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231736_20240222_CFI_0000233423Client: Project: Technician: Date: Weather: 1471 ST RT 9 LLC 1471 ST RT 9, Lake George NY Partly Cloudy Thursday, February 22, 2024 Brian Sweet Client Rep.:Russ Faden Temperature: AM 32-40 °FPM Arrival Time: 3:45 PM 1:00 PM Project Number: Contractor: Contractor Rep.: 231736 J D Boucher Concrete Jeff Boucher 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: Reed Wolfe-Wawrzynek Mix Details Supplier Strength Cylinder Type Initial Curing Method Mix Design Pallette Stone Corp, Saratoga Springs 3000 PSI @ 28 Days 4 x 8 Cylinder Curing Box 35000 Project Specifications (On File At Advance Testing Company) Structure Type Slump Slump w/MRWR Slump w/HRWR Air Content Unit Weight Mix Temp Maximum Mix Time Footings 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 4908 15602 8 8 1:47 PM 2:38 PM 2:48 PM 3:22 PM 4.75 in.7.6 %60 °F 38 °F 6 West interior spread footings (5) - Placed from North to South 2 4904 15603 8 16 2:13 PM 2:51 PM 3:22 PM 3:43 PM East interior Spread footings (5) - Placed North to South All tests within specifications. Load 1 exceeded the recommended 90 minute maximum mixing time, temperatures were monitored and were consistent with the original temperatures measured. General Location of Work: Building interior spread footings Technician Signature:Date:Thursday, February 22, 2024 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.