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331815 10/30/18
`�u���p''" CITY OF CARMEL, INDIANA VENDOR: 361862 ONE CIVIC SQUARE PATRIOT ENGINEERING &ENVIRONMECK AMOUNT: $*****5,203.75* s•_ /aa:. CARMEL, INDIANA 46032 INDIANAPOLIS1E.75TSTREET CHECK NUMBER: 331815 °+:,;roN CHECK DATE: 10/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350900 107021 5,203.75 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 361862 PATRIOT ENGINEERING & ENVIRONMENTAL IN SUM OF$ CITY OF CARMEL 6150 E. 75TH STREET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46250 Payee , $5,203.75 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 107021 43-509.00 $5,203.75 1 hereby certify that the attached invoice(s),or 10/24/18 107021 New Building $5,203.75 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, October 24,2018 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Patriot Engineering And Environmental,Inc. 6150 E.75th Street Indianapolis, IN 46250 317-576-8058 Brookshire Golf Club Invoice number 107021 Bob Higgins Date 10/24/2018 12120 Brookshire Pkwy Carmel, IN 46033 Project 18-0546-01C Brookshire Golf Clubhouse Materials Testing PM Kevin Agostino For Professional Services provided through 09/30/2018. Construction Materials Testing Billed Hours Rate Amount Data Processing 8.50 50.00 425.00 Division Manager 0.75 140.00 105.00 Sr Eng Tech 1 27.00 33.00 891.00 Sr Eng Tech I-OT 5.50 49.50 272.25 Sr Eng Tech II 25.50 43.00 1,096.50 Senior Project Manager 8.25 120.00 990.00 Field Operations Manager 4.25 90.00 382.50 Project Manager 0.25 90.00 22.50 Subtotal 80.00 4,184.75 Billed Units Rate Amount Asphalt Nuclear Density Gauge ASTM D- 2.00 90.00 180.00 6938 Nuclear Density Gauge ASTM D-6938 2.00 90.00 180.00 Miles 260.00 0.65 169.00 Concrete Cylinders ASTM C-39 35.00 14.00 490.00 Subtotal 1,019.00 Invoice total 5,203.75 Brookshire Golf Club Invoice number 107021 Invoice date 10/24/2018 Page 1 of 2 Brookshire Golf Club Invoice number 107021 Project 18-0546-01C Brookshire Golf Clubhouse Materials Testing Date 10/24/2018 Interest charges of 1 1/2%per month will be applied to invoices not paid within 30 days. For information regarding this invoice,please contact Susan C.Alexander at 317-558-5034, salexander@patrioteng.com. Thank you. We appreciate your business! Brookshire Golf Club Invoice number 107021 Invoice date 10/24/2018 Page 2 of 2 Home Patriot Engineering&Environmental,Inc. Client Charge Slip _ -77-7771 _ , Project lD BDescripaon717 Phase ID&Description ��Status Client EmpbyeeType Date �'r Hou Notes FJn{doyee •�-""`— ^m 4 >-a' ra-^- I `r-*-- ----T' """-s�-----•--^r 2200 t .z .�18-0548-01C Brookshire GolfCWbhouse MatenaS Testing " a ii e Basic Services Englneedrig Semces �-oil r: "--Billable - BrookshlreGoff Club "- Senior Project Manager 7rJ02018 3 200 Report 3»n- .. Billable Brookshire Golf Club -.. _t»�.: .._._.. .SeNor Project Manager 8€82018 025 Concrete Break Repats'Renew Caston72S18 ~ .Billable a Brookshire GolfClub� - Senior Project Manager �8rJ02018»;- < µ'.1.S0 Concrete Break Resul6Casto'8-22-18/RepoR#4. •_:, 7 Charles 6cheuennann Billable` -' Brookshire Golf Club - Division Manager- Brd0rt018, "f'0.75 Report 04 .Christopher Rodgers.. 026, - Billable.. Brookshire Golf Club .. .. Project Manager &122018;: 025Conpresslve Strength Revievr"9set cast 827!18 " -Emlly ".Billable Brookshlre Golf Club -:. ,Data Processing 812018- 0,75 M - ornpresshre Strength Reporting/Vistd, n Concrete Data _ .., z- ".,-. ", anagement-parser castx 1(0725) .) - € � Cortpre$s=Ne Strength RepoNnglDlstribuhon 8 Concrete Data Billable Brookshire Golf Club 4 Data Procesarg 8292018 . 150 Management-per set Fast z2(0822 Y _...� ._ `r- &liableBrooksnire Galt Club` Data.Processing 9/32018`" `'0.75 Compressive Slrengtir_Repo08W), glDistributlonBQoncrete Data, Management-per set cast xt 827) - €BlOable Brookshire Golf Club Dake Procesarg &132018 075 Conpressrve Strength.RepofinglD tnbuhonBConcrete Data �I + Marc�gement-parser castxl(0827) _ Billable Brookshire Golf Club^ Data Processing rr 9272018 - :0.75 Compressive:Strength ReporGngrDlsMbuhon&Concrete Data Maregemerit-persetcastx 1(0920), , t - Compressive Strength ReportngrDIs(ribuhon 8.Concrete Data r 'BI able Brookshire Golf Club Data Processdng` a 9282018,',. 