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TR1: Technical Report Statement of Responsibility

TR1: Technical Report Statement of Responsibility This form must be typewritten TR1 August 2016 House No(s) Street Name Work on Floor(s) 1 Location Information Required for all applications. 3 Special Inspection Categories Required for all applications, continued on page 2; indicates Report required. 3A Identification of Requirement 3B Identification of Responsibilities 3C Certificate of Complete Inspections / Tests 3D Withdraw Responsibilities Y N Special Inspections Code/Section Initial & Date Initial & Date Initial & Date Structural Steel Welding BC Structural Steel Details BC Structural Steel High Strength Bolting BC Structural Cold-Formed Steel BC concrete Cast-In-Place BC concrete Precast BC concrete Prestressed BC Masonry BC Wood Installation of High-Load Diaphragms BC Wood Installation of Metal-Plate-Connected

Concrete Sampling and Testing TR2 BC 1905.6 BC 1913.10 Submit TR2 to complete this item Post-installed Anchors (BB# 2014-018, 2014-019) Name (please print) Signature Date P.E. / R.A. Seal (apply seal, then sign and date over seal) 5 ...

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  Testing, Concrete, Sampling, Concrete sampling and testing

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