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2004-10-18_REVISION - M1980244 (23)
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2004-10-18_REVISION - M1980244 (23)
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Last modified
6/15/2021 5:49:52 PM
Creation date
11/21/2007 5:44:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
Revision
Doc Date
10/18/2004
Doc Name
Ph. IVc VOL.II Subgrade Accept. Forms
From
Golder Associates Inc.
To
DMG
Type & Sequence
AM8
Media Type
D
Archive
No
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• CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />GEOSYNTHETICINSTALLER PROJECT <br />COMPANY: j~p~i/_~~c-~FX Cens"f'r 1hG LOCATION ,~ fj~y fE ~ <br />ADDRESS: aas~ i~ .'via..^}F.c..+-i Or~ PROJECT `G 1 / 77NAJE %V~%N~~ CG7A~(c <br />Cam.-grid Pr~,r.~, , T~ '~SbSI OWNERJ~' CC 1 / <br />I, the Undersigned, the duly authorized representative of ~ /w-t- ~.X <br />do hereby accept the area of soil surface bounded by ~` _ C _ icj~j <br />and shall be responsible for maintaining its integrity and suitability in accordance with the project <br />specifications from this date to the completion of the installation. <br />• ~ ~.~ ~1g~~1L~(st~ C~-- ~fr SuP~~sfti 6-~-0~ <br />~~ AME SI ATURE TITLE DATE <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQP, ENGINEER <br />(_~_v <br />• <br />Reviewed by: te: to - ~ - o`f <br />Approved by: Date: <br />File No: <br />GOLDER ASSOCIATES <br />
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