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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 ACCE <br />GEOSYNTHETIC INSTALLER <br />COMPANY: :r~pLi/_,-/EX Ce:~s,-~'r lr~t <br />ADDRESS: ~6~. ;~ ,rv~,_;ti~„~,i 0.^• <br />r ;~wd F.~•r.~. , ix ~ S2Sl <br /> <br />I • <br />PTANCE OF SOIL SURFACE <br />PROJECT <br />LOCATION ,~,>;q~~ 77 <br />PROJECT `[ t / D~/~JE %i/~%Nen C~/,4~~0 <br />OWNER CC i / <br />I, the Undersigned, the duly authorized representative of ~QL~/- f lE'X <br />do hereby accept the area of soil surface bounded by J LINT /_ s C~ 1/(7.3 - ~ '~/2 S <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 <br />7~y~. <br />TURE <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY <br />Reviewed by ~• ~ -/~- a~ <br />Approved by: Date: <br />File No: <br />GOLDER ASSOCIATES <br />
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