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Form001 05 072313
Form001 05 072313
Form001 05 072313
TP-02115-03
Project Inspector:
Completion Date:
Cell
m3, yd3,
Pay Item Material Spec QUANTITY tons, t,
COMPACTION TESTS
Mod Penetration Index, Specified Density, Quality Compaction, etc. MINIMUM TEST RATE # TESTS
REQUIRE COMPLETED D
MOISTURE TESTS
# TESTS MINIMUM TEST RATE # TESTS
REQUIRE COMPLETED D
GRADATION TESTS
# TESTS MINIMUM TEST RATE # TESTS
REQUIRE COMPLETED D
m2, yd2,
# TESTS
Remarks:
Uncorrected Tests shall be listed and adressed in the Materials Certification Exceptions Form.
CC: Grading and Base Office, District Materials Engineer, and Project Engineer/Supervisor