899 ATL BLVD 8/6/14 DENSITY TEST FIELD DENSITY TEST DISPATCH REPORT
Client Project Irerracon
Panera LLCct,6 Panera Bread-Atlantic Beach
1021 Atlantic Boulevard
Keymap: Atlantic Beach.FL 32233
Jobsite: 1021 Atlantic Boulevard Service Date: 08/06/14 Time: 1430
Contractor: Frontier Building Corp. Proiect/Report#:E 141021.0013
Project Manager: Travis Iverson ❑ REPORT CONTAINS DEVIATIONS
Task: (check the box if materials or procedures observed deviated from the project documents)
Material Information Lab Test Data Project Requirements
Optimum
Water Max.Lab Water Min.Dry
Mat. Proctor Test Content Density Content Unit Wt.
No. Reference Number Material Description Method (%) (pcf) (%) (%comp.)
I EQ 141021.0002 Brown Fine Sand ASTM D1557 14.9 102.9 Min 95
General Location:
Field Test Data Probe Wet Water Water Dry Dry Unit
Test Lift/ Mat. Depth Density Content Content Density Weight
No. General/Test Location Elev. No. in (pcf) (pcf) °(/o) (pcf) %comp.)
i 122 I00
�t _ 12,l' I C t 1
Remarks:
Datum:
Ser.No.: —
Std.Cut.: M= Z l J 1 D=
Bill Code Units Rate
Test Method:
Technician: Patrick Tullius
Client Rep.:
Reported To: w/ Reviewed By:
Mileage: — U Start Time: �V Stop Time: Lunch/Non-Chargeable:
Services: Perform in-place density and moisture content tests to determine degree of compaction and material moisture condition
XReport left on site C_c y **Preliminary information-Final review required by Terracon project manager.
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an Anow Exterminators*company
10066 SAWGRASS DR. WEST naderspestraiders.com
855-MY-NADERS
PONTE VEDRA, FL 32082
NOTICE OF SUBTERRANEAN TERMITE TREATMENT
This property was treated as required by law by Nader's Pest Raiders and is protected against subterranean termites and associated
damages. The bond is to be renewed annually and an annual inspection is required after renewal premium is paid to extend the
protection on your property for another year. LL
Renewal Expiration:
Date of Application: 7 -ZY
Chemical Used: OlPm.se
Amount Applied- r
Applicator: Si'�n lc
Square Footage:
Linear Footage:
County law prohibits removal of this notice
Please contact us for all your pest control needs. Multiple service discounts apply.
Lot: Block: Subdivision:
Physical Address: 4.0 Z/ /ZZ/anA, e -6, 4 Z-7 -3-3
N DR-SAS-176-3021(7/13)
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