2025-10-20_REVISION - M1980244 ‎(17)‎

• Permit No: M1980244
• IBM Index Class Name: Revision
• Doc Date: 10/20/2025
• Doc Name Note: 6. APPENDIX J & K
• Doc Name: Request for Technical Revision
• From: CC&V
• To: DRMS
• Type & Sequence: TR153
• Email Name: ERR
• Email Name: ZTT
• Media Type: D
• Archive: No

Project Name:CC & V Newmont Mining Cripple Creek TYPE OF MQA:LEVEL (2)QA by: QA by:
Material:80mil LLDPE Microspike SAMPLING FREQUENCY:1/150,000 sq.ft.
Manufacturer:AGRU
Location:NV
No.Product
Code/Lot/Batch No.
Length
(ft.)
Width
(ft.)
Area
(ft2)
Date
Manufactured
Sampled
by
Date
Sampled
Date
Received
Reference Job No/
Control No
MANUFACTURING QA IN-PLANT SAMPLING/INSPECTION REPORT
Roll #
27 FND0147920029 24BB505 410 23 9430 2/7/2025
28 FND0147920030 24BB505 410 23 9430 2/7/2025
29 FND0147920031 24BB505 410 23 9430 2/7/2025
30 FND0147920032 24BB505 410 23 9430 2/8/2025
31 FND0147920033 24BB505 410 23 9430 2/8/2025 TRI-CA 2/17/2025 2/19/2025 CA250173 C#188344
32 FND0147920034 24BB505 410 23 9430 2/8/2025
33 FND0147920035 24BB505 410 23 9430 2/8/2025
34 FND0147920036 24BB505 410 23 9430 2/8/2025
35 FND0147920037 24BB505 410 23 9430 2/8/2025
36 FND0147920038 24BB505 410 23 9430 2/8/2025
37 FND0147920039 24BB505 410 23 9430 2/8/2025
38 FND0147920040 24BB505 410 23 9430 2/8/2025
39 FND0147920041 24BB505 410 23 9430 2/8/2025
40 FND0147920042 24BB505 410 23 9430 2/8/2025
41 FND0147920043 24BB505 410 23 9430 2/8/2025
42 FND0147920044 24BB505 410 23 9430 2/8/2025
43 FND0147920045 24BB505 410 23 9430 2/8/2025
44 FND0147920046 24BB505 410 23 9430 2/8/2025
45 FND0147920047 24BB505 410 23 9430 2/9/2025
46 FND0147920048 24BB505 410 23 9430 2/9/2025 TRI-CA 2/17/2025 2/19/2025 CA250173 C#188345
47 FND0147920049 24BB505 410 23 9430 2/9/2025
48 FND0147920050 24BB505 410 23 9430 2/9/2025
49 FND0147920051 24BB505 410 23 9430 2/9/2025
50 FND0147920052 24BB505 410 23 9430 2/9/2025
51 FND0147920053 24BB505 410 23 9430 2/9/2025
52 FND0147920054 24BB505 410 23 9430 2/9/2025
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TRI Environmental, Inc. dba Precision Geosynthetic Laboratories International