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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 />GEOSYNTFiETIC INSTALLER PROJECT <br />COMPANY: ;r~p/~/_ r/EX ~'hj'~ L~~C LOCATION /'1 f' <br />. ~ ~//fI.) C T/7 <br />ADDRESS: ~~, ~, ~~,_. R~,t Or~ PROJECT `C % / i~.+~AJE ivL%ivE~ tCJA~~o <br />(.-~..d I'.~,.-.~e. T,X ~Sxsl OWNE//R CC { / <br />I, the Undersigned, the duly authorized representative of ~0 (qi- tee <br />-r <br />do hereby accept the area of soil surface bounded by <br />~J <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 />~/z~~oy <br />u f C,cv/sv.C <br />SIGNATURE TITLE <br />DATE <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQP, ENGINEER <br />A <br />I • <br />Z <br />Reviewed by: e: 7~~' °~ <br />Approved by: Date: <br />File No: <br />GOLDER ASSOCIATES <br />
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