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Steve Montgomery
SCM INSPECTIONS?POW/Oe�?
626) 825-6393
4088 Lively St. Riverside, CA 92505
thelastmonkl@gmail.com r Ae
Registered Inspector's Daily Report Date: 1 9
Type of ❑ Welding
Inspection ❑ High -Strength Bolting
Required.Proofiin
❑ Fire
❑
❑
Reinforced Concrete
Post -Tensioned Concrete
Reinforced Masonry
❑ Shotcrete
`® Epoxy
❑ Other
a
Project:
Project #:
Permit:
X:Pj -3
Address es
3
Jurisdiction: \
i
Type of Structure:
Architect:
Material Description:
Engineer:
Type:
Contractor:
Inspector:
Subcontractor:
Tests Performed
Type of Sample
Slump
Quantity
Additional Information:
Inspection Summary:44
C
W46 S
CtJ
S 3 G-
117111zi
I hereby cediy that I have inspected to the best of my knowledge all of
the above reported work unless otherwise noted. I have found this work
to comply with approved plans, specifications and applicable sections
of the governing building laws.
Steve Montgomery
Certification Number Agency
TIME IN I TIME OUT REG. HRS III O.T. HRS
All inspections based on a mi imum of 4 hours and over
4 hours - 8 hour minimum. In addition, any inspection
extending past noon hour will be an 8 hour minimum.
Approved
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Report of Special Inspection
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