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Soil Liner Fill <br />Acceptance Form <br />►h <br />amec <br />foster <br />wheeler <br />CLIENT: Cripple Creek & Victor Mining Co. <br />Page of 2— <br />PROJECT: Squaw Gulch VLF Phase 1 <br />Weather <br />PROJECT NUMBER: 74201125NO <br />Date <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: Laboratory testing Permeability Testing <br />Survey Complete <br />Deficient <br />Items: <br />Remedial �. <br />Action: <br />Accepted: Yeses <br />No <br />Explain Ste. r <br />Signatures <br />AMEC .J/�7 2; i<v1 <br />Other <br />Ames _ AM itI/A <br />Other <br />CC&V <br />Other <br />