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c ip <br />Soil Liner Fill P <br />Acceptance Form amec <br />foster <br />wheeler <br />CLIENT: Cripple Creek & Victor Mining Co. <br />Page_L_of <br />PROJECT: Squaw Gulch VLF Phase I <br />Weather <br />PROJECT NUMBER: 74201125NO <br />Date4 D I ---?z4 5 <br />Work Activity: Soil Liner Fill <br />Area/Location: See attached sketch <br />Items Depth of Soil Liner Fill veered <br />Inspected: <br />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: Laboratory testing Permeability Testing <br />Survey Complete <br />Deficient Pam <br />Items: <br />Remedial d, <br />Action: <br />Accepted: Yes_ <br />No <br />Explain: �` .1'' ;t <br />s e r N� <br />G//s✓ L/r ibJ o' <br />ix� L <br />Signatures <br />AMEC - <br />Other <br />AmesAAl—Other <br />CC&V <br />Other <br />