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Soil Liner Fill <br />Acceptance Form <br />amec'� <br />CLIENT: Cripple Creek & Victor Mining Co. <br />PageOf 7i <br />PROJECT: Squaw Gulch VLF Phase I <br />Weather %�C�i��/ <br />PROJECT NUMBER:74201125NO <br />Date %OS lU <br />Work Activity: Soil Liner Fill <br />Area/Location: See attached sketch <br />items Depth of Soil Liner Fill verified <br />Inspected: Non-yeilding surface. <br />No visible low/ponding areas <br />Free of unacceptable materials. <br />Tests Nuclear density testing Moisture/Density <br />Lab Tests <br />Completed: Laboratory testing Permeability Testing <br />Survey Complete <br />Deficient <br />Items: <br />Remedial <br />Action: <br />Accepted: Yes_ <br />No <br />Explain <br />Signatures <br />AMEC <br />Other <br />Ames <br />Other <br />CC&V <br />Other <br />