544 Atlantic Beach Ct density test report Corporate
MA 7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)980-0970
Ellis&Assoc"Atesk�— orric call on:
Geotechnical • Materials Testing • Em¢rual • CEI Services Brunswick: 2D rive,Bmrewk:k,GA 31520 P:(912)279-0095 F:(912)2]9-0086
Integrated Engineers g3atvkaa
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O•('�L6 Work Order#;
REPORT OF IN PLA zENSITY RESIDENTIAL Project#:
Subdivision: 47,L Rtr,az , l I eporte to: Report#:
Unit or Parcel: Location By: < t _ Gauge#: /"y
Lot#Block: Contractor: Date Tested: �-
Street Address: q r' .L ZI Jc u C-I City: fir- c
Method: Course: l' c L
Material:. — Specific Requirements:
Pass/ Elev/ Base/LR/ Dry Max.Dry % of Max Moist
Fab/ Location -Depth Asphalt/ Density Density• Density %
Retest Ift— Thickness
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*Source of Proctor(Project#and/or Work Order#)
Q!--Jest Meets Specification Requirements F-Test Fails To Meet Specification Requirements R-Retest
To Be Completed In Field ___________________
- `---' Standby Approval
Employee Name
Time - , Superintendent Printed Name
Stan/Stop Travel Standby Job
Superintendent Signature
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