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ST0001-LR020709
gineers 8908 Ambassador Row Dallas, Texas 75247 (214) 630-9745 121 North Rayner Fort Worth, Texas 76111 (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): , 7< ~ t, /o Gauge Manu£ & Model: Troxler ?' ,. <',~:; _ Gauge Serial No.: Moisture Standard Counts Current: Moisture Standard Counts Previous: Probe Depth: 0, 2, 4,, 6, 8, 10, 12 Moisture / Density Relations Report Material Optimum Number Deschption Moisture '! M/D Test No.: of i 2 Maximum Density Test No. Test Location .... iz/. In-Place Densi ,t;y Test Results M/D Moisture Density No. MC Content DC pcf , lbs ~. wet { ·~ .. c) % ~Z~?/,. /,. ,; dry lbs wet '{ -- % dry lbs wet % dry lbs wet % dry lbs wet % dry lbs wet % dry ~~ 7~ ~~~b/~~ ~)~'wet wetdry dry Rem Percent Compaction / C . ~ % % % % Technician ..... --~'~' '"" .... Client Rep.: . ~ ~ ~ *' ,.' / :' i '(~ ; _) Time Start: Stop: Contractor Notified of Results (Y / N)?