1792 ATLANTIC BEACH DR - FORM BOARD ELEV � ' q UES Project No: 0910.1400187.0000
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Workorder No: 190057-1
ENGINEERING SCIENCES Report Date: 7/25/2017
Consultants In:Geotechnical Engineering•Environmental Sciences
Geophysical Services•Construction Materials Testing•Threshold Inspection S C G n •!U
Building Inspection•Plan Review•Building Code Administration
5561 Florida Mining Blvd So., Jacksonville, 32257 • P: 904-296-0757 • F: 904-296-0748
In-Place Density Test Re ort
Client: ''SUES Technician: Kevin Gagnon
160 Cape May Avenue
Ponte Vedra, FL 32081 Date Tested: 07/25/2017
Project: 1792 Atlantic Beach Dr i='---
Area Tested: house pad lot 66 Type of Test:
Material: Fill Field: ASTM D-2937 Drive Cylinder Method
Reference Datum: 0 = Top of Fill Laboratory: ASTM D1557 Modified Proctor
The tests below meet the minimum 95% relative soil compaction requirement of Laboratory Proctor maximum dry density.
Maximum optimum Field Dry Field Soil Fill
TestDensity Moisture Density Moisture Compaction DepthPass
No. Location of Test Range (pc{) toot (pcf) I")/o1 (%) (inch) or Fail
1 14' S 30' W of NE corner 0-1 ft 102.3 14.6 98.3 6.4 96 N/A Pas:
2 15' S 23' E of NW corner 0-1 ft 102.3 14.6 98.0 5.7 96 N/A Pas:
3 9' N 14' E of SW corner 0-1 ft 102.3 14.6 99.1 5.1 97 N/A Pas:
4 16' N 14'W of SE corner 0-1 ft 102.3 14.6 97.2 5.0 95 N/A Pas:
To establish a mutual protection to Universal's clients, the Public and ourselves,all reports are submitted as confidential property of our clients and authorization
S c a vi Pe r
FORM BOARD ELEVATION CERTIFICATE
Date ca/z -T Permit Number:
Address: P97. 1�a DnN
All American Surveyors Work Order # Ic.Lt€Kn
Required Slab Elevation on City Approved Site Plan:
Actual Elevation of Form Board or Grade Stake:
Survey Company:
ALL AMERICAN SURVEYORS OF FLORIDA INC.
3751 San Jose Place, Suite 15
Jacksonville FL 32257 Work Phone: 904-279-0088
Signature of Surveyor: (PartyChief)