·TESTING

DSA File No.:

·INSPECTION

DSA Appl. No.:

·ENGINEERING

LEA No.: OSHPD #:

Fireproofing Daily Field Report Project Name Project Location CTS Representative

Job No.

Date

Reported to 1 with 2 at 3 . Assignment cancelled by 4 due to 5 . Fireproofing Observed the application of Sprayed Fire-Resistive Material 10 . Brand 11 . Type 12 , being applied by 13 . Checked material for proper identification and storage 14 . Checked condition of substrate for compliance to manufacturers recommendations 15 . Performed thickness tests 16 , per ASTM E605 17 on 25% of the structural frame member 19 , columns 20 , beams 21 , girders 22 , 10% of the other than structural frame beams and each floor 23 . Floor sections 24 at the following location(s): 25 . Thickness test results are attached 26 . Observed condition of finished application for workmanship & specification compliance at the following location(s) 27 . Verified corrective measures have been applied to areas requiring re-spraying or patching 28 at the following location(s) 29 . Sampled fireproofing for density tests 30 . Size: 6" x 8" 31 , 4" x 12" 32 , (other) 33 , from the following location(s) 34 . (__#__) Samples obtained. Conformance Statement Noncompliance conditions noted were brought to the attention of 35 for corrective action. Work observed was to the best of my knowledge in conformance with approved plans, specifications and applicable standards of workmanship 36 , with the exception(s) of 37 , as follows 38 , contained in the attached noncompliance report(s) 39 .

(___) Work

was

was not inspected and sampled in accordance with DSA-approved plans and specifications.

(___) Work

was

was not inspected and sampled in accordance with OSPHD-approved plans and specifications.

Inspector Signature

Date

·TESTING

DSA File No.:

·INSPECTION

DSA Appl. No.:

·ENGINEERING

LEA No.: OSHPD #:

Fireproofing Thickness Data Sheet Project Name

Job No.

Date

Project Location CTS Representative

Member Type Columns

2 sets of 12

Beams

2 sets of 9

Joists (Trusses)

2 sets of 7

Decks

1 set of 4

*Recording all readings in 1/16"

Structure Type

Floor

Location

1

2

3

4

5

6

7

8

9

10

11

12

Avg. Spec. Thick (in) Thick (in)

*Tests performed in accordance with ASTM E605

(___) Work

was

was not inspected and sampled in accordance with DSA-approved plans and specifications.

(___) Work

was

was not inspected and sampled in accordance with OSPHD-approved plans and specifications.

CTS Inspector

Date

·TESTING

DSA File No.:

·INSPECTION

DSA Appl. No.:

·ENGINEERING

LEA No.: OSHPD #:

Fireproofing Thickness Data Sheet (continued) Structure Type

Floor

Location

1

2

3

4

5

6

7

8

9

10

11

12

Avg. Spec. Thick (in) Thick (in)

*Tests performed in accordance with ASTM E605

(___) Work

was

was not inspected and sampled in accordance with DSA-approved plans and specifications.

(___) Work

was

was not inspected and sampled in accordance with OSPHD-approved plans and specifications.

CTS Inspector

Date

· TESTING

CONSTRUCTION TESTING SERVICES

· INSPECTION

2174 Rheem Drive Ste A, Pleasanton, CA 94588 Tel (925) 462-5151 | Fax (925) 462-5183

· ENGINEERING

DSA File No.: DSA Appl. No.: LEA No.: OSHPD #:

Fireproofing Field/Lab Density Test Data Project Name:

Job No.

Lab Log No.

Sampled By:

Date:

Manufacturer: Low Density Density Requirements:

Lot #

Type:

Medium Density

High Density

Individual:

min.

Average:

min.

ASTM E605, Method 8.2 Density * Minimum Rectangular Template size of 48 sq. in. (No dimension shall be less than 3 in.) * Sample (1) for each protected element (structure type) per every 10,000 sq. ft. per floor * Obtain entire sample within rectangular template in air-tight bag. Leave paperwork attached with sample. Structure Type

Floor

Location

1

2

4

3

5

6

7

Calculated In-Lab 8

9

10

11

12

Avg. Template Template Width Thickness Length (in) (in) (in)

Dry Weight (lbs)

Test performed in accordance with CBC Section 1701.10.3/4 and ASTM E605.8.2 Average Density: ASTM E605, Method 8.3 Displacement *Alternative method to 8.2 for irregular surfaces or dimensions or for specimens that are difficult to remove from substrate *Minimum sample size 8 in3. Leave copy of test data attached with sample. Calculated In-Lab Structure Type

Location

Floor

3

Volume (cm )

Dry Weight (g)

Density (pcf)

Test performed in accordance with CBC Section 1701.10.3/4 and ASTM E605.8.3 Average Density: REMARKS:

(___) Work

was

was not inspected and sampled in accordance with DSA-approved plans and specifications.

(___) Work

was

was not inspected and sampled in accordance with OSPHD-approved plans and specifications.

CTS Inspector

Date

Density (pcf)

Testing Inspection Engineering

FIREPROOFING BOND TEST (COHESION & ADHESION) Project Name

Job No.

Date

Location

Client

Inspector(s)

Permit or OSHPD

Cohesion/Adhesion of SFRM Applied to Structural Members (ASTM E 736) Diameter of Cap (in) 3.3 Area of Cap (ft^2)

Structure

Grid Location

Bond Strength Requirement

2 0.059 Area = πd /4/144

Floor

F

F/Area

Force (lb)

Cohesion / Adhesion (psf)

Type of Failure Cohesive or Adhesive

Cohesive Failure, if separation occurred within the material Adhesive Failure, if separation occurred at the interface of the substrate and the SFRM

Notes:

Reviewed by Brad Quon, PE

psf

Date

Senior Engineer

2174 Rheem Drive, Suite A, Pleasanton, CA 94588 | (928) 462-5151 office | (925) 462-5183 fax 4770 Duckhorn Drive, Sacramento, CA 95834 | (916) 419-4747 office | (916) 419-4774 fax

Approximate Area of material involved in failure

Comments