0.75 Marmgament-persel castzl(0921) ., vJoshuaAgee _"" -•»mr- -�^-r-.'-,---'.� "€-•�—m-^—„_"""” 450+ - Billable Brookshne601f ub Sehlor Pro ct Men er 7!302018 400 Report 03 , --Billable _� YBrookshl{e Goff Clubi "SeNor Project Manager, 8l12D78' OSO Concrete report review(!set grout.l set concrete cast 720) 77 •f(ewtn MaNrem Billable - Brookshire Gott Club "-Flekl Operations Manager - - 7A02018', ;029-�30am FDTBSRe Otservehars Mike Bledsoe 317-010.12705hie1 .. ,. - , - .,. -. _ .."„ _ .- .., Benton 727340pm r 1 30pnt Gohcrete cr0yds Mike Bledsoe 317.410.1270 SHeI Sexton S S off Club .' Feb Operations Manager- 822018 '025 8-1 20am Billable BroakshireG ,Billable V 4TM Brookshlre Golf Club N Feld Operations Manager;'µ'. 832018:, ,. .?025 4:00*Concra199 CA Pickup 17 Billable Brookshire Golt Club -.. Feld Operations Manager -c 8/142018. 025 830am FDT More Bledsoe 31710-1270 ShaI Benton&10142pm :OOam Concrete-15Wds SOG(CONCPHM CANCELLED)+ " Billable' Brookshire GolfClutil - .Feld Operations Manager 81152018'' ,. '025'FDTAfter Concrete.Pour Mike Bleds"oe:317410-1270 Shea Sexton"-i - _ _ 7 DOam Concrete 150yds Basement WOG CANCELLED TECH i ( Billable Brookshlre Goll Club Fell Operahons Manager 8212018. - 025 ON SITE Mks Bledsoe 317410.1270 Shiel Sextan B-1t16 OSam L ._-; .�........Biteable Brookshire <._. .., .M w s u-,», _ ,_. T.3 , -50yds .-..GM*ike Bled- .... - Golf Club , 'FleklO retioneManager - 827lt018 025 7:30am Cencrete'-150yds BasementSOG Mike Bledsoe {, " _ _ - 317-410-IlV Steel Sexton 8-21540am ly Billable : Brookshire GoffClub r Flail Opeahons Man agar 8272018 025 Scheduling Concrete t llable-` Brookshire Gott Club 'Feld Operations Manager 9202018_,1 025 1230pm Concrete-Retaining Wall-<50yds Mike Bledsoe t .., _ "." - - 317-410.1270 SNel Sexton 9-198,33am I'Billeble "' Brookshlra Golf Club '" Flekl Opeahons Manager 9212018.:` ,.1,00 11 OOam Concrete+Cyr Prckup cast 9-20lry IXana C.SAME DAY as Z - s :. .... SERVICE Bill able- - Brookshire GOlfClub Field Operations Manager - 9272018 µ.1:_,W ASAP FDT-SAME DAY SERVICE Mike Bledsoe 317-010.1270 Shrel Sexton 9 27718am Susan Alexander - a :,.315 Billable Brooks hire Golf Club Data Processing; 8112018: 025 clatarnanagernent z Bltiable r Brookshire Golf Club '. Dai Processing 882018 , 050 Dishtbution of report03 Billable- Brookshire Goff Club •.Data Prooessng 81182018 "025 data management ' u 4 -" - 4 Billab el - Brookshire Goff Club J r -Data Processing '`,• &182018 025 data managemeN � Billable BrookshireGolfClub Data Processing? 8202018; ,` 025-datamanegemerd r'� "`Bdleble Brookshire Galt Club Data Procesan0 8232018 .050 Exec sum D3forPM renew r -,., BJlableBrookshireGoffClub ::-Data Processing 8272018, 4025 datamanagemeN - -� Billable �Brookshlre Golf Club ,Data Processing'. 8/-412018; 050 DisMbutlon at sport :.._..__-...:.e...r....__...._n..::_.w_..,,,. _.;_........,,.s.......: .........�.: ...,_,_..:,.�.._.,.....,.sin..-N-c_,......,.._,..x,..t.__...r ._..__.._�»,,:,, ,v...,.,..,.. .,.`_,.-_ �.a ,... "- .. i ". "• _ 'Billable Brookshlre Golf Club,. ,.Daha Ptocessirq - 9192018 sl -.025 dela nenagernert t i - �.s ?_Bltieble�A-, B�rookshira Oolt Club -Data Processing - 9272018 025 datamanagemeN I.-»._..._.........__�._..k.y._a_, ._... ,_.,W,,.,.�....w....u.._,�.,-. ..........ter-.,._._...,w... _,...x,_,..-. ... Page 1 of 1 Monday,October 22,2018 9:00:26 AM PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Patriot Rep , Diana L. Crenshaw Project Info 18-0546-01 C: Brookshire Clubhouse Date a Thursday,August 2,2018 Client .,:Brookshire GolfeClub, `�"' ':`Weather,:-;:. . ;iSunny, breezy, humid, mild,82 Location Carmel. Patriot;PM"� JA/CS TIME&MILEAGE!-EAGE!-, . _ . ; ' .' ,w ;Time(firs); Mileage.(miles) Briefing Time; l imeao Site , start' End 0,25 Mies to site 10 On..-Slte "'use 00:00AM/PMor 4:30 PM S:OO PM 3.50 Lunch/Off site military rime forma!► 0.00 Time to Office 0.25 Mues to office:` 10 LogiNReporting Time: .Total Ho"urs Workedl,Total Mileage Totafhours ►-3 4.00 `.".Total miles ► I 20 `Please check a//app//cable fie/ds r--— # #;of Proctor Samples ' 'Gradation Samples'', #of Soil I Class #of Cylsrror`.Beams :.',I #of Cubes ' #.of Grout Pnsms.' y a #of Block.Pnsrims: #of'Ex/Grad'Samples; #'°of F'P. Density, Cast`Dafe of Sample ` Compressive Strength ; X #of Sets of Cyls,'' ;;j 1 Total#of Cyls F 5 Z,. Flexural Strength: #of Sets of Beams . .I Tota l.