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Soil Liner Fill W? jR <br />Acceptance Form amec <br />foster <br />wheeler <br />CLIENT: Cripple Creek & Victor Mining Co. <br />Page \ of <br />PROJECT: Squaw Gulch VLF Phase I <br />Weather 50'11`nl•/ <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: Yes_ <br />No <br />\1 <br />Explain: 5�;� i �• 1) , S CeacT oc <br />�• ^� 1 ' v� <br />Signatures <br />AMEC <br />Other <br />Ames <br />Other <br />CC&V <br />Other <br />