Soils 366 10th St 2012 CY
L E G A C Y 6424A EACH BOULEVARD C
ENGINEERING INC JACKSONVILLE, FL 32216 Project No.:
904-721-1100 OFFICE
904-722-1100 FAX Report No.:
Geotechnic I
1&Materials Engineering and Testing Page of I Lab No.:
Report of In-Place Density (Asphalt or Soil) Tests or Coring for Thickness(--circle one--)
Project: I
Contractor: -i t_ N Method:
Reported To: l Location by:
7777--
Location- + Course:
Material: 1 "`'- Spec. Requirements:
Date Tested: ". i 71 T
Pass/ Location Elev/ Base/LR/ Dry Max. %of Moist
Fail/ Depth/ Asphalt Density Dry Max %
Retest Lift Thickness Density* Den
*Source of Proctor(Project Number)
P-Test Meets Specification Requirements F-Test Fails To Meet Specification Requirements R- Retest
To Be Completed In Field
Employee Name 4 ❑-Standby Time from to Total:
Billing Comments 0-Job Time from ,` to Total:
_ Trip Charge(Job Canceled) d-Travel Time from i to Total: (To job)
_Out of Town Mobilization ❑-Travel Time from�—to Total: (From Job)
City
Total Hours:
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