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ST0001-LR011221 ineers 8908 Ambassador Row 121 North Rayner Dallas, Texas 75247 Fort Worth, Texas 76111 (214) 630-9745 (817) 831-6211 In-Place Density Service Order Client: Report No.: Project No.: Project:( ,q~ ~ .; ,,.,, ~_~ Date of Service: I Z [ ~ ! Contractor: Page t of Requirements Density: ASTM D-2922 ~ ("' Gauge Manuf. & Model: Troxler Moisture: ASTM D-3017 O f (- Gauge Serial No.: "~ Density Standard Counts Current: Moisture Standard Counts Current: · Density Standard Counts Previous: Moisture Standard Counts Previous: Test Mode (DT / BS): ~'~'T" Probe Depth' 0, 2, 4, ~'~ 8, 10, 12 Moisture / Densi ,ty Relations M/D ' Test Report Material Optimum Maximum No.: of Number Description Moist ,ure Density Test Test M/D Moisture Density Percent No. Location __ t~N ~. MC Content DC pcf Compaction '!'9 .... ' lbs wet lbs wet lbs wet ~ r / V lbs wet  % dry % ~ lbs % d[7 % lbs wet % dry % Remarks: Client Rep.: Technician: 1 ,..' h ?,:, i-,.,[L.., Time Start: " Stop: Contractor Notified of Results~/N)? ~ATIONS: Thc ~ results iwesentgd h~ein wife prrp~cfl b~ed upmx ~ specific saz=ples pro~lgd for testn~ We ~sume no resporssiblht~ f~ wl~noon ~ll~nty (compositor, sflp~rmncc, p~-fmmancg, elc.) or shy miner fralure of similar subject mslter provided by pc~som or cond~om owr whi¢~ wg have no cmm'ol. Ou~ Ig~tgrs and r~ art for thc gxclusiv¢ usg of t~g clics,ds m v,4mm they srg addres~gd ~md slmll not I~ r~ced gxc~x in full without ~ ~ ~ ~ ~ ~' Ron Eh"ineers 8908 Ambassador Row 121 North Rayner Dallas, Texas 75247 Fort Worth, Texas 76111 (214) 630-9745 (817) 831-6211 In-Place Density Service Or, der Client: Report No.: Project No.: Contractor: Page . ! of / ! ! Requirements Density: ASTM D-2922 '~ C- Gau~e Manuf. & Model: Trox]er Moisture: ASTM D-3017 4 o ~"- Gauge Serial No.: Density Standard Counts Current: Moisture Standard Counts Current: Density Standard Counts Previous: Moisture Standard Counts Previous: Test Mode (DT / BS): Probe Depth' 0, 2, 4, 6, 8, 10, 12 Moisture / Densi ,t:y Relations M/D Test Report Material Optimum Maximum No.: of Number Description Moisture Density 2 ! 3 ,. In-Place DensiW, Test Results , Test Test M/D Moisture Density Percent No. Location L.- ( .,q,~ MC Content DC pcf Compaction % lbs wet lbs wet % dry % lbs wet % dry  lbs wet ~ % dry ? ~'~ / / lbs wet lbs wet % dry % Remarks: Techmc~an Time Start: Stop: Contractor Notified of Results (Y / N)? IJ~ETATIONS: Th= fait ~alta pa'carotid h=;ia ~ prq~tcd ba~d up~t Ihg ~¢ific ~mpl~ providgd f~ tzali;~. We ~ no r(~x~mbility far vacation ia quality appcarm¢¢, p~=l. arma~tc¢, lac.) ar any o{lua, fgalm~ of ~imil~t lUbj¢o, m.~m. im~vidgd by l~t,$~r~ ar cmtdiUor~ or= ~dlid~ ,wz haw m c~. ug of fl~ cliat~ t= wl~m ~ey ar= addr~d and Ihall not In rq~oduct, d cxc~l~ full wilh°u~ fl~ ~ ~ ~ ~ ~'