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1776 MARITIME OAK DR INSPECTION REPORT 7I ƒ \ -, i -1 / \ \ / \ "0Ty / & \ ] # / / \ / - Q - / \ z \ co Ff o \ G ƒ \ / o — m 3 o r ] « > 2 ƒ \ / G / e m o / \ \ c � § / 25. § \ \ ® 9 t 203 m 7J _ _ 2 m / \ k \ 2 2 & , 0 \ 0) ® 3 © ° CO a \ m 6 « ® 2 \ s \ f -0 X % ^ i $ k q °m ®a k — > co k / m m ƒ / z� \ \ m 0 \ co 2 I m > _ @ ; O 0 \ # m m E Co E.: ® \ 2 I- f m cn _ J 3 eD CL ti, m 7 > .. & \ x m8 0 ( 3 2 l c3 z / a co 3 a o $ a 3 IA 0 Fri E D c » 0 o \ En \ E § m e / 2 H 2 \ / o t f_ / $• L N) 2 \ >co / 0 6 2 0 9 $ / 06 H ¥ \ z / / \ O © 7 \ % co EA Ellis&Associates Inc. Corporate 7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970 EGroup of Companies Branch Location: Geotechnical■Construction Materials•Environmental•Facilities Brunswick: 134 Newman Drive,Brunswick,GA 31520 P:(912)279-0085 F:(912)279-0086 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: Street Address: City: Method: _ Course: Material: Specific Requirements: Pass/ Elev/ Base/LR/ Dry Max. Dry % of Max Moist Fail/ Location Depth Asphalt/ Density Density* Density % Retest /Lift Thickness 4 *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.04/16) white copy-office use yellow copy-personal use pink and goldenrod-client use page_of