Title Page
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Concrete Placement Sign Off:
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Client / Site
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Job Number:
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Conducted on
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Prepared by
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Pour Description
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Pour Location
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Number of Cubic Yards;
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Specified Concrete;
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Attendees
Concrete Placement
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Have all dimension been checked against the contract drawings and RFI's that pertain to this area?
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Has all rebar and wire mesh been checked against shop drawings?
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Have adequate supports (wire chairs) been installed so that rebar and wire mesh remain in position during the pour?
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Is the vapor barrier installed correctly and meet the proper mil thickness
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Have anchor bolts been checked for proper placement?
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Are forms and rebar/mesh clean and free of debris/rust/scaling ?
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Are all electrical floor boxes set?
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Has the elevations of all electrical conduits and plumbing lines been verified as (not to high in the pour) ?
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Floor drains all set and at the proper elevations and locations.
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Are there any sleeves, recesses or misc embeds that need to be placed?
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Is the perimeter insulation installed at the proper locations.
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Has expansion material been placed at all the specified locations.
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Is the correct concrete mix design being supplied for the area being poured?
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Pictures
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Acceptance Signatures:
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Signature
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Signature
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Signature
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Signature
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Signature
