes, Note Elevation
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Ties #___@___
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T1
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T2
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T3
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Anchor Bolts
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Anchor Bolt Orientation Confirmed w/Plans (Y or N)
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Anchor Bolt Projection (in)
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Additional Comments
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Subcontractor (Company)
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Subcontractor (Signature)
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Subcontractor (Date)
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Contractor (Company)
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Contractor (Signature)
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Contractor (Date)
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Owner Rep/Testing/Inspector (Company)
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Owner Rep/Testing/Inspector (Signature)
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Owner Rep/Testing/Inspector (Date)
