Report GEDPACIFIC ENGINEERING, INC. 13910 SW Galbreath Dr., Ste. 102 .
Sherwood, Oregon 97140
Job # Phone: 503 - 625 -4455 • Fax 503 - 625 -4405
REPORT OF FIELD DENSITY TESTS
Client ',oPZo i) - off 2_ -
Project - -, •-- l 1 : _ `r"C.�,, \ �V Ply u - C� O Z 2_ -.
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Soil Descriptions
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Method of Test f 1( ... : - ., L- ) Serial # ? ci l 1 I v
TEST ELEV. FIELD FIELD DENSITY % MAX DRY COMP COMP
DATE TYPE (FT LOCATION MOIST. (PCF) DENSITY SPEC. RESULT
fg. (�) % WET DRY C.P (PCF) % %
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Remarks
by:
Test b ' '.
y �%.
Information contained herein pertains to materials tested /inspected only. The fact that any particular work has been observed or
tested does not waive the contractor's responsibility for the means and methods of construction, job site safety, or to comply with
the contract documents.
JOB INVOICE
CADE
rwrs: Si- TANK
619
044EGON' 1T ORFA-10f4 97C0 CUSTOMERS ORDER NO DATE ORDERED
656-3325
ORDER TAKEN BY DAT ED AD A.M
'D P.M. Z--. ° C
BILL TO
t „ . 1 , 12,... ,3 40 "...
• PHONE
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ADDRESS MECHANIC
CITY HELPER
• JOB NAME AND I OCATION
0 DAY wORK
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DESCRIPTION K WOR C CoNnucT
EXTFIA
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OUANT. _ SCRIPTKQFMaITJ USED PRICE AMOUNT
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c-,••";!/.••- - •
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HOURS LABOR AMOUNT
TOTAL
MECHANICS 0 MATERIALS
HELPERS 0 TOTAL
LABOR
I hereby acknowledge the satisfactory
completion of the above described work. I TOTAL LABOR TAX
SIGNATURE DATE COMPLETED
TOTAL
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