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Soil Liner Fill j► <br />Acceptance Form amec <br />foster <br />wheeler <br />CLIENT: Cripple Creek & Victor Mining Co. <br />Page_L_of Z <br />PROJECT: Squaw Gulch VLF Phase I <br />Weather <br />PROJECT NUMBER: 74201125NO <br />Date 1r -2b M <br />Work Activity: Soil Liner Fill <br />Area/Location: See attached sketch <br />Items Depth of Soil Liner Fill verified <br />Inspected: Non- eilding 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 <br />Testing <br />Survey Complete <br />Deficient MOO <br />Items: <br />Remedial d <br />Action: <br />Accepted: Yes x <br />No <br />Explain:/'f vi <br />�� P' <br />cine c A4 <br />1"04 <br />Signatures <br />AM EC G <br />Other <br />Ames ` <br />Other <br />CC&V t� <br />er <br />