#'of Beams,"i BatchiPlant'Insp " Pre-Cast Plant Insp.",: FF/FL.Testmg Swiss Hammer Windsor Probe #of.Probes j Grout Pnsrns 0,6f Sets of Prisms - , Total#.oUFnsms ,. v,•,s Mortar/Grout Cubes #.of,Sets�of Cubes :. Total '#r of Cubes. "', Z Batch'Plant'lri1 Special=lnsp =:.I Other Proof R0iI Insp �� Footing Insp Nuke FDT = _ yPileanspection, Loatl Test Other, Concrete, '` <, Asphalt Masonry, o Coring Rig- Generator No of Cores Hammer Drill - i Penetrations Patched Iijches;Co"red. �vw w Fit:Up ; Bolting:lnspection VsuaflNeld Insp ,Mag :PaificI'd i Liquid Pen`. . ' I ? MoistureEmissiofi : Cn� � Resteel Insp ,Fireproofing Thick ,, i Pull.out Testing Adhesion/Cohesion ,'j Paint Thickness;. .. Loose Lift,Thickness .. ._ ; Temperature"G'un." _j Asphalt Nuke;Density Client App{royal f Date % a 8/2/2 18 3 ,comment$ j I have reviewed the General Site Safety Hazard Analysis Checklist for project PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Project Info -1 18-0546-OIC: Brookshire Golf Clubhouse Materials Patriot Rep,.',: Randy Sanders ,". Testing Date,:, i Friday,August 3,2018 A Client ::Brookshire.;',:Brocikshird',Golf�,,CQurge, Weather.:' Partly Cloudy 85 Location rme I W 3AI. CS Mileage`fleageJrbile's):, TIME'&--MILEAGETl - Z"',"�: Briefing start" 25 �o site: 10 0. Time to8fte'�,�: nd,.: ,.,u -00.�QO AA41PM br 3:30 PM 5:45 PM 2.25 se 'Tilitary fte'tormat 1�, Lunch/Off-site;, 0.00 Time't.o Office0.25 es to Officer 10 ," Mil L-ogih/Repoftin me 1.00 g7i 1 1 Total'Hours',,Wor�qdIT6tal��'Mileage-' Total hours 10',,i 3.75 Totatmiles 0- 20 ✓ Please check all applicable fields 0ofP'r'06tor'Samples,,' 4.,Or6d6fion Samples: #of SoilClass- - � #of-Cyls'or Beams' Cubes ou 0 of Grout 0M k #of"Bl,jckpns,m5 #,6f,E�/Gi -S6mP*S! #off.R Density. dait`Da'ate.of Sample : 'W onipre ss'iVe Strength!l ✓ #of Sets,of Cyls` 1 Total,#of Cyls, A- W W, Flexural— I , - ' - Total,#of!Be4rrs U,. 'Strerigth'� #,of Sots of Beams Z Pre-Cast?Iaht,I6s6;:: I 0 BatcKP[anflnsp... F /FL Testing Swiss Hammer Windsor. �i'L, ,�1P #'Of Tpbei,_', -total#,Pf'P r77Z77 t�pr.iSmS� Prisms. Gr6u of,86ts 0''fPrisms%-J ftubes_` Mbrt.att.brouit 4of S 1ei 'ts'oTotal ffof Cubes l P Elat6h� Ianf]n_s_p,.1. [Spkialinsp.." —.Other':, ' Proof Roil"Insp ' hot14,lnsp.��,' JNuke` FIDT ' P p4ctioW.I ;� I e Load Test, Other ! condree, Asphalt. Masonry': y-. J 1toring,kig- 'Generator Noof,Cores Hammer:Drill._. Peneteations'Pat6hed-1 Inches Cored LUFit Up i Bbltihg'°.Inspection iVisual Weldihk. Mag.Partic e: ift UltrasonicLiquid Pe MoistureEnnissi Emission R e'stebi1nsip�' floithipk p� Adhesion/Cohesion'-=:,! 'Paint-Thickness' Ldose' Lift Thickhesil. _ Gun,"un:7. i Asphalt Nuke Density`{ Client A00rova ............ .. . ........................................................................................................................................ ...................................... Date ;8/3/2018 Comments Y ✓ I have reviewed the General Site Safety Hazard Analysis Checklist for project PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Project 18-0546-01 C: Brookshire Clubhouse Patriot Rep : Diana L.Crenshaw Date Tuesday,August 14,2018 Client: Brookshire-GoIFGIub. Weather.; {Sunny, breezy, humid,mild,82 Location Carmel, Patriob.PM JA/CS TIME&MILEAGE , �Timw(hrs)� Mileage:(miles): Briefing Time' Time .to Site start End F 0.25 Mies to,siie: 10 On'Slte 10:30 AM 2:00 PM 3.50 "*use 00.00 AM/PM oc Lunch/Offsite_ mimeiv ime,format► 0.00 .�._ r i. Miles to Office:•1 10 Time.to Office 0.25 Login/Reporting Time Total HoursWorked/Total Mileage ►. "'T&61.hours °,F 4.00 ; Total jmiles► 20 'Please check all appl/cable fields I #Gradation Sam` #°of'proctof,Samples . .;_.„ ples,? #`of,SoiLClass Y #of'Cyis or`Beams A; #of Cubes , ; #,of Grout;Pnsms. j At .#of Block Prisms; '3 #,of Ex/G�ad:Samples #,Of F P:`Density Cast;Date•ofSample W Compressive Strength #Of,Sets of Cyls' 1 Total#of Cyls Flex'ura'l Strength. �: #of Sets of Beams Total#of Beams: :+� Batch_Plant Insp pre-Cast Plant Insp.`J FF/FL_Te`stmg Swiss;,Hammer Wridsbr.Probe { #'of Probes 1 Grout Prisms #of Sets°of Prisms""i Tot '4 0f Pisms� `y Motar/Grout Cubes' #of Sets',of..Cubes._`' total*of Cubes,`' Batch Piant-Insp'- . 