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 - New1Fletds
iiPerspective. Vision. Solutions.
Client: Cripple Creek & Victor Mining Co_ Contractor: Ames
Project: Squaw Gulch VLF Weather:
Project No.: 475.0106.006 Date:
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Area/Location: -- �?p cz A -- ;?
Items Inspected: Depth of SLF verified
Firm and unyielding Surface
No visible low/ponding areas
Free of 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: YES
NO
Comments:
Signatures:
NewFlelds:
Date: 07h Z
Ames: �
Date: 7, / '�e' (�
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CC&V:
Date: -71t I l J 4s
Other:
Date:
Other:
Date: