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Soil Liner Fill <br />Acceptance Form <br />amec <br />foster <br />wheeler <br />CLIENT: Cripple Creek & Victor Mining Co. Page % <br />of �— <br />PROJECT: Squaw Gulch VLF Phase I Weather <br />PROJECT NUMBER: 74201125NO Date_/Oz� <br />Work Activity: Soil Liner Fill <br />Area/Location: See attached sketch <br />Items Depth of Soil Liner Fill verified <br />Inspected: Non-yeilding surface. <br />No visible low/ponding areas <br />Free of unacceptable materials. <br />Tests Nuclear density testing Moisture/Density Lab Tests <br />Completed: <br />Laboratory testing Permeability Testing <br />Survey Complete <br />Deficient o,? ee <br />Items: <br />Remedial o G <br />Action: <br />Accepted: Yes X No <br />Explain: / <br />LYo v ic.i .SL% <br />.i rav <br />Signatures <br />AMEC-� Z� . ti) Other <br />Ames /V V A1C-- Other <br />CC&V ���L' Other <br />