Soils Report 357 4th St 2013 Corporate
Ells&Associates inc. 7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970
Environmental ■ Geotechnical ■ Materials Testing Branch Location:
Integrated Engineering Services Brunswick: 227 Rose Drive,Brunswick,GA 31520 P:(912)279-0085 F:(912)279-0086
ellisassoc.com
Work Order#:
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#:
Subdivision: Reported to: Report#:
! Unit or Parcel: Location By: _ Gauge#:
Date Tested: `
Lot#Block: Contractor:
Street Address: _ . •`' City:
Method: Course:
Material: Specific Requirements:
Pass/ Elev/ Base/LR/ Dry Max.Dry % of Max Moist
Fail/ Location Depth Asphalt/
Retest /Lift Thickness Density Density Density %
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*Source of Proctor (Project#and/or Work Order#)
jP- Test Meets Specification Requirements F - Test Fails To Meet Specification Requirements R- Retest
To Be Completed In Field
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Standby Approval
Employee Name '
Time Superintendent Printed Name
Start/Stop Travel Standby Job
Superintendent Signature
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(Office use)
EA-10(rev.05/10) white copy-office use yellow copy-personal use pink and goldenrod-client use page of