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1711 MARITIME OAK DR - DENSITY TEST Corporate eAl7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970 Ellis&Associateslnc. 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 ellisassoc.com Work Order#: /I\1'I REPORT OF IN PLACE DENSITY RESIDENTIAL Project#: • ; `? .z,,..,1,-i Subdivision: :--t I L , Ai cr- C ( . Reported to: Report#: Unit or Parcel: �_ Location By: t i Gauge#: -) Lot#/Block: (-( Contractor: -9%v vci cl-Ni. Date Tested: - 2 i b Street Address: 1 ?i I AU F? r7,,>,-(E `- ti- �`" City: Method: Tv -'u Course: 4- t l l Material: -a`"\t 4-:—. - ' Specific Requirements: y---1 Pass/ Elev/ Base/LR/ Dry Max.Dry % of Max Moist Fail/ Location Depth Asphalt/ Density Density* Density % Retest /Lift Thickness \ >5 .' ( --1-- ' 9 *Source of Proctor (Project#and/or Work Order#) P-Test Meets Specification Requirements F- Test Fails To Meet Specification Requirements R- Retest N. To Be Completed In Field Standby Approval Employee Name 1 ��______..___( Time Superintendent Printed Name Start/Stop Travel Standby Job Superintendent Signature (Office use) EA-10(rev. 11/14) white copy-office use yellow copy-personal use pink and goldenrod-client use Page 1 of 1 FORM BOARD ELEVATION CERTIFICATE Duval County / Clay County Left copy on site No box Lot/Subdivision: DATE: Z zq_ ,4 PERMIT NUMBER: - „ c) ADDRESS: a ., ,NS REQUIRED SLAB ELEVATION ON CITY APPROVED SITE PLAN: ACTUAL ELEVATION OF FORM BOARD OR GRADE STAKE: (3 75 SURVEY COMPANY NAME: Bartram Trail Surveying, Inc. 1501 CR 315, Suite 106 Green Cove Springs, FL 32043 SIGNATURE OF SURVEYOR: (Party Chief) 0 ƒ . � ? 2 / \ \ \ \ � / co X003 222 0 � � ] # \ f ■ Qa � / ° ° ° = EE - z \ § _ / 0 O / g � � ¢ ° Z - 3 k o 2 § > w Fs \ — \ § / k \ -. ©2 ® © 0 ° — ® co / 2 .. o $ ut / 0 2 -0 4 o - / d . \ / c ; z ° e m a � > 9 E ƒ \ k 2 f A > § $ EC o R \ \ m m $ m ƒ I 3 m > ) 3 \ I $ O o cn O @ \ .2 $ }c:13' m q O . Z 2 ® E -n / c 0�5 o_ z o o 3 0 3 ] ; 3 0 ƒ 7 g k CD O. 0 @ ƒ .E co c 0 \ D E $ a q / ƒ \ / _E / O > k \/ ƒ CD > Cr ƒ _ / o 0 e co O / 7 > R -, I \ 0 \ c > H 3 « 0 I- C co