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Soil liner Fill Acceptance Form ■ NewFields <br /> Perspective.Vision.Solutions. <br /> Client: Cripple Creek&Victor Mining Co. Contractor. Ames <br /> Project:VLF2 Geomembrane Recertification Weather: <br /> Project No.: 475.0106.026 Date: <br /> Area/Location: <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: Survey completed <br /> Deficient Items: hj� <br /> Remedial Actions: <br /> Subgrade Accepted: YES NO <br /> Comments: \ <br /> Signatures: + <br /> NewFields: — = . - ' Date: <br /> Ames: Date: 04'07 7"/k <br /> CC&V: Date: 7 <br /> Ot Date: <br /> Other. Date: <br />