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Soil Liner Fill Acceptance Form AWNewFields <br />-- <br />® Perspective. Vision. solutions. <br />Client: Cripple Creek & Victor Mining Co. Contractor: Ames <br />Project: Squaw Gulch VLF weather: C <br />Project No.: 475.0106.006 Date: <br />? V1 <br />Area/Location: p 5r7 <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 <br />NO <br />Comments: <br />Signatures: <br />NewFieids: <br />Date: 07y_�Zlod <br />Date: 07 /liqll % <br />Ames. <br />. �lJ <br />CC&V: <br />Date: 7 2[1 <br />Other: <br />Date: <br />Other: <br />Date: <br />