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Geomembrane Acceptance Form o U NewFields <br /> ®Ferspw e.Vision.sawoom <br /> Client: Cripple Creek&Victor Mining Co. Contractor.Ames <br /> Project:VLF2 Recertification t <br /> Project No.: 475.0106.026 Date: C- X, :t <br /> Panels: PRC-33 through PRC-41 <br /> Items Inspected: All seaming and repair work Is complete in the accepted area <br /> All seams and repairs have been pressure tested or <br /> vacuum tested <br /> All destructive samples have been tested and meet project <br /> specifications <br /> As-built panel layout,deployment logs,seaming logs, <br /> pressure testing logs,vacuum testing logs,repair logs, <br /> and destructive testing logs have been reviewed and <br /> approved for DCF placement. <br /> Testing Performed: Pressure Testing Destructive Testing <br /> Vacuum Testing Survey Completed <br /> Deficient Items: <br /> Remedial Actions: <br /> Geomembrane Accepted: YES No <br /> Comment;: <br /> Signatures: <br /> NewFields: -yam Date: O 7 i 3 <br /> r <br /> Ames: r - Date: <br /> Comanco _ Datee: 7 l6 8 <br /> CC&V Date: f <br /> Other. Date: <br />