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ST0001-LR020116
Ro gineers 8908 Ambassador Row Dallas, Texas 75247 (214) 630-9745 121 North Rayner Fort Worth, Texas 76111 (817) 831-6211 Project: Contractor: In-Place Density Service Order Report No.: Project No.: Date of Service: /-- Page / of / Requirements Density: ASTM D-2922 Moisture: ASTM D-3017 Density Standard Counts Current: Density Standard Counts Previous: Test Mode (DT / BS):__ ,]) Y- M/D Test No.: of 1 ~zG ~ /!, C 2 3 Test No. Test Location Gauge Manuf. & Model: Troxler Gauge Serial No.: / .~ ,~ *5- Moisture Standard Counts Current: Moisture Standard Counts Previous: Probe Depth: 0, 2, 4,(~' 8, 10, Moisture / Densi ,t;y Relations Report Material Number Description /.~_;(." : , ?/ ~'5', ,47~ 4/ Optimum M~X~mum Moisture Density In-Place Densi ,ty Test Results M/D Moisture No. MC /,9 Density Percent Remarks: Content l 0 / lbs ': / lbs Q (7 lbs ~ % ~ o ~ lbs lbs lbs % lbs % lbs pcf Compaction . ! '9 ~/ wet ;',~ ?. wet ;.,, ~,' dry ,.a ~, % /2) ~ wet d~ d~ % wet dry % Technician: ~ ~ ' Client Rep.: ./(,~> ~'5 ~ /A::, ~ 6~,/P~' Time Start: Stop: Contractor Notified bf Results (Y /N)?