2016-10-21_REPORT - M1980244 ‎(21)‎

• Permit No: M1980244
• IBM Index Class Name: Report
• Doc Date: 10/21/2016
• Doc Name: SGVLF Phase I Cert Report - Soil Liner Fill Acceptance Forms
• From: CC&V
• To: DRMS
• Type & Sequence: TR87
• Email Name: TC1
• Email Name: AME
• Email Name: ERR
• Media Type: D
• Archive: No

Soil Liner Fill Acceptance Form NewFields
e Perspective, Vision. solutions.
Client: Cripple Creek & Victor Mining Co. Contractor: Ames
Project: Squaw Gulch VLF Weather: ccr
Project No.: 475.07.06.006 [late: 0 6
J
Area/location:
Items inspected: Depth of 5LF verified
Firm and unyielding Surface
No visible low/ponding areas
Free A deleterious materials
Testing Performed: Nuclear Density Survey Completed
Moisture/Density Lab Testing
Lab Testing -Natural Moisture, Particle Size,
Atterberg Limits, Proctor, Specific. Gravity, Permeability
Deficient items:
Remedial Actions:
Subgrade Accepted:
Comments:
Signatures:
NewFields:
Ames:
CC&V:
Other:
Other:
YES
NO
Date:
Date:
Date: & /ozy 4f -
Date:
Date: ��