HomeMy WebLinkAboutBLD2007-02553 FIELD RPT.TIFh.,a7 — Ou SS
ECHNOLOGICAL
MII ROUND PV—
ERVICES
NC. Date:/-O Time:
Field Report :
/1 �oodkaw) CO. ?D.
CounrylState (�ff"Y Ft/l3/¢ N.C CoRaed� OUtgiOr t Owe
Permit Number. W SLD;1007 - Da SS3 Weather :Af n TempereNre:
Street Address: 775 _!rAeii'illY 6 eD 0. Presentat Site: _
Depth of Fig: or Cut Lot: v 4 W, .,(bSA
Depth of Undercut from Residual Grade:
O Staked pen
1. Type of Work: Cl Preliminary
{Check ag 0 Proofmil
that Apply) Other:
ooNng 0 Slab
0 Undercut 0 Concrete
O Field Density O Proctor Sample
0 Special Inspection
-
2. Tests Conducted: CP
(Check all 0 Slump
that Apply) 0 Probe Rod
0 Shelby
O Cylinders q_
0 Nuclear (Soil or Stone)
0 Sand Cone (Soil or Stone)
Other.
3. Number of Tests: / ' Pass:
Fail
Retests:
4. Site Observafions:
Ire
2
) `rsr i i'. (
4
:c C L)
C" t -
T
5, Recommendations:
6. Approximate Elevation Referenced From:
Elevation:
7.
Is recheck required by GTSIy
V /
YES: N0:
B. 1 0 EPORT
— ep foll f/
GT51 Rep:
Site Rep:
Rev. 5.2 ti