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ST0001-LR020110Ro gineers 8908 Ambassador Row Dallas, Texas 75247 (214) 630-9745 121 North Rayner Fort Worth, Texas 76111 (817) 831-6211 Client: Project; Contractor: Density: ASTM D-2922 Moisture: ASTM D-3017 Density Standard Counts Current: Density Standard Counts Previous: Test Mode (DT / BS); ; M/D Test No.: of In-Place Density Service Order Report No.: Project No.: Date of Service: Page of __ Requirements 2 3 Test Test No. Location Gauge Manu£ & Model: Troxler '.4.:~, Gauge SerialNo.: :~ ) ~'r !7 5 Moisture Standard Counts Current: Moisture Standard Counts Previous: Probe Depth: 0, 2, 4, (6;' 8, 10, 12 Moisture / Density Relations Report Material Optimum Mammum Number Description Moisture Density In-Place Density Test Results M/D Moisture Density Percent No. MC Content DC pcf Compaction ~ ' . ', ~ wet lbs /' ': ~' wet % 5)'' ~/ d~ '/' -' (' lbs ;'" / wet ~ '1 /: wet ,':')b .- c' '1~. lbs wet % d~ lbs wet dry % Technician::..'__. ~' <: ! :,~ , <) .~ Client Rep.: t . L>,',, b~,.) ~', , ',~~L/ Time Start: Stop: Contractor Notified of Results (Y / N)?