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231736_20231222_CFI_0000232947Client: Project: Technician: Date: Weather: 1471 ST RT 9 LLC 1471 ST RT 9, Lake George NY Clear Friday, December 22, 2023 Tyler Michaud Client Rep.:Russ Faden Temperature: AM 20-32 °F10-20 °F PM Arrival Time: 9:30 AM 7:30 AM Project Number: Contractor: Contractor Rep.: 231736 Boucher Russ Faden Departure Time: Concrete Field Report (ASTM C31, C143, C231 or C173, C1064, C138; AASHTO T23, T119, T152 or T196, T309, T121)Page 1 of 1 3348 Route 208, Campbell Hall, NY 10916 ■ Phone: 845-496-1600 ■ Fax: 845-496-1398 12960 Commerce Lake Dr #14, Ft Myers, FL 33913 ■ Phone: 239-204-4569 1813 State Route 7, Harpursville, NY 13787 ■ Phone: 607-235-2006 877 US-4, Schuylerville, NY 12871 ■ Phone: 518-372-4067 Report Reviewed By: Jack Harrison Mix Details Supplier Strength Cylinder Type Initial Curing Method Mix Design Pallette Stone Corp, Saratoga Springs 3500 PSI @ 28 Days 4 x 8 Cylinder Curing Box 3500 Project Specifications (Available Via Drawings On Site) Structure Type Slump Slump w/MRWR Slump w/HRWR Air Content Unit Weight Mix Temp Maximum Mix Time Footings 6.00 in. max 4.0 - 7.0 % Placement Information Load Num. Truck Num. Ticket Num. Cubic Yards Total Yards Time Loaded Time Arrived Time Discharged Time Completed Slump Air Content Unit Weight Mix Temp Air Temp H20 Added Num Cyls Location 1 4912 14969 11 11 7:13 AM 8:00 AM 8:10 AM 8:30 AM 5.00 in.5.0 %65 °F 15 °F 6 Half of South footing and all of East Footing 2 4913 14970 11 22 7:45 AM 8:20 AM 8:35 AM 9:05 AM North Footing 3 4525 14973 10 32 8:09 AM 8:50 AM 9:05 AM 9:30 AM West Footing and remaining half of South Footing. Batch tickets were not available for review. All tests within specifications. Comments Mid Range Water-Reducer and 2% Non Chloride was added into the mix. General Location of Work: All Footings Technician Signature:Date:Friday, December 22, 2023 ACT-CFI-1, Rev 2, 10/13/20The results identified in this report relate only to the items sampled/tested. No representation is made that materials or items not sampled and tested will produce the same or similar results. This report shall not be reproduced, except in full, without the prior written approval of Advance Testing Company.