's Special]nip: ( Other, fi Proof Roll lhspFooting``Insp Nuke FDT= X Pileanspection.. ; Load,Test :j Other z Concrete Asphalt Masonry o . Coring Rlgn. Generator a .- No.,of Cores °` Hammer brill Penetrations Patched; Inches,Cored_ w w FitUp v Boltmg'Inspection i Visual UVeld Insp., 3 Ultrasonic ;. .. Mag. Particle.., . JLiqbid Pen. y Resteel Insp ; Fireproofing Thick Moisture'Emission: . Pull°Out Testing Adhesi6h/Cohesion Paint Thickness I � Loose, 'Temperature Gun,.. ..'j Asphalt Nuke.Density'i - - s 'f Client Approval Y' ..................................-....-................... ......- .............................. .....................-.........»...............-...................-...... ...... .. ..... ... .-. Date _,<< . 18/1412018 Commerifs I have reviewed the General Site Safety Hazard Analysis Checklist for project. PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Project Info11 18-0546-01 C: Brookshire Clubhouse Patriot Re`p 's.Abimbola folagbade Date.. Wednesday,August 15,2018 Client - Brookshire golf',course:, -. : = ;,. Weather•:; Location .3. ,.Carmel PatriotRIM ]A/CS• TIME'.&MILEAGE, . ;.,: Tme`R(hrs). Mileage:(miles); Briefing Time Time to Site-,_ start,' `End 0.25 Miles to site:- 10 On=Site `use o0.00ANliPMyor 5:00 AM 8:30 AM 3.50 Lunch/Off site` militaryGme'iormO 0.00 Time to Office 0.25 Miles to Office;. 10 Login/Reporting Time; Total Hours;Worked/Fotal 1Vllleage ._ .°.:,Total hours ► 4.00 Total4miles_►'J 20 Please check all applicable fields of'Procto'r,,Samples ; #Gradaton'Samples. #.�of,Soil Class _9 3 CL Y #of.Cyls ocBeams. ; #of Cubes #of Grout Prisms:., y,L. #,of`Block:P.risms. #of.Ex/Grad Samples! #of F.P..Qensity Gast:Date of Sample.", W Compressive Strength j #of Sets of Cyls Total#of:Cyls 1 l. FlexuraltStrength, #of;Sets of Beams. .: Total#of Beams Batch Plant lnsp;. "i Pre-Cast'Plant In9 sp. FF/FL Testing a Swiss•Ha"m-mer' 1Nindsor Probe :=j #ofiProbes FO,> ' Total#of,Prisms` z Grout Prisms I #of.Sets of Prisms t Mortar/Grout Cubes #of Sets of Cubes ° � Total#of Cubes L Batch Plant-Insp. Special�lnsp. . F Other t Proof Roll Insp. Footiiig_insp. , Nuke FDT : X i o w. P1le.lnspection Load.Test 10thei �` Concrete Asphalt, `+ Masonry { �z. ' V o- Coring.Rig. Generator ; No .of Cores l p " Hammer Drill , Penetrations Patched i Inches'Cored z Bolting;ml,nspectinn .. Visuail WeId:Insp. i Ultrasonic '., . AMag ;Particle Liquid Pen, Resteel Insp Fireproofing Thick . ', Moisture`Emission` ; G5. Pull>.Out Testing ? 2 Adhesion/Cohesion i; Paint Thickness. :' L Loose'Lift.Thickness N 1 Temperature,Gun_ „i AsphaltNukeyDensity:; Client 41tov d " , ............_..............................................................._._................._...................._._....................................................................... ......._ Date ,' 8/15/2018 ` l Comments, j have reviewed the General Site Safety Hazard Analysis Checklist for project PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Protect Info 18-0546-01C: Brookshire Clubhouse Fatnot Rep 'Nick Campi 'Wednesday,August 22,2018 Client :Brookshire Golf=Glub "' : Weather;;, i54-74 and partly cloudy Location '`Carmel ' Patriot PM,':, JA/CS TIME;&MILEAGE Time(hrs)', _ r s.mm M leage:(miles):, . Briefing Time-. Time to Site .,' start - ''-==End 0,25 Mues tosiie 10 On-Site "use 00:00 AM/PM or 7:15 AM 9:45 AM 2.50 Lunch/Off site mlfrrary bme tomar r 0.00 Time.to Office 0.25 Mile's to Office: 10 Login/Rep'ort'ing Time;, . Total Hours`;Worked/Total Mileage , „ :',.' Total,hours► 3.00 ••Total miles;►. j 20 Please check all applicable fields i #of ProctorSam'ple' #Gradation'Sarriplesl #of.Soil Class #'of`Cyls,or;Beams, ", #'of Cubes #of Grout,Pris'ns I a "#-of Block:Pi` m iss_ Edd�ad.Sa j #:of, mples3 #,of,F.P. Density. Cast'Date'ofSample =' Compressive Strengths I X #of Sets,of Cyls• j 2 Totai#of Cyls =M 10 Flexural Strengths #of Sets`of`Beams ,j Total'#of Beams 0 Batch Plantaris Pre-Cast Plant,lrsp .;. tin o i FF/FL.Tes Swiss Hammer :3 1Nindsor,Pr be ,' • -A #of Probes ' Z' Grout Prisms #of Sets of prisms -`.i Total#of.Prisms N`. Moitar/Gro`ut'Cubes #.of Sets'of Cubes Total#of Cubes..: Batch Planf]hsp:'" j Speciaflnsp Other' Proof RolL.lnsp Footing lrisp;. Nuke FDT y; Pileanspection Load.Test., Other• i .Z' Concrete 1 Asphalt,. Masonry o Coring Rig Generator No.of Cores j " Hammer Dri ,ll Penetration`s Patched; Inches Cored W 9Fit Up j Bolting.'Ihspection i Visual Weld Insp: ' „ v� Ultrasonics Mag.