255 PINE ST - DENSITY REPORT $jCThV 2Sic ?ide
EA Corporate
&Associates. 7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970
Ellis
Branch Location:
Geotechnical • Materials Testing • Environmental • CEI Services Brunswick: 227 Rose Drive,Brunswick,GA 31520 P:(912)279-0085 F:(912)279-0086
Integrated Engineering Services
el lisassoc.com
3c4n f v PPer/Y-6-14r I5- - 5-FR -16 3
Work Order#: 1 ( 1 2,-;`;'3
REPORT OF IN PLACE DENSITY RESIDENTIAL` Project#: r 7 C .r.s.,
Subdivision: 2 S ` m.,-)k: Reported to: Report#:
Unit or Parcel: Location By: c I■ Gauge#:
Lot#/Block: Date Tested: �' - 77 1 C
Contractor: '....ar I. IA/
Street Address: 2 'S C !Inl City: 7.= <
Method: —12- r
Course: F- <
Material: h�7 Ci S<..`1 Specific Requirements:`. *74
Pass/ Elev/ Base/LR/
-Fait/ Location Depth Asphalt/ Dry Max. Dry % of Max Moist
Retest '-/Lift Thickness Density Density* Density %
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*Source of P octor(Project#and/or Work Order#)
P- Te t Meets Specification Requirements F-Test Fails To Meet Specification Requirements R- Retest
To Be Completed In Field
Employee Name
t---^ Standby Approval
Time Superintendent Printed Name
Start/Stop Travel Standby Job
Superintendent Signature
(Office use)
EA-10(rev. 1 1/14) white copy-office use yellow copy-personal use pink and goldenrod-client use 1
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