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CERTIFICATION: <br /> I/We, , herby certify that the material proposed to be imported to <br /> the Daniel's Sand Pit#2 (East Pit Area), is clean and inert as defined in Rule 1.1. (20). <br /> Rule: 1.2.(2), states clean and inert material is any material which is, "...non-water— <br /> soluble and non-putrescible solids together with such minor amounts and types of other <br /> materials, unless such materials are acid or toxic producing, as will not significantly affect <br /> the inert nature of such solids. The term includes, but is not limited to, earth, sand, gravel, <br /> rock, concrete which has been in a hardened state for at least sixty days, masonry, asphalt <br /> paving fragments, and other inert solids." <br /> Date: , <br /> Signature <br /> The material delivered to the Daniel's Sand Pit#2 (East Pit Area)was placed at the following GPS <br /> coordinates (midpoint of disposal location,)at an elevation of feet, MSL. <br /> Northing• <br /> Ea tins: <br /> Nature of the delivered material: <br /> Approximate Cubic Yards of delivered material: <br /> Note for Field Foreman: <br /> This document shall be retained on-site. In addition, an electronic copy shall be sent to the Transit Mix <br /> Concrete Company's, Permit Specialist. <br /> 4 <br />