-Particle, : �', Llquid'Pen. i Resteel Insp Fireproofing Thick Moisture Emissiori. .f":j ' Pull=Aut.Testmg . ., Adhesion/Cohesion Paint Thickness " . '. Lome tift""Thickness, Temperature•.Gun., ,; Asphalt Nuke.Derisity] Client ApprovalYO ._._..............................................................................._..........................._._........._........................_.........................................._...... Date 18/22/2018 1 Comments , I have reviewed the General Site Safety Hazard Analysis Checklist for project PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 P6'je.66nfo�:',�?]18-0546-01 C: Brookshire Clubhouse Patriot Date 'Re'o: I Diana L. Crenshaw ':" - IThursday,August23,2018 .Client�', �,:,,--.,-'.,Brookshire.,Gblf.,Clubweather Sunny, breezy, humid,mild,82 Location-- ; Patriot P.M: JA/CS• JJ Mileage(milles)' � TIME,&IVIIILIEEAGE,_''.: TJrn Briefing Tirpq., � Time to,site Start' end0.25 Milesto site 10 12:45 PM 1:15 PM 0.50 Oft-Site "use 00:60 AaFM or Lulinch/04-Site"l inili6rvlime&rmat► 0.00 Time,toOffide". 0.25 Miles to Qfflde: 10 Login/Reportin'g`,Time,• 0.50 'J .%: -Tc?tal:Hotirs�lWorkqcllTotplMileage.- 1.50 ,Tq.ta1,Mr#eS,,0 20 `Please check all applIcable fields of1'Pr66t6tS4rnDI4Sss:7,., #;of Soilliqla Grout Prisms.#of Cubes �J m s 10 _JAL',X77777 C -#'of:CyIs'&r'B b`"s of e6-Prsi a; #,of.Blo'ck P- kof'ExJbiad Samples', of ,:Density Cast'-Da:"td,of:ta'm'p1e:' Wednesday,August 22, 2018 of Sets.,o y s,.-, V.6 r,: Total#,of Cyls Corn0ressi St endth, Flexural exurafstren of Beams TQt4#", Of Beams Batdh'PIbrlt'I6Sp -C6stPIant:Insp. FF/�.'1_76sting,- . e Swiss Hammer.. : JVViMS'or.P,'r6be' 4V Pr.'6156SA wis W of Sets,:00eism's�,�,,l Total#df risms Mortar/Grout Cubes #of Sets'of Cubes""� T61af#' ,ofQbb6s,- Batch Plafit1n-sip. Special?,Ihsp., :' ! Other A Jl#ootin�g-,_Insp.'- JNuke FDT #1 °' Pile=lnspecton.. JLoad'T' 10ther,-,, Z� ConcreteAsphalt.- : nso o Ponrid,RidGenerator, .- No'.'of'Cores ,:,,;, Penetrations Patched Indheils"Gorod'!, Harll'mer'Drill',*,�, ;1� Pdrietra =Bolt6616speb ion 1 Visual Weld,I sp. Ui Pen.IMag Parti'Cfe:!!�"� JLiquid P m 4 Redt6el Ih'sp;w", Fireproofing,.,Thick-.,-.j I Moisture,"Er nission L ' ' ,- ' Adhes n/C 6hesi6' n Rain'tThickness'' Pullout E. e L6ose LiftThickness - �, TemperatureIGme Asphalt N6ke,ae- rsity �61'idrApproval rovaI ................................................................................................................................................................................................ .... Dat ?18/23/2018 Comments Tf I have reviewed the General Site Safety Hazard Analysis Checklist for project PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 I P..atriot Rep : .1 Diana L.Crenshaw Project Info.` 18-0546-01 C: Brookshire Clubhouse Date Monday,August 27,2018 Client _ Brookshire`GoIf,;Club : t,. . ' :":'Weather, a LocationPatriot PM`;:_ JA CS Garrnel _ TIME&MILEAGE Time'(hrs) Mileage..(miles)`, Tirtie to Srte ," ff6:O 0,25Mies to site..usOn=Slte 9:30 AM 3.50 � e 00:00 AM/PM.oC LUpch/Off slt2 military time format► 0.00 > Time to.Office.... - 0.25 Miies,to office., 10 Login%Reporting Time/,' Totah Hours,Worked/Total Mileage ;Total'hours'1 i 4.00 ! u Total.miles ► ; 20 ✓ Please check all appl/cable fields #of ProctorSamples 3 #Gradation Samples.;' #�df Soil Class .-� #of Cubes ' Y #of,Cylsor:Beams. i #,of.Grout Pnsms :I N a #of Block'Pnsms,.. #`of.Ex/Gra&SamplesI #,of F:P.Density � Casf bafe,of Sample:' Compressive°Strength ,`'2 X #of Sets of.Cyls'': 1 Total#`of.Gyls 5 z: Flexural Strength #of Sets of Bearns Total#of Beams 0'; Batch Plant Jnsp. ' Pre Cast Plant Insp.: l FF/FL Testing Swiss Hammer `.,j Windsor Probe. : lkbfP,robes, . , . I Grout PoS , L.., Total:#oPsmsetofPrismrisms s-. o::: Mortar/Grout Cubes'•, #of SetsofCubes i Total#ofr"Cubes BatehRIantelnsp ` '> ..1 Special lfisp.,' , Other, r Proof Rollansp j Footmg'Insp j Nuke`FDT Pile-Inspection a°" Load Test , Other. .') Concrete Asphalt:. # Masonry t Corin Ri ' Generator ; .1 No: of Cores 9 9. # Hammer'Drill. PehefrationsPatch d Inches,Cored w 9 Up Bolting Inspection Vi"sual Weld Insp Fa,W m lam: Ulfrasonic;. v ` Mag.,Panicle ,'.? Ligwd Pen; Resteel lnsp , , Fireproofing Thick Moisture Emission P.uII:Out'Testing Adhesion/Cohesion •.