377 7th St RES19-0107 Form Board Elevation/Denisty Tests L E GAC Y In-Place Density Tests:
ENGINEERING, INC Subdivision / Lot Number: /lie }77.tr, h2
Geotechnical
Geotechnical&Materials Engineering and Testing (Address if no lot number)
Location Lift/Depth % Max Density
Akj i e -) �: z
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The above tests meet the specification requirements— PassA Fail ❑ cif fail,see notes below)
Notes:
11L AV
This report has not been reviewed by an engineer,
the final report can be found at LegacyReports.com LEGACT
Date Tested: 9- - /`r REPORTSeCO
Tested By: FAST & EASY ONLINE ACCESS
6424 Beach Boulevard, Jacksonville, FL 32216 - 904-72 1-1100
FORM BOARD ELEVATION CERTIFICATE
DATE: e ° ,30
PERMIT
NUMBER:
ADDRESS: 3r] 7 7
A --r 1- /9 /Q 7-J 0 8 ,t�- A a /-/
REQUIRED FINISH FLOOR ELEVATION ON CITY
APPROVED SITE PLAN: // 0 k/6
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: 7
SURVEY COMPANY
NAME: G N l b "il G
SIGNATURE OF SURVEYOR: JL S . T(�L,