1823 Atlantic Beach Dr density report B Corporate
EY�S�#1a��aaaQ LGa 70M Davis Crock Doad,Jacksonville,R 92258 P:(904)nw WN F:(arx)gap pgyo
C Branch Location:
Wt., 11 Tosag• ErMonineotxla OR Sery Brur slek: 2D Hoso Drive,Brurmsick,GA 91520 P:(912)279 F.(912)2]9-0pB5
Nbgrafed Eigwpap Servltts
ellisassoe.com SCRs Pita SIC_
REPORT OF IN PLACE DENSITY RESmENTIAL work order#
Project#: Im NIO
subdivision: (. �.►i: C—(- Reported to: Report
Unit or Parcel: Location By: e.&--r Gauge#: /9
Lot#/Block a IK a ^eLQFr-a Dae Tested: 95-9-116
Street Address: L City:
Method: K
- - . Goatee: Rl.tr
Material: Specific Requilemaras: S'S ka
Pari Base/L— _R/
Fad/ Location pih Asphalt/ Dry Mme•Dq % of Mu Moist
R 2 Thiokol/ �°R� Y4` Doty %
ZL
*SOm'Ce of Pro tOr(Project#and/or Work Order#) o
P-Test Meets SpecMation Requirements F-Ted Fags To Meet Speeillcafion Requirenents R-Retest
To Be Camokted In Field
i---------------------------------
Employce Name _ �\ Standby Approval
71me
Snit/STravel SSuperintendent Printed Nana
tn had ob
Superintendent Signature
--------------------------------
(Oboe rue)
Ba-IOI� 11/14) Mutt eaPY-�ce we yefbwcoyy-yerwnw u+e
yirtk rindyofdenrod-clbv um