- Paint Thickness` Loose LiffThickness ' Temperature:Gun',; Asphalt Nuke.Density. Client App4rovali.. tM ................................. ............-.......-.-.-.-.-......................-.-..-......... Date 8/2 /2018 - t Comments' ✓ I have reviewed the General Site Safety Hazard Analysis Checklist for project. PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 I Patriot Rep {Connor Spencer Project Info 18-0546-01 C: Brookshire Clubhouse Date -']Wednesday, September 5,2018 Client,. `Brookshire Golf.Club Weather 185,clear Location. Patriot PW:, " .JA M, CS, .Carmel. _3 TIME:&MILEAGE ' Time(hrs) Mileage(miles): Briefing.Time. Tim"e.toSite•. start.. End ':.' 0.25 mu[ to site:,p 10 0n7Site 'use 0o OO AM/PM or 9:00 AM 9:15 AM 0.25 Lunch/Off site military 4M format►' 0.00 Time;to Office :' - 3 s 0.25 Muer to office 10 Login/Reporting Time ; 4 0.25 Total,Hours"Worked/Total Mileage ;.' .. ..Total=hours ►A 1.00 !:- c"Totat ipiles'0-1 20 Please check all appl/cable fields #of Proctor:Samples .a #Gra dation,Samples #of Soil Class a Y #'of'CyIS or Beams' 5 #of Cubes _ #`of Grout Pnsms Y Ua #of..Block-Prisms. � #,of Ex/Grad,Samples' #.of F:P. Density i Cast,Date of Sample.. Monday,August 27, 2018 W Compressive'Strength;' #of Sets'of Cyls„' Total#of Cyls .1 w Z,: ". Flexural Strength... #of Sets of Beams Total#of:Beams.;' ;0 Batch Plantansp Pre=Cast Plant Insp. .; FF/FL Testing1. '.1 ( Swiss.Hammer t VVindsor.Probe #`of.P�obes J Grout Prisms #,of Sets of Prisms 1."; Total#of Pnsms ` U) Mortar/Grout Cubes #of.Sets-of,-Cubeis , Total#of Cubes m. Batch-Plant Insp. Special,lnsp. Other. , Proof Roll Insp Footing Insp ( Nuke FDT N . Pile Inspection Load Test,.,' , Other Concrete,z Asphalt i Ma Cntnry, i a Corin Ri I No.,of Cores ,o, g g ° Generator " Hammer Drill Penetrations; Indies Cored , s ow Visual Weld In sp. w Fit�Up � l3olting'Inspection N:3 Ultrasonic' Mag Particle= U.Oui Pen , .4 U Resteelansp Fireproofing Thick. 1 Moisture�Emission',,'.', PuIrOut:-T- ing` Adhesion/Cohesion'.° Paint Thickness.. Loose Lift,Thickness % Temperature;Gun -1 Asphalt Nuke'.Density I Client Approval : { .........................._.....................-.........................-.-.............................-.-.-......................................._.......-............................_........... Date 9/5/2018 Comments; �' �/ I have reviewed the General Site Safety Hazard Analysis Checklist for project PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Project Info <<' 18-0546-01 C: Brookshire Clubhouse Patriot Rep ;. {Diana L.Crenshaw )Thursday,September 20,2018 Client Brookshire GOIfClub . Weather:" JSunny. Location s;Ca dime' P-atrJOtPM /A/C ��J S TIME&MILEAGE " , :;-; Time(hrsy, Mileage(miles): Briefing Time. T,une�to Site , start end 0.25 %miss to site 10 Oft=Site12:45 PM 4:15 PM 3.50 se 00 00 AM/PM or, Lunch/Off,site: military time-format► 0.00 T,iriie to Office 0.25 Mill es to`Office: 10 Login/Reporting Time`.,, , ' �' Total Hours,W6eked/Total:,Mileage. Totalahours 1:: 4.00 ,-Total mile's.:►.i 20 Please check all applicable fields I #of Proctor_Samples ? #Gradation Sarriples'' #`of Soil Class a Y #of;,Cyls,or,Beams: #,of Cubes #of Grout Prisms j a`a #'of Bhock Prisms #'.of.,EWGrad Sam les #`of,F:P,`Densi_ p... tY CasfFDafe of Samp/e W Compressive Strength X #of Sets of Cyls =j 1 Total*of,Cyls i5 A. g FI'exural:Strength #,of Sets of;Beams Total#,of Beans',,,—j U,t Batch Plant:' Pre Cast Plant Insp ; FF/FL Testing t SWits':Hann er , .`. `; INihdsor Probe '� #'ofProbes Grout Prisms #of Sets of Prisms .,� Total#of:pnsms Z " N, Mortar%Grout C`uties j #'"of.Sets.of Cubes Total*,-df'Cuties , Batch Plant>Insp.; Speciate Insp Other' P6bif troll Insp Footing Insp Nuke FDT u°,, Pileln`spection 1 Load,Test a , f Other Z4 Concrete 't Asphalf":ry Masonry o; C',&1 g Rig Generator „! No of Cores Hammer,Drill. „ Penetrations Patched Inches=Cored , w° Fit Up Bolting Inspection Visual Weld Insp 1 LUltrasonic :; j Mag. particle Fire roofin Tliick ,. # Moisture iEmission, ( �: Resteellnsp i p 9' Pulb:0ut°Testing, Adhesion/Cohesion :; Faint Thickness, Loose L'iftThicknes"s :'-J Temperature'Gun __,] Asphalt Nuke_Density."1 Client Approval s. _................. .