240607_20240604_ABIAdhesive_0000000608_OIPost Installed Anchor Inspection - Adhesive Anchors
Client:
Project:
Technician:
Date:
Weather:
Hunt Companies Inc.
McDonald's - Queensbury, NY - Exit 18
Partly Cloudy
Tuesday, June 4, 2024
Gerald Premus, P.E.
Client Rep.:Tyler Parrish
Temperature: AM 80-90 °F70-80 °F PM
Arrival Time:
3:15 PM
10:45 AM
Project Number:
Contractor:
Contractor Rep.:
240607
Hunt Companies
Tyler Parrish
Page 1 of 2
Departure Time:
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
General Location of Work:
McDonalds, Queensbury, NY, store renovation.
Adhesive & Base Material Information
Adhesive Base Material
Manufacturer Product Lot No.Exp. Date Adh. Temp.Material
Type
Material
Strength
Material
Thickness
Material
Temperature
Simpson-
Strongtie SET-3G 1000430543 2026-03-04 NA Concrete Unknown Unknown 65 deg F
Anchoring Element
Type Material Grade Coating Length Diameter
All-Thread Appears Carbon Steel Unknown None Unknown 1-1/2”
Comments
Anchor hole drilling and cleaning, and adhesive and anchor installation was not witnessed by Inspector; adhesive manufacturer and product identified by spent
cartridges.
Anchor bolt tightening witnessed, and verified by Inspector with 2’ long wrench.
Drawing Reference: Core States Group, structural, S1.0, dated 2023 0425; not marked by Reviewer.
END OF COMMENTS RECORD
Technician Signature:Date:Tuesday, June 4, 2024
Outstanding Items
Anchor hole drilling and cleaning, and adhesive and anchor installation was not witnessed by Inspector; adhesive manufacturer and product identified by spent
cartridges.
END OF OUTSTANDING ITEMS RECORD
Hole Drilling & Cleaning
Hole Condition Cleaning Methods
Bit
Diameter
Bit
Type
Hole
Depth Dr
y
Sa
t
u
r
a
t
e
d
Wa
t
e
r
F
i
l
l
e
d
Un
d
e
r
W
a
t
e
r
Co
m
p
r
e
s
s
e
d
Ai
r
Ha
n
d
P
u
m
p
Va
c
u
u
m
Br
u
s
h
Ot
h
e
r
Cleaned in
Accordance with
Manufacturer
Instruction?
Unknown Other (see
comments)Unknown X
Anchor Installation
Location of Anchor(s) Observed Edge Dist.
(when <2hₑᵣ)
Spacing
(when <4hₑᵣ)
Installer
Name
Installer
Certification #
Installed in Accordance with
Manufactuer Instruction?
Base of X-Brace Retrofit 6”Unknown Unknown
ATC-ABI-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.
Post Installed Anchor Inspection - Adhesive Anchors
Client:
Project:
Technician:
Date:
Weather:
Hunt Companies Inc.
McDonald's - Queensbury, NY - Exit 18
Partly Cloudy
Tuesday, June 4, 2024
Gerald Premus, P.E.
Client Rep.:Tyler Parrish
Temperature: AM 80-90 °F70-80 °F PM
Arrival Time:
3:15 PM
10:45 AM
Project Number:
Contractor:
Contractor Rep.:
240607
Hunt Companies
Tyler Parrish
Page 2 of 2
Departure Time:
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: Chris Brower, P.E.
ATC-ABI-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.