1626 MARITIME OAK - DENSITY REPORT M Corporate
7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970
Ellis&AssociateSilt. Branch Location:
Geotechnical • Materials Testing a 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#: /l ' ..--
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#:
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Subdivision: -'•.' ` "'t-< ( c• Reported to: Report#:
Unit or Parcel: Location By: Gauge#:
Lot#Block: ,/ A•l Contracto : t" Date Tested: L
Street Address: `LL—' JL4' - P. `�'
?. ' t City: r
Method: ''"' Course: `' 1 i. •
Material: - ' ` , _`--' Specific Requirements: \' —A-'
Pass/ Elev/ Base/LR/ Dry Max. Dry % of Max Moist
Fail/ Location Depth Asphalt/ Density Density* Density %
Retest /Lift Thickness
` fit' f \ t1 1 '
Iry t•- 7 .-- --
*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. 11/14) white copy-office use yellow copy-personal use pink and goldenrod-client use ‘Page of A