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2004-10-18_REVISION - M1980244 (23)
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2004-10-18_REVISION - M1980244 (23)
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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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<br /> <br />• <br />CERTIFfCATE OF ACCEPTANCE OF SOIL SURFACE <br />GEOSYNTHETICINSTALLER PROJECT <br />COMPANY: ;r]i~li/_ ~/EX Cen=,-~'r liaC LOCATION ,~,~y rE 7-lT <br />ADDRESS: ~.~~, ~~ `~,^_hwc.{ 4~,... PROJECT CC 1 / ~D,i/nSE i/~%NE~ C 4 <br />' O• ~C o <br />f.~^etd P^c.r.r, , JX ~ SCSI OWNER CC / <br />I, the Undersigned, the duly authorized representative of ~/„ r~x <br />do hereby accept the area of soil surface bounded by "'"'fff 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 /> <br />,Sv/.1 vt yr <br />~! ~<~ `/ <br />CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER <br />sl <br />Reviewed by: - e: <br />Approved by: Date: _ <br />File No: <br />GOLDER ASSOG7ATES <br />30 <br />CATE <br />3d-d~ <br />
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