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ST0001-LR020108
Ro g!neers 8908 Ambassador Row Dallas, Texas 75247 (214) 630-9745 121 North Rayner Fort Worth, Texas76111 (817) 831-6211 Client: 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): Gauge Manuf. & Model: Troxler ~ ~ Gauge Serial No.: ~ ) (~ ¢ 6~' Moisture Standard Counts Current: &/, ' Moisture Standard Counts Previous: ~/~- Probe Depth : 0, 2, 4,(g; 8, 10, 12 M/D Test No.: of 3 Moisture / Density Relations Report Material Number Description ~f~ .b~[~, F,,.,z ~ ~.,, 4' ",,.. Optimum Maximum Moisture Density In-Place Densi~ Test Results Test Test M/D Moisture Density Percent No. Location No. MC Content DC pcf Compaction / ~, t~ lbs ~ ,/ ~ wet ~ , . ,-, .... ~ t ~. , 2~ o % :~ . - 2~ Z lbs ~? ~j wet Remarks: lbs wet % dry lbs wet % dry lbs wet % % dry % wet dry % ¥cchnicianL--3-~::-~'-~' :'~'' 5"Z-~'~ - Client Rep.: /--~'L Time Start: Stop: _ Contractor Notified of Results (Y / N)?