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 'lF11,
Perspective. Vision, Solutions.
Client: Cripple Creek & Victor Mining Co. Contractor: Ames
Project: Squaw Gulch VLF Weather: Cl
dQ
Project No.: 475.0206.006 Date: 017//
3l �Dl�i
Area/location: 7
Items Inspected: Depth of SLF verified
Firm and unyielding Surface
No visible Jaw/ponding areas
Free of deleterious materials
Testing Performed: Nuclear Density Survey Completed
Moisture/Density Lab Testing
Lab Testing - Natural Moisture, Particle Size,
Atterberg Limits, Proctor, Specific Gravity, Permeability
Deficient Items:
Remedial Actions:
Subgrade Accepted: YES
NO
Comments:
Signatures:
NewFields: L
Date: O
Ames:
Date:
CC&V:
Date: -7h //J—
Other:
Date:
Other:
Date: