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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 />GEOSYNTHETICINSTALLER <br />COMPANY: ,~~Ii/_,-/FX ~-1-rr 1rtG <br />ADDRESS: 3a Er. k, ~'~c,-= ha,c.{ ~,~. <br />r.-~wd G~.:,~,Tx ~s2sl <br />PTANGE OF SOIL SURFACE <br />PROJECT <br />LOCATION ,D 'JH f E ~ <br />PROJECT ,LC 1 / i~i//a tE iyL%.ve~ C[P•4~~o <br />OWNER Cc / <br />I, the Undersigned, the duly authorized representative of ~ ~,I,c ~~ gy <br />do hereby accept the area of soil surface bounded by ~~14Nc LS ['3 4~2ti - ~ X33 <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 S NATURE T( LE DATE <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER <br />DATE <br />• <br />Reviewed by: ~ -2f- y`f <br />Approved by: Date: <br />Fila No: <br />GOLDER ASSOCIATES <br />
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