2009-07-07_REPORT - M1980244 ‎(7)‎

• Permit No: M1980244
• IBM Index Class Name: Report
• Doc Date: 7/7/2009
• Doc Name: QA July 7,2009: Load out Bin Relpcation Doc 2 of 7
• From: CC&V
• To: DRMS
• Media Type: D
• Archive: No

a_me -
TEarth & Environmental
CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE
BASED UPON VISUAL OBSERVATION ONLY
GEOSYNTHETIC INSTALLER
COMPANY: Lonestar
ADDRESS:
LOCATION:
PROJECT:
OWNER:
PROJECT
Cresson Project
CCBV CQA Phase 5
Cripple Creek and Victor Gold
1, the Undersigned, the duty authorized representative �—�—' r ,
Of � lose51PN HIcE�i
AIM► � �'R� � �,Jd►�mr�rr�►c_._
do hereby accept the area of soil surface bounded by (NorthinglEasdng)
RhN 9 L-- i A MA .
and shall be responsible for amartakdng its kileg pity and suitability in accordance with the project
specifications from this date to the completion of the installation.
40/0 9
NAME SIGNATURE TITLE DATE
I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the
area of soil surface bounded by (NorthinglEasting)
Reviewed by: Date:
Approved by: Date:
AWC Both and EnWimu Mal