2016-10-21_REPORT - M1980244 ‎(21)‎

• Permit No: M1980244
• IBM Index Class Name: Report
• Doc Date: 10/21/2016
• Doc Name: SGVLF Phase I Cert Report - Soil Liner Fill Acceptance Forms
• From: CC&V
• To: DRMS
• Type & Sequence: TR87
• Email Name: TC1
• Email Name: AME
• Email Name: ERR
• Media Type: D
• Archive: No

Soil Liner Fill
Acceptance Form
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CLIENT: Cripple Creek & Victor Mining Co.
Page _/ofd_
PROJECT: Squaw Gulch VLF Phase I
Weather S ✓✓
PROJECT NUMBER: 74201125NO
Date
Work Activity: Soil Liner Fill
ArealLocation: See attached sketch
Items Depth of Soil Liner Fill verified
Inspected: Non-yeilding surface.
No visible lowlponding areas
Free of unacceptable materials.
Tests Nuclear density testing Moisture/Density Lab Tests
Completed: Laboratory testing Permeability Testing
Survey Complete
Deficient ,n
Items:
Remedial ILlemi
Action:
Accepted: Yes ><
No
Explain: : Ga„ % 11 l� �„ v
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Signatures
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Other
Ames
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CC&V
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