1717 MARITIME OAK DR - DENSITY REPORT IIMII
Jacksonville
7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970
OMITS
Brunswick
134 Newman Drive,Brunswick,GA 31520 P:(912)279-0085 F:(912)279-0086
ecslimited.com
Work Order#: -- k) ....
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#: 7 7 =,‘,..
Subdivision: [.-- k• -2{,._ 4-r C ( Reported to: --- Report#:
Unit or Parcel: Location By: c Gauge#:
Lot#/Block: '''=: Contractor: \ 'vt ' -�>t Date Tested:
Street Address: /-7/7 A--6.'v(- /,4-t. i„4.=-'c City: f' 1 t • •-k.-..::,-k-
Method:
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Method: s- ,'—-, Course: r t \.
Material: , /„K- --, Specific Requirements: ' ' -
Pass! Elev/ Base/LR/
Fail/ Location Depth Asphalt/ Dry Max.Dry % of Max Moist
Density Density Density
Retest /Lift Thickness /°
t .- - `1; --' /--3. i
/ ,< -
*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
r Standby Approval
Employee Name
Time
Start
/Stop Travel Standby cro'''''''''' N'
Superintendent Printed Name
Superintendent Signature
ECS-10(rev.01/18) white copy (Office use)
office use ye//a
copy-personal use pink and goldenrod-then'j
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Page(1/
FORM BOARD ELEVATION CERTIFICATE
Duval County / Clay County
Left copy on site 71 No box
Lot and Subdivision: / S ���,,��,c &'act �',. • .
DATE: 6- - /g
PERMIT
NUMBER: ? -PS - /6 - 07v
ADDRESS: /717 MG✓�-tioC p�4 Dr.
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: ►1 30
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE:
SURVEY COMPANY
NAME: Bartram Trail Surveying, Inc.
1501 CR 315, Suite 106
Green Cove Springs, FL 32043
SIGNATURE OF SURVEYOR: (Party Chief)