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Soil Liner Fill Acceptance Form <br />KEp <br />.,,wFtelds <br />Perspective. Usion. Solutions. <br />Client: Cripple Creek & Victor Mining Co. Contractor: Ames <br />Project: Squaw Gulch VLF Weather: p , <br />Project No.: 475.0105.006 Date: p, <br />Area/Location: -- 2 2 3 _ _2 <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 <br />Survey Completed <br />Moisture/Density Lab Testing <br />Lab Testing - Natural Moisture, <br />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: p tD <br />Ames: F <br />Date: <br />CC&V: I <br />Date: 1(2-11(, <br />Other: <br />Date: <br />Other: <br />Date: <br />