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Soil Liner Fill Acceptance Form <br />itions. <br />0 Perspective. Vision. ' <br />Cripple Creek & Victor Mining Co. Contractor: Ames <br />Squaw Gulch VLF <br />Weather: <br />FProject475.0106.006 <br />Date: <br />Area/Location: j9._ 1 9%] _ _ o <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 />Newfields: <br />Date:$l�=t !� <br />Ames: <br />Date: ( o , oz. , <br />CC&V• � <br />Date: P/3 A � <br />Other: <br />Date: <br />Other: <br />Date: <br />itions. <br />