610 Begonia St Density Report Jacksonville
7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-097;
Brunswick
134 Newman Drive,Brunswick,GA 31520 P:(912)279-0085 F:(912)279-0086
ecslimited.com
Work Order#:
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#:
Subdivision: Reported to: Report#:
Unit or Parcel: Location By: Gauge#:
Lot#/Block: '"" Contractor:
Date Tested:
Street Address: `vl N. City:
Method: \-lt v x Course:
Material: Specific Requirements:
Pass/ Elev/ Base/LR/ Dry Max. Dry % of Max Moist
Fail/ Location Depth Asphalt/ Density Density* Density %
Retest /Lift Thickness
tIrIV41
Z. I 1 ice, t
k <1 v1 2
*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
--------------------------------
(Ofce use)
ECS-10(rev.01/18) white copy-office use yellow copy-personal use pink and goldenrod-client use page of—