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Soil Liner Fill Acceptance Form - <br />Perspective. Vision. Soluldons. <br />Client: Cripple Creels & Victor Mining Co. Contractor. Acnes <br />Project: Squaw Gulch VLF Weather: <br />C Jwi-( <br />Project No.: 475.0106.006 Date: <br />Area/Location: -- :? q Q— 7 -273 - <br />3 - <br />Items <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, 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 />Newt fields: <br />Date: 9 i 1(,p <br />Ames: 44,1,1 <br />©ate: . C? // & <br />CC&V; <br />hate: -M6,11& <br />Other: <br />Date: <br />Other: <br />Date: <br />