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<br /> ���� � Page of
<br /> INTERTEC
<br /> TheScienceYouBuildOn. Dp''� CO'I OI�Se�pt��n IY�tes
<br /> �7 �1
<br /> Project No.: Date: � ' Report No.:
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<br /> Project Name: � � Project Location: `". �`� � , ` '
<br /> Client: ' Temp/Weather:
<br /> Project Manager: ` Time Arrived: Departed:
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<br /> Areas Observed: O Building Pad 0 House Pad O Roadway O Pkng/walks O Footing
<br /> � Proof Roll O Other(describe)
<br /> Soil report available? ❑ Yes ❑ No Report reviewed? ❑ Yes ❑ No Report prepared by: ' � �etcoPy
<br /> Benchmark: Benchmark elevation : Benchmark provided by: .
<br /> Finish floor elevation : Bottom of footing elevation : Bottom of excavation elevation:
<br /> Approved plans available? Specified compaction : Fill source:
<br /> Oversizing appears adequate? ❑ NA ❑ Yes ❑ No Soils observed agree with Soils report? ❑ Yes ❑ No
<br /> Soils appear adequate for design loads? ❑ Yes ❑ No Proposed project bearing capacity(psf):
<br /> Contractor notified of results? ❑ Yes ❑ No Name of person notified:
<br /> Was a copy of this report left on site? ❑ Yes ❑ No If so,whom was it submitted to?
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<br /> PerFormed By: Reviewed By: Date:
<br /> This is a preliminary report and is provided solely as evidence that field observations and/or testing was performed. Observations and/or conclusions and/or
<br /> recommendations conveyed in the final report may vary from,and shall take precedence over,ihose indicated in a preliminary report.
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