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2004-10-18_REVISION - M1980244 (23)
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2004-10-18_REVISION - M1980244 (23)
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Entry Properties
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: ,~oLv- F/FX ~S"h~ the LOCATION ,~/~ySE 7~ <br />PROJECT <br />ADDRESS: ~~ ~, ~~,,~~~,{ Or. ~C s' / z1JfIAJE /V ~%~''Eit CQA~Co <br />f~~-c..d ~.^e.r.~e,TX ~5~~-I OWNER CC <br />I, the Undersigned, the duly authorized representative of ~ ~~'t X <br />do hereby accept the area of soil surtace bounded by C. 30N ~~u G- ~ 39' <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 />• ~- NAME (GNATURE TITLE DATE <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CCW ENGINEER <br />-Pj 'U <br />TITLE <br />• <br />DA <br />Reviewed by: ate: ~-`j-a <br />Approved by: <br />File Nb: <br />GOLDER ASSOCIATES <br />Date: <br />
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