588 Coastal Oak Lane DENSITY REPORT 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■ . • ewman Drive,Brunswick,GA 31520 P:(912)279-0085 F:(912)279-0086
Daytona: 2706 S. 'i..- •.d Ave.,Suite 2 P:(386)944-9588 F:(386)944-9589
ellisassoc.co South Daytona, FL •
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REPORT OF IN PL• CE DENSITY RESIDENTIAL sroject#:
Subdivision: t L • -t Reported to: Report#:
Unit or Parcel: Locatio --- Gauge#:
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Lot#Block: Contractor: Date Tested:
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
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*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
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(Office use)
EA-10(rev.04/16) white copy-office use yellow copy-personal use pink and goldenrod-client use Pae o f
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