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303 Ahern St Form Board Elev Cert
/rnAL.f 7bir5 FORM BOARD ELEVATION CER'T'IFICATE DATE: / 6 IW /7 - U2 j9 - ?a ,O,v /v si PERMIT ,Pe se7 - 02 70 - 3a3./✓Nil/e,v 57 NUMBER: A-rsi7 - - ?os Irl/hoe& s7 ADDRESS: 3LP67 *4 REQUIRED SLAB ELEVATION ON CITY APPROVED SITE PLAN: 11 . ) 7 iiilvos ACTUAL ELEVATION OF FINISHED FLOOR OR FORM BOARD: ✓c', iwcs, SURVEY COMPANY NAME: Clary & Associates, Inc. 3830 Crown Point Road Jacksonville, FL 32257 SIGNATURE � � - : 4 ) ASIIIIIMAE 8936 Western Way,Suite 12 Jacksonville,FL 32256 Meskel &Associates Engineering Office:(904)519-6990 Geotechnical r Environmental r Inspection r Testing Fax:(904)519-6992 meskelengineering.com Report of In-Place Soil Density (Asphalt or Soil) Tests or Coring for Thickness (Circle One) r Project: Client: Page of Report#: Reported to: Location by: Location: • - Project#: Course: �/ Material: Gauge#: .,,,, 23i, 7 Date Tested: - Spec.Requirements: Method: ASTM D6938 • Test Soil/Base %of Pass/ Test Dry Moisture Proctor Location Elev./ /Asphalt o Max Fail/ No. Depth Thickness Density /o No. Density Retest ? J Air` . ; 12#' /uJ 1 1' z 7 I' 7 3v3 „_f Jir � ` 5 . j7 ' foo, 7 /0,9 Z 7 7 fi th--- /7 /r 7/.44 //- 3z s- P=Test Meets Specification Requirements F=Test Fails to Meet Specification Requirements R=Retest Proctor Maximum Dry Optimum Moisture No. Description Density Content ;3r -Il' s6 )d , 3 - To Be Completed in 1d ,- Employee Employee Name / i `' IIP / 41111W Standby Approval Time Start/Stop Travel Standby Job Superintendent Printed Name Superintendent Signature Office Use white copy-office use yellow copy-personal use pink-client use