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ST0001-LR020409
Rone Client: 8908 Ambassador Row Dallas, Texas 75247 (214) 630-9745 121.North Rayner Fo~t Worth, Texas 76111 (817) 831-6211 In-Place Density Service Order · ~ v ~'/: 0~,?.~ ~''' ReportNo.: Project No,: Project: Contractor: Density: ASTM D-2922 Moisture: ASTM D-3017 Density Standard Counts Current: Density Stbadard ctants Previous: Test Mode (DT / BS): M/D Test No.: of 2 3 Test Test No. Date of S~rvic~:. · ~' t-aA Page Requirements q g°/o Gauge Manuf. & Model: Troxler C~,~ ~9'0 . Gauge Serial No.: _~ ~ ~ t~ "_~ Moisture Standard Counts Current: 3 o) ? Moisture Standard Counts Previous: /~,;F~ Prob~ Depth: 0, 2, 4, (~ 8, 10, 12 Moisture / Densi~, Relations Report Material Optimum Number Description Moisture Maximum In-Place Densi ,W Test Results M/D Moi-~ttac D~.s~ty No. MC Con~_¢nt DC pcf Compaction ~ 4. ~/ lbs /~ ~, j wet ~ ~ 3~v ~ ~l~g~ f/.q d~ lbs /t 2- ~ wet w~t lbs ~ % d~ % ~'~ ~ ' Client Rep.: Technician: ~ ..Z_~_.~ ~/.~... ~ ~ Time Start: Stop: _ Contractor Notified of Results (Y / N)?