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Soil Liner Fill Acceptance Form <br />Newfields <br />0 Perspective, Vision. Solutions. <br />Client: Cripple Creek & Victor Mining Co. Contractor: Ames <br />Project: Squaw Gulch VLF Weather: ! „ <br />Project No.: 475.0106.006 Date: <br />Area/Location:' <br />Items Inspected: Depth of SLF verified <br />Firm and unyielding Surface <br />No visible low/ponding areas <br />Free of deleterious materials <br />Testing Performed: Nuclear Density Survey Completed <br />Moisture/Density Lab Testing <br />Lab Testing - Natural Moisture, Particle Size, <br />Atterberg Limits, Proctor, Specific Gravity, Permeability <br />Deficient Items: <br />Remedial Actions: <br />Subgrade Accepted: YES NO <br />Comments: <br />Signatures: <br />Newfields: _ Date: 0— <br />Ames: , <br />Date: <br />CC&V: Date: <br />Other: Date: <br />Other: Date: <br />