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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: ~oL~ F/FX ~ons}'~ 1/ic LOCATION ,(7%/9SE TV' <br />ADDRESS: _ ~6b ~ ~y~,.•~hw~.( Qr. PROJECT `~ r' ~/ ~jJ{f/jJE ii/~%N'cR CC~A~(p <br />f~ra..a F1t.n~, 7~c ~S`osl OWNER _ Cc *; <br />I, the Undersigned, the duly authorized representative of ~. l~ x <br />do hereby accept the area of soil surface bounded by ,q,,, s c - 2S9 avc: z68 <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 />C~ <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGfNEER <br />-/S--o~ <br />• <br />Reviewed by ~$`fe: ~o -! 5 - a ~{ <br />Approved by: <br />File No: <br />Date: <br />GOLDER ASSOCIATES <br />`~ <br />
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