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SEATTLE DIVISION F7 TACOMA DIVISION
24113 56TH AVE 7V 10025 SO. TACOMA WAY. SUITE H1
MOUNTLAKE TERRACE. 'A'A 98043 TACOMA. WA 98499
(425) 248-2400' FAX (425) 248-2401 (253) 589-1804 ' FAX 053)589-213C
DR 51423
PORTLAND DIVISION
6032 NO CUTTER CIR. SUITE 480
PORTLAND, OR 97217
(5Ml 9RO-177A - FAY -11 11, 10
CLIENT :
Pillchuck Contractors
PROJECT NO.
712-90113 DATE September 24, 2009
ADDRESS
P.O. Box 2579
PERMIT NO:
N/A W. 0.
Kirkland. WA 98083
MUNICIPALITY
City of Edmonds
ENGINEER
IN PLACE DENSITY TEST RESULTS
ATTENTION
Mr. Rick Bailey
ARCHITECT
1 GAS LINE TRENCH IN RES DRIVEWAY NEAR ELECT POLE VZ# 569123 12" 122.2 111.4
P.O. NO.
238857
CONTRACTOR
PROJECT
21507 84th Ave West
PROJECT ADDRESS
121507 84th Ave West. Edmonds. WA
WORK DESCRIPTION
PSI WAS ON SITE FOR COMPACTION TESTING OF FILL PLACED FOR A GAS LINE TRENCH AT THE ADDRESS ABOVE THE AREA WAS COMPACTED PRIOR TO
THE ARRIVAL OF PSI. AND NO CLIENT REPRESENTATIVE WAS ON SITE DURING THE IN PLACE DENSITY TESTING
TEST WERE PERFORMED THROUGH
COLD -MIX ASPHALT PLACED OVER THE COMPACTED FILL
CLIENT WAS NOTIFIED OF NON -CONFORMING RESULTS
IN PLACE DENSITY TEST RESULTS
TEST LOCATION DEPTH \YET DEN DRY DEN.
MOIST '4 * COMP% SPEC /, PIE
1 GAS LINE TRENCH IN RES DRIVEWAY NEAR ELECT POLE VZ# 569123 12" 122.2 111.4
9.7 1 81.3 95.0 F
2 GAS LINE TRENCH IN ROADWAY (84TH) 12" 132.1 126.5
6.8 1 92.3 95.0 F
EQUIPMENT IDENTIFICATION AND SIN# 3430/25598 1 SAMPLE I D 09-038 PROCTOR VALUE 137.0 @ 8.0
GAUGE STANDARD: MS 633 DS 2392 '2. SAMPLE I .
PROCTOR VALUE
LAB METHOD. Q D1557 ❑ 0698 ❑ RICE ❑OTHER -3_ SAMPLE I.D.
PROCTOR VALUE
AST1.1 TEST METHOD IAS APPLICABLE) [✓ D2922 (SOILS) O D3017 (NICISTURE) ❑ D2950 (ASPHALT)
D1556 (SAND CONE) ❑ OTHER
COPIES TO:
INSPECTOR: DATE:
J. LIND September 24, 2009
ITEMS INSPECTED TO
APPROVED PLANS ARE:
CONFORMING:
NONCONFORMING ❑X
x CLIENT CONTRACTOR
ENGINEER BUILDING DEPT.
ARCHITECT SUPPLIER
FIELD CONTACT: DATE:
Certified Report by
Professional Service Industries:
Is 98-1
n Hart
NAME ON OFF ST OT MILES
TOTAL HOURS
Date October 22. 2009