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p ' - NewFields <br />Soil liner Fill Acceptance Form <br />® Perspective. Vision, Solutions. <br />Client: Cripple Creels & Victor Mining Co. Contractor: Acnes <br />Project: Squaw Gulch VLF Weather: <br />Project No.: 475.0106.006 Date: 0 <br />:z2 <br />Area/Location: — S= <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: / f <br />Date: © lzZ <br />Ames: _ i►� _ ]�e,2 ,/Q-y��� <br />Date: z, z / {® <br />CC&V: <br />Date: <br />Other: <br />Date: <br />Other; <br />Date: <br />