-.....-..............-....... .................. .-............................................................. Date _, 9/20/2018 Comments r F I have reviewed the General Site Safety Hazard Analysis Checklist for project PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Project Info ��18-0546-01 C: Brookshire Clubhouse Patriot Rep Sue Wheatley Date Friday,September 21,2018 Client ,.,Brookshire Golf Club Weather.. , September 21,2018 Location. Carmel` Patriot PM;. ;-JA/CS, TIME"&MILEAGE- Time.(hrs)_. .. :",MiWAge(miles ; ): Briefing Time Time to Slte " Start,. end : ;` 0,25 Miles to Site 10 On Slte •use 00.00 AM/FM or 11.- �Ej I 1:00 PM 2.00 LUnch/Off Slte military 6me format►' 0.00 Time,to Office '` 0.25 muesto,office: 10 Login/Reporting Time. .., 0.25 kedll ota Total Houe$`Wor l Mileage Totahhours.► 2.75 €'?y';Total,`miles-►-J 20 'Please check all app/Icable fields #.ofProctorSamples ',-` #`G radation,Samples..l #:ofSoilClass .; a Y #of Cyls or,Beams 5 #of Cubes #of Grout pnsms ,y a #of Block Prisms:''.,' i #of Ez/Grad,Sai nplesl, #of F.P.Density" i ;. Cas`tnDateof,SampleThursday, September 20, 2018 Compressive Strehgth. ; °I X #.of Sets of.Cyls' J 1 Tal'#of,CyLU ls ' 5 Flexural Strength #a of Sets of Beams h Total'#of Beams ;�:. , Batch„Plarif Insp: `. Are-Cast Plant Insp:::° FF%FLITesting Swiss'Hammert Wintlsor Probe #_of P'robe5 It Grout Prisms .E , #of Sets of Prisms '- Total.#of Prisms: . .,8' Morfar/G`out Cubes'; , a #of Sets of Cubes . AJ Total°#°of Cubes- z Bafch,Plantlnsp , ZA Special.lnsp,, Other Proof Roll lnsp Footingahsp Nuke FDT_;` Plle.lnspection• L.oa&Test,.,� Ipther _ c� Concrete , Asphalt Masonry Goring Rig. , Generator` :-# No of Cores j ... Eianmer;Drill Penetrations,Patched Inches Cored w 9 FIt 11p .,.� Bolting`Inspection' `; Visual Weld Insp. . w.� Ultrasornc Mag,;Paiticle. L-iquid�Pert. F7--77x Insp =' X FireproofingThick `.`.:; Moisture:Emission �` Pull out Testing, Adhesion/Cohesion Paint Thickness. Loose.Lift,Thickne'ss Temper,'ature.Gu'n ._,"' Asphalt Nuke DensitiI Client App"royal r� ._._........................._...._...._._. .............._...._........................ ..._._._._.._._......_._................_._._..._........_._..............___........ Date 9/21/2018 Comments I have reviewed the General Site Safety Hazard Analysis Checklist for project. PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Project Info i 18-0546-01 C: Brookshire Clubhouse Patriot Rep IAbimbola folagbade Date Thursday,September 27,2018 Client'::,, "•Brookshite�,Golf�'Club :, Weather,:` Location '°� Carmel . ,.�PatriotPMo: ;JA/CS ': '. TIME.&MILEAGE ".. ; " Time"(hrs) Mileage(miles): Briefing Time' Start,;. :End 0,25 Miles to site 10 Time;to Sitea :,.. . On-Site "ase oo.00anvPMor 9:00 AM 6:30 PM 9.50 Lurch/Off site military bme format►° 0.00 Time to Office miles to:office. 10 0.25 Login/Reporting,Time£ Total Hours..lNorked/Total Mileage Tota ftdrs ► 10.00 Total,miles;11-1 20 'Please check all applicable fields #of Proctor:$amples ;.� #Gradation Samples- #'of Soil Class a:Y #of.Cyls orBearns, #of Gabes; #of Grout;Pnsms N a #ofaBlockPnsms. #of Ec/Grad.Samples; #;of F.P _Density Cast.Di to of Satnpie ':„ U om . oSs`ofcy'ls 'I Tota 0" Fleziaral Strength #of Sets'of.Beams Total#'of Beams„ C ,.` Batch.Plant'Insp. .;: Pre-Cast PlanFF/FL,Testing„ Swiss Hammer,.... Windsor Probe ' Grout'Prisrris; #of Sets bf.Prisms,, i Total#of Prisms o Mortar/Grout Cubes",,• #of Sets,of Cubes. Tofal#of Cubes. 9 Batch Planf,lnsp ,; Speciallnsp:: Other _ . [,. �- '_ProofxRoll lnsp Footing lnsp. Nuke FDT v°,:' Pile';Irispection ,, ;, Load Test, , Other; Concrete `s Asphalt; Masonry; o. Coring Rig ; Generator No of Cores m,. ; Hammer:,Drill :, Penetrations Patched;i Inche' s'Core'd w.w Fit'Up Bolting;lnspectlion Visual Weld Insp 3 Ultrasoma.` Mag.Particle Ligwd Pert Resteel;lnsp Fireproofing,Thick Moisture Emission . . PuII Out Testing' .° Adhesion/Cohesion ;;� Paint,Thickness i Loose Lift.Thickness. TemperMui�e'Gdr . ,' Asphalt'NU'ke,Derisityri X Client Approval ._._.........._.......................-.-._._..............................._................................................................._.__....................................... 