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705 AMBERJACK LN - FORM BOARD FORM BOARD ELEVATION CERTIFICATE Date Permit Number: /7 - 0 / ZU Address: los" �Inbc� ' Lti J� All American Surveyors Work Order # /.5-9V.39 Required Slab Elevation on City Approved Site Plan: Actual Elevation of Form Board or Grade Stake: CC> Survey Company: ALL AMERICAN SURVEYORS OF FLORIDA INC. 3751 San Jose Place, Suite 15 Jacksonville FL 32257 Work Phone: 904-279-0088 Signature of Surveyor: (PartyChief) r - /�— .4,.. ,,, .4101 9556 Historic Kings Road • Suite 201 sc es Jacksonville, FL 32257 FIELD DENSITY TEST REPORT Phone: (904)886-0766 oFJAX,INC. Email: twheeler©agesofjax.com AGES JOB NO.: 3 Ii y DATE TESTED : JOB NAME: -7a5 M 13. nuc C(.n�e 6t1on•►.c /3ro(h) REPORT DATE: CLIENT : ,AM .:rm., el& ; -- Name TECHNICIAN : LOCATION: « r > - 06,,3? REPORT NO. : Test "'Moisture Wet. .; .. Proctor proctor Rel_afve Caitpaction 1" No., Content Density Density Number Density Achieved Required Pass/Fait fust Location Elevation' Test Datum (%) (Pct) (pcf) (Pct) (%) (%) (Feet) • C oc. \,96 • r, `J !,` L nn r` 12 5 w cer+.-iur _ P fI r i I PROCTOR INFORMATION SUMMARY: The relative compaction results are a quality control measure of the This report shall NOT be reproduced, Proctor Max. Dry Optimum adequacy of the fill and/or sub-grade compaction effort. The data shown Except in Full, without written approval of Type Number Density Moisture Soil Type herein is representative of compaction achieved at the specified test AGES OF JAX, Inc. location and depth. Passing density tests should not be construed to be a Proct (pcf) (%) L.1..5,t, Scr+a "certification" of suitability of the "subsurface soil conditions" and/or an evaluation of the ability of the subsurface soils to adequately support the REPORTED BY: planned construction. -- Ot#15•'rY pen ))PoV.e s'ev "Cyr r•—• AGES OF JAX, Inc. agrees to keep confidential any and all matters ea .,... j�dfL pi f(Gd u p 4 T. Ti�+. d L. related to these test results and understands that unauthorized disclosure Remarks of these test results to anyone other than our clients, or their designated TIMOTHY R. WHEELER, P.E. . t-e-S-4--- representative, without the client's expressed permission, is in violation of MOD=Modified Proctor Density (ASTM D 1557) AGES OF JAX, Inc. professional ethics and company policy. Registered Fla No. 42802