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ST0001-LR020118Ro gineers 8908 Ambassador Row Dallas, Texas 75247 (214) 630-9745 In-Place Density Service Ord Client: ~'/4 ,_ :,}r , ~ ' Report No.: Project No.: _ Date of Service: j Project: Contractor: Page / of Requirements Density: ASTM D-2922 Moisture: ASTM D-3017 ok,? * (~c _ 121 North Rayner Fort Worth, Texas 76111 (817) 831-6211 Gauge Manuf. & Model: Troxler Gauge Serial No.: _,.< ) ~, ¢ .q- Density Standard Counts Current: Density Standard Counts Previous: Test Mode (DT / BS): D 'F M/D Test No.: of 2 3 Moisture Standard Counts Current: Moisture Standard Counts Previous: Probe Depth: 0, 2, 4, ~6;, 8, 10, Moisture / Density Relations Report Material Number Description Ia-Place Densi~ Test Results Test Test M/D Moisture No. Location No. MC Content DC 6' ~:o~', _"~.~ 2 lbs Optimum MaXunum Moisture Density iq o ,Lc,& ~' Density wet ~action % lbs % Time Start: Stop: Contractor Notified of Results (Y / N)? ) ,t c/ lbs oN wet % wet %