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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: ~oL,L ~F/FX Com~'~ 1nC LOCATION .D~7hI6 ~ <br />ADDRESS: ~~ y, ~.~.~,..~{~~( Q(.. PROJECT `~ j ~/ ~1~I/i,jE % G NC/j CQA <br />' ~Co <br />C~~-ewd P,~,r.~,7x ~S~SI OWNER CC i <br />I, the Undersigned, the duly authorized representative of Dd'~ ~~c>r <br />do hereby accept the area of soil surface bounded by _ / C - I e s <br />F~e;c/n v S-z/-o~/ <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 />• <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER <br />C ~f1~ ,S--z/ d <br />TE <br />u <br />Reviewed by: ate: r- z~/-"ate{ <br />Approved by: Date: <br />File No: <br />GOLDER ASSOCIA'1 ES <br />
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