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 - NewFietds
W Perspective. Vision. solutions.
Client: Cripple Creek & Victor Mining Co. Contractor: Ames
Project: Squaw Gulch VLF Weather:
Lo . y
Project No.: 475.0106.006 Date:
Area/Location: — l c� 3 —17
Items Inspected: Depth of SLF verified
Firm and unyielding Surface
No visible low/ponding areas
Free of deleterious materials
Testing Performed: Nuciear Density Survey Completed
Moisture/Density Lab Testing
Lab Testing - Natural Moisture, Particle Size,
Atterberg limits, Proctor, Specific Gravity, Permeability
Deficient Items:
Remedial Actions:
Suhgrade Accepted: YES �
NO
Comments:
Signatures:
NewFields:
Date: Z
Ames: X
Date:
CMV:
Date: Ebb I�
Other:
Date:
Other:
Date: