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1704 MARITIME OAK DR - DENSITY REPORT & Corporate 7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970 Ellis&Associates�. •• { 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 Daytona: 2706 S.Ridgewood Ave.,Suite 2 P:(386)944-9588 F:(386)944-9589 ellisassoc.com South Daytona,FL 32119 • Work Order#: REPORT OF IN PLACE DENSITY RESIDENTIAL Project#: Subdivision: Reported to: Report#: Unit or Parcel: Location By: Gauge#: Date Tested: Lot#/Block: Contractor: 'v 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 /o • f — - *Source of Proctor (Project#and/or Work Order#) P-Test Meets Specification Requirements F- Test Fails To Meet Specification Requirements R-Retest To Be Completed In Field Standby Approval Employee Name Time Superintendent Printed Name Start/Stop Travel Standby Job Superintendent Signature (Office use) EA-10(rev.05/15) white copy-office use yellow copy-personal use pink and goldenrod-client use Page of FORM BOARD ELEVATION CERTIFICATE pu County / Clay County/Nassau County Left copy on site No box Lot/Subdivision: 11 g /11-LA Alf/C-- et-4c1 6ouNRY CLUB U2 DATE: 111 / 16 PERMIT NUMBER: i6 - 5 ER - 519 ADDRESS: 1-7OLf MAKI J /VtE OAK REQUIRED SLAB ELEVATION ON CITY APPROVED SITE PLAN : 12 . 40 ACTUAL ELEVATION OF FORM BOARD OR GRADE STAKE: i 3 . 14o SURVEY COMPANY NAME: Bartram Trail Surveying, Inc. 1501 CR 315, Suite 106 Green Cove Springs, FL 32043 SIGNATURE- 9F SURVEYOR: (Party Chief) (I/ I �. $ co a I O ƒ ? ƒ \ ? Co ƒ / / -1 2 0- -, _ = c = _ = s = 0 2 # ] » \ / - § / - 0- 00 0 = 6O z \ ) co o na / � _ .. = @ ° 2 - : 3 k ] $ \ @ 22' 22 m E; -.-_, m a s J E & n_ e a x• /Q / b ° E \ cp y r 2 0 2 X E f \ & 0 & \ } / s \ ]2 ° CO / \ m Cl) m - ,< 0 E I 0 \ ƒ > I\ \ co J ® [ up 0 z \ ;2 'a J \ m c e ;m m / \ / $ \/ I q 0 I m 7 0 10 cn e m 0 Cl) > -X k \ m m 0 { © z ® = 0 n m 0 2 } ] Q \ R m 0 N o -< § o e n -< 3 3 / -0 - 6. / = -0 I n.) $ i = o + Z CD a « o c _5.Co cn \ \ t / -. ( 9 /c > 0 / / > § O H > k \ w 0 Fri _, I m 0 • O \ C ± Z o \ > 0 n C m I