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Professional Service Industries, Inc. <br />6032 N. Cutter Circle, Suite 480 <br />Portland, OR 97217 <br />CCB No. 176269 <br />Phone: (503) 289-1778 <br />Fax: (503) 289-1918 <br /> <br />Report No: SIDF:0702623-49/1 <br />Special Inspection Daily Field Report <br />Issue No:1 <br /> <br />DREW WILDER, ERIC <br />Client: CC: <br />COLUMBIA HELICOPTERS INC <br />These test results apply only to the specific locations and materials noted and <br />may not represent any other locations or elevations. This report may not be <br />HOLMGREN, JIM <br />14452 AMDT RD <br /> <br />reproduced, except in full, without written permission by Professional Service <br />TRUSSELL, NICK <br /> <br />Industries, Inc. <br />SHUR, RICK <br />AURORA, OR 97002 <br /> <br />TERRIER, STEVE ., <br /> <br />STEVE ENTENMAN <br />Project: <br />COL. HELICOPTER P714 TEST CELL <br /> <br />Approved Signatory: John Eakman (Project Manager) <br />AURORA OR <br />Date of Issue: 8/30/2011 <br /> <br />Date: General Contractor: <br />8/25/2011 Centrex <br />Permits: Weather: <br />11-02265 Clear <br />Type of Inspection Performed <br /> <br />Reinforced Concrete Structural Masonry High Strength Bolting Fireproofing New InspectionRe-Inspection <br /> <br />Reinforcing Steel Soils Welding Other Standby Time: <br />Field Observations & Comments <br />Special Inspection Continuous Periodic <br /> <br />Location(s)/Item(s): <br />Grid line 1.1/D-E <br />Referenced Details/Drawings: <br />201103-10 <br />Remarks: <br /> <br />wledge, the work inspected to the approved construction documents are: <br />Conforming Non-Conforming <br /> <br />Inspector: Inspector Cert No.: <br />David Schmutzler 5003288 <br />Jobsite Representative: <br /> <br /> <br /> <br />Page 1of 1 <br /> <br />