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Dispatch Request
eReports
Dispatch Request Form
If using this form within 24 hours of your inspection a call is required to dispatch (925.314.7100). If you wish to cancel or modify a submitted dispatch call (925.314.7100).
Cel Project Number and/or Name:
*
Site Location:
*
Site Contact:
*
Site Contact Number:
*
Email Address:
*
Start Day/Date Requested:
*
End Day/Date Requested:
Start Time:
*
Duration:
*
2 Hours
4 Hours
6 Hours
8 Hours
Epoxy And/Or Anchor Installation
Installation Type:
Epoxy Installation
Anchor Installation
Will we also be checking reinforcing:
Yes
No
Reinforcing for Concrete
Reinforcing for Shotcrete
Reinforcing for Masonry
Will you also need torque or pull-testing:
Yes
No
Sizes
Values
Torque:
Pull-Test:
Is there a batch plante requirement:
Yes
No
Batch plant name & location:
Mix design number:
Full time batch plant inspection
Follow first truck to site
Special Requirements: ie: crows feet required, etc
Proofloading
Torque Testing:
Sizes
Values
Special Requirements: ie: crows feet required, etc.
Pull-Test:
Sizes
Values
Type:
Reinforcing
Threaded Rod
Reinforcing:
Straight
Hooked
N/A
Special Requirements:
Reinforcing Inspection
Concrete:
Yes
No
What are you pouring:
ie: slab, walls, footing, etc.
Batch Plant name & extension:
Shotcrete:
Yes
No
Is there a DSA requirement:
Yes
No
Masonry:
Yes
No
Is there a DSA requirement:
Yes
No
Is this an off-site pour:
Yes
No
Offsite Name & Location:
Post-Tension Concrete (P/T)
Reinforcing/Cable placement inspection:
Yes
No
PT Pour:
Yes
No
Yardage:
Special requirements: ie early pickups and/or breaks
PT Stressing:
Yes
No
Is this an off-site pour:
Yes
No
Offsite Name & Location:
Is there a batch plant requirement:
Yes
No
Batch plant name & location:
Mix design number:
Full time batch plant inspection
Follow first truck to site
Does your project have a Cal-Trans requirement:
Yes
No
Concrete
Total Yardage:
What are you pouring:
ie: slab, walls, footing, etc.
Is this an off-site pour:
Yes
No
Offsite Name & Location:
Is there a batch plant requirement:
Yes
No
Batch plant name & location:
Mix design number:
Full time batch plant inspection
Follow first truck to site
Does your project have a Cal-Trans requirement:
Yes
No
Special requirements: ie: air testing, extra cylinders, field curing, early breaks, etc.
Shotcrete
Total Yardage:
Is there a batch plant requirement:
Yes
No
Batch plant name & location:
Mix design number:
Full time batch plant inspection
Follow first truck to site
Is this for a shotcrete pre-production panel:
Yes
No
How many nozzlemen are you certifying:
Is this an off-site pour:
Yes
No
Offsite name & location
Does your project have a DSA requirement:
Yes
No
Special requirements:
DSA Masonry / Shotcrete
Is there a batch plant requirement:
Yes
No
Batch plant name and location:
Mix design number:
Full time batch plant inspection
Follow first truck to site
Total Yardage:
Special requirements:
Non-Shrink Grout
How many sets required:
Special requirements:
Fireproofing
Thickness and density:
Yes
No
Adhesion:
Yes
No
Cohesion:
Yes
No
Intumescent:
Over 200 ml
200 ml & Under
Special requirements:
Nailing Inspection
Type: ie shearwall, roof, etc.
Glue:
Yes
No
Special requirements: ie: types hold down, straps
Welding
Field welding:
Type of welds: ie: fillets, partial pens, full pens, flare bevels, etc.
If fillets:
Over 5/16''
5/16'' and Under
UT and/or MAG testing required:
Special requirements:
Shop welding:
Name and Address:
Type of welds: ie: fillets, partial pens, full pens, flare bevels, etc.
If fillets:
Over 5/16''
Under 5/16''
UT and/or MAG testing required:
Special requirements:
High Strength Bolting
Visual: ie: TC Snap-offs, etc.
Skidmore:
Yes
No
Bolt size:
Bolt length:
Torque:
Sizes
Values
Special requirements:
Soil Compaction
Type of soil: ie: Native, AGG Base, Class II, etc.
Has a curve/proctor been run:
Yes
No
Is there a cal-trans requirement:
Yes
No
Special requirements:
Asphalt / AC Paving
Paving location:
Is there a batch plant requirement:
Yes
No
Batch plant name & location:
Mix design number:
Full time batch plant inspection
Follow first truck to site
Batch plant: ie: grab sample, etc.
Does your project have a cal-trans requirement:
Yes
No
Total tonnage:
Also send me a copy
*
Required
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