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<br /> CUj'j~UL7" "ITS, INC. (/' ()'" :;::000 , D--;'7 V,{" 01
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<br />6200 HARRIS 1 ECHNOLOGY BLVD. PROJECT J;,;
<br />Ce, bo. rr.. 5 C0'-'/17y /1
<br />CHARLOTIE, NORTH CAROLINA 28269 'J0/?'
<br />T~IGON LOCATION
<br />.. (704) 598-1049 CO/\cD,d 1 ~/ c...
<br /> CONTRACTOR wE..;rHER
<br />Services Performed: H~II Co.,~t-r",J,',_ P:>.d/y Cloc,d)
<br /> PRESENT AT SITE TEMP ,"
<br />0 In Place Density " Concrete Testing 0 COring /'1/ t:. "- '809 "
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<br /> 0 Drive Tube 0 Cylinder Pickup 0 Asphalt TIME ON-SITE TRAVEL TI/I.'lE
<br /> o Sand Cone 0 Concrete ?.'? !--,r5 ! J,r
<br /> 1J Nuclear ~ Steel Testing
<br />n Sample Pickup }t . Ve.f')C h THE INFORMATION PRESE.VTED IN TIllS FIELD RL
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<br />CJ Dynamic Cone Pene[rometers I. Other (explain) H,./SVOT 8EEN REVIEWED 8Y.f PRO/:ESSIO\.II, nr;1
<br /> 0105 ervol','o,,; "YD IS TO BE CONSIDERED PREHI//S.iRl:
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<br />I Veriiication by On-Site Representative:
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<br />I ;oere2Y th~,g07onne! performed on-sire services; sta~d ~ov~ /7 / JZ/J
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