Information
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Document No.
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Conducted on
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Prepared by
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Location
Personnel
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Weather Conditions
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Foreman
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Subcontractor
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Installers
Location
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Elevation
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Grid Lines
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Floor
Joint Sealants
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Manufacturer and Product Name
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Primer (if applicable)
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Backer Rod
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Take a picture of the Backer Rod.
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Sealant Color, provide picture.
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Joint Cleaning, provide picture
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Substrate, provide picture
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Mock up performed, provide picture
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Adhesion Test, provide picture
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Manufacturer Letter
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Curing Compound Present?
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Concrete Ad-Mix Present?
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Form Release Present?
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Installation Date
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Installers initials
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Pull Test Date
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Pull Test Location, provide picture
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Elevation, provide picture
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Level
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Primer Y or N
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Good Adhesion Y or N
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Elongation mm
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% Elongation
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Acceptable Joint
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Profile (Y / N)
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Depth to Width, provide picture
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Retain Sample
Water Repelent
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Substrate
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Substrate, provide picture (all sealants and flashing installed? masonry cleaned?)
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Test provide picture (prior to install)
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Manufacturer and Product Name
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Cover Rate provide pictures.
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Total product installed (gal.) provide pictures
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Test provide pictures (after install)