40 BULLETIN 555, U. S. DEPARTMENT OF AGRICULTURE. 
(Name and location of laboratory:) 
Report on Sample of Semi-Gravel, Top Soil, or Sand Clay. 
Laboratory No. , 191 
(Date reported.) 
Name 
Identification marks 
Submitted by Title 
Sampled , 191 Received. 
Sampled from 
Quantity represented 
Source of material 
Location used or to be used 
Examined for 
Address. 
.. 191. 
TEST RESULTS. 
Analysis of material passing 10-mesh sieve. 
Percent. ! Percent. 
Per cent. 
Character. 
Sand retained, 20 mesh 
Passing 20, retained 60 mesh . . . 
Passing 60, retained 100 mesh. . 
Passing 100, retained 200 mesh. 
Total sand . 
Silt 
Clay 
Total 
Total sand retained on 60 mesh 
Coarse material, per cent. Quality, 
Mica, 
Remarks : 
Respectfully submitted. 
(Title) 