9/27/2018 l Comments `''.', I have reviewed the General Site Safety Hazard Analysis Checklist for project. PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Project Info -i 18-0546-01 C: Brookshire Clubhouse P,atnot Rep : ,: Nick Campi Date !Thursday,September 27,2018 Client- ..Brookshire'Golf:Club, Weather:_ X46-67 and partly cloudy Location Carinel _ ;: P,atriot`RM JA/CS - TIME&MILEAGE° Time(hrs)' ° Mileage-(mile`s,): Briefing Time; Timeao Site,' - start. end 0,25 Mues fosite. 10 On-Site "use 00:00 AM/PM or 7:30 AM 8:45 AM 1.25 Lunch/Off site` military bme;7ormat* 0.00 Time t- Office 0.25 Mites to once; 10 Login/Reporting Time;.,,, , .'t 0.25 k Total Hours lNorkedlFotal Mileage "`: ,P>Total hours ►,� 2.00 .,;Total,miles►'1 20 ✓ Please check all app/Icable fields -- #of;ProctorSamples :- #Gradation arnples,1 AE of Soil.class Y #ofCyls o[Beams 5 #.of.Cubes #of;Grout Prisms' -2,(J #of.'Block Ptisfns r,. ; .� #of Ex/Grad Samples #of F.P.Density. •_ Cast_Date.of,Sainp'/eFriday, September 21, 2018 a Compressive Strength i #of Sets of Cyls Total#of.Cy ls Flexural Stren th #of Sets of Beams Total.#of Beams Pre:Cast Plant�lnsp. '� fing ; Z Batch Plant;Insp,, FF/FL Tes Swiss Hammer 1Nindsor.Probe ';; ;_,{ #'of.Probes .° Z,. Grout Prisms #of Sets of Prisms M.`• Total#`ofPrisms Mo'6`0Grout Cubes #of.Sets of Cubes ..: Total#ofC' bei a., S' ecial'In' Other Batch Plant Insp.. .'x, , p p: . L Proof Roll Irisp Footing lnsp Nuke'FDT 5 P.ile.lnspecton., ;; Load Test ; Other , Asphalt: .' Masonry , Z— o Coring.Rig Generator ., No of Cores Hammerbrill N';.,.. Penetration`s Patched, Inches Cored _ w'w Fit.lJp Boltingpection =a Visual Weld lnsp. y3 111trasonicMag..Farticle' ': Liquid P.en L+- Resteel Insp { X Fireproofing Thick `- Moistur`eEEmission V_ Out Testing''-'-,�;�. I Paint7hickness` Adhesion/Cohesion,,, . y Loose Lift-:Thickness Temperature,.Gun Asphalt Nuke`Densityj :3 Client Approval c f .-........... .........-.-..........._._._.. ........... ..-......._........°......-.......................-.............................................._............................... Date , 9/27/2018 Comments. `� ✓ I have reviewed the General Site Safety Hazard Analysis Checklist for project PATRIOT ENGINEERING and Environmental, Inc. TRIP TICKET 6150 E.75th Street Indianapolis IN 46250 317-576-8058 FAX: 317-576-1965 Project In 1 18-0546-01 C: Brookshire Clubhouse Patriot "' Rep.-oI Abimbola folagbade DateSaturday,September 28,2019 clidrit,:- 1,1' "',Brookshire-Gqlf:Club. Weather: ' a Location:��,,iCarmel Patriot PM TIME&MILEAGE Tlrrie-'(hrs)`- Mileage(miles)::.. Briefing Time Time to Site:.,--.,, :�F'Starit 1". 'End0.25 Miles to Site: 10 On=Site- `"use 00:06 AMIPMw 7:30 6:30 PM 11.00 Lunch/Off-s-it6,.: mnitary-time format Id 000 M e" lies office., 0 M to Log iri1Re06r,tihg7, ime':" Time Office' 25 1,Total'Hou-rs,,-,Workod8btal'Mileage.,: 11-50 L Total infles jo, 1 20 .q/ Please check all applicable flelds #oU roctor' ampIes"-,'` 4:Gr'a'dation Samples] #of 50'11:�Clas�s., P S 'CILY #of...'Cyls or Beams koi'06bei i of Grout Prisms Density E #.of-.Block Prism5 #of Ex/Grad:Sampl6s,' of F.�. ast.Datd of Sample: W Compressive Strength #:,of Sets of CY19 Total#bf0yis FlexuralStrendfh� of,SetsofB ami total#of beams Z Batch",Pl'andn:sp.,�'�, P,, 'r6-,bast,PIa6t'Insp. FF/FL Testing Swis's,i4am-rme`r; Windsor Probe 4,of Probe's Grout. risms #ofsetsof Prisms. . Total#of,Prisms JMortar/Grout Cubes #,of Sets of.Cubes, - Total.#"of C u besi 0' Mort;itc6` Batch Plant'lnsp.;- gpeciiafjn SID Other JProof.Roll lnsp 1 Footing inip. �Nuke FDT' OU) 1pi insp-q4tion Load Test 1Other ' Concrete,. Masonry Asphalt", , ' ' ' ' t' o corng,Rid:-. Generator No.of H'aM:mer Dn11- Peretr6tio'ns'Patched j inches LCored 1661iing Insl5qcti0 rl.' Visual Weld Insp. U Itra-s-d-h-it IMag.PMtic'I6* I'Liquid Pen.. Restebl Insp. I Fireproofing Thick. JIV16isturetmission Pull bUtTestind.' I JA dh6sibn/Cohesion i Paint Thickness, Loose Lift Thickness 1-temperature Gum, JAsphalt Nuke,Density] x Client Approval .............................................................................................................................................................................. Date 9/28/2019 domr,Tie.nt.S,:,, ✓ I have reviewed the General Site Safety Hazard Analysis Checklist for project.