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Soil Liner Fill Acceptance Form NewFieids <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 />a <br />Area/Location: -- 22 f I — j2 --2-72- 1 <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:061A U/14 <br />"� <br />Ames: li�L "� <br />Date:V?5/—/'C.. <br />CCU: <br />Date: <br />Other: <br />Date: <br />Other: <br />